HomeMy WebLinkAboutBLD18437 Kitchen Enlargement - BLD Permit / Conditions - 3/27/1986 TYPE ENLARGEr1ENT
Permit No. 18437 No. Floors Sq Ftg
Owner LEGGETT, Jim Tel 898-2325 Date 3-27-86
Address E 9892 Hwy 106 Union Zip
Contractor Self
Address Zip
Legal Description Little Paris Tr. 7.8 & W-1/2 of Tr. 9
Direction to project site
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
MOVING 2 WALLS, ELIMINATING 1 WALL
Shorelines:
Setback:
Special Conditions :
Footing:
Setback:
Foundation Wal s:
Framing:��S �S-
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final : ;((
Mobile Home:
Smoke Detector:
Remark/s:�,�,
Noe o su mi ee for
reinspec ion sent
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. X(, 2
OWNER AME M ADD CITY&STATE IP PH NE
_677Z 06 0 AJ10 Z
DIRECTIONS
TO JOB SITE
LEGAL �--y� d (❑ SEE ATTACHED SHEET)
DESCR. IZE / �. 7 ,�rz F' Iv/2- / /C Af T.
NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
CONTRACTOR •C -�
USE OF o•�
BUILDING
Class of work: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Descri bp work: 11
EX) S 771V ,�— IiV L L d
0�
Valuation of work: $ _ �p PLAN CHECK FEE PERMIT F
40
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED 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
I certify at I am a currently registered contractor in WORK IS COMMENCED.
the St a of Washington and I the
aware of the FOR OFFICE USE ONLY
ordin ce requirements regulating the work for which
the Ormit is issued and all work done will be in
cOn ormance therewith. PERMANENT SHORELINES
SEASONAL (] FLOODPLAIN C
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT. a
w 'ch this permit is iss ed and that all work done will ROAD ACCESS
e ' conformance re h. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
0 e Date BYjp .3
PLAN CHECK VALIDATIO CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING {
i
PLOT PLAN
ADDRESS l_ [6l,? 2— PERMIT NO. f o
= o
n >
a o
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA 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
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION Pl"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'
JI
r
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.
7tct
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) IGNA E F° NER( UTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW T lS LINE
APPROVED i
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING