HomeMy WebLinkAboutBLD15401 SFR - BLD Permit / Conditions - 4/18/1984 4Z ?or� 4S e Footage 2145
I Etrmit No. 15401 Type Residence Phone 275-4671 � 4
Owner C RU 7dp
795n—
Address P 0 Box 884 Bel f air Phan - -
Contractor None listed Zip
Address
Plan (lie Appr by E.P i land e by Tim F. ---rj
Applicant's plot plan approved as to setback requirements, y
legal Description: NW corner NE-1 4 NW-1 4 28-23-1
Direction to project s te: HeadinR SW on H 3 2nd driveway on
rig NAV
tx x x wer
Wood Stove xirepl Deck 536T�ag� �y t
Basement
Inspections:
►�T'Ynft �n Flocx
Inspections:Az
q
II Foundation:
Fireplace footing
Forms � � Anchorbolts
Fo undation wall &rebar Pier spacing
Basemnt wall &rebar Vents & crawl space
Retaining wall &rebar Soil-wood clearance
III Fr y--Iq Blocking
FRYBridging
7U ers & posts 9�
Joist size & grade Sub floor type
Span Grade & Nailing
Walls
Pa erial Grade
Fxtericr Siding
Bracing
rad g height � Nailing
CeiliRoof p
—pproved trusses Y EXrE 'r cane CUM
Rafters Rx `
Cathedral NV1" alley rafters
Beams D AS E Fl�asttiing
span
Blocking Weather application
Nailing
Fire-st s1
-Aar—ceilings _
Shower walls Furnace ducts
Dropped ceilings Main electrical box
Roof Holes plugged
Firred-out walls Others
Stairs
Riser & TYead Headroom
Width Stair Jacks
Laridings Handrails
MECHANICAL PERMIT APPLICATION
MASON COUNTY DEPARTMENT OF GENERAL SERVICES
P. OAOX 186 SHELTON? WASHINGTON ' 98584 PHONE 206 - 426-55� /
DATE ISSUES - `�
PERMIT NO.
501
LEGAL DC_ SEC. TWN. NO., RANGE WEST W.M.
_�jA4 r, 18"A0A7o '� ` p1J PLAT DIV.— LOT
—
OWNEROWNER ADDRESS
CONTRACTOR " ADDRESS
DIRECTIONS TO SITE-
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS OF
MASON COUNTY- AND THE STATE OF WASHINGTON.
NO SIGNATURE OF APPLICANT
BASIC FEE 10.00
1 Forced air or gravity type furnace or burner, including ducts and vents
attached to such appliance up to and including 100,000 Btu/h 6.00
la Appliance over 100,000 Btu h including ducts and vents attached
2 Floor furnace, includin vent 0
3 Suspended heater, recessed wall heater or floor-mounted unit heater
4 Appliance vent installed and not included in an appliance permit
5 Repair or alteration of, or addition to each heating appliance, refrigeration •
unit, cooling unit, absorption unit, or each heating, cooling, absorption, or
evaporation cooling system, including installation of controls regulated by
this code 6.00
6 Boiler or compressor to and including three horsepower, or each absorption
system to and including 100,000 Btu/h 6.00
6a Over three horsepower to and including 15 horsepower, or each absorption
system over 100,000 Btu/h and includin 500,000 Btu/h 11.00
6b Over 15 horsepower to and including 30 horsepower, or each absorption system
over 500,000 Btu/h to and including 1,060,000 Btu/h 15.00
6c Over 30 horsepower to and including 50 horsepower, or for each absorption
system over 1,000,000 Btu/h to and including 1,750,000 Btu/h 22.50
6d Boiler or refrigeration compressor over 50 horsepower, or each absorption
system over 1,750,000 Btu/h 37.50
7 Air-handling unit to and including 10,000 cubic feet per minute, including
ducts attached thereto 4.50
7a Air-handling unit over 10,000 cfm 7 50
8 Evaporative cooler other than portable type 4.50
9 Ventilation fan connected to a single duct 3.00
lO Ventilation system which is not a portion of any heating or air-conditioning
system authorized by a permit 4.50
11 Hood which is served by mechanical exhaust, including the ducts for such hood 4.50
12 Domestic type incinerator 7.50
13 Commercial or industrial type incinerator 30,00
14 For each appliance or piece of equipment regulated by this code but not classed
in other appliance categories, or for which no other fee is listed in this code 4.50
15 For each gas-piping system of one to four outlets 2.00
15a For each gas piping system of more than four outlets per outlet .50
SPECIAL CONDITIONS TOTAL
APPROVED BY DATE PEMIT VALIDATION
CK. MO. CASH
MASON COUNTY
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
,. ttitc'U 0 Th 'd *4 VS' 7
Owner `O e-1 PAN 'tn.. A
2. J
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
; na ofapplic Address Q�Q eApplication date
a�4 1 8ey w lr
LEGAL DESCRIPTION
Location
Of
Building
NO.. PLUMBING FIXTURES FEE
2 WATER CLOSETS Q�
2 BASINS OC/
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
-eel
ff SINKS OV
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
' DISH WASHER
01 DISPOSAL
URINAL
(Show Street Names & Property Lines)
DICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee D� Date pemit issued Permit number Receipt No.
a ,C /
PLOT PLAN
ADDRESS PERMIT NO. f 10
= s
s o
0
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS.SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
owe-
104
1/We certify that the proposed onstruction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHELTON PRINTING
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDR S CITY STA ZIP PHONE
cil
,� 88� Gv s2� Z7S-5�67/
DIRECTIONS
TO JOB SITE pyAW dye 3 �=� .b /0_-w 3 T VA
LEGAL I (❑ SEE ATTACHED SHEET)
DESCR. IIJt�c:�vt� �� IJlc>*fl
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR d
USE OF ,J �1 I pU lBUILDING C �
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work: zz'l
O
Qp S 7lJfJfJ -�
Valuation of work: $ d j} PLAN CHECK FEE PERMIT FEE p p
3, / 8 ' ' / sD .3gs
SPECI L CONDITIONS:
B ROOMS I DECKS 3L CARPORT [INOTICE
B HROOMS TOTAL SO. FT-411115W GARAGE ❑
OR El
PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OF STOR__IE BASEMENT �� OR AIR CONDITIONING.
(TAL SO. Ft +�1r" FIREPLACE ElDETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FO OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lie. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
✓� PUCA N ACCEPTED BY n^� K BY APPROVED FOR ISSUANCE
Ow
Date. BY
\N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH