HomeMy WebLinkAboutBLD18258 SFR - BLD Application - 1/21/1986 7
BUILDING PERMIT APPLICATION � �
MASON COUNTY U w.
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED {
PERMIT NO. J 5 '' �
NA MAIL AD DR ESS CITY&STATE. ZIP PHONE
OWNER 1/� t'4ck�an �1 .� fits ses(D f, )3;7-eR39
DIRECTIONS J^,,00Y)2 Z:,jland tp �,iav►-t shores Gr lah I ; -I'urh e, t es I.Qr�° Lr4 V10>� io-� 4j
TO JOB SITE
LEGAL I I (❑ SEE ATTACHED SHEET)
DESCR. i
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Seir
USE OF �5
BUILDING �\e6 I4•e-v16t',
Class of work: J ( NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
A 6-
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
L�L -v— C�IC'�,-
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS -2— TOTAL SQ. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES 7- BASEMENT ❑ ATTACHED ❑ 1__OR AIR CONDITIONING.
TOTAL SQ. FT. �' FIREPLACE X DETACHED ❑
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 fate of Washington and I am aware of the FOR OFFICE U S ONLY
ordi a the requirements regulating the work for which
the permit is issued and all work done will be in
con ormance therewith. PERMANENT ❑ SHORELINES
SEASONAL FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT
YES APPROVED NO
Lic. Nq Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT C^' ALTH DEPT.
PCILIC WORKS
1 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
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS ECK BY APPROVED FOR ISSUANCE
Owner 2 ems✓ Date. / r BY.� ,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
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.
Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sign re of applicant Address �l Application date
-
LEG DE RIPTION '
Location ,09
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS j Lr C?
BASINS
BATH TUBS Z• (� �D/
SHOWERS C, C�
j 1
/ WATER HEATERS :7
AUTO.WASHERSE-
SINKS , C)
FLOOR DRAINS
DRINKING FOUNTAINS 1� `
LAUNDRY TRAYS /"1
j l ,
Connect to City Sewer I �;
DISH WASHER q Lt C
/ DISPOSAL 0 -
I
URINAL ( .
(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
Approved by Permit fee Date pemit issued Permit number Receipt No.
CHRISTMASTOWN PRINTING
MECHANICAL PERMIT APPLICATION
MASON COUNTY DEPARTMENT OF GENERAL SERVICES
P. O.•BOX 186 SHELTON, WASHINGTON 98584 PHONE 206 - 4 26-5593
DATE ISSUED /--(Z2/--��
PERMIT NO;
LEGAL DESC_ : SEC.d TWN. 2_NO., RANGE _,/- WEST, W. -�✓
PLA 1 ._ LOTT
0 W N E A D D R E S S -3-2-
CONTRACTOR ADDR SS
DIRECTIONS TO ITE.
THE OWNER OF THIS BUILDING ANfi THE UNDERSIGNED�GREE T O F M C�� APPLICABLE LAWS OF
MASON COUNTY AND THE STATE OF WASHINGTON. -
SIGNATURE OF APPLICANT
NO
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, including `vent 6.00
3 Suspended heater, recessed wall heater or floor-mounted unit heater 6.00
4 Appliance vent installed and not included in an appliance permit 3.00
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 including 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 1,000,000 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
10 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 cate&ories, 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
TOTAL ��• C��
SPECIAL CONDITIONS :
APPROVED BY DATE PEMIT VALIDATION
CK. MO. CASH