The URL can be used to link to this page

Home My WebLink AboutBLD N/A SFR - BLD Application - 8/30/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON WASHINGTON 98584 L 6 427 9670 Q , &A-4/ DATE ISSUED tiq.5 'Avow tf//— 1Ssf7� PERMIT NO. OWNER NAME MAIL ADDRESS L CITY&STATE ZIP PHONE DIRECTIONS TO JOB SITE PARCEL - LEGAL ,/ NUMBER DESCR. �4' ,l/ Ke _"'!5 -dG7-- f 9 NAME MAIL ADDRE S CITY&STATE LICENSE WO. ZIP PHONE CONTRACTOR Mdi 11,15 q .7- .11-- 3 USE OF BUILDING e-Pi CLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK ` I BEDROOMS DECKS YOR N CARPORT NOTICE TOTAL SO.FT. DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. TOTAL SO.FT. __ CONDITIONING. NO.OF STORIES BASEMENT YOR,0 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. TOTAL SO.FT. A49 CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE ,A�2 ATTACHED SHORELINE x DETACHED 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. X 0WNEl ATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVENo DEPARTMENT YES No BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING f�l L FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION i �!` ') I /I I SJ C; SHORELINE �,.V �� WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE rPE,RMIT VALIDATIONTOTAL BY SH 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 AME MAILADDRESS CITYRSTATE /' ZIP ONE Y 1-6 DIRECTIONS n TO JOB�ITE 60 LEGAL a � DESCR. le-1ct ve h �,A/ems / lS CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE Jkiry/11//-` l , 1-145 f� a USE OF BUILDING -�s/'�^�t1 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 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 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISH WASHER 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 O �ININPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWNE ATE X BY DATE- FOR-OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION BY CASH CK MO PLOT PLAN ADDRESS NL'" =Z -7y i - tke Gj`di'l PERMIT NO. 0 0 • / s o LEGAL 4"-n !d'kkt' DESCRIPTION BLK ADDITION 'u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS �i 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 PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- m 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 m (� SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. N 2111_�,NDICATE NORTH IN CIRCLE liz i t -9 n ,1 l L JA U� to 3 1 D ` OIrvp W 4 G v 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. NAME(S) OF OWNER(V OF SITE S 3TRUCTUREUI (PRINT) 'SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE ------------------------------------------------------------------------------ -------------------------------------------------------------------- House ID: SGC577 Utility Mason County PUD No. 3 Builder : Location OLYMPIA1 | Owner : HERBERT HHNS1EM Floor Area: 1152 . 0- | / ========================= QUALIFICATION CRITERIA =========================== \ | | | SUPER GOOD CENTS/ | | NORTHWEST ENERGY CODE REFERENCE CURRENT PROPOSED | � ___________________-________------------------ | | -------------------------- � \ Thermal Performance (Btu/hr-F) 287 353 286 ) � | Energy Budget (kWh/ft2-yr) 2. 7J 4. 44 2. 83 \ | | * QUALIFIES * | | | | < | \ WASHINGTON STATE ENERGY CODE ALLOWED PROPOSED | \ --------------------------- | Chapter 4 (UO) 299 210 | . | | * QUALIFIES * | | | HEATING AND VENTILATING SYSTEMS CURRENT PROPOSED -----------------------------------------------------------------------------___ Heating System Type Wall Mount Wall Mount Heat Pump Heating Season Performance Factor N/A N/A Heat Load at 45 F design temp difference (BTU/hr) 16143. 6 12955. 0 System Size at 150% Design Load (kW (kBTU/hr) ) 7. 0(24. 0) 5. 5 ( 19. 5) Average Annual Space Heat Requirement (kWh/yr) 5878 3747 Ventilation System Type NHRV: Integrated Spot & Whole House ECONOMICS CURRENT PROPOSED _______________________________________________________________________ Incremental Construction Cost ------ $ 0. 00 Projected Yearly Heating Cost 0. 00 0. 00 First Year Monthly PITI ($/month) $ 0. 00 $ 0. 00 Average Monthly Heating Costs --------------------------- TOTAL 0. 00 ____$_____ _ TOTAL FIRST YEAR MONTHLY PAYMENT $ 0. 00 $ 0. 00 � ;0 year Life Cycle Cost $ 0. 00 $ 0. 00 ________________________________________________________________________________ Artual energy use will vary with climate, lifestyle, and construction. Economic and energy use estimates should be used for comparative purposes only. � �� ---------- � �� -- _ _ _ .