HomeMy WebLinkAboutBLD13271 Modular Home - BLD Permit / Conditions - 11/15/1982 BUILDING,PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5 93 oZ
/ DATE ISSUED fl��
` �33`S� ��� >�✓`� PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE
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DIRECTIONS ^ sa�6� WolZK : 2 `p
TO JOB SITE
LEGAL L 0 T 2`/ /Y1.4.50A! LAKE ESTATc= O. 3, AS RE-eo& ED -Aj (❑ SEE ATTACHED SHEET)
DESCR. l/oc-uME S-oF �z�TS
ACE 8 ,C�ECgrZ DS o /�'ASo�t! �oucf T ,s Ni�/qA/<5 Tv Ay
CONTRACTOR NAME MAIL ADDRESS CITY 6 STATE LICENSE NO, PHONE
VE2l�? En1 McOVGp� /0720 24T fj)V4c. So,
EVER-41119 Z4 3C 7 .S-82_3YZ3
USE OF �—
BUILDING ppULs� �J.vGL� 1 .9— tjwz 1DE�/C�=
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
t 2 0 _ -- / 3J-Z ,S E—
Valuation of work: $ •OQ PLAN CHECK FEE PERMIT FE
SPECIAL CONDITIONS: NEW e-3AI
s
j°t bT PtAtJ /V6 T57'
BEDROOMS 2 DECKS I CARPORT ❑ NOTICE
BATHROOMS 2 TOTAL SO. FT. GARAGE ❑
ATTACHED ® SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL S0. FT.f35z 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 U S ONLY
ordinance requirements regulating the work for which
the permit is Issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES
'/ SEASONAL FLOODPLAIN [IFirm ElfE2Ci2L�Cl�! �oDuL,4,� �7oMFs� lNG .
�//►/� E.D. NO. S.E.P.A. ❑
By x ��-s Special Approvals IN OUT YES AP NO
Lic. No. EVS,e6IWH 243 G-7 Date 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 t permit is Issued and that all work done will ROAD ACCESS
be in formance therewith. MOTOR VEHICLE PERMIT
APPLICATION AC TEb BY PLANS CHECK BY APPROVED OR ISSUANCE
Owner Date. ✓,.(1�
P CHECK VALIDATION CK. M.O. CASH ERMIT VALIDATION CK M.O. CASH
•• ` MASON COUNTY PLANNING DEPARTMENT
00.Box 186 Shelton,Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT-Complete ALL items.Mark boxes where applicable.
1. LEGAL DESCRIPTION
Location 2580 Mason Lake Lrive W. (Ever reen Modular Bldg Permit
Of NS NS 13357
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-44.00 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 -45.00
this code-44.00
17. 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
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 hoodl--$3.00
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-$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
Date By Remarks TOTAL 7.00
Name Mailing address - Number, street, city, and State Zip code Tel. No.
t. John Smith
owner2.
Contractor Stoker Lad Co FO Box 5106,Tacoma 98405 198405 6270184
C
I
The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
Signature of applicant Address Application date
FO Box 5106,Tacoma 12-27-82
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Ap r ved.by Permit fee Date pel it issued Permit number Receipt No.
I.
.NELTON PRINTING CO.
Smith, 'John H. f #13271
'783-4524, work: 329=-3560; Seattle 11/15/82
Lot 24, Mason Lake Estates #3 At'w-04,V,�
Mason Lake Drive, Box 975, E 2580 East Mason Lake Dr ve
West.
Modular Home Contractor:
1352 Sq. Ft. Evergreen Modular
$45,292.00 Shoreline Exemp**
** New home on lot 24 shall not set farther forward to
the water than home on lot 23. Otherwise a shorelines
Y-ariance will be 'reaui-rerl_