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HomeMy WebLinkAboutBLD4293 - BLD Application - 2/10/1977 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED 7 PERMIT NO. 7�q► OWNER NA ) MAIL ADDRESS CITY A STATE ZIP PHONE �l1 6o r s 2f:�.�•9� DIRECTIONt I �--+ TO JOB SITE n t�►.0 \' /rs* Lj oL+ie LEGAL p r (❑ SEE ATTACHED SHEET) DESCR. l 9 (- G-K NAME MAIL ADDRESS CITY&ST E LICENSE NO. PHONE CONTRACTOR o N - -G—�,1 9,j1 USE OF BUILDING i r Class of work: I NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE O d o SPECIAL CONDITIONS: APP ICATION A/CC1,EP,TgDDBBY PLANS QHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division LG �� B,© Const. Group / ¢ ,J Q Size of Bldg. No. of i Stories l r (Total) Sq. Ft. //7 Occ. Load /O j 2- 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. Q Firm yea ._ti 1Jn,l��w �n, /'�- PUBLIC WORKS ROAD DEPT. Lic. Noly,E a -LJd 62 R L Date OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the N O T I C E contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING. which this permit is issued and that all work done will be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER Owner'pq 2t" Date_ b:1 WORK IS COMMENCED. PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. LEGAL OffS.CRIP=N `'— Location Of NS NS Building E W side of feet E W from intersection of Sect. Twp. Range NO. PLUMBING FIXTURES rFEENO. GAS APPLIANCES FEE GAS PLUMBING WATER CLOSETS EACH UNDER 60 MBTU SEWER SEPTIC TANKEACH 60 TO 120 MBTU BATH TUBS EACH 120 TO 200 MBTU SHOWERS EACH 200 TO 500 MBTU_ WATER HEATERS A -v E EACH OVER 500 MBTU AUTO. WASHERS SINKS p� FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer SERVICE CONNECTION DISH WASHER �� DISPOSAL URINAL Distribution System ,. dTi By Special Permit (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR GAS AND WATER, SKETCH IN SEPTIC TANK & DRAIN +�^y.t� FIELD LOCATION OR SUBMIT ON OTHER SKETCH. `�PERMIT ` V PERMIT FIELD INSPECTION Date By Remarks Name Mailing address —Number, street, city, and State Zip code Tel. No. Owner Contractor F The owner of his building and the undersigned agree to conform to all applicable laws of.Mason County Signature f,,. pplicant Address Appli a^^tion ate 0� _ DO NOT WRITE IN THIS SPACE — FOR OFFICE USE A p oved by Permit fee Date permit issved Permit number Receipt No. MASON COUNTY. PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items. Mark boxes where applicable. +). LEG L D CRI�10 Location Of NS NS Building E W side of feet E W from intersection of Sect. Twp. Range NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE 1. Forced air or gravity type furnace or burner including ducts 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-$4.00 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 7. 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 hoo"3.00 10. Installation or relocation of each absorption system to and including 100,000 Btu's--$4.00 21. For the installation or relocation of each domestic type in- 11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator-$5.00 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00 _$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 -$15.00 no other fee is listed in this Code-$3.00 _ FIELD INSPECTION Basic Fee $3.00 Date By Remarks TOTAL71 Name Mailing address - Number, street, city, and State Zip code Tel. No. 1. Owner Contractor - The owner 9f this building and tW undersigned agree to conform to all applicable laws of MASON COUNTY Srgnatur applicant Address Appl cation to 23d DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Ap oved by Permit fee Date permit iss ed Permit number Receipt No. 6HELTON PRINTING CO.