HomeMy WebLinkAboutBLD8868 SFR - BLD Permit / Conditions - 2/17/1976 Wait e Construction #8868
2- 17-76
Springwood, Lot 26
Residence
$23,000.00
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c�A/7,
, CUa t T� C� r► s f
BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washington 98')84 DATE ISSUE / 7(i —
PERMIT NO. lr4eet1
I MAIL ADDRESS ZIP
OWNER PHONE
DIRECTIONS
TO 10B SITE Cj ,a. r W a aT-2
LEGAL � MAIL ADDRESS ZIP (C1S[6 ATTACHED SH[CT)
DESCR.� 1
C -- - � ,.��o�-�-- --------
-T MAIL ADDRES� PHONE
CONTRACTOR
- 6Aj C. C'.0 A/�rig S/_G-�9 A) --------
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING 1 — �- --- - - - -- - 2 tea?
Class of work: (RNEW El ADDITION' ❑ALTERATION ❑ REPAIR ❑MOVE O REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE 7 r O� PERMIT FEE , Od
SPECIAL CONDITIONS: 1 J
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
, Type. Occupancy —
Cons T Division
t Group
sZl v
Size of 81dq• No.of L Max.
(Total)Sq. Ft. Stories Z Occ. Load l G'
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require
I Certify that 1 am a currently registered contractor in the State MNING
of Washington and the County of Mason and I am aware cf the HEALTH DEEPT• G 2 /
ordinance requirEments regulating the work Icr which the permit PURLIC WUAKS
Is issued and all work done wi l be in conformance therewith. ROAD D&PT,
Firm I By
Lic. No. _ i Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the contract
or registration law RCW 18.27, and am aware of the Mason N 0 T I C E
County ordinance requirements for which this permit is issued
and that all work done wil' be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUT14ORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERICD OF
Owner Date 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
�- PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SHELTON PRINTING CO.
I _ MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 , Shelton, Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT -Complete ALL items. Mark boxes where applicable.
t_ LEGAL CESCRIPTION t
Location f bw
Of N S
Building /,_46; .26 N 5
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-$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
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-$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-$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'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 tee is listed in this Code-$3.00
FIELD INSPECTION Basic Fee $3.00
Dale By Remarks TOTAL 114L
Name Mailing address - Number, street, city, and State Zip code Tel_. No.
Owner �he
2.
Contractor
The owner this building an a undersigned agree to conform to all applicable laws of MASON COUNTY
Signatu apph Address
Awa& - 1pplica ion to
76
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Approved by �J Permit fee Date permit issued Permit number Receipt No.
' �f
SHEL.TON PRINTING CO. ���
" MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400' Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT —Complete ALL items. Mark boxes where applicable.
1. LEGAL DESCRIPTION
Location JAI AL I A A -2
Of —
Building N S
E W side of _ feet E W from intersection of
Sect. Twp. -_-- - Range
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS CI PLUMBING
WATER CLOSETS 12 EACH UNDER 60 MBTU SEWER SEPTIC TANK
10
BASINS EACH 60 TO 120 MBTU
BATH TUBS 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
PERMITiI � PERMIT FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
FIELD INSPECTION
Date By Remarks
Name Mailing address —Number, street, city, and State Zip code Tel. No.
6MeOwner - -- -- - —
htoContractor —
The owner of this budding and the undersi ned agree to conform to all applicable laws of.Mason County
Signature of ap t Address Apphc io date
C r �
DO NOT WRITE IN THIS SPACE_— FOR OFFICE USE _
Approved by Permit fee Date permit issued Permit number Receipt No.