HomeMy WebLinkAboutBLD10198 Hood - BLD Permit / Conditions - 3/13/1981 Rainbow Girls - Pots of Gold #10198
3-13-81
2 1/2 mi. so. of Twanoh State Park - left side of road
Contractor
Install hood Lents, Inc.
(MECHANICAL PERMIT ONLY)
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 2 mi. south of Tk,,anoh State Park- Left side of road
Of NS NS Qr/l41dlam-
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 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 For the installation of each hood which is served by mechanical
exhaust, including ducts for such hoo"3.00 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 $3.00
Date By Remarks TOTAL 6.00
_ Name I Mailing address - Number, street, city, and State Zip code Tel. No.
Owner 'Rainbow Girls-Pots off Gold E. Ow Hwy. 106
Union Wash. 98592
1 2. -
ontractor -- - -I
The owner of this building and the undersigned agree to conform to an applicable laws of MASON COUNTY
Signature of applicant Address application date
4Zg4-&� � 1725 N. Pennsylvania Av-. N. 3/11/81
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE _ 1
Approv d b - Permit fee IDate permit issued Permit number R ipt No.
&HELTON PRINTING CO.
- j-a Wit. 7-,i-c h:!mac �t.Qic7r
ke;a Attu,- S'a mi E- cis PLOT PLAN P�-C-v�c•r f�Q�ir'
ADDRESS E- 99AJ J:�W 1/ Z 64 ((J(IM41,141-AY)l PERMIT NO. °
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n s
LEGAL /f-7!-A
DESCRIPTION LOT BILK ADDITION u
SITE AREA 2-1A`✓14- Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS / C r14 Sq.Ft.
INSTRUCTIONS TO APPLICANT ,
X THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE-QF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
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INDICATE N rRTHN CIR C`f41K GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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I/We certify that the proposed construction will conform to the dimensions and uses shown above en'd fhat-no hanges will be made without
first obtaining approval.
S�Tc -ms /?i ;iKoe w -F61p G I'19
NAME($) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNERW OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE