HomeMy WebLinkAboutBLD6166 SFR - BLD Permit / Conditions - 4/8/1980 Himmelman, C. #6166
4-8-80
Wm. Anderson Subdivision Lots 12 & 12 + TL
To Belfair - North Shore Road Hood Canal 6 miles
to Landon Road.
Residence (Reconstruct due to fire)
Mechanical Permit
$60,000.00 Plumbing Permit
Contr zl- r
Cheney & Tarpenning
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BUILDING PERMIT APPLICATION
• MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATE ISSUED 4/— 4 �O
PERMIT NO. 6
OWNER NAME MAIL ADDRESS CITY&STAT ZIP PHONE
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DIRECTIONS
TO JOB SITE 2R, e/ 3,j6t oa ,
LEGAL / / / i❑ SEE ATTACHED SHEET)
DESCR. m 4/J�U CJ / !J!? .CO � t �L
AME MAIL ADDRESS C &STATE LICENSE NO. PHONE
CONTRACTOR r
USE OF
BUILDING
Class of work: P ITEW ❑ ADDITION ❑ ALTERATION R-AEPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE �-� PERMIT FEE
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SPECIAL CONDITIONS: Y
BEDROOMS DECKS 2.4 CARPORT=f NOTICE
BATHROOMS Z TOTAL SO. FT. GARAGE T
ATTACHE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES o BASEMENT Ll OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE DETACHED- -
THIS 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 I : -
-- SEASONAL f I FLOODPLAIN IJ
Firm E.D. NO. S.E.P.A. I I
By - Special Approvals IN OUT YES APPROVED NO
Lic. No. elooDate ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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 BUILDING DEPT. a
of the Mason County ordinance requirements for
which this per 't is issued and that all work done will ROAD ACCESS
be in confor an a therewith. MOTOR VEHICLE PERMIT
1 LIGATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owne4g;2 ^�-Date . BY
PLAN CHECK VALIDATION CK. M.O. CASH V PERMIT VALIDATION M.O. CASH
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.
6 2-3-3102
Owner /1 /
2. l e
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signa f applica t Address Ap�pl/cat' n da
LEG ESCRIPTION lo
Location
Of
Building oz&zlle t1lsd/L 2 e o
�44
NO. PLUMBING FIXTURES FEE Q
z, WATER CLOSETS
— BASINS
Z BATH TUBS
Z SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
O •
---Connect to City Sewer
DISH WASHER
DISPOSAL
--URINAL oc?
C
(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.
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i Jr MASON 4OUNTY P1 A ING DEPARTMENT
' P.O.Box 186 Shelton,Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT- Complete ALL items.Mark boxes where applicable.
1. LEGAL DESCRIPTION
a 10 Location
Of N 5 N S
Building
E W side of i et E W from intersection of
Sect. Twp. Range
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE
X 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 'y 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-44.00
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--M.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'"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-$1.50 cinerator-$5.00
12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators--$20.00
-410.00
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-<j
71
Name Mailing address - Number, street, city, and State Zip code Tel. No.
Owner -
eW S
2. ea a. ar Z 6 S- - 2.
Contracto
The owner of Ih i and the undersigned agree to conform to all applicable laws of MASON COUNTY
Signal f applican Address li AIA 1Applic tion date
Z Z0 36f l .r VIM6
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Approved by Permit fee Date permit issued Permit number Receipt No.
$ 0 Z/