HomeMy WebLinkAbout1738 W 14th St - BuildingPREPARED 2/01/06 12 30 40 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/01/06
ADDRESS 1738 W 14TH ST SUBDIV
TENANT NBR DAVID LOGAN
CONTRACTOR GARRET DELBARRE CONSTRUCTION PHONE (360) 417 1587
OWNER LOGAN DAVID P PHONE
PARCEL 06 30 00 0 4 0650 0000
APPL NUMBER 05 00001119 RES ACCESSORY BUILDING
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLM 01 1/09/06 JLL BUILDING FOUNDATION MONO SLAB
1/09/06 AP 01/06/2006 10 03 AM DYASUMUR
ADAM 670 6719 WANTS TO POUR CONCRETE
01/09/2006 04 42 PM PBARTHOL
BLHD 01 1/19/06 JLL BUILDING FRAMING HOLD DOWNS
1/19/06 AP 01/19/2006 04 42 PM PBARTHOL
01/19/2006 04 43 PM PBARTHOL
BL3 01 2 0 /06 .7�.L BUILDING FRAMING TIME 13 00
01/31/2006 02 58 PM DYASUMUR
MIKE 460 2260
COMMENTS AND NOTES
PREPARED 1/19/06 13 05 30 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/19/06
ADDRESS 1738 W 14TH ST SUBDIV
TENANT NBA DAVID LOGAN
CONTRACTOR GARRET DELBARRE CONSTRUCTION PHONE (360) 417 1587
OWNER LOGAN DAVID P PHONE
PARCEL 06 30 00 0 4 0650 0000
APPL NUMBER 05 00001119 RES ACCESSORY BUILDING
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLM 01 1/09/06 JLL BUILDING FOUNDATION MONO SLAB
1/09/06 AP 01/06/2006 10 03 AM DYASUMUR
ADAM 670 6719 WANTS TO POUR CONCRETE
01/09/2006 04 42 PM PBARTHOL
TO TTMR• 13
1 4 i 01/18/2006 03 22 PM DYASUMUR
MIKE 460 2260
01 1/19/06
pg
JLL
d
C MMENTS AND NOTES
PREPARED 1/09/06 12 20 23 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/09/06
ADDRESS 1738 W 14TH ST SUBDIV
TENANT NBR DAVID LOGAN
CONTRACTOR GARRET DELBARRE CONSTRUCTION PHONE (360) 417 1587
OWNER LOGAN DAVID P PHONE
PARCEL 06 30 00 0 4 0650 0000
APPL NUMBER 05 00001119 RES ACCESSORY BUILDING
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLM 01 1/09/06 JLL BUILDING FOUNDATION MONO SLAB
01/06/2006 10 03 AM DYASUMUR
ADAM 670 6719 WANTS TO POUR CONCRETE
COMMENTS AND NOTES
of pORTN
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
LOGAN DAVID P
1738 W 14TH ST
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
BASE FEE
14 00 14 0000 THOU BL -2001 25K (14 PER K)
WA 983636810
BUILDING PERMIT RESIDENTIAL
66142
291 75 Plan Check Fee
11/30/05 Valuation
5/29/06
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
11/28/2005 05 03 PM SROBERDS The proposal will result
in a detached carport /shop in the RS 7 zone for total lot
coverage of 24% No land use issues noted
Electrical load calculations and elctrical permits are
required
Construct driveway to City Standards No concrete with
exposed aggregate allowed in the City road right of way An
inspection by Public Works Engineering is required prior to
prouring concrete or paving
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged
291 75
116 70
4 50
412 95
Paid
291 75
116 70
4 50
412 95
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if ownef is builder) Date
T \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
05 00001119
836599
1738 W 14TH ST
06 30 00 0 4 0650 0000
DAVID LOGAN
RES ACCESSORY BUILDING
RS7 RESDNTL SINGLE FAMILY
15972
Contractor
GARRET DELBARRE CONSTRUCTION
72 WELLMEN RD
PORT ANGELES WA 98362
(360) 417 1587
TOTAL LOT COVERAGE 23 90
NUMBER OF STORIES 1 00
EXISTING LOT COVERAGE 2222 00
LOT SIZE 11760 00
PROPOSED LOT COVERAGE 600 00
TOTAL LOT COVERAGE 2822 00
NUMBER OF UNITS 1 00
STATE SURCHARGE
Credited
00
00
00
00
Date 11/30/05
Due
00
00
00
00
116 70
4 50
15972
Extension
95 75
196 00
;t/ 0 q w
Cy,
0 6
?6/// c' -i'
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417-4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 M
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005)
BUILDING PERMIT INSPECTION RECORD
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
Fam. /sly l f�tlod -�m-
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
1 I I
I I I
I I I
Applicant or Agent:
Owner
Address 1 7 3 8 W city
Archrtect/En B 61a Edwards
Contractor 6 rre D 2 L q,q
Address 7,2 W e//man Act
PROJECT ADDRESS
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential EirNew Constr
Multi family Addition
Commercial Remodel
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
paved C cXa a
vid Laj -i
Re -roof
Move
Demolitio
Stove
Garage
n Deck
Other
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
30 X aG1` Car- p 1
0 X a °Pen WocP ��r IW cars
COMMERCIAL/RESIDENTIAL. Occupancy Group
ln cle4d-e8
No of Stories: Lot Size: X Existing Sq Ft. a a
Total lot coverage ,Q
PLANNING USE ONLY
Phone q 7 G S
b eLu 13 c Qs i i o £fS� S'i{j
State License xp Phone
City. Pot ,qder Zip gi3jz3
17 3 Rim ZONING
I/1/3 Li LT? $-..4LL L T10 /3LUc4.
Block: Subdivision.
ESA/Wetland(s). O Yes No SEPA Checklist required? Yes No Other
T•\Policies\BL 1102_13 wpd Applicant:
Phone L( 5 2 3 S(.15
Phone Z l S 2 5
Per t c r Zip 90
FOR OFFICIA USE ONLY
Date Rec. 11 4 0 0
rPermit Dy 131 g,
Date Approved: 11
`date Issued.i
SIZE/VALUATION i,(,. 4)-
600 SF /SF
SF /SF
SF /SF
TOTAL VALUATION 15, 91 5
‘5,1741/ 020 X lAnGf t°r Glri E g oof WI
Occupant Load. Construction Type:
Proposed Sq Ft. 600
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee as due it must be submitted at the time the buildmg permit application and construction plans are
submitted. All other permit fees are due at the time of pemut issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued withm 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003) No apphcation can be extended more than once
hereby certify that have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits prior to work.
DaAd
Date "-a-5
3• I 7)
TOTAL Sq Ft. o?�
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
1
173
1
1724
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 1/'001
DATE ..3/z/93
,
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site' Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ HESIDENTIAL
b COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o I=AN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
.t& REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
Details/Description:
.
c--J:64-e
~'
/Jd< Ecf
K~cI~/
~'r
do
.
W.S. No.
SERVICE SIZE
DATE
ENGR.
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
",(/'P?-Rough-in/cover O.K.
o O. K. to connect service
4a1 ~Finalo.K. Arm ./l~
~ite Addres; fj 4.J,
Installer:
-
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~
/l1/4
permit/41"3of
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THJS PERMIT
$
l' .;;20 t90
Electrical Inspector
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYIo1PIC PRINTERS INC
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15657
Port Angeles, Washlngton.mmDL.-==L.e....h....__.mmnm.....__.m, 19:?t;;
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
:~:s::: i~.;:?:~?.~~t~:..~.!~;~.=.~.~:..~~.I:~~.~:._:~.IO:~cupancy......~....m....__....oo..oo.._
Owner .~ooo~).~-..hhmoooooomooooooo----.--ooo Tenant..ooo.ooo.__ooo___oo._......ooo._oooooooomoooooooooooo......ooo.ooo...
Wir:ng Contractor _oo~"-".--e!4Lc..r4:-:ooo By...h.__._oo.oooooooo__ooooooo__m.h__ooo.__.ooo._.____..ooo__....oo
Light OUtlet8........!..~............._.._..... Service. volts J.?o,I..2.'f..."-....... Type ot Wiring:
Receptacle Outlets__...:Z..f'.........._...__ No. wires ...~....................Ti.....m Armored Cable ....................._...d...
/' Si . ~tJ ('!) f./ Non-Metallic ................_d...__...d....
Dryer, KW..__..__..Y.:.........m.mmm....... ze wIres.../L.............::..........-..
I ~ 0 A Knob & Tube......._.__.......................
Ran"e. KW..__..h__.____........m..__.__. Main tuse ..................... ...............
oS
Enclosure .....m..._.__......__n..._
Wa':er Heater: ..-
KW..__....__'IL,)....m....__..
Hea', KW.........//.BJ3..............
Rigid Conduit ............................,..
Metallic Tubing ...........................
Type of wiring:
Entrance Cable ..___._____....m......__...
Sec. NO._....__....__...n._.____..______..__..__....
Raceway _...._.................._....__....._
Circuits, Ligbt..~................................
Utility ...._f:.__...._......_....._...__..__u...
Heat ......~............................._......
.2
Range ..........._.........___................_....
Water Heater .~.......................
Motor ..........__....____n..................._...
Dryer.....~..____..__._.n......................
/-...d<<..,,r.=....-.........................
/-..............................-.......................-..
Rigid Conduit .................
Meta1llc Tubing _.........
Motors: size, volts and phase:
Current transformers:
No. & SiZe....._d.__..._._....._....n____......
Ser. No...___............................_...........
Furnace ..............._.........._.....___nm......
Total Load__.......__..._.............. Sec. No. _.....__....__..._...__.._____._.___....._.. Total ..?:.r........__...._...........
Remarks: .oooooo.ooooooooo(~m.oo~.ooooo--oooooooooooooooo...ooom----oo.ooo....--.ooooooooooooooooooooooooooooo
Ser. No....____.._...........__..........__...........
Permit Fee
3. (:) 0
$_....00....;(".._000000__00000.000...
Treas. Receipt
No...ooo__.ooo__.__ooo__oo__...
ByQL'---lf~_~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be Inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/1 A'G /JiJ
ELECTRICAL PERMIT
15657
N?
Address ......L:j-"?"zSr-=.l.:f o{............................................. .u......... Date..._.~.._.t.~..__:2€.._.._u...........
:,:::: ~.~~:~:tor...~.~={!Id.:J:i:::::::::::::..~:~~~t.:~:::.::::::::::::::...:::::::.:::::::::::::::::::::::::::::::::
NOTICE-Current must not; be turned on until Certificate at Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
\
,:
",
nlvmDic Printers, Inc.
ELECTRICAL PERMIT }
CITY OF PORT ANGELES
360- 417 -4735 �J
Application Number , , , , , 15- 00000369 Date 4/13/15
Application pin number . , 629952
Property Address . . , . , , 1738 W 14TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBS: 06-30-00-0-4- 0650 -0000-
Application type description ELECTRICAL ONLY on your excise tax fora?
Stibdivision Name
Property Use . , . , . , . . to the City of Port Angeles
Property Zoning . . , . , . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . , . . 0
Application deaf
Bed / Bath remodel
------------------------------------------------------- --------------- - - - - --
Owner Contractor
---------- -------- - - - - -- ------------------------
LOGAN DAVID P BLACK DIAMOND ELECTRICAL CONTR
1738 W 14TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983636810 PORT ANGELES WA 98363
(360) 565 -1035
Permit . . . . . . ELECTRICAL ALTER RE21DENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee ,00
Issue Date 4/13/15 Valuation . . . 0
Expiration Date 10/10/15
Qty Unit Charge Per Extension
.SASE FEB 75.00
Fee summary Charged Paid Credited Due
---- ------- - - - --- ---- -- - - -- -- -- - - -- -- ---- - - - - -- - --- ---- --
..Permit Fee Total 75100 75,00 .00 .00
Plan Check Total 00 ,00 QO .00
Grand Total 75.00 75,00 QO ,00
INSPECTION TYPE
DATE:
RES ILTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN'
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPHCTION .;.
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
RECEIVED
CITY OF PORT ANGELES PERMIT APPLICATION 0 1
Building Division/Electrical Inspections RECTRICAL
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 9830JS ?ECTICNS �
Ph: (36100 417 -4735 Fax: (360) 417 - 4711
7
Date: — » — / 5— 141 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1738 Vv 1ILT
Building Square Footage:
_
Description of above
r�A �r� a
,2r�► -a o r,�
Owner Information
Contractor Inf rmation
Name: M& L.DCrp1 n1
Name: Z>E
Mailing Address: 1738 W /ft'IW
Mailing Address:
City: State'. Zip:
City:
State: Zip:
Phone: Fax:
Phone:
Fax:
License #! Exp.
License #! Exp.
Item
Unit Charge
Qty
Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp.
$120.00
$
ServicelFeeder 201 -400 Amp
$146,00
$
ServicelFeeder 401 -600 Amp
$ 205.00
$
ServicelFeeder 601 -1000 Amp.
$ 262.00
$
ServicelFeeder over 1000 Amp.
$ 373,00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit WIO Service Feeder
$ 63,00
$
Each Additlonal Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 75.00
$--:=l—
Temp. Service) Feeder 200 Amp.
$ 93.00
$—
Temp. ServicelFeeder 201.400 Amp.
$ 110.00
$
Temp. ServicelFeeder 401 -600 Amp.
$149.00
$
Temp. Service /Feeder 601 -1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit! Limited Energy - 1 & 2 Family Dwelling
$ 64.00
$
Manufactured home Connection
$120.00
$
Renewable Electrical Energy - SKVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
$� Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months
of last inspection.
After reading the above statement, i hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -4613, The City of Port
Angeles Municipal Code, d Ut'' Specifications and PAM 14.05.050 regarding Electrical Permit Applications,
Signature o ner, epic ntractor or electrical administrator: ❑ Cash Check
[�;I,^Eredit Card #
J
01!0112012
tlxs°Bei
AQ, ?0FlTq&Q
A. ELECTRICAL INSPECTION
WIRING REPORT,
ORKS 417-4735
DA-rel
PERMITS
INSPECTOR
L
OWN
E2
ADDRESS
1-755 c)
APPROVED NOT APPROVED
0 ...... ...... ..... DITCH .................... 11
ROUGH IN/COVER .... ......
0 ............... SERVICE ................... 1:1
0 ....... ............. Fl ; NAL ............ I - 0
DCORRECTIONS NEEDED:
- _"t7--W- ---
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 16 DAYS
ELECTRICAL INSPECTION
WIRING REPORT
ARKS ag 417-4735
PERMIT
v5- -Z
R
ADDRESS
APPROVED NOT APPROVED
ID.................... DITCH ......... ....... ❑
0 ................ ROUGH iN/COVER ............... ❑
0. ................. SERVICE.., . ........... ... ❑
.............. FINAL ... ......... .... QJ
CORRECTIONS NEEDED: Cd
FELT= —
r"� w
MAD
7
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
m