The URL can be used to link to this page

Home My WebLink AboutCOM2008-00131 Cancelled ReRoof - COM Application - 11/5/2008 FORM MUST BE COMPLETED IN INK MASON, COUNTY PERMIT NO.LM ,52il%lb -06I 31 PLEASE PRESS HARD BUILDING PERMIT APPLICATIONf�urc LToorts m 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 C nC�1U V od 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 uric,/Jw9 9(j 20t< Company Name Mailing Address /i740 �'y�H>-1 `.'/`r Mailing Address City c N mPtA State wA Zip Code 29-s 02 City St e Zip Code Phone 3E0 19f4, (7tit; Other Ph. ;�—S3 kleg? d,32 Phone ther Ph. Lien/Title Holder _ Contractor Reg. Exp. E mail address ��' �f' +��+� '3 f� ` E Mail Address Drivers Lic.# DOB Drivers Lic. # 7Vftfill"F F PC SEPTIC /WATER SYSTEM INFORMATION - Connect to New Sep ] eptic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel N( Fire District Legal Description -f"z- ill .,,a- Site Address (Please include street name, street number and city E t4.1 y -r Directions to site S67w- s, A Will timber be cut and sold in parcel preparation?Yes Is property within 200'of Saltwater Lake River/Cr k Pond Wetland Seasonal Runoff Stream lopes Bluffs > 15% Is this permit submittal the result of a Stop Work Not' e,Ctrr4tio otice or other enf ement action?Yes/No TYPE OF JOB - New Add Alt RepairU� retd �!= PRIM RESIDENCE ❑ SEASONAL Use of Building � ''+�'� Describe Work k.-2r M ' No. of Bedrooms OA No. of Bathrooms—A24 Sage- 1 st F 2nd Floor 3rd Floor Basement NA De '� Dec Other Sq. ft. Garage �/- Attached D ached Carp Attached Detached MANUFACTURED HOME INFORMATI - Make Model Year Length Width Serial N No. of Bedrooms No. of Bathrooms Type of Heat Purc s rice $1`110416 1 Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Aknow es submi ion o to in rmation may result in a stop work order or permit revocation. Acknowledgement of s h is by s ature b w. I de re that m the owner,owners legal representative,or the contractor. I further declare that I am entitled to rec ve this permit and t o the rk as posed in the application. I declare that I have obtained the permission from all the necessary parties. I ermission is require rom y eas ent holder or any other party in interest regarding this application or the work proposed in the applicati , I have obtained pe n fro hem to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, r resents that the inform ticn pr ided is accurate and grants employees of Mason County access to the above described property and str ure for review and in ection his permit/application becomes null & void if work or authorized construction is not commenced within 180 s or f cgnst dctio ork is uspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFA PROGRESS CTI OF IS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. i X Date: OwnrTOwners Represe v ractor dicate which one) FOR OFFICIAL USE BEYOND THIS P014 Accepted by<jW a Date G DEPARTMENTAL REVIEW APPROVE# DENIED NOTES BuildingDepartment �i4� Um Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbinq & 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 MASON 0014NTY PERMIT NO.i✓Um BUILDING PERMIT APPLICATION =;t)YatTv0rls m 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 C Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 _r l On the web www.co.mason.wa.us APPLICANT INFORMATION DA'J CONTRACTOR INFORMATION Owner Company Name •� �/�b� � Mailing Address /174o Y-Lier ' L.Aza- Mailing Address City C=z-YmPIa State W4 Zip Code 4gsO2 City State Zip Code Phone 360- 966, (fit f4 Other Ph. )5 3 H68 9V-3P;' Phone Other Ph. Lien/Title Holder "" Contractor Reg. # Exp. E mail address :QC-1244-6W PA446r-66 f(A1 E Mail Address Drivers Lic.# DOB Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. f 7' Fire District Legal Description .S' u7'" Site Address (Please include street name, street number and city) 13,67 /l T Directions to site -sue s sfAP Will timber be cut and sold in parcel preparation?Yes Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other y` PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building 5'1V"6;9 Describe Work GE it-AT = A7C0F 7b T=uZcS#x4c No. of Bedrooms OA No. of Bathrooms LLQ Square Footage- 1 st Floor 1404 2nd Floor 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 holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behal , represents that the informaticn provided is accurate and grants employees of Mason County access to the above described property and tructure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 1 BQ days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFA PROGRESS W$PECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: �— Owner' Own s Representati7� Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by' Date 1D�,�ldr DEPARTMENTAL REVIEW AP VE DENIED rr NOTES Building Department Lf Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee ov, Other Wood /Gas/ Pellet Stove Fee State Fee �f Violation Fee p Pre-Paid at Submittal Valuation $ TOTAL FEES co MASON COUNTY ' DEPARTMENT OF COMMUNITY DEVELOPMENT 4pPIR®' Mason County Bldg. III, 426 West Cedar Street N 13UILDING INSPECTOR PO Box 186, Shelton, WA 98584 0 "L s M ASO TO AP NGES SU3JECT �- 18s4 _ ( �j275=d4 7 Elma(360)482-5 www.co.mason.wa.us (360)427-9670 ext.352 Belfair 36 k = NUN-RESIDENTIAL RE RO'OE APPIICATIUN Roofing Sq ft area 41(2xl y=1 600 Type of Roofing to be Applied /col Number of existing layers Roof Pitch: b Tear off: Yes _No STCaZA(=, ,CCr:x�T Use of building Construction Type. rRoofin>z Classification (Occupancy classification) (wood,steel frame,masonry etc.) A,Bor C( ) Include manufacture specifications verifing materials meet roofing classification. B&C roofing classifications require site plan drawn to scale. TO BE KEPT IN THE Will insulation be installed? Yes 2SNo PARCEL FILE Existing Insulation, describe : Existing roofs shall be insulated to the requirements of R-38 if electric heat, R-30 all others, IF: a.The roof is uninsulated or insulation is removed to the level of the sheathing or b.All insulation in the roof/ceiling was previously installed exterior to the sheathing or nonexistent. Roof ventilation, describe : 0 e-Y 2tt--mouirJ(_ 7b _, "W L�.Z1r/r n�G FCC,�TInJv f/Et -yT'A/_AT)c/>V E, Name of Business: ?A C l T=i C_ <Ay2-6oP 5 ov,,)c-i c 3 Subject Property Address: eA"P /JANo&A S j3 6 7 /1O0AJr IVA - AIIIW-A Assessors parcel number(s): 3 eL _6 — /U — 6�"_? 0 C�> (Address and parcel number required for all applications) Applicant` Mailing address: Cites (��./�Pt a State: `�� Zip: SG Phone ( �263 ) yb 0 - 0-2-36 FAX ( 3CC)) E-Mail: �C�u-�T��ia•4C,�/l/��o�S � � _ b s • w wn t. 4 f. Applicant: Date: �� C I hereby authorize Mason o resentative(s)to inspect my property Monday-Friday bet een the hours of 8 a.m. and 5 p.m.during this permit application process for purposes of verifying site conditions. ARC 11/30/05 H drive comm.Re-roof doc IPIMCE QUOOM/4MOH ray lVmbet company Corporate Office/Customer Sales Center P. 0. Box 7126 • Tacoma, WA 98417 Performance+Integrity Since 1903 Phone 253.752.7000 • 800.452.4729 • FAX 253.759.7560 graylumber.com SOLD TO SHIP TO BOY SCOUTS OF CAMP HAHOBAS AMERICA 4802 S 19TH ST TACOMA, WA 98405 L14WI SLSMN EXPIRATION DATE B4580 05300 NET LOTH 10/06/08 MM 11/01/08 . AMOUNT 1 EA FUEL SURCHARGE PER DELIVERY 30 . 000 30 . 00 FS LN# 5 867 FT 3611 FOREST GREEN 3 . 200 2774 .40 29 GA ULTRA LN# 10 34/251311 8 EA 101 FOREST GREEN 20 . 000 160 . 00 GABLE TRIM LN# 20 5 EA , 101 FOREST GREEN 20 . 000 100 . 00 RIDGE LN# 25 10 EA 101 FOREST GREEN 20 . 000 200 . 00 EAVE TRIM LN# 30 4000 EA 0 . 060 240 . 00 111 SCREWS LN# 35 1300 LF 1X6 RANDOM UTILITY BETTER 450 . 000/MBF 292 . 50 16RUT LN# 40 10/130 180 LF 2X4 RL STD&BTR KD DOUGFIR 360 . 000/MBF 43 . 20 24RDS LN# 45 100 LF 1X6 R/L PREMIUM PRIMED TRIM 1292 . 000/MBF 64 . 60 16PWW LN# 50 100/1 1 EA 8D GALV BOX CARTON 40 . 170 40 . 17 8GBN LN# 55 1 EA 16D GALV BOX NAIL CARTON 91 . 710 91 . 71 16GBN LN# 60 OCT 6 , 2008 MERCHANDISE 4036 . 58 *********+t*** OTHER 0 . 00 * QUOTE * TAX ************* PAGE 1 8 .400% 336 . 56 WEIGHT 1627 .4 CUBES 66 . 8 FREIGHT 0 . 00 PLAN TAKEOFFS NOT GUARANTEED FOR ACCURACY SUBJECT TO CONDITIONS LISTED BELOW AND ON BACK. ACCEPTED BY: ,20 ACCEPTED Sr. ,20 TOTAL 4373 . 14 PLEASE EXAMINE THIS ESTIMATE CAREFULLYAS 1ME AGREETO FURNISH ONLY THE ARTICLES NAMED AND DESCRIBED HEREON.ALLAGREEMENTS CONTINGENT UPON STRIKES,TARIFFS,ACCIDENTS OR OTHER CAUSES OF DELAY BEYOND OUR CONTROL.GRAY LUMBER COMPANY HOLDS NO UASIUTIES AS TO THE ACCURACY OF LISTINGS HERON.PUN TAKE-OFFS ARE NOT GUARANTEED AS TO THEIR ACCURACY ALSO.IT IS YOUR RESPONSIBILITY TO CHECK ALL ITEMSAND COMPUTATIONS AS AN ERROR MAY OCCUR IN EXTENSIONS.PRICESARE SUBJECTTO CHANGE WITHOUT NOTICE DUETO MARKET CONDITIONS.PRICE QUOTE GOOD FOR SEVEN DAYS.PRICES QUOTED ARE NET INVOICE.ANY EXCEPTIONS TO SHIPPING TIME ARE SUBJECT TO REQUOTATION;WE CANNOT HOLD OR RETAIN ORDERS.