HomeMy WebLinkAboutBLD8107 SFR - BLD Permit / Conditions - 7/7/1975 Hoey, Michael D. #8107
7-7-75
Tract 26 of Wzs SE4, 9-23-1
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BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washington 98584
DATE__-J-PERMIT NO.
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Applicant to complete numbered spaces only.
JOB ADDR ESS
LEGAL /J ,(/ , (� A TTACHED SHEET)
1 DESC R. /� `?__;�'3/
OWNER wL• rG / MAIL ADDRESS ZIP PHONE
z ��S E P 63)0 -3 73---23 3
CONTRACTOR MAIL ADDRESS PHONE LICENSE NO.
h
3xi
ARITECT,DR DESIGNER AIL ADDRESS EGrCf9E LICENSE NO. ���
4 ;/1 C
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6 e% FA
USE OF BUILDING
7
8 Class of work: P-KEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
9 Describe work:
— r L AJ/S =
10 Change of use from
Change of use to
11 Valuation of work: $ C) PLAN CHECK FEE ���/� PERMIT FEE
SPECIAL CONDITIONS: , ' Type of Occupancy —
Const. Group Division
Size of Bldg. No.of Max.
(Total) Sq. Ft. Stories Occ. Load
Fire ,, Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE FOR I$$D ANCE eV ❑Yes ❑No
Q J/J Zone ' Zone Required
` OFFSTREET PARKING SPACES:
No. of
-i Dwelling Units Covered Uncovered
N O T I C E Special Approvals Required Received Not Required
ZONINC.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, T
HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. L.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION FIRE DEPT.
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- OTHER t5oeclfy)
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I hereby certify that I have read and examined this application and
know the same to be true and correct. All provisions of laws and
ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any other state or
local law regulating construction or the performance of construction.
R67 0 o�P�� CO A;st, co. /,i
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE (DATE)
SIGNATURE OF OWNER 'II OWNER BUILDER DATE)
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.' M.O. CASH
�HCLTON Pfi I,V�I,�:G f0
' MASON COUNTY'PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
I MECHANICAL PERMIT APPLICATION
IMPORTANT -Complete ALL items. Mark boxes where applicable.
LEGAL DESCRIPTION
Location
Of N s
Building N s6 ?!a 7
E W side of feet E W l e sect.- o�
Sect. Twp. Range
NO. DESCRIPTIONS FEE id0. DESCRIPTIONS FEE
1. Forced air or gravity type furnace or burner including ducts o 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
6. Installation or relocation of each boiler or compressor to and 17. For each evaporative cooler other than portable type-$3.00
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 hoods--$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 U p
Name Mailing address -- Number, street, city, and State Zip code Tel. No.
1.
Owner
2.
Contractor
l43/0
The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
Signature of applicant Address Application date
/29 75-
c �
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
�5,ved by Permit fee Date permit IssuedPermit number Receipt No.
SHELTON PRINTING CO.
' R ALTY, INC.
DRAWER TT `C
3330 KITSAP WAY
J_ BREMERTON, WASHINGTON 98310
PHONE 377.0046
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MIC-14A L H Q E Y
1. 64 AC.
ELEC T._U,G.
-TRANSFORMER
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DRAINFIE.Lp AREA
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1,-- WELL- UNFINISHED
REID REALTY, INC.
REfD REALTY INC. 33DRAWER TTAY
P. O. BOX 363 • GIG HARBOR, WASHINGTON 98335 • PHONE 857-2161 ` YCOFF STATION
ONE-QUARTER MILE NORTH OF PURDY ON THE TACOMA-BREMERTON HIWtYREMERTON, WASH. 98310
DATE
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BY
��� 7...-._ +-.. SIGNED
INSTRUCTIONS TO SENDER INSTRUCTIONS TO RECEIVER
1. KEEP YELLOW COPY. 2. SEND WHITE&PINK COPIES WITH CARBON INTACT. 1. WRITE REPLY. 2. DETACH STUB,KEEP PINK,RETURN WHITE TO SENDER.
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