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Home My WebLink AboutBLD11169 SFR - BLD Application - 8/6/1981 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRES CITY 8 STATE ZIP PHONE DIRECTIONS TO JOB SITE Mir IIVIC- 4 %�(,,(_ �C l L-L;d LEGAL (❑ SEE ATTACHED SHEET) DESCR. �(� C'i�P)Roc'?'� NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR � 221 7'� 53d USE OF BUILDING1 Res 'V\ Class of work: VIEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: ------------------- Valuation of work: $ .� ti PLAN CHECK FEE PERMIT FEE �v SPECIAL CONDITIONS: BEDROOMS - 1 DECKS CARPORT ❑ NOTICE BATHROOMS_—__ (TOTAL SQ. FT.&Y-' GARAGE LEI' ATTACHED C� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES , BASEMENT C! OR AIR CONDITIONING. TOTAL SO. FT._j// LL0 FIREPLACE ❑ 1 DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- C �, 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 FOR 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 ❑ FLOODPLAI Ll Firm— Y. U CT�.lu1P� E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. �� 2,2 L Date 1 _ }� ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT 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 BUILDING DEPT.— of the Mason County ordinance requirements for hich this permit is issued and that all work done will ROAD ACCESS /we e in conformance j rew MOTOR VEHICLE PERMIT 7 C (CATION ACC TED BY PLA1y1S CHECK BY APPROVED FOR ISSUANCE Date . C> �' BY PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION `CK. M.O. CASH MASON COUNTY PLANNING DEPARTMENT 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. Owner Contractor ` The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Si of cant J Address Application date 121 AR LEGAL DESCRIPTION LocationOf t� Building �QL1 NO. PLUMBING FIXTURES FEE v, WATER CLOSETS 13 BASINS ' BATH TUBS SHOWERS t WATER HEATERS L AUTO.WASHERS L SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS 6 Connect to City Sewer i DISH WASHERcru L� DISPOSAL URINAL (Show Street Names 8 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 Approved by Permit fee Date pemit issued Permit number Receipt No. MASON COUNTY PLANNING DEPARTMENT P.O.Box 186 Shelton,Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. t. LEGAL DESCRIPTION Location C()L;` � 2 _ #'! I Of N S N S Building E W side of feet E W from intersection of Sect. Twp. Range DESCRIPTIONS FEE NO. DESCRIPTIONS FEE 1. Forced air or gravity type furnace or burner including ducts t 14. For the installation or relocation of each boiler or refrigeration and vents, up to .and including 100,000 Btu's-$4.00 compressor over 50 horse power or each absorption system over 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 4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which 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 cooling system including installation of controls regulated by -$5.00 this code-44.00 17. For each evaporative cooler other than portable type-$3.00 6. Installation or relocation of each boiler or compressor to and including 3 horse power---$4.00 18. For each ventilation fan connected to a single duct-$2.00 1. j Over 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a portion of any heating 8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-$3.00 9. Over 30 horse power to and including 50 horse power-$15.00 20, For the installation of each hood which is served by mechanical exhaust, including ducts for such hoodl--$3.00 10. Installation or relocation of each absorption system to and including 100,000 Btu'"4.00 21. For the installation or relocation of each domestic type in- cinerator-$5.00 11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators--$20.00 -410.00 F 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 -$15.00 no other fee is listed in this Code--$3.00 FIELD INSPECTION Basic Fee $3.00 TOTAL Date By Remarks Name Mailing address -- Number, street, city, and State Zip code Tel. No. 1. Owner ----- 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Signature of applicant Address Application date DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Approv by , Permit fee Dattee permit issued Permit number Receipt No.