HomeMy WebLinkAboutBLD13963 Modular Home - BLD Permit / Conditions - 5/12/1983F
State of Washington 013963
State Patrol Academy, 753-6854 5/12/83
Portion of N 1/2, SW 1/4, 2-20-4
Academy, West 631 Dayton Airport Road
Modular Home Contractor:
1,248 Sq. Ft. Westwood Industries
$41,808.00 Plumbing Permit
Mechanical Permit
Shorelines:
Setback:
Special Conditions:
Footing: S / 8 3 TWI
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior :
Final:
Stop Work:
Mobile Home:
Smoke Detector :
Remarks: f- g
r
PERMIT
QA3'k !-y-9 gY
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED .6 ; P-3
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Lcla. rL ' IV 7.
DIRECTIONS
TO JOB SITE T6 0,t 7
LEGAL. �� / / ( SEE ATTACHED SHEET)
DESCR
NAME4,AIL ADDRESS CITI&ST)TE LICENSE NO. PHONE
CONTRACTOR D
USE OF
BUILDING G rc� K r l�cd c
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ q1 no�-opPLAN CHECK F tj � PERMIT FEE
SPECIAL CONDITIONS: l�
BEDROOMS I DECKS_—�n-ij- CARPORT L NOTICE
BATHROOMS— (TOTAL SQ. FT. GARAGE n Iq
ATTACHED L. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SQ. FT. oZ FIREPLACE Ll 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 E ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
SEASONAL i I FLOODPLAIN
Firm E.D. NO. S.E.P.A. L',
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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
of the Mason County ordinance requirements for BUILDING DEPT.
whi h this permit is issued and that all work done will ROAD ACCESS
b in onformance therewith. MOTOR VEHICLE PERMIT
�� PL ATION AC TED Y PLANS CHECK BY ROVED FOR SUANCE
Owner 4r4leop
Date . �'���.Z
i
P12444 CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CAS
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.
t.
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 applicant Address Application date
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS o
BASINS
02- BATH TUBS
SHOWERS
1 WATER HEATERS
1 AUTO.WASHERS a O
I SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT Q SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approv by \ Permit fee Date pemit issued
Permit number Receipt No.
a 3, o
` I
MASON COUNTY PLANNING DEPARTMENT
P.O.Box 186 Shelton,Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT- Complete ALL items. Mark boxes where applicable.
1. LEGAL DESCRIPTION
Location
Of N S N S
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-$4.00 �OQ 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---$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
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 fee is listed in this Code-$3.00
FIELD INSPECTION Basic Fee $3.00
Date By Remarks TOTAL 4.00
Name Mailing address - Number, street, city, and State Zip code Tel. No.
1.
Owner ------- --- ----
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
Signature of applicant Address Application date
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE _
App�edby Per it fee Date Pe mit Ss etl Permit number Receipt No.
LNELTON PRINTING CO.