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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 t,f ) i rt n r r 4V 1� /r 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 ---------------------------------------~--------------------------------------- |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 -------------------------------------------------------------------------------- Actual energy use will vary with climate, lifestVle, and construction- Economic and energy use estimates should be used for comparative purposes onlv' --------------------------------------------------------------------------------