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Home My WebLink AboutBLD12987 Addition - BLD Application - 9/13/1982 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 1 , 3 g. DATE ISSUED PERMIT NO. eZ 1 p.0 AIL OWNER KEN NAME D�C-►a $b 31 ADDRESS k- S CITY Sf&"- �'8S694 14 26 PHONETATE ZIP 99 i 3 DIRECTIONS I L&W TO JOB SITE jkC DID R7 t� �INNs �wt�a e � Sm"' p A'ptax 14 &'VAW"_i e., r� i• — DESCR. (I SEE ATTACHED SHEET) �1 '`�E/ o , •RUC Z.7,Tu ZAA1 P Am6E 3 W UJ k yr^ NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR fto" Rt6 Gas, 10itt STsu*ju$ST SNrr=A L *,.&4 P 4 KS06 CZ I j O y2(_Syl$ USE OF I F—S BUILDING V\ Class of work: ❑ NEW %4 ADDITION (_ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: I I 2 A-ZU14-gox S 1 rl r'to v w�L1�5 Wwd� roof- re_5+rt_L4-cti.r Z — iv4nA � rcwo � Q,ycj�v icr ,.ew.�le Valuation of work: $ PLAN CHECK FEE PERMIT FEF&G 5� OOa 5 a d /S- SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT ❑ NOTICE BATHROOMS I TOTAL SO. FT. 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 Q. ! SEASONAL ❑ FLOODPLAIN ❑ Firm B"YLo 'd•J • G I-y� E.D. NO. S.E.P.A. ❑ By S e—w� Special Approvals IN OUT YES APPROVED NO Lic. No. f A-RSZ)b C 211 DQ Date r2 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 BUILDING DEPT. / of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in co rmance therewith. MOTOR VEHICLE PERMIT yyy,,,�� IftLICATION AC T71 D BY PL�v Y APPROVED FOR ISSUANCE Owner Date. 4� e -_ PL CHECK VALIDATION CK. M.O. CASH P MIT VALIDATIONTT) M.O. CASH 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. 1. 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 Signature of applicant Address Application date LEGAL DESCRIPTION Location Of Building NO.. PLUMBING FIXTURES FEE ,1 WATER CLOSETS 41, P !� BASINS Q BATH TUBS G d SHOWERS b e, WATER HEATERS AUTO.WASHERS SINKS D FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL 0 (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SOD SKETCH IN SEPTIC TANK 3 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 Recelpt No. 19.0o I a9g�- q_ 13_g ' PLOT IPLAN� ADDRESS S� • a2 1 2— STIZOLLD 1�1) PERMIT NO. me�'�{ o+ S Oki ,'r S>CC Z.T i m 20� 1 Ow Ge 3 w,WM,,:. � � � > o LEGAL 'w DESCRIPTION LOT BLK ADDITION SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK.DIMEN- SIONS.SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION At"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' a S I/We certify that the proposed construction will Conform to the dimenoldhs and uses shown above and that no changes will be made without first obtaining approval NAME(S) OF OWNER(S) OF SITE a STRUCTUREM (PRINT) IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE iHELTON PR7NTINd MASON COUNTY PLANNING DEPARTMENT P.O.Box 186 Shelton,Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. 1. LEGAL DESCRIPTION Location Of N S N S 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-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-4.00 17. For each evaporative cooler other than portabJ.k 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'sl-$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 $3.00 Remarks TOTAL -4-' Ov Date By R T Name Mailing address - Number, street, city, and State Zip code Tel. No. 1. Owner - ----- 2. Contractor The owner 01 this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Signature of pp nt Address Application date DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Approved-by Permit fee Date permit issued Permit number Receipt No. SHELTON PRINTING CO. 114 CC)(on ce ®V erhan5s (�a c..dtiC on �h�Biel$ 3 Tab aspho ( sh n5l 2 � �Q�ct CtCC�r�� VUS.S Oc, _1 - �/X/O fl�odP� i oZ Y O.G i vNMbs... Qi5 U f c� rb 1� COW ' .