HomeMy WebLinkAboutBLD93-0898 Change of Use of Carport, Change of Use of Office - BLD Permit / Conditions - 7/27/1993 MASON COUNTY
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Mason County Bldg. III 426 W. Cedar
P,O. Box 186 Shelton, Washington 98584
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BID PRO). rpv� Uilll1)1 f_i1MPI I ANC t- 10 AI IAf:Nt 1) CON0If I Ifw I'; Ht•1jUIHtj1
CONCRETE ��� ? o.tCHANICAL MOBILE HOME
Footings Setba k � date ` by : Ribbons
date by . C.CA,, Gas Piping date b
Foundation Wafts date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date �IJAby date 7 by date by
PLUMBING-
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION m
date by date C '`L -z-c date by
L
Permit No.'5 -00-0 ( !1k
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner \n" Phone#
Site Address IL, l(-,(O(—arpr«s"u3.s'JC36 Fire District#� 1
City She \�cTc� 7 O St Wet Zip '
Directions to Job Site kQj - kk
Owner Mailing Address >� -
City `� ��\� St_=\)G Zip
Lien/Title Holder
Address
Clty Stt_Zip
#2 Contractor Name S cQ&lz ` Contractor Reg
Address _�(o5C'�;�hQ�1- (Dr-1r4gI w.:1 C. Expiration Date_ 0�
City ) St k�c'_ Zip j Phone#_H(Saj
#3 If septic is located on project site, include records. ems- c-tka-c-VQA ��o�N��2\c�. �a\`Z tXM^aR-0\ w L�
Connect to Septic?�,jE>—Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No 11`�,�-A_ - tom_- om l�
Legal Description L.C-,-F ILA c)ri'NGkOQ. A
#5 Building Square Footage: (existingqroposed
1 st F1 -1 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms_/
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building I escribe work ik �a Un
Erv' �ku' CAv2,r2 Or 'o� 0 e,
#7 Type of Job: New Add Alt _Repair Other O
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh 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 Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
I
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
I
Building Plan Review
Occupancy Group: 9-3 Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit A
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor �/OU
Violation Fee
Site Inspection
Building State Fee L4, 6-0
Other
s Other
Building Valuation: -�ao oZ(� TOTAL FEE
Plumbina Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets<exl5ti Nq/ CIRCLE FUEL TYPE: Gas, lectric,
_Bath BasinA_.ic\%�\/Nq) Heatpump, Other
_Bath Tubs 1r Units Fees
_L_Showers(NcwW Furn BTU
_Hot Water Htr Heatpumps
_Laundry Washer Vent Systems
_Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No. Air Handling Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
_Other Auto. Fire Alarm Sys 50�00
Fixe ire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $��� . Other
I
Gas Outlets
Wood, Gas, Pellet Stove
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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
MENCED. PROOF OF CONTINUATION OF WORK IS BY
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 OFTHE 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 WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY:Accepted by: ` ' Date: ` —
A
WATTSUN 5.3 1991 WA STATE ENERGY CODE COMPLIANCE REPORT' 05/25/93
FILE: 8:FREDSON.W!3' HOUSE ID:
9 i te: lei �pr I N C�wc)Q'A Q. Analyst: KELLY BUECHEL
Jurisdiction: MASON COUNTY
Utility; MASON COUNTY PUD 6:."BA
House Type: Single Family
Floor Area: 792 ft2
B u i Ides: G�nkA Weather Data: Olympia, WA
Climate Zone: :1.
1 The PROPOSED design "COMPLIES* with 1991 WA State Energy Code.
REFERENCE PROPOSED
1 COMPONENT PERFORMANCE 173 173 Btu/hr-i:::'
1 ENERGY BUDBET 2.92 3.08 kWh/ft2-yi''
REFERENCE DESIGN
Reference
Component Value X Area UA
------------------------------------------------------------------------------
On Grade Slab F-0.540 107ft 57.E
Floor U-0.029 198 5.7
Glazing @15% U-0.400 118.0 47.5
AG Wall U-0.056 648 37.,is
Ceiling, Attic: U-0.031 792 24.6
Inflltratioii ACH-0.350 6138ft3( 39.3 )
------------------------------
Reference UA 173
--------------------------------------------------------------------------------
PROPOSED DESIGN COMPONENTS
Component Description Value X Area UA
-----------------------------------------------------------------------------
On Grade Slab RO Uninsulated F-0.730 107ft 78.A.
Floor R30 vented Joist 16oc t.).-C).02:19 //xl/ 19"3, 5.17
Glazing @10% "*MILGARD P I C LOWE/AR U-0.330 48.0 15.181
XWMILGARD VINYL PATIO LOWE/AR U-0.370 33.0 12.2
Doors NO DOOR U-0.000 0.0 0.0
AG Wall R21 ADV TI-11 U-0.053 686 36.4
Ceiling R38 blown Attic STD baffled U-0.031 792 24.6
Infiltration Standard Air Sealing ACH-0.350 6138ft3 ( 39.3 )
----------------------------
Proposed UA 1711:.�
Items in parentheses not included in COMPONENT PERFORMANCE totals.
Denotes non-standard values - check calculation of thermal value.
page I
WASHINGTON
STATE Affadmild B
ENERGY Building Record WSE0Cmbwt#
CODE
PROGRAM
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................i*.-*i*i*i*:-:-:--.-.--.....
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(please check one) (please check one)
New Building(*'Fddition over 500 sq.ft. '1±1 Single Family El Duplex
Jurisdiction: El Multifamily 0 Zero Lot Line Home
El Planned Unit Development
please check one: ❑ City 0 County Permit# 93-0e9,,r
Fi le I D#(if different from Permit 4)
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A. Site Information B. Owner Information
Address e 0 Owner (owrvrat dme of const'ucdon receives udlitypament)
City %JV7e- Ile-r) zip 7,?5-g-el Company
Assessor's Property Tax# or attach le al descny- ,tion) Address E A C.4100
r aL
41 City.She 7-rj� Statq�)A Zi
Servicing Electric Utility PLC Dy" Phone
C. If Single Family, Zero Lot Line or D. Duplex E. If Multifamily(R-1)
Planned Unit Development First Duplex Unit sq. ft. Total#of Buildings
Total Conditioned Floor Area 7 92 sq. ft. Second Duplex Unit sq. ft. Total#of Units
..............
R
A. Primary Space Heat Type B. Secondary Space Heat Type C. Water Heat Type
(check one) (check all that apply) (check one)
El Electric Baseboard 'E None Electric
'U Electric Wall Heater 11 Wood E:1 Gas
El Electric Furnace 1:1 Electric Baseboard 0 Other(specify below)
El Electric Heat Pump E-1 Other(specify below)
❑ Other
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:E
SEEM"'110 CM.... T
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. ..................
(for Heat Pump Only)
WSEC Compliance Method This building meets the Date of Permit Application
Prescriptive Path F1 electric Date Building Permit Issued
❑ Component Performance E:1 other fuels Date of Insulation Inspection
❑ System Analysis requirements of the WSEC. Date of Final Inspection
I hereby certify that this building or addition has been inspected for the measures required
by the 1991 Washington State Energy Code(WSEC), that it is in substantial compliance
with the WSEC, and that the WSEC checklist for this building is on file.
WSEC, 0,
vv""""v
11 1 rat e of ZBuilding Official or Authorized Representative Date
Return canary copy to the servicing electric utility to trigger WSEC compliance payment
Return white copy to: Kathleen Skaar, Washington State Energy Office, P.O. Box 43165, Olympia, WA 98504-3165
WSEQ- White Copy Utility/Owner-Canary Copy Jurisdiction-Pink Copy
r e d s o n
1�pOrJE1r\NO�WOp(� Or. MICHAEL FREDSON
SOLAR a c� FREDSH1142N1
CONVENTIONALE. 730 Gosser Rd:
H La�omes
�0(4 Shelton, WA 98584
N Spr l t-A�Wc Qc► (206)427.5399
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