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HomeMy WebLinkAboutBLD9994 Final Church - BLD Permit / Conditions - 11/17/1983 BUILDING PERMIT APPLICATION M4SON COUNTY P.O. Box 186 Shelton, Washington 98584 428-5593 _a�_ IR 3 DATE ISSUED Q�`L Gelm .Qi % n PERMIT NO. L ! % T AME " A Dh CITY i TATE PHONE . OWNER Wi 50 DIRECTIONS //�� rI / TO JOB SITE 11stJ t� li ` �3-" O Y Gu';'-Q 44l2.aY Y LEGAL ^ LL — SEE ATTACHED SHEET) DESCR. V 0, lu i h CONTRACTOR NAME MAIL ADDRESS CITY a STATE LICENSE NO. PHON e: USE OF BUILDING t'Gh Class of work: NEW ❑ ADDITION , ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: heW "1553 + drorck bodAml Lo Cla tircaom Valuation of work: III OO© N CHECK AA, PERMIT FEE/ SPECIAL CONDITIONS: ,& /3asi BEDROOMSN dd DECKS CARPORT❑ NOTICE BATHROOM TOTAL 60. FT GARAGE ❑ NA / ATTACHED D SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, V N0. OF STORIES BASEMENT ❑ ,(` OR AIR CONDITIONING. a TOTAL 80. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK O CONTRACTOR AFFIDAVIT IZEDI8NOTC0 I certify that I am a currently registered, contractor In the State of Washington and I am aware of the ordinance requirements regulating the work for which ��� OFFICE the permit Is Issued and all work done will be in conformance therewith. SHORELINES f �� �- L MIASMAL D FLOODPLAIN D Firm No. S.E.P.A. ❑ By /1 IidM ee Approvals IN OUT YES AP Lic. No.2 a I.Jt I L 2011A1K Data 0 2-129-NIN MANNING DEP OWNERS AFFIDAVIT HEA H DEP IC WORKS I certify that I am exempt from the requirements of the 1111114 contract,or registration law RCW 18.27,and am aware MARSHA , of the !Mason County ordinance requirements for NG DEP which this permit is Issued and that all work done will ACCESS be In conformance therewith. x L MOTOR VEHICLE PERMIT Owner Data r 1�0y 451 APPLICATION ACCEPTED BY PLANS CK BY APPROVED PL CHECK VALIDATIO CK. M.O. CASH ! MIDi► Qy _n..a F MASON COUNTYPLAN. N,ING DEPARTMENT r P.O.SOS(ISO 8helton,'washington 98584 Pf UA SING PERMIT APPLICATION IMPORTANT—Complete ALL items..Mark boxes where applicable. Name Mailhp address—Number,street:city.and State Zip code Tel.No. ,. C G S ! / Owner f a� ©1 W 2 2. Contractor The owner of this building and the undersigned agree to conform to all applioebie laws of Mason County and State of Washington Sigrys of appli t Address t $g0'Z„ Application dare - G � 0 (I►) . -as LEGAL DESdRIOT14#1 Location 4514ee O Y0.W 1 Y1 Of Building NO PLUMBINQ FIXTURES, FEE WATER CLOSETS Q rj BASINS BATH TUBS .-+► SHOWERS ! WATER HEATERS t� AUTO.WASHERS SINKS FLOOR DRAINS i l DRINKING FOUNTAINS LAUNDRY TRAYS A Connect to City Sewer Q ++ DISH WASHER ( dYO.W I Y1 Gj f --. DISPOSAL 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 1N THIS SPACE — FOR OFFICE USE Approved by _ Permit fee O&W pemFt Issued Permit number Rsaipt No: ` �.o c� 0 a�-- 39 MASON COUNTY PLANNING DEPARTMENT P.O.Box 188 Shelton,Washington 98584 MECHANICAL OPERMIT APPLICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. t. lEOAL DESCRIPTION Location Of N S Building N s 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 Stu'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'"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 well heater-44.00 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--S4.00 18. For each ventilation fan connected to a single duct-U.00 7. Over 3 horse power to and including 15 horse power-$1.50 19. For each ventilation system which is not a portion of any heating g. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit--0.00 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-Z4.00 21. For the installation or relocation of each domestic type in- 11. . Over 100,000 Btu's to and including 500,000 Btu's-$1.50 cinerator-$5.00 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-520.00 410.00 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 S no other fee is listed in this Code--$3.00 FIELD INSPECTION Bak Fee $3.00 Date By Remarks TOTAL �. d t 9'O, D O/9 . a Name A Mailing address -Number, street, city, and State Zip code Tel.No. iA 1. Owner 40, 11L` _ 2. Contractor The owner of this building and the undersigned agree to conform to an applicable laws of M COUNTY Signature of applicant Address Application date DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Ap v . Permit fee Date permit issued Permit number Receipt No. NJ V IV eMtLTON PRINTING Co. T61' olAt• ftr*14) • no, of n ilk of ;BST 1/4 i s art-Off 14oad near Belfttr. ' Coto! a I I 1 r I 1 t M 1 1 1