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Home My WebLink AboutBLD11881 SFR - BLD Permit / Conditions - 12/22/1981 ! i fr 1 1� 1 1 1 1 U{ i f 1h i•• � ! al t I 1 • 1 o `t ml ITO p 13 Kl i•'1 1 i , I ' ++� a� iv C N 1^4 1 i cd r CO V. C/) t/1 O C1 O y,� •,.,� 00 ,.g.� V O L L G ! 1 vwc� w3a awe - 4.J O v 1 J Y BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED _42R4_2 PERMIT NO. /�( I OWNER < ��M' MAIL ADDR SS CITY& TATE ZIP PHONE aw DIRECTIONS 124#444,1 AiC.• /'mC, TO JOB SITE LEGAL *��Z�&vjy �� (❑ SEE ATTACHED HEET) DESCR. NAW MAIL ADDRESS &STATE L ENSE NO. yZfiP ON CONTRACTOR . � v !� P �9 USE OF BUILDING t Class of work: EW ❑ ADDITION ❑ ALTERATION El-REPAIR ❑ MOVE ❑ REMOVE Describe work: SaK 59 ' = 66 Af — Valuatio of work: PLA#CH CK FEE FFERMIT Fice SPECIAL CONDITIONS:lf BEDROOMS DECKS 3 CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT.5_70 GARAGE Qk ytryfl ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SO. FT.1712�__ FIREPLACE ld=& 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 t 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 ��11 � SEASONAL ❑ FLOODPLAIN ❑ Firm l�/•ior E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No.,mx Fa L9y T>r)—Date 1Z-15- S_1 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 conformance therewith. MOTOR VEHICLE PERMIT A LICATION CC PTEU BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date. B PL)V CHECK VALIDATION CK.. M.O. CASH ("PERMIT VALIDATION CK. M.O. CASH EXEMPTION FROM SHORELINE MANAGEMENT ACT SUBSTANTIAL DEVELOPMENT PERMIT REQUIREMENT TO: (name and address of the applicant) The proposal by Richard Baerg to undertake (name of applicant the following development construct single family residence (be specific) — upon the folowing property tract 7 of gov't lot 4 section 34 ( legal description; I .e.,-section to the township 21N range 2W nearest quarter section) within Pickering Pass and/or its associated (name of water area) wetlands is exempt from the requirement of a substantial development permit because the development is for a single-family residence an will maintain a 65' setback from the Ordinary High Water Mark to the I deck attached to the residence. WAC 173-14-040 (7) (identify exemptions as outlined in WAC 173-14-040) (Corps Public Notice Number if available) I The proposed development is consistent or inconsistent with: CHECK ONE CONSISTENT INCONSISTENT Policies of the Shoreline Management Act. X The guidelines of the Department of Ecology where no master program has been finally approved or adopted by the department. The master program. n date) (Si nature of Wufh6ritzied Local Govern- ment Official ) 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. ,. 0 Je A , Owner 2. Contractor p 31, 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 < &� I /�--/6- LEGAL DESCRIPTION Location B Building • NO.. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS t SHOWERS r WATER HEATERS O AUTO.WASHERS nr% '2 SINKS FLOOR DRAINS Q DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER T� DISPOSAL URINAL K (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK 3 DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. „ n R� 'U s,�L`/''// DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by /A Permit fee Date pemit issued Permit number Receipt No. �i ' '� -aa • . ai fill,IT/ • c �i•l.7 �� sir—_� �� '��rrl �li •1GalI/taA>•�`tl �i'S �� ■■Mi■■■■■t»■■l■r■■■Im■I■■■■■■■■■ ■■■■tiN■■■■■!!r■.r■1�■►■■■■■■■■■■ ■fiii■� iiii■iiE�'��lii�-a�i■■■■■■■■■■ ■E■■■■■■■■■BIB■► !'!' �E7■■■■■■■■■■ . :trip ► � / / / MASON COUNTY PLANNING DEPARTMENT P.O.Box 186 Shelton,Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. i• LEGAL DESCRIPTIO Location Of N s61 Building N s E W side of feet E W from intersection of Sect. Twp. /V Range NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE Forced air or gravity type furnace or burner including ducts a 14. For the installation or relocation of each boiler or refrigeration and vents, up to.and including 100,000 Btu's-4 4.00 4. compressor over 50 horse power or each absorption system over 2. Over 100,000 Btu's-$5.00 1,750,000 Btu's--$25.00 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 theret"3.00 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 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 6. Installation or relocation of each boiler or compressor to and 17. For each evaporative cooler other than portable type-$3.00 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-43.00 9. Over 30 horse power to and including 50 horse power-$15.00 2 For the installation of each hood which is served by mechanical exhaust, including ducts for such hoo643.00 10. Installation or relocation of each absorption system to and including 100,000 Btu'5-$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 -410.00 2Z. 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-43.00 FIELD INSPECTION Basic Fee $3.00 Date By Remarks TOTAL ,�D ••o Name Mailing address - Number, street, city, and State Zip code Tel. No, 1. 1 e -- Owner I- - , I W". 1 3 3 .'%- 2. Contractor 'J11' r J The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Sign ure of applica Address Application date DO NOT WRITE IN THIS SPACE - FOR OFFICE USE proveq by Permit fee Date permit issued Permit number Receipt No. VZ $ -7.O0 3-11- eNHLTON PRINTING CO.