HomeMy WebLinkAboutBLD7394 SFR - BLD Permit / Conditions - 9/11/1980 c
Kim, Walter T. S. #7394 1
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9-11-80
� 0.4 mi. past Deer Creek on Hwy. 3 east than turn left
1 S 1/2 SE NE NE 36-21-3
Residence Wood Stove
Plumbing Permit
Mechanical Permit
i $53,030.00
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593
DATE ISSUED l� /
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE Q� '��1�/�CF WSS 049:e/Q CiQ"& G�h//7//A/4 2 14 d7' 7W41Y
LEGAL ( (❑ SEE ATTACHED SHEET)
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE dF 9FSIDFNcc
BUILOlNG
Cl*ss of work: X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
ON.rrQu ( -' ^/jL-_%A,7 ,� pL.I; IvCJL /40M*r
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3 D-3 O• 1/
Valuation of work: $ pu PLAN CHECK FEE eL PERMIT FEE C)�9 L'C��
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SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. F� GARAGEX 023• '
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES ATTACHED_L BASEMENT X OR AIR CONDITIONING.
TOTAL SO. FT.//0 0 FIREPLACE ❑ DETACHED ❑
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 ABANDQNED 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
the permit is issued and all work done will be in
conformance therewith. PERMANENT :� SHORELINES I 1
SEASONAL Li FLOODPLAIN I 1
Firm
E.D. NO. S.E.P.A. C1
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
I
this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOT R VEHICLE PERMIT
AP ATION A `ED BY PLANhS CHECK BY APPROVED FOR ISSUANCE
Owner ate. j BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
Name Melling address—Number,street,city,and State Zip code Tel.No.
,. cWAJ-TFR Kim S"t 1?7-. 1 oaf SIC C�AP�Y��w � w� 919 S-re y I 1/8
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 ap lican Address Application date
/ J
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
' WATER CLOSETS
' BASINS
BATH TUBS a _
SHOWERS
' WATER HEATERS _
AUTO.WASHERS
SINKS _
FLOOR DRAINS L
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TA&3 DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit i sued Permit number Receipt No.
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
Building N 5
E W side of _ feet E W from intersection of
Sect. Two. Range
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 �d 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--U.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
L13 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 Hemarks TOTAL C'�l
Name Mailing address -- Number, street, city, and State Zip code Tel. No.
t. c✓A�rt� On spa RT ! $'o�t .�9E G,�AP�✓� wAr SB S6 yzb-3°Y
Owner
2.
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
Approved by Permit fee G, Date permit issu cf Permit number Receipt No.
$ 73-'
SHELTON PRINTING CO.
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