HomeMy WebLinkAboutBLD2046 Final SFR - BLD Permit / Conditions - 10/26/1978 Waite Construction, Inc. #2046
4-24-78
Tr. C Himlie Short Plat 34-21-3
Hwy 3 onto the Mason Lake Road, go approx. 1.3 mi.
site is just past the power lines on right.
Residence (gar., s f/p) Mechanical Permit issued
$41,987.50 Plumbing Permit issued
6--G-TS�3
` ~ BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED
PERMIT NO.
OWNER NAME C A. MAIL ADDRESS CITY STATE ZIP PHONE
c--)A
DIRECTIONS
TO JOB SITE
LEGAL XSEE ATTACHED SHEET)
DESCR.
CONTRACTOR AME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING 5 Q C
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
LAS.Q
S,
Valuation of work: $ ,/ 9��• y o PLAN CHECK FEE PERMIT FEE p-O
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY AXPROVED FOR ISSUANCE Type of Occupancy Division
• Const. Group
Size of Bldg. No. of Max.
or— 4C (Total) Sq. Ft. 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 C 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
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
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
Owner Date, WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. 1 M.O. CASH
�_. WIS
MASON COUNTY PLANNING DEPARTMENT
P.O. Box 186 Shelton,Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT- Complete ALL items.Mark boxes where applicable.
1. LEGA4 DESCRIPTION (�
Location
Of S %rom
Building -,,,yet
E side of GSO-� bk. Ra. T`� '1r intersection of ti7�
Sect. 'b 4 Twp• �1 K Range �Q
NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE
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 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-$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.
Owner ` W x - VQ -- -
2. 'L 0
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
Ap veci by ° Permit fee Date pel �7�
d Permit number Receipt No.
1
$ , Ifs i- e ao. �
&HELTON PRINTING CO.
P.O.Box 816
ROGER D. LOVITT & ASSOCIATES Shelton,Wash.98584
----- (206)426-5622
LAND SURVEYORS FOREST ROAD ENGINEERS PLANNERS
LEGAL DESCRIPTION: TRACT C
All That portion of the South half of section 34 , Township
21 North, Range 3 West, W.M. described as follows ;
COMMENCING at the West quarter corner of said Section 34 ; thence
S 89 °47 ' 44 " E 1474 . 78 feet; thence S 00 °00 ' 03 " E 325. 15 feet to the
TRUE POINT OF BEGINNING of this described tract; thence continuing
S 00000 ' 03 " E 75 . 00 feet; thence S 89047 ' 44 " E 52. 13 feet; thence
S 58 °51 ' 26 " W, 426 . 57 .feet, more or less , to the centerline of the
Mason Lake County Road; thence Northeasterly along said centerline
to a point which bears S 65 °16 ' 08 " W from the POINT OF BEGINNING;
thence N 65 °16108 " E, 397 .33 feet, more or less , to the TRUE
POINT OF BEGINNING.
TOGETHER WITH and SUBJECT to an easement for utility purposes lying
10 feet West of the following described line;
COMMENCING at the West quarter corner of Section 34 , Township
21 North, Range 3 West, W.M. ; thence S 89 °47 ' 44 " E, 1474 . 78 . feet;
thence S 00°00 ' 03" E, 150 . 15 feet to the TRUE POINT OF BEGINNING
of this described line; thence continuing S 00 °00 ' 03 " E, 250 .00
feet; thence S 05 '03 ' 04 " W 1.00 . 71 feet to the terminus of this
described line.
SUBJECT TO Easements , Reservations and Restrictions of record.
EXCEPT PUBLIC ROADS, if any
IN Mason County, Washington
f js/kak: 1223
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Member: Washington Council of Civil Fngineers and Land Surveyors
American Congress of Surveying&mapping
Land Surveyors Association of Washington
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•• MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
MECHANICAL PERMIT APPLICATION
IMPORTANT-Complete ALL items. Mark boxes where applicable.
t, LEGALOESCRIFMON �p
Location LL,6a -
Of NS Ns
Building
E W side o _ feet E W from intersection of
Sect. Twp. Range
NO. DESCRIPTIONS FEE N0. 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 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-$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
l
Name Mailing address - Number, street, city, and State Zip code Tel. No.
L I
Owner `
Contractor -
The owner of this building and the uncley9gried agree to conform to all applicable laws of MASON COUNTY
Signature of appi t Address Applic tion dyte
DO NOT WRITE IN THIS SPACE - FOR OFFICE USE _
Appyveo by Permit fee Date permit issued Permit number Receipt No.
&HELTON PRINTING CO.
Qs MASON COUNTY
CAUTION —
rhis card must be posted in a BUILDING DEPARTMENT Bldg.Permit No.
conspicuous place on the premises. Date: 19�
The original must be returned to the P.O. Box 186, Shelton, Washington 98584
Building Department. 426.5593
. . . . . Thermal Insulation Compliance Card. . . . .
Thermal Performance and Design Standard for New Dwellings
I hereby certify that insulation has been installed in the new build'' construc ed
in conformance with the requirements of the Seattle Building Code as follows:
ITEM TYPE THICKNESS R-VALUE COMMENTS
(or trade name) (material only)
FLOORS-over unheated spaces
WALLS 1st LEVEL
2nd LEVEL
3rd LEVEL
ROOF
CEILINGS Blown� f yt•..', ti —'Z No.of Bags Wt./Bag
Area Covered sq. ft.
Batts El
BASEMENT WALLS
FOUNDATION
DUCTS-In unheated spaces
PIPING-In unheated spaces
Vapor barrier of 4 mil polyetheline or equivalent installed in crawl space
Weatherstripping, caulking, gasketing or other treatment to prevent air leakage
Title or Intermountafn Insulotion
Installed by Company_ _1927SLA► T no Date
Title or SHELTON,WA 98584
Certified by 1141 Company------ Date
Inspected by Date