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Home My WebLink AboutBLD12764 SFR - BLD Application - 7/28/1982 ' j BUILDING PERMIT APPLICATION .,, MASON 'CO.UNTY P.O.Box 186 Shelton, Washington 98584 426-5593 DATEISSUED - PERMIT NO. •NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER �J9g"377 DIRECTIONS ,. TO JOB SITE ••.�, e LEGAL TO SEE ATTACHED SHEET) _ DESCR. -.� e" cS t1J.y f V -S—407 - NAME AIL ADDRESS CITY 8 STATE LICENSE NO "PHONE CONTRACTOR _- - USE OF BUILDING Class of work: ;KNEW ❑ ADDITION. ❑ ALTERATION ❑ REPAIR ❑MOVE• ❑ REMOVE Describe work:; ; v � 5�3 68� 0 G s J goo - a g ',r- oa" Valuation of work: $ O d'"� - _•PLAN C', E d ` A FMITFEE�% SPECIAL CONDITION ' BEDROOMS - IDECKS ARPORT ❑ ;NOTICE I BATHROOMS_ TOTAL 'SO ARAGE ❑ SEPARATE PERMITS ARE REQUIRED FORT PLUMBING, HEATING, VENTILATING - % NO. OF STORIES 'FIREPLAC BASEMENT❑ � ATTACHED ❑ ', OR AIR CONDITIONING .. '.� TOTAL So'. FT. E DETACHED O - • ES NULL AND VOID IF O ' _ PERMIT BECOM WORK R CONSTRUCTION AUTHOR CONTRACTOR AFFIDAVIT 'IZED IS NOT COMMENCED WITHIN 180 DAYS OR IF,CQNSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 AYSATANYTIMEAFTER .J Certify ThaIJ am a.CUrrently registered contractor in WORK IS COMMENCED. ,the State :of Washington and,: I am; aware of the - FQR O^^' ONLY ordinance requirements regulsting the work for which ' r r rCE ' the permit Is issued and all,work done-will be in - ' r conformance therewith PERMANENT. SHORELINES 'SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. � NO., . - -S.E.P:A ❑ ' <. Special Approvals I IN , OUT 2 YES APPROVED By NO Lic. No. Date: ZONING " It if, If ,. - - CANNING DEPT. Z Z7 H O OWN ERS"AFFIDAVIT PUBLIC WORKS I certify that I am exempt from the requirements of the "" FIRE•M `' - •• ' contractor reg lstration.law RCW:18 27,,:and am aware '• BUILDING:DEPT R� �� f( of the Mason County,ordinance requirements for - which'this permit'is issued.and that all work done will', ROAD ACCESS be in co nformance-ther with. MOTOR VEHICLE PERNUT er' Date .--J/7L1 LICATIO A P ED BY PLANS CHECK BY By VED FOR ISSUANC.. CHECK VALIDATION CK. M.00ASH P RMIT VALIDATION CK. : M.O. CASH MASON COUNTY PLANNING`DEPARTMENT ' P.O. Box 186. Shelton,Washington 98584 MECHANICAL PERMIT APPLICATION ' - IMPORTANT-Complete ALL items.Mark.bozes where`applieable. F 'I`.' - LEGAL DESCRIPTION - - - - Location Of - NS NS, Building _ E W side of feet E'W.from intersection of _ Sect. P - Tw . Range. . v NO. -DESCRIPTIONS FEENO. - -; DESCRIPTIONS „ FEE 1. Forced air or gravity type furnace or burner including ducts ,N,TT 14. For-the installation'or relocation If each boiler or refrigeration and-vents,.-up to .and including 100,000 Btu's�4.00 . ,W compressor over 50 horse power or each abs.rption system over 1,750,000 Btu's 425.00 2, Over 100,000 Btu's-$5.00, . ° 15. For. each air In unit ta and Including'10,000 cubic feeti 3. ' Installation or relocation of floor,furnace and,vent, suspended per minute, Including ducts_.attached theret - 300' heater, or.recessed wall heater-44.00 NOTE: This fee shallnot apply to an air. andling'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 ' r absorpti n unit for which a permit is required elsewhere.in th s 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 110,000 cube- feet per minute cooling system including installation of .controls regulated by - :„ -$5.00 this code--4.00 . - .. 17 'For each evaporative cooler other than p rtable'type-$3.00 n 6. , -. Installation relocation of each boiler' or compressor to and _ - ' including 3 horse power-44.00 - - '18.- For .each ventilation fan'connected to a si gle duct-$2.00' . 7. - Over 3' horse power to and including 15 horse power-$l 50 11' For each ventilation system which its not a portion of any heating og or air conditioning system authorized by, a perml ,8.` Over 15 horse power to and including 30 horse power-$10.00 9: Over 30 horse power to and Including 50 horse,.power-$15.00 " 20.- For the Installation'of eac5 hood Iwhich is s ned by mechanical exhaust including ducts for such hoodt-.$3 0 10. Installation orrelocation of each absorption system to'"and. - - - Including 100,000 Btu'g--$4.00 21. For the. installation or relocation of each ,domestic type in cinerator-$5.00 - - 11. Over 100,000 Btu's:to. and including 500,000. Btu's-$7.50 ' 12., Over 500,000'Btu's-to and including'1,000,OOO �Btu's�. .Cornmerclal "or industrial type irimnerators 2000 i -$10.00 22. For each appliance or piece' ofequipment 'regulated by this 13: Over 1,000,000 Btu's to.and Including 1,750,000.Btu's - - Code but not classed In,other appliance catagories, or for which C de 3.00 - listed in .this o noother �feeis ste ---$ FIELD INSPECTION -8 sic Fee $3.00 'Date By _ Remarks - T'TAL - BOO . Name - Mailing'address Number, street, city, and State '` Zip ctltle Tel:No: Owner., 2 Contractor The owner of this budding and the undersigned agree to conform to an applicable 'aws of MASON COUNTY - - S,gnature'of applicant Atltlress' ` - APPncation sate _ DO NOT WRITEIN THIS SPACE-- FOR OFFICE USE Approvetl by Per mit tee Dale permit issued, P¢rmil number 'Receipt No. ...LTON P.INTINO CO. MASON.COUNTY PLANNING DEPARTMENT' ' ,.,P.O. BOX 186 Shelton,Washington 98584, PLUMBING PERMIT APPLICATION IMPORTANT Complete ALL items. Mark boxes where applicable:- Name " Mail ng atltlress.�f.Number,street,city,and State =F Zip c de Tel.No uS 0 �9 _3 Owner p Contractor s` The owner of this building and the undersigned agree to conform wall applicable laws of Mason County and State Of Washington A Address" pplmation date - signature of apP,hcant LEGAL DESCRIPTION Location; Of Building' NO. - PLUMBI NGFIXTURES - - ^^FEE` _ + ` . WATER CLOSETS `'.'. BASINS BATHTUBS. WATER HEATERS /._ AUTO.WASHERS SINKS, �. FLOOR DRAINS; - - 1 DRINKING FOUNTAINS LAUNDRY TRAYS.,' Connect to City Sewer .. . DISHWASHER - Qo - DISPOSAL .. _ -. .. URINAL �` J (Show Street Names & Property Lanes) , .. - ANK& DIRAIP FIELD LOCATION OR SUBMIT INDICATE LOCATION OFr PERMIT -: to " SKETCH,IN,SEPTICT '. ' . ON OTHER SKETCH. ' DO NOT WRITE IN THIS,SPACE FOR.OFFICE USE Approved by _ Permit foe Gate pemlt Issued Permit number ~Receipt Na 7 . I BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 y 427-9670 DATE ISSUED PERMIT NO. NAME AIL ADDRESS CITY&STATE 21P PHONE OWNER oot tq ` bN N - 3$ s DIRECTIONS -�f 1od, ggssy. r — C TO JOB SITE ro K e JO N5 Ctr , g T v � Crp s PARCEL LEGAL NUMBER a II DESCR. _ p r b - r Indicate below: O Property lines and dimensions. 0 Easements and roads. : O Septic, drainfield and reserve area, or sewer. O O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building&septic system setback distances from,all property lines&.easements. Indicate North O Welland waterline. O Saltwater, lakes, rivers, streams, wetlands,drainage: In Circle 0 Attach copy of septic system"as built" or septic permit approval O Indicate topography profile of property and structure on reverse side. , 1 If 24 Q M s ' Kit i iC I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no than will be ma without first obtaining approval. 1 1 0. SIGNATURE OFOWNER(SIORAUTHORIZEDREPRE ATIVE i j `• DO NOT WRITE BELOW THIS(LINE APPROVED '� DISTRICT AS NOTED DATE (S,•�`I ' - .�:.i i. , !+ `a ,, , l�+,' �� , � +d`,+ ( t +� L+lV 1 `. e<.�'�.i °��A.a ,A 1 rrl l �.n ... � ;?,_ - 3 TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF'STRUCTURE . , _ 5 , , n i 9 ry Y ' I C , , , a� s