HomeMy WebLinkAboutBLD93-0236 Church - BLD Permit / Conditions - 3/12/1995 CONCRETE MECHANICAL MOBILE HOME
Footings-SetUKk date (O- �j by Ribbons
date t>I o Nib by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/S /B I ulati nP,.- - Floors Final
a
date by date by date by
FRAMING Walls FIRE DEPT.
date (,). by date —y date by
PLUMBING OTHER
Groundwor Attic
date 2- b date by
D.W.V. WALLBOARD NAILING',6'
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
t
C tJ 1 i - 1-�) 1 N C3 PERM 1 -r -7 _ FOR F NSPFCT I ONS CALL 427-9670
BETWEEN 5pm AND Sam 427-7262
R1_1393-0236 PARCEL : 12220340444 0 PLAT - D 1 V z BLK : LOT :
JOB ADORESS : F 280 W1HEEL.WH I(Ai t ST At L YN
Yt OWNF'R : DIOCESE: OF OI YMPIA 275--5130
CONTRM'TOR :
LEGAL : TO 14 OF S112 SO I GOVI 107 A tX SFE SP! 2541 E 280 1NFELR11GN1 ST
� r
- �as�asss�oa•—•..w�rass�c-_� cr
CLASS OF WORK. . . :NFW BEDR : N BATH : 3 IYPE AMOUNT BY DAIF RECEIPT TYPF AN011N1 BY DATE RECFIP)�
TYPE OF USE . . . . :COM STORIES . . . . . . . .2 - .s�__`r Wiz•>= x : ter_-:: . .:.,:-- _-A _.::� .-
OCCUP . GROUP . :7 BLDG . HEIGHT - t O .Oft PONT 1 753.00 TV 09113194 37162 ENFE ! 0.00 11 09/13194 37162
TYPE OF CONST . . :7 FIREPLACES . . . . . 0 Pt CC ! 489.45 TV 09113/94 11162
OCCUP . LOAD . . . . . N WOOT)STOVV S . _ : 0 PLN t 54.00 TN 04113194 37162
UWEL.L .UN I TS . . . . : 0 PARKING SPACES : 0 NCR $ 54.00 11 09113/04 31162
INSPFGT ION AREA. : 4 SHOREA INE? . . . . =N Siff t 4.50 IN 19?13194 17162 TOIAt: 1354,45 VAIUTAiION; 219660
- =F::)�'�T '1-'dS1iSTSL1ifL3,2^�•-S-'�'�. .-.^'-..'dStQ6�'•L,.L%CliCJR'•at'ii{�.S.'..'+rJE']Ti.i4': 'In
TO TOIL.E:TS.. . . . . . : . . . : 3 FUEL TYPES- --- --_-- BOILERS/COMP------- MOBILE Hr1MF--
FRONT . . N 0 .0ft BATH IIASINS . . . . . . 0 • /ELC/ / i s 0--3 HP . : 0
f REAR . . . .E 0 .Oft BATH TUBS . . . . . . . . : 0 3_. 15 HP , : 0 MODFI_ :?
SIDE ( 1 ) .W 0 .Oft SHOWER&_ . . . . . . . 0 FURN 100K RTU c 0 15--30 IIN . : 0 •-MAY+ _
SIDE(2 ) .S 0 .Oft W,ATF.R .HF ATERS . . . . : 1 FURN a-100K. BTU : 0 30-50 HP . : 0 7
SHRL I NF .? 0 .Oft CLOTHES WASHERS . . z 0 FURN - FI OOR . . . . 0 r HP . : 0 YEAR - _- . �
AREA --- --- - - ---- - -- KITCHEN SINKS . . . . : .5 HFAT PUMP .. . . . . . : 1 ?
• LOT S17F . . z7 FTOOR DRAINS . . . . c 1 VENT SYSTEMS . . . : A FVAP C00L-FNS : 0 I- FNGTH : 0
$(JILT}ING . . . z 3202sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 6 HOODS . . . . . . . 1 1 WIDTH . : 0
BASUMFNT . . . z 1404st LAUNDRY TRAYS . . . . : 0 DOMES . 1 NC I N :0 :'-
` DECKS . . . . . . : Ost DISHWASHERS . . . . . . : 1 AIR HANDLING UNITS--- COMML . 1NCIN :0 ?
i GAR/CARP :? N:::f GARR ISPOSALS . . . z 0 r. 10000 oft . : 2 RELOC/REPAIR : 0
AT/DT . :? URINArS . . . . . . . . . . : 1 r 10000 cfm . : 0 OTHER UNITS . .. 0
v M I SC- PL.M FIXTURES ; 1 OAF+ OUTI_E TS . : 0
t�s v--was'�c'ss..'::.ass.!-zs.v.ass�... - -czs¢acvcaas-sax^:aacs�r�r—.-•--..•-,svnwA-.u�u�rcar�s::sic.-_•x-.aria.-.r.-:..:-cm:::ac.,=rt:.a�sms.cs�rz:s.=*-..,^^•�••�••••-ss�rssc�xscs:z:�csaa^.,:rr.x-caanr_-�•r::�uxzr.��ssc:r..u:s;r.
iPROJECT OE3CRIPTION;CHURCH `
PROJECT IOCATIONztAKEIANO DRIVE 10 NHEELRiGHT AND 10 Slit (E01 286 IHEE(A16NT) IN M tYO
THIS PERMIT PF.CONES Nllt AND VOID IF WORT( OR CO.ASflUCTION AUTNORItEI IS NOT COMMENCE$ WITRIA ISO DAYS OR IF CONSTRUCTION OR 100t; IS SUSPFNOFO FOR A PERIOD
OF 180 DAYS AT ANY TINE Af1FR WORK IS CONWICE6. EVIDENCE OF CONIINIATION Of WORK IS A PI06AESS 11SPH 110N 111011 THE 180 DAY PERIOD. FINAI INSPECI(ON MUST BF
APPROVER 6FF01E 6011.11116 CAN OF OCCUPIED,
t41119 OR AGENT: _._.. DATE:
8t O Fill. rev; 03131191 y COMPLIANCE TO AT CACHED CONDITIONS IS REQU t IiED
CONCRETE MECHANICAL MOBILE HOME '
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
�h-
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PFRU4 1 `r C ND 1 -►- I C3NS
Case No . : BLD93--0236
For , DIOCESF OF OLYMPIA
Page : 1
1 ) F IRF MARSHAL C:OMMUNTS ;
1 . THE FIRE: FLOW RFOUIREME:NT FOR A 4600 SQUARE FOOT TYPE V 13(111 LING IS 17,50 GPM FOR p
HOURS AT 20 PSI RESIDUAL .
2 . IF THE RFOUIRFD FIRE Ft.OW CANNOT BE. ACHIEVED FROM THE EXISTING ADJACENT HYDRANT
SYSTEM, THE FOLLOWING OPTIONS ARF AVAILABLE TO MEET THE INTENT OF THE FIRE FLOW
REOUIRE:MENTS :
A . UPGRADE CONSTRUCTION TO TYPE V-ONF HOUR , WHICH W}ILi_ ° REDUCT FIRE FLO
:REQUIREMENTS TO 1500 GPM .
3. . IF THE EXISTING ADJACFNT HYDRANT SYSTEM CANNOT S PPOEE 1500-,GP M. OM, A
FURTHER PT I ON IS TO PROVIDE AN NFPA 1;3 SPA I NK Efi TEM 1,.4ON 1 TOR I) `R A UL. APPROVED
CENTRAL. RECF 1 V I NG STATION, PROVIDING THAT THf� IS
STIFF I C I FNT WA A I L ABI.E F"ROM
THE EXISTING HYDRANT SYSTEM TO SUPPLY THE SPg�tN DEMAND F T TYPE OF BUILDING .
4 . THE EXISTING ADJACENT HYDRANT SYSTF� SHAL k FXTENDEI7 TO P V!DE AN ON 1 TF
HYDRANT AS NOTED ON SHEET C--2 . '\ .`
5 FIRE LANES SHALL BE MARKED AS NOTED- - HEFT C-2 AND SHqI GOKu PIY WITH MASON COUNTY
STANDARDS .
ti FIRE EXTINGUISHFRS,. tMiTEp FX �, ANC FMI=RGER( {GHTS S I. F� LOCATED AS
= *1'ED OW SHEET A-t-4 HEET ME-1 (_
K I TCHEN F TOVF SHALL PROT EC'TL BY A CLASS 2 F600b,—AND F,?`X�)l.,,,, KIRE PROTECTION
sYSTEM .
2 ) PRIOR TO f 1 NA1. I NSPLCT- 1 SUBMIT A L. i GH't i G SCHE E)Ul_F AND R . ORT DFTA 1 L I NG MECHANICAL
SYSTEM VFRlFY {NG 1991 WASH . STATE ENERGn PF -THE
TtLATfON CODE COMPLIANCE
3 ) FIRE MARSHAL COMMENTS : 7�AFRIATU
1 . PROVIDE A MINiMUM 20 FOOT WIDE LLF Ik .�� S ROAD FROM THE CLOSFS1 COUNTY
MAINTAINED ROAD TO WITHIN "0 FEE0�4'F ANY PORTIO EXTFR i OR WALLS OF THE BUILDING .
I
--- --.---------------- ------------------------- ---�
CONCRETE MECHANICAL MOIDILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
I
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
_ i� � i ,.'i ,.,i. � itlii li'i� it•� .:1�: 71•li i �!•):
is
s
CONCRETE MECHANICAL MOBILE HOME '
Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
L
s
Permit No.BLD
MASON COU=
BUILDING PERMIT APPLICATION P_VA3-02
PLEASE PRINT
#1 Owner Pl U_15,Sf� 69 -- cM i4 o Phone# 21� "51S0
Site Address 4
City Lip N St VIA . Zip
Directions to Job Site ,
-i W'
Owner Mailing Addres 0-mapIP,4i; . ISWICf 12?9p W" 302, tSeL-r__Aiy_ AVG2b
City e_ T St7 -r&00V9zip 6%b2-
Lien/Title Holder
Address
City St Zip
#2 Contractor Name(M2T 96u_-5G4e Contractor Reg#
Address Expiration date
City St Zip Phone
#3 If septic is located on project site, include records .
Connect to Septic? Public Water Supply_ Well
(If residential, proof of potable water may be required)
0
4 P 2 -BB'{'�'8 � --i I
# Parcel No. ��2 ��' �I
Legal Description FA' V G V1te SE I/+ CwTI, S 5W 114 � MtT oz &v. I,wk
3 IN eX,(, JA.1 -tau N ?1L i�rvt� 2 W. KA
#5 Building Square Footage: (existing/proposed)
1st Fl / 19SO22nd F1 / 3rd F1 / Loft /
Basement /1404 Deck / #bedrooms _ #bathrooms__
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft /
#6 Use of building Gk}Lk&- ! . Describe work LPAV C�
Voop
#7 Type of Job: New YN Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#8 MOBILE HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other
r Show following on the site plan
s I
iLot Dimensions Flood Zones
; Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
( Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Scale:
Nate of Fronting Street Date:
-=APPLICANT TO DRAW SITE PLAN BELOW
lti1GL C) D
�t
�I
i
f--.UPLICANT TO DRAW TOPOGRAPHY PROFILE BELOCL-
;I
t
i
Plumbing Fix�ures ($2• each) Fee Fee
No. Toilets Vent Systems X 3 . 00
Bath Basins "a Vent Fans X "" 00 i `!
Bath Tubs No. Boilers/Compressors
Showers 0-3 HP 6 . 00
Hot Water Htr 3 - 15 HP 6 . 00
Laundry Washer 15-30 HP 6 . 00
r;:2 Sinks I L 30-50 HP 6 . 00
Floor Drains 50 + HP 6 . 00
Laundry Basins No. Air Handling Unit
Dishwasher _ 2 <= 10000 cfm. .7 . 50
Disposal > 10000 cfm. 7 . 50
Urinals Other
Other ►� SIW� _ Evap Coolers
Hoods
Permit Basic Fee r� 0 Fire Suppression --
TOTAL PLUMING $ Domes . Incin.
Comml . Incin. 1
Reloc/Repair 6 . 00 1
Mechanical Fixtures Gas Outlets X 2 .00
No. Fuel Types Woodstove separate
Furn < 100K BTU 6 . 00 Other
Furn >= 100K BTU 6 . 00
Furn - Floor 6 . 00 Permit Basic Fee r6:60
x Heat Pumps 6 . 00 TOTAL MECHANICAL $ ��
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
f
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
i
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCN 18.27 AND AM AWARE IN THE STATE OF WASHINGTON AND 1 AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FI ST 0 TAI ING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X 0 j. X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427 -9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by: Date.
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning
� 2
Environmental Health: ,
Building Plan Review: �9a3
Occupancy Group:�rZ;2 2
ire Marshall : c
Other:
l
FEES
"" I pecial Conditions: II llsite Inspection hvironm"/ I o,od II
II I' "L"a)-� it
II II IlBuilding Permit 176�j' l 11
it 11
II 11 11Violation Fee I II
II 11 I I
II 11 11Violation Investigation Fee I II
H II I �5 I
!I 11 IlPlan Check I ll
II 11 G 'I
II 11 11 Plumbing Fee
II II I'
II 11 11Mechanical Fee
II 11
II 11 Ilwoodstove Fee I II
II 11 1 I
II 11 IlBuilding State Fee
IlBuilding Valuation: , lq,tgun4 II 11 TOTALI13Sy f
�tif
Michael Byrne RAD.
Mason County Department of General Services SEP 1 S 1995
P.O. Box 186 1ENERALSERVICES
Shelton, WA 98584
Dear Michael:
First let me thank you for your assistance in our meeting today with
Commissioner Faughender. Consistent with your counsel this letter is to
request the following two items with regard to our new church building in
Allyn:
1 . That our use permit for the basement area be changed to include not only
storage but also two classrooms for our Sunday School children.
2. That in lieu of the handicap ramp shown on the plans, we will provide three
Sunday School areas, two in the basement and one upstairs in the area which is
handicap accessible. Any children who cannot use the stairs will meet with
their class in the upstairs area.
Please advise us of the additional cost for the change in use permit and we will
fill out the appropriate forms.
We appreciate your help in our ongoing process of building a church for a
growing and changing community.
Sincerely,
G� 0 car
The Rev. Robin Moore
Vicar, St. Hugh Church
Phone: 275-8446 FAX 275-8861
MASON COUNTY
DEPARTMENT of GENERAL SERVICES p
Mason County Bldg. III 426 W. Cedar u
P.O. Box 186 Shelton,Washington 98584 �� `
(360)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
December 14, 1995
Rev. Robin Moore
Diocese of Olympia
E . 280 Wheelwright St .
Allen, Washington 98524
Ref : Installation of showers in basement
B1d93-0236
Dear Rev. Moore :
The modifications to the handicap accessibility to this
structure has been agreed upon in terms of the lower and upper
floor areas . Your request to place showers in the lower floor for
limited and emergency use can also be considered under the same
agreement as allowed in Section 1101 .5 Modifications, Chapter 11,
Accessibility of the Washington State regulations .
The configuration of the shower stalls should be such that
they can meet the code through modification if necessary. (See
enclosed illustration of Section 1106 . 11 . 10 . 1 Configuration) . The
minimum reguirement under this section would be a 36" x 36" shower
stall with a seat .
Please contact me if you have any questions regarding the
enclosed information.
Sincerely,
I
Mike Bye, g Byrne, Building Of
ficial
CC : permit file
I
Page No. 1 DNCAStESTORY FOR CASE NO.: BLD93 0236
DIOCESE OF OLYMPIA
E280 WHEELWRIGHT ST ALLYN
04/12/95 ; Is
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
BLDA010 Application received / / / / 03/05/93 04/21/93 DLS
BLDA500 (F) Issue building permit / / / / 09/13/94 DONE KS 09/13/94 TW
BLDA600 File Possession / / / / 01/31/95 FILE IS IN ALPH READY TO BE ISSUED AGAIN ATTN CPH 01/31/95 CPH
FOR REVISIONS. NO NEED TO RE-ISSUE JUST
GIVE CUSTOMER NEW SET OF PRINTS WITH
CHANGES.
BLDA900 Telephone call / / / / 12/19/94 Jim Kasczmarek from Snodgrass, Freeman TLG 12/19/94 TLG
Assoc at 851-8383 will be submitting
minor revisions
BLDA900 Telephone call / / / / 02/27/95 upper slab, gave builder ok to cover PEND DH 02/27/95 DWH
insulation, per
photo only three peices of insulation.
BLDB009 Fire Marshal Review 04/21/93 / / 04/21/93 COMMENTS UNDER CUSTOM CONDITION DONE DLS 04/21/93 DLS
BLDB110 Structural Plan Review 03/23/93 / / 05/19/93 DONE DH 05/19/93 FVC
BLDB110 Structural Plan Review 01/18/95 / / 01/31/95 REVISIONS HAVE BEEN DONE AND APPROVED. DONE WLC 01/31/95 CPH
WLC
BLDB120 WSEC Compliance Review 05/19/93 / / 05/26/93 WILL SUBMIT DONE DC 05/26/93 DLC
BLDB130 Planning Review 03/05/93 / / 04/28/94 Sent letter requesting environmental DONE GBM 04/28/94 TLG
checklist and sent copy of blueprints to
Public Works Dept. on March 19, 1993.
return applications to Planning when
building review or env. health review is
completed. Thank you. Grace
11/5/93 Issued SEPA - DNS.
11/22/93 Received comments from Public
Works stating that the stormwater plan
is inadequate and amount of parking
stalls inadequate.
11/24/93 Received comments from DOE.
Sent comments to Jeanette Moore.
Will hold permit until compliance with
Public Works requirements is completed
j per letter dated Nov. 18, 1993 from
Allen Tahja.
' Done 4-28-94
BLDB200 Environmental Health Review 05/26/93 / / 06/04/93 Sent letter need design. HOLD MMT 06/24/94 CAJ
IN DESIGN--WILL SUBMIT
BLDB200 Environmental Health Review 04/28/94 / / 05/03/94 gave file to Brent for septic record HOLD CAJ 06/24/94 CAJ
search
BLDB200 Environmental Health Review 06/24/94 / / 06/24/94 still need septic design HOLD CAJ 09/12/94 HLS
BLDB200 Environmental Health Review 09/12/94 / / 09/12/94 Per John Dennison, septic system design DONE HLS 01/31/95 CPH
has been reviewed and approved for this
site.
FILE IS WITH JOHN FOR SIGNATURES ON
SEPTIC DESIGNS - HS
Page No. 2 CASE HISTORY FOR CASE NO.: BLD93-0236
DIOCESE OF OLYMPIA
E280 WHEELWRIGHT ST ALLYN
04/12/95
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
BLDB210 Water Adequacy 06/04/93 / / 06/04/93 Sent letter HOLD MMT 05/03/94 CAJ
WILL SUBMIT
BLDB210 Water Adequacy 05/03/94 / / 05/03/94 per Harry Walden, DOH -- Allyn Shopping HOLD CAJ 05/03/94 CAJ
Cntr. Water System, ID# 01695a, is NOT
APPROVED.
Approval for the plans of the water
system was granted in 1984 but revoked
on 12-23-87 because no construction
approval report was submitted. Another
Letter was sent to the water system on
7-14-93 stating that the water system
was not approved and to provide the
required docomentation necesary to get
the system in compliance.
BLDB210 Water Adequacy 06/24/94 / / 06/24/94 approved per letter from Simon Tung, DOH DONE CAJ 06/24/94 CAJ
BLDC110 Footing inspection 01/09/95 01/10/95 01/10/95 REMOVE WATER FROM FORMS,REMOVE MUCK OUT PASS DH 01/10/95 DWH
OF FORMS.
BLDC111 Footing/Foundation Wall Inspct 01/19/95 01/20/95 01/20/95 PASS DH 01/20/95 DWH
BLDC116 Below Grade Insulation 02/14/95 / / 02/15/95 Upper area slab insulation OK only. PART DPB 02/15/95 DPB
BLDC120 Underground plumbing insp. 02/21/95 / / 02/22/95 PASS DPB//�� 02/23/95 DPB
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
WU► N t�I+'h 11'gk+i !a X.Vti�c�U�
Z 3 I mY ck1 h�j - o L �- J-�fa: A
A, 6 ! a'R'WA C"AA k
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
21"Make corrections, items will be checked on next inspection
❑ OK to
Department - =
Date 1 - - -b Ins ector`
�
■ so * NnT M4 *V THUmb, T' ,* M'
THIS PARCEL
INCLUDES
PLANS, BLUEPRINTS
OfR OVERSIZE
IMAGES
LARGE FORMAT
IMAGES HAVE BEEN STORED IN
FILE CABINETS) UNDER
PARCEL NUMBER
Daly 1
PARCEL # -
CASE #