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
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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
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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.
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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.
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F_M';C_71jjv
' A 0
S U
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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