HomeMy WebLinkAboutMechanical - BLD Application - 2/28/1991 PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE
DIRECTIONS
TO JOB SITE L
11L h
LEGAL �!
DESCR. aN
F k O� S P � /ZOO
CONTRACTOR MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
E tcx
USE &S�Jwce_
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS I FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
I LAUNDRYTRAYS
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL I TOTAL
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 FIRS
OB.T,A,I.NIN{G�APnPROVAL FROM THE BUILDING DEPARTME T. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER i J, I IUA)Mi A DATE -11 X BY DATE_
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO
BUILDING PERMIT PLOT PLAN MAR 251991
MASON COUNTY
DEPARTMENT of GENERAL SERVICES .� '� AL � ��'�
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER _.
7D7
DIRECTIONS TO JOB SITE IL4 Mi FOAA Be 1IRr
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PA CEL LEGAL T�C�� Drr u<CV
NUMBER DESCR. 0t:` I M 5�
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams, wetlands, drainage.
In Circle O Attach cop
y of septic system "as built" or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
D
4
lop
Q ; r
CV 7
R
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
IGNATURE OF OWNER(S)eR AUT ORIZED REPRESENTATIVE
DO NOT WRITE 9ELOW THIS LINE
APPROVED
TRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
O�
SEWAGE SYSTEM PERMIT APPLICATION No. Permit Expires
WOWIOUNTY DEPARTMENT OF GENERAL SERVICES FOR DEPARTMENT USE ONLY
ENVIRONMENTAL HEALTH DATE BASIS FOR FEE AMOUNT I RECEIPT#
426 W.CEDAR/P.O. BOX 186/SHELTON,WA 98584
PHONE(206)427-9670
APPLICANT SITE: EJ Ap
proved ❑Not Approved
ADDRESS PHONE BY.
CITY ZIP DESIGN SYSTEM REQUIRED
PROPERTY OWNER — — INSTALLATION: D Approved ❑Not Approved
ADDRESS PHONE BY.
CITY ZIP DEPTH TO WATER TABLE
SEWAGE - SEWAGE - SOIL TYPE:
CONTRACTOR DESIGNER
LEGAL DESCRIPTION
TYPE OF NO. OF LOT
BUILDING BEDROOMS SIZE X_
SINGLE RESIDENCE PUBLIC WATER
WATER SYSTEM SYSTEM NAME------- SEPTIC TANK (S) GAL. PUMP REQ.
COMMERCIAL ONLY
LIQUID WASTE G.P.D._____ DISTRIBUTION TILE TOTAL FEET
DIRECTIONS TO SITE: FILTRATION AREA TOTAL SQUARE FEET
FINAL INSPECTION REQUIRED BEFORE BACKFILLING
DEPTH OF
BACKFILL
2"STRAW OR PAPER
F STONE
OVER TILE
—_-- <—F PIPE SIZE
STONE
SITE PLAN AND SPECIAL STIPULATIONS Cr UNDER TILE
(INDICATE DIRECTION OF DRAINAGE) CROSS SECTION OF TRENCH
"1• r i i
f.
�,.
----~------------------------- ------------------------------��K�------------ �
1/01/80 WATTSUN Ye '—tn 4'2 - SUMMARY REPORT ' page 1
FILE : C:\WS4\9gC926'H9E
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|OUSE IDENTIFICATION
_______________________________________________________________________________
House ID7 BGC926 Utility Moec* Courfy PUD No- 3
Address : NE 1681 OLD BELFAIP HWY Analyst KELLY BUECHEL
Builder : TOM NEWMAN Location OLvMPIQ
Owner PAUL/TERE8A NE@MAN Floor Aree: 1861 ft2
QUALIFICATION CRITERIA
|
SUPER GOOD CENTS/ .
NORTHWEST ENERGY CODE REFERENCE CURRENT PROPOSED |
------------------------------------------------------------------------ |
Therme! Performance 00/hr-F) 430 473 473 |
� E"erny Budoet (kWh/ftZ-yr) 3'57 2'E9 2 S9 |
| /
/ w QUALIFIES * |
| |
/
|
| WAGHIN0TDN STATE ENERGY CODE ALLOWED PROPOSED �
�
/ -------------------------------------------------------------
-----------
! Chapter 4 (UD} 969 380 !
| (Code official may require additional slab insulation) |
| * QUALIFIES * |
|
|
------ ,
!EATING AND VENTILATING SYSTEMS CURRENT PROPOSED
--------------------------------------------------------------------------------
HeetinO System Type Heat Pump Heat Pump
Heat Pump Heating Season Performance Factor 6'80 6'80
Heat Load at 4S F design temp difference (BTU/hr) 21609'0 21609'0
System Size at 00t Design Lead {kW {kBTU/hrj} 9'S(32'5) 9'5{32'5)
Average Annual Space Heat Requirement QN&yr} S7SC- 57SG
Ventilation System Tyre NHRV:Intecreted Spot & Whole House
ECONOMICS CURRENT PROPOSED
________________________________________________________________________________
Incrementel Construction Cost ------ 0'00
Projected Yearly Heating Cost 0 00 0'00
First Year Monthly PIT! Q/mcnth} $ 0'00 $ 0'00
Average Monthly Heating Costs $ 0'00 $ 0'00
---------------------------
TOTAL FIRST YEAR MONTHLY PAYMENT * 0'00 It 0'00
30 year Life Cycle Cost $ 0'00 * 0'00
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Actual energy use will vary with climate, lifestVle, and construction-
Economic and energy use estimates should be used for comparative purposes onlv'
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