HomeMy WebLinkAboutMIS99-00420 Cancelled ReRoof - MIS Permit / Conditions - 10/3/2001 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Cr F-- L- L-, A N En-, C)U S P U`. 11 M i A FOR INSPECTIONS CALL 427---9670
MIS99-0420 PARCELs322132300050 PLAT ; D I V : BLKi LOTt
JOB ADDRESS :
APPLICANT : GARY KEY 275---0liO
OWNERt GARY S KEY 275-0110
LEGAL t TO 5 Of S1 Of Of 2131 1AVOYA RIVFA 10 PEpe�EXQ�pAT�O
PROJECT DESCRIPTION . Ott)
Re Roof Replace metal roof with now 3 tab (�10 k
PROJECT LOGATIONt
From Tabuya river bridge on north shore 2 miles tip tahuya river rd ,
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
STFE $ 4 .50 TMJ 07/23199 1588
REPF $ 42 .00 TMJ 07/23/99 1588
---o-AL--
TOTAL , 46 .150 I OWNER OR AGENT DATE'
M�-PRVI, 041VIV
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
to by INSULATION date by
SG/SLAB Insulation Floors Final
date by date by date by
I FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
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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Page No. 1
RE-ROOF PERMIT CONDITIONS M .
07/15/99
1) POST ADDRESS -- PURSUANT TO 1997 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 ADOPTED
FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST
ADDRESS;V ITE PRIOR TO REQUESTING INSPECTIONS.
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2) R REPLACEM T -- SINGLE TER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO A MINIMUM OF R-30
ALLOWING FOR A MINIMUM OF ONE INCH CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION.
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3) ROOF REPLACEMENT/EXPOSED DECKING -- ENCLOSED ROOF SYSTEMS THAT ARE EXPOSED TO THE SHEATHING SHALL
&BE INSULATED TO A MINIMUM R-30 AND INSPECTED PRIOR TO COVER. X z _
4) Field Correct -- CONSTRUCTION PROCESS TO BE�ORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE.x
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R�RM MUST BE COMPLETED IN INK 1
y PLtASE PRESS HARD 9 1 ,t-o
PERMIT NO.: MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275- 467 Elma 360 482-5269 Seattle 206 464-6968
APPLICAN3 INFORMATION CONTRACTOR INFORMATION
Owner C' / 74ek Contractor Name ���r�CT>✓ �►JG t`C�v��rRoC,t-(c��
Mailing Address An cdoX 995 Mailing Address ,�30 211?t
City State V4 Zip Code y 5k,�- Cit State IVA Zip Code �?6 2
Phoneme 5-0/10 Other Ph.( Ph.( ACo )275 Z4(5 Other Ph.( STS -o45G
Lien/Title Holder IJZw ,!!5LP60e0W /C. Contractor Reg. # Sourt4 RCn "(n a
Address •fO 9 ata r Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. Fire District=
Legal Description �.2 oL u� .✓Gu
Site Address(include street name and city E 2/ G/ • z�Z 1 A &I
Directions to site: /U 0A2rA1 V14
v _dam
Will timber be cut and sold in parcel preparation? (Yest5)A/C
Is your property within 200' of the following: Body of Water(Name) -74-114-4 Aeal — Saltwater
Lake River/Creek ✓ Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe proposed construction �t —�U l- / ��� ��J me-IC-0
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&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 obtai ' approval.. � be made without first obtaining approval.
X �( Date 7 6/2�/Cj X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date1/2-a M Submittal Amount Due4 to Receipt No.�
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee Other
UFC Plan Review Fee Other �.+ 5
Violation Fee Pre-Paid at Submittal10,
( )
:.•, ::::: „<:< . .. �,•.. .,.:. ::: TOTAL FEES
.� r: tir:;•• for.•::..;.,.:.::...!:
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name 4��- 's PARCEL NUMBER322/ 2 30 OCO—x�D Date 7 21-
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line4 , <--adjaftnt property line
22
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2,5 sLo Novs&
APPROY
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ro ert line-) I 'I ,f-agj nt( r pert Ink
SAMPLE SITE PLAN 75'w+z)e
adja t property line- adjacent property line
D 30' rR�SC RvE
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CREEK \ I � 1 GrxaGn.i) S¢Ptr C,
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VACAtNT I I 7� GARAaE \
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adjacent property line--.,) Fad'acent ro ert line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
5L6PE Tcr-; SAMPLE TOPOGRAPHY PROFILE
.177' d15tanCe. fin
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Siggafure Date