HomeMy WebLinkAbout417 Scribner Rd - BuildingApplication desc
3 ton heat pump 15 Kw furnace
Owner Contractor
RONALD F ERDMANN AND
MARIA A KAYS
417 E SCRIBNER RD
PORT ANGELES
(360) 452 8267
tb V)4
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number 10 00001114
Application pin number 120738
Property Address 417 SCRIBNER RD
ASSESSOR PARCEL NUMBER 06 30 15 3 4 9010 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
DATE.
Date 10/04/10
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 174599
Permit Fee 78 70 Plan Check Fee 00
Issue Date 10/04/10 Valuation 0
Expiration Date 4/02/11
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50
2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 5 20
Fee summary Charged Paid Credited Due
Permit Fee Total 78 70 78 70 00 00
Plan Check Total 00 00 00 00
Grand Total 78 70 78 70 00 00
RESULTS INSPECTOR.
rD /f?/ /a ,Aie
125 /g/J v .•47 i
Signature of owner or Electrical X Date:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical "Inspections
321 'East Fifth Street P:0. 1150 Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417.4711
D te: 0 I
4 41& 2 Single Family Dwelling
k Plan Review May Be ReggjLee Plea a Complete Electrical Plan Review Information Sheet
Job Address: L.l f
Description of above 5 P -r y /S j�fit) n 11Ctf
Building Square Footage:
01'4-Pe
Owner Intprmatlon
Name: !Y 0 1.1_1112 d rV rt„tn
Mailing Address: 4
t'7 2
City: State: �p: _WJ,
Phone Fax:
License #1 Exp•
Item
Service/Feeder 200 Amp.
Service/Feeder 201 Amp.
Service/Feeder 401-600 Amp
Service /Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp,
Branch Circuit W/ Service Feeder
Branch Circuit W/0 Service Feeder
Each Additional Branch Circuit
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 First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit! Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Sinne re.of ow ner, electrical contract
E__ t rj
2
ELECTRICAL
INSPECTIONS
Multi Family or Commercial* Commercial Addition Alteration Remodel I Repair*
Unit Charge
119,90
145.50
204.60
262.20
37250
2,60
73,50
2.60
92.70
$110,30
146.70
167,90
95,90
88.20
95.90
63.90
63.90
119,90
$102.30
56.00
$110.30
35,20
73.50
110,30
Contractor lnfonnatlon r
Name: a .S`r;r►�t 11.5f ill kth JC L -Le
Mailing A
City
Phone:
License Exp.
State:
-y 0 Fax:
i114.ip 4J
illy Total fQty Mull plied by Unit Charnel
Owner as defined by RCW 19.28261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) r )wrier is required
to hire an electrical contractor ff 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 properly or a licensed electrical contra :tor I am making
the electrical Installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 The City of Port
Angeles jvltfiir ipal Code, and Utility Specifications and PAMC 14.91050 regarding Electrical Permit Applications.
r electrical administrator 0 Caeh 0 Check
y4 crorttcnme_ �n
item: /,4
0110102010
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
T stat 3 ton heat pump
Owner
RONALD F ERDMANN AND
MARIA A KAYS
417 E SCRIBNER RD
PORT ANGELES
(360) 452 8267
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
ELECTRICAL ALTER RESIDENTIAL
1-7 P
174334
56 00
10/04/10
4/02/11
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT THERMOSTAT
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
10 00001093
240504
417 SCRIBNER RD
06 30 15 3 4 9010 0000
ELECTRICAL ONLY
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee
Valuation
Charged Paid Credited
56 00 56 00 00
00 00 00
56 00 56 00 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
)6 IP11
0
Date 10/04/10
ys st7?
Due
RESULTS
00
00
00
0 0
0
Extension
56 00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
City of Port Angeles Permit Application
Building DivlsIon /Electrical Inspections
321 East Fifth Street -P.O. Box 1150
Port Angeles Washington, 98362
Ph; (360) 417 -4735 Fax: (360) 417.4711
Date. 21 0 10
1 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition Alteration Remodel 1 Repair
Plan Review Be Require� Complete le ical Plan Review Information Sheet
Job Address:
Building Square Footage: 6)1\R
Description of above Instal/tie-1w h tom A V'Y\ p
Owner I
Name:
Mall!
City
Phone:
License Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69,00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
rmatio
Address:
State:
Fax:
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.
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 296.466, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
V0 /V0 39 d
Date: I 2. 1u
Contractor Irfo rr�latQq
Name: 1L111D
Mailing Address:
City
Phone:
License I Exp
O_ Cash
In Check
O Credit Card
Sty' 2 9 200
ELECTRICAL
INSPECTIONS
Total (Otv Multiplied by Unit Charge)
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 WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
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 Commercial
Signal CIrculU Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Homo Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
o v00-,t y
P ite
ri
UIL. miit6 .:lltil
SNI1V3H 2J3H17,3M 11V LLTSZSVOKT EV ST 0TOZ /82760
NAPPY
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
HEAT PUMP INSTALLATION
Owner
RONALD F ERDMANN AND
MARIA A KAYS
417 E SCRIBNER RD
PORT ANGELES
(360) 452 8267
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP INSTALLATION
Permit pin number 174300
Permit Fee 64 80
Issue Date 9/30/10
Expiration Date 3/29/11
Qty Unit Charge Per
1 00 14 8000 EA
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
413 a
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
64 80
00
64 80
10 00001090 Date 9/30/10
518890
417 SCRIBNER RD
06 30 15 3 4 9010 0000
RONALD ERDMANN M KAYS
MECHANICAL APPL PERMIT
RS9 RESDNTL SINGLE FAMILY
11363
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee
Valuation
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80 00
00 00
64 80 00
u4- riC'o4Jrr/
Due
00
00
00
0 0
Extension
50 00
14 80
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 has 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
0
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
1/4(\
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
Parking Lighting I
Landscaping I
Accepted By Comments
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
0
G
0
5
FINAL Date i 1 Accepted by S
T Forms /Building Division /Building Permit
D a t e O Print Name
T:FormslBuilding Division/Bldg Permll.doc
b0 /Z0 39Gd
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (380) 417 -4711
Applicant 011_111100AVIer COOkInC)
Property Owner c' Y,t, f ciefirr\CI r
Property Owner's Address 41i 9. \+pne- ea
Contractor 4,1 CC
Contractor's Address 'erAQ Cs
License i luxkm? Expirest'1l 111
PROJECT ADDRESS 1 41 1
Parcel Number Lot
Prot T'ripe 8 Brief Description: )(Residential oMulti family
Check all that apply
o New Construction
.0 Addition
Jemodel
o Repair
o Demolition
o Re -roof
feat System
o Other
It 1 I l rS likai CSr)
Floor Areas Existing (sq. ft.) dosed (sa. ft.),
Basement
Floor
2" Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
G$
Max. height of proposed structures. ft Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will afire sprinkler system Construction type
Signature
Phone
Phone
Phone
E -mail
For City Use only
Date Received Q 23 I D
Permit tO 1123c)
Date Approved
%4n2 Tsael
3,,QO LL
ata oar pen cam,
Zoning
o Commercial o Industrial
o House a garage other o tear off re -roof lay over one layer
Meat pump wood- buming stove gas fireplace o pellet stove o other
per sq. ft.
TOTAL VALUATION \1. 3 '0• i
Total footprint of structures. sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17:94 135 for exemptions) Site coverage
#'of bedrooms
of full baths
of half baths
I have read and completed'this application and know it to be true and correct. am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to ofl4pg on pro
'NNI
ii
9NII.3H d3H1V3M 11v LLTSZSb09ET 617 St 0t0Z /8-6'/60
Clallam County Assessor Treasurer Property Details 67806 RONALD F ERDMAN Page 1 of 7
Clallam County Assessor Treasurer
Property Search Results 67806 RONALD F ERDMANN AND MARIA A KAYS for Year 2010
2011
Property
Account
Property ID
Amount Due if Paid on. E.
67806
Legal Description
TPA SHORT
PLAT #80 -11 14
V10P38 SUR V 10
P 109 LOT 1 3 14A
Geographic ID 0630153490100000 Agent Code.
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space. N DFL N
Historic Property N Remodel Property N
Multi- Family Redevelopment: N
Township Section.
Range.
Location
Address. 417 EAST SCRIBNER RD Mapsco
PORT ANGELES WA 98362
Neighborhood. Cycle 4 Res Map ID 2
Neighborhood CD 10952130
Owner
Name. RONALD F ERDMANN AND MARIA A KAYS Owner ID 194079
Mailing Address. 417 E SCRIBNER RD Ownership 100 0000000000%
PORT ANGELES WA 98362
Taxes and Assessment Details
Property Tax Information as of 09/28/2010
Exemptions:
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due.
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid
2010 49580 ST SCH STATE SCHOOL $356 98 $356 97 $0 00 $0 00 $356 98
2010 49580 CC -GEN COUNTY $189 98 $189 97 $0 00 $0 00 $189 98
2010 49580 PORT PORT $26 70 $26 70 $0 00 $0 00 $26 70
2010 49580 PORT ANG PORT ANGELES $439 83 $439 85 $0 00 $0 00 $439 83
2010 49580 SD #121 SCHOOL DISTRICT #121 $462.38 $462.38 $0 00 $0 00 $462.38
2010 49580 NTH OLY LIB NORTH OLYMPIC LIBRARY $55.20 $55.20 $0 00 $0 00 $55.20
2010 49580 HOSP #2 HOSPITAL #2 $77 93 $77 93 $0 00 $0 00 $77 93
2010 49580 WSMET PK DIST WILLIAM SHORE MET PARK DIST $24 80 $24 79 $0 00 $0 00 $24 80
2010 49580 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $36 00
2010 49580 FIRE PATROL FIRE PATROL $8 70 $8 70 $0 00 $0 00 $8 70
2010 49580 WEED CONTROL WEED CONTROL $1 01 $1 01 $0 00 $0 00 $1 01
2010 49580 FP Fee FIRE PATROL COUNTY FEE $0.25 $0.25 $0 00 $0 00 $0.25
2010 49580 TOTAL. $1679.76 $1679.75 $0.00 $0.00 $1679.76
2009 678062008 ST SCH STATE SCHOOL $372.75 $372.74 $0 00 $0 00 $745 49
http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =67 9/28/2010
PORT q
u o wo 4 "m
AKS b
OWNER(CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DATE PERMIT INSPECTOR
`b z, J 1-0 7
ADDRESS Sc (L 1 tJ h( F_YZ 1 1/
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
0. SERVICE
FINAL
CORRECTIONS NEEDED: rtr 1.-„? F._ ""e_ Z g s1 sTr >4
rsc-r� rR-c_t_re_ s V rz>_.p I5c.- ebb LI
1 21 0
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
*PORT4 ,C co
r
C4 'ORKS 0
DATE
OWN R/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT INSPECTOR
o 9. o2C 9
Rt. J- L n V-rLT7 &L A 1-4.
ADDRESS
4 4 7 sCR(1..
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED 51EAL ALL on!. Ilse -'fl aT'em. I (1L$
/J PAm_c_ 'Vacs /J /2. p,-
ScOo 1/4/ t 1 !'`lI -C- 360 '-I n
120 p-1 i,Jt pN IIN) 1
r Box Es thc.- 334 36
j i- r? -R!O2 L .g ,zw_Caotfig-F7 v_A1Z�
d't R 141 Dec No, 210 2
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
5 circuits for garage addition
Owner
RONALD ERDMANN /MARIA KAYS
417 E SCRIVNER RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983621924
09 00000206
917738
417 SCRIBNER RD
06 30 15 3 4 9010 0000
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
ELECTRICAL ALTER RESIDENTIAL
142513
65 50
3/04/09
8/31/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
4 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
65 50 65 50 00
00 00 00
65 50 65 50 00
Date 3/04/09
00
00
00
ruin 1 /8 /10
DATE RESULTS
1/266 47
00
0
Extension
57 50
8 00
Due
Signature of owner or Electrical Contractor X Date
tvyl
INSPECTOR.
City of Port Angeles Permit Application
Building DivisionlElectrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417.4711
Date: Ihl2C E4 20
1 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition I Alteration Remodel Repair*
Owner Inff�{mation
Name. Kok A F Ern Kit&Ax v�
Mailing Addre s: <4 SERIE:N.0e-
City DAT qe S State 1.J14 Zip 9' 362
Phone. /D 45 8267 Fax:
License Exp
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50 00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
Signature of owner electrical contractor or electrical administrator
Date:
RECEIVED
MAR 4 2009
LIGHT DEPT
Plan Review May Be Required, Please Complete ElectricaLelan Review Information Sheet
Job Address: 17 SCAR 14/4 E2 641
Building Square Footage: 940 qI n SCE
Description of above G AA.A& E AAA i'ht')M
Contractor Information
Name: SXlwte_
Mailing Address:
City
Phone:
License Exp
Cash
Check
at/ Credit Card
State:
Fax:
Total (Qtv Multiplied by Unit Charael
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
47 Branch Circuit W/O Service Feeder
St Each Additional Branch Circuit
Temp Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp.
Portal tol Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
LS Total
Zip
0
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.
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.
PREPARED 9/17/08 12 21 24 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/17/08
ADDRESS 417 SCRIBNER RD SUBDIV
TENANT NBR RONALD F ERDMANN
CONTRACTOR PHONE
OWNER JOHN B DARLENE L KAYS PHONE (360) 683 0033
PARCEL 06 30 15 3 4 9010 0000
APPL NUMBER 08 00000358 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 5/13/08 JLL BLDG FOUNDATION FOOTING TIME 09 00
5/13/08 AP May 13 2008 9 05 30 AM 1pangrle
KENNY 461 6816
FOOTING
MORNING
May 13 2008 4 50 27 PM jlierly
BL2 01 5/29/08 PB BLDG FOUNDATION STEM WALL TIME 09 00
5/29/08 AP May 29 2008 8 22 13 AM 1pangrle
KENNY 461 6816
STEMWALL
MORNING
May 29 2008 4 40 17 PM pbarthol
BL3 01 8/25/08 JLL BLDG FRAMING TIME 01 00
8/25/08 AP August 25 2008 8 51 22 AM 1pangrle
KENNY 461 6816
FRAMING
AFTERNOON
August 25 2008 3 35 41 PM jlierly
BL99 01 9/17/08 L BLDG FINAL TIME O1 00
September 17 2008 8 29 46 AM 1pangrle
KENNY 461 6816
BLDG FINAL
AFTERNOON
COMMENTS AND NOTES
C
1-41"6-4(2,4(4
PREPARED 8/25/08 9 11 48 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/25/08
ADDRESS 417 SCRIBNER RD SUBDIV
TENANT NBR RONALD F ERDMANN
CONTRACTOR PHONE
OWNER JOHN B DARLENE L KAYS PHONE (360) 683 0033
PARCEL 06 30 15 3 4 9010 0000
APPL NUMBER 08 00000358 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 5/13/08 JLL BLDG FOUNDATION FOOTING TIME 09 00
5/13/08 AP May 13 2008 9 05 30 AM 1pangrle
KENNY 461 6816
FOOTING
MORNING
May 13 2008 4 50 27 PM jlierly
BL2 01 5/29/08 PB BLDG FOUNDATION STEM WALL TIME 09 00
5/29/08 AP May 29 2008 8 22 13 AM 1pangrle
KENNY 461 6816
STEMWALL
MORNING
May 29 2008 4 40 17 PM pbarthol
BL3 01 8/25/08 J L BLDG FRAMING TIME 01 00
August 25 2008 8 51 22 AM 1pangrle
KENNY 461 6816
FRAMING
AFTERNOON
COMMENTS AND NOTES
PREPARED 5/29/08 9 19 39 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/29/08
ADDRESS 417 SCRIBNER RD SUBDIV
TENANT NBR RONALD F ERDMANN
CONTRACTOR PHONE
OWNER JOHN B DARLENE L KAYS PHONE (360) 683 0033
PARCEL 06 30 15 3 4 9010 0000
APPL NUMBER 08 00000358 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 5/13/08 JLL BLDG FOUNDATION FOOTING TIME 09 00
5/13/08 AP May 13 2008 9 05 30 AM 1pangrle
KENNY 461 6816
FOOTING
MORNING
May 13 2008 4 50 27 PM jlierly
BL2 01 5/29108 JLL BLDG FOUNDATION STEM WALL TIME 09 00
As
May 29 2008 8 22 13 AM 1pangrle
KENNY 461 6816
STEMWALL
MORNING
COMMENTS AND NOTES
PREPARED 5/13/08 9 25 46 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/13/08
ADDRESS 417 SCRIBNER RD SUBDIV
TENANT NBR RONALD F ERDMANN
CONTRACTOR PHONE
OWNER JOHN B DARLENE L KAYS PHONE (360) 683 0033
PARCEL 06 30 15 3 4 9010 0000
APPL NUMBER 08 00000358 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 5/13/08 JLL BLDG FOUNDATION FOOTING TIME 09 00
May 13 2008 9 05 30 AM 1pangrle
KENNY 461 6816
FOOTING
MORNING
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000358 Date 4/02/08
Application pin number 009856
Property Address 417 SCRIBNER RD
ASSESSOR PARCEL NUMBER 06 30 15 3 4 9010 0000
Tenant nbr name RONALD F ERDMANN
Application type description RES DETACHED GARAGE
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 28800
Application desc
960 SF ADDITION TO THE EXISTING DETACHED GARAGE
Owner Contractor
JOHN B DARLENE L KAYS OWNER
33 LUPINE DR
SEQUIM WA 98382
(360) 683 0033
Structure Information 000 000 ADD 960 SF TO EXISTING DET GARAGE
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 960 SF DET GAR ADDITION
Permit pin number 123380
Permit Fee 458 15 Plan Check Fee 183 26
Issue Date 4/02/08 Valuation 28800
Expiration Date 9/29/08
Qty Unit Charge Per Extension
BASE FEE 417 75
4 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 40 40
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
March 25 2008 5 57 06 PM sroberds
The proposal will result in an addition to an existing
garage doubling the size to 1920 sq ft and bring lot size
to 3% in the RS 9 zone No land use issues anticipated
The accessory use does not. exceed the primary use
Electrical load calculations and electrical permits are
required
Any modifications to the City s electrical facilities will
be at the customer s expense
Public Works Utility Engineering has no requirements for
this plan review
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 458 15 458 15 00 00
3OIL 09 ,,,tla R ontiNm
Date Print Name Signature of Contractor or Authorized Agent
T Forms /Building Division/Building Permit (10 /0l /07).wpd
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 has 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 Owner (if owner is builder)
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HC UR 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
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 N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653
I PLANNING DEPT 417 -4750
I BUILDING 417 -481
T Forms/Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
YES I NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -473:5 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
ACCEPTED
YES I NO
Page 2
Application Number 08 00000358 Date 4/02/08
Application pin number 009856
Plan Check Total 183 26 183 26 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 645 91 645 91 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 has 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
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T Forms /Building Division/Building Permit (10 /0l /07).wpd
CALL 417 -4815 FOR BUILDING INSPEC
CALL 417 -4807
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT
INSPECTED AND ACCEPTED.
KEEP PERMIT CARD
INSPECTION TYPE DATE
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 8's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417-4807
I FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I rp�
I BUILDING 417 -4815 I x 1 l'.4
T Forms /Building Division /Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
I•43 -0R
8-2-5-08
TIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
FOR PUBLIC WORKS UTILITIES
IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
POST PERMIT IN A CONSPICUOUS LOCATION
AND APPROVED PLANS AT JOB SITE.
ACCEPTED COMMENTS
YES I NO
FINAL DATE
I FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE
DATE
ACCEPTED BY.
ACCEPTED BY.
ACCEPTED
YES
NO
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent °N A L D L. RD 1` l AN Ai Phone
3s Lu ine Dr
Property Owner John B. and /or Darlene L. KAYS c p Ph one 360 683 -nn33
Property Owner's Address il 17 St RI aNck RoA D oiZT A N C&EL IA) A 9 pi3G Z
Contractor /Engineer 5 EL F Phone 34, 0 462- $z 67
Contractor /Engineer's Address
License Expires
PROJECT ADDRESS I-117 ScRfB N
Parcel Number
Project Type Brief Description.
Check all that apply
bk New Construction
4t Addition
o Remodel
Repair
o Re -roof
o Demolition
o Heat System
o Other
Floor Areas
Basement
1 Floor
2 "d Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Existing (sq. ft.)
690
Max height of proposed structures /9
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft.
proposed (sq. ft.)
Adel I Ex GAR A t"
o Sign o wall mounted a projecting o freestanding o
Total sign area sq. ft. Maximum allowed sign area
Q Heat pump o wood burning stove gas fireplace o pellet stove
9b0 9b0 30, 00
TOTAL VALUATION
Total footprint of structures 4728 sq ft. Lot size )36 b3 7 sq ft.
Occupancy group a
Occupant load C)
Construction type V- b
For City Use Only
Date Received Q
Permit n
Date Approved
360 -452 -8267
?OAT A AI
Lot Zoning R S 9
Residential c Commercial n Multi family c Industrial
Rf
Lot coverage 03y (3.1
O
Q
U
of bedrooms
of full baths
of half baths
i have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and t. •,'lain7per s pn to on
projects �j
Date 19HAR 08 Pnnt Name RQNAICI F ERDiv►cc. }l*n Signature �ti1vLC
Signatur f i
As owners of the above we authorize the r_
-r c ,o .1.1. r .nr.ira -In Pg., ■I Arm! -MOB Cade
residents, Ron Erdmann 8 Maria Kays to complete the above ai.ition. ays uarlerie y�
2 B ROO,
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(Art OF PORT ANGELES Construction Piano
The Issuance of this permit based upon these plans, specifi-
cations and other data shatl not prevent the building official
from thereafter requiring the correction of errors in said
pi? .s, specifications and other data, or from preventing
building operations being carried on thereunder when i^
violation of ail code: and ordina big jurisdiction.
TlCN :7•2344 E n .w Code.
Approval Date
N
1
0 1,/ kaa-
Affft 14°I
ANCHOR
7' MIN.
EMBEDMENT
CRAWL SPACE
3 CLEARANCE
BENT VERTICAL REINFORCEMENT
TIED IN PLACE TO HORIZONTAL/
REINFORCEMENT
MIN. FOOTIN
DEPTH
BELO
FOKT.LI.
GOVERN
6' CK FOR WALLS UNDER 6' HIGH
8' THI FOR WALLS OVER 6' HIGH ANCHOR BOLTS FOR 1 STORY 72' O. C. 2 STO 48' O. C.
PLACE BOLTS WITHIN 12' OF EACH PLATE END E 3"X3"X1/4' SQ. WASHERS UNDER NUTS
TI
3' CLEARANCE
VERTICAL REINFORCEMENT
BEND =12 X BAR DIA.
#4 BAR 6' BEND
LL THICKNESS
FOOTING WIDTH
12' 1 -STORY
15' 2 -STORY
23' 3 -STORY
2003 INTERNATIONAL BUILDING CODE
CONCRETE FOUNDATION WALL FOOTING DETAIL
MONOLITHIC CONCRETE FOUNDATION DETAIL
EL 1102_08IRC.WPD
'ARCHOR
47' MIN.
EMBEDMEN P
t{
NO SCALE
1 :11(l 111lii tl
-Th° FOOTING WIDTH
12' 1 -STORY
15' 2 -STORY
23' 3 -STORY
PRESSURE TREATED SILL PLATES
#4 HORIZONTAL REINFORCEMENT P CED WITHIN 12' OF TOP OF WALL
FINISH GRADE REINFO
INTO
ISTURBED
SOIL
12' 1 -STORY
18' 2 -STORY
FOOTING THICKNESS
1 -STORY 6'
2-STORY 4,"
3 -STORY 8 1/2'
1'
#4 REINFORCEMENT 2- PIECES CONTINUOUS
L
HEIGHT
IN F
*2'
6' MIN. TO
UN- TREATED
MATERIAL
*2'
*4' TO LESS
THEN 6'
*6'TO8' #4@
>8'
MIN. FOOTING
DEPTH BELOW
GRADE INTO
UNDISTURBED
SOIL
12' 1 -STORY
18' 2 -STORY
FINISH GRADE
MENT SCHEDULE
VERTICAL
REINFORCEMENT
I #4 48 0 C
4 I #4 48' 0 C
24 0 C
L O C
I
ENGINEERS A
STAMPED SIGN
HORIZONTAL
REINFORCEMENT
(1) #4 TOP BAR
#4 @24 0 C
#4 @18 0 C
#4 @10 O C
YSIS WITH
LAN REQUIRED
VERTICAL REINFORCEMENT MUST BE BENT TIED TO FO REINFORCEMENT
REINFORCEMENT SHALL BE GRADE 60- HYDRAULIC BENT ONL
1 /2 ANCHOR BOLTS(SAME AS ABOVE)
PRESSURE TREATED SILL PLATES
#4 REINFORCEMENT 1 -PIECE CONTINUOUS
#4 REINFORCEMENT 2 PIECES CONTINUOUS
1
V
�_*`54 v.
5 ..-‘|Cu
T
i
i
�l--
7
1
y|
7
T
T
I
H -Clip Each Truss End
14) v
A
12" min 18"
V
6 Mil Black Vapor Barrier
Tvnical Cross Section
oC--K 1 Roc r
T
Pre- manufactured Trusses
Insulation Baffle
R -38 Insulation
x
F
Vent Blocking
L.P Siding
Finish Grade
2 "x6" 16" 0 C.
R -21 Insulation
1/2" CD Plywood or OSB Sheathing
Pressure Treated Sill
1 /2 x 10' Anchor Bolts 6' 0 C.
3' x 3" 1/4 Hot Dipped Galv
Washer Each Bolt
Concrete Footing and Stem Wall
Foundation Drain
O R405
CITY OF PORT ANGELES
LIGHT DEPARTMENT
EL~CTRICAL PERMIT
Nl!
17424
. I t9 -jt J-7.;
Port Angeles, Washlngton..m....m.....mm................m..m................ 19..,.....
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 grant1d to d6 electrl~a1 work as listed below.
Address .f1.7.~~/!.-f.;.k{?-:Lli~&"e..m.m............ Occupancy...~.~....m.m.......mm....
Owner miJl~....e-i.dd!.-!..~m7i'.L.~'~..m.. Tenant......m.......m..................m............................m...
Wiring contract:; ~~if,e~~.e~~-;~~~;~...:m....................m...m.m..m..............m....
Light Outlets......__......................._.._..... Service, volts /:.......~.................. Type of Wiring:
/
Receptacle Outlets.......~...e.___......... No. wires ....;!..............____.....~... Armored Cable ..............................
c.y /t:J taY
~:::~::~.~~~~.:)3;...::..:............. :::~o::::s::~~::::::::~::
Heat~;~:.::~zf~~
Motors: size, volts and phase:
/~-!I!~"'r::.............................
, -.
/~t:.~:?.........i..:.......................
Non-Metallic .................................
Knob & Tube................................_
RIgid Conduit ..............................
Metallic Tubing ...........................
Raceway .......~...........____...__._._
Circuits, Light.......................................
Utllity ...C.......,......_.....__.............
4-
Metallic Tubing ........................... Heat ......i;j........................-.....--.-
., "'"
Current transformers: Range ...A...__...................................
No. & Size.....................__.............--. Water Heater .~_......--................
................---.......---.......................---.... S N Motor ..::1.......................................
er. 0.........__.............____.__............... t::?"J
........................................................... Dryer ......~.........._.......................__
Ser. No........--.................................... #-
.........................................................- F rna
u ce --. ................--..-~......_.._.....-
Total Load....__....................... :::: ::~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~:~:~~~~~ Total ....~...~...:--.............--
Remarks: .....~_i!.'"'".~~...m....~~~t.....l!_~-'..l....m.....................mm.......m..m.m...:....m..m......................
Type of wiring:
Entrance Cable .....................
Rigid Conduit .__..............._............
__.....________..__._.._......_.___________.____.._......_._______________.....______________.._..u_..._._._.__..____..._.___.______________~.........___.___________....~.___
. '
.m_...un.u...m..............mmumu..m........um.mm..m.............mnmnu..m:;-..........m..2i7Z.n.......;'...m.............m.....
Permit Fee. Treas. Receipt ?JI' r~ .~ ~
$:....:!.c...f..<?.....u............ No............................. By/l-~...&A..r.~.~--?....~$~.\.~J
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 berore concealment.
/.
NOT-Ij;Y THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I .,. . '
i
I
..
ELECTRICAL PERMIT
N?
17424
Address
Date..._......_.._.._.._.........._......_......_.........
Owner..................................._......_.._......_......_.._...........................................................Tenant....................................................................
WlringContractor..................................._......................_.............................................................By..............................................................
NOTICE-Current must not be turned on until CerUtlcate of Inspection has been Issued. If work is to be con-
cealod due notice must be given the Inspector so that work may be inspected before concealment.
/
1M
Olympic Printers, Inc.