HomeMy WebLinkAboutBLD2002-00033 ReRoof - BLD Permit / Conditions - 1/11/2002 (2) tion Line
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MASON COUNTY DEPT. OF COMMUNITY Phonpec(360)427(96o04 ext. 352
DEVELOPMENT
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
� Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2002-00033
OWNER: GARY FRANZEN
CONTRACTOR: T N T CONSTRUCTION RECEIVED: 1/11/02
SITE ADDRESS: 1470 E SHELTON SPRINGS RD SHELTON ISSUED: 1/11/02
PARCEL NUMBER: 420122200180 EXPIRES: 7/11/02
LEGAL DESCRIPTION: TR 18 OF NW NW SEE SUR 18/136 PCL 2 OF BLA#96-73 #636014
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REROOF SFR SHELTON SPRINGS RD TO ADDRESS
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: RR Fire Dist.: No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desi .:
Plumbing Fixtures Mechanical Fixtures FEES
TVpe QtV. Type QtV. Type By Date Amount Receipt
Building State Fee KC 1 n 1 mq TA rn r;A994
Re-Roof Fee KC 1 ii i mg rAq zn rA99a
Total $56.80
BLD2002-00033 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2002-00033
CONDITIONS FOR
BLD2002-00033
1) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and
legible from the street or road fronting the property. Mason County Building Department requires that this be completed prior to calling for any site
inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contrac/I)tor ail to post the address on site prior to requesting inspections.
X
2) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO A MINIMUM OF R-30 ALLOWING FOR A MINIMUM OF ONE INCH
CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION. X /I � t
3) ENCLOSED ROOF SYSTEMS THAT ARE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR
TO COVER. X ti1� f
4) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County,ordinances and building regulations.
X C\, l'
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before building ca be �pipd.
OWNER OR AGENT: ' ,,� `% /:4�� DATE:
4
BLD2002-00033 Please refer to the following pages for conditions of this permit. 2 of 2
PERMIT NO.: BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 2754467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner (-%rr/ti !<09/c/ Contractor Name / - ..�c
Mailing Address ' - - Mailin Address ,10 — P 2 ila. r
City.S��j/ /;f�n,v State&;411 - Zip Code City �, State LJR Zip CodeqF 3'7
Phone:Uo _4zz6 Other Ph.( j Ph. .Z( 4 3 ) -(j%3 Other Ph. 2( S3 ) .37-7 --441 4
Lien/Title Holder Contractor Reg. #M Cam/ O//G�✓
Address Expiration .Z / /_''
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. O / / O Fire Distri t
Legal Description C,[ p
Site Address(Please include street name, street nu m er and city)
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No) `r!O
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE I] SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair ther Use of Building
Describe Work r►�O.Y GO �14+uo� /ai /f ,(JX(,t,J f2Gaf S o-,, as
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-]certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date
X -� lr' cl / lli�tf-/ Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing& Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTALFEES