The URL can be used to link to this page

Home My WebLink About3406 Mill Creek Ct - Building Oct 26 04 (iT .. ~ '{f ~....(\<' 06:55a R.W. and F.L. Becker 360-683-6104 p.l .. ELECTRICAL PERMIT APPLICATION b (; " ,..- RHlORX1..u..llSIiOHLY -- ..... " ....- .... ..... The EIedrical Pennit Application must be fiRed out COInalelelv. Please type or reprint ;n ink. It you have any questJons., please call (360) 417-4735 Fax number: (360) 417-4711 wnerorElec.contractorAgent::( W g;""C ~=.t- PhoneYl? /J9 t Fax: b( 5 (",/zrI ,operty OWner. LS /J {2..{l V '6 vt n (4- ("7 - 5 52 l Phone: jdress: :s cf Db U1-i'-L. C~ C./Cily: IC)7tr-lJ-tv;; ':u~ Zip: c;k"~ t. 7 '. I<w 6e-<:C'+- Of,:5c."3 . /(//. I r..-. I "''' ectricai Conlrnclor: k> (. ') g C=, 1/ 0X- License If: Exp: ~ 'j b b Phone: ~ ,(.... , '::1 jdress:/S.3L n-:I'~ t"'.ur7Jr:::i:Z-~ Cily: .<;C-oUF-'-' Zip: 5lY,;,tY'Z- , . tSTALLATION WIRED BY: a OWNER 'i7 redit Card Holder Name: (I- ( '-If' ~ )!(ELECTRICAL CONTRACTOR g L-<=c.~- /1l1ng Addless: If ( 5 rI- City: redit Card Number:,", Date: , Zip: VISA: VMC: lo.JECT ADDRESS: '3 '-10 (., 144 II t- . 1". .t ..eeK- ~ew c.,- D Alteration/Addition \j -J::: l ~ G" ---4 fPE OF WORK: Check all that apply: Residential 0 Multi-family 0 Commercial ft:: Mobile Home Sq. Ft / <I ere:> Remote Meter D Detached garage D Hot Tub D Swim Pool D Septic Pump 0 Low Voltage 0 Telecom. D Sigr Imber at Circuits added or altered: .SCRlPTION OF THE ELECTRICAL PROJECT: ~ eJ 6/ L. (A)/L./ r>. .4- c-<- ~d' Sb$c/,.-.,5 V 1;:zJ~ ,Pir)L ./ /..JS "oG~~/-..J ;' ectrical Heat Load Additions and or Subtractions Service Information ~~ =umace ieat PUmp =.....WaJl _KW KW _TON _KW lRA o 0IIerhead Service aTemp Service )s1Jnderground Service VQIt:1g~U;~ Phase: 1 0 3 Service Size: 11....,." ,!) Feeder Size: ., ....., A ereby certify that I have read and examined this application and know that same to be true and COI1eCt. and I am fhorized to apply for this permit. I unde1stand it is not the City's legal responSibility to determine what permits ~ required; it remains the applicants respoflSi!Jility to de!?'J'ine_ what permits are required a~d to obtain such. . Credit Card Holder's Signature: ~~ L-<J ~<,,4 OaOO:/<1_ Z-C,-0Ci OwnerorElec.Cont.Signature: ",f?.ro~/~?..J N~ Date; /rJ-Z-6-0'f 'LECTRICALPERMITAPPUCATlON PERMIT FEE: $ '/ bJ.P -v . " . ;-......... o Electrical Contractor 0 Owner ELECTRICAL WORK PERMIT APPLICATIO~ )tsequest Inspection f r r o Annual Permit 0 Alarm 0 Carnival 0 Commercial esidential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired by j::I(Electrical Contractor 0 Owner Installation description to r 1t.-6 (-, If-rLA-h6' Electrical contractor name e.J 6Cc;iI-<JIL.- Purchaser's mailing address /';3'~ n"l-/~ City S..,,~a 1,1 , ~A.'" License number f2- uJ t. e-C-C ~ t;Jh ~ c.. CAA-rv-r;c (l/:l '"-7 &" '3 t '-- 0(0 State ZIP Premises owner's name 'is A-1Lfl ~ ~i-4 1M Add~ o~s eelIon ,3 I'~L jPlI LL. e-/ .L Citl'i r ()1l. '=-t:.6~ G-r o Cash 0 Check # I hereby cenify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical1aw, Chapter 19.28 RCW. o Credit Card Visa Mastercard Discover Card # x Expiration Date of card ~nspecqr f{, / D \ / WALLS " Insulation Only Dale Approved By Cover Date Approved By CEILING Insulation Only Date ApproveD By Cover Dale Approved By /' THERMOSTAT Date Approved By DITCH Dale Approved By ./ / SERVICE '\ "- Dale Approved By / FEEDER "- Dale Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector Z.b/6 <r: (j~- &r-.,AI'ed Jh. 1>oe.S A/ff--~{,- ~ .' f - . , ~ 7ftt3 07/9 k S- . p:l Dee 03 04 (I"".,.... ~~~ l!" w .'" 07:54a R.W. and F.L. Becker 360-683-6104 ELECTRICAl PERMIT APPLICATION RlIl DmO.o\L USE ONLY ........, ........f:" "*- .....- The EIedricaJ Permit AppflCation must be filled out completely. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 r,"{,? woer or Elec. Contractor Agent R LJ is C-c.~ mperty Owner: ~~ p; V1 L1 J) ldress: ~,j () c.... f C ( C It>i/. t.;TCity: eC1rical Contractor; .,2 (A) 15~cn_./ ldress: j s.--'; 1..- r4f~~ (/&r/>~/Z City; . Phone: '177 /;5 7% Fax: h 5"3 G /0 r/ Phone: P./L PL>1 DC-c.c=-'~b3C-3 license~ Exp: Zip: 5',v3. b z. Phone: Zip: 9 Y1. Y"L- ~ ;1<.-r)u/ h-7 ISTALLATION WIRED BY: DOWNER ~ECTRICAL CONTRACTOR redit Card Holder Name: ;7 '1 ~ .I~ 6G.~ Wing Address: III c;.11- City: " <{ redit Card NumbW: Exp. Date: Zip: / V/SA:~ MC: IOJECT ADDRESS: 3;"/00 Ih le(.... Check all that apply: c/~ ~ ~.,- fPE OF WORK: o Alteration/Addition Residential 0 Multi-family 0 Commercial ~Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool ~Ptic Pump 0 Low Voltage 0 Telecom. 0 Sign ,mber of Circuits added or altered: '"1.-- ,SCRIPTION OF THE ELECTRICAL PROJECT: / i<.? '> i ~6 1?~-nv7 ~ ("1-r7?7 G j) u.1( . a ---R \ UY~>7~~-? C'1- 6' ectrical Heal Load Additions and or Subtractions Service Information 3as. "-oard =umace -feat Plimp =an-Wall _KW KW TON =KW LRA o Overhead Service o Temp Service o Und81!lround Service Voltage: Phase: 0 1 0 3 SeIVice Size: Feeder SiZe: oemby certify that I have read and examined this application and know that same to be true and correct. and I am thorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits ~ required; it remains the applicants responst.bility to ine what permits are required and to obtain such. Credit Card Holders Signature: ~ Date: / Z- -- 3...- Cf- / Owner or Elec. Cont. Signature: Date: / z..- --:7 -(;/1 'LECTRICALPERMITAPPLICATION PERMIT FEE: $ GENERAL NOTES ~ VARIES . . ~, 1/5 n[ DO'M'l HOOK (SEE SECTlON All OPTION IF HOOKS ARE TO BE TURNED OPPOSITE DIRECTlON) 12'-0" MAX 03/12 ROO.F, PITCH /'_.., '_ _t \c<:'- c .'-0' MAX 0 </12 ROOf PITCH _ , ~ . ,__;)':,/-J ',,~ I~.- ';-,~\~Es~P: ~ -r ~ ~- "/, -,- ~ S)~ J 0\S \~S J - " CONTINUOUS '0 -\ S 't- -\\; ~'v-\ q[!J () \ C6 ~, 2 - 14 CONTlNUOUS . -;'4 CORNER BARS /' ~~" <I '- <:. I c.. r-I/', I ,. ~ _.J ___ --"'-- - ~--;"L-_I_ .~ Il /\ ~, ---~ : -"' 4--- " \ ., ",' -'"-- " ~ '"lj-- - tl 4 ~ :c c " COOC, SlAB, OR PIT RUN ..} '0 I ".. - o I :.". I?I I~I H, II u 2 - (14 CO- 'lNUOUS t=-- W/(l4.:.CORN'" BARS '1 11 , --:, - -- ---..., ~ 4 (14 0 6" EACH SIDE CENTER OF FRAME , , , :;:f' 01 z' ~~ ~"~ ~ ~ :~'~~s: ~~ "'~:_~ : · · " · . \S J' ~,\\ :\\D~ , ", ," '. "ATI~' ~ -,~~_~~ ~ _J'_ --" -<-'d ~ -'- .. ~ '---..J . c..\ r~ ~~v ~ '\" t ,," "" "\) v \~~ S \~r~ " 14 CONTlNU~S. 0 et'N'WR 'J -.r -,,:- <\D~~-L- ~-r ~ ~"-~~ -d--1- " -;f -.. ~~~~ - ~- -.. _ _ ~ _ "" ~-,-.rd ~~\) ,<S 00" Ad \ I" <: 0 - :G'S~ ~(\) "05" EACH 90, or S '\ r' \)'<;, "V C CENTER OF FRI.ME .-( '0 \ \\ S <:: f'.... G'\ ." CONC. SLAB J \ .'\ r' OR PIT RUN () <(-.. ~ \) 3 - IS CONTINUOUS -~~- - " d ~ " '" ~ " " l" '''' I --- ,,--" n _:U _U 4 '" " " " 4 '" b I :.". 4 '" " .....:.- '" . c' ..: I d' INSTAlL "W :7.NER BAAS (nP,) I . o I ;,. r=-- ,'''' LI " ~-~-----;'-"--~----~~ . " " -;>r- -4_ r--\- ~I t\ -1 ~d " " <1 " " L-- "~ - - 4"" '" " ",,1.. -.+- " .., '" _4_ - L- ............... " IJ / / .......- "~~J~ <l <1 I <J --.r- -:;- --: <l ":-r <1 . '" - - ---.,. -->L . . -rt- " " <l ---A .. - ~ ., Il 15 TIE DOWN HOOK SPACED AS NOTED ABOVE ~ 11')...0 /)"'V 16"t l' 15 TlE DOWN HOOK ill"~[~~' -frJ; -- ---- -.___ r --------n ~__~~_~ONTlNUO~~__J:~--~:NC. SLAB - --I ., . · ;IJ;-m . . 'J" co j(l~Ir~". - Il. . .1 19n:-::nQ1r:Jlcrn:::i;; " ,I JIr ""lJ"....'m"~fi'nl'l~rmrlrr.lImntTl" "wmO..-rf'.!f['rmrt'rm1''ITT'T~Tf:T .11--rr.Mrl~l~jlll!n-,lIJlrl~jll[lr 11'1,11 t- -,~I "lIlil' '"i'''II;1 .I,iill ,-,~ ill - ,iI,I;", I '" lilill," ii7'1'I,i1I,,-r"II' i,- 11"11 n~- '" ,i,l,ir III ",II 4'-0" 16"* 15 TIE DOYtfj HOOK J - 15 CONTINUOUS SECTION U'\ W NTS SECTION-OPTION il'\ ~ EXPIRES: 8/12/04 NTS . ..... ENGINEERING DESIGN LOADS ROOF UVE LOAD: 30 PSF (SNOW) YtlND LOADING BASED ON WINO ZONE 1 SEISMIC ZONE 3 PER U.B.C SOIL BEARING CAPACITY: 1500 PSF MANUFACTURED HOME REQUIREMENTS 28' DOUBLE YtlDE 99 1/2" FRAME SPACING STRAP ANG'..(: 43' MAX (38' MAX FOR 8' CEIUNG) 30" MAX. P:ER HT. (27.5" 0 4/12 ROOF PITCH) SIDEWALL FnAMING HT. -8' MAX. 2. CONSTRUCTION SHALL CONFORM TO THESE PLANS, ALL APPUCABLE ceDES AND ORDINANCES INCLUDING THE 1997 EDIT10N OF THE UNIFORM BUILDING CODE AND THE MANUFACTURED HOME INSTALLATION MANUAL. CONCRETE NOTES 1. CONCRETE SHALL BE A COMMERCIALLY AVAILABLE TRANSlT- MIX PROPERLY PROPORTlONED AND DEUVERED TO THE SITE IN READY-MIX TRUCKS. AGGREGATE SIZE SHALL Be: A MAXIMUM OF 1-1/2" IN FOUNDATIONS AND 3/4" AT ALL OTHER LOCA TlONS. SLUMP SHOULD NOT EXCEED .", CURING COMPOUND SHALL BE SPRAYED ON ALL EXPOSED SURFACES IMMEDIA TEL Y AFTER FlNAL TROWEWNG. 2. ALL CEMENT SHALL CONFORM TO ASTM STANDARD C-150. ALL AGGREGATES SHALL CONFORM TO ASTM STANDARD C-33. ALL REINFORCING BARS SHALL CONFORM TO Asm STANDARD A-615 AS FOLLOWS: 1'3 - 15 BARS AND WWt.C - GRADE <40 3. CONCRETE USI1) FOR FOUNDATIONS AND SLABS ON GRADE SHALL HAVE A MINIMUM 28-DA Y COMPRESSIVE SmENGTH OF 3000 PSI, PER CHAMPION HOME BUILDERS CO. MANUFACTURE.D HOME INSTALLATION MANUAL. AND SHALL NOT CONTAIN LESS THAN 5 SACKS OF CEMENT PER CUBIC YARD. .. SPUCES IN CONTINUOUS REINFORCEMENT SHALL LAP AS NOTED ON THE PLANS OR AS FOLLOWS: GRADE 40 REINFORCING BARS: MINIMUM OF 32 BAR DIAMETERS. 5. UNLESS SHOv,,~ OTHERYtlSE, THE MINIMUM CONCRETE COVER FOR REINFORCING SHALL BE 2" EXCEPT Yt1-lEN CONCRETE IS TO BE PLACED DIRECTLY AGAINST EARTH Yt1-lERE IT SHALL BE 3" NOTES: 1. MAX. PIER LOADS: 4000 L8 W/ 1000 PSF ALLOWABLE SOIL BEARING, 5800 La W/ 1500 PSF ALLOWABLE SOIL BEARIIIG WI 128 SQ. IN. PIER BASE AREA. 2. THIS DE:SlCN DOES NOT APPLY TO OVER-THE-ROOF STRAPS. 3. SLAB TO BE SLOPED 1/16" PER FOOT (FROM CENTER TO OUTER EDGE) TO PREVENT STANDING WATER. 4. REFER TO SKYlINE "MANUFACTURED HOME INSTALLATION FOR PERIMETER BLOCKING" FOR PERIMETER SUPPORT REQUIREMENTS, IF NECESSARY. TITlE' MANUF. HOME FOUNDAnON PLAN-BISHOP ENTERPRISES, SKYlINE HOMES MILL CREEK COURT PORT ANGELES FOUNDA nON DETAILS AND NOTES ClIENT: BISHOP ENTEF?PRISES 982 LEK1S ROAD PORT ANGELES, WA 98362 Z ENOVIC & e18 s. PEABOOY ST, STE. 22 . . PORT ANGELEs, WA 88382 ASSOCI A I ES PHONE: (J80) 417-0~1 INCORPORATED - rAX' (360) 417-0~14 DRAWING: O./DJ256/DJ256FOUHOAnON 0108 NO. SHEET 03256 DATE S1 AUGUST 2003 SCAlE NTS or -- ..-' ..- // --,. -- .-/"/ /" '" /-------~ ~ // ,\ -- \ ),.Q~ ~ "t o~ 0'10 O~C7 ~0 9~ ~ . \;~~ --;}'J'l- \, ......... /' .-" - -- , " ,/ ,,,, / (3\ .... i :0 ,~ 1, , If) C" ,- ,.., C"') -0 ~ I 0 ..., .' 0 9 cr >( tA- ( ~ ;'1 ~- ~ 9 ji . c~ 'T ..J:. t,- t ({) - -.............. (^ A 11 r1> ~ --t- ..,l~ _ I t{' _ '~ I ~/'\-L -rn' _, '...."'..,,, A=,_ ~~..........."'-::--- ~....... ~ ,,'0',.. _, , . ' " .,.,,'... -, " "....,--.. ( "-"- ' ... --~_J -' '\", ........ '1'" " ) f.,l' \~-' .-' C ) .~:.: (2~ :> t '~ (0 ,') ':' If) / -\'I,t;9 ,J / { -.... i). } ,(l '", ~l / // ,,;'1-,/' / "I"" .......,..., / " ''-', ,/ - ""-, /' .... f<", "--"-., '\ -', , , - , '"' ' 01 >S"'~ . "'-,"'. ""'''''~ "'( - -", .-.- ....-,... ,.,., , ----..- 1} \ '~..., / J' ......--- \ " " \ \ \ ,~ -', -- \ ".. \ / / ~ / \ -"', r'<., ..- ,/ -......, I ,v-' \'" I, - / \ .-( \ \ \ ..s: ~ \ .,-- .... \ \ \l --. _~... \ -"~ <r\ ".~'{ \ \ ~ \, ~ \ \. '1 '\ ' 'I \ \ " \ \ ,<""'" \ \ (\)- \ ~ " ,y '\ ~ \ '. t .\' \ '-, .,"~:, .\ \ .. , t", ~ T .!:, \ .. ::;',t " \ .\. \ . I, ~ '\ / \ - "". (fI 0 1'tJ .:r! 'I- U"~ \ p {i \ ;;\-- \ ~-\ ~ r I ,,-t-l--, ~.~ I ~ 0"- ! .' '.... I CX:~ _ I . 'I ( ~ L-~,- ! ~ - \ '- \ --< ~ (:;; '\''"1< . -^0 \ \ / / ~-I '0 c~') .( x: !) CJ) po ~'i rn'~ -, -r -') 'i~ (}J 1"' C C L~,.~) ~J (u__ ....-' p....- (J --'\ -,"'"...,.... n\ -""" C,.,./ G-. ~:.:~ 0 ....' , "'-"" RI ~ , ~"1 - 0 ~~ .....,,""'......~~ -. ~ j'1) \\ UJ ,",<, 0 --.:\. .- () lJl I -=l~ -1 . --J ~ ....,~ 0 -'0 0. -) (/J (). 0 ,,>< OJ :!f ~ _m..._, r~/ _ _ "''''___ " " .. --<;._.~-;Ef --- --~ ,.....~--~....__._--_......- - ] I .' ~ /' ~ ~~../' .~\ t. - ~.:.:.:.::...=;...=:.~ " '------.. ", \..,'<.. "", ~ "'" .- -, ~ 1"\ ~ ';""'. (/) ..... " ~ ", -;7 '-~ ~"'I.. "';'" "-, -""'" -"-., '-." I ~... " I '", ~' i J I / t {I I,r . ill 1'1 , I: ce_ Jf) ~ -p jS~'D;~ WIJ) ~(( 1 (\l ~~ O~ 0: ....L 'f'- .' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pln number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zonlng . . . Appllcatlon valuation 04-00000667 Date .458377 3406 MILL CREEK CT 06-30-15-7-7-0030-0000- RES MANUFACTURED HOME 8/20/04 102964 Owner Contractor BUDD, BARRY/SHIRLEY P. O. BOX 1055 PORT ANGELES (360) 417-5521 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 1290 SF MANUF. W/ATT 480 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 8.10 1. 00 21798.00 1770.00 1770.00 1. 00 Permlt BUILDING PERMIT -RESIDENTIAL Additional desc 480 SF ATTACHED GARAGE ONLY Permit Fee 246.75 Plan Check Fee 98.70 Issue Date 8/20/04 Valuation 12290 Expiration Date 2/17/05 Qty Unit Charge Per Extension BASE FEE 92.75 11.00 14.0000 THOU BL-2001-25K (14 PER K) 154.00 UJ ~ ~ Permit BL MANUFACTURED HOME Addltlonal desc permi t Fee 230.00 Plan Check Fee .00 Issue Date 8/20/04 Valuation 102964 Explration Date 2/17/05 Qty Unit Charge Per Extension BASE FEE 230.00 ~ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or plped to approved storm drain locations. Manufactured home must be plt set so that no more than 12" of skirting is visable above grade. Proposal wlll result in a mfg home wlth attached garage in the RS-9. Lot coverage and setbacks are good as shown. No land use lssues are noted. Electrical load calculations and elctrical permits are required. Sewer lateral to property line, wlll requlre sewer pump & '- 0- ~ R- ~ 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 penod 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. g-()'Q- Date Signature of Owner (If owner is bUilder) Date T \PLANNING\FORMS\1102 15 [11/14/2003] CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000667 Pin number . . .458377 Page 2 Date 8/20/04 Special Notes and Comments pressure line. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 476.75 476.75 .00 .00 Plan Check Total 98.70 98.70 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2349.95 2349.95 .00 .00 Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, private and public Improvements. ThiS permit becomes null and void if work or construction authonzed is not commenced Within 180 days, If construction orwork is suspended or abandoned for a penod 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 owner IS builder) Date T'IPLANNINGIFORMSllI02 15 [11114/2003] BUILDING PERMIT INSPECTION RECORD .', I 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 YES NO FOUNDATION. FOOTINGS M"ov, <.{1.. h q-!)./-oJ-1 Jd. ~o/I.,j, 10-017...," N- WALLS 'judd fColr '?-_JY-oJ.l J-).. FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engmeermg DIvISIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION - SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA P ARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W.I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 I U\ "':ij.U~(Pfl.f j It...- BUILDING T \PLANNING\FORMS\1102.15 [11/14/2003] - / 4 13 15 21 PREPARED 10/07 0 , CITY OF PORT ANGELES_ --;~~~-~~LL CREEK CT ADDRESS CONTRACTOR UDD BARRY/SHIRLEY OWNER B, 7-0030-0000- HOME PARCEL 06-30-15-7- ES MANUFACTURED BER- 04-00000667 R __ APPL NUM ___ ------------------ ACTURED HOME ---- BLM 00 BL MANOP DESCRIPTION PERMIT: REQUESTED INSP RESULTS/COMMENTS COMPLETED RESULT --------- 0 SLAB BUILDING FOUNDA~~~~I~~~ JIM BISHOP - BUILDING FOOT /SLAB Jlffi blShop ---- COMMENTS AND NOTES INSPECTION TICKET LIERLY INSPECTOR J~~~_~ SUBDIV PHONE PHONE TYP/SQ BLM 01 9/21/04 JLL 9/22/04 AP ~~-- BLFS 01 PAGE DATE (360) 417-5521 *NJ"lf ~ ~:'" J 0/.-1 ~IQ-~.J. t't\~" ~...~ 4 - 0 Pt,o,..ocil/lUf_ ::r-",cJ..,d;u&. ~ t -rt:> Ll::si2.JawlG-,y E6lUp~~ ') ~~...\to'-0 "?\~ € . ~ID~ E1&-~~~ 7 10/07/04 t>f2l)i:)eJ21 y ~b 1- L; r;,,;, t~ cs .!-c...... ~ PREPARED 12/20/04, 12 07 40 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 3406 MILL CREEK CT INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE BUDD, BARRY/SHIRLEY 06-30-15-7-7-0030-0000- 04-00000667 RES MANUFACTURED HOME SUBDIV PHONE PHONE. (360) 417-5521 PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 9/21/04 9/22/04 10/07/04 10/07/04 JLL AP JLL AP 01 BLFS 01 BL99 01 12/14/04 12/14/04 JLL DA BUILDING FOUNDATION MONO SLAB JIM BISHOP 460-1792 BUILDING FOOT /SLAB Jlm blshop left note on permlt to malntaln 4'_0" on east slde of property 11ne for shallow storm water run off lncludlng not Ilmlted to drlve way and parklng of vehlcles and equlpment Jll BUILDING FINAL JIM BISHOP 460-1792 block and tledown lnspectlon reqd before flnal also verlfy electrlcal flnal/Jll BUILDING FINAL 4 12/20/04 but BL99 02 12/~~~JL~ \?: , -------------------------------------- COMMENTS AND NOTES -------------------------------------- ", , , ! J / / ( PREPARED 12/14/04, 13:13 51 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 3406 MILL CREEK CT INSPECTION TICKET INSPECTOR JAMES L LIERLY BUDD, BARRY/SHIRLEY 06-30-15-7-7-0030-0000- 04-00000667 RES MANUFACTURED HOME PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 9/21/04 9/22/04 10/07/04 10/07/04 JLL AP JLL AP 01 BLFS 01 BL99 01 ~~ SUBDIV PHONE PHONE. (360) 417-5521 PAGE DATE 1 12/14/04 BUILDING FOUNDATION MONO SLAB JIM BISHOP 460-1792 BUILDING FOOT /SLAB )lm blshop left note on permlt to malntaln 41-011 on east slde of property 11ne for shallow storm water run off lnc1udlng not 11mlted to drlve way and parklng of vehlc1es and equlpment )11 BUILDING FINAL JIM BISHOP 460-1792 but CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 12/14/04, 13:13,51 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 12/14/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 3406 MILL CREEK CT SUBDIV PHONE PHONE. (360) 417-5521 BUDD, BARRY/SHIRLEY 06-30-15-7-7-0030-0000- 04-00000667 RES MANUFACTURED HOME PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 12/14/0r\ JLL BUILDING FOUNDATION FOOTING . V ~ ~ BISHOP- 460-7390 \ \\ \ ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- 01 PREPARED 9/21/04, 12 10 23 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 3406 MILL CREEK CT SUBDIV PHONE PHONE (360) 417-5521 BUDD, BARRY/SHIRLEY 06-30-15-7-7-0030-0000- 04-00000667 RES MANUFACTURED HOME PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~~~__~~__~__~___~:~~::~::::::::~::~I::::SSLAB PAGE DATE 9 9/21/04 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 FOR OFFICIAL USE ONLY Date Rec 7- '23-0 '-I el1l1Jt # i)t..l -~ '7 _I Date Appl Dved t;)~ Date Issued BUILDING PERMIT - APPLICATION ApplIcant or Agent' 2,\ -E>'-' o'f 5'(\ te.{', t' \ ~e c:; Owne' ~o.''''J~ ~\t\"~l'd JB>~ ~s Address: 1.-3 'I c.. e s\ t'PC1tY' Pt \ .t\ f\eI e\F' /'~:' \ ArchItect/Engmeer: NIA ~ Contractor Bishaf' 6 nt e q>l' \' S e ~ State LIcense #: BJ:5f(ti~*'1'l7 J'ltxp: 7 - 20-0 if Address: 9F:2 L@A-t)) S \ld. Clty:J?j-, Pi n,ele s .' Wft PROJECT ADDRESS: Lo~ 6 V\:\\e.te..e..k Q.,o\),~:%\: 3<<..tOh '1 short p1o:'''l\ aU ~U I LEGAL DESCRIPTION: Lot:~ Block:~ SubdwisIOn: CLALLAM COUNTY PARCEL NUMBER: 0 I. 3 () , ~ ~ '7 70<5 30 Phone: LJI1-6~1::.1 Phone' ~7-SS ~I ZIp' q g- S 6 3 Phone: Phone: 366- '1/7-0 'I/'/ ZIp: 9g 3 ~::2 Rs-9 ZONING: ~;\I f-ree Ii. ~ f') l )'f..t Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: SIZEN ALUATION: ~ ResIdentIal C New Constr. 0 Re-roof 0 Stove I ~ q (') SF. @ $ /SF. = $ 9067 <j,() 0 t~ l(lclud.e~ o MultI-fa!Illly 0 AddItion 0 Move IlQ Garage l( i'{) SF @ $ /SF = $ IA~ '1" oC) o CommercIal 0 Remodel 0 DemolItIOn 0 Deck SF. @ $ /SF = $ o Reparr 0 SIgn !CI Other M().fIl).{'",{'h'YeA TOTAL VALUATION $ t tt7)f1- 9 to J./ . ()O BRIEF DESCRIPTION OF THE PROJECT: I-Io~e... '1.I\C-{'("^ ~ \ HCl'f'\ \1 ~ o.(::\- I) re J h~--rn e_ W;-t k a. Hacke d City: Exp. Date: COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stones' i Lot SIZe: zl7Q B Existmg Sq. Ft RJ Total lot coverage 7. g 3 Occupant Load: ~Q \0..1 e . ConstructIon Type: & Proposed Sq. Ft /111(1 = TOTAL Sq. Ft. /17 () % APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s). 0 Yes 0 No SEPA ChecklIstrequrred? 0 Yes 0 No Other BillLDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DIVISIOn can provIde you WIth miormation on the applIcatIOn and plan sub!Illttal requrrements If you have questIOns. VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the applicant TIllS figure wIll be revIewed and may be reVIsed by the Bmldmg DIVISIOn to comply WIth cunent fee schedules. Contact the PeflIllt Coordmator at 417 -4815 for aSSIstance PLAN CHECK FEE- IF a plan check fee IS due It must be subrmtted at tlIe time tlIe bmldmg pemt applIcatIOn and constructIOn plans are sub!Illtted. All other permIt fees are due at the tIme of pemt Issuance EXPIRATION OF PLAN REVIEW: If no pemnt IS Issued WIthm 180 days of the date of applIcatIOn, the application will expire. The Bmldmg OffiCIal can extend the tmle for actIOn by the applIcant up to 180 days upon wntten request by the applIcant (see SectlOn 107.4 of the Umfonn Bmldmg Code, cunent edItlOn). No applIcation can be extended more than once. I hereby cerllfy that I have read and examined this applicatIOn and know the same to be true and correct I am authoT/zed to apply for thiS permll and understand that II is my responsibility to determine what permits are required ,not the City's, and that I must obtam such permits pnor to work T IFORMSIAPPSlBmldmgpe=' wpd Apph,ant 1Iff,~~-f;/ Dote- 7- / i ~ d 'j (~ Ba-~"" y "6 u.. J ~ GRtl..il.,e A ffQ (!,~ eA ..- - J J ~ ........ -' ( 1'"( . 11 I LI 1 n ,- " --_.~! ;: i I q . ;IL' I I It-- -~-_..--- Fire YJ I El,..,pt~,.> ~Ili CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the bu'IJlng offiCial from thereafter requiring the correction of errors In said plans, speclflcalions and other data, or from preventing bUilding operations bemg carned on thereunder when In vIOlation of all codes and ordinances of thiS Junsdlcffon. (SECTION 303(c) - U Ifor BUild g Code,) Approval Date 'd- () By @ _ ~ ) !1~~"'} (,_,-",e,tt' 1-{tA":J "'fi '? Ho....~e Roof , uou.~.e ~ P 'or _e.'f'" <;,. '4e \ - :J.}Cq wtiJI llt>"< pv.-e. ~o- U ~ ~'- --~ ~BP d.. 'h'1 f~ Tru.~ . ~ 0'-. t{ 51 o..b ,- - - - - - I t _~}'il_ - ~ - i- - I I I i a I I I ; i l l I t ~I I I I f)V-t.. rl\€..-{'\.-6 dOI1\"'- 1---3' ASP :l..b w 1 c\..~ 3 -, A- L <:?GVK f' tl~)L::> f 15' FeLl 7~. O~8. - - . .- -. - -~l I I ( I ( itt{ ,. -! ~i , -i :j :~H 0 '^ ~..e- € -I UJIiv/1 E. ~ ~ "i ~ ().. f,' I ~ f'i ~ 12.00'<<\ : ~O tn";'" eo,:r-e :1,")t:L{ LU ~ L\ l t>P i Ito-I" Otd- ~lK.4 r 'E;~ 0(; 3: r~ cS<r... 'f: 12 P:cr~ -r"N.l~1(j5 r/';4.l<'k Gt~~_J~mb -- I I' 11 ., "i r::""O Vi -r V,\e..u/ ii' c;~ CIU' ~ 01 ----.- . '\ ". tL. '8~~'^'j P;-~d 3 Tab Roofing, 15 lb Felt ~,~re Eng. Manufactured Trusses @ 24" 0 ~nsulation Baffle R-38 .Insulation 7 6SB 0- c, .\~/ X 6" Fascia Vent Blocking 2.5 or ~9uivalent Clips 9J' 2 x q St~~s @ ~6" O.c. ~Vjj Z)J-~ I\J -.' - '. .'\.~ - . 2 x 4 Pressure Treated 5i 11 S~tl.A"e- kJo..slte.r 1/2" x 10" Anchor Bolt 6' o.C. . f 6" Concrete Stem Wall No.4 Bar - Vertical 48'0C I J.~J' . ish Grade L. i 2:. Concrete Footi n9 wI 2 No. 4 Bars Conti nued i -- !r VORT ~ 84.0~~~ r'Gii 'lL w;:;;;.so ~ "tfi.1C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 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 04-00000667 Date .458377 3406 MILL CREEK CT 06-30-15-7-7-0030-0000- RES MANUFACTURED HOME 10/27/04 102964 \) ~, \ Owner Contractor t') ~ ~ BUDD, BARRY/SHIRLEY P. O. BOX 1055 PORT ANGELES (360) 417-5521 Structure Information Construction Type Occupancy Type Other struct info OWNER Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL M/H SVC.&FEEDER RW BECKER ELECTRIC 78.70 Plan Check Fee 10/27/04 Valuation 4/26/05 .00 o t '\~ ~~ ~ .' ~ ~ ~~ ~("' K::: ""':::: WA 98362 11 1290 SF MANUF. W/ATT 480 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 8.10 1. 00 21798.00 1770.00 1770.00 1. 00 Qty Unit Charge Per 1.00 78.7000 ECH EL-MANF HOME SERVICE & FEEDER Extension 78.70 ---.. ""- r- ~ ~ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade. Proposal will result in a mfg home with attached garage in the RS-9. Lot coverage and setbacks are good as shown. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sewer lateral to property line, will require sewer pump & pressure line. f ~ --<:: ~ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due Permit Fee Total 78.70 78.70 .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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPLANNINGIFORMSIl 102.15 [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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGEIDOWN SPOUTS Il ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # J /' rw ~ c:;; /' PI-F' t" ~ ROUGH-IN . V'"'l/<-Ij{f IlU I I / -{~ {~t{JL~/ b1~ PLUMBING pJc-- UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION. R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417.4750 PLANNING DEPT. BUILDING 417.4815 BUILDING T:IPLANNINGIFORMSII102.15 [11114/2003] '~ ~ r"""" CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION J21 EAST 5TH STREET. PORT ANGELES. WA 91\:162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000667 Date .458377 3406 MILL CREEK CT 06-30-15-7-7-0030-0000- RES MANUFACTURED HOME 2/10/05 102964 Owner Contractor BUDD, BARRY/SHIRLEY P. O. BOX 1055 PORT ANGELES (360) 417-5521 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 1290 SF MANUF. W/ATT 480 SF TYPE V ~ON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 8.10 1. 00 21798.00 1770.00 1770.00 1. 00 ~ ~. ~ ------~--------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL - ATTACHED GARAGE/ BECKER RW BECKER ELECTRIC 48.10 2/10/05 8/09/05 Plan Check Fee Valuation .00 o Qty 1. 00 unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 ~ "- \;' \' ~ ----------------------------------------------------------------------------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade. proposal will result in a mfg home with attached garage in the RS-9. Lot coverage and setbacks are good as shown. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sewer lateral to property line, will require sewer pump & pre~sure line. ~ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due Permit Fee Total 48.10 48.10 .00 .00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPEc.;:rJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCItPTItD COMMENTS YES NO I JI l:H R II If iH_IN I-COVER ~.hK V lC.h ~"",T A T GENERAL COMMENTS: PW-II02.15141961 '(i .....r;; CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 98:\62 Application Number pin number plan Check Total Other Fee Total Grand Total 04-00000667 . .458377 .00 1774.50 1822.60 Page 2 Date 2/10/05 .00 1774.50 1822.60 .00 .00 .00 .00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEQ'JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA rE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO I nll:H lUll ICTH_IN I L:UV~K SERVICE PIN A T 1.2.1/1 h,) "'- ~ ./1"6{/1 I / GENERAL COMMENTS: PW-lI02.1~ [4196]