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Home My WebLink AboutBLD N/A Resubmittal - BLD Application - 3/18/1996 Permit No. /15 MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT t / #1 Owner C- lam-En 0 Phone # 506) 7 5 � _ Site Address L Fire District# City StZip Directions to Job Site S S a /JSt 16' IfOUC LET11M Opf= Owner Mailing Address_ Z City -St Zip ZO Lien/Title Holder Address Clty St Zip #2 Contractor Name I (b` �1 ��S�C' � � � T� Contractor Reg # Address PC Expiration Date City - �,F774 l p k St WA Zip Phone #'�o0 -.Z 6��- #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? me of System (If residential, proof of potable water is quired) ,( L, �)4-FA e P—) a9-1 6 jNg L #4 Parcel No. U w l LA Y� Legal Description >� e--- t 2- 'pL S15 (4-d L'L L F YQ U t #5 Building Square Footage: (existing/proposed) j d 1�/b L /w 1st FI / 2nd FI / 3r / Loft Basement / Deck / #be oms / # bathrooms / Garage / Carport / (Circle: A ched or Detached?) Other sq. / #6 Use of building Describe work #7 Type of Job: New ZZAdd Alt Repair e #8 MOBILE/MANU CTURED HOME INFORMATION [Jo Model Year Make Model LIAR 18 1996 Length Width Serial No. # Bedrooms # Bathrooms Type of Heat LT Purchase Price $ A ERVICEP 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW S Plumbing Fixtures ($3 each) EQg Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Unita Fees Showers _ 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 Ng_ Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. Other 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 TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- 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 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 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: DEPARTMENTAL REVIEW s FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE j, Prepared for JIM JESFIELD Salesman DON Address 23444 HWY 3 BELFAIR Job Number Date 03-07-96 Estimator OLYMPIC HEATING Serial Number = 60115881 .20 HEATING ESTIMATE Items Description Quantity X Factor = BTUH/F ------------------------------------------------------------------------------- Glass: Double Pane 115 .0sq.ft 0.61 70 Walls: Light 8-in concrete block or frame 1 ,557 .Osq .ft 0 .04 62 Roofs: Light Slab w/susp acoustical tile ceiling 1 ,746 .Osq.ft 0 .03 52 Floors: Concrete slab on grade-perimeter 76.01in ft 0.85 65 Infiltration: 1 air chg ( floor area ) 1 ,746 .Osq .ft 0 .20 349 ------------------------------------------------------------------------------- BTUH/F 598 Ventilation Outdoor air thru apparatus O .00FM 1 .10 0 ------------------------------------------------------------------------------- BTUH/F 598 Outdoor Winter Design Temp F 15.00 Occupied Room Heating Temp F 70 .00 Unoccupied Room Heating Temp F 65.00 Unoccupied Heating Load - 29,900 BTUH Occupied Heating Load 28 ,390 BTUH* Light Credit deducted Windows North 35.0 sq .ft 24 .13 844 East 80.0 sq.ft 73 .74 5,899 Walls- North 454 .5 sq .ft 0.52 236 East 324 .0 sq.ft 1 .30 421 South 454 .5 sq .ft 1 .04 473 West 324 .0 sq.ft 1 .30 421 Roof 1 ,746.0 sq .ft 1 .00 1 ,746 Ceiling 600 .0 sq.ft 4 .00 2,400 Floor 312 .0 sq .ft 0 .40 125 Electrical & Appliance Load: Fluorescent Lights ( TW) 1 ,000 .0 4 .50 4 ,500 People ( total ) 15 persons 465 6,975 ---------------------------------------------------------------- Room Total Heat (RTH ) 24 ,040 BTUH Outdoor Air ( Total ) 598 .9 CFM 46 .0 27 ,550 ---------------------------------------------------------------- Grand Total Heat ( GTH) 51 ,590 BTUH Grand Total Heat (GTH) = 4 .30 Tons 1 . Room Sensible Heat ( RSH) - 20,965 BTUH 2 . Sensible Heat Factor ( SHF ) = 0.87 3 . fotal Sensible Heat ( TSH ) = 34 ,165 BTUH Total CFM ® 50.0 1 ,239 Total CFM 1 ,237 ® Sea Level Outdoor Air 599 Percent Outdoor Air 48 .42 Outdoor Conditions ( DB/WB) 95.00/ 75 .00 Room Conditions ( DB/WB) 75 .00/ 62 .55 RH 50 .00 Coil Entering Conditions ( DB/WB ) 84 .68/ 68 .58 �� Date 03-07-96 Estimator OLYMPIC HEATING Serial Number 60115881 .20 HEATING ESTIMATE Items Description Quantity X Factor BTUH/F �� ^ _ - Glass: Double Pane 115 'Ooq'ft 0'61 70 Walls" Light 8-in concrete block or frame 1 ,557 'Ooq 'ft 0'04 62 Roofs: Light Slab w/ousp acoustical tile ceiling 1 ,746 'usq 'ft o 'ou 52 Floors: Concrete slab on grade-perimeter � . 76'01in ft 0 '05 65 Infiltration: 1 air ohg ( floor area ) 1 ,746 'Voq 'ft 0 '20 34e ------------------------------------------------------------------------------- BTUH/F 598 Ventilation Outdoor air thru apparatus O 'OCFM 1 '10 O _______________________________________________________________________________ � 8TUH/F 598 � � Outdoor Winter Design Temp F 15 '00 � occupied Room Heating Temp F 70 '00 | Unoccupied Room Heating Temp F 65 '00 � Unoccupied Heating Load = 29 ,900 BTUH Occupied Heating Load = 28 ,390 BTUH* Light credit deducted Windows North 35'0 aq 'ft 24 '13 844 . East oq'ft ' 73'74 5 ,899 � Walla- North . 454 '5 aq 'ft 0 '52 236 East 324 '0 oq'ft 1 '30 421 South 454 '5 oq 'ft 1 '04 473 West 324 '0 oq'ft 1 '30 421 Roof 1 °746'0 sq 'ft 1 '00 1 ,746 Ceiling 600 '0 eq'ft 4 '00 2,400 Floor 312 '0 sq 'ft 0 '40 125 | | Electrical & Appliance Load: Fluorescent Lights ( Tu) 1 ,000 '0 4 '50 4 ,500 People ( total ) 15 persons 465 6,975 ________________________________________________________________ Room Total Heat (RTH ) 24 ,040 BTUH Outdoor Air ( Total ) 598 '9 CFM 46 '0 27 ,550 ________________________________________________________________ Grand Total Heat ( GTH ) 51 ,590 BTUH � Grand Total Heat ( 8TH) = 4 '30 Tons � 1 ' Room Sensible Heat (R5H) = 20,965 BTUH 2 ' Sensible Heat Factor ( SHF ) 0 '87 � 3 ' fotel Sensible Heat ( TSH ) = 34 ,165 BTUH � Total CFM @ 50 '0 1 ,239 Total CFM 1 ,237 @ Sea Level Outdoor Air 599 Percent Outdoor Air 48 '42 Outdoor Conditions (DB/WB) 95.00/ 75 '00 Room Conditions ( DB/WB ) 75 '00/ 62 '55 RH 50 '00 Coll Entering Conditions ( DB/WB ) 84 '68/ 68 '58