HomeMy WebLinkAboutBLD17437 Final Addition - BLD Permit / Conditions - 10/29/1986 ROCKE, Steve #17437
5-23-85
Beard's Cove Div. 5, Lot 43
NE 351 Schooner Loop Belfair 275-5628
Right on Sandhill, left on Larson, second right of
Schooner Loop, 3 blocks on right, yellow house.
Contractor
Self
Addition 2 bdrms.
Mechanical Permit
Issued
$7,800.00 �4�/STOIIf-1
Shorelines:
Setback: e-
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing: ,►/�9��
Fireplace:
Wood Stove: .)yG �z
Plumbing:
Mechanical:
Roof:
i
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
I
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �y O
PERMIT NO.
�
OWNER NAME MAIL ADDRESS ' CITY&STATE ZIP PHONE
�l G =s6a�s
DIRECTIONS
TO JOB SITE R- 0 of --C_j'0r3rar4P. : 3 alks 44W 914kqo
LEGAL J Y" �� �/T (❑ SEE ATTACHED SHEET)
DESCR. l
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF _ — / /
BUILDING �"�olae,- CY�Y l r/O 1-2
Class of work: ❑ NEW ,ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
O
X ,
Valuation Frk. $ v PLAN CHECK FEE PERMIT FEE
gbO. ,p n n$.
SPECIAL CONDITIONS: a[—
c� iLo
BEDROOMS_ {DECKS CARPORT Li NOTICE
BATHROOMS_ (TOTAL SQ. FT. GARAGE []
ATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT i OR AIR CONDITIONING.
TOTAL SO. FI�i/e' FIREPLACE II IDETACHED I_I
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
I certif that I am a currently registered contractor in WORK IS COMMENCED.
the Sate of Washington and I the
aware of the F O F F I C E USE ONLY
ordin(mance
nce requirements regulating the work for which
the rmit is issued and all work done will be in
con f therewith. PERMANENT i SHORELINES
SEASONAL I FLOODPLAIN I 1
Firm
E.D. NO. S.E.P.A. Li
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— 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. / S
which his per ue and that all work done will ROAD ACCESS
be i o rmance t r ith. MOTOR VEHICLE PERMIT
APPLICA ION ACCEPTED BY PLANS CHECK B APPROVED FOR ISSUANCE
Owner Date. O, BY
G
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
_ADDRESS I� 3� I �(� UQI�1 : F— PERMIT NO. v
-T
n s
LEGAL Is
DESCRIPTION LOT BLK ADDITION
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. C (�
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF (I
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA.
TION A"ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
R)
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
tt-
7
8
e-
L
7
I/We certify that the proposed construction will conform to the dlmensicMs and uses shown above and that no changes will be made without
first obtaining approval.
N E( ) OF OWNER(S) OF SITE a STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING
MECHANICAL PERMIT APPLICATION
MASON COUNTY DEPARTMENT OF GENERAL SERVICES
P. O. BOX 186 SHELTON , WASHINGTON 98584 PHONE 206 — 426-5593
DATE ISSUED _,'5--e?3-cl'�5
PERMIT NO.
LEGAL DESC_ SEC. TWN. NO., RANGE WEST, W.M.
PLAT DIV._61L0T Y-3
O W N E�5 O��L A DD R E S S A16, SC_t100A'e5-
CONTRACTOR A RESS
S
DIRECTIO TO SI -
5 7 O
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED GREE ONF RM TO ALL APPLICABLE LAWS OF
MASON COUNTY AND THE STATE OF WASHINGTON. ��
SIGNATURE OF APPLICANT
NO
BASIC FEE 10.00�
1 Forced-air or gravity-type furnace or burner , including ducts and vents
attached to such appliance up to and including 100,000 Btu/h 6.00
la Appliance over 100,000 Btu/h including ducts and vents attached 7.50
2 Floor furnace, including vent 6
K 3 Suspended heater, recessed wall heater or floor-mounted unit heater .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 Z
SPECIAL CONDITIONS :
APPROVED BY DATE PEMIT VALIDATION
CK. M0. CASH