HomeMy WebLinkAboutBLD4843 Final SFR - BLD Permit / Conditions - 1/21/1977 Maggi , Joseph L. #4843
8-30-76
Off Newkirk Road Contractor
SWµ SEµ NWµ 21-23-1 Mick Construction Co.
Residence Plumbing Permit issued
Mechanical Permit issue
$35,000.00 ���,�; /,c,�
i
A. BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington �-8584
DATE ISSUED � U
' PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE
(
DIRECTIONS
TO JOB SITE O ZA,
LE XSEE ATTACHED SHEET)
DESCR. �% T r a r l(f SEV fwc/�41 '2 -.7-7-
NAME MAIL ADD F CITY 3 STATE LICENSE NO. PHONE
CONTRACTOR !� _` _
rz
USE OF
BUILDING b C
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
1
Valuation of work: $ i� /� PLAN CHECK FEE , c PERMIT FEE / 444)
J `J < 5 --
SPECIAL CONDITIONS: `
APPLICATION ACCEPTED BY, PLANS CHECK BY APPROVED F R ISSUANCE Type of Occupancy Division
�i /,/�
B Const. ._7 Group
LLLTTT/// V Size of Bldg. No. of Max.
(Total) Sq. Ft. /3� Stories /L Occ. Load /C;
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.O.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware Of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Speclal Approvals Required Received Not Required
conformance therewith. ZONING
, r HEALTH DEPT.
PUBLIC WORKS
ROAD DEPT.
By
Lic. No. 1111 — f-A-' -P t1:5 inn Date
OWNERS AFFIDAVIT
certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
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
Owner Date WORK IS COMMENCED.
,7AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION �K. M.O. CASH
WHEREAS, the owners of the following described lands in lkis on County, State of W2Shington, to-wit:
That part of - the Southwest quarter of the Southeast quarter of the
Northwest quarter of Section 21, Township 23 North, Range 1 West, W.M. ,
in ?•fason County, Washington, described as follows :
DEGI.NNING at the Northwest corner of said Section 21; thence along
the West line of said Section 21, South 0° 29 ' 39" East 2506.73 feet to
the Hest quarter corner of said Section 21; thence along the East-l;est
centerline of said Section 21 South 880 O1' 11" East 1305.11 feet to
the Southwest corner of said Southwest quarter of _the Southeast quarter
of the Northwest quarter; thence along the Ifest line of said Southwest
quarter of the Southeast quarter of the Northwest quarter, North 0° 00'
loll East 330.00 feet to thetrue point of beginning; thence North 0° 00 '
10" East 301.04 feet. to the Northwest corner of said Southwest quarter
of the Southeast quarter of the Northwest quarter; thence along the
North line of said Southwest quarter of the Southeast quarter of the
Northwest quarter South 88' 13 ' 05" East 353.03 feet; thence South
80 00' 19" East H3.29 feet; thence South 880 36 ' 33" I'�est 392.45 feet
to the true point of beginning.
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature o ppllcant \ Address Appll on date
I 3fa
LEGAL ESCRI PfION
Location Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS p�
SHOWERS c�
WATER HEATERS �v.
AUTO.WASHERS �/
1 1 SINKS o�
FLOOR DRAINS
DRINKING FOUNTAINS
j LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
I DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT �J ��vv SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Ap7 by Permit� fee Date pemit issued Permit number Receipt No.
s 3�-
MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT-Complete ALL items. Mark boxes where applicable.
LEGAL DESCRIPTION
Location /.�iLf{E iX_/ � S� 610 O�
Of �c
Building N s ���� / �/ �P N .�/v Z> 0OC
o
E W side of f'` 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 i
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 !"��'
J 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
jam=
_ FIELD INSPECTION Basic Fee $3.00
Date By Remarks
TOTAL 9,110
Name Mailing address - Number, street, city, and State Zip code Tel. No.
1.
Owner -- - - --
Contractor
he owner of th building and the un ersigned agree to conform to all applicable laws of MASON COU Ty
�kQnature f ti ant Address Applic ion dye
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE _
App ed by Permit fee Date permit issued Permit number Receipt No.
6HELTON PRIN 7ING CO.