HomeMy WebLinkAboutBLD22836 SFR - BLD Application - 10/3/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 S ATE ISSUED v S��
D
Z PERMIT NO.�<2O � �
OWNER NAME MAILADDRESS CITY ZIP PHONE
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DIRECTIONS
TO JOB SITE D OLt-') k)62Y44 -G6 ryL (A toQQQTH
LU s on 't
PARCEL I LEGAL 1 '� 1
NUMBER DESCR.
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
BEDROOMS z DECKS -� CARPORT NOTICE
? SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS V TOTAL SQ.FT_4"_ GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT/ ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE y
SEASONAL
OWN RSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CER FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIS ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQU EMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X WNER DATE X BYZ�&>_ ( DATE / v U
FOR OFFICE USE ONLY Air
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO / %✓
HEALTH ] PUBLIC WORKS FEE
PLANNING G FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK e4r
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
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WOODSTOVE
3-- " f"JLf PLUMBING Q
��73F - s'�00, MECHANICAL
_ '2S44r STATE BUILDING FEE
STATESURCHARGE ,
APPLICATION ACCEPTED BY tPLA S CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL ����0
- BY LU � ��J CASH CK MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE _ZIP PHONE
OWNER i • D4 jo. " c ' JFYI .Z bg
DIRECTIONS //�� // �/
TO JOB SITE Q H/ /V 1� / � O /V C P O [6, O '
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LEGAL / ,,[ // /
DESCR. �054# / 4>; Z e, /6 � 4 t�/ L
CONTRACTOR //AME MAILADDRESS CITY& TATE LICENSE NO. ZIP PHONE
USE OF //
BUILDING -I'ale
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS (� (� FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS Ej^ FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS BOILER/COMPRESSOR 6.00
SHOWERS G _ O REPAIR/ALTERATION 6.00
a WATER HEATERS G — REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER — AIR HANDLING UNITS 7.50
SINKS `� HEAT-PUMPS 6.00
O FLOOR DRAINS U EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
G CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
Cl URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL TOTALS'�'�'
SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED 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 WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
' �Z — B /a-j'J CASH CK MO
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01/01/80 WATTSUN version 4.2 - SUMMARY REPORT page
FILE : B:DALTON.HSE
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HOUSE IDENTIFICATION
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House ID: DALTON Utility : MASON COUNTY PUD #1
Addrels E 10090 HWY 106 UNION WA Analyst : KELLY BUECHEL
Builder ART 3Rt-��CE. Location : OLYMPIAI
Owner- MAX DALTON Floor- Area: 2051 f t2
QUALIFICATION CRITERIA
SUPER MOOD CENTS/
NORTHWEST ENERGY CODE REFERENCE CURRENT PROPOSED
-------------------------------------------------------------...-------------
Thermal Performance (Btu/hr-F) 452 504 44e
Energy Budget (kWh/ft2-yr ) 3.42 2.74 2. 19
QUALIFIES
r
WA`: HINGTON STATE ENERGY CODE ALLOWED PROPOSED
r -------_---.-----_-----_.----.----------.---------.------------.-----------------
Chapter 4 (UO) 572 349
+QUA,LIF IES
HEATING AND VENTILATING SYSTEMS CURRENT PROPOSED
----------------------------------------------------------------------------------
Heating SyStam Type !-Herat Pump Heat Pump
Heat Pump Heating Season Performance Factor- 6.80 6.8(-
Heat Load at 45 F design temp difference BTU/hr ) 24895.5 22263.6
System Size at 150',! Design Lead ( kW ( kBTU/hr ) , 1. 1 .0(37.5) 10.00 .5:
Average Annual Space -eat Requirement ( L,r.lh yr ) 7455 6136
Ventilation System Type NHRV: Intenrated w/Fc:r-'ced Air Furnace
ECONOMICS CURRENT PROPOSED
--------------------------------------------------------------------------------
Incr emental Construction root -------- * 0.0(_i
Projected Yearly Heating Cost 0.0(.i 0 0:l
First Year Monthly PIT! ($/month ) 0„00 0.00
Average Monthly Heating Costs $ 0.00 S rani(-)
-----------------------------
TOTAL FIRST YEAR MONTHLY PAYMENT `* 0.00 r 0.00
30 year Life Cycle Cost $ 0.00 S (=),00
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Actual energy use will vary with climate, lifestyle, and construction.
Economic and er-t:_`rgy use estimates should be used for comparative purposes only.
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W,Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
July 11, 1994
RE: Building Permit No. .
Dear -AN -<
i
A recent review of our permit records indicates that a final
inspection of the above permit has either not been done as required
per the Uniform Building Code or we do not have the accurate update
information in our files.
If the final inspection has been performed, please send a
photo copy of the orange building permit with the signature and
date of final inspection so that we may update our files. Pursuant
to the Uniform Building Code, Table 3-A and Mason County permit fee
charts, the building official has the authority to charge $25 .00
for inspections on expired permits, an expired permit is defined as
a permit with no activity within a 180 day period. However, if you
find that you do not have record of the final inspection, we will
waive the final inspection fee of $25 . 00 if you contact our office
prior to August 15 , 1994 to arrange for the inspection. All permits
to which there is no response will be marked null and void by
expiration. Any request for a final inspection after the permit has
been voided will require the inspection fee to be paid.
If you should have any further questions, please contact this
office.
Sincerely,
Q � Q-naq
Cheryl Ra an
Building Department
CC: Property File
Taxpayer (if applicable)
Title Owner (if applicable)
Contract Owner (if applicable)