HomeMy WebLinkAboutBLD9177 SFR - BLD Permit / Conditions - 4/20/1976 Sobotka, James R. #9177
4-20-76
Springwood, Lot #28
Contractor•
J .R. Sobotka Co.
Residence
Plumbing & Mechanical
$33,000.00 Permits issued.
T _ So b o-f- �c CSC
- - BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAME AIL ADDRESS CITY A STATE ZIP PHONE
f - Id 4-ram 6 k 3
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
CONTRACTOR NAME
L _ / _�j� �j MAIL ADDRESS �7 ITY 6 ST TE LICENSE NO. PHONEp
/� , �C1 K�J L'/"'�- /� 7�c1 �dS� !3•J7� � £: 0•v J/,L �to �l 6 a` '
USE OF
BUILDING Sj 5 S',
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ '` PLAN CHECK FEE S �'� PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY, PLANS CHECK BY APP VED FOR 1S' ANCE Type of Occupancy Division
BYe i Const. Group
Size of Bldg. ) No. of Max.
(Total) Sq. Ft. �QO Stories Occ. Load /
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
n .4n�e.ther
`' wi ZONING
� V HEALTH DEPT. ,j�'
Firm PUBLIC WORKS
By ROAD DEPT.
Lic. Date ` 0
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 of the Mason County ordinance requirements for VENTILATING OR IA R CONDITIONING.TS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
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MASON COUNTY PLANNING DEPARTMENT
' P.0. Box 400 Shelton, Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTAN -Complete ALL items. Mark es where applicable.
t, LEGAL DESCRIPTION �\
Location
Of N S
Building N 5
E W side of feet E W from intersection of
Sect. Twp. Range
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE I
1
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-$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
4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling I
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
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
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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 hoods--$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 ey Remarks TOTAL t�t ,an
N e Mailing address - Number, street, city, and State Zip code Tel. No.
1. -
Owner
Contractor
The owner oft Is building anA the dersigned agree to conform to all applicable laws of MASON COUNTY _
Signature�ofcant Address Appn ation d to `
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE R(7-
Approveo by Permit fee Date pelmet issuetl Permit number Receipt No.
,� `"= -sue .2 - 74
9aa� yo2o�
6HELTON PRINTING CO.
1
MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL item ark boxe here applicabl .
LEGAL DESCRIPTIO
Location
Of
Building
E W side of ____ —__— feet E W from intersection of
Sect. ____-__ Twp. -_ _-_ Range
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS EACH 60 TO 120 MBTU
BATHTUBS EACH 120 TO 200 MBTU
SHOWERS ' EACH 200 TO 500 MBTU
WATER HEATERS, EACH OVER 500 MBTU
AUTO. WASHERS'
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer SERVICE CONNECTION
DISH WASHER
DISPOSAL
URINAL
Distribution System
By Special Permit
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
PERMIT PERMIT
FIELD INSPECTION
u.itu Isv Remarks
Na a Mailing address — Number, street, city, and State Zip code Tel. No.
1.
Owner
2. ---- -
o.
Contractor —
The owner of-thil building an the urjQersigned agree to conform to all applicable laws of.Meson County
Signature of cant Address "cation e
DO NOT WRITE IN THIS SPACE_— FOR OFFICE USE
Ap roved by Permit fee Date permit issued Permit number Receipt No.
,:P7.
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