HomeMy WebLinkAboutMIS96-0344 Pre-Inspection - MIS Permit / Conditions - 5/30/1996 .. _ MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
M I !S1 C, F U. L A N E 0 A-P '-3 p"FE FA m 1 -1, FOR INSPECTIONS CALL 427-9670
MIS96-0344 PARCEL : 123294300190 PLATs D I V : BLKi LOTa
JOB ADDRESS : HE 23632 STATE HWY 3 BELFAIR
APPLICANT : ERNEST ARIES 275-2720
OWNER URNEST ARMS 275-2720
LEGAL i TO fq Of $1 SE
PROJECT DESCRIPTION -
PRE- INSPECTION
PROJECf LOCA110N .
INSTALL GAS FURNACE, DROPPFD CE11, 1616 AND NEW SHFUTROCK, FRONT AND BACK DOORS .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
PRIM 25 .00 KS 05/30/96 42043
TOTAi. 25 .00 OWNER OR A G-V N I -'bATt
MIS FRIT, rev? #41#119? COMPI. IANCE TO ATTACHED CONDITIONS IS
REQU I FIEO
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 Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING An,c by OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
PERWi 1 T" 0C3N0 1 T' 14DNE
Casa No , e MI S96-0344
Fort ERNESI AR IFS
Page , 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTIOV 305(C ) AND, SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBIE FROM THE S1REFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RF I NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO PEOUESTING
INSPECTIONS .
X
MIS ib 34
MASON COUNTY p � @RRWR[yj
PRE-INSPECTIONAPPLICATI
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 MAY 2 9 �ggg
$25.00 Fee Required prior to inspection
PLEASE PRINT
#1 Owner V Y1P /`�'l�/ ,S Phone # - fCEF
Site Address 1401 y a� G-6/�(-qi'_ a' (cIsS City_
Mail Address /Q C l S% ��ZL� , V&rle a—
city _ St a- Zip
Applicant L IQUe- f i 5ke, �!�/�. Phone#
Applicant Address f�.6 . 9 3 c,
City St Zip S29
#2 Parcel No. c --_- d O / e O
Legal Description
#3 Purpose of Pre-Inspection _Q 54-OQ (TO C
-t- J-r-o
#4 Use of building
#5 Indicate by circling the applicable source if any water is on or adjacent to subject property:
saltwater lake creek stream marsh river pond wetland seasonal runoff other /V �f-
Directions to Site: S cyp
S
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
oL-D gr=L_TA i r2 1-f 4 'DWA t5 5i
i
skh)ec+ �Gt C'is —
� 1
- - - - - w 3 - - - - - - - - - -
Applicant Signature Date
FOR OFFICIAL USE ONLY: Accepted by: Date:
Receipt No., — ___ --__ _ _ `Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Special Conditions