HomeMy WebLinkAboutBLD0296 Final SFR - BLD Permit / Conditions - 2/26/1991 Ir-)3,3D- 5a c)o o S
Shorelines: Plumbing: --/ /f-
Setback: Mechanical:
Special Interior:
Conditions: FINAL: a'< •-2
Mob i le cane
Smoke Detector-
Remarks:
Footing: 'qv 1ii -
Setback: P i
Foundation
Walls:
Framing•1% S
Fireplace:
Wood Stove:
TYPE RESIDENCE
Permit No. 0296 No. Floors 1 Sq Ftg 1232
Owner SOL Tel 275-4477 Date g-18-90
Address PO Box 767 Belfair Zip
Contractor same 1p
Address
Legal Description Beards Cove Div 5 lot 59
Direction to project site NE 1330 Larson k Rd
ing _ c anica ewer o tove
Fireplace Deck arage arport
Basement soft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
P—' DEPARTMENT of GENERAL SERVICES
� P.O. BOX 186 SHELTON, WASHINGTON 98584
V 426-5593 DATE ISSUED o
(� PERMIT NO. �2
OWNER NAME MAILADDR.�ESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE /VPARCEL LEGAL�13�U
NUMBER ��3� o2(J U DESCR. C
CONTRACTOR
NAM MAIL ADDRESS CITY&STATE LICENSE NO. f ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS__ DECKS CARPORT_ NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. G GARAGE — (fl, CONDITIONING.
NO.OF STORI ES BASEMENT�_ ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
.�2� COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ. FT. �.f�' FIREPLACE b DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE -
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT INING APPROVAL FROM THE BU ING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
OWNER DATE X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED ` - ✓
DEPARTMENT YES No DEPARTMENT ves No BUILDING VALUATION
HEALTH PUBLIC WORKS EE
PLANNING FIRE BUILDING PERMIT �� V
D.O.T. BUILDING _� PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 7 PRE-INSPECTION
(L' Z'Z ` SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL O�
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY k-PP-BOOVED FOR ISSUANCE PERMIT VALIDATION
- TOTAL
BY CASH CK MO
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER N E ^ / / MAIL ADDR��� �6� CITY&STATE � ZIP _� PHONE
ZA
DIRECTIONS J
TO JOB SITE
LEGAL r '
DESCR. f�/
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS Q FORCED-AIR I GRAVITY TYPE FURNACE 6.00
BASINS FLOOR I 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
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER Z�
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL 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 CONFOR THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAI G APPRO A R THE BUILDING DEPA TMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE TV XBY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APP FOIR41 SUANCE PERMIT VALIDATION
-- - IL BY CASH CK MO
PLOT PLAN
ADDRESS ! �' L :/j �U 2,S'O A) 2-1<, /EL/ PERMIT NO. o
a o
� /' 0
LEGAL ��7Go ,f ��
DESCRIPTION �J) LOT BLK AD ITION
SITE AREA 7—� v Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ���2 Sq. Ft. m
INSTRUCTIONS TO APPLICANT w`\
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"a20' ARE (�
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) C
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
/
0
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.
NAM[lal OF OWNER(a) OF SITE i STRUCTURE(S) (PRINT) IGNA TUBE F OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
WATTSUN verS i ors-4.2 SUMMARY REPORT Fade 1
FILE_ . C:`.W04` GGC60G.HSE t
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' IDENTIFICATION
House ID: CGC600 Utility : Mason County PUD No.
Address : NE 1330 LARSEN LAKE Ri% Analyst : KEL_L_Y F:..UECH L.
Builder : DOD SOLT I S Location : OLYMP I Al
-- OWL I F I CATION CRITERIA
,,UPER' GOOD CENT.,.
NORTHWE Sl" ENERGY CODE REFERENCE
C;:_i► F;EhJI" F'RUF'USEC)
--------------------------------------------._._._..._..- _....._----------------------
Thermal00
Performance i>rf112)"It":e ( r_-I t,l.i! i ir•': ) 296 ..
Energy Budget (. kWF /f•t._ r) 2.72 2. ,
1
1
,
s' QUALIFIES �
WA SFII1.46TON (:;TATE ENERGY COGS: ALLOWED PROPOSED
---•-•--....-......_..-----_.......-.._- .-_._......-..._.--....._...--_.....---------_.__._.._._.-_-.......4�•-
Chapter 4 ` i_•U.) '
'
Code official may require. additional slab ate i il��li l a t e i?i-i i #: QUALIFIES
,
1
,
HEATING AND VENTILATING SYSTEMS CURRENT PROPOSED
--------------
--Heating System Type ----- Wall Mc: ni ut Wal 1 Mount Heat Pump Heating Season PerformancePerformanceFactor N/A N/A
Heat Load at 45 F design terr�P difference ; E;TU/hr.) 13322.6.6 =626-0
Load, kW (. ' BTU/hr .) ') t'-',.0(. 20.0 ') 6.0(20.5 .)
System .�.'� i s^.E•• at j..r31�);e Design o�'� '
Average knnua i Space Heat Requirement QW}',i r r.)
T NHRV: Integrated ��.;ot s Whole House
Ventilation System ype
ECONOMICS CURRENT PROPOSED
_ ----------------------------
incremental Construction Cost __-.---_. � 0.00
Projected Yearly Heating Cost
C).00 U.O:)
Ll •1� �1 * f1
First Year Monthly PIT! tf��Z,/monti'1) � � U.0L� .�}` 0•00
Averade r,l{tfIly Heating g Cost,'--.: 0.00 0.00
TO AL FIRST YEAR MONTHLY PAYMENT 0.00 0.00
,year Life Cycle COst 0.00 0.00
Actual- energy-'use will
_vary-with�cliMater lifestyle, and construction.
Economic aridenergy' usee :t estimates- - - - - -
should be only
- - - --