The URL can be used to link to this page

Home My WebLink AboutBLD12663 SFR - BLD Application - 7/1/1982 • `` BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 _ DATE ISSUED / / i PERMIT NO. /67,6(� 2 OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE c• o fv Al �Pfpo 5 g3 DIRECTIONS TO JOB SITE 04 / 7.-- LEGAL (O SEE ATTACHED SHEET) DESCR. .1-67Ap C �� ")► NAME 0AIL ADDRESS CITY&STATE q If/f V LICENSE NO. L PHONE CONTRACTOR C4 ��y �� CRt� Ln USE OF BUILDING Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: � C / � v c�.7$Y �� C U .7� of s1 /S = - d S- - a.vr/s Aira3'1 S'e-,"aAw, a6 Ya /092 ;2 '-1 Valuation of work: $ 115LAN CHECK FEE o?Jf i Ac' � PERMIT FEE &-e ,� SPECIAL CONDITI �- �v!.', ,•7 BEDROOMS 02 DECKS__�2 —_—_— CARPORT NOTICE BATHROOMS. �1- TOTAL SO. FT._4/&_ GARAGE ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIEAAShh,,._ BASEMENT OR AIR CONDITIONING. TOTAL SO. FT.g6 FIREPLACE 1 i DETACHED L] 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 FORA 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 SEASONAL FLOODPLAIN D Firm �! tC�ryl. E.D. NO. S.E.P.A. ' By Special Approvals IN OUT YES APPROVED NO Lic. No. ��p�P )3C4 Date r? ZONING PLANNING DEPT. OWNERS AFFIDAVIT ALTH DEPT. 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 of the Mason County ordinance requirements for BUILDING DEP g'? D which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT PLI ATION A• 7ETED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date 9,111J BY,,---,, PLV CHECK VALIDATION C M.O. CASH 15ERMIT VALIDATION CC K. M.O. CASH 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. 1. 'rl C K '-r jX2 � Owner _ 2. T Contractor / U> The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of pli 1 / Address Application date L GAL DESCRIPTION �-o f �/ �,�r�•� l./`.5��-cam Location Of r ♦G° 0 .5 ` � O �� Building NO. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL L. (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. 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 N S Building E W side of feet E W from intersection of Sect. Twp. 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 r and vents, up to and including 100,000 Btu's-$4.00 c�-Qf} 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 i 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--U.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 2J. 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- cinerator-$5.00 11, Over 100,000 Btu's to and including 500,000 Btu's-$7.50 12, Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00 -410.00 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 latr< _ Zip code Tel. No. I t. 3 y^ T �-tJa mss aQL-s Owner '"1•'Wa ---C -t-/�:� '�_- 7( 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY V Sign lire of applic� Address Application date h DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Approved by Permit fee Date permit issued Permit number Receipt No. SHELTON PRINTING CO. 04 y�'1J� �G. Vt5 L.4s �C + 767 IZ Ab tn S_�O �e �1 TRO PO S F PIC . . b w/gosem4n �7ANKl o (i0 y1 1�•tk) a , s`� r'M t+err 1 cb, 1 Ss _ �"rban k o .s- .s-, Z 7 - -4p