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Home My WebLink AboutBLD1938 SFR - BLD Permit / Conditions - 6/5/1975 Buitenveld, Harlan #1938 6-5-75 Springwood, Lot #2 Residence $25,000.00 I ��vti✓" �..�„.�,� o� /A A?L /`) Iv BUILDING PERMIT APPLICATION MASON COUNTY P. O. Box 400 Shelton, Washinqton 98584 DATES-4S-_-7_37 Applicant to complete numbered spaces only. PERMIT JOB ADDRESS Y M LEGAL 1 DES1: Se��Ip 10SEE ATTACHED SHEET) DISPri OWNER MAIL NDDRESS /L ZIP PHONE 2 HAtf Lanj �u 1 t vEc-p ' bA C qa -84 6 CONTRACTOR C^� MAIL ADDRESS PHONE LICENSE NO. 3 �J ARCHITE T OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 LENDER MAIL ADDRESS BRANCH 6 C 1P r- 1_ USE OF BUILDING 1 o/✓ L 8 Class of work: ONEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE 9 Describe work: G,OAJ S O 10 Change of use from Change of use to 11 Valuation of work: $ a�� oery o e PLAN CHECK FEE , �� PERMIT FEE ��al SPECIAL CONDITIONS: Type of Occupancy T Const. Group L Division Size of Bldg. No.of Max. (Total)Sq. Ft. Stories Occ. Load Fire Use Fire Sprinklers APPLICATION ACCEPTED BY. PLANS CHECKED BY. APPROVED FOR ISSUANCE BY. Zone -5, Zone Required ❑yes []NO No.of OFFSTREET PARKING SPACES: �.�✓�t,t welling Units Covered Uncovered N O T I C E Special Approvals Required Received Not Required ZONINC. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEALTH DEPT. l SS HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FIRE DEPT. AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- OTHER Isoeclfy) TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SIGNATURE OF CONTRACTOR OR AUTHORIZED GENT (DATE) A4tf T OF OWNER 1I OWNER BUILDER (DATE) PJcAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH /fJ�/�\J �// SHELTON PRINTING CO. U I Y MASON COUNTY PLANNING DEPARTMENT P. 0. Box 400 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT —Complete ALL items. Mark boxes where applicable. 1. LEGAL DEII)CR I PTION Location CC / (ON �� TV�k S�l �0 Q11 Q (�fi� /�V�Z S f N f Of N S 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 PLUMBING WATER CLOSETS EACH UNDER 60 MBTU SEWER SEPTIC TANK F—, lid BASINS 6PO EACH 60 TO 120 MBTU rBATH TUBS EACH 120 TO 200 MBTU SHOWERS EACH 200 TO 500 MBTU WATER HEATERS EACH OVER 500 MBTU AUTO. WASHERS ri S Q SINKS S 3 FLOOR DRAINS y �Q 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 PERMIT PERMIT FIELD LOCATION OR SUBMIT ON OTHER SKETCH. Q FIELD INSPECTION D.itc By Remarks Name Mailing address — Number, street, city, nd S ate Zip code Tel. No. Owner — — — — Contractor The owner of this building and the undersigned agree to conform to all applicable laws of.Mason County Signa �re o�f pplicant Addre s !� Application date �.�.,J • ld /3vJ� S t U if ,S e( (aw " ,s--- 2G -7s DO NOT WRITE IN THIS SPACE — FOR OFFICE USE _ _ A pprov by Permit fee Date permit issued Permit number Receipt No. e, MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT -Complete ALL items. Mark boxes where applicable. t, LEGAL OR RIPTION ,�a Location C[ 0 �7. 7UWK S4 /ZC� �'u� eY C.L,w�r S .-(N c( Of N S IF A Building N S E W side of feet E W from intersection of Sect. Twp. Range NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE 1. Forceld 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 -$5.00 this code-44.00 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-420.00 _$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 27.0 _ FIELD INSPECTION Basic Fee $3.00 Date By Remarks TOTAL 7, 00 Name Mailing address - Number, street, city, an State Zip code Tel. No. Owner J() 3 t� C 1�/T` i4, e(Z e663 Contractor _ The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Si4gnu�eiant Ad r ss Application date . �0 /30� s�v� �f�k c.J�1 s'- z&- DO NOT WRITE IN THIS SPACE - FOR OFFICE USE _ Appn ea by Permit fee Date permit issued Permit number Receipt No. 7, C)d a-9S SHELTON PRINTING CO.