HomeMy WebLinkAbout2316 S Eunice St - BuildingJob wired by Electrical Contractor O Owner
Electrical contractor name
:o i G Iecrrr L I J L D1 t =r q5 7 c7_
Purchaser's mailirig address
P t..c�. P v 35 cr
City Slate ZIP
t' A 1 g,36
0�
Telephone gumber FAX number
460 —oSS& i-j/ 7-Ig
'Premi ;es owner's name
1 On C ro wer.
Addr of inspection
a�1b 5 e14414e
City P o T 4 in gel ks
Phone number to schedule inspection:
Owner as defined by RCIW" 19.28.161•(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.
After reading thc above statement, I hereby certify that I am thc owner of the above
.named property or a licensed electrical) contractor. 1 am making the electrical instal-
lation 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.
/Signature of ow electrical contractor or electrical administrator
EIectricaload Additions and or subtractions
NO LOAD CHANGES
O Baseboard KW
KW
Ton LAR
KW
Furnace
Heat Pump
Fan -Wall
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735
ROUGH -IN THERMOSTAT
Inspection
Date
L
-Date 'Approved By
FEVAlj
7
Date 1 Appr ed B}
SEPZ4207
UGHT DEP1.
License number Date Expires
9L L L (09£)
Date
Dal:
Date
Overhead Service
Temp Service
Underground Service
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATION
\(Installation description
Commercial Residential
$New
O Cash t WCheek
O Credit Card Visa
Card
Expiration Date
of card
Approved By
DITCH
Da
Appr ved By Dtec
Altered /Addition
na c, Id.
Mastercard
Inspection fee
q 6 .00
Service Information
Voltage
Phase 1 3
Service Size:
Feeder Size:
SERVICE
FEEDER
Action Taken
t(azw!>j per
Approved By
Approved By
t
Discover
Electrical
Inspector
esL LO LO bz de
i
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 Contractor
KIM SCHROEDER
2316 S EUNICE ST
PORT ANGELES
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit pin number 89037
Permit Fee 123 75 Plan Check Fee 00
Issue Date 10/16/06 Valuation 3400
Expiration Date 4/14/07
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL 2001 25K (14 PER K) 28 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 123 75 123 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 128 25 128 25 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 -th- have -read -and examined this application and know the same to be true and correct. All provisions of
laws and ordinances govemi• g this pe of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give a ority tc vi.la!3r cancel the provisions of any state or local law regulating construction or the performance of
construction.
WA 983622532
Signature of Contractor or Authorized Agent
T•\Policies \l 102_15 building permit inspection record05.wpd [1/4/20051
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001134
254630
2316 S EUNICE ST
06 30 10 5 2 9050 0000
SCHRODER RES
RE ROOF
RS7 RESDNTL SINGLE FAMILY
3400
LARRY S ROOFING
352 AVIS ST
PORT ANGELES
PORT ANGELES
(360) 452 2215
7� _04,
Date 10/16/06
WA 98362
1
c
Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
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 1 NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 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
1
1 1
1 1
1 1
1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
I 1
I 1
1 1
1 1
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 1 1 1 1 FIRE DEPT 1 1 1
PLANNING
BUILDING DEPT 417 -4815 p 1 MAI i'- 16-1 In 1 BUILANNING DEPT 1 1 1
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
Architect/En sneer• /1 D
Contractor S)Ci 11. E
Address:
PROJECT ADDRESS
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial Remodel
Repair Sign
No of Stories. Lot Size:
BRIEF DESCRIPTION OF THE PROJECT A
I 1 Leo
COMMERCIAL/RESIDENTIAL: Occupancy Gtoup•
T•\FORMS\BIdgPernitfoim.wpd Applican-
BUILDING PERMIT APPLICATION
Permit 06 (1 31
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: 17 tb/ 6.
COMPLETE to be accepted for review If you have any questions, call
10, PERMITS (360) 417 -4815 FAX(360)417-4711 Date Issued: ��O l��r>
n o
Applicant or Agent: i
l,k0 des
Owner K 1 m �C' 60e I Phone:
Address: ?...Z ZOt h t a. City AncOez
Block:
Re -roof Stove
Move Garage
Demolition Deck
Other
State License
City
'Can la,
Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s)- Yes No SEPA Checklist required? Yes No Other
8$Zn
Phone:
Subdivision.
Occupant Load.
Proposed Sq. Ft.
Phone:
Exp
Zip
ZONING
SIZE/VALUATION
SF /SF
TO'STAFL@VALS /SF
SF /SF
FOR OFFICIAL/USE LY
Date Rec. /c lli
phone: Li
Zip IeZ,
A i i i w
laces he.crt141
i0cdn 0011 C
Construction Type:
TOTAL Sq. Ft.
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 Buildmg Division to comply with current fee schedules. Contact the Permit
Coordmator 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 application and know the same to be true and correct. l am authorized to
apply for this permit and understand that it is >y y ponsibility to determine what permits are required not the City's, and that
must obtain such permits prior to wor
Date: 1G O(o
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
I i
-4
4 '4, 4 1T7 44
i 44ir
-4,4; 44z4v.--z4g 7 04-,: 4*'4 -1 7,i''',
,52
61 TA focd-cc 1(0 ni
10 1 I p
sA57.7z \iikrktc
ot, rod 1 ti6S
(c41 fo 1 e
f)Y»
ei?,c 9(A g,Qi)rts
'QD 0 n
O G 2 -q o
ol3c)
411
oo
pO T
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SCHROEDER KIM D
2316 S EUNICE ST
PORT ANGELES
Permit
Additional desc
Permit pin number 85852
Permit Fee 00
Issue Date 8/31/06
Expiration Date 2/27/07
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
T"Policies \1102.15R [1/051
WA 983622532
CONCRETE SIDEWALK
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 goveming 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 owner is builder) Date
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000960
614400
2316 S EUNICE ST
06 30 10 5 2 9050 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
Plan Check Fee
Valuation
Paid Credited
00 00 00
00 00 00
00 00 00
Date 8/31/06
Due
00
00
00
00
0
CALL 417 -4807 FOR UTILITY 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \1102.15R [1/05]
PERMIT INSPECTION RECORD
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
I
1 I
I I
I 1
CONSTRUCTION RW
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
1 1 1
1 I 1
I I
1 1
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000863 Date
108868
2316 S EUNICE ST
06-30-10-5-2-9050-0000-
KIM SCHROEDER
RES DETACHED GARAGE
8/20/07
RS7 RESDNTL SINGLE FAMILY
16000
Owner
Contractor
KIM D. SCHROEDER
2316 S. EUNICE ST.
PORT ANGELES
(360) 417-0739
DRY CREEK CONSTRUCTION
316 W
WA 98362 14TH STREET
PORT ANGELES WA 98363
(360) 452-7635
000 000 280 SQ. FT. DETACHED GARAGE
HARD SURFACE AREA
Structure Information
Other struct info . .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
280 SQ. FT. DET. GARAGE
107649
291.75 Plan Check Fee
8/20/07 Valuation
2/16/08
116.70
16000
Qty Unit Charge Per
Extension
95.75
196.00
BASE FEE
14.00 14.0000 THOU BL-2001-25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Construct new driveway to City Standards. Any unused
driveway curb drops are to be restored to full hieght. No
concrete with exposed aggregate allowed in the City road
right of way. An inspection by Public Works Engineering is
required prior to pouring concrete.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 291.75 291.75 .00 .00
Plan Check Total 116.70 116.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 412.95 412.95 .00 .00
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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.
Sign
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit inspection rccord05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
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CALL 4 ]7-48]5 FOR BUILDING INSPECTJONS. CALL 4] 7-4735 FOR ELECTRICALlNSPECTIONS.
CALL 4 17-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTlCE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORE BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
INSPECTION TYPE /JATE ACCEPTE/J COMMENTS
YES NO
FOUNDATION:
FOOTINGS ()~ /22/(11 TLL Skm w u.. \\ 'tJ1 Z 7/07 3LL
SHEAR WALLS / WALLS
FOlJNDA TION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMlllNG
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING 917t1/or PB
JOISTS / GIRDERS ,
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CElLING
DRYWALL (lNTERJOR BRACED PANEL ONLY)
T-BAR
INSULA nON \
SLAB ("\
WALL/ FLOOR / CEILING I
MECHANICAL C
:5
ROUGH-IN -
HEATPUMP/FURNACE/DUCTS ("\
GAS LINE FINAL DATE ACCEPTED BY: (1)
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKlNG & HOLD DOWNS
SIURTING
PLANNING DEPT. SEP ARA TE 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 ELECTRJCAL
LIGHT DEPT ?
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT. {t>
BUILDING 4 I 7-48 15 1n - 05-0-' iLL,., BUILDING
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000795 Date
457120
2316 S EUNICE ST
06-30-10-5-2-9050-0000-
KIM SCHROEDER
DEMOLITION
7/09/07
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RS7 RESDNTL SINGLE FAMILY
1000
Owner
Contractor
KIM D. SCHROEDER
2316 S. EUNICE ST.
PORT ANGELES
(360) 417-1039
WA 983622532
DRY CREEK CONSTRUCTION
316 W
14TH STREET
PORT ANGELES WA 98363
(360) 452-7635
280 SQ. FT. GARAGE
Structure Information 000 000 DEMO
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
DEMOLITION
DEMO 280 SF GARAGE
106328
50.00 Plan Check Fee
7/09/07 valuation
1/05/08
.00
o
BASE FEE
Extension
50.00
~
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Qty Unit Charge Per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
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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 tc)()lJ
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 :5
constructio 0
Date
Signature of Owner (if owner is builder)
Date
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it inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTR]CAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UT]LlTIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WOFJ\ BEFORE
IIVSPECTED .4..ND ACCEPTED. POST PERMIT Il' A CONSPICUOUS LOCA TION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSI'ECTlON TYPE LJATE ACCEJ'TELJ COMMENTS
YES NO
FOUNLJA TlON:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TJON DRAINAGE / DOWN SPOUTS ,
PIERS
POST HOLES (POLE BLDGS.)
PLUMllING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CErLlNG I
FRAMING
JOISTS I GIRDERS
SHEAR W ALllHOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN
HEAT PUMF lFURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMlT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4! 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 4]7-4815 <& I 201 0"1. -"\1.1_ BUILDING
T:\Policies\! 102 15 building penn it inspection record05.wpd [1/4/2005]
,..-
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.
BUILDING PERMIT - APPLICATION
FOR OFFJClAL USE ONLY:
Date Rec.: 0, - Oq=.Q 1
Pennit#: Of - '1 <15
Date Approved:CJ1- O'}-O
Date lssued: \,
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:
~
Owner: ~ N"""\
..-----.
Address:
City:
Phone: t-\ b J
Phone: .L-\ \ \
Zip:
ZL-{ I ~
IO'3~
Architect/Engineer:
Contractor"f)<LA ('f~Qk ~,
, ,I
Address:
PROJECT ADDRESS: <G."'3>l C S.
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Phone:
State License #: b(L-\crc =\lqCf2..YlExp::i/1.Q{Ol Phone:L.{61 .z~'lt-t
,,- ~ -------
C~: ~: ~
CU",\oz... S-r. ZONING:
Block:
Subdivision:
TYPE OF WORK:
D Residential D New Constr. D Re-roof D Stove
D Multi-family D Addition D MoveD Garage
D Commercial D Remodel ~Demolition 0 Deck
D Repair D Sign D Other
BRIEF DESCRIPTION OF THE PROJECT:
SlZEN ALUATlON:
SF. @$ /SF. = $
SF. @$ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
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l/l
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COMMERClAL/RESIDENTlAL: Occupancy Group:
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
%
ESAlWetland(s): DYes DNo SEPAChecklistrequired? DYes D No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
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: Ifno 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
RI05.3.2 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 application and know the same to be true and correct. J 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 I
must obtain such permits prior to work.
"C\FORMS\BldgPonrirlO=:'.- Aj>plio,,",: ~ Da": --=:!.\ ""' \ 0-'
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~ORTANGELES
WAS H I N G TON, U. S. A.
Public Works & Utilities Department
July 5, 2007
Dry Creek Construction
Jim Hill
316 West 14th Street
Port Angeles, W A 98362
RE: Port Angeles Landfill / Transfer Waste Disposal Application, WDA 07-29; Building
demolition at 2316 South Eunice Street
We have received your application for disposal of building demolition debris fromthe referenced
site and reviewed the testing results for lead paint content. Based on the testing results the debris
appears to be acceptable for disposal at the transfer station. A copy of your approved application
is attached. This approved application must be shown to the transfer station scale attendant at
the time of disposal.
1
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Please be advised that this disposal application is only for the materials and quantities listed in
the application. Materials not listed or in excess of the quantities noted may require seplifate
applications and approval.
Please call if you have questions.
;1"-
Sincerely,
!=~~r
City Engineer
GWK:tf
Enc!.: WDA 07-29
Copy: Claudia Stromski
N:\PWKS\ENGINEERIWDAPPLlC07-29.
File: Landfill Solid Waste Disposal Applications
,-, ...
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Phone: 360-417-4805 / Fax: 360-417-4542
Web~ite: www.cityofpa.us / Email: publicworks@cityofpa.us
. 321 East Fifth Street - P.O. Box 1150 / Port Angeles, WA 98362-0217
_J
WDA- 07- Zq
PORT ANGELES LANDFILL
WASTE DISPOSAL APPLICATION
To: City of Port Angeles, City Engineer
321 E Fifth Street
P.O. Box 1150
Port Angeles, Washington 98362
Phone: (360) 417-4803
FAX: (360) 417-4709
NOTE: All questions must be answered for waste to be approved.
1. Generator Information:
I
Company Name: &--1 C-tr.,.,..,(C Cw5""1t~ "1.1.',...}
Mailing Address: 3/fn W. II./~ Sr
&.." ;:}/II tf "iL"'-"S. t.v4 966bg
Phone: 45"2-"7b~
Project Name: a IQ.v'I&'-t. .6-u.....D U 'f10.-J
.
Project Location: Z. ~I , ~ C UrJlc.:f. ~-r. - AIL""7 ,44~~~
.
2. Other Contacts (if applicable):
Consulting Firm: &AJOLJll... :F krJC; ~
Contact: ~.o&- .,.. (( t.M<:c.
Phone: 41(-O~o\
Contractor Name: .{)-'Z .; C"l.'<'< ft.. c.~-f'"lA: ~~
Contact: ::::s,,,,,,^- ~I('("'"
Phone: U,?-76~
Laboratory: J-JIl L ~-r...-<l~~fL' 0<. S :/...A:-
Contact: ~AJ 11~-<12... kHA-J
Phone: ~ 6 - s"-n -Dl DD
City of Port Angeles.. Landfill Waste Disposal Application
Page.. 1
3. Source of Waste:
Check the appropriate box below and briefly describe the project, process, and/or cleanup
that will or has produced the waste requiring disposal. Include the gasoline service station
number (if applicable).
CERCLA/MTCA Remediation
Independent Remedial Action
Unused Chemical Product Spill
Agency Contact:
UST Removal
---.L..... Other Source: /)~-o ~ 5
4. Waste Material Composition: (check all that apply and include percent of total)
Soil - % _ Foundry Slag - %
Concrete/Asphalt - % _ Dredge Sediments - %
Preserved Wood - % ----E. Debris ~%
Coal Ash - % _ Other (list)
Wood Ash - % - %
- %
NOTE: Total must equal 100%.
5. Waste Material Contaminants: (check all that apply)
Gasoline
Solvents
Metals
Diesel
PCBs
~
Unused Motor Oil
Other ~S~ 1"'1.. ~ ~ (<.4/.) _
A1"t!n.S~ ...r \f.1...K""" IJ '7' O~~J
_ Heating Oil
Used Motor Oil/Waste Oil
Other Petroleum Product
NOTE:
Unknown
Supply any MSDS information with application, if available.
City of Port Angeles - Landfill Waste Disposal Application
Page - 2
Wed,10/4/2006 0:4 PM
I
6. Estimated Quantity of Waste for Disposal:
-x:
Cubic yards /
Drums /
~
Tons (estimate both)
Tons (estimate both)
Other
NOTE:
Estimated quantity for disposal must be within 20% of the quantity actually
disposed. (10% for projects over 7,500 tons or 5,000 cubic yards.)
7. Frequency of Disposal:
-JG.
One time
_ Monthly
Annual
Other
8. Waste Sampling:
Proper characterization of the waste for disposal requires the collection of representative
samples. The methods and equipment necessary for obtaining representative samples of a
waste, and the frequency of sampling, will vary with the type and form of the waste. Check
the appropriate box and briefly describe how and where the waste was sampled. Include
site maps with sampling locations if possible.
Number of COMPOSITE samples ---L- & number of discrete samples per composite~
Number of DISCRETE samples 5' ,
o --'f.~ b A.. CoD........fhs.f-1lli ~P<.~ a-tC f'/...S;<JI~4.1 'l jJ(~c..~ (L7 (jw( ~<B2 i
2-~~ ..tA"'l",,^,..rt; f'~ A'f"1"'kId"l.. -:1"'t,.c.-. ('-"1"'-;''l.) Gc.,J~ {tv/..,,~~
NOTE 1: Unless prior approval has been granted by Port Angeles, the following sampling
frequency will be used:
0-25 cubic yards =
25 - 1 00 cubic yards =
101 - 500 cubic yards =
501 - 1000 cubic yards =
1001 - 2000 cubic yards =
>2000 cubic yards =
NOTE 2: One composite sample shall
discrete samples.
1 composite sample
3 composite samples
5 composite samples
7 composite samples
10 composite samples
10 plus one sample for each additional 500
cubic yards
contain a minimum of three/maximum of five
City of Port Angeles.. Landfill Waste Disposal Application
Page - 3
Wed,10/4/2006 0:4 PM
9. Waste Analysis:
The "Dangerous Waste Regulations" (WAC 173-303) shall be utilized to determine the
appropriate analytical requirements for waste characterization. Ecology Publication #91-30
(Revised April 1994) "Guidance for Remediation of Petroleum Contaminated Soils" shall
also be used to characterize petroleum contaminated soils from UST releases. Submit all
laboratory analytical results, QAlQC data, and Chain of Custody sheets along with this
application.
(NOTE: The laboratory must be accredited by the Washington State Department of
Ecology.)
a) List all analytical test methods used:
~fA I~' 17(JoB.
b) Provide a narrative as to why the above anal~icaf methods were;..selected:
/:)U"" ~ .44'(. (J~ (\ -f'tJlh{~ ~ lM4-.s Pt$S"/.j/U -rr ~
~ ;146~ 14,,,.fl nN "?'J(tL ~t7'~
NOTE:
Additional sheets attached: --1G- YES
NO
10. Soil Classification:
(-FOR PETROLEUM CONTAMINATED SOILS ONL Y-)
Based on the analytical data and Ecology Publication #91-30, the soil classification is:
( check one)
Class 1
Class 2
Class 3
Class 4
Calculated Hazard Index
11. Dangerous Waste Affidavit:
Based on a review of the analytical test results, site history, and the applicable regulations,
this waste is classified as: (check one)
1
Neither Dangerous Waste (OW) nor Extremely Hazardous Waste (EHW)
Dangerous Waste (OW) and Waste Code:
Extremely Hazardous Waste (EHW) and Waste Code:
City of Port Angeles - Landfill Waste Disposal Application
Page - 4
Wed,10/4/2006 0:4 PM
12. Certification:
We, THE UNDERSIGNED, certify that this application is true to the best of our knowledge.
All information provided is correct and the enclosed analytical results represent the
proposed ~~terial i the ~t of our abilities.
Wast enerator Sign
~~v'f ({ uCi4.d..
Printed Name
--Z~Jic:.. ~ ,k~'-j 7 rc-
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Date
City of Port Angeles Approval:
JILR/U./f1j',,;(~' /-tv ~<4uJ~a~./M)
City Engineer?J t/
7-oS'"--o7
Date
m -0:;-'" Ol,
Approval Expiration Date
City of Port Angeles - Landfill Waste Disposal Application
Page - 5
WAIi 10/4"006 0:4 PM
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www.nvllal:l$.com
Toxicity' thalacteri~tic Leachliig Procedure - Lead (Pb)
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Address: 301 E. 6th St. Suite n Matrix: Bulk
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[ METAlS I Del Urnit I Matrix I . RCRA .... 0 All 8 Iher MetiiI8
'Qt~~ Metals , ~pm (MS) g ~l~~'~r . 9 ~a!n' l?~PS . _ .. Q ~ic (As) 0 Lead (Pb) . ~._.~~. 3 . ._. . .
r~ I~~ 10pP>(GFAA)~gE?r:~~i O~:ev~J lB~-=~~~ ge:~,'IB="U}!1
o Other Types 0 Fiberglass 0 Nu' Dust 0 Rotameter CalbralIon 0 Other 'C.S~\
of AnalYSis 0 Silica 0 ResPi Dust 0 MoldIFUIll:Ius
Co~d~ of hca;; ci Good 0 0Bm~ (no spilage) 0 ~ da~.~~j
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lob Location:
Contact:
Subiect:
Insnector:
Northwest Asbestos Consultants
406 Reed St.
Port Townsend, W A 98368
360-385-0584
northwestasbestosconsultants@cablespeed.com
6/13/07
2316 S. Eunice St.
Port Angeles, WA 98362
Dry Creek Construction Company
316 W. 14th St.
Port Angeles, WA 98362
Demolition
Bob Witheridge
AHERA - Building inspector / Management Planner
WAMOA - 0042-10270601
Expires - 10/27/07
I
Sco].1e of work
1) Good faith inspection for asbestos containing building materials (ACBM).
2) Survey, sample and record suspect materials.
3) Report to Jim Hill of Dry Creek Construction Company.
Inspection Report
The inspection started with a visual survey looking for Asbestos Containing Building
Material (ACBM).
A garage, approx. 280 sq. ft.
Built on wood post foundation, wood siding and composition roof.
No suspect of ACBM.
Summary of Ins].1ection
All asbestos containing building materials with a reading greater than 1% is
considered a hazardous material if disturbed.
If removed the owner or a certified abatement contractor must follow the rules of the
EPA and governed by Olympic Region Clean Air Agency.
During demolition it is possible that additional suspect asbestos containing
building material (ACBM) may be found. Should such suspect material be
discovered an AHERA certified inspector will have to sample and test the
material to prove it is of non-asbestos.
Northwest Asbestos Consultants is not responsible for identification of hidden
materials that are not identifiable with reasonable diligence.
Thank you,
'BIY6 ~
Bob With~ridge, IfF.M.
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: ' \ \ \ Phone: b {- -Li
Owner: \.(\{V"\ br~ch(~('""" Phone: l-j I ( OI'~9
Address: '2..~lb ~. CUn\C~ City:J~d~ A~~ lVi. zip:98~1_
ArchitectlEngineer: Phone:
Contractor)Ja"\ CiW2l< ~ State License #: 1)( ~ eX C "Aqt.SlExp: l-f l'O~hone!-Jbl t.'-i 7 J.j
Address: ~l~l It--J (~t city:'7~ A~lD (~ zip:-=:f'>~hZ
PROJECT ADDRESS: '2.. ~ I h "'S. 6'"1 }('\ \('~Q... ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
06 ~o \05'2..010600000
'\he Y\evJ ~ClXn..~Q will hONe.. e.\e.vt-'n'c -Th ,It-. ~o Sewe.K'
TYPE OF WOl<K' -me co \'1tra.dor \pHl g e+ 1\'~Fh'lt-Jr~~~, pe.<<,,!+. 0 r- we.. W,
o Residential, ~ New Constr. 0 Re-roof 0 Stove ~ SF. @$ /SF. = $
o Multi-family 0 Addition 0 MoveD Garage SF. @ $ /SF. = $
o Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $---1/
D Repair D Sign D Other TOTAL VALUATION $ In,~
BRIEF DESCRIPTION OF THE PROJECT:
t L-\' ''( 2.0 I 6arn~..e... t>-re\J l OU.> S ar-o-je. ~ \ q I X 2:.0 \
a. ;\\ be i ee. \)€.X'l\O ex-t'Y\~ "#-0'1- 5, I e Y\e.w
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: &. Lot Size: 0 5 ~ 5 Existing Sq. Ft. \ '3 20 & Proposed Sq. Ft._ _ - 0 = TOTAL Sq. Ft.1 ~ 2.0
Total lot coverage II % lJov'2-b \1l>u$c --:; ~o4C>
'1 ,... S'G.. 'Ft.
~C>XIL{ ~~e.. 2<6'0 5&. FT.
ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
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PLANNING USE ONLY:
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VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. 3' ~
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit -}-:n
Coordinator at 417 -4815 for assistance... . . . . . .. (0 ::::!:I
PLAN CHECK FEE: IF a plan check fee IS due It must be subIDltted at the tune the buildmg pelIDlt apphcatlOn and construction plans are ~
submitted. All other permit fees are due at the time of permit issuance. ~ E
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days ofthe date of application, the application will expire. ::..:
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section ,-
Rl05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. (t> ~
f hereby certify that I have read and examined this application and know the same to be true and correc/. I am authorized toi~
apply for this permit and understand that it,is my responsibility to determine what permits are required ,not the City's, and tha'H g
must obtain such permits prior to work. =t~
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2003 INTERNATIONAL BUILDING CODE
CONCRETE FOUNDATION WALL & FOOTING DETAIL
BENT VERTICAL REINFORCEMENT
TIED IN PLACE TO HORIZONTAL
REINFORCEMENT
WALL THICKNESS
6" THICK FOR WALLS UNDER 6' HIGH
8" THICK FOR WALLS OVER 6' HIGH Y, ANCHOR BOLTS FOR 1- STORY @72" O. C. & 2- STORY @48" O. C.
./.~ PLACE BOLTS WITHIN 12" OF EACH PLATE END & USE 3"X3"X1/4" SQ. WASHERS UNDER NUTS
PRESSURE TREATED SILL PLATES
# 4 HORIZONTAL REINFORCEMENT PLACED WITHIN 12" OF TOP OF WALL
REINFORCEMENT SCHEDULE
MIN. FOOTING
DEPTH
BELOW
GRADE INTO
UNDISTURBED
SOIL
12" 1.STORY
HEIGHT VERTICAL HORIZONTAL
IN FEET REINFORCEMENT REINFORCEMENT
*2' #4 @ 48" O. C. (1) #4 TOP BAR
*2' TO 4' #4 @ 48" O. C. #4 @ 24" O. C.
*4' TO LESS #4 @ 24" O. C. #4 @ 18" O. C.
THEN 6'
**6' TO 8' #4 @24" O. C. #4@10"O.C.
>8' ENGINEERS ANALYSIS WITH
STAMPED & SIGNED PLAN REQUIRED
ANCHOR
7" MIN.
EMBEDMENT
CRAWL SPACE
. VERTICAL REINFORCEMENT MUST BE BENT & TIED TO FOOTING REINFORCEMENT.
- REINFORCEMENT SHALL BE GRADE 50-HYDRAULIC BENT ONLY.
FOOTING WIDTH
12" 1-STORY
15" 2-STORY
23" 3-STORY
#4 REINFORCEMENT 2-PIECES CONTINUOUS
FOOTING THICKNESS
1-STORY 6"
2-STORY~"
3-STORY 8 1/2"
MONOLITHIC CONCRETE'FOUNDATION DETAIL
NO SCALE %" ANCHOR SOL TS(SAME AS ABOVE)
PRESSURE TREATED SILL PLATES
:,,-----#4 REINFORCEMENT 1-PIECE CONTINUOUS
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FINISH GRADE
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GRADE INTO
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, FOOTING WIDTH #4 REINFORCEMENT - 2 PIECES CONTINUOUS
12" 1-STORY
15" 2-STDRY
23" 3-STORY
18" 2.STORY
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CITY or PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17644
port Angeles, WaBhlngtonm______LQ__.::::_mE__.._mm...._m__m, 19__l?'
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-
mission is hereby granted to d6 el trlcal work as listed below.
Address __~___1./(,{-----~q--m- _._m m_ ~_______mm______m Occupancy___~____m________m__m_____
Owner ~d.... ~ . _ m _m_____:m__ Tenantm___m_______________m__m_m________mm_______m____m__m
u.---v~ .... .......:Lf.E..
Wiring Contractor ______~..-m--m----m--------------- By_______m___mm____mm___m____m_______..____..m__________
~O
Light Outlets....___....._____..............____.....
R~ceptacle Outlets.n,Z:.~...._.n........
::::~. ::-::::..:_..._j~..:..:::.::.::::::..
"tater Heater: s:
KW...........1ty..__...........
Heat Kw.../.~.~~..8.8.......
Motors: size, ,volts and phase:
::;f:~::::::::::.:::::::::::::::
'.
'.
....--..----........---.---...........-...........-----....
Total Load___m...........m.........
Service; volts -..-....-................----.........-
No. wires ......._n_..........n_n.......n_...
Size wires....nn_n.......n_n............_..
Main fuse ....___......._n_......n__.n_.....n
Enclosure ._......._....__n.....___n__......_._
Type of wiring:
Entrance Cable ___....m...................
RigId ConduIt ..............................
MetalUc Tubing ..n.......................
Current transformers:
No. & Size......n.n_........_nn__..._........
Ser. NO...n.......n_.........n..nn....._n__....
Ser. NO.n.n_....._n_nn......__.n__.........n_.
Ser. No. .__n_.....nn___._.....__...__n...........
Ser. No. ......n........._........_._....n........
Type of Wiring:
Armored Cable ..............................
Non.Metallic ........------...--..........----
Knob & Tub6.........._.nn......._........_
RIgid Conduit ........................--.....
Metalll. Tubing .........................
Clrc:::~::;~;~~~~~~~~~~~~~~~~~~~~~~~~~~~~-~~~~~
Utility ......~.._...............................
Heat ---./<.'"2.C~........................_.._--
. ...
Range ...._ ..............._nn.....__...........
Water Heater ..d............_._.......
:r:::~___~-.~~-.~~~~~~~~~~~..~~~~~~~~~~~~~~~--~~~
Furnace ....-..-.................._..._...............
CJr
Total ____._........___._.................__.
Remarks: __m__7~12&:~--m--m--m ._______.______________m_____m_m__mm~_m_____mmm__..mm__...m_m__mm...__
u..n._.h~~.nn.___uunn__uunn..n....nn...._nn.__.dnn.n...nn...n_n.nn_nnnn....nunnn_..._nnn_.nn_nnn.n.n_nn_n.nnun...._nn--.
_____________m_____"m______m_________m______mm____m_________m______m_________mm_____mm_____;m__:;;;__m_m___m____m__m__m___mT_____
Permit Fee Treas. Receipt & 'r:I:%~ ~
$__::lL_y(L_m______mm_ NO.._____m___....m_........ By /I-!.--~--t..-t/m';.4-..~f!:?!.--m-!?-:-:~
NOTICE-Current must not be turned on until Certificate of 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.
'\ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 6 4 4
"
Address....__.............___..........._...........__.___........__.......__...._......._.....__............__.........._....................Date..._.....__n_.._.._.._......._.__.___......_n_____..
O\vner .n........._.nn_......._.........._n.n_......._.._......_..................................nn.__....nn_.._.nn..... TenanL.._......nn..n......_...nn.......nnnnn.......nn_nn_..
V.'lringContractor.___.__........_...................._n.........._____.......__................._......______............_.............___By.......___.___._......_.____............_____......._____..__.
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be COD-
.cealed due notice must be given the Inspector so that work may be inspected before concealment.
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