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Home My WebLink AboutBLD19081 SFR - BLD Application - 8/1/1986 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. Z910 OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE o Q1-6122-0dZ DIRECTIONS TO JOB SITE E G -sA,6,e49 P ea o.a T E 76 LEGAL .i1 DESCR. $ TX 20 it/ 0 Ivs- NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR ,a LEm - 60 sW A'61SaIZ 7l- USE OF BUILDING CLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS__?! DECKS ✓ CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. y7 b GARAGE ✓ . CONDITIONING. NO.OF STORI ES BASEMENT ATTACH ED--&-" THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT.lj*W FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT ✓ SHORELINE ✓ SEASONAL OWNERSAFFID VIT CONTRACTORS AFFIDAVIT I CERTIFY THAT AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION W RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENT OR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORM CE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING A QROV�AAL'FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OW �,1T DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT Y SPPROVEDJO DEPARTMENT YESPPROVEDIO BUILDING VALUATION G 9� ��p� oV HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 'j 3, L+p D.O.T. BUILDING PLAN CHECK ` '��, s O SPECIAL CONDITIONS BUILDING GROUP 3 PRE-INSPECTION 7`i// r in IFT FELINE PLANNING PLUMBING MECHANICAL �, O STATE BUILDING FEE STATE SURCHARGE , APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY j CASH CK MO TOTAL 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. ,. O - 60 z4&<a Doe, Owner 2. p Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of i7plicant Address Application date LEGAL DESCRIPTION Location Of Building NO.. PLUMBING FIXTURES FEE Z WATER CLOSETS Q Q �i BASINS O a BATH TUBS O d SHOWERS O O WATER HEATERS B / AUTO.WASHERS7.e, t1 I SINKS O O FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer I DISH WASHER 0 DISPOSAL URINAL (Show Street Names 8 Property Lines) _ INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT , O 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. $ D CHRISTMASTOWN PRINTING MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT OF GENERAL SERVICES P. O.•BOX 186 SHELTON, WASHINGTON 98584 PHONE 206 - 426-5593 DATE ISSUED PERMIT NO. LEGAL DESC_ c SEC..,C9 TWN.Za NO.,RANGE Z WEST, W.M. PLAT D _ LOT OWNER �� Emax/ ADDRESS � �o1-160 � 61 S�.ea ,zg. oFF Z'rL4.'a CNo'ce�i CONTRACTOR ADDRESS DIRECTIONS TO SITE' XMX6 Z5A!sr,%,A6 EA&Ad <.b, ZZ j&i4e&I S,",Ld Ag. Z; " Y"' TN&.i/ THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGPE TO ONFORM TO ALL APPLICABLE LAWS OF MASON COUNTY AND THE STATE OF WASHINGTON. _ �`,� f�--- SIGNATURE OF APPLICANT NO BASIC FEE 4 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 7.50 2 Floor furnace, including vent 7 Suspended heater, recessed wall heater or floor-mounted unit heater y z 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 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 1,060,000 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 0 Z 9 Ventilation fan connected to a single duct 3.PZ 6 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 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 TOTAL op ael SPECIAL CONDITIONS : APPROVED BY DATE PEMIT VALIDATION CK. MO. CASH