HomeMy WebLinkAboutBLD10262 Final SFR - BLD Permit / Conditions - 7/20/1989 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
i 426-5593 p
j E DATE ISSUED
PERMIT NO. D ym.
OWNER�J./JAME MAIL A RESS CI &STATE IP
k�oht_ &IWAK
DIRECTIONS /_
TO JOB SITE S.c li.r a AlfLEGAL
DESCR. �6!10 tJ / of �t�• 1 lv J ���(❑ S ACHED SH �
NAME MAIL ADDRESS CITY&STATE LICENSE NO. P NE
CONTRACTOR
e.r
USE OF
BUILDING1f'rc--Jmce_)
Class of work: N W ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
A/t 11,/ A 6 M 3 to,y"9 -
Valuation of work: $ A"MPLAN CHECK FEE PERMIT FEE
— So
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FTIW GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ 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 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 ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT
HEALTH DEPT.
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is is d and that all work done will ROAD ACCESS
in confor a e the with. MOTOR VEHICLE PERMIT
• APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
OW ate. BY���
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
•
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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.
Ct, 1r r. 377-41V
Owner
c t* warp-q7 I—3 Z-I
2. G.S &'J r1 q_r
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 applicant Address Application date
LEGAL DESCRIPTION`' Q r / e /. `7
/_�V tot �LG. �WA
�S
Location CS /�•
Of
Building
NO.. PLUMBING FIXTURES FEE
3 WATER CLOSETS O!I
Z BASINS YCCI
2 BATH TUBS
SHOWERS
1 WATER HEATERS 2 Or v
AUTO.WASHERS
' SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS 2
Connect to City Sewer
` DISH WASHER `o
DISPOSAL d�
URINAL
(Show Street Names & Property Lines)
ou
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT -G9 Ov 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 �'�eL � t�.�,/04_V t,
Location
Of NS NS
Building
E W side of feet E W from intersection of
Sect. Twp. .23 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 4/Od 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-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-$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 hood"$3.00
10. Installation or relocation of each absorption system to and
including 100,000 Btu'".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-420.00
-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 no other fee is listed in this Code--$3.00
FIELD INSPECTION Basic FN $3.00
Gate By Remarks
TOTAL
Name
T Mailing address - Number, street, city, and State Zip code Tel. N
Owner r&./1� ll� Z7 i� S cohe 1't-1tit���'1 �5�►. 983)A
M. '-3 Z/
2.
Contractor rQ he� a
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
Appr v d.by PIKit fee Date permit issued Permit number Receipt No.
SHELTON PRINTING CO.
Truemper, William G., Jr. #10262
y�hbvu�.C.3�:�i �) 3-23-81
`—T r.Lake, G. L. 4 5-23-1 �
Dewatto Road, two miles on Dewatto Road - Exactly.5
miles past Tiger Lake/Mission Creek Road, turn right
onto a rivate ad, 1700 Dead End easement Road
aka atl. 'The property is very lag one on th
Dead End Road. 03�Jr_ vr�v'"ol ace .4z-&-)
Residence Wood Stove
3 0 W. 7«vao Plumbing Permit
Mechanical Permit
$42,862.
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