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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 c/O A/ , Sari o82 s?`' .4ve, Al. .S"e,�TTGt !�!A 5'P�/7 793 -Vj-.2 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_