HomeMy WebLinkAboutMIS96-0585 Cancelled ReRoof - MIS Permit / Conditions - 2/19/1997 • MASON COUNTY
' Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 13 C F E C3 U .4 I}' Ew Fi IVII 1 i FOR INSPECTIONS CALL 427-9670
MIS96--O585 PARCEL0232.91400020 PLAT DIV & BLKr LOT :
JOB ADDRESS -
X.,
APPLICANT ! JOF PEDEFERRI 275--6734 .'
OWNERS JOE PEDFFERRI 275-6734 pERMiTRATION
' LEGAL : TO 2 OF N 112 SE If g,� VOI® �'� EXPI
NULL t(j
BY
PROJECT DFGCP I PT I ON & DATE
RE-ROOF
PROJECT LOCATION &
SAME AS ADDRESS
PROJECT NOTES r
TYPE AMOUNT BY LATE RECEIPT
STFE $ 4 .50 IV 08/23 /46 42749
RERF $ 32 .00 TW 08/23/96 42749
TOTAL & 11(l) . 90 - OWNER OR AGENT DFkTE:
1I2._1211t: rev, 94101 iv? COMPLIANCE TO ATTACHED CONDITIONS IS
RE6UIRFn
r -
CONCRETE MECHANICAL MOBILE HOME
Foo4ings-Setback date by Ribbons
date by Gas Piping date b
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 OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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• = MASON COUNTY
� Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
P F. FA M 1 `Ir C: (-I N 11 1 1 1 C) N 3
Cave No . : M I S9Q-058:5
For : JOE PFDEFERRI
Page : I
1 ) PURSUANT TO 1991 UNIFORM RU i L.0 1 NG CODE , SECTION 305 (C ) AND SECTION 1,1 3 , ALL SITES MUST
HAVE: APPROVED NUMPERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LFG I BLE FROM THE :STREET OR ROACH FRONTING TIDE PROPERTY - MASON COUNTY BU 11 D I NC
CEPARTgENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
! kE I NSYE:CT ION FEE , BASED ON RATEti IN TARI_E: 3A OF` THE 1994 UNIFORM KUJ I. D I NU CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
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i 2 ) THE DEMOLITION AND D I SP05A1 OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MA^ON
COUNTY REGULATIONS .
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f 3 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES ANn UE3C
REQUIREMENTS
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• - MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X._
4 ) S I NGI.E RAFTER JOIST ROOF RE PLACFMFNT SHALL. RE INSULATED TO A MINIMUM OF R--30 AI. i_( W I NG
FOR "A ' M�NIMUM OF ONE INCH CONTINUOUS VENTED AIRSPACE ABOVE THE LEVFL OF INSULATION
6 ) FNCLOSFD ROOF SYST FMS 1 HAT ARE EXPOSED TO "L'HE SHEATH i NG SHALT. BE INSULATED TO A M 1 N I M11M
A-30 AND INSPECTED PRIOR TO COVER . X_
6 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY RUIL.DING
DEPARTMENT AND UNIFORM RU I I..D I NG CODE .x
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Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT#1 Owner c7no2 &ae- 4VV' i Phone# Z^?S<o7 3
Site Address f _ ,', 'f w Fire District# Z
City St LA)fp"- _Zip
Directions to Job SiteV o 2 /es Qo-�H �I
Owner Mailing Address
City St-c'&) Zip SZ
Lien/Title Holder
Address
City St Zip
#2 Contractor Name �rtT ��� �� �J o ►-� �✓� c- ' Contractor Reg# (:;fieD ii 09(_LJ
Address -0 gox Expiration Date��/_�/�
City St CA_)a,_Zip �/'o - Phone# Z?S6 73
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply ell
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.(2-9 Zcl - IS� - 6>0 O Z-0
Legal Description
#5 Building Square Footage: (existing/proposed)
1 st FI �� / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport (Circle:Attached or Detached?)
Other sq.9. /
#6 Use of ilding _P K L,R— Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures($3 each, Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No. Air Handling Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
_Other Auto. Fire Alarm Sys 50�00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPART NT.
X OWNER X BY ��—
DATE DATE
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE