HomeMy WebLinkAboutBLD6451 24x36 with Daylight Basement - BLD Application - 5/21/1980 BUILDING PERiTAPPLICATI®N
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426.5593
i I (D DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADD S$ CITY&STATE ZIP PHONE
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DIRECTIONS � yb
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LEGAL ►—� / — � (A &9 lZ CHED SHEET)�,J /®
DESCR. 0 Jt'Sr�sC r o �%S , T
�d , 119,
NAME MAIL ADDRESS CITY&STATE PHO/NE
CONTRACTOR /f y n 0 d o// /
USE OF /
BUILDING / erS- �./�- 4---
Class of work: XNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
a P�t
Valuation of work: $ 0 p PLAN CHECK FEE PERMIT FEE y
SPECIAL CONDITIONS:
BEDROOMS DECK ARPOFIT ❑ NOTICE
BATHROOMS -2r TOTAL SQ. FT."10 GARAGE ❑
ATTACHED ❑ LSEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT a�S R 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 ❑
@S d- �'��%�� �d.ys._.,/ SEASONAL ❑ FLOODPLAIN ❑
Firm / . c
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. 's —' 2z Q Date �v 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. 55/ ha
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPL ATION ACC BY PLAN CHECK BY APPROVED
FOR ISSUANCE
Owner � Date. � G��� B�/•
C�ZC
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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
Of N S
N S
Building
E W side of feet E W from intersection of
Sect. Twp. Range
'v==:
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE
1. Forced air or gravity type furnace or burner includingu g y yp e ducts 14. For the Installation or relocation of each boiler or refrigeration
and vents, up to.and including 100,000 Btu's---$4.00 4/f- 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 hoo"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-$7.50 cinerator-$5.00
12. Over 500,000 Btu's to and including 1,060,000 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
Name Mailing address -- Number, street, city, and State Zip code Tel. No.
[2.
wner
ontractor
The owner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
Signature of applicant Address Application date
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE
Ap r e by Permit fee Date permit issued Permit number Receipt No.
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.
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 of applicant Address Application date
LEGAL DESCRIPTION
Location
Of
Building
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS �% s
BATH TUBS -�
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
1 DISH WASHER _ I
DISPOSAL
URINAL
017 (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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