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HomeMy WebLinkAboutBLD19168 Addition - BLD Permit / Conditions - 8/19/1986 TYPE ADDITION Permit No. 19168 No. Floors I Sq Ftg {}_ Owner CHRISTIE, E.B. Tel943-4631 Date 8-19-86 Address 1710 S Sylvester Olympia Zip Contractor Address Zip Legal Description Merrimount Bl. 1, Lot 1 Direction to project site 2.5 mi. East of Alderbrook Inn to Merrimount Drive turn rt 16t to Lot 1 Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other Extend living area 10' / zel-/+0 Shorelines: /v,4 Plumbing: Setback: Mechanica : Special Interior: Conditions: FINAL: .31f?8 c Mobile Home: Smoke Detector: Remarks: Footing: �+�/0 G Setback: Foundation Walls: Framing: 3 �3 8� Fireplace: Wood Stove: BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 ,✓ �i 426-5593 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER Mrs. E.B. hristie 1 10 S. Sylvester, Olympia, WA 98501 206 4 46 1 DIRECTIONS I TO JOB SITE 2. 5 mi east of Alderbrook Inn Hif)tway 106 to Merrimount Drive turn right hill, turn left to Lot 1 LEGAL DESCR. "Lot 1 Block 1 Merrimount Addition NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR Owners Representative _ USE OF BUILDING Summer Cabin GY�✓� T/!J/7 CLASS OF NEW X ADDITION X ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK Extend Living area 10' to the north of existing structure. BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. GARAGE ._ CONDITIONING. NO.OF STORIES 1 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 TOTALSO.FT. 200 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTERWORK IS COMMENCED. PERMANENT SHORELINE SEASONAL r OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRA ON 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI G APPROVAL FROM THE BU ILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X O NER � DATE 8-7-86 X BY DATE �. FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION /� y YES NO YES NO V / -40 HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 6;x. D.O.T. BUILDING �� PLAN CHECK pZ j SPECIAL CONDITIONS BUILDING GROUP 3 PRE-INSPECTION ® .�� / �C� SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHE K BY APPED FOR ISSUANCE PERMIT VALIDATION � TOTAL �� ` BYv CASH CK MO PLOT PLAN ADDRESS PERMIT NO. 4 0 = a 11 D A OO LEGAL DESCRIPTION LOT 1 BLK 1 ADDITION MerrilnOLrit u SITE AREA 31800 Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS boo 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- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA. TION A"'D 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' ofos - R n TtCNN 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. 9 Mrs. Elmer B. Christie NAMEIS) OF OWNERS) OF SITE h STRUCTUREM (PRINT) I NATURE O OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BIEL THIS LINE APPROVED DATE DISTRICT ASNOTEDD-/�- SHELTON PRTNTIN� I