HomeMy WebLinkAboutMIS99-00196 Cancelled ReRoof - MIS Permit / Conditions - 10/3/2001 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I C E L_ L A N E O U S P E F3 M I T" FOR INSPECTIONS CALL 427-9070
MIS99-0196 PARCEL :321275300119 PLAT :!APLO DIV .. BLK. : LOT :
JOB ADDRESS : 150 E BALBRIGGAN RD SHEL_TON
APPLICANT : PHYLLIS BURNISON 427-9670
OWNER : PHYLLIS BURNISON 427-9670
LE-.GAL : LAKE LINEAICK 4 TRACT 111
PERMIT
PROJECT DESCRIPTION : rlULL & VOIL' BY EXPIRATION
REROOF
DATE �=L BY jL
PROJECT LOCATION :
NORTH ON MASON LAKE RD, TAKE RIGHT ONTO DARTMOOR AFTER LAKE LIMERICK MINI MART . TAKE RIGHT AT
"Y" SECOND LEFT IS BALBRIGGIN RD. HOUSE IS ON THE CORNER OF BALBRIGGIN AND ERRIGAL . "A" FRAME ON
THE RIGHT .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
RERF $ 42 .00 KS 04/21 /99 50039
STFE $ 4 .50 KS 04/21 /99 50039
4 /
TOTAL - 46 .50 -' OWNER OR 'AGENT DATE
IIt$-14111, revs #41#1192 COMPLIANCE TO ATTACHED CONDITIONS IS
REGtU I RED
CONCRETE MECHANICAL MOBILE HOME
Footings-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 b 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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I
II
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE FA t `r CC)NU3 I T I C3NL,
Case No . : MiS99--0196
For : PHYLLIS BURNISON
Page ; i
I ) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL. SITE MUST BE MARKED WITH APPROVED NUMBERS
OR ADDRESSES PROVIDED 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 REINSPECTION FEE , BASED
ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDINGS CODE WILL BE ASSESSED IF
OWNER/CONT TOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X
2 ) ALL CONSTRUC -N MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQUIREMEN i
X .
3 ) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO A MINIMUM OF R--30 ALLOWING
FOR A 1 IMUM OF ONE INCH CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION .
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 ) ENCLOSED ROOF SYSTEMS THAT ARE EXPOSED,;;& SHEATHING SHALL BE INSULATED TO A MINIMUM
R-30 AND INSPECTED PRIOR TO COVER . X
5 ) CONSTRICTION PROCESS TO BE FIELD CORRECTED AS REQU1'R D PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE ,x
i
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD PERMIT NO.: MIS U
MASON COUNTY
MISCELLANEOUS 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
A0PL1CAMVNF9F3MATION CONTRACTOR INFORMATIOJ� /!
OWner 4 G Contractor Namet�irwnd /C_c�a"Ti
Mailing Addr s t? . Mailing Address P.0. X I
Ci y State Zip Cod W�l City S�f'/f.,)7 State W,4 Zip Code 5i
P one �,c? y yx�� Other Ph. •c� y��-yG/U Ph. " 4>(> /Y •yt./7 Other Ph.0
Li n/Title Holder 3:>=5" Contractor Reg. #
A Tess Expi rat ion��/
PARCEL INFORMATION-12 digit Tax Parcel No. �,'3,� /,R 7 /1/ e2n/! 7 Fire District
Legal Description e- eri c V, 4 '<fc.t `-
Site Address(include street name and city L) c-.
Directions to site:G - 1Vu,-f/1 a- /j►.isc,7 1aez /'�� T�rK� rirl�t c»>' 17�i�rr�o� a '�r,-
iC e.• t K /YI.Yi,'-PZae-L Tv A-c /i A't t e " �5u•n.! /c f>I S 430:Will timber be cut and sold in parcel preparation? (Yes/No) 1-o, o.
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or 0 �.
Bluffs 4 -t- e JRt
TYPE OF JOB New Add Alt Repair Other Use of Building T Cci/ r' N L <1--
Describe proposed construction p t'— /''C%Ci f
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood, etc.) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
NOTICE: THIS PERMIT BECOMES NULL 8.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 CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the 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 ordinance requirements regulating the work for which this permit is issued
will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first obtaining approval. be made without first obtaining approval.
?Gate X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department
Envir nmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Buildi g Permit Fee Site Inspection
Plan eview Fee Other
UFC Ian Review Fee Other
Violati n Fee Pre-Paid at Submittal ( )
t TOTAL FEE S