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HomeMy WebLinkAboutBLD4430 SFR - BLD Permit / Conditions - 3/22/1978 00'000`m aauapTsag i i panssT 4Tmz9d TROTusuaaK panssT 2Tma9d WuTqmnTd 1 TaPOad Z9T XOq IV ARManTJa T-ZZ-ZC T 201 'IAOJ L '11 LL-V-1i OEV17# h R e INN 'I i BUILDING PERMIT APPLICATION MASON COUNTY Lj&- /4l© P.O. Box 186 Shelton, Washington 98584 (�vc"t . 9�'s�� DATE ISSUED �7 �f c 1. _ PERMIT NO. OWNER NAME MAIL ADDRESS CITY 8 ATE ZIP HO E O ��~�� �t2 ,��,. �V to e►ems (?1Q y«z DIRECTIONS TO JOB SITE A 11� u �r'r Pv�tl) ( C)c( U 1� t Y FILL a-t cl- )��- �fZ0 L-*,)E I LEGAI- i ry ,{� (❑SEE ATTACHED SHEET) DESCR. 1,Or 1 �OV. t-()I ' NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR L�k__, e USE OF BUILDING V ('f (O 1/�. - d C'L j�►Yu P Y c'�Sc �t.t-C� Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ ���� PLAN CHECK FEE r c�' PERMIT FEE � SPECIAL CONDITIONS: APPLICATION ACCEPTED BY1 PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division igBY Const. , Group Size of Bldg. No. of Max. (Total)Sq. Ft.1,,6A4" _ Stories Ooc. Load CONTRACTOR AFFIDAVIT PERMANENT SEASONAL E.D.NUMBER I Certify that I am a currently registered contractor in RESIDENCE the State of Washington and I am aware Of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work done will be in Special Approvals Required Received Not Required conformance therewith. ZONING HEALTH DEPT. PUBLIC WORKS ROAD DEPT. .,y _ic. _._.__ Date OWNERS AFFIDAVIT I certify, teat I am exempt from the requirements of the N O T I C E contra--' or registration law RCW 18.27, and am aware Of itle f,A OU ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Y VENTILATING OR AIR CONDITIONING. nrh�ot' ;1: permit is " su and �1 work done will be' co f rma wit. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHONZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS f SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER Owner l. __ __- ___- ____.Cate�� Fekir rt WORK IS COMMENCED. 4 ;1- .c VALIDATION; C M.0 CASH PERMIT VALIDATION CK. M.O. CA H Wall MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items. Mark boxes where applicable. LEGAL DESCRIPTION � 7- / Location � �t� ��/� of NS NS Building feet E W from intersection of E W side of Sect. Range Twp• DESCRIPTIONS FEE N0. DESCRIPTIONS FEE NO. 1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each boiler or refrigeration compressor over 50 horse power or each absorption system over and vents, up to .and including 100,000 Btu's-$4.00 vine 1,750,000 Btu's-$25.00 2 Over 100,000 Btu's--$5.00 15. For each air handling unit to and including 10,000 cubic feet 3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00 heater, or recessed wall heater-$4.00 NOTE: This fee shall not apply to an air handling unit which vent is a portion of a factory assembled appliance, cooling 4. Installation, relocation, or replacement of each applianceunit, evaporative cooler or absorption unit for which installed, not included in appliance permit-$2.00 a permit is required elsewhere in this Code. 5. Repair, alteration or addition to each heating appliance, re frigeration unit, cooling unit, absorption unit, or evaporative 16. For each air handling unit over 10,000 cubic feet per minute -$5.00 cooling system including installation of controls regulated by this code-$4.00 17. For each evaporative cooler other than portable type---$3.00 6. Installation or relocation of each boiler or compressor to and 18 For each ventilation fan connected to a single duct-$2.00 Of,e. including 3 horse power-$4.00 l9. For each ventilation system which is not a portion of any heating 7. Over 3 horse power to and including 15 horse power-$1.50 or air conditioning system authorized by a permit-$3.00 B. Over 15 horse power to and including 30 horse power-$10.00 20. For the installation of each hood which is served by mechanical � g. Over 30 horse power to and including 50 horse power-$15.00 exhaust, including ducts for such hoodl--$3.00 oy�� 10. Installation or relocation of each absorption system to and 100,000 Btu'S--$4.00 21. For the installation or relocation of each domestic type in- includingcinerator-$5.00 11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 Commercial or industrial type incinerators-420.00 12. Over 500,000 Btu's to and including 1,000,000 Btu's $10.00 22. For each appliance or piece of equipment regulated by this 13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which no other fee is listed in this Code-$3.00 -$15.00 Basic Fee $3.00 FIELD INSPECTION TOTAL Date By Remarks Zip code Tel. No. Name Mailing address - Number, street, city, and State 7 Owner P it e c'r D C v � Contractor The owner of this uoding a d the u ed agree to conform to all applicable laws of MASON COUNTY Application date, Address f1 �a/'1, �T //'t�.A •�-{y.{t,I I� {. "r7 Signature pli _ �L�/j fe Q 4349� t, i'T _ I�+ I 1-7- i6 �C�. DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Receipt No. Date permit issued Permit number Permit fee q p aved by �� $ /P. °� -7 7 GAL C/ /�(a(/-TON PRINTING CO. ..._....._.,.. .. _ .... Fyn.■��rw rr�- MA�0X' COUNTY PLANNING DEPARTMENT P.O. BOX 186 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT — Complete ALL items. Mark boxes here applicable. Name Mailingaddress—Number,steel,city,and Stave Zip code Tel.No. Owner z. Contractor ' The owner of this build a the undersi a to conform to all applicable laws of Mason County and State of Washington Signet o pli Address Application date RIPTION Location Of r Building /�'� trl Y2 1✓C�.r�+' V 1 valet Qd� /� 1 f 4- V1 a w�l t�yZ ?]) I r NO. PLUMBING FIXTURES FEE WATER CLOSETS ry-� BASINS J BATH TUBS 1, SHOWERS WATER HEATERS AUTO.WASHERS )zt l SINKS a FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewery DISH WASHER a DISPOSAL URINAL S e P QA-inte.W c� . (Show Street Names & Property Lines) INDICATE 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 Approvf by Permit fee Date pemlt issued Permit number Receipt No.