HomeMy WebLinkAbout1111 Caroline St - BuildingThis certificate is issue to ursuant to the requirements of Section 110 of the 20 C.6 International Building Code
certifying that at the ti e pf>sssuancethi44ttiucture was in compliance with the v. rious ordinances of the City
regulating building construction or for ;s
Business name
Business address
Owner of busines
Owner s address
Automatic fire spri
Use occupancy c
Building permit num
Type of construction.
Occupant load. P
C E RTIF
Ci :of :Port An geles Building Division
onager
U PAN CY
07 -26 -07
Date
Post on the premises in a conspicuous place. This "c Mae a I not be removed except by-the Building Official.
PREPARED 7/26/07 12 09 32 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/26/07
ADDRESS 1111 CAROLINE ST SUBDIV
TENANT NBR TERRY JAMES
CONTRACTOR PHONE
OWNER TERRY JAMES PHONE (360) 417 2802
PARCEL 06 30 00 5 3 0555 0000
APPL NUMBER 07 00000218 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 5/31/07 JLL BLDG FRAMING
6/01/07 AP 05/30/2007 04 44 PM LPANGRLE
STEVE 460 9423
FRAMING
06/01/2007 04 11 PM JLIERLY
BL99 01 7/ 6/07 JL I BLDG FINAL
-7 2„;,- 07/25/2007 11 56 AM LPANGRLE
lam` TERRY 417 2802
BLDG FINAL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL99 01 7/26/07
JLL
PLUMBING FINAL
07/25/2007 11 56 AM LPANGRLE
TERRY 417 2802
PLUMBING FINAL
COMMENTS AND NOTES
y ROUTING SLIP
Legal Description Lot Block
Current Use of Property 8 a5 5 t
Zoning Classification of Property
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes
Electrical changes
Mechanical (heating, cooling, stoves)
Plumbing changes
New or relocated signs
New septic tanks
New sewer service
Admission charged to patrons
Is this a home occupation?
Excavation of filling of lots
Work done in City right -of -way
Is there sufficient off street parking?
New driveway openings
A grading plan for site drainage
(parking lots, downspouts, etc.)
Are the existing streets paved?
Are there existing sidewalks?
Is there curb and gutter?
Other
Cerjificate of Occupancy
Certificate /Inspection Fee
YES
x
x
NO
X
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the D
information I have supplied is correct to the best of my
knowledge
APPROVED p REJE �0 0 ZAS
':7_02 I if I Building Section
Public Works Department
5/0101 Planning Department
K T) Fire Department
B 7 /3010 City Clerk
PB I.A.
New Business
Transfer of Business Location
Sign
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
Comments Conditions
DATE —2 2
Address of Proposed Business 6
/11/ CAP—OLI sue Change of Ownership
Applicant ew Building
Addre ,3 d/ t7 A15 A15 e
neenffl
Y 3 c /J .1-01 Mel% 9636 Temporary Business
Phone business 44) X70 home 9Z9 .)LO Change of Use
Brief description of proposed business J /.E4L
Subdivision
When you are almost ready to open your
business, please call for Certificate of
Occupancy inspections:
Call 417 -4815 for a Building Dept. Inspect.
i Call 417 -4653 for a Fire Dept. Inspection
Please provide a minimum 24 hour notice
THE FOLLOWING WILL BE REQUIRED
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
745
01 -F 3 3dann— 5 3O pr
6 Peen opearc i ny
See i# O1 -Z18'
0
OQ
ch
0
N
O
PREPARED 5/31/07 8 35 20 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/31/07
ADDRESS 1111 CAROLINE ST SUBDIV
TENANT NBR TERRY JAMES
CONTRACTOR PHONE
OWNER TERRY JAMES PHONE (360) 417 2802
PARCEL 06 30 00 5 3 0555 0000
APPL NUMBER 07 00000218 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 5/31/07
BLDG FRAMING
05/30/2007 04 44 PM LPANGRLE
STEVE 460 9423
FRAMING
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
JAMES AND ASSOCIATES
1111 CAROLINE ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
Charged
40 00
00
40 00
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
07 00000299
389164
1111 CAROLINE ST
06 30 00 5 3 0555 0000
ELECTRICAL ONLY
COMMERCIAL OFFICE
0
Contractor
ELECTRICAL ALTER COMMERCIAL
ANGELES COMM VOICE DATA
97774
ANGELES COMMUNICATIONS INC
40 00 Plan Check Fee
4/22/07 Valuation
10/19/07
Qty Unit Charge Per
1 00 40 0000 EL LOW VOLT SYS =2500 SQFT
Paid Credited
40 00
00
40 00
00
00
00
Date 4/22/07
ANGELES COMMUNICATIONS INC
102 ROSS LN
PORT ANGELES WA
PORT ANGELES
(360) 457 4375
WA 98362
00
0
Extension
40 00
Due
00
00
00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH -IN COVER
SERVICE
FINAL,
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
COMMENTS
PW- 1102.15!496)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning COMMERCIAL OFFICE
Application valuation 1000
Owner Contractor
TERRY JAMES
1111 CAROLINE ST
PORT ANGELES
(360) 417 2802
Construction Type
Occupancy Type
Other struct info
WA 98362
Qty Unit Charge Per
07 00000218
793726
1111 CAROLINE ST
06 30 00 5 3 0555 0000
TERRY JAMES
COMM REMODEL
OWNER
Structure Information 000 000
TYPE V NON RATED
BUSINESS OFF /PRO /MED /REST
NUMBER OF UNITS
Permit BUILDING PERMIT COMMERCIAL
Additional desc COMM REMODEL
Permit pin number 96545
Permit Fee 65 25 Plan Check Fee 42 41
Issue Date 4/11/07 Valuation 1000
Expiration Date 10/08/07
BASE FEE
5 00 3 0500 HND BL 501 2K (3 05 PER C)
Date 4/11/07
1 00
Extension
50 00
15 25
Permit PLUMBING PERMIT
Additional desc
Permit pin number 96552
Permit Fee 86 00 Plan Check Fee 00
Issue Date 4/11/07 Valuation 0
Expiration Date 10/08/07
Qty Unit Charge Per Extension
BASE FEE 50 00
2 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 14 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
03/23/2007 02 34 PM SROBERDS The proposal is to make
site ADA accessible and add new entry No land use issues
are anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES
03/21/2007 10 28 AM RLARSON NESC Table 232 1 Item 13
with exception #13 requires comunication conductors to be a
minimum of 15 feet above the driveway when the conductors
are under Loaded conditions Existing clearance without
Loaded conditions is 11 3
Construct off street parking to City Standards Parking
y
Signature of Contractor or Authorized Agent Date Signat ner (if owner is builder)'
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
0
C) Ff
1
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 ot. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regula ng construction or the performance of
construction
Date
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /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
I SLAB
WALL FLOOR CEILING
I MECHANICAL
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRI CAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE 4 MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL AN) WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
YES NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE I ACCEPTED
1 YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W /PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW /ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
I BUILDING 417 -4815 I I I I BUILDING
T1 Policies 11102 15 building permit inspection record05 wpd 1/4/2005]
1 I I 1
1 1
I I
Application Number
Application pin number
Special Notes and Comments
design to be submitted for approval No concrete with
exposed aggregate allowed in the City road right of way An
inspection by Public Works Engineering is required prior
paving or pouring concrete
Other Fees
Fee summary
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000218
793726
STATE SURCHARGE 4 50
Charged Paid Credited
Permit Fee Total 151 25 151 25 00 00
Plan Check Total 42 41 42 41 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 198 16 198 16 00 00
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
T \Policies\ 1102_15 building permit inspection record05 wpd [1/4/2005]
Page 2
Date 4/11/07
Due
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
INSPECTION TYPE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /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
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #I's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUELDING PERMIT INSPECTION RECORD
CALL 417 -4515 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. I T IS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4A'I' WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT .10B SITE.
DATE ACCEPTED
YES
DPYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
NO
FINAL
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW /ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
BUILDING 417 -4815 I I I I BUILDING
T \Policies \I 102 15 building permit inspection record05 wpd 11/4/20051
COMMENTS
FINAL 1"57 D.ATE 1
DATE ACCEPTED BY.
DATE
ACCEPTED BY.
ACCEPTED
YES I NO
I
I h I I
IO7'b 7 d LL
(oYY& s Et A 5sociaces Jnc Pro raCtli 113 N
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent k/ 4 ''\5A3.7� s
Owner /M..- L- ;Z57 0�3 L
Address: 1J 4 Ic -c-A 2445 /'1 City
Architect/Engineer• 4/1/
Contractor eVOive�� State License
Address: 1/1) C/9/2-61-"A40 City P0/
PROJECT ADDRESS �J/2 1
LEGAL DESCRIPTION Lot: E l /Z B 1 1
J
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial X Remodel
Repair Sign
BRIEF DESCRIPTION OF THE
!3 ,J/ O AAA
PLANNING USE ONLY
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other
T- \FORMS\BldgPermitAppl. wpd Applicant:
BUILDING PERMIT APPLICATION
Re -roof Stove
Move Garage
Demolition Deck
Other
PROJECT pl.C5/ 4 L-
SE ONLY
FOR OFFICIAL
Date Rec.
it
ate Approved:
ate Issued:
Phone: (tea\ U)) ZrrO Z
Phone: E y/ 5 z6T 2_
Zip: 5 Z
Phone:
Exp: Phone:
Zip J2 3 Z_
ZONING
Subdivision.
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION $IODO• 00
4/�W I),4
004,5 4110 71 /49-
/yl &9cG
zk,U) h79'lO /c,� //rte a rnaFA DcG .c• Izf6til
COMMERCIAL/RESIDENT PO Occupancy Group: Occupant Load: Construction Type:
No of Stories. Z Lot Size: J )(I lb Existing Sq. Ft. 7 7 l0 Proposed Sq. Ft. 2 )6 TOTAL Sq. Ft. ?f,
Total lot coverage 3 Ju JCNWlV
«.vs.c.,
Date: c 315/
APPROVALS.
PLAN
BLDG:
DPWU
FIRE.
OTHER.
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 is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 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 application can be extended more than once.
I hereby certify that I have read and examined this applicati4 and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibi. ty to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
This map is ot ntended to be used as legal dese 'piton
This mapldrawi kg produced by the City of Port Angeles fa its own use ad purposes.
Any othe use of this map/drawing shall at be the respo ibility of the City.
Vern a! Dail NA VD S
Ho mai Datu NAD 8:
Legend
30
Feet
i
1
w #Lk W
I 7V I
JAMES
ASSOCIATES
INCORPORATED
Approval D
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, specifi-
from thereafter requiring the correction of errors in said FILE
cations and other data shall not prevent the building official
plans, specifications and other data, o
P from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction. f'
4- ft°
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By
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Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BIRCH GREGORY
918 CAROLINE STREET
PORT ANGELES WA
(360) 457 3183
Structure Information
Construction Type
Occupancy Type
Other struct info
Permit
Additional desc
Sub-Contractor-
Permit Fee
Issue Date
Expiration Date
Qty
1 00
1 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Unit Charge Per
40 9000
11 1000
Charged
52 00
00
4 50
56 50
Signature of Contractor or Authorized Agent
T•\PLANNING\FORMS \1102.15 [11/14/2003]
03 00000688
1111 COLUMBIA ST
06 30 00 5 3 -0265 0000
COMM NEW CONST
COMMERCIAL OFFICE
326500
Contractor
HOCH CONSTRUCTION
4201TUMWATER TRUCK TRAIL
98362 PORT ANGELES WA 98363
(360) 452 5381
NEW 3265 SF DENTAL OFFICE
TYPE V NON RATED
BUSINESS OFF /PRO /MED /REST
TOTAL LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ELECTRICAL NEW COMMERICAL
TELEPHONE /DATA CABLE
ANGELES COMMUNICATIONS INC
52 00 Plan Check
1/08/04 Valuation
7/06/04
EL -LOW VOLT SYS =2500 SQFT
EL -LOW VOLT SYS >2500 SQFT
STATE SURCHARGE
Paid Credited
52 00
00
4 50
56 50
00
00
00
00
Date
23 30
V N
1 00
1484 00
14000 00
3205 00
4749 00
1 00
Fee 00
0
Due
1/08/04
Extension
40 90
11 10
4 50
00
00
00
00
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.
Date Signature of Owner (if owner is builder) Date
N
a
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
i'\PLANNING\ FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
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 1
Ara
YES NO
FOUNDATION:
FOOTINGS I
WALLS i
FOUNDATION DRAINAGE/DOWN SPOUTS I I I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I I I
PLUMBING
UNDER FLOOR SLAB I I I
ROUGH -IN I I
WATER LINE (METER TO BLDG) I
GAS LINE I I I
BACK FLOW WATER I I I
AIR SEAL
WALLS I I
CEILING I I I
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING I
DRYWALL (INTERIOR BRACED PANEL ONLY) I I
T -BAR I I I
INSULATION
SLAB I I I
WALL FLOOR CEILING I I I
MECHANICAL
HEAT PUMP I I
GAS LINE I
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS I I
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER I
SEWER CONNECTION I I
SANITARY I I I
STORM I I I
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000184 Date
.698144
1111 CAROLINE ST
06-30-00-5-3-0555-0000-
RE-ROOF
3/08/04
COMMERCIAL OFFICE
5700
Owner
Contractor
RUNNION MELVIN E
2419 E RYAN DR
PORT ANGELES
WA 98362
EMERALD ROOFING
114 MT PLEASENT CREST
PORT ANGELES WA 98362
(360) 452-8173
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT
TEAR OFF, FELT,
148.75
3/08/04
9/04/04
- NO PR FEE
COMP
Plan Check Fee
Valuation
.00
5700
Qty Unit Charge Per
Extension
92.75
56.00
r>
p
I
()
BASE FEE
4.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 148.75 148.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 153.25 153.25 .00 .00
-
.- ~
~
(l)
Separate Permits are required for electncal 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 compiled With whether specified herein or not The granting of a permit does not
presume to give authOrity to Viol r c eel the proVISions of any state or local law regulating construction or the performance of
construction
Date
Signature of Owner (If owner is builder)
Date
T IPLANNINGIFORMSIl102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL 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 DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R.W.
ENGINEERING 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 ~...II- ",,.j J,J.... BUILDING
TlPLANNING\FORMS\! 10215 [11/14/2003]
PREPARED 3/11/04, 13 35 53
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
3/11/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1111 CAROLINE ST
EMERALD ROOFING
RUNNION MELVIN E
06-30-00-5-3-0555-0000-
04-00000184 RE-ROOF
SUBDIV
PHONE
PHONE
(360) 452-8173
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 :~11 04 ~~ BUILDING FINAL
~ travlS 460-4471
------------------- ------------------ COMMENTS AND NOTES --------------------------------------
.
, '~:;<~'-;~"~i~
, CITY OF PORT ANGELES
, DEPARTMENT OF COMMUNITY DEVELOPMENT ..BUILDINGDlVISION
321 EAST 5TH STREET, PO~T ANGELES,WA 98362
;. - , "," .' '. --
~p11cat1on Number
)?1n number . . . .
Property Address
'ASSESSOR PARCEL NUMBER:
"Application description
Sub~iv1sion,Na1l1e, . .
property Use ... .
Property Zoning,. . .
~pli~a~io~dvaluat1on .
04-00000184
.698144
1111 CAROLINE ST
06-30-00-5-3-0555-0000-
RB-RooP
Date
3/08/04
--:,,",', .'
COMMERCIAL OPPICB
5700 ,
owner
Contractor
~~~---------------------
------------------------
" '"
RUNNION, MBLVIN"B
2419B RYAN DR
PORTANGBLBS
WA98362
EMERALD RooPING
'l14MT PLEAsENTCRBST
PORT ANGBLBs WA 98362
(360) 452-8i 73
~(~ - - ' ,.' ',' ,"
"'. .,~,-', "'--,- -----------,--- - - - -- -- ------ -- --- - - -- - - - - - - - - --... -. - - - - - - - - -. - -- -- - - - - - - -,. --...
Ji;I',' 'P~rmit . . .. BUILDING PERMJ:T - NO 'PR,,~ . , .
'Additional desc TEAR OFF, PELT, COMP
Permit Pee 148.75 Plan Check Pee. .00
,/ ,~/;ItJueDate .'.. 3/08/04 Valuation .5700.
~irationDate 9/04/04
BASB PBB
~L-2001-25K (14 PER K)
Extension
92.7$
56.00
Per
.~ .'lfi~'?'-'~:::,:";.~:~'''';.~
. .
BIJILDIN9 fERMIT INSPECTION RECORD
CALL 417-4815 FO~BUlLI>ING ll:iSPECf.I'!ONS.CALL 417-4735 FOR ELECfRICAL INSPECTIONS.
'Q
p,LEASE PROVIDE AMINlMPM24.HQ;u.R..~O'PCE..:iT.l~,lINUJrFUL TO COYER, INSUUTE:OR CONCEAL:ANYWORk.!!EP(iIii3
. lNSPECTEDANDACCEPTED<POST PERMIT IN A CONSPICUeUS LOCATION;' . . .
k.BEPEERMIT CArIDAND APPROVED PLANS'AT JOBS1TE 'c', k'
.~: .
'.. ". '..' ....
INSPECTION TYPE
. : '" .
DAT.~' :'1
, ..1
....
ACCEPTED
.
.
COMM:~1"~
....0.
.
..
'.'
....;. .;
..::.... ': -;- I:: .
'. I.
.
.
YES NO
.
. .'
.
}lQUNDATION:
.'
.
. '.. FOOTiNGS
WAL~
, ..
.
. .'
.
.
/.
FOUNDAlfION DRAlNAGEIDOWN SroUT$ ': ..
ELECTRiCAL (LIGHTDEPT) SEPARA~r~:#'
.
.
ROUGH-IN .
PLU~ING
.. UNDER FLOOR I SLAB
. ROUGH.IN
.' - WATERLINE (METER TO BLDG)
. GAS LINE
BACK FLOW I WATER
Am SEAL
W Ai.Ls
I
I
I
.
..
,
'.
..'
.
. .:. .'
'"
I'"
I .
.
I
"
CEILING
FRAMING
,"- 1
\' JOISTS I GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS I ROOF /CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR.
"
.
.''-,
.
INSULATION
SLAB
WALLI FLOOR I CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD. STOVE I PELLET I CHIMNEY
'. . HOOD ,bUCTS .,'
L
I
.
.
..
PW .UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WA~RLiNE I METER
SEWER CONNECTION
SANITARY
STORM .'
PLANNING DEPT. SEPARATE PERMIT #'5
.
.
SEPA:
ESA:
PARKINGlLIGHTlNG
LANDSCAPING
..c.',
.
. ..... SHQIu,iLlNE: .
.<~I!':'tu; INSP~19NS REQUmED PRIOR T9pCCUPANCYlUSE
.,~ATE YES NO COMMERCIAL
.'.
.'
. .
Rf-SIDENTIAL
DATE
ACCEPTED
YES "NO
'C, . "
q .. .... .
ELECTRICAL - UGHT DEPT. 4]7-4735
>'; " ~ '...,. '.
CONSTRUCTION R.W.I PWI
ENGINEERING . 417-4807
FIRE 4]7-4653
PLANNING DEPT. 417-4750 : ,-
.
ELECTRICAL
UGHT DEPT '
CONSTRUCTION - it. w.
PW I ENGINEERING.
-~"-
FIRE DEPT.
~
BUILDING .
417-4815 . '2 .JJ.lIQ1I' J, J...
PLANNING DEPT.
BUILDING 'C'
.
T:\PLANNING\FORMS\] ]02.15 (J 111412003]
,-~..:;,;;-::)< ,;j4;';i~~.~-------,-,-~,--
PREPARED 3/11/04, 13:35:53
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
3/11/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1111 CAROLINE ST
EMERALD ROOFING
RUNNION MELVIN E
06-30-00-5-3-0555-0000-
04-00000184 RE-ROOF
SUBDIV:
PHONE
PHONE :
(360) 452-8173
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
'""_"__~__~_____~::~:N:::::::: AND NO'" ______________________________________
.
..,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
NI!
17238
t,'
s - /' /70
port Angeles, Wasb1ngtonmm._mnn.mn..................nm....m...m.m, 19.000.000
In aC<Jordance 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-
mission is hereby granted to dO electrical work as listed below.
Address .--~t;--~~:i::~nmn--.----------------m Occupancyn_______,_!n_,:~.-"'J.mm.n__m____mn.
~:=~ ~~~~~~~~~.:::q)~:::Z~;g;;.;;;;~;;~::m~~;~::::::::::::._......~::::::::::=::::::::::::::::==:::::::::::::::::::
. f
Light Outlets____..____.......______________.._..:.. ServIce. volts ,-Id-!J-/.;!..f!!?.----- Type of WIring:
Receptacle Outlets....._.._____mh.._h_....... No wires -,.., Armored Cable ...._..._._.0.__............_
SiZ~ wires~~~::~~Zq;;;~~~~~~~~~~:: Non.Metallic ..............-..--.----.---.....
;.#(J) d ,,1-
Main fuse .........__...._....._______.__...___..
<
Enclosure _......._~~~......____.._____.___...n
Dryer, KW nn....._h.................__..._.___.._
Knob & Tube......._.____.._..............._
Range, KW hh._.__h_.....h._._hn____._h._.n..
RIgid Conduit ...._________._________...____
Wa.ter Heater:
MetalUc Tubing ..n.nm.__h............
KW..________mm__mm.m.m______.
Type of wiring:
Entrance Cable m...hh.
Ser. NO......_._._..h...h_............h...........
Raceway __._.__..__._.........._......___._
CIrcuits, Light.h..............._......m.__.h.....
Utility .._...nn__.........h_........_._..._._n_
I'leat .._.._................................._......
Range ........................._._....___.__._.....
Water Heater .............n..nh.._.......
Motor ..._.............._.._.___.____.__..........
Heat: KW......h...h_.........n....__...._______...__....
Motors: size, volts and phase:
Rigid Conduit ___..__....__.__
MetalUc Tubing ..0.0......................
Current transformers:
No. & Size..._.._.._..__n...m__''''h___'''h.
Ser. No. _......___._____.__._..__...0..__.______..._.
Dryer __________..........._........._........_.._.__
Furnace ...._..__...._............___._.._..._._..._..
Ser. No.......__..____._._..__________.._.....____...
Remark:~ta:n~~~;.J~.~.:.:.:..::..::~:.m.mm~~::~~.~:~;~~~:::~::::::~.::.:.::~~~~.~::~;Q.:.~J2~:.
. .. - .- - ,.
.:E~~~..~::....::..::---___::::._..:......._-::~-~.~:.:~.~.~.~~~.~:.:':__~"'-"---'---'-"'::'.~:2~Zlli;;'~~::::4..::: ~ ''-_
r.:-"''' . .
NOTICE-Current must not be turned on until Certificate of In~peCt1on has been issued. It' work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
...
ELECTRICAL PERMIT
N?
17238
Address....._.._.........._........_______._......._......................................._....__._...._..__._...._..__._......._............Date.___.._...__._.._.._.........._......_......_......._
Owner _....................._............_......_.._......_......_..___.........._._......__...........n.__.._._.__............ Tenant_.___n..._....._......._.._....._._................h..............
WiringContractor..............__...._......____............_.............._.............................___..__.._._._..._._....__.____.By._..........._................................................
" NOTICE--Current must not be turned on until Cert1f1cate of Inspection has been issued. It' work Is to be con-
I cealed due notice must be given the Inspector so that work may be Inspected before concealment. .
"
.
1M Olympic Printers, Inc.
YEle<trtCal Contractor
o ADDual Permit Cl Alarm
(J Owner"
ELECTRICAL WORK PERMIT APPLICATION
Q Request Inspection
o Carnival 0 Commerctal 0 Residential 0 Reoldentlal Malnl. 0 Sign. 0 nermo.",. 0 RJ...m.
Job wired by
~ Electrical Contractor (J Owner
Installation description
\)t'I~ t b t\.<-.~
.
C)C\n-... (\ 1\ Io~ ~'l'~
,
i
~:tp'~ ~ : !
Electrical contractor nilme l,.icen5e number
ClS'Si' \. \If.. \.' .N>f\('(\\ '\(\ '.~ I\.h ~~ :\ N'
Purchase mailing address
\l...\(')'d- (h ~t'tt.\l\t ~,~ ~ C\.; ~t;l()'\~
~ State ZI~
.vn\:"\\"r~\\., h'\~ q'b':<.tn;:)..
Telepbone number FAX number
[;mj~i
/
o Cash 0 Check # DT\ ~~
I hereby certify tbat I am the owner of the above named property or 8 licensed g I
electrical contractor (or the finn's authorized agent) and am making the electrical "" '\ Credit Card VlS8. Mastercard Discover
installation or aheration in compliance withlhe elecoicallaw. Chapter 19.28 RCW. Card # _ _ _ _ _ _ _ _ _......... _ _ _ _ _ _
Slcnature of owner, ~ledrh:Bl cOlltnl.dol" or elec:trleal administrator
&\piration Date
of card
Inspection fee
$
x
WALLS
Insulation Only
Dat" Approved 9y
Cover
Dal'" Appt'O\'Cl1 By
"
CED.JNG
Insulation Only
Oat.. Awrovc4 13)'
Cover
O,le Approved By
"-
THERMOSTAT
Oale .Approvedl5y
DITCIl
batl:: Approved By
, SERVICE '\
"- DU. '-''''''By
I' FEEDER
Dall! ~odBy
Eleetrlcal Load AddJllons and or subtractions
Cl NO LOAD CHANGES
Cl Baseboard I<W
CJ f"urnace KW
o Heet Pump Ton LAA
o Fan-Wall KW
Service lnf0rm8tlon
CJ Overhead ServiC9
o Temp Setvice
a Underground Service
Vohago
PhaseD 1 03
Service SI..: _
Feeder Size;
~
Jnspeclion Area, Building or Equipment In5p"ted Action Taken EleetriclIl
Date Inspector
;::,- :5 - () 7 r'/ ~/h- A-P /L~
f?"Pl>....S\\OI? '=
LS~1SU "!! = =
MAR 2 1 2007
~ I.lGHT DEPlT.
Application Number . . . . . 24-00001035 Date 10/01/24
Application pin number . . . 398005
Property Address . . . . . . 1111 CAROLINE ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0555-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL OFFICE
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Install new circuits for 3 DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
TERENCE L AND DEBORAH JAMES EXTRA MILE TECH & ELECT., LLC
1111 CAROLINE ST 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 417-2802 (360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 10/01/24 Valuation . . . . 0
Expiration Date . . 3/30/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-COMM BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/16/2024 24-1035 TMC
OWNER
Contractor
Extra Mile Tech & Electrical
ADDRESS
1111 Caroline St