HomeMy WebLinkAboutBLD9266 SFR - BLD Permit / Conditions - 9/27/1979 Pa-scher, Frank #9266
9-27-79
S' 230' of E 280' NW4j 12-20-4
(right at airport on Spring Rd., 1st road after
4th house on left)
Contractor
D. C. Ames
Residence
Plumbing Permit
issued.
$48,000.00
Mechanical Permit 6/12/80
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. 9-26
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
r O Y1
DIRECTIONS
TO JOB SITE 61
LEGAL ��+ `. (El SEE ATTACHED SHEET) LJ
DESCR. 1 Vt E O� )W y I
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR ES 1(0
3�b P v C O` CC _
USE OF ! V� G W4S4
BUILDING S
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ � �o PLAN CHECK FEE /�� , s_O PERMIT FEE/
SPECIAL CONDITIONS: 1 �1 X „ Z'Y' 4 7 -Z~ Lip
L-
Lill
BEDROOMS DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGEIiI
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIESa BASEMENT [] ATTACHED)9 OR AIR CONDITIONING.
TOTAL SO. FT.;Lft FIREPLACE jq DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT 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
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 USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. ` G1tn PERMANENT f I SHORELINES Ll
Firm�V J c� ) K, � SEASONAL [I FLOODPLAIN
By nou`� Ck w �/11, Its Special
NO. S.E.P.A.
OW` Special Approvals IN OUT YES APPROVED NO
cc I
Lic. No. m-G L— * Date 3 ` FSO ZONING
PLANNING DEPT.
J OWNERS AFFIDAVIT HEALTH DEPT. G
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLA ECK BY AP ROVED F R 1,9SUANCE
Owner Date. B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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s
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.
:;�o oL
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
— G
LEGAL DESCRIPTION `
Location
Of
Building
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS U d
BASINS G `�
BATH TUBS
SHOWERS
WATER HEATERS O O
AUTO.WASHERS
I SINKS GF"�
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS B d
Connect to City Sewer `
t DISH WASHER c*�
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.
PLOT PLAN
ADDRESS PERMIT NO. g�t!'b o 0
f o
n >
LEGAL t1W k4 scm 1a -4-own Ao N �'�q64 wf
DESCRIPTION LOT BLK ADDITION
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS VQ)M Sq.Ft. d
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE N
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) f^
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A-ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
Sao=
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR t"=20'
'10 1 -,)LAN, P L
lit
I/We certify that the proposed construction I conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
Y�L{-3 an is ?0.<_6)ay — -I� ,/ jl_�?,, P,'� C L
NAMEIS) OF OWNER(S) OF SITE 6 STRUCTUREW (PRINT) 4IGNAE O�OWNER(S) OFT AUT RI D R"TA
DO NOT WRITE BELOW THIS LINE
APPROVED
DATE
DISTRICT AS NOTED L
GHELT ON PRINTIN3 J
w.
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
Building N s
E W side of feet E W from intersection of
Sect. Twp. Range
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE
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 heatirg 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
Name Mawng address - Number, street, city, and State Zip code Tel. No.
Owner « .iZ v -- -- ---..._ K•! - - D�� y �n
2.
Contractor
The owner of this budding and the undersigned agree to conform to all applicable laws of MASON COUNTY
gnature of applicant. Address Application date
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Approved by Permit fee Date perms issued. Pi number Receipt No.
1
PARCEL 1THE
ALL THAT PORTION OF THE NORTH 230 FEET OF THE EAST 280 FEET OF p
NORTHWEST QUARTER OF THE NORTHWEST QUARTER. SE WHICH LIES
NnRTW
IN KASON COUNTY. SHI ON.
NORTHERLY OF THE NORTHERLY RIGHT OF WAY LIttE OF THE COUNTY ROAD.
cE1 2
TOGETHER WITH AttD SUBJECT OT A PERPETUAL NONEXC USIVE E20 FEET FOP
INGRESS, EGRESS AND UTILITY PURPOSES OVER THE WESTERLY ZO FEET OF ALL
IN
THAT PORTION OF THE EAST 280 FEET OFTOWNSH PEZO NORTH, RANCE 4 WEST. W
No
QUAR ER, SECTION 12.
MASON COUNTY. WASHINGTON. WHICH LIES NORTHERLY OF THE WITHIN DESCRIBED
PROPERTY.
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