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HomeMy WebLinkAboutBLD12617 SFR - BLD Application - 6/23/1982 r BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATEISSUED PERMIT NO. 42 OWNER AM MAIL ADDRESS CITY& ATE ZIP PHONE Lo 1 l v 87o eei 75-y7 IN DIRECTIONS + \._ 11 Lh TO JOB SITEIle;(Or{ t 't 1��� W� �AH �b LnrtOOf- pAD �11Rt1 LQ+1 +�itt� l-1 1, FDESCR.. EGAL ( EE A ACHED SHEET) `3 • (-22` S-3Z /�laC1 aC� CciJ�� S/S E MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR r- t 12.R C c�IZ USE OF BUILDING e p� L Qe- (btric Class of work: "IEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: V C� 2.u-� QQs r;i�ert.0 Valuation of work: $ PLAN CHECK FEE Q PERMIT FEE&w D� SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT []/ NOTICE BATHROOMS- TOTAL SQ. FT GARAGE Irk_ /o ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING 6r� NO. OF STORIES?_ BASEMENT 1i/S'J7 OR AIR CONDITIONING. TOTAL SO. FT. 47 FIREPLACE It;-- DETACHED Li 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 USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in Conformance therewith. _ PERMANENT SHORELINES L7 SEASONAL [ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. O By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLA DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBL RKS certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING D T. Z S!1 of the Mason County ordinance requirements for wh this per is issued and that all work done will R ACCESS in confor Athith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANS CHECK BY AAPPROVED FOR ISSUANCE ner Date./ BD J'^- PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH r PLOT PLAN ADDRESS ZZ � /�oCt ` �(i�V�N l '�I PERMIT NO. f ° o LEGAL DESCRIPTION LOT BILK ADDITION u SITE AREA �-� (fie' Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS om 1 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 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' vT 6 c-+ P� ar. I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNER(S) OF SITE S STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED �� � 2y/g2 DATE DISTRICT AS NO GHELTON PRINTIN3 r 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 n (� n Location R- � T- 22 �' 3Z I �a IS ,'lrzo Of N S N S Building 1�'�_�^ E W side of 93" l - ' 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 Lj 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 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 hoodl-,$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 Mailing address - Number, street, city, and State Zip code Tel. No. 1. Owner -- ---- - 2. Contractor ---j -- Tne owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Signature of applicant Address I Application date DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Approved by Permit fee .Date permit issued Permit number iReceipt No. iHELTON PRINTING CO. r 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. Qma R 2 &1270 &eK9!a&A 4 2?S- 7y Owner 2. Contractor The owner his ilding and t dersigned ree to conform to all applicable laws of Mason County and Stale of Washington Signatur of icant Address Application date - ( 6 �D 9&,4itficr i 7,231 Z G z3 gZ Q LE A 2 C DESCRIPTION n (�3 �- 2 J - Jv�Ve'� Location Of Building otAiipti 'TC 1 in 1�► i .V, e ' t-1 �O O 1--� oa( j4 rb L 1`� D Rz fi s e NO. PLUMBING FIXTURES FEE 3 WATER CLOSETS - Sc�tc i ��o rtrarcc BATH TUBS S b r d O ^— SHOWERS •v ' WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS '- A 1K bFi. Lt-le—1 �f DRINKING FOUNTAINS _ LAUNDRY TRAYS Connect to City Sewer DISH WASHER 1/0 !� /7C DISPOSAL URINAL l�� �ReA P 0� (Show Street Names 8 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. �ygz s v �I. F_M';C_71jjv ' A 0 S U 0 N N BUILDING DEPARTMENT Y 9� P.O. BOX 186 4th & Cedar SHELTON, WASHINGTON 98564 TELEPHONE 426-5593 August 4 , 1982 Mr. and Mrs. Gregg Arlotta Star Route 1 , Box 870 Bremerton, Washington 98312 " Dear Mr. and Mrs. Arlotta: On Jul 6 1982 m secretary, Betty y y y, y Cochran, called Mrs . Arlotta to notify her of your non-sufficient check that had been returned to our office from the Mason County Treasurer' s office. At that time Mrs. Arlott a was notified that the plan check ha d ad been done and that money was owed this office even if you do not build your residence plus a $10.00 fee for office processing P P g time. Mrs. Arlotta said she would pay something on this by the end of July. She was told if she did not that it would be turned into the Prosecuting Attorney's office. This letter is to notify you that if we do not have full payment ($181.50) within five (5) days from the date of this letter we will be turning this matter over to the Prosecuting Attorney's office. Hoping to hear from you. Respectfully, Ken Stevens Planning Director KS/bc CC: Prosecuting Attorney Don Fawver, Chief Building Inspector -- i M CO A (� S U T BUILDING DEPARTMENT N Y o� P.O. BOX 186 4th & Cedar SHELTON, WASHINGTON 913584 TELEPHONE 426-5593 September 21, 1982 Barney McClanahan Mason County Prosecuting Attorney 310 West Birch Shelton, Washington 98584 Dear Barney: In August of 1982 our office sent your Department a copy of a letter which I wrote to Mr. and Mrs. Gregg Arlotta, pertaining to a N.S.F. or bad check which they wrote and gave to our Department for services received. We sent this letter by certified mail and received conforma— tion of delivery on August 9th, 1982. The Arlottas have not taken any action to pay for these services after our Department had set forth conditions for pay back by the Arlottas. At this time I 'm requesting that you take legal action against the Arlottas. Respectfully, zz Ken Stevens Building Official KS/bc Enclosures CC: County Commissioners Mr. & Mrs. Gregg Arlotta Don Fawver