HomeMy WebLinkAboutBLD2003-00740 Final ReRoof - BLD Permit / Conditions - 6/16/2003 1
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT PInspection Line
(967 ,ext.00 262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2003-00740
OWNER: MARDEL HONEYWELL
CONTRACTOR: MASON COUNTY ROOFING 360.426-7057 LICENSE: MASONCR996R7 EXP: 12/27/2003 RECEIVED: 6/6/2003
SITE ADDRESS: 40 E LAKEWOOD LN SHELTON ISSUED: 6/6/2003
PARCEL NUMBER: 321345000034 EXPIRES: 12/6/2003
LEGAL DESCRIPTION: RAINBOW LAKE LOT: 34
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REROOF NORTH ON HWY 3, LEFT ON MASON LAKE RD, LEFT ON RAINBOW LAKE,
RIGHT ON LAKEWOOD TO ADDRESS
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.: 5 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:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi
Side 1: Ft. g':
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee KS 6/6/2003 $4.50 S12003
Re-Roof Fee KS 6/6/2003 $56.80 S12003
Total $61.30
BLD2003-00740 Please referto the following pages for conditions of this permit. 1 of 2
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CASE NOTES FOR
BLD2003-00740
CONDITIONS FOR
BLD2003-00740
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 ris s and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-Q99'2. Th person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) 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-inaction fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor 'I/to post the address on site prior to requesting inspections.
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3) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO A�Ifi�11M R-30 ALLOWING FOR A MINIMUM OF ONE INCH
CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION. X
4) ENCLOSED ROOF Y EMS THAT ARE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR
TO COVER. 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 Coun"'r fnances and building regulations.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at any time after work is
commenced. Evidence of continyatjah of wo a prog Flspection within the 180 day period. Fin I insp ion must be approved before building can be occupied.
OWNER OR AGENT: /� �/ --- DATE:
BLD2003-00740 Please referto the following pages for conditions of this permit. 2 of 2
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o CONCRETE MECHANICAL MANUFACTURED HOME
G' Footings / Setbacks Date By Ribbons
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o Date By Gas Piping Date By
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0 Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date B y Date B y
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date (o V3 c
Date By m Date By
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MASON COUNTY PERMIT NO. 3 — ` CIO
BUILDING PERMIT APPLICATION
426 W.,Cedar • P.O. Box 186, Shelton, WA 98584
y Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269
On the Web www.co.mason.wa.us
APPLICANT IN RM TION I CONTRACTOR INFORMATIO
Owner 't' h� w 1t Contractor Name `I o L I<os':.
Mailin ddr s q0 c�•o•'! 6, '. Mailin Ad r ss
City J !, � �n State Zip Code City ��c t�. State L4,) Zip Code
Phone ( )� -. lil�Ph. ( ) Phone ( )�WS7Other Ph. ( )
Lien/Title Holder Contractor Reg. #EIRSGNCIC9SGI�E�p. /��
Email Address Email Address
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 INFORMA ION - 12 digit Tax Parcel No. / / 1,400.iq Fire District P,
Legal Description v <
Site Address (Please include street na e, street numbt a ty)
Directions site a 4l.. o - �w -3 + 4 Iv1cao
t,.n o c � c•n 4 c.A covco 4e3 adc('.-is
ill timber be cut and sold in parcel preparation? (Yes/No)
Is property located within 200' of saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
PERMANENT RESIDENCE SEASONAL RESIDENCE ❑
TYPE OF JOB - New Add Alt Repair V Other Use of Building z/ Es3z
Is this permit submi I theesult f a Stop Work Notice, Correction Notice or other enforcement action?(Yes/No)
Describe Works 1�60
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE- 1 st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
I MANUFACTURED 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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY
RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION.ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW:
OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis-
ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware
of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this
that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there-
shall be made without first obtaining approval. with. No cha s sh e made thout first obtaining approval.
X Date X --� Date /d
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FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Planning Pd 'Ck# 1
Date Bld Pd. Reciept No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building De a ent —(p—
Occ Grou - T e Constr. \J (� (.� C
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation$
FEES
Building Permit Fee Site Inspection
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
TOTAL FEES
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