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Home My WebLink AboutBLD2005-01921 Reroof - BLD Permit / Conditions - 11/8/2005 Inspection Line(360}427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2005-01921 OWNER: JACK VEITCH RECEIVED: 11/8/2005 CONTRACTOR: LICENSE: EXP: ISSUED: 11/8/2005 SITE ADDRESS: 200 NE RIVERHILL DR BELFAIR EXPIRES: 5/8/2006 PARCEL NUMBER: LEGAL DESCRIPTION: TR 8 OF E1 2 NE & W1/2 NW EX LOT: A OF SP #895 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REROOF OLD BELFAIR HWY TO NEWKIRK RD TO RIVERHILL DR TO NE 200 RIVERHILL DR 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: Primary 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 Desig.: Plumbing Fixtures FEES Mechanical Fixtures Type Qty. Type a By Date Amount Receipt Building State Fee KS 11/8/2005 $4.50 S12005 Re-Roof Fee KS 11/8/2005 $95.50 S12005 Total $100.00 BLD2005-01921 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2005-01921 CONDITIONS FOR BLD2005-01921 1) Contractor registration laws 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads," all new structures that require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background. 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 international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X 3) 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 4) Existing roof shall be insulated to a minimum of R-30 if: The roof is uninsulated or insulation is removed to the level of the sheating, OR All insulation in the roof/ceiling was previously installed exterior to the sheating or nonexistant. X 5) 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 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 can be occupied. Proof of continuation of work is by means of a progress inspection.The owneror the agent on the 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. OWN ER OR AGENT: DATE: BLD2005-01921 Please refer to the following pages for conditions of this permit. 2 of 2 VEITCH, JACK I BLD2005-01921 I w I O Z o w v LU cn E o cr- o I Z o a LLJ = f.) 0 chi 0 LL 0 L u I Q m C Z o -� OU J > > d > T I d Z Li c t� 0 _m d va Z F— C? Z � d c J_ m J M n 0�G. J W v w $ a A a y i� [ , 3 a s 3• a u- r I LT I M U- N N M a LL M Lp M M t.G M co Y S U to lj L Z M CL BLD2005-01921 Please refer to the following pages for oonditions of this permit. 1 of 1 Look Up a Contractor, Electrician or Plumber License Detail Pagel of 3 Topic Index ( Contact Info I i Search Nome Safety Claims Et Insurance Workplace Rights Trades B Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version General/Specialty Contractor A business registered as a construction contractor with LEtl to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License PACIFR*02205 Licensee Name PACIFIC ROOFING Licensee Type CONSTRUCTION CONTRACTOR 601903582 Verify Workers Comp Premium U BI Status Ind. Ins. Account 3455600 Id Business Type INDIVIDUAL Address 1 2351 FRUITLAND ST Address 2 City BREMERTON County KITSAP State WA Zip 98310 Phone 3603775233 Status ACTIVE Specialty 1 CARPENTRY/FRAMING Specialty 2 ROOFING Effective Date 9/25/1998 Expiration Date 9/22/2006 Suspend Date Separation Date Parent Company Previous License Next License Associated License https://fortress.wa.gov/lnl/bbip/Detail.aspx?License=PACIFR*02205 11/8/2005 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 3 Business Owner Information Name Role Effective Date Expiration Date FISCHER, GENE E OWNER 01/01/1980 Bond Information No Matching Information Savings Information Bank Assignment Bank Branch of Savings Effective Release Assignment Impaired Received Savings Name Location Number Date Date Type Date Amount Date BANK OF Until #2 AMERICA BREMERTON 54047345 09/17/2001 Released Bond $6,000.00 9/18/2001 Until #1 SEAFIRST BREMERTON 54047345 09/25/1998 Released Bond $4,000.00 Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date CORNHUSKER #8 CAS WAC460213 09/22/2005 09/22/2006 $1,000,000.00 09/14/2005 ATLANTIC #7 CAS INS CO L0650002652 09/22/2004 09/22/2005 $500,000.00 09/21/2004 ATLANTIC #6 CAS INS CO L065000265-1 09/22/2003 09/22/2004 $500,000.00 09/22/2003 ATLANTIC CASUALTY #5 INS CO CP0920032 09/22/2002 09/22/2003 $1,000,000.00 09/20/2002 PENN- AMERICA INS #4 CO PAC611307901 09/22/2001 09/22/2002 09/20/2001 PENN- AMERICA INS #3 CO PAC6113079 09/22/2000 09/22/2002 09/18/2001 PENN AMERICA INS #2 CO PAC6113079 09/22/1999 09/22/2000 MUTUAL OF #1 ENUMCLAW TBA 09/22/1998 09/22/1999 Summons /Complaints Information No Matching Information Start a New Search_ Printer Friendly Version https://fortress.wa.gov/lni/bbip/Detail.aspx?License=PACIFR*02205 11/8/2005 MASON COUNTY Department of Community Development RESIDENTIAL INSPECTION CARD and CERTIFICATE OF OCCUPANCY* PO BOX 186, 426 W Cedar ST, Shelton WA 98584 General Questions: (360) 427-9670 ext 352 Inspection Requests: (360) 427-7262 Permit Number BLD2005-01921 Date 11/08/2005 Issued By Project REROOF Site Address 200 NE RIVERHILL DR BELFAIR Applicant JACK VEITCH Contractor License Number Con. Phone Expiration Date Primary Code Occupancy Division Use Single Family Type of Construction Occ. Load Public Works Access/Driveway Other Health Dept Septic Well Planning Dept Site Inspection Fire Marshal Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Dept Building Official: Emmett Dobey Concrete Setbacks Slab Footing Perimeter Ret. Wall /Bulkhead Footing Interior Footing Decks/Porches Foundation Stem Other Rough-In Groundwork Plumbing Plumbing Groundwork Mechanical Other Groundwork Gas Pipe Gas Piping Framing Mechanical Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Nailing Interior Wall Brace Panels Fire walls Other Final Building Manuf. Home Setbacks Setup Concrete Foot/Runners Final Other APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS *THIS STRUCTURE MAY NOT BE USED FOR OCCUPANCY UNITL ALL APPLICABLE FINAL INSPECTIONS ARE COMPLETED DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVALS ARE GIVEN. POST THIS CARD IN A CONSPICUOUS PLACE ON THE FRONT OF THE PREMISES CONVENIENT FOR MAKING REQUIRED ENTRIES. ALL PERMITS EXPIRE 180 DAYS AFTER PERMIT ISSUANCE OR 180 DAYS AFTER LAST INSPECTION ACTIVITY IS PERFORMED. OWNER/AGENT IS RESPONSIBLE FOR CALLING FOR ALL INSPECTIONS PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET. FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NOo\` L`� PLEASE 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 APPLICA INFPTOVJ�z _ CONTRACTOR INF RMATIOOwner1 C 4 Company Name 0Li 1='- 1 0L �1'i)� Mailin ddr ss o 2 _a i l.'�- Mailin Address�3-S1 City State Zip Code City i2eir U, v State W-A Zip Code G 2&'IO Phone ��_ 7 th}ef P D-3 Vf"lj Phone " to 0 7 1- a 3 Other Ph. Lien/Title Holde • VIP-, Contractor Reg. # WC I FRZ G 0�:' Exp. E mail address Act , E Mail Address N u) Drivers Lic. # 41 E IT C T E 5-1-7M5 DOB '-1-I 0 -161451 Drivers Lic.# L[NZ,:/ dIg � DOB N SEPTIC /WATER SYSTEM INFORMATION - Connect t ew Septic Exis ing Septic )C Connect to Water System X Name of Water System K/✓4 a",t eA Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No J 409 D 4 1 �tQ 0 6140S?/ Fire District Legal Description g of r1 )L Ne 4, w'jj NLJ r% Lor.A or=SP 8q5 Site Address(Please incl a str et na A _e, street n ber and city) o � i e.2h�11 ice. tt-Fa:-Z WR Q g a Direct ns;o�i� v 2 _`i Q `L Will timber be cut and sold in parcel pre ration?Yes/ o 1 Is property wi in 200'of Saltwater Lake River/Creek Pond Wetland I Seasonal Runoff Stream Slopes or Bluffs 1516 Is this permit submittal the result of a Stop Work Notice,Correction Notice 21 oth r nforcement action s No TYPE OF JOQ - New Add Alt Repair Other e Qoo F PRIMARY RESIDENCE SEASONAL ❑ Use of Building HDl71GM 0Gx.1. escribe Work�Qgz yFF 4- boo No. of Bedrooms 3 No. of Bathrooms 4)- Square Footage- 1st Floor i) 723 2nd Floor 3rd Floor Basement Deck Covered Deck-- Other Sq. ft. Garage=U IL Attached Detached —" Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase P c Replace Unit? Yes/ No IF I Installer Name C � ion No. OWNER/BUILDER Acknowledges submission of inaccurate information in a st,pQ��ork order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the wners Igyap7esen five,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed i e apD ti n``.''II ecl I have obtained the permission from all the necessary parties. If permission is required from any easement holder or a er p I regarding this application or the work proposed in the application, I have obtained permission from them to apply for this duct the work proposed. The owner or agent on Hers behalf, r presents that the information provided is accurate a ployees of Mason County access to the above describ rope and str cture or r i w and inspection. This permit/appli t comes null & void if work or authorized construction is not m nce ithin 1 day or if o struction work is suspended for a per of 180 days. PROOF OF CONTINUATION OF WORK IS BY M NSO AP .1561 P TI INACTIVITY OF THIS PERMIT APPLICATION OF18j0D SW LINVALIDATETHEAPPLICATION. X Date: I l O� d s wne /Owners Representative/Contractor (indicate which one) FOR OF CIAL 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 Ins ection 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 Valuation $ TOTAL FEES