HomeMy WebLinkAboutBLD11912 Final SFR - BLD Permit / Conditions - 3/23/1982 Jacob, Robert E. #11912
(426-7532) 1/11/82
Lake Limerick, Division 5, Lot 114
Toward Limerick, right on Old Lime, Left at Pebles
Court Road. E 160 Peb le Court.
Residence/uhfinished basement Contractor:
Pacific Building
$39,840.00 Mechanical Permit
Plumbing Permit
Shorelines:,—L
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing: Z_ 3 � G
Fireplace:
Wood Stove:
Plumbing: 3-3-YZ G•
Mechanical:
Roof:
Exterior: _
Interior:
Final j; 5
Stop Work:
Mobile Home
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
ul
PERMIT NO.
NA MAIL�EZ�e
PHONE
OWNER
zn
DIRECTIONS
TO JOB SITE11
LEGAL �,^✓ (❑ SEE ATTACHED SHEET)
DESCR. /%L�NC`Kn �SJV- //
N M L ADD SS 0TY&STATE LIC NO. PHONE
CONTRA OR F /
USE OF (/
BUILDINGt&ePz- /_' /
Class of work: NEW ❑ ADDITIOtU ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: r
/ p
Valuation of work: $ / PLAN CHECK F E PERMIT FEE
s S. 0 0
SPECIAL CONDITIONS/Q
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BEDROOMS I DECKS CARPORT L�r NOT I C E
BATHROOMS TOTAL S FT. GARAGE L i--N�1!
2 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT' 96 ATTACHED CI OR AIR CONDITIONING.
TOTAL SQ. FT/� FIREPLACE 7 DETACHED LI
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AEWA 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 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
th it is issued and all work done will be in
c nfor ante therewith. PERMANENT SHORELINES I
SEASONAL Ll FLOODPLAIN f
Firm E.D. NO. S.E.P.A. Ll
t
By VrV �-r-"---' Special Approvals IN OUT APPROVED YES NO
Lic. No Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEP r � 0
O R K S
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. g 29 $ fl
which this permit is issued and that all work done will HUAD AUCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APP ICAT� E,7ED F PLANS CHECK BY APPROVED FOR ISSUANCE
Owner __ Date. 'f�//
P N 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
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
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 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
FIELD INSPECTION Basic Fee $3.00
Date By Remarks TOTAL 7" (, 0
Name Mailing address -- Number, street, city, and State Zip code Tel. No.
1.
Owner ------ -
2.
Contractor -I
Th caner of this building and the undersigned agree to conform to all applicable laws of MASON COUNTY
$Ign t e of ap ica t Address Application date
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE _
Approved by Permit fee Date permit issued Permit number Receipt No.
Dz. , 'X,1,1 $ "I•
CNELTON PRINTING CO.
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
I.
2.
Contractor
ULM
The owner of this building-and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applint Address Application date
LEGAL D SCRI TION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS ,Q �I
BASINS ' O
BATH TUBS gjjew't,) ; ,O
SHOWERS
WATER HEATERS ,d O
AUTO.WASHERS Q
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER t
DISPOSAL
URINAL
(Show Street Names & Property Lines)
/� INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT y•l r SKETCH
IN SKETCH.
TANK & DRAIN FIELD LOCATION OR SUBMIT
OTHERON
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by ! Permit fee Date per/it issued Permit numberReceipt No.
// $
PLOT PLAN
ADDRESS �// �/� /J ( �(�A I/ PERMIT NO. 0 o
0
n >
s o
0
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
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
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION ARID 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
l
1/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAMES) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) 9IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED Jr�'�� a/�
DISTRICT AS NOTE
D DATE
6HCLTON .R INTIN3