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Home My WebLink AboutBLD10879 - BLD Application - 6/25/1981 k # m i BUILDING PERMIT APPLICATION TA MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 d j DATE ISSUED PERMIT NO. /cJ 8Zt OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE f - . -464 DIRECTIONS TO JOB SITE Sr&Ab LEGAL (❑ SEEATTACHEDSHEE-0 DESCR. �L I AIE it L, _ NAME MAIL ADDRESS CITY&STATE LICENSE NO., .4zo.&4 vs PHONE CONTRACTOR - l- USE OF BUILDING • Class of work: keNEW ❑ ADDITION ❑ ALTERATI ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: PRO Vt CS IEL - 8 I Valuation of work: $ ®® ' PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS': O cr CIO BEDROOMS (DECKS CARPORT ❑ r NOTICE 1 O BATHROOMS e TOTAL SQ. FT. GARAGE- SEPARATE PERMITS ARE REQUIRED FOR PLUMBIf�IG, HEATING, VENTILATING NO. OF STORIES BASEM�iNT 171 ATTACHED' OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE' , DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AF DAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF,C rJSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 18d D,YS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washingiton and I am aware of the ordinance requirements1iregulating the work for which FOR O F F'C E U S O N LY the permit Is Issued aI'd-.all work done well be In conformance therewit 1 PERMANENT SHORELINES SEASONAL ❑ FLOODPLAIN ❑ Firm It E.D. NO. S.E.P.A!❑ By Special Approvals IN OUT II YES APPROVED NO Lic.,No.27-3°-61 —RU— h» �' Date ZONING PLANNING DEPT. HEALTH DEPT: OWNERS AFFIDAVIT r PUBLIC WORKS !� l I certify that I am exeni:t1 rom the'requirements of the FIRE MARSHAL f contract or;registration law RCW 18.27, and am awareI, of the ason ,Co'ui ordinance requirements for BUILDING DEPT. / which t Is permit is iss: ed and that afl work done will ROAD ACCESS be in onformance the with. MO VEHICLE PERMIT P IC '1 EPTED Y PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date. i BY I PLAN ECK VALIDATION CK; M.O. CASH PERMIT VALIDATIO CK.1 CASH M.O. 0 is 9 o toy ` — Ica o� •o - w lb r s 8-)DI„ rn 00 w� // o �c �D No�Ha� Dst�u 1461 2 b�Qoh POUSE. 5E} /4— c- 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 undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of applicant Address Application date LEGAL DESCRIP 'ON Location Of Buildingf✓ NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS SHOWERS ', WATER HEATERS ov AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS i LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL oq Property Lines Show Street Names & ro e ( p y ) jv ASHUTOFF VALVE FOR WATER. INDICATE LOCATION OF MAIN T PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. I y i DO 'NOT WRITE IN THIS SPACE - FOR OFFICE USE Approved Permit fee bate 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. f. LEGAL DESCRIPTION ' Location Of NS 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 theinstallation 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-$4.00 NOTE: This fee shall not apply to an air handling unit which is a portion of a factor assembled appliance, cooling a 4. Installation, relocation, or replacement of each appliance vent P Y PP g 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 i i cooling system including installation of controls regulated by -$5.00 this code-$4.00 17. For each evaporative cooler-other than portable type-$3.00 6. Installation or relocation of each boiler or compressor to and j 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'"4.00 21. For the installation or relocation of each domestic type in- 11. Over 100,000 Btu's to and including 500,000 BtWs-$7.50 cinerator-$5:00 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00 410.00; 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'sINSPECTION Basia Fee 441'e'8' Date By Remarks C7 � L TOTAL < r Name Mailing address Number,street, city, and State Zip code': Tel. No. �. sir 4� q:a, owner - I Contractor The owner of this building and the undersigned agree to conform t6 all applicable laws of MASON COUNTY . Signature of applicant Address Application date 11PO NOT WRITE:IN THIS SPACE - FOR OFFICE USE Approve by Permit fee �' Date pelmitissued Permit number Receipt No. SHELTON PRINTING Co.