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HomeMy WebLinkAboutBLD7987 - BLD Application - 12/27/1977 y BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED PERMIT NO. Rom, OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE + J. y- f G S d,c v /' r LEGAL / SEE ATTACHED SHEET) DESCR -al NAME MAIL ADDRESS CITY&STA E LICENSE NO. PHONE CONTRACTOR :-T + �£ V USE OF f BUILDING �- Class of work: X NEW ❑ ADDITION ❑ ALTERATION F1 REPAIR E MOVE ❑ REMOVE Describe work: �o\ / • � !A� Valuation of work: $ PLAN CHECK FEE PERMIT FEE 37 SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECK BY APPa)VED FO IS ANCE Type of Occupancy Division BY � Const. � Group Size of Bldg. No' of / Max.(Total) Sp. Ft.fir (f Y! Stories / LoadL 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 cart nce there 15 ZONING HEALTH DEPT. ZrL FIT PUBLIC WORKS ROAD DEPT. By Lic. No. Date�-2 97 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 Date WORK IS COMMENCED. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH V 7 ' 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. Owner 2. Contractor The owner of this building and the undersi d agree to conform to all applicable laws of Mason County and state of Washington o Signature of a nt Address Applica n dall 1-156AL DESCRIPTION_ ' Y2_se _s I/ Location b l Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS _ SHOWERS WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRVTRAVS Connect to City Sewer DISH WASHER 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 nn ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by =PermiteeDate pemlt Issued Permit number Receipt No. 3 a//7/71,1" 9-//6 MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items. Mark boxes where applicable. Location7�7 C lllyYA ` Building ,.,,.•t//���/�. }^/ E W side of 1//y//�'�I� l/`C/^9/V1C feet E W from intersection of t Sect. Twp. Range NO. DESCRIPTIONS FEE fro. DESCRIPTIONS FEE 1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each taller 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-$3A0 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 perni 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 -$5A0 this code-$4.00 11. 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 1. 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 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 hoi 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-$1.50 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 categories, or for which -$15.00 no other fee is listed in this Code-$3.00 FIELD INSPECTION Basic roe $3.00 Date By Remarks TOTAL z•.�/ t CCVV Name Mailing address - Number, street, city, and State Zip code Tel. No. 1. Owner Contractor - The owner of this building and the mothers ned agree to conform to all applicable iaws of MASON COUNTY S,gnature of appb Address Appr anon ate DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Appnt ea by Permit fee Date pe, t iss ed Permit number Receipt No. SNELTON PPINTINO GO.