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Home My WebLink AboutBLD26552 SFR - BLD Application - 8/27/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 t 427-9670 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS // / fey TO JOB SITE Of..'L G►� _ �l/�_%�'� �/' �'/C LvCw' PARCEL oo, ' LEGAL NUMBER j _ a d -. DESCR. ® �l►� /fot1, Ac�CGl !-�H /i NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR 1 C o7(oP% USE OF BUILDING CLASS OF NEW ` ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK BEDROOMS -3 DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED�- 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 TOTAL SQ.FT. //6 ; FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT '� SHORELINE SEASONAL OWNERS FIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE NTS 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 CONE RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING 0BTA NN11 APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING REPARTMEXNT. X NER DATE X BY I DATE ,� FOR OFFICE USE ONLY DEPARTMENT YES DEPARTMENT VEAPPROVED,O BUILDING VALUATION HEALTH AA PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 5 D.O.T. BUILDING I PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION 7 SHORELINE WOODSTOVE I ,, PLUMBING Z`�> .00 MECHANICAL 1CV 0 STATE BUILDING FEE L S STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK B(cY�� AP�FllE PERMIT VALIDATION /?�I-'fC BCASH CK MO TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 �� 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE p ZIP PHONE OWNER i'�i c L �nic" .v /rra �9, f .S9` '��6 cS01, DIRECTIONS D . p TO JOB SIT,E[_! fio p,t/ � �;\Gl��/v !/ LEGAL DESCR. n Z CONTRACTOR NAME MAILADDRESS CITY&STATE ( LICENSEE C 0. ZIP PHONE S `- 6 USE BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS L � FORCED-AIR/GRAVITY TYPE FURNACE 6.00 C BASINS FLOOR/SUSPENDED FURNACE 6.00 „Z BATH TUBS q00 BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER 7z0 AIR HANDLING UNITS 7.50 / SINKS /J HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS 3 VENT.FAN SYS.3.00 PER UNIT 0100 LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTA L 7ZZ,c()C TOTAL I - SPEC,IALCONDITIONS: _—._ 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 1 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINIl;=W __DATEw M THE BUILDING DEPARTMENT. XOWNER DATE XBY FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP A O FOR ISSUANCE PERMIT VALIDATION Z 0 � m�� BY CASH CK MO PLOT PLAN ADDRESS PERMIT NO, s o z s n s o LEGAL ' DESCRIPTION LOT ' BLK ADDITION /(�jJ//1A ULL' /J A SITE AREA 7 -�2 Sq. Ft, AREA OF SITE OCCUPIED BY BUILDINGS� Sq.Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) !\ FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF 0 PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENT'S, 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 0 I y y s / 33 � 141 e D i✓ F c � e I/We certify that the proposed construction will conform to the d1mansi17ns and uses shown above and that no changes will be made without first obtaining approval. I AME(S) OF OWNER(S) OF SITE • STRUCTURE(a) (PRINT) SIGNATUR9 OF OWNERM O AU N RIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED `ICT AS NOTED DATE PgV07190 ____ WATT SUN version 4.2 •- SUMMARY REPORT Page 9. f�;, FILE : C:\WS4\SOC668.HSE -------------------------------------------------------------------------------- HOUSE IDENTIFICATION -------------------------------------------------------------------------------- Hou_.e ID: SG(;661-3 Utility : Mason County PUD No. 3 Address : RAINBOW LAKE LOT 4&5 Analyst : DF_HHE RA COKER Builder : SHEL.TON CONSTRUCTION Location : OL YMP I Al Owner : ; HELTON CONSTRUCTION Floor Area: 1182 f t2 QUALIFICATION CRITERIA ------- SUPER GOOD CENTS/ ' NORTHWEST ENERGY CODE REFERENCE: CURRENT PROPOSED ...._..._.__...-.._....._..__._._...-.__........_-_-._---.....__......_.-......._._..__.._......._._.......,..____._....-....._-_-..-._---_.--._._.......-- -_.._......_......_-_.---.--._.--..-_..._-- Therma l Performance ( Btu/hr-F. ;) 265 273 264 ; Energy Budget; ( kWh/f t2. yr:) 2.12 C.5 o 2.36 ; * QUALIFIES WASHINGTON STATE ENERGY CODE ALLOWED PROPOSED ; ..-_--__._,__.._.__.___.- -_.._...-..._..._...._.._..__.___...._.._..__._......_.....__.._-._.._.._- -....- -......._....._-,___.-.._-_...-__...__..-...-_-_.______.-_.-._-__---_ Chapter 4 ( 1.10. q71206 ; QUALIFIES x; �sx:¢:a c.:s+�s:wa.�:::=��•—=�csr..•:^.^�r—m::x:c-s.=r sT_:—c:y=-r:.=-:�.=--.^—�:;:~__:.a:_:r�,r_.esr�:Ma:z^..=a sam—:c=rsa.-=.u•cx:s s.xa��ae 4s HEATING AND VENTILATING SYSTEMS CURRENT PROPOSED -------------------------------------------------------------------------------- Heat i ng System Type Wall Mount Wall Mount Heat Pump Heating Season Performance Factor N/A N/A Heat Lead at 45 F design temp difference ( BTU/hr) 12387.7 11969.9 System Size at 150% Design Load ( kW ( k BTU/hr )) 5.5( le.5) Average Annual Space Heat Requirement ( k:Wh;/yr ) 3514 3213 Ventilation System Tyne NHRV: Integrated Spot & Whole House ECONOMICS CURRENT PROPOSED ---------------------------------------------------------------------------------- Incremental Construction Coca ------- 0.00 Projected Yearly Heating Cost 0.00 0.00 First Year Monthly PITI ( */month) 0.00 0.00 Average Monthly Heating Costs; #: t7.00 41. 0.00 FOTAL FIRST YEAR MONTHLY PAYMENT 0.00 0.00 30 year Life Cycle Cost 0.00 0.00 -------------------------------------------------------------------------------- Actual energy use will vary with climate, lifestyle, and construction.