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Home My WebLink AboutBLD9233 Commercial Bldg - BLD Permit / Conditions - 4/28/1976 Schmidt, Howard #9233 4-28-76 Wz, Wz, SEµ, NEµ, 18-20-4 Commercial Building $30,000.00 ��a�� GK 5<��'��iv .'"` .ter ' V� �,�,,u ¢ �- �- . • 60ILDING PERMIT APPLICATION MASON COUNTY P. O. Box 400 Shelton, Washinqton 98584 DATE ISSUED F — PERMIT NO. OWNER ,/��cctieut�C rn-c.L'L---��-3 St�_•91�0� -i_+O_--- DIRECTIONS TO 10B SITE�� /jo4 C I_d _. MAIL ADDRESS ZIP LEGAL ([DsrL ATTACHED aNccTl DESCR. ,S J� zo_ ES MAIL ADDRESS PHONE CONTRACTOR , USE OF X�e� eI µ'C� MAIL ADDRESS BUILDING �t PNON[ LICENSE NO. 7" �r N CoA"w7 e tC-1 wed Class of work: SkNEW ❑ADDITION D ALTERATION '0 REPAIR 0 MOVE D REMOVE Describe work: X `l ' �rr'ie-,tee Gem�t�� C o' �✓t�ve ,Co'��t. r-1� Valuation of work:$ PLAN CHECK FEE PERMIT FEE dip SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Type of Occupancy Const. Y Group F Division Size of Bldg. No.of Max. �v (Total)Sq.Ft A72 Stories / Occ.Load 77 CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Required I Certify that I am a currently registered contractor in the State of Washington and the County of Mason and I am aware of the HEALTH DEPT. (�Z.S-Z ordinance requirements regulating the work for which the permit PUNLIC V90MRS Is Issued and all work done wi;l be in conformance therewith. 145AD 0103"T. Firm By Lic. No. 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 will 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 AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- 3 TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF Lwnerz Datea/c^� 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. SITE NO. PARCEL NO. RECEIPT THURSTON-MASON HEALTH DISTRICT DATE BASIS FOR FEE AMOUNT NUMBER DIVISION OF ENVIRONMENTAL HEALTH 529 WEST FOURTH 110 W.K ST P.O.BOX 746 PHONE 753-8073 PHONE 426-4407 OLYMPIA, WA 98501 SHELTON, WA 98584 OWNER P.O. PHONE DIRECTIONS TO SITE: TOTAL FEES SEWAGE CONTRACTOR ADDRESS OR LOCATION NAME OF PLAT LOT NO. SOIL TYPE TOWNSHIP RANGE SEC. DEPTH TO WATER TABLE FT. WATER ❑PUBLIC ❑ PRIVATE SOURCE PERC. TESTS: INCHES PER HOUR TYPE OF LOT BY: DATE BUILDING BASEMENT SIZE X PRIMARY SECONDARY BEDROOMS BATHS DISPOSAL NO.OF GARBAGE SEPTIC TANK (S) GAL. AERATION GAL. BED . SPACE RESERVED FOR DISTRIBUTION TILE TOTAL FEET REPLACEMENTS DISTRIBUTION FIELD SQ FT. NORTH - SITE PLAN AND SPECIAL STIPULATIONS: TRENCH BOTTOM AREA SQ. FEET QUANTITY OF APPROVED STONE CU. YD. SAND CU. YD. FILL REQUIRED CU. YDS. THE ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT THE MAXIMUM DEPTH OF THE DISTRIBUTION TILE SHALL BE BE- TWEEN 12 INCHES AND 36 INCHES FROM FINISHED GRADE TO TOP OF TILE UNLESS OTHERWISE STIPULATED BY THE HEALTH OFFICER. IF THE ELEVATION OF THE BUILDING SEWER IS TOO LOW TO MEET THESE ELEVATIONS,A SEWAGE EJECTOR MAY BE REQUIRED. ISOLATION STANDARDS FOR PRIVATE WATER SUPPLIES: BETWEEN WELL AND TANK OR ANY PART OF THE TILE FIELD, 100 FEET FOR SINGLE RESIDENCE, MOBILE HOMES, DUPLEXES AND MULTIPLE DWELLINGS. NO DRAINFIELD WITHIN 100 FEET OF ANY WELL, FRESH WATER LAKE OR STREAM)00 FEET FROM ANY SALT WATER BODY. NOTE: "FOOTING DRAINAGE, DOWNSPOUTS, WATER SOFTENER AND ANY OTHER WASTE WATER NOT DEFINED AS SEWAGE SHALL NOT BE CONNECTED TO OR DISCHARGED INTO THE SEPTIC TANK SYSTEM OR THE SEWAGE DISPOSAL AREA ALL SEWAGE, INCLUDING SINK AND LAUNDRY WASTE, MUST BE CONNECTED TO THE SEPTIC TANK. FINAL INSPECTION REQUIRED BEFORE BACKFILLING OFFICE USE ONLY TO BE BACKFILLED AFTER INSPECTION DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOWNOT 12" TO 24" SITE: ❑ APPROVED ❑ APPROVED (i 2" STRAW BY: -� STONE OSEWAGE: ❑ APPROVED ❑ NOT OVER TILEAPPROVED BY, F� J STONE NOT UNDER TILE WATER: ❑ APPROVED ❑APPROVED BY. CROSS SECTION OF TRENCH Oo m MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT -Complete ALL items. Mark boxes where applicable. t LEGAL DESCRIPTION Location A4 � y Of NS N 5 Building of ;� E W side of /y��6 feet,W from intersection Sect. /45 Twp. (�S D 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 -$5.00 this code-$4.00 17. For each evaporative cooler other than portable type-$3.00 GO Installation or relocation of each boiler or compressor to and /f �./ 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 hoods--$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 /L?- Name Mailing address - Number, street, city, and State Zip code Tel. No. Owner Contractor - The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Signature of applicant t Address - Application date �•�- DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Ap m ed by Permit fee Date permit issued Permit number Receipt No. SHELTON PRINTING CO. i • MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT —Complete ALL items. Mark boxes where applicable. LEGAL DESCRIPTION /J r Location / C� Of N S N S Building r E W side of _l 924fal— feet S W from intersection of Sect. / Twp. 26 Range NO. PLUMBING FIXTURES / FEE NO. GAS APPLIANCES FEE GAS Ll PLUMBING 11 WATER CLOSETS (Q EACH UNDER 60 MBTU SEWER SEPTIC TANK BASINS 0c) 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 l FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer SERVICE CONNECTION DISH WASHER DISPOSAL URINAL Q= Distribution System By Special Permit (Show Street Names & Property Lines) t �p u is G 3 INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN ad FIELD LOCATION OR SUBMIT ON OTHER SKETCH. PERMIT PERMIT FIELD INSPECTION [kite By Remarks Name Mailing address —Number, street, city, and State Zip code Tel. No. Owner O ff- 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 Ap o ed by Permit fee Date ermit issuetl Permit number Receipt No. PLOT PLAN ADDRESS ly^?'l PERMIT NO o f o LEGAL %� ( / �+ S°gyp N '!_' �✓ �� DESCRIPTION �/� �� 5 ��L�� G' O '�$11lK ,�r ADDITION � SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS /e 'y'-) Sq,Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) 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 ARID 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. i INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE �J f 1^ I/We certify that the proposed Posed construction will conform to the dimensions and uses shown above and that do es will be made wit out first obtaining approval. AME(SI OF OWNER(SI OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(5) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE (TRICT APPROVED AS NOTED DATE iISTMASTOWN PRINTING