HomeMy WebLinkAboutBLD7738 SFR with Fireplace - BLD Application - 10/19/1977 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Donald F. Likes P.O. Box 843 Shelton Wn. 98584 426-1467
DIRECTIONS
TO JOB SITE &1d of North Carmen Road
LEGALS_r (❑ SEE ATTACHED SHEET)
DESCR. N.,,,
oun Ran
NAME MAIL ADDRESS CITY&
CONTRACTOR S TE LICENSE NO. PHONE
None
USE OF
BUILDING livC in
Class of work: 391 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Build house
Valuation of work: $ PLAN CHECK FEE - 3—J PERMIT FEE
J l-
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY1 PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
�F ,y✓L wl.
Size of Bldg. No. of Max.
(Total) Sq. Ft. 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
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
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 PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING.
which this permit is is ue nd that all work done will
be n c nformanc `rh. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
/ _7, 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 M.O. CASH
3
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items.Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
nald F. Likes P.O.Box 843 Shelton Iti 8 98584 26-
Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of ap icant Addre oDI c�tion date
g�41A
GAL ESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS 1 � i-d
BASINS rQ
BATH TUBS
1 SHOWERS r-p
1 WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
1 DISH WASHER 0'd
DISPOSAL '
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
�a ✓� <.o -� s�S- /e/9 77 7l3,f
MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT-Complete ALL items. Mark boxes where applicable.
LEGAL 9RSCRIrrION
Location / i ,LQ__ w D
Of N s
Building 72J a feet N s
E W side of �r 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-S25.00
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 3 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-35.00
12. Over 500,000 Btu's to and including 1,000,000 Btu's C~cW 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 TOTAL fT ao
Remarks
Name AMailing address - Number, street, city, and State -/ Zip code Tel. No.
Owner
contractor
Or
The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
Signature of applicant � Address � Ap
plication date
7
DO NOT RITE IN THIS SPACE - FOR OFFICE SE
Approve Permit fee Date petmit issued Permit number Receipt No. --
6H"TON PRINTING CO.