HomeMy WebLinkAboutBLD94-1336 Final Replacement of Burned Down Residence - BLD Permit / Conditions - 8/30/1994 Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
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#1 Owner PICK— N10 6N N SC�P—bO&c- Phone#
�dress �3 I f� }�c�hF /D(� Fire District#�_
I�NIDIN , (ill j 24jyuN St Zip 659a
Directions to Job Site ON i+c, � G°fi+�t. (� �3/ �/�>� +Y=fr'�p�^ ����=� � �fH bwfi�
`V6! ( C.,--iX C. `-�t 1. �Low, 5U31F t',k-A-fit? ..G.,y�P4!44#.'* ,
Owner Mailing Address VJ', 00 tFIInHV4
City St_V�VIJ _Zip j5 ZU
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Contractor Reg# i
Address Expiration Date
City t- .L�'+; t t St ! Zip 'r Phone#
#3 If septic is located on project site, include records. C'e-o
Connect to Septic? Public Water Supply Well SITE
Connect to Sewer System? Name of System N'ba)
(If residential, proof of potable water is required)
# arcel No. UN(0ti Ct t`� I�crD Cr�J Lr�
Legal Description
(1n 1 vn 4kx)d 0c n 4A--, LoAd 1. J MP- CO • 944 I09 5,2 -
#5 Building,Square Footage: (existing/proposed) 10 fS 5--10 f ?Tr1 VL Olc nc ps v
1 st FI 9`555 / �/1 F 2nd FI /555 / ,` 3rd FI / / / Loft
Basement_ / Deck 'Z 't #bedrooms_/ #bathrooms 3 /
11%a 3Y` % Carport / (Circle:Attached or Detached?)
Other L 7t(-•, sq. ft. 2 VF l 5 �. � � �j�
, �
#6 Use of building hr'�ra ( � Describe work
fl
#7 Type of Job: New Add Alt Repair Other �' �'Gf���irltrr
Yp p �KJsT/ Flo
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make ` Model
Length Width r Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adf�a ent to subject property:
River Pond Creek Stream Wetland Lake Mars Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions "' / \ Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Gi G' Topography �901_ 6-2-
Septic Systems �55"Vjeyj'117"* Wells �bN 5;
Proposed Improvements j Easements,f4w5 Indicate Directional by (N, S, E, W)
Name of Flanking Street Name of Fronting Street l in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW =
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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DESCRIPTION OF RECORD: (A.F.,P239969)
THE SOUTH HALF OF LOT 5 AND ALL OF LOT 6, BLOCK /09,
TOGETHER WITH THE VACATED PORTION OF OLYAPIC AVENUI:ADJOINING SAID LOTS ON THE WEST, AND EXTENDING NEST TO THE EASTERLY RIGHT OF WAY LINE
OF PRIMARY STATE HIGHWAY NO. 21,
TOGETHER WITH ALL THAT PORTION OF VACATED AMSON AVENUE, AS SHOWN ON THE PLAT, VACATED DECEMBER 6, I941, WHICH LIES EAST OF THE EASTERLY
RIGHT OF WAY OF PRIMARY STATE HIGHWAY NO. 21.*YNCL(A)ING VACATED PORTION OF OLYMPIC AVENUE, AS SHOWN ON THE PLAT;
ALL IN THE PLAT OF HOOD'S CANAL LAND AND IMPROVEMENT CO'S PLAN OF UNION CITY, ACCORDING TO THE RECORDED PLAT THEREOF IN THE OFFICE OF
THE AUDITOR FOR MASON COUNTY, WASHINGTON.
ALSO, ALL TIDELANDS OF THE SECOND CLASS, FORMERLY OWNED BY THE STATE OF WASHINGTON, SITUATED IN FRONT OF, ADJACENT TO OR TTING UPON
THE ABOVE DESCRIBED UPLAND.
SWJECT TO RESERVATIONS, RESTRICTIONS AND EASEMENTS OF REcom.
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets 12 � CIRCLE FUEL TYPE Ga , lectric,
_Bath Basins r! - �� Heatpum Other
Bath Tubs -' �` u NO. ni Fees
N tbyk-97 1�•� cc
_Showers y �-`1 MW4• L� Furn 40,coo BTU I2
_Hot Water Htr toHeatpumps Z
_Laundry Washer �Ve t ystemss
_Sinks — — I_t" Spot Vent Fans 3
_Floor Drains (N 4",oA= No. Boilers/Com ressors
_Laundry Basins 3 —-._ . ------R�-------
_Dishwasher No.. Air Handling ni
2�cPr�
_Disposal 2 cfm cFnv_
_Urinals No.. Fire Protection Systems
Other__
Auto. Fire Alarm Sys 'SU.�O
Fixed Fire Supp. Sys 5000
Permit Basic Fee 15.00 Auto Fire Sprink Sys zoo
TOTAL PLUMBING No. Other
Gas Outlets
ti�
Wood(Gas Pellet tove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $�
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY 0117
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WIT T FI O INING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUIL NG DEP R MENT. DEPARTMENT.
X OWNEF, X BY
DATE '.30 AOp DATE
FOR OFIFICIAL USE ONLY:Accepte8 by: Date::
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
i
Planning: 6;r- _�,,, �
Environmental Health:
Building Plan Review
Occupancy Group: Z:3 in-f-Type of Const:-SW
Fire Marshal:
Other:
Special Conditions: M y s i AA-yt= A FEES
t,CO -T t`Gtf fV &,14 --1--^;1Vi' -c.f-t c J j Building Permit
7-0 v`iLi F y Sc t L:5 2 2 i c��Z_'T7 Plan Check 2 � `�5--
Plumbing Fee 9
41Z fz—t3S4fL f';2�`u,10 t--
"r-11 A C.C,' ;,0E Mechanical Fee
Z C 05over- Wood/Gas/Pellet Stove C
(LCt�r kz-7 06 , C�
Radon Monitor
Violation Fee
Site Inspection
Building State Fee S�
Other
Other _ C(5--
Building Valuation: TOTAL FEE .__
WATTSUN 5 .4A 1991 WA STATE ENERGY CODE COMPLIANCE REPORT 10/12/94
FILE: G:\\APPS\\WATTSUN5\\SCROGGS .WS HOUSE ID: SCROGGS
Site: E. 6631 ST. RT. 106 Analyst: TONI HERMANSEN
SHELTON, WA 98584 Jurisdiction: MASON COUNTY
(206) 532-6172 Utility: MASON COUNTY PUD NO. 3
Homeowner: DICK SCROGGS House Type: Single Family
W.500 EIGHTH STREET Floor Area: 3910 ft2
(206) 532-0630
Builder: MCMEEKIN CONST Weather Data: Olympia, WA
P.O. BOX 2021 Climate Zone: 1
(206) 352-3303
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The PROPOSED design *COMPLIES* with 1991 WA State Energy Code.
REFERENCE PROPOSED
COMPONENT PERFORMANCE 1072 1078 Btu/hr-F
ENERGY BUDGET 5 . 32 4 . 69 kWh/ft2-yr
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REFERENCE DESIGN
Reference
Component Value X Area = UA
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
BG Wall 21 U-0 . 042 238 10 . 0
BG Slab 2 ' F-0 . 678 476ft 322 . 7
Floor U-0 . 041 1042 42 . 7
Glazing @15!k U-0 . 6.50 586 . 5 381 .2
AG Wall U-0 . 062 4034 250 . 1
Ceiling, Attic U-0 . 036 2566 92 .4
Ceiling, Vault U-0 . 034 500 17 . 0
Infiltration ACH-0 . 350 42544ft3 ( 272 . 5)
- - - - - - - - - - - - - - - - - - - - - - - - - - - -
Reference UA 1072
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -,- - - - - - -
PROPOSED DESIGN COMPONENTS
Component Description Value X Area = UA
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
________________________________________________________________________________
Items in parentheses not included in COMPONENT PERFORMANCE totals .
** Denotes non-standard values - check calculation of thermal value.
Page 1
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