HomeMy WebLinkAboutBLD7558 Final SFR - BLD Permit / Conditions - 7/14/1978 Mow, Warren C. #7885
11-22-77
-70
Belfair Manor Lot 7 30-23-1
Sand Hill Road go 1.3 miles, note red rag hanging
from tree on left, turn left down dirt road, first
right, be careful of soft sand in middle of road
around tree, then take next right. 2nd 5 acre
tract on right.
PLUMBING PERMIT ISSUED
Residence MECHANICAL PERMIT ISSUED
$45,000.00
21617
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAME MAJL ADDR SS CITY&STATE ZIP PHONE
Of•� A 0 M&A o 377//
DIRECTIONS
TO JOB SITE
LEGAL SEE ATTAC SHEET)
DESCR.
CONTRACTOR NAME MAIL AD RESS CITY&S ATE LICENS NO. PHONE
USE OF
BUILDING! /v✓ ��,510EAIeE
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
iSVC dit/5T (JG" 10At 1 C
Valuation o ork: $ PLAN CHECK FEE PERMIT FEE
SPECIAL COND IONS:
APPLICATION ACCEPTED BY PLA S C ECK BY APPPOVED F R ISSUANCE Type of Occupancy Division
Const. � Group � 3
Size of Bldg. No. of Max.
(Total) Sq. Ft.Z / Stories � Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.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 Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I 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 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
of the Mason County ordinance requirements for 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
I ` i fJ IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
Date t! !/ SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Ow r WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
MASON COUNTY PLANNN'ltti PEPAATME14-T
P.O.BOX 186 Shelton,Washi►oon *g
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark bgxes where applicable.
Name Mailing address—Number,street, 'ty,an$State Zip code Tel.No.
gmzv e, lzou/ eNfio. Ci f `�"S3io --111
Owner
2. 56evIcIr st> --
Contractor PH
The owner of this building and the undersigned agree to conform to all applicable laws of Mason Oounty and Stale of Washington
Signature of applicant � Address Application date
of-
7;7
LEGAL DESCRIPTION
Location G�
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS L�
BASINS
BATH TUBS
2 SHOWERS O
WATER HEATERS
AUTO.WASHERS 'Z100
SINKS Zi tJ
/ FLOOR DRAINS Z 00
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL r
URINAL
i
-- (Show Street Names & Property Lines)
�,y�.I�J �J�f INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT `OD SKETCH IN SEPTIC TANK R DRAIN FIELD LOCATION OR SUBMIT
DO NOT WRITE IN THIS $PACE — FOR OFFICE USE
Approved by Permit fee Dote psmit Issued T/ Permit
�numberyr Receipt No.
MASON COUNTY PLANNING DEPARTMENT
4 P.0. Box 400 Shelton, Washington 98584
i
MECHANICAL PERMIT APPLICATION
IMPORTANT -Complete ALL items. Mark boxes where applicable.
t, LEGAL DESCRIPTION
Location s�'E h/ED E-
Of N S
Building N 5
E W side of - 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
and vents, up to and including 100,000 Btu's-$4.00 compressor over 50 horse power or each absorption system over
7' 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
17. For each evaporative cooler other than portable type- $3.00
6. Installation or relocation of each boiler or compressor to and
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'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-420.00
-$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 Cade 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 F2emarks
TOTAL 7400
Name Mailing address - Number, street, city, and State Zip code Tel. No.
t. RIZRF�� /Ilfaw /6/9/ylD•<'DN6�� BI�E/r1ECTAV,GyASh'
Owner - 7
6^3/O
Contractor
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
pt No.
Approved b Permit fee Date permit Issued Permit nnumberRecei
SHELTON PRINTING CO.
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s tl^50'17"E V ',�.'�-I 21*l.85730 _ S88002128" E <
1� 1253 4_ 435.12'I t_ � ��t`'i'��. _..
550.00
c %hJ 4o q FU 53°2138 E 347.36'
Name
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f S87°52 22 E N 25042'03"E ap
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N 24055'58"E `oS71°26'08"W ' 5.0 0 AC.o
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621.22'
3p S0000'00"W 564 86 '
5 7,00' � $ 0
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S 76 0 2 , �, ,,� 14
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104.35' 643 69 E �� \ 150.96'
.� .} BOSS�
N 5.02 Ac.328,90 ,b� ,K 'ow 5.00A
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328.90 S17°44'27"W 14 50004 _
w� 205.83 N
2 E 149.78 3
to
262.e.3 q 0 0 ._
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417.92' N 880 lS� -' 5" E N
l S88° 37 '35" E 0
2.20' o �U`.>�,0 730. �'�ra S7o44'27"E 592.37' Nt
w _0 _- S 35°47'18"E � 373.22' (t[Q,S 3?_ N
tiC)Esctop> FlonJ To 127O UI S G/!/E
Beginning at the North quarter corner, Section 34, Tc-_ashig 73 `Z+?rth, Range 1 h�==, :�.'--•;
thence S68002'28"E1, 435.12 feet along the' North line said section; hence S18°13'43"t.`,
354.45 feet; thence 2It 2'22"W, 681.67 feet; thence N36°44' 24"E, 270.49 feet; th_nce
w Aa�A�1�1iil 7 7S Z� fAet ►ten a i.� T.�^.rrt: 1:a� CF So; .C���?^^. �.� ���:��.�. vvv°-lr2j r%t`•r+s
217.85 feet along said forth line to the point of B_oinning,�excepting therefrom road-
perpetual TOGETHER with and subject to 'a perpetual non-exclusive easement b0' in
width for ingress, egress and utilities.
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