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HomeMy WebLinkAbout1504 W 6th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I 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 08-00000136 Date 364048 1504 W 6TH ST 06-30-00-0-1-5100-0000- AMY SCOTT DEMOLITION 1/31/08 RS7 RESDNTL SINGLE FAMILY 200 Owner Contractor ADAM SCOTT ETAL OWNER 1504 W. 6TH ST. PORT ANGELES WA 98363 (360) 461-9822 Structure Information 000 000 DEMO 405 SQ. FT. OLD GARAGE Permit DEMOLITION Additional desc DEMO 405 SF OLD GARAGE Permit pin number 120196 Permit Fee 50.00 Plan Check Fee Issue Date 1/31/08 Valuation Expiration Date 7/29/08 .00 200 Qty Unit Charge Per BASE FEE Extension 50.00 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 % > /;7q~j '/ 'C.f "'" OcP 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 pro 'sions of any state or local law regulating construction or the performance of construction. b.~ = S nature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T: Forms/Building DivisionlBuilding Permit (I % 1/07). wpd I BUILDING PERMIT INSPECTION RECORD o Q9 \ vJ f)' CALL 417-48 I 5 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 I NO FOUNDA TION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE SLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL / FLOOR / CEILING MECHANICAL HEA T PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ,....1-0'3 :.\/ i _ BUILDING U\ 0' J: E o ~ \.I) l' v ~ " T:Forms/Building Division/Building Permit (1010 1/07).wpd \DCD 0 '- .... 0 '- r- r>lr>l OE-< ..:..: "'1Cl '" '" CD m I .... \D ... III 0 .... \D ~ >< M 01 ..:I <l I>: III r>l P- H :> .... ..:I H r>lr>l E-< ICl :Z::Z: Ul r>lUl gJ 00 :lE: 0 r>l ~ri1 :X::X: '" :lE: E-< ~~ Ul "'''' r>l 0 CD ICl :z: E-<,"> .... r>l ~ :z: .. 0 0 01>: III ~ HO Ul E-<E-< E-< .... Ul uu :z: E-< rilr>l riI CD 1i1 "'''' :z:~ 001 UlUl OCD ~ :z::z: 00 ~C'\IM....:I H H HU ..: "'..::z: 0 E-<'- :z: - I :Z:O U "'Ul HC"--t'HO HE-< ~N~~~ ~S I , I o III Or>l o:z: UlUl I 1Cl<lE-<IClE-< 00 filfil I ..:I::S":..:II>. OH 1ClP:: I 1ll,">"'Ill": 0E-< I IH I 0..:1 !W 00 ..:I....:lE: E-< m ":Illfil I2lgjs III E-< E-< I ICl Ul fil.... O:Z:Ul m I\D HHr>l ... :x: E-<OM E-< P:: It'j E-<E-< E-< I.... H I m \Dr< 000 ..:l , Ul 0 UOO r>l ~U Ul I 0 ilCllCl ~1 -..:I Ul 00 r<1r<1 CDr>l ... ~MO QE-<E-< 00 ~~ I I Ulr>l ~~ ~\Dal ggJ~ 00 0 O:lE: '-E-< ir<10 r-p:: P:: I>: I>:U 0 . III P:: .r>l '" :<:0 III Q ICl E-< .~ r>ll>. Ul -U .... ~O UlE-<;:i ..:I ro 0 0 f:l~E-<&Jtl..:l H Ul "'>< ~ '- m r>lE-< 1Cl1il~~~g; '" m P::H >< ..:I "'U ~E-<UO"''': Po r< III r-- , " ^4 <' ''''''''''h>,~ ">""""~ "."" '-"'" if )' }-^ '" " ""'~/" , ;}ii ", '''''.. "'- "'. l , 1 I ~''''"i . " '", / "V ............... ."'..~...,,~, , ............... ............... I , ............... I , / I / I / I / I / i. '............... , '6'. ~'& I." '............... , ........... ..............., I ~........... I , / ..........., I ..............., / ........... I / I / '."" '>";'t.''''''",l!.,. ":>c:,,, \ I I / .i BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: \ - ~,- 09:- Penn it #:. 0 g - 13>(0 Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 W' x 11" site plan MUST BE COMPLETE to be accepted for review. (360) 417-4815 FAX (360) 417-4711 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans Phone Phone .~ - q<1( ~1 11, S.QlQJ \...Jf\. State License # J 4~1- 9~;lJ ~arl Expires Phone ZONING: ,q S -7 Contractor/Engineer Contractor/Engineer's Address . (}\,,'l.)"{)e~ PROJECT ADDRESS: IS 0 4 lU eo'1t-\.. sf LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUN1Y PARCEL NUMBER: 0 \0 .- 3() - 0-0 ~ () - \.- S \ tJO -oco-{) TYPE OF WORK D New Constr. D Re-roof D Stove D Addition D )v1ove 'P'6arage D Remodel p'Demolition D Deck D Sign D Other ON F ~. ~sidential D Multi-family D Commercial D Repair Existing Structure(s) basement C'-.J\ \\ \€..\Y\mJ( 1'1 floor ~f7tcr 2nd floor nor -u. (:, . 3,d floor . Accessory Structures Existing Structure(s) TOTAL LOT COVERAGE Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage % \ \ 2 ~ ~t~ SIZENALUATIO! CVv_- ~~SF.@$ /SF.-$~UJ. 9" SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL AnON $ SC<1T+ Corn leteJ 0.. \lJlAS+e IlCA..{'oY\ ~ 50,,\..1 she'f( >(J~Mlt ;+ to Construction Type: .-ft--e.Y\ i A.. 'indClJ .. Sq. Ft. 8f Ft. If 11 Sq. 3 JI()~. Sq.Ft. Sq.Ft. Sq.Ft. Sq.Ft. Ft. , ant. 'This figure will be ermit Coordinator at 417-4815 V ALUA TION OF CONSTRUCTION: In all cas reviewed and may be revised by the Building Divisi for assistance. PLAN CHECK FEE: The plan check fee must be ~ due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has beeri issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRCIIBC 2006 105.3.2). tted. All other permit fees are I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibilitY. to determine what permits are required, and that I must obtain suchPermIPrior~WOrk. . .~ oJ "7~ "" Date --J t!Jl 0 Y Applicant ~. . T:\FORMS\BUILDING ~IVISION\BldgpermitAPPI.-2006 CODE - backup.wpd ~ r ~~., c} -~~ ,. L~ ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT 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 07-00000838 Date 231570 1504 W 6TH ST 06-30-00-0-1-5100-0000- ADAM & AMY SCOTT RES DETACHED GARAGE 8/20/07 RS7 RESDNTL SINGLE FAMILY 8000 Owner Contractor ADAM SCOTT ETAL OWNER 1504 W. 6TH ST. PORT ANGELES WA 98363 (360) 461-9822 Structure Information 000 000 252 SQ. FT. GARAGE Other struct info . . . . . HARD SURFACE AREA Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 252 SF. DET. GARAGE 107268 179.75 8/20/07 2/16/08 Plan Check Fee Valuation 71.90 8000 Qty Unit Charge Per 6.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 95.75 84.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 07/25/2007 04:19 PM SROBERDS --The proposal will result in a detached garage in the RS-7 for total lot coverage of 26%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Maintain required clearances from eletrical service wires or relocate service wirers. See Gail in Engineering 417-4708 with questions. 07/19/2007 04:37 PM GMCLAIN ---------------------------- Unused driveway curb on H Street is to be restored to full hieght after existing garage is demolished, curb is to be installed to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees STATE SURCHARGE 4.50 ~ O /) Y 7/ ,~ ~ " O\p Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 179.75 179.75 .00 .00 Plan Check Total 71.90 71.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 256.15 256.15 .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 e to give a . 0 VIO ate or c provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date T:\PoliciesIlI02_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD o ....J , OQ vJ OQ CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 41 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A IvlININIUIv1 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOFJ{ BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. KEEP PERM1T CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS q J,7,/n/ "JL-L- SHEAR WALLS 1 WALLS I FOUNDA TION DRAINAGE 1 DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING q -zD -07 "Jl-L- ~~ \ (,-08 -;rLL M-a-M \:3 JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS/ROOF/CE~ING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS I GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CillMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCKJNG & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: . FINAL INSPECTIONS REQUTRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL . LIGHT DEPT CONSTRUCTION R.W. IPW/ CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4] 7-4750 PLANNING DEPT. 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Z r>l :E ::: o U BUILDING DIVISION CITY OF PORT ANGELES * * Job Located at Correction Notice ~0 /50 { , w Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: f:-. f.-ttPL 1=";:4<\ ~ F.1_,c,..,, ~ap- Q ~ II ,- )-./. ~ .,\1 ,JIM ~ c.Y\ ~I ?JvJ ~ These corrections must be made and are not to be covered until reinspection is made. When corre~ have been made, please call ~117 - Lf d' / L- for insjJJEection. Date I( 5) /l .. Y,:'~tO< 10' .""dlng O""lon DO NOT REMOVE THIS TAG ....r-- , NO , ...... , .... , .... , ...... , '" , , 0 , , MM , elE-< , <(<( , o.Q , , , , , , , N , N , CO , '" , , , .... , \D , 0 "" , 0 , .. , '" 0 , 0 \D , >< M , ..M ..:l M ..:l , M..:l ZO ..:l I>: 0 :>:1>: O:Z: I>: M , Hel HE-< el H :> , E-<~ tJ~ ~ ..:l H MM , E-< Q ZZ , 0. MIIl 0. CIl MCIl gJ 00 , ..:l 0.0. ..:l M >OM :Z::Z: , " CIl Mel .... 8:ii CIl 0.0. , Z Z ....Z 0 , H:>: H:gHH~ Z E-<"" , E-<o. ~CJ}E-t~ , 0 el 0 Q Z .. , 0 Z ZO ~ 01>: , "'"" H\DOt:r.,.O HO CIl , "" 1i1~E-<Z~ E-<E-< E-< , Z .. \D CIl UU Z , O....M ONHON E-< MM ~ M , HOO :E..--i;::E:HO\D Z 0.0. M HZ~ , E-< r-- I>:E-< M M CIlCll el , <( , <( M<( 0 :>: ZZ <( ffiOO , Qr--r-- r--~~r---r-- :>: H H I>: HU , SOr-- Qo........ 01 0 <( E-<...... , 0"" ~oCJ} or-- U el l:lo.CIl , ~~CI)~~~~2~~~ ....HE-< , Q tIll>:..:l 0 r--~H~O~ 0 H oM ~U~ , ~o E-i::J.-tp..CJM~E-t o:z: CIlCll , Q.......OOO........ Q........ 0 oU MM 0 ~~~2~~~@~~2 0<( Ii'll>: , 0E-< , 'M E-< , oQ .... , E-< 0 ~o.~ , J E-< ..:l....CIl , \D 0 <(LllM , Lll E-<U E-< 'I>: "'CIl~ , CIlCIJ M.... ZCIl , \D 'co tllHM , 1Il<( Lll :z:>< E-<OM :z: I>: , o.Q ~:ii E-< , CO .... , '" 000 :3 , 1t CIJ Uoo , M ~'" CIl , 0 SQQ , -..:l 00 MM , r--r-- r--M ;!;:ii :iiMO 1llE-<E-< , 00 Oel , , CIlM , ............ ::;~ ~~ ~\Dr-- oM..:l , 00 00 o~o. , ........ .... 0:>: , ............ ......E-< MO I "'''' "'I>: I>: I>: I>:I>:U , 0 '1Il I>: .M '" , 0. ZO III III 0 Q E-< . ~ , M'" CIl -U , .... N ~O ClJE-<;;i ..:l E-< 0 , 0 0 gj~E-<&H':J..:l .... CIJ , 0.>< ~ ...... I ME-< QZZZl>:o. 0. , .... .... I>:H ~MO~<(o. >< , ..:l ..:l o.U E-<UOo.<( '" E-< , III III . .....T.I\.~~:,;....~;;g...~;...~:i.....;~_.. ...~~"---..;~~.,:,,~~..,::;;;.;.~~t"'-;G~1 BUilDING" DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at /-s-04 {/l/ ? (A Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: Nt? d/h1/~ / ARH?// CJ/~/ S;;//L- / These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call 4/7- 4/ r for inspection. Date 9-/tJ-07 ~ Inspector for Building Division DO NOT REMOVE THIS TAG Mr- , '-<0 , , , 0 , .-< , , , '" , , , , , MM , t?E-< , ..;..; , p..Q , , , , , , , N , N , CO , '" , , , .-< , \D , 0 ... , 0 , .. , '" 0 , 0 \D , >< M , .. M ..:I , M..:I Z I>: , lii:1>: 0 M , Ht? H H ;> , E-<:i! E-< ..:I H MM , U E-< Q ZZ , p.. M UJ MUJ [g 00 , ..:I p.. M :<:M , :X::X: , t? UJ E-< ~n~ UJ P<P< , Z Z 0 , Hlii: H Z E-<<-:> , E-<p.. 0 t? Q Z .. 0 Z :i! 01>: r..... H HO UJ ... ~ E-<E-< E-< Z .. \D UJ UU Z O'-<M 0 E-< MM ~ M HOO lii: Z p..p.. M lii: E-< r- M UJUJ t? HZlii: ..; , ..; lii: ZZ ..; ~OO ~r-r- lii: HH I>: HU or- Q 0 ..; E-<' 0'" M U t? Qp..UJ ON t?E-< HHE-< ~.......cnZCfl Q UJI>:..:I ~~~~~ 'M gjU::> 0:X: UJUJ Q'OOO oU MM , ..:I "':X:OM 0"; 'lOll>: , ClloE-ifI..O:::' 0E-< , 'M ... , OQ H i E-< 0 ~P<~ E-< ..:I.-<UJ CO 0 ";IJ1M ... E-<U E-< 'I>: p..UJ::> UJUJ M.-< ZCIl ... 'CO t.!lHM '..:I ... :x:>< E-<OM Z l>: , ~~ E-< 'CO H , 0 000 ~ , .-<UJ UOO : 1 M ~o<l UJ '0 SQA -..:I 00 MM 'r- r-M ~~ ~MO 1IlE-<E-< '0 ot? , , UJM "'" ~:i! ~~ ~\Dr- g[:Jc; '0 00 ,.-< .-< alii: " 'E-< MO ,'" "'I>: I>: I>: l>Il>:U , 0 . III I>: .M llo , P< zo III III , Q E-< .~ , Mr.. UJ -u , .-< 1>:0 UJE-<"; ..:IZ ... 0 , 0 ..; ~:i! ~ ~HJ..:I ... UJ , P<>< ~ "- , ME-< AZZZI>:P< P< , .-< I>:H ~MO~";P< >< , ..:I P<U E-<UOP<"; llo E-< , III CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date q () Time ktfY\ Received by L~ eer.onl S+~ Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. ~ 11- 7 (j 36 Type of Inspection (circle appropriate one): Permit No. 01- <633 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other \ SoY W r (o.~ "-,h O-yy'\ a. S INSPECTION NOTES: Fbo+t!;9 Inspected: Date Remarks: Time By RESTORATION REQUIRED. . . . .. YES NO 9-/~-CJ) bA ;/0 .,!J'l/U<-fII/,{fh1/<; t7vJ S/m ' SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee []No Damage Found Work Order # o COMPLETE o INCOMPLETE _ _ _ _ __..__....... ...:....."" :.J' ......_.................1.,\ l""T"nr-rT C'llnr:OII'\ITCl\lnCI\IT In^TI:I J NCO 0 ...... ID ... ...... ..,. filfil t!lE-< 00;00; PoO N N co '" , ... ID ..,. QJ >. ;., .... 0 .... H .... ID H 01 H :>< M III QJ !:: QJ ..:! III .... <tl .... I>: QJ .... Po .... fil > 'n .... 'n H :> H ..:! H filfil 0 E-< 0 Z z' if':~ :0: Ul filUl gj 00 :Ii :0: Po fil O<:fil :l:l:l:l ..,. Po E-< 8~ ul Po Po ..,.ON 1Il 0 ,.... ..,. ..,. 00 Z E-<.., 0 o .. ..,.filN !it .. 'l:f ~ Z .. 1Il 0:0:0 t!l1ll0 01>: M ., H .. ~ ' .;: HO ul ..,.E-<'" E-<E-< E-< ,.... ul uu fa co co t!loco E-< filfil co 0 0 00 Z Po Po fil Z~ 0 o{!)or--- , .. 0 fil CIlUl t!l 0 NZNn MN ~ ZZ ~ 00 'N..:! H co..:! H H HU 00; -~ -." 00; Z - 0 E-<...... 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BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at /5 D 4 1/1 / {/J ?L Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: fl///[ ;;; ~ kL I ? flr/ #f-g ~- //CL/J S 77/ ~~ /'('~f5 l<rON?^ TO (") ..J 7'/ 5, t'~ &#'// -- . ic-x /~1/ /t/ c:7 ,- ;;:SG. ~C/ '/.J ~u ~- . '5// r"u (~ ,(;~. These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call ;//7- t,LP/ (- for inspection. Date /1 /9- h 7 / / ~~ 'Inspector for Building Division DO NOT REMOVE THIS TAG , lJ1r- o ...... 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"'''' !'-!'- 00 ............ '-<N .-<.-< ............ "'''' N o M o .-< o .-< ..:l m >< ..:l <>: I>l H ..:l ~ !'- o ...... o N ...... '" N o '" '" ..:l <Il Ul I>l 1-< o Z o ~ Ul 1-< Z M ~ ~ o U ( ~ 'r- (~) '-.-/" '--I"" \ \ - --.. .--- - \ if \<. ~, (jJ:T ~~ ~ ". ~ If <>""9 ;( 0.' _~~J, "-' 6 LocA~l:>"""S TJP' .-.t-c f t FILE . .,,) (~~ ( ---' \L-- itf-- I~ \ '-. ) ,- RECEIVED AUG 0 8 2007 CITY OF PORT ANGELES BUILDING DIVISION f1~~o cPr fiT/ 2t-1G,1t-{!:2. ERIIL~ 71 sV'1?-.vcjltl../t:7 wA---S HI1<.h2'D p -reD ~LC C"S I P 1/1 ;;3i2It: /j-"n::>'7Z.) ;0 1<1 C,4.? c,u!- /'~ THE: 'Sr}-e' ucrUtZ "'- I/-H'" '-7 s , s of A "?z-s, DCAI 7TAC-- ~AK../l b.E :5V?rOcL7'?I.. L LA-~A-'I..-L-l k// Em;3IZDDED PDLG-S f //VF/LL-E.!b / IV S u ~P..77SD P /f./,/, e.,t.-..S . WITH S77f2u cn,)IZAt.-t-7 T7-I E b A ~A 61 e: VI) I t- L-. ~ IF , A-III '1 ~ /lVAm Sc-D7T KE'51 DEN77/-1i- C!- /501 vJ, {p..!'/i ~ I/D ~T A-f-L 6, 22-85 ~<sn(c- ~'Y'LL. U 1 \JJ 1'~\' ~ f t:::e:.---s:::. J w'O 0-\~ ~ b ~O~0.z2:. 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"P.\, 1 -------..------...-- ~-- ~CVLD\if:) ( ~l ~ \ '500 (}. r--rs) I ~~~5 I ~ I DATE: ~ -, IUI NTI Engineering & Surveying g S T R ~ ~ I UJ DESIGNED BY: 'f(JM. w Northwestern Territories, Inc. z ...J ~, i> I r?b l-E. UJ PROJECT: G.v~ ~J\..G.-e:- ~ Engineers. Land Surveyors. Geologists. Materials Testing 0.. :; I FOR: <D"b.~ NT' 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 . (360) 452.8491 0 <.J UJ I SHT: /0 www.nti4u.com info@nti4u.com F ~ OF .s: ~ uJo..l \ _w,0 .}J- ~ W...L ~ ~ (6')( ~()~{)IY ()-w-/s r0-e- , S ~ ls' ! '1' - c.o10~ ~c: rSVV\.r C ~ V :::' O.IS~~GSf"7C:(;;)Lf')( 'is) ~(u p~r:: (li)( ~)] v=-G\.fo~4 "5_~_ VV\ -= (p 40..p,. ( '2>) .... 5/;zD ;;=+t=- ~:=:- 5 )~D-t=.FJ- (\~_ ~ ~ ( BQ)f""')( (..1 ~~~ ~' ~ ::;.' t" G;J;~, H'-3J (/ ~ S T R I DATE: eJ, /or ~ NTI Engineering & Surveying i1i I I w DESIGNED BY: t=.-v\t\ vJ Northwestern Territories, Inc. z :J s.' r !rrr::, /..-e.. w PROJECT: ~~ Engineers. Land Surveyors. Geologists. 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A"~~ 1.~""'"J -i "...- (';i If.,.t .,..~ "'~ ~ 1200 1~ r - - /~J{f~ \ B (...0 e (.1' (, 0 I ( . ~h./ ly't.-A--;r'~ I" If f"'-Pl.,c...., '~"~'J1i'" L_.." _..._......_,...__.-"'.._.._..,,_-"'.~..."".-_........- - ..,4";..-......,.............,.......,..- ~....,-, ...,. ""....~.._............._R........".._. ..,.'" Ci~ ~ 15 \.1 I - '1100 D.' -' "5*1 q ~ ..... >... ,-- - '. ~..'. ---"--~-,_._.....,-~~,---_._,_._. -~_.._----~ .I ~ \ ..I. ,,'/ fi:; '0 \ " "V ~/~iloI.-c.(~_ e~............' ., , r) , ' \ S' I f r; -fz, AJk..t^e~, (;~~'II(V""~ (I \ ; - 1 V _~ ...........-",.l'...~"...'''"''. ...,~~u__'_,........ '. ......."" St1~ "'llO- 1- c~ 9 l~ --l @I~s~~LL ----.-. --. , '" S T R I DATE: -)1--1,.-, 0 NORTHWESTERN TERRITORIES, INC. <> l ! ~) !~ "'- '" 0 t I w DESIGNED BY: a JLS Group Company z ::J ~ PROJECT: Engineers. land Surveyors. Geologists. Materials Testing 0.. ::; FOR: NT' 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 .(360) 452.8491 0 0 w t7 /0 www.nti4u.com info@nti4u,com i!: SHT: OF ..f;-- . r1l- \ ~rvJ' 1 vii. ~ -1 ~ tp -: G5~'{1p7F)(t){t~) - (6fJSr-X7)(/(') - 1175-=- ~ f 7 f t:.....~ // <" a rl Y i.;1 / I "7.-i ,/ ~ -:;.- ./ 0 I-l..-v' ~-p'._",: cI ','y""I,. ~ r i2~/~~ ~~4LJ -- (jii'- ""'..'-- .-_..... ... ... ........... --.-...._-~.. ?x I b\F-t+" d ~ :;2 't /'0 . C . . .~...- ._~._-._--,----? ~~u 7 'v I uLu~9:rI{A /-Ie, [112- 50 ( "----.. .. ... -- .. ..- . '.-. ... L{tJfL-r "7- ;11;),' -.r6 ;A--z :;;<. ~ _).-1 ""2- PuZLIM6 ~ S T R 0 8 w DESIGNED BY: z -' ~ PROJECT: ~ ll. ::; FOR: 0 0 w i" SHT: (e OF , L~ e vJ ~ ;;) r"2.. ,./ ~ (-z...) :;::.. 05 ::;. '-:'./7 rf/,.!?t-' (I< ~ -~8tU::: (8X) rYl::- f/8ptf (B%) - ?~~ F-r-~ ~ ft:5 'I tf ?-l'~) (I 2'/ ) '3 '- I!- ... ~ ./ ') 9 " 1\/ .. -~\ ~:~:: :~ ....~-... ?- ~ -z (rl7~~7:5o, 1~~.Is)(i( Lf) . ?- . I'r V ' . \ \ '\. / \/ ;' ~ c.... c . " . ,/ \ I \-1:::> \' r- _. 1/'2. ~ ~ ) r ~(..... ">;/ \ -r-'( /tJ ()t,...~ (~~ f'( l/ '- ....."k/.') b..-. ~ '7 ~ .~ O.3S-t''7 ~~(i0A';" p'?~~()/, -'f),~ ~ ) . ./ - -;, lA.~i:?I.SfZ.::.::\ ~ ks ~'\ rW L-vsSSe...-k. \ -; 1 ( If ( - :7;' <( 'Dr-or~, I. . ~'I'pSf")( '1 ') 8)!to?-S (J' ~ -). 1 {." '-- '..J ""'-I:- S~J NORTHWESTERN TERRITORIES, INC. a JLS Group Company Engineers. land Surveyors. Geologists. Materials Testing 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 .(360) 452.8491 www.nti4u.cominfo@nti4u.com =- ~ ::;' ~ :::- d~ / ~ I DATE: ..J/ l)' /.~-, /cp o NT' 7/5/2007 WIND02 v2-21 Detailed Wind Load Design (Method 2) per ASCE 7-02 Analysis by: K. Waddell Description: SIP GARAGE Company Name: NTI ENGR User Input Data Structure Type Building Basic Wind Speed (V) 100 mph Struc Category (I, II, III, or IV II Exposure (B, C, or D) C Struc Nat Frequency (n 1) 1 Hz Slope of Roof 4.0 :12 Slope of Roof (Theta) 18.4 Deg Type of Roof Gabled Kd (Directonality Factor) 0.85 Eave Height (Eht) 8.00 ft Ridge Height (RHt) 10.50 ft Mean Roof Height (Ht) 9.25 ft Width Perp. To Wind Dir (B) 20.00 ft Width Para!. To Wind Dir (L) 12.00 ft Calculated Parameters Type of Structure HeighULeast Horizontal Dim I 0.77 Flexible Structure I No Calculated Parameters Importance Factor I 1 I Non-Hurricane, Hurricane (v=85-100 mph) & Alaska Table 6-2 Values Alpha - 9.500 zg - 900.000 At= 0.105 Bt= 1.000 Bm- 0.650 Cc= 0.200 1= 500.00 ft Epsilon - - 0.200 Zmin - 15.00 ft Gust Factor Category I: Rigid Structures - Simplified Method Gust1 For rigid structures (Nat Freq > 1 Hz) use 0.85 0.85 Gust Factor Category II: Rigid Structures - Complete Analysis Zm Zmin 15.00 ft Izm Cc * (33/z)^0.167 0.2281 Lzm 1*(zm/33)^Epsilon 427.06 ft Q (1/(1 +0.63*((B+Ht)/Lzm)^0.63))^0.5 0.9465 Gust2 0.925*((1 +1.7*lzm*3.4*Q)/(1 +1.7*3.4*lzm)) 0.8968 Gust Factor Summary G Since this is not a flexible structure the lessor of Gust1 or Gust2 are used I 0.851 Fia 6-5 Internal Pressure Coefficients for Buildinas. Gcpj Condition Gcpi Max + Max. Open Buildings 0.00 0.00 Partially Enclosed Buildings 0.55 -0.55 Enclosed Buildings 0.18 -0.18 IEnclosed Buildings I 0.18 I -0.18 I Developed by Meca Enterprises, Inc. Copyright 2006 ~ NTI ENGR Page No. 1 of 4 iu------ 7/5/2007 WIND02 v2-21 Detailed Wind Load Design (Method 2) per ASCE 7-02 6.5.12.2.1 DesiQn Wind Pressure - BuildinQs of All HeiQhts Elev Kz Kzt qz Pressure (lb/ft^2) Windward Wall* Leeward Wall Total Shear Moment ft Ib/ft^2 +GCpi I -GCpi +GCpi I -GCpi +/-Gcpi (Kip) (Kip-ft) 15 0.85 1.00 18.47 9.24 I 15.89 -11.18 I -4.53 20.41 6.12 45.93 Note: 1) Positive forces act toward the face and Negative forces act away from the face. FiQure 6-6 - External Pressure Coefficients. Cp Loads on Main Wind-Force Resisting Systems (Me od 2) .4 B z L I... I Variable Formula Value Units Kh 2.01 *(15/zg)^(2/Alpha) 0.85 Kht Topographic factor (Fig 6-4) 1.00 Qh .00256* (V)^2* I * Kh *Kht*Kd 18.47 psf Khcc Comp & Clad: Table 6-3 Case 1 0.85 Qhcc . 00256*V ^2* I *Khcc*Kht*Kd 18.47 psf Wall Pressure Coefficients, Cp Surface I Cp Windward Wall (See Figure 6.5.12.2.1 for Pressures) I 0.8 t(;o NTI ENGR Page NO.2 of 4 Developed by Meca Enterprises. Inc. Copyright 2006 WIND02 v2-21 Detailed Wind Load Desian (Method 2) oer ASeE 7-02 Roof Pressure Coefficients, Cp Roof Area (Sq. ft.) I - Reduction Factor I 1.00 Calculations for Wind Normal to 20 ft Face Cp Pressure (pst) IAdditional Runs may be req'd for other wind directions +GCpi -GCpi Leeward Walls (Wind Dir Normal to 20 ft wall) -0.50 -11.18 -4.53 Leeward Walls (Wind Dir Normal to 12 ft wall) -0.37 -9.08 -2.43 Side Walls -0.70 -14.32 -7.67 Roof - Wind Normal to Ridqe (Theta>-1 0) - for Wind Normal to 20 ft face Windward - Min Cp -0.66 -13.66 -7.01 Windward - Max Cp -0.12 -5.27 1.38 Leeward Normal to Ridge -0.59 -12.52 -5.87 Overhang Top (Windward) -0.66 -10.34 -10.34 Overhang Top (Leeward) -0.59 -9.19 -9.19 Overhang Bottom (Applicable on Windward only) 0.80 12.56 12.56 Roof - Wind Parallel to Ridqe (All Theta) - for Wind Normal to 12 ft face Dist from Windward Edge: 0 ft to 18.5 ft - Max Cp -0.18 -6.15 0.50 Dist from Windward Edge: 0 ft to 4.625 ft - Min Cp -0.87 -16.98 -10.33 Dist from Windward Edge: 4.625 ft to 9.25 ft - Min Cp -0.90 -17 .46 -10.81 Dist from Windward Edge: 9.25 ft to 18.5 ft - Min Cp -0.50 -11.18 -4.53 Dist from Windward Edge: > 18.5 ft -0.30 -8.04 -1.39 * Horizontal distance from windward edge Developed by Meca Enterprises, Inc. Copyright 2006 NTI ENGR 7/5/2007 ~D Page NO.3 of 4 7/5/2007 WIND02 v2-21 Detailed Wind Load Design (Method 2) per ASCE 7-02 Fiaure 6-11 - External Pressure Coefficients, GCP Loads on Components and Cladding for Buildings wi Ht <= 60 ft 1 _l. - .2_1__ ~L__ -3- I I 1 1 I 1 1 1 1 1 1 I 1 I 1 I I I 21 1 1 I 1 1 2 1 I I 1 1 1 I I I I 1 1 1 ,.. _! - - _1__ I--L_- - - 1 I 1 . I a a a a Gabled Roof 7 < Theta <= 45 a = 1.2 3.00 ft ==> C' Double lick on any data entry line to receive a help Screen Component Width Span Area Zone GCp /\find Press (Ib/ft^~ (ft) (ft) (ft^2) Max Min Max Min end truss 3 24 192.00 3 0.30 -2.00 10.00 -40.27 int. truss 2 24 192.00 2 0.30 -1.20 10.00 -25.49 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Note: * Enter Zone 1 through 5, or 1 H through 3H for overhangs. /?fD Developed by Meca Enterprises, Inc. Copyright 2006 NTI ENGR Page No.4 of 4 Ii' Si :: 31" 1 112. If := ~5. 5 / 1 '1. - . t\f >2 '" l)~-"""oh s h 2)( I$~", I ~v_v:;:~ , *'~., ~~. ,\\~cf ~ j ?~" ,0- ' i i I I I i I I, i I I i I i I I j , . , Ii .r-'\II {2'.) -.J 't:'x~~ GW)~ t ~ X DUO "7\-i. 7~~' ~I~ ) I N I ! I i .... 1'/ _( '- , .. 14 I I \,'" ! :. t." .. ,n {:' r~ ~'T t'~ i , . , r ; . I I I I I I ,~ i 1- -- j ~. ] "-';' -- : ~~ - - -.- L.jO' ; I [So", W~sl "d..~1 , New G WI 0 .. I ~x ~ \ 'V ~"". .., .; Q.. , 'J-~v I I $1 .x-, ~/ I .> '- i /' '1\ )-,.,..---..- ~i+.S{ ( -~-_.- ~>V~Q\L~~, -f > ,~ 'V,} i ' \ \ j , \ \ Ii f I ) ( ') I r J 1 \. II nl H Q\.l/'.J.(L ).. '1 X '-I L/ \.0:\,\, li"j '\)(,"IrJ\J..Q , >~~\. \ 'l'l- ~~.;..~ '- ~ /' -;Lq I I ~,_-' : i ~ 1<lf1hT '6 w >--..----+-v '1"":>5/ ""~: Q . _;'ll.-..;.~. ,.__,'~...:...;::" I .", ! , ~\,l L : \ 1 ! \ . : / --':~~;unelj " .. I ,C' -,' ! L _ i , ; ~ ! ..I ':.-( ~ II ~/ d '\ o J> , i ' ; : ' , (y ~ '01 ' : :' I ' ::-" -\.0:\ I', ': , I wlt '\) N(J\..V..:.!l! . \ '.w:! l'Vyc.h . '-18-' 1.. .,----..... I : /+ j',i'~i ; . ! !. ;::-~. "1" ! ! ,'''-;'''-.; ; : 1'\.,\-.\,' ~ ' ,: ~ .2\: "'-".l.J. . ~ I " -.,....---.~_._--.._- "--CJI :...:....~,:. ..: . ,~~~.J; I BUILDING PERMIT - APPLICATION ~' Pennit #: Fill out COMPLETELY and in INK. Your application and site plan MUST B · I 1 D tAd ' j" a e pprove COMPLETE to be accepted for review. If you have any questions, call : PERMITS(360)417-4815 FAX(360)417-4711 ",Datelssued: Con+acf.~ /VO€( ~6.'<S.f,^- 360.-4 -3J621} Applicant or Agent:1ic!Om 1 Am 'I SC c.:rtt Phone: 46 J-13 22. - Owner: Adam 1- ~~o IT Phone: :>60-477-z1 80 Address: 1~4 Ld (c St City:~t A () ~ e.J Zip: '1~31.o__"3 Architect/Engineer: IV r I Phone: Contractor State License #: Exp: Phone: Zip: ZONING: ~S --I Address: PROJECT ADDRESS:JSO~ LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: City: W ~~) S't Block: Subdivision: TYPE OF WORK: rtesidential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move~arage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: \IJl\\\>exno\'>"'~"'i's+vn9 '3~e c.tt ~ d wll\ SIZEN ALUATlON: '{ SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION. $ ~oo N etA I (; o..r~(l ::; 1~:z.. sa , jet- a.. f-Ilrll11lf. , z..)( 2-\ COMMERCIALIRESIDENTlAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: \Y~LotSize: ,.cro-o EXistingSq.Ft.J)58<3 &ProposedSq.Ft. ..2~2. =TOTALSq.Ft. \ g40 Totall~t coverage ;).(0 , % ~ -' ". ,~~. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date ofapplication, the application will expire. The Building 0fficial can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 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. I am authorized to apply for this permit and understand that itJs my responsibility to determine what permits are requi ed ,no the City's, and that I must obtain such permits pri~r to work. . , ~_,._ ~;\FORMS\BldgPennitform.wpd APPli_.;4 d-~0" (5 ~ Date: '1;, If] \1 I- I /: vi , ,;{ 0 I f", :--p..,."p.. f~ f- 'l-/.b I / ff~ "'II ?-7 (0 J . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PEF!MIT NO. ;IS 7/ /1- / - x3 DATE ELECTRICAL PERMIT A- 0 READY FOR INSPECTION License Number: Owner/Business: Owner/Business Address: ~ RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW ~ FAN/WALL ~W 16~V o HEAT PUMP KW_ o SIGN Details/Description: o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL :N' ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS ~<:/L,lb/lis /- -Y ..t7cA4///:(; . W.S. No. CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. 'fJ Rough-in/cover O.K. ~v.;L LlA...- ~~ 1 o O.K. to connect service o Final O.K. , v...ro...Qfhv,12- .$.<.v;h.9-- ~ wW J~r..:.,- G-F-:r::- ) L-'-' _ Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection an~ O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building rmil. PHONE 457-0411, EXT. 224. Site Address: Installer: . WHITE - File by address =aJ & rr- New Meters NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ YEllOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. Permit/Receipt No. 1('" ,:3tJ, ~ CJ Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15823 Port Angeles, washlngton_____.Z__=__.__..L_____....___.___..___.._________, 191:.(; 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 do electrical work as listed below. . ~:~::s.l;:~~~:!~;~~~~:~~:::::::---.~~:~:~:::m~_::~~~.~~.~::::::~~~=::::::::::::::::::::::::::: Wiring Contractor ___,_'-_<C""-C!.""-.ooQA-c_mn.____mn____n__n____ By__.___oo___oooooo____________oo__________m____________________oo__oo Light Outlets_.....n....___..__..........._.......... Service. volts ./.,;z*-z-..f..C!... Type 01 WIring: Receptacle Outlets............................... No. wires .....m~~~;.................;;1;?, .1) Armored Cable .............................. Dryer, KW..nm.mnmn.......n""'h" SIze wires.....,Lff(I-;~L:r:1.f...::x. .e. {~ Non.Metalllc m.m..........m.__.......h_ /'~-'l)!;J /T Knob & Tube___............................... Range, KW..................n...... Main fuse .......Z.~...:.............m....... 'e- A.:J Enclosure n""",,,,"onm.................u Water Heater: Heal~:;-.::::J/}!.::::ru:r'." Type of wiring: Entrance Cable ...................m. Motors: size, volts and phase: Rigid Conduit "m.......................... Metallic Tubing ........................... Current transformers: No. & Size.......................u.............. Ser. NO.n..................u....................... Ser. No............................................... Ser. No. ............................................. Rigid Ct>ndult ............................... Metallic TUbing ......................__... Raceway ........................................_ Circuits, Llght............_.....______............... Utility............................................. Heat ............................................... Range ............................................. Water Heater ............mm.m......... Motor ............................................. Dryer .................................................. Furnace .........................._..................... Total Load............................. Ser. No.............................................. Total 0............................... Remarks: .___..cf:,~._-':l::,..!,!..,lg,,_t2c_,.,~.._..._!Le.~,c..A,d;,-""~_...._...~........".~_.~~___......oo.. . - f/ ' .1--.. ""'" -:.~.:.i~__~~~-.~~~~~~..~.~__~~~.___:.-----oo::~.~.~:~~:~.~.~~~.~..~.~..~.m-oo-----.---.oo::--3~iZl~~~~~;.~~/ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION d fI ?- .t~""~'l I r ELECTRICAL PERMIT N? 15823 /5' ();/. LJ--r; f:f AddreSB....0Jf.....-..~~..........it:.---m......................................--....................--......... Date..__......................______............................ Owner ..n..:.............nn..:~~;g:!:'::c..... .~."?~.._.....n.......................n.n.nnn.....n.......... Tenani........hnn..nnnnn...........h......h..........nn....... WiringContractor........~:::(.~.-!.~'t-.!:?..-::::;f......."....................................................................n..By.............................................................. NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work fs to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment.