HomeMy WebLinkAboutBLD5853 SFR - BLD Permit / Conditions - 2/14/1980 FOX,',Tim #5853
2-14-80
Gov't. Lot 2, S. 35, Township 22, Range 3,
W.W.M.
Lot 1 of Short Plat #374
Behind Casa De Canal
New Residence
Plumbing permit
Mechanical permit
$60,000.00
G11.3liev
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. 3-�S
OWNER NAME MAIL ADDRESS CITY&STATE ZI PHONE
5 xVA
DIRECTIONS
TO JOB SITE
LEGAL SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING � -
Class of work: ANEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ /' - PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
I i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES ATTACHED ASEMENT I I j�jj OR AIR CONDITIONING.
TOTAL SO. FT FIREPLACE '1 DETACHED ElTHIS 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
_ SEASONAL [1 FLOODPLAIN I
Firm �{
E.D. NO. S.E.P.A. I1
By > Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ^ `�' ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH 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 DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. BY
PLAN CHECK VALIDATION CIK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Ill
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.
Owner
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of SEn
t Address Application date
LEGAL DESCRIPTI
Location
Of
�
Building
NO. PLUMBING FIXTURES FEE
2 WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS Z'
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS('
Connect to City Sewer
DISH WASHER !
DISPOSAL
URINAL
(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 NS N S
Building \ � ��-l+,
E w side of l_ \ C�'� ``�r1\\,` }¢fit E W from intersection of
�.� -�1
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 ��'^_ 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-$1.50 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 hoodr--$3.00
10. Installation or relocation of each absorption system to and
including 100,000 Btu'"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-420.00
-$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 Bask ha $3.00
Date By Remarks TOTAL
Name Mailing address -- Number, street, city, and State Zip code Tel. No.
Owner ------ ,
2.
Contractor
The owner of this budding and the undersigned agree to conform to an applicable laws of MASON COUNTY _
to of app,,cant Address Application date
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Approv d by % Permit fee Date peimit issued Permit number Receipt No.
.SHORT PLAN OF PORTION
GOVERNMENT LOT 2
SECTION 35 TOWIJSHIP 2z WORTH , RANGE 3 WEST W..M
MASON COUNTY , WASHINGTO.! JANUARY 1478
344571
N 60 0 39,21 E
89.15
6= 060 W00"
R = 1462.41
L= 159. 10 f
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/ Planning Direc r
OTHiS SHORT PLAT IS
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i SHOPT PLAT # 374
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