HomeMy WebLinkAboutBLD2001-00009 Reroof - BLD Permit / Conditions - 1/4/2001 Inspection Line (360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
N $ Shelton. WA 98584
1
RESIDENTIAL BUILDING PERMIT BLD2001-00009
OWNER: ROLAND CHRISTENSEN
CONTRACTOR: RECEIVED: 1/4/01
SITE ADDRESS: 12901 NE NORTH SHORE RD BELFAIR ISSUED: 1/4/01
PARCEL NUMBER: 322345000012 EXPIRES: 7/4/01
PERMITLEGAL DESCRIPTION: MADRONA MORNINGSIDE BCH TRACTS TR 12 + T.L. NULL & V
41D 8 Y
PROJECT DESCRIPTION: DIRECTIONS TO SITE: OATE 3 �9Y AT1p�
Re-Roof Boat House Replace old roofing with new Follow North Shore Road to 12901
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.: 2 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
Type Qty. Type Qty. Type By Date Amount Receipt
Re-Roof Fee KKK 1/4/01 $42.00 2097
Building State Fee KKK 1/4/01 $4.50 2097
Total $46.50
BLD2001-00009 Please refer to the following pages for conditions of this permit. 1 of 2
fir; 4� ,�{.�
1/4/01 Conditions Associated with Case #: BLD2001-00009
2:02:27 PM
Cond. Stat. Changed Updated
Code Title Hold Status Changed By Tag Updated By
1002 POST ADDRESS 0 Not Met 114101 KKK
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 contractor fail to post the address on site prior to requesting
inspections.
X
1009 ROOF REPLACEMENT 0 Not Met 1/4/01 KKK
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
1010 ROOF REPLACEMENT/EXPOSED DECKING 0 Not Met 1/4/01 KKK
ENCLOSED ROOF SYSTEMS THAT ARE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM
R-30 AND INSPECTED PRIOR TO COVER.X
Page 1 of 1
j CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set UP
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
,nO
l
FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD �-_a O I
PLEASE PRESS HARD MASON COUNTY 000 v
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 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner 0= f=. Contractor Name PA<vj.f--iC an-0FIa
Mailing Address 4_� IJR M'AawE z!y Mailing Address ,2 s,! FR(,r;J'Lard17 .Sr,
City State tAiA Zip Code Uhz:ZrSU. City 13Rj54-),-)QT-br4 State t,4r Zip Code 83 i
Phone(_ e )373-6ig't Other Ph.( Ph.( j6c )377 513 3 Other Ph.(
Lien/Title Holder Contractor Reg. # PAo I F Q 6 2 _vq
Address Expiration
SEP TER EM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Sewer System Well Water System Name of
Wat ystem
PARCEL INFORMATION-12 digit Tax Parcel No. 57U/ C>OC7 Fire District
Legal Description LLaT !?. NS4flPsorlA B_4W_iA
Site Address(Please include street name, street number and city) 1,1..96i t�irz.�f�'�S`jj4neF P.a P,>=, FAtR
Directions to site 13 'MtLEG E Mw1 t_l_Vt tk
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) floc N <A iu AL Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt—Repair X- Other Use of Building 'r3r -r l-1st; 5i`
Describe Work Rr)cFiAJ!9
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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I 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. pp first obtaining approval.
X � U Date />4 —61 X Date
FOR OFFICIAL USE BEYOND THIS POINT ,�-p
Accepted by Date I 9 Submittal Amount Due ` (d Receipt No. �T' �
...................... .................
DEPARTMENTAL:'FtEVIE1N APPROVED DENIED I' CID;fVDITIiN COPES............
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 UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
:::�•...•:::::�•::.:;::.::�.:>::�:.��.:.. TOTAL FEES
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