HomeMy WebLinkAboutMIS98-0236 Pre-Inspection - MIS Permit / Conditions - 5/1/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 titiC:. E L, L_ AN1- CQtJS PIc: IriM i ..r ONS CAI- 1 4l7 9bl0
M1S98-0236 PARCEI_. :223305000:303 PLAT :HAPLO t: +. LOT :
JOB ADDRESS : 240 NE IIAVF N 1 AKF DR TAHOYA
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APPLICANT . FAR1-_ I S SULLIVAN :360--277-0356
OWNER - EARL. 1 S SUL t. I VAN 360-277--03!i6
LEGAL - HAVEN LAKE TA. 3#3
PROJFCT DESCRIPTION :
PRE I NSPECT I ON---FOUNDATION LOCATION AND TYPE
PROJECT LOCATION :
4T RT 3 TO IIWY 300. 'TURN R I Gtl7 ON BFL-FA i R TAHUYA RD, GO 5 ,6 M I t F S AND TURN R I GF1T ON IIAVE N WAY ,
TURN LEFT ON R140DODENDRON BL.VD TURN LEFT HAVEN LAKE DR . , JOB SITE ON LEFT .
PROJECT NOTFS r
TYPE AMOUNT BY DATF RECEIPT
-.. -- --__.ar r�:<a^�a...x-::�:-:^-.^.vnia.•�..xr-s�":szs.::-asi.:...accus,�sc:rara�zma� ....
PS I N $ 3 .(r3Cn KS 05/01 /9Li 1 1 73
STFF $ 4 .50 KS 05/01198 1173
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TOTAL : 37 .50 OWNER OR AGENT _ µ UATI'
NIS_PINT, rev: 111I1!9' COMPLIANCE TO ATTACHED CONDITIONS IS
REOU I RIED
n-
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 date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W 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
F" f 1-1M I -T C: C-10NC-) I `T 1 ON
Case No . : MIS98-0236
For ; FARL I S SUt.I_ I VAN
Page : 1
1 ) PURSUANt TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALI SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND t_EGIBLF FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
k DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS , A
RE. INSPECT ION FEE , BASED ON HATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE W I I.I. BE
k ASSESSED IF OWNEF CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
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k
~ MIS
MASON COUNTY
• PRE-INSPECTION APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
$33.00 Fee Required prior to inspection
PLEASE PRINT C
#1 Owner r I is z eon rlenyz ( 111112,4 Phone#
Site Address ,;?y � ft/ D/' City T
q Le Li'a
Mail Address j /Ir r A?,6 1J Pn �_4 k e_ Dr,
city 'Tx►h c4!,a St Zip g
Applicant Phone#
Applicant Address
City St Zip
#2 Parcel No. a a
Legal Description IJA /
1
#3 Purpose of Pre-Inspection (ju d d�j0
#4 Use of building G fi�
#5 Indicate by circling the applicable source if any water is on or adjacent to subject property:
saltwater lake creek stream marsh rider pond wetland seasonal runoff other
Directions to Site: A, 5/i y r VZ �u r n R D/t 13e_J'Af r T AL4 ra,0 412 S, b AA i Iu
1,�� -y e it LQ Lc lit r Jt h e('f j� ha y444 k- Dr. d ho"%f 3/4,M lei t Side__
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.
to
� -ef�/cih� �X �f Cll�i�5f0'C�e���G� �aGtIrC�'Cllio�
A nnlino n4 Cinn�4i ire I"lo4c
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:
i
Special Conditions
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