HomeMy WebLinkAboutBLD0350 Mechanical - BLD Permit / Conditions - 9/24/1985 TYPE MECHANICAL PERMIT
Permit No. 0350 No. Floors Sq Ftg
Owner THEIS, James F. Jr. Tel 275-5531 Date 99
Address NE 1580 Old Belfair Hwy Belfair Zip
Contractor None
Address Zip
Legal Description Tr. 12, N-1/2,NW-1/4.NE-1/4 20-23-1 t
Direction to project site From Belfair towards BremP_rrnn_
.3 mile past bridge over Union River, turn rt_ at
drive with blue fire wood sign. Green house
Plumbing Mechanical g Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final:
Mobile Home:
Smoke Detector:
Remarks:
DATE 1 -t -r( 6Y
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. D J
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
"Or A).C W&0 Ciz&ELXA%L *LjV eveLfigim, QL;. 112619 -17.S'-5 5 5 i
DIRECTIONS LFA/k 'r0*V1?,eDS ,eE,*" �
TO JOB SITE _ NT s �r - % 0&t C our
UNIU 111&Q Tth' k16i}T AT Df21V"F �I figo I
LEGAL (❑ EE ATTACHED SHEET)
DESCR. T z, OF
N /Z ' L E Vq EX
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF t f / '
BUILDING O�i� ^4I/VG 7nCG Cha�/��i
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
..r s r T T, EDUCT ' UEkff w=K.
Valuation of work: $ O n PLAN CHECK FEE / PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE 0
ATTACHED U SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
/thState
fy that I am a currently registered contractor in WORK IS COMMENCED.
of Washington and I th aware of theFOR OFFICE USE ONLY
nce requirements regulating the work for whichrmit is issued and all work done will be in
mance therewith. PERMANENT ❑ SHORELINES I I
SEASONAL O FLOODPLAIN Ll
Firm E.D. NO. S.E.P.A. El
By Special Approvals IN OUT YES APPROVED NO
Lic. 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. 1
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN&,CHECK BY APPROVED F R ISSUANCE
Owner Date . B
��12
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
MECHANICAL PERMIT APPLICATION
MASON COUNTY DEPARTMENT OF GENERAL SERVICES
P. O.*BOX 186 SHELTON, WASHINGTON 98584 PHONE 206 — 426-5593
DATE ISSUED
PERMIT NO.
LEGAL DESC_ : SEC. TWN. NO., RANGE WEST, W.M.
PLAT DIV.— LOT-
0 W N E R —_rAmF6 TAE/S ;iR ADDRESS _AJJE /S80 Oc,D ULFlarrZ 141J Y fk +e., (.JA.
CONTRACTOR ADDRESS
DIRE-CTIONS TO SITE
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED A EE TO CO FO L M TO A APPLICABLE LAWS OF
MASON COUNTY AND THE STATE OF WASHINGTON.
SIGNATURE OV APPLICANT
NO FFE,
BASIC FEE $ 10.0
Forced-air or gravity-type furnace or burner , including ducts and vents
attached to such appliance up to and including 100,000 Btu/h 6.0
la Appliance over 100,000 Btu h including ducts and vents attached 7.50
2 Floor furnace, including vent 6.00
3 Suspended heater, recessed wall heater or floor-mounted unit heater 6.00
4 Appliance vent installed and not included in an appliance permit 3.00
5 Repair or alteration of, or addition to each heating appliance, refrigeration
unit, cooling unit, absorption unit, or each heating, cooling, absorption, or
evaporation cooling system, including installation of controls regulated by
this code 6.00
6 Boiler or compressor to and including three horsepower , or each absorption
system to and including 100,000 Btu/h 6.00
6a Over three horsepower to and including 15 horsepower , or each absorption
system over 100,000 Btu/h and including 500,000 Btu/h 11.00
6b Over 15 horsepower to and including 30 horsepower, or each absorption system
over 500,000 Btu/h to and including 1,000,000 Btu/h 15.00
6c Over 30 horsepower to and including 50 horsepower , or for each absorption
system over 1,000,000 Btu/h to and including 1,750,000 Btu/h 22.50
6d Boiler or refrigeration compressor over 50 horsepower, or each absorption
system over 1,750,000 Btu/h 37.50
7 Air-handling unit to and including 10,000 cubic feet per minute, including
ducts attached thereto 4.50
7a Air-handling unit over 10,000 cfm 7.50
8 Evaporative cooler other than portable type 4.50
9 Ventilation fan connected to a single duct 3.00
10 Ventilation system which is not a portion of any heating or air-conditioning
system authorized by a permit 4.50
11 Hood which is served by mechanical exhaust, including the ducts for such hood 4.50
12 Domestic-type incinerator 7.50
13 Commercial or industrial-type incinerator 30,00
14 For each appliance or piece of equipment regulated by this code but not classed
in other appliance categories, or for which no other fee is listed in this code 4.50
15 For each gas-piping system of one to four outlets 2.00
15a For each gas-piping system of more than four outlets per outlet .50
TOTAL 00
SPECIAL CONDITIONS :
APPROVED BY DATE PEMIT VALIDATION
CK. MO. CASH