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Home My WebLink AboutBLD102 SFR - BLD Permit / Conditions - 8/7/1979 Gilliland, Jim H. y'10 2 8-7- 79 Out Highway 1065 Alderbrook 12 miles on left. West 60 ft. of the East 125 ft . of Gov ' t Lot 3 Sec . 35 Twn. 22 Rg. 3W WM Residence Contractor Armstrong Homes $56, 000. 00 ' Plumbing Permit Mechanical Permit 5a�35- 3 0OZ30 �.�-t-P yea` � ry BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 C �y DATE ISSUED O 7' 79 PERMIT NO. OWNER -r NAM MAIL ADDRESS CITY 3 STATE ZIP PHONE ,l_, , DIRECTIONS /� / TO JOB SITE D k� /�`'( G•J / � ` /7 ?/ i(.>� �sf LEGAL DESCR. (❑SEE ATTACHED SHEET) /� � �D �_ �' � NAME MAIL ADDRESS ,,—y�• CITY&STATE f ' LICENSE NO. PHON CONTRACTOR /9" S J��o.✓ / l�2o Imo/ �� W 0� /++� 4 /j./ 2-/17 /f S�7�1/G USE OF _ ` BUILDING �r'Uy 19'`'9- Class of work: gig W ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ a�1 . s PLAN CHECK FEE PERMIT FEE j99 f� SPECIAL CONDITIONS: BEDROOMS _ DECKS CARPORT LJ NOTICE BATHROOMS ___ TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 I��4 SEASONAL Cl FLOODPLAIN t Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No.144 ma's V C 3/4 L Date 7-7 ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. 212 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 DEPT. which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT Owner APPLICATION EPT BY PLANS CHECK BY A ROVED FOR ISSUANCE _ ---------Date. F. vyl PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH NOS. PARCEL NO. THI;RSTON-MASON HEALTH DISTRICT DATE BASIS FOR FEE AMOUNT RECEIPT NUMBER DIVISION OF ENVIRONMENTAL HEALTH D 529 WEST FOURTH 110 W.K ST P.O.BOX 746 PHONE 753-8073 PHONE 426-4407 OLYMPIA, WA 98501 SHELTON, WA 98584 NOV Z 1976 OWNER P.O. PHONE DIRECTIONS TO SITE: RLGIONAL PLANNING TF ESL 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 NO.OF NO.OF GARBAGE PRIMARY SECONDARY BEDROOMS BATHS DISPOSAL SEPTIC TANK (S) GAL. AERATION GAL. 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,^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 i2" TO 24" SITE: ClAPPROVED ❑ APPROVED Ei 2" STRAW BY: �� STONE NOT O OVER TILE SEWAGE: ❑ APPROVED ❑ APPROVED BY, FF J STONE NOT BY. UNDER TILE WATER: ❑ APPROVED ❑APPROVED CROSS SECTION OF TRENCH OO M EXHIBIT T.0 1 LECT'AL :;SCRI,1'TICI4- CF F-RCE-ERTY The west 60 feet .of the east rI5 feet of the :iest 125 feet of Gov't. Lot 3 of Section 35, Township 22 north, Range 3 West, ;l.M. to the north of the middle of Primary State HiGhway No. 21; TCGIrEMM with all tidelands as conveyed by State of Washington lying in front of, adjacent to and abutting on said tract. 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. 7 Owner `� 2. � � +K. ( — g6�6a C `7 -s-�'s Contractor The owner of this buil g and he undersigned agree to conform to all applicable laws of Mason County and State of Washington Signature of applicant kU Address Application date LEGAL DESCRIPTION Location Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS `P BASINS oo BATH TUBS SHOWERS el J WATER HEATERS 2 oe AUTO.WASHERS 06 SINKS 0C FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER �e DISPOSAL URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT ��---T4 n KETCH IN SEPTIC TANK 6 DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Appr by Permit fee Date pemit issued Permit number Receipt No. • e _ MASON COUNTY PLANNING DEPARTMENT P.O.Box 186 Shelton,Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT- Complete ALL items.Mark boxes where applicable. 1. LEGAL D CRIP ON Location Of NS 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 and vents, up to .and including 100,000 Btu's-$4.00 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 theret"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 hoo"3.00 10. Installation or relocation of each absorption system to and including 100,000 Btu'sl-$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 7 �. Name Mailing address - Number, street, city, and State Zip code TeL No. owner K' L ----1 V lli l ade z. Contractor d � Ax Is- The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY Srgnatur of xlica,nt �yq�/�y� � Address // Appl cation date DO NOT WRITE IN THIS SPACE - FOR YFFICE USE Appro ea by Permit fee Date permit issued Permit number Receipt No. SHELTON PRINTING CO.