HomeMy WebLinkAboutBLD8804 SFR - BLD Permit / Conditions - 1/23/1976 Hammond, James #8804
1-23-76
Tract 14, G. L. 2, 34-22-3
Plumbing Permit issued.
Residence
$32,460.00 Contractor: Taurus Const.
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BUI LD1 NCB ` PERMIT APPLICATION
MASON COUNTY
P. O. Box M Shelton, Washinqton 98584
DATE ISSUED ! a3 76 —
PERMIT NO. M41
�- MAIL
OWNER ADDRESS --_-----_---- -----ZIP --- PHONE
I� t° -��—�-0—` �"c��I�/I �ll��/�•._lOs? 0 %a � Jr
TO JOB SITE 400 1, _�`� ID 0
MAIL AD PRESS ZIP
LEGAL C]SL[ATTACHED SN[LTI
DESCR. L
" <_
-MAIL.,&&P�8,(
PN ON[
CONTRACTOR / � cy un �e S� z z -i ce
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING C
Class of work: NEW ❑ADDITION ❑ALTERATION I❑ REPAIR ❑MOVE ❑ REMOVE
Describe work:
s- `fit on _ l_:� ep .) resI .nc -�o rt°4plac e-
reside�e� burnr4
Valuation of work:$ ^ O PLAN CHECK FEE V PERMIT FEE a'
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BV
Type of Occupancy
Const. rra M e- Group I Division
size of Bldg.-1171 4,trP o.of Max.
(Total)Sq.Ft. f•7.21� Stories ' Occ.Load /0
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Required
I Certify that I am a currently registered contractor in the State ZONING
of Washington and the County of Mason and I am aware of the HEALTH DIEPT.
ordinance requirements regulating the work fcr which the permit P01110c Wi5kRs
Is issued and all work done wi;l be in conformance therewith. 11115AD DrPT.
Firm
By
Lic. No. Qj, 3— 0 30 Date
OWNERS AFFIDAVIT
I certify that I am exempt fteffi the requirements of the contract
or registration law 18.27, and am aware of the Mason N 0 T I C E
County ordinance quiremenls for which this permit is issued
and that all wo done will be in confor once 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-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
Owner 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SHELTON PRINTING CO.
PLOT PLAN
ADDRESS .�c�0��I�l 1 I�/��� 5�� PERMIT NO. 0 0
pp F u
LEGAL n
DESCRIPTION LOT BILK ADDITION �N
i
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 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^'D 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.
r
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
N
I/We certify that the proposed construction vvill 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 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
GHELTON PRINTING
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resid ence
F
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9� S�
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P
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' MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT —Complete ALL items. Mark boxes where applicable.
1. LEGAL DESCR 00N
Location t/ J{Of _
N S N S
Building
E W side of _- feet E W from intersection of
Sect. _ ___ _ — Twp. ____ Range
NO. PLUMBING FIX URES FEE NO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS J� EACH UNDER 60 MBTU SEWER SEPTIC TANK l
BASINS EACH 60 TO 120 MBTU
BATH TUBS EACH 120 TO 200 MBT
SHOWERS 3.0 EACH 200 TO 500 MBT
WATER HEATERS . Oa EACH OVER 500 MBTU ✓� {}r
AUTO. WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer SERVICE CONNECTION
DISH WASHER S'(7
DISPOSAL ! S
URINAL J
Distribution System
By Special Permit
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN
r PERMIT PERMIT
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
� }
FIELD INSPECTION
Date By Remarks
Name Mailing address — Number, street, city, and State Zip code Tel. No.
0 ner
Contractor kN- �IL
The ov4ier of this building and the undersigned agree to conform to all applicable laws of.MaSOn C00nty
Signatu e o pplicant , Address Applica ion d to
5
...
DO LT WRITE IN THIS SPACE — FOR OFFICE USE
Approved
, Permit fee Date permit issued ermit number Receipt No.P
r
MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT-Complete ALL items. Mark boxes where applicable.
I, LEGAL DESCRIPTION
Location [ O *2 T J 44
Of N S
Building N 5
E W side of feet E W from intersection of
Sect. 3q Twp. Range
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE
ziteo ;�--�tl 7A
1. Forced air or gr viptypace 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'sA25.00
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 -45.00
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 9tu's-$7.50 cinerator-$5.00
12. Over 500,000 Btu's to and including 1,000,000 Btu's Commer�al or industrial type incinerators-$20.00
- $10.00
22. For e2�Pliance or piece of equipment regulated by this
13. Over 1,000,000 Btu's to and including 1,750,OOIu's �' Code bOt 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 7.00
dW
Name Mailing address -- Number, street,
city, and State Zip code Tel. No.
Owner
Contractor i �'� V
The owner of f bUtliding and the undersigned agree to conform to all applicable laws of MASON COUNTY
Sign tire ppGC t Address
�. AppI do date
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Approveo by Permit fee Date permit issued Permit number Receipt No.
$
76 9/1d 9r-�o IIi
6HELTON PRINTING CO. 1