HomeMy WebLinkAboutCOM2011-00029 Final ReRoof - COM Permit / Conditions - 6/22/2011 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
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COMMERCIAL BUILDING PERMIT COM2011-00029
OWNER: DONALD LEPERE / BELFAIR DENTAL CENTER RECEIVED: 4/13/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 4/25/2011
SITE ADDRESS: 22921 NE STATE ROUTE 3 BELFAIR EXPIRES: 10/25/2011
PARCEL NUMBER: 123325000051
LEGAL DESCRIPTION: SAM B. THELER'S HOME &GAR TRS TR 22 N 1/2 OF
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
FILL IN AREA ALONG (20' x 2') EVE AND RE-ROOF
STRUCTURE
General Information Construction &Occupancy Information
No. of Units: Type of Constr.: vb
Type of Use: B Insp.Area: N
Type of Work: ALT Fire Dist.: 2 o. of Bathrooms: Occ. Group: b
Valuation: $ 11,600.00 No. of Stories: 1 Exit Design.Load:
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?:
COM2011-00029 Please refer to the following pages for conditions of this permit. 1 of 5
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee Tw d11,419n11 T1 AR n1 C1gn1 inn
Building Permit Fee TIN All�nni 1 r9no?5 c i gni inn
Ilk Building State Fee Tw a»,Annt 1 cm rn qi 7nl inn
Total $349.76
CASE NOTES FOR
COM2011-W029
CONDITIONS FOR
COM2011-00029
1) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
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2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR O�CUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
3) Changes to approved building plans that affect compliance to the current Washington State Energy Code(WSEC), ventilation requirements),
Building/Plugi b,i,n�Q/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
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4) The demolition 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 materials have
been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the
owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623
www.orcaa.org
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5) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason County B ding Inspector shall be made prior to requesting additional inspections.
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COM2011-00029 2 of 5
6) 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.
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7) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely
impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements
of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose.
For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a
driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450.
For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review
future planned work which may affect your project.
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8) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
Xthe permit holder have action from being taken. No more than one extension may be granted.
9) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X G7
10) 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
pand
spmonetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-0982. Th'=r/� n signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
11) A Class"A" roof assembly shall be installed and verified by manufacturer specifications during the inspection of this project.
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12) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and
the manufacturer's
ininstallation instructions.
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13) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason
County is 85 MPH.
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14) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
SYSTEM OR ROA[},WAY.
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COM2011-00029 3 of 5
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 o ner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described prope structure for r iew and inspection.
QWN ER OR AGENT: DATE: L' ZS Z,01 I
COM2011-00029 4 of 5
' r
N CONCRETE MECHANICAL MANUFACTURED HOME
0
Footings /Setbacks Date 8y Gas Piping Ribbons X
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O Interior Date By Interior-Date By Date 9y ril
o _
m Exterior Date By Exterior-Date By
Sot-�
ca
Point Load/Isolated Footings INSULATION Date By M
BG I SLAB INSULATION ------ r'
Date By Data By FIRE DEPARTMENT D
Foundation Walls Floors Date By
Date. By Data By DECKS 0
FRAMING Walls Date By rn
Z
Date By Data By PROPANE TANKS D
PLUMBING vault Date By r
Date By OTHER n
m
Groundwork Attic Z
Date By Type: i
Dale By _, --- Dale By
D.W.v DRYWALL Type n
Date 8 InL Brace Walt Date By 0
Y Date By IV
FINAL INSPECTION c
Water Line Fire Seperation
Dale By Date By Data G_zZ ��� By'ri' C
Pass or Request Inspect. to
Type of Insp. Fail Date Date Done By Comments
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l MASON COUNTY PERMIT NO.1�' �
BUILDING PERMIT P.O. PPLICATION ) „J
426 W. Cedar• O. Box 186, Shelton, WA 98584 C )
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 L - DOA/ Lr ?t 2-t Company Name
SE-S r-i e_Zl� 00 nl sa J c.77 ziaf
Mailin Address G=�X q;5 , Mailing Address PO 30 A I� 0
City `r State d Zip Code Z City L-L I State Zip Gode !SS Z`�'
Phone 2-7-1;'' Other Ph. Phone Z75-- b •`>4- Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic X
Connect to Water System Name of Water System
Well Water System Name of Water System jD- j 2 WA-T-L-`2
PARCEL INFORMATION- 12 Digit Parcel No I L. 3 3 2 - 0�0 s I Fire District
Legal Description H►J�f 'b W A17 p nzs-�
Site Address(Please include street name,street number and cityy) LZ`1Li N'C 5•�
Directions to site
t P- ;�V H o�� d C-.^r� ', ZZ N -Z o%
Will timber be cut and sold in parcel preparation?Yes o
Is property within 200'of Saltwater Lake River/Creek-Pond-
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye o
TYPE OF JOB -New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Pe,A c- to►'i( LE- Describe Work rt�-/d (L�Lt35t� l4fi-�R v►= 12"�~ JET �R�:✓T
No. of Bedrooms No.of Bathrooms Square Footage-1 st Floor 2nd Floor dr'ter
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.I 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 holier or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply fo this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accu to and grants mployees of Mason County access to the above described property and structure for review and inspection.
PROOF N TION F WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date* �/�2-/ f
caner/Owners Re resentativ ontracto indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted bye I Date
DEPARTMENTAL REVIEW APPRO ED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Buildinq Permit Fee D S Site Inspection
Plan Review Fee Q/ EH Review Fee
Plumbing& Base Fee Planning Review Fee
Mechanical &Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Pre-Paid at Submittal
Violation Fee
Valuation$ TOTAL FEES
PROPOSAL
JESFIELD (CONSTRUCTION, INC..
P.0, BOX 1590
ALLYN, WASHINGTON 98524
(360) 275-6684
FAX 13601 2 7 5-375 1
Rego jt-afii '228do
April 12, 2011
Dr. Don LePere Site: Belfair Dental Clinic Home#
PO Box 906 22921 State Rte. 3 Work# 275-2855
Allyn,WA 98524 Belfair, Wa 98528 Cell#
We hereby submit specifications and estimates for:
Roof repair and modifications a follows:
• Frame in recessed area of roof eave at the front entry with small shed roof section
• Complete soffit to match
• Paint areas of new work
• Install new gutter and downspouts on road side of building
• Tear off existing roofing and dispose of all debris
• Apply 30 lb. felt underlayment
• Supply and install 30 year Pabco Premier algae block shingles, hand nailed
• Includes new (lashings and vents as required
$ 11,600 plus 8.4% sales tax
We propose hereby to furnish material and labor complete in accordance with above specifications,for the sum of'.
Eleven Thousand, Six Hundred Dollars plus 8.4%sales tax $11,600.00 plus 8.4%
Payment to be as follows 1/3 down,balance on completion 1 %:%per mo.Carr"T charge.
All material is guaranteed to be as specified All Work to be completed in a workmanlike manner according
to standard practices Any alteration or deviation from above specifications involving extra costs will be
executed only upon written orders,and o 11 become an extra charge over and above the estimate Authonzed
All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, Signature
tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation
Insurance. Note. This propos ay be withdrawn by us if not accepted
within days
Acceptance of Proposal-The above prices,specifications and
conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Pavment will be made as outlined above. Signature:
Date of Acceptance: Signature: