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COM2012-00064 Reroof - COM Permit / Conditions - 5/24/2012
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352 Shelton, WA 98584 1� COMMERCIAL BUILDING PERMIT COM2012-00064 OWNER: NORTH MASON BIBLE CHURCH RECEIVED: 5/16/2012 CONTRACTOR: SOUTHGATE ROOFING LICENSE: EXP: ISSUED: 5/24/2012 SITEADDRESS: 82 E CAMPUS DR BELFAIR EXPIRES: 11/24/2012 PARCEL NUMBER: 122082360030 LEGAL DESCRIPTION: TR 3 OF SW NW DOR#6587 001 PROJECT DESCRIPTION: DIRECTIONS TO SITE: RE-ROOF CHURCH General Information Construction&Occupancy Information No. of Units: Type of Constr.: Type of Use: CHURCH Insp.Area: No.of Bathrooms: Occ. Group: Type Work: RRF Fire Dist.: 2 No. of Stories: Exit Design. Load: Val uation: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp. Plan Desig.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2012-00064 Please refer to the following pages for conditions of this permit. Page 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type aty. Type Qty. Type By pate Amount Receipt Re-Roof Fee TW ,JtaM117 rIra 5n ,v)m rin Re-R&GfFee TW -jtarxi19 c IPA'In G»ntam w Building State Fee TW ';j1r'M17 to sn c19nrNm Total $341.5(1 CASE NOTES FOR OD COM2012-00064 r` r` (U V m tD r7 CONDITIONS FOR COM2012-00064 1) Contractor registratw lzrws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-8N-647-0982_ The rs signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X r- 2) Owner I Agent is responsible t t the assigned address and/or purchase and post private road signs in accordance with Mason County Tide 0 14.28_ Ln 0 X m 3) Existing roof de k be insulated to a mu of R-38 if: The roof is un-insulated or existing insulation is removed to the level of the sheathing, OR All insulation th a!I inimm roof I ceifng was previously installed exterior to the sheathing or non-existent X 4) Single rafter fo st f replacement hall be insulated to a minimum of R-38 allowing for a minimum of one-inch continuous vented airspace above the level of ins tion. X 5) WIND LOADS-Roof covenn shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. w X 6) REQUIREME S FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufac refs installation instructions. 0 w w x C0 7) A Class "A"roof sse !y all be installed and verified by manufacturer specifications during the inspection of this project_ 00 X 0) 8) ALL CONSTRUC VITNE UST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND N OCCUPANCY IS LD TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE O UPANCY WOULD N RESULT IN PERMIT REVOCATION, CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE, x z COM2012-00064 C"j'20Z01 iz 0� v Page 2 of 4 9) The dernoliWn and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA). It is unlawful for any person to cause or allow the demolition(or major renovation)of any structure unless all asbestos containing mater�als have been identified and removed from:the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the rL owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586-1044 1 800.422.5623 www orcaa.org X Co 1Z7) All building permits sh I have;;final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a i al inspection or to obtain approval will be documented in the legal property records on file with Mason County as being r` non-ompliant Zvi a n County ordinances and building regulations. IT X z 11) All permits expire XIC days after permit issuance, or 180 days after the last inspection activity is performed. The tau ilding Official may extend the timeforactionforeriod not exceeding 180 days,upon the receipt of a written extension request indicating that circumstances beyond the control 0 of the permit holder ha r ented action from being taken- No more than one extension maybe granted. This permit becomes null and void vork cr 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. E dence of continuation of work is a progress inspection within the 180 day period. Final inspection most be approved before building can be occupied. Proof of continuation o work is by ans f a progress inspecton_The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County a� o1he ve described property and structure For review and inspection. ti OWNER OR AGENT: DATE: M �D U) N CU m l0 M W W W D W LL N Ql m m rlJ f` i O z COM2012-00064 ?age 3 of 4 CONCRETE MECHANICAL MANUFACTURED HOME Footings !Setbacks ante By(has Piping Ribbons Interior Date By Interior-Date By Date ey Exterior Date By Exterior-Date By Set-up Point Load!Isolated Footings INSULATION mate By BG!SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS FRAMING walls Date By Date By Data By PROPANE TANKS PLUMBING If Vault Date By Date By OTHER Groundwork Attic Data By Date By Type- Dale By D.W.v DRYWALL ryK)e- pate B Int.Brace Wall Date lay v y Date 8Y FINAL INSPECTION Water Line Fire Soperation N Data ey Data B y Dat© �--�� ' -� By '= Pass or Request I aspect. ° Type of Insp. Fail Date Date Done By Comments N 0 8 Q C O O O O -w S M' 0 NOU-12-2009 14:34 FROM:PETE 3602756375 TO: 13604277798 P.1 co MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT �� ` ? Mason County Bldg. III, 426 West Cedar Street a t� PO Box 186, Shelton, WA 95584 854 www.co.meson.wa,us (360)427-9670 ext.352 8elfair(360)275-4467 Elma(360)482-5269 u.,.r Roofing Sq ft area Type of Roofing to be Applied Number of existing layers _ Roof Pitch: Tear off: KYes _No Use of buildin Construction Type:bbw Roofing Classification �6ccup ncy classification) (wood,steel frame,masonry ere.) 902mam (A,8 or C) Include manufacture specifications verifing materials meet roofing classification. B& C roofing classifications require site plan drawn to scale, Will insulation be installed?_Yes NO Existing Insulation, describe : A � _ 8 Existing roofs shall be insulated to the requirements ofR-30 if: a.The roof is uninsuloted or insulation i9 removed to the level of the sheathing or b.All insulation in the roof/coiling was previously installed exterior to the sheathing or nonexistent. Roof ventilation, describe o' u t .t F. #i Name of Business; /C/0&.1 n 4M4�4-4j Subject Property Address: Assessors parcel number(s)• (Address and parcol number required for all apocatlons) r Applican • Mailing address IlQXlt� ��� Phone '1 ,0 ) FAX ( ) E-Mail,_ + �r• a7�kt,0tQi il)M ,} Applicant: Date: • f hereby aut ze o my rcpresentative(s) to inspect my property Monday-Friday etween the hours of 8 a.m. and 5 p.m, during tlii p application process for purposes of verifying site conditions, AAC 111)0105 H drive mmm 0..-rmrdoc FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO/VIryn•7�' j PL.,EASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 {�� Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 On the-web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner A4 Company Name Q 411,PA Mailin Address /�A'1 C)4r_j R Mailin ddress 4 _ City State AjAZip Code Zaff i4A rzz State.1,g LB— Zip Code Phone346► '797.:'i:?StJ. Other Ph. Phone `� Other Ph. Lien/Title Holder Contractor Reg. _ Exp. E mail address E Mail Address dQ U7-h.L�A- R66 QA_) Drivers Lic.# DOB r Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description ' Site Address (Please include•street name, street numberand city) u Directions to site Will timber be cut and sold in parcel preparation?Yes Is property within 200'of Saltwater i Lake .y River/Creek Pond Wetland ,4�Seasonal Runoff Ae, Stream Q,�Slopes or Bluffs 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENC�SESEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Squa Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 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. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. 1 further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OFAP RESS eINSCTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: Owners Representative/Contractor (indicate which one) FO FFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbinq & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES