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HomeMy WebLinkAboutBLD2001-00028 ReRoof - BLD Permit / Conditions - 1/9/2001 Inspection Line (360)427-7262 loMASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 t RESIDENTIAL BUILDING PERMIT BLD2001-00028 OWNER: JOHN COLLINS pEAtffiT CONTRACTOR: & VOID 8Y EXp1RATIONCEIVED: 1/9/01 SITE ADDRESS: 9141 E STATE ROUTE 106 UNION f4k L -ISSUED: 1/9/01 PARCEL NUMBER: 322353100040 ATE I °19Y EXPIRES: 7/9/01 LEGAL DESCRIPTION: W 50' OF E 150' N HY+ T.L. OF LOT 3 O PROJECT DESCRIPTION: DIRECTIONS TO SITE: Re-Roof North Shore to Larsen Lake turn right first left 2nd house on left. Blue House General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp. Area: 2 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.: 11 Side 2: Ft. I Comp. Plan Desi .: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee KKK 1/9/01 $4.50 2099 Re-Roof Fee KKK 1/9/01 $42.00 2099 Total $46.60 BLD2001-00028 Please refer to the following pages for conditions of this permit. 1 of 2 1/9/01 Conditions Associated with Case #: BLD2001-00028 4:41:55 PM Cond. Stat. Changed Updated Code Title Hold Status Changed By Tag Updated By 1002 POST ADDRESS 0 Not Met 1/9/01 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 LAC NT 0 Not Met 1/9/01 KKK SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO A MINIMUM OF R-30 ALLOWI }1 MINIMUM OF ONE INCH CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION.X 1010 ROOF REPLACEMENT/EXPOSED DECKING 0 Not Met � 1/9/01 KKK ENCLOSED ROOF SYSTEMS THAT ARE EXPOS D TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR TO COVER.X C 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 S � © g � a PERMIT NO : BLD (; MASON COUNTY 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 -A- n C-L_4 �1 zZIA_)S Contractor Name Mailing Address Mailing Address City I)NfOI� State_LL42ipCode 15 -c5z City Zip Code Phone( Z,k)) 13ROther h.(2,64) y �ZSj- Ph.( Other Ph.0 Lien/Title Holder 6� fir ) Contractor Reg. # /, Address Expiration 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. '� :21�" L_/�� (� Fire District Legal Description r Site Address(Please include street name, street number and city) V tl� Direct* ns t site W�`(h SA6ae -1-0 (^a.Q Sem lI LA ���,�A i `i?��c.,— � Will tlmberTDe cut and sold in paw preparation? (Yes/No) � Is your property within 200' of the following: Body of Water (Name) 6" / Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work , No. of Bedrooms_�No. of Bathroo s SQUARE OOTAGE-1st Floor 0002nd 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-1 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. ll�r S X Date f / X Date FOR OFF CIAL USE BEYOND THIS POINT Accepted by Date l Submittal Amount Due�� ��' Receipt No. o C DEPARTMENTAL REVIEW APPROVED DENIED'' CO,IVDITl0IN CC1,17E5 .......... Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ xx FrES 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 S I C`�-f Violation Fee Pre-Paid at Submittal ( ) .... TOTAL FEES