HomeMy WebLinkAboutBLD N/A SFR - BLD Application - 11/10/1987i
BUILDING 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&STATE ZIP PHONE
Jay-
DIRECTIONS
TO JOB SITE �� y
l dAlr. #
PARCEL LEGAL /�
NUMBER .2 -2 DESCR. :g '7 c 3.
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING -SeDiU
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS vz- DECKS CARPORT NOTICE
s� ,, Fl11?� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS ✓� TOTALSQ.FT. r�u_, GARAGE CONDITIONING.
NO.OF STORIES -2- BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
n ) COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE A.
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION
HEALTH 1�- _ PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT �1
D.O.T. BUILDING PLAN CHECK OCI
SPECIAL CONDITIONS BUILDING GROUP I PRE-INSPECTION
020' ."xi 1-10•.� SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY P ISS CE PERMIT VALIDATION
��. Y L CASH 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.
OWNER NAME' MAILADDRESS CITY&STATE I ZIP f` E
,�
DIRECTIONS
TO JOB SITE
LEGAL
CONTRACTOR NAME AILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING ,l
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS ,� FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS 1 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 G 5'99--�
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT, WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE _ X BY - DATE
FOR OFVIQf U E ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUIL GR APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO
- - ARCHITECTS KLAASSEN/DALKE, AIA
P. 0. BOX 1306 / 203 RAILROAD AVE.
SHELTON, WASHINGTON 98584
(206) 426-2550
DATE October 27, 1987
NAME Allen R. Cunningham
ADDRESS 415 Robinwood Dr . N.E. , Bainbridge Island , WA. 98110
PROJECT ADDRESS Erickson Lake Co. Rd . , Mason County, WA
H E A T L 0 S S C A L C U L A T I O N S
MAIN FLOOR AREA 708 S.F.
SECOND FLOOR/LOFT AREA 312 S.F.
BASEMENT FLOOR AREA (If applicable) N/A S.F.
MAIN FLOOR VOLUME 5, 664 C.F.
SECOND FLOOR VOLUME 2, 496 C.F.
BASEMENT FLOOR VOLUME N/A C.F.
WALL AREAS : MAIN FLOOR 856 S.F.
SECOND FLOOR 508 S.F.
BASEMENT N/A S.F.
WINDOW AREAS : MAIN FLOOR 108 S.F.
( 10% of wall areas)
SECOND FLOOR 32 S.F.
BASEMENT N/A S.F.
ROOF AREAS 1 , 020 S.F.
DOOR AREAS 40 S. F.
INFILTRATION (NUMBER OF AIR CHANGES PER HOUR) 1 .5
INSIDE TEMPERATURE 70OF
OUTSIDE TEMPERATURE 240F
D4a/b18
Page 2 - HEAT LOSS CALCULATIONS
1 . HEAT LOSS THROUGH AIR LEAKS
Q1 = . 018 x V x AT x ACH
(constant) (volume) (temp. difference) (air changes)
.018 x 8, 160 x 46 x 1 . 5
10, 135 BTUs/hour
2. HEAT LOSS THROUGH WALLS
WALL COMPONENTS - MAIN FLOOR
Qc = A x AT Inside Air Film 0. 68
R Gypsum Board 1 /2" 0.45
Insulation R-19 19. 00
= 856 x 46 Exterior Sheathing 1 /2'�Celotex 2.43
23.41 Exterior Siding 1 /2'=—PW _ 0. 68
1 , 682 BTUs/hour Outside Air Film 0. 17
TOTAL 23.41
WALL COMPONENTS - SECOND FLOOR
Qc = A x Q T Inside Air Film 0. 68
R Gypsum Board 1 /2" 0.45
Insulation R-19 19. 00
508 x 46 Exterior Sheathing 1 /2" Celotex 2.43
23.41 Exterior Siding 1%2'r—PW 0.68
998 BTUs/hour Outside Air Film 0. 17
TOTAL 23. 41
WALL COMPONENTS - BASEMENT
Qc = A x T Inside Air Film
R Gypsum Board
Insulation
= Exterior Sheathing
Exterior Siding
N/A Outside Air Film
TOTAL N/A
3 . HEAT LOSS THROUGH ROOF/CEILING
ROOF/CEILING COMPONENTS
Qc = A x 4 T Inside Air Film 0. 68
R Gypsum Board 5/8" 0. 56
Insulation R 38 38. 00
= 1 , 020 x 46 Exterior Sheathing 1 /2" PW 0.68
41 . 15 Roofing 15# Felt + Cedar Shakes 1 . 06
= 1 , 140 BTUs/hour Outside Air Film 0. 17
TOTAL 41 . 15
D4a/b19
r f"
Page 3 - HEAT LOSS CALCULATIONS
4. HEAT LOSS THROUGH FLOOR
FLOOR COMPONENTS
Qc = A x Q T Inside Air Film 0. 68
R Floor Covering 0.05
Underlayment _ -0- 0.00
708 x 46 Sub-Floor 3/4" T&G (PW) 1 . 05
31 . 95 Insulation R-30 30. 00
1 , 019 BTUs/hour Outside Air Film 0. 17
TOTAL 31 . 95
5 . HEAT LOSS THROUGH GLASS
GLASS COMPONENTS
Qc = A x d T Insulated glass (double) ,
R Class 60 with electric
resistance. 1 . 82
140 x 46 TOTAL 1 .82
1 .82
3, 538 BTUs/hour
6 . HEAT LOSS THROUGH EXTERIOR DOORS
DOOR COMPONENTS
Qc = A x Q T Solid Core Doors TOTAL 2. 78
R
= 40 x 46
2. 78
662 BTUs/hour
TOTAL ESTIMATED HEAT LOSS 19, 174 BTUs/HOUR
N/A = Not Applicable.
All above based on drawings received 10/23/87 and components
shown above. If all above requirements are met, this
residence will conform to Chapter 4 of the State Energy Code .
Should you have any questions , please let me know.
Sincerel ,
H rold E. Dalke , AIA
HED/ph
D4a/b20
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Courthouse Annex 2 N. Fourth & W. Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 426-5593
building environmental health maintenance parks&recreation planning sewer&water
March 17, 1988
Allen Cunningham Re; Building Permit
415 Robinwood Drive
for Residence _
Bainbridge Island, Wash. 98110
SECOND NOTICE
Dear Mr. Cunningham:
Some time ago you made application through this office to
obtain a building permit. Please be advised the permit is
ready to be issued and can be called for at this time.
If you are unable to call in person, a check in the amount of $ 321.50 can be sent to us and we will return your
permit by mail.
This permit becomes null and void if not called for within
180 days of the date of application.
We hope to hear from you soon.
Sincerely,
Evelyn Fuller —
Receptionist
We would appreciate hearing from you as to your intentions
concerning this permit.
I
-'`"- MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Courthouse Annex 2 N. Fourth & W. Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 426-5593
building environmental health maintenance parks&recreation planning sewer&water
January 14, 1988
Allen Cunningham
415 Robinwood Drive
Bainbridge Island, Washington 98110
Re: Residence Permit
Dear Mr. Cunningham
Some time ago you made application through this office to
obtain a building permit. Please be advised the permit is
ready to be issued and can be called for at this time.
If you are unable to call in person, a check in the amount
Of $ 321.50 can be sent to us and we will return your
permit by mail.
This permit becomes null. and void if not called for within
180 days of the date of application.
We hope to hear from you soon.
Sincerely,
Evelyn Fuller
Receptionist
......... .
MASON COUNTY DEPT. OF GENERAL SERVICES TELEPHONE
Environmental Health Division (206) 426-5561
303 NORT,'i 4th ST. - P.O. BOX 186
SHE L'TON, WASH I NGTON 98584 12021
�.� " DATE:
WATER PROG 346.52 FEE FOOD PROG [cont-1 FEE LIV. ENVIR. 346.58 FEE
1 Well Sites 29.00 4 '' (100 seats) 75.00 1 Pools (seasonal) 50.00
2 Water sys plan review 100.00 5 Other (1-50 seats) 100.00 2 Pools(year around) 200.00
3 Water system surveys 100.00 6 Other (50-100 seats) 150.00 3 Prelim plats 250/5 @
4 Loan approvals (+,59) 40.00 7 Other (100+seats) 200.00 4 Final plats * 50.00
5 Daycare/fst hm (t.59) 50.00 8 Banquet rooms 30.00 5 Short plats * 65.00
SOLID WASTE 346.53 9 Catering 40.00 6 Pre-school inspection 40.00
1 Landfill 850,00 10 Itinerant 7 Elementary schools 100.00
2 Transfer stations 60.00 per day 10.00 8 Middle schools 150.00
3 Other sites 100.00 per 3 days 25.00 9 Nigh schools 175.00
LIQUID WASTE 346.53 11 Taverns 45.00 10 Plan review
1 Sewage system repair 25.00 12 Cert. grocery-deli 40.00 11 Camps (fixed) 35.00
2 Sewage system per t 75.00 13'Grocery-deli 50.00 12 Other camps 50.00
3 Large system reviews 4 Bed-and-Breakfast 25.00 BACT. SAMPLES 345.59
4 Comm sys reviews 125.00 15 Groceries (9+ck stud) 80.00 1 Lab test_ 11.00
5 On-site management 125.00 16 " (4ck stud) 25.00 2 Special coil. fee 10.00
6 Loan approval 40.00 17 " (5-8 ck stnd) 50.00 3 Serial Dilutions 17.50
7 Installer test fee 44.00 18 Bakeries 75.00 MISC. 346.79
8 Installer annual fee 58.00 19 School kit (1-50) 75.00 SPEC. PROJ. 346.80
9 Designer's test fee 100.00 20 School kit (50-100) 100.00
10 Designer's annual fee 58.00 21 School kit (100+) 150.00 When sewage system
11 Pumper's annual fee 35.00 22 Mobile restaurant 75.00 permit inspection is con-
12 Late permit fee 25.00 23 Produce stands 25.00 ducted simultaneously
FOOD PROG. 346.56 24 Confections 25.00 with the plat inspection,
1 Food handlers 2.00 25 Meat / fish market 50.00 the sewage system per-
2 Cert. rest (1-50 seats) 40.00 26 Plan review 50.00 2$75to
!$25!per
rsyst2frn-
COMMENTS: m
3 '' (50-100 seats) 50.00 27 Late per fee 20.00, J
c)Q dry
Received From DUI TOTAL CHARGE
�_. TOTAL PAID f
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