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Home My WebLink About1315 Caroline St - BuildingBuilding Permit 1315 Caroline St 12-692 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000692 Date 6/04/12 Application pin number . . . 797680 Property Address . . . . . . 1315 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -7 -8 -0330 -0000 - Application type description MECHANICAL APPL. PERMIT Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc WOOD BURNING INSERT ---------------------------------------------------------------------------- Owner Contractor NICPON JR MICHAEL F B & B ENTERPRISES 1315 CAROLINE ST 520 ROSE ST. PORT ANGELES WA 983624502 PORT ANGELES WA 98362 (360) 417-0436 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . WOOD BURNING INSERT Permit Fee . . . . 60.65 Plan Check Fee .00 Issue Date . . . . 6/04/12 Valuation . . . . 0 Expiration Date . . 12/01/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ---------------------------------------------------------------------------- Fee.summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type 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 Landscaping Date I Accepted By Comments FINAL Date Accepted by FINAL Date Accepted by I I 1 SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 ze-7r—/Z_ T•Fnrmc/Ruilrlinn niviSinn/Riiildino Permit Accepted By PREPARED 10/03/12, 10:15:10 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/03/12 ---- ------ -- ---------------------- ADDRESS . : 1315 CAROLINE ST SUBDIV: CONTRACTOR B & B ENTERPRISES PHONE (360) 417-0436 OWNER NICPON JR MICHAEL F PHONE PARCEL 06-30-00-7-8-0330-0000- APPL NUMBER: 12-00000692 MECHANICAL APPL. PERMIT -- ----- ---- ----------- ------------ PERMIT: ME 00 MECHANICAL PERMIT - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------- -- -----------------'---------------------------------------- ME99 01 10/03/12 MECHANICAL FINAL October 3, 2012 9:26:01 AM pbarthol. �.Heather 360-797-1578 ------------------------- ----------- COMMENTS AND NOTES -------------------------------------- THE CITY OFOT1 � ELLS y.. W A S H 1 N G T G N, U. S. 321 East S' Street Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us Building Permit Application Project Address: 1 SIS Main Contact: For City Use Permit # Date Received: 1'e'-"ir/zr— Date Approved: Property I Name , k/ I,, C Owner Mailing Address 9 3 1 5'- C 614 Lin e City P0 ✓T 4 n q e / eS u, A- 9 & 3 A 3L - Contractor Name co vro k, soca,, .18&8 Mailing Address S 9-0 064d Ro .S - S city Po rgy el es wfi- 9836 DL - Contractor License # . r � 3 t3 rivT: - -� �i 3 PA Phone # Phone Email State I zip Phone Email State LA p-. Expiration: 161,5113 Zip 99J�0— Project Value: I Zoning: Tax Parcel # Lot # $ S000 Type of Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical JE� Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project Description i I have read and completed the application and know it 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 to obtain permits prior to working on projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the _pplication will be considered abandoned, and the fees forfeit. Date Print Name Signa e 6 /l -1/l a-- Co LTo n ,edd �� , S 7 Residential Structures Area Description (SQ FT) Existing Proposed Minimum $ For Office Use value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other (describe) Area Totals Commercial Structures Area Description (SQ FT) Existing Proposed Minimum $ For Office Use value Structure (s) Addition Tenant Improvement S Other (describe) Area Totals Lot/Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: % Lot Coverage SQ FT Site coverage (all impervious + % Site Coverage structures) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping # of Outlets: Appliance Vent # Heater (Suspended, Floor, Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alterattLon -, Evaporative Cooler (attached, not # Pellet Stove((\Wood-burnin Gases 05f (-r # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping # of Outlets: Ventilation Fan, single duct # Furnace/Heat Pump/Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping # of Outlets: Water Heater # Medical gas piping # of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other (describe): CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00001348 Date 11/30/11 Application pin number . . . 785492 Property Address . . . . . . 1315 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -7 -8 -0330 -0000 - Application type description RE -ROOF Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 1970 ---------------------------------------------------------------------------- Application desc TEAR OFF SECTION OF COMP INSTALL TORCH DOWN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NICPON JR MICHAEL F LARRY'S ROOFING 1315 CAROLINE ST 352 AVIS ST. PORT ANGELES WA 9.83624502 PORT ANGELES WA 98362 (360) 452-2215 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . COMP TEAR OFF/TORCH DOWN INSTA Permit Fee . . . . 95.75 Plan Check Fee .00 Issue Date . . . . 11/30/11 Valuation . . . . 1970 Expiration Date . . 5/28/12 Qty Unit Charge Per Extension BASE FEE 50.00 15.00 3.0500 HND BL -501-2K (3.05 PER C) 45.75 ---------------------------------------------------------------------------- Other Fees . . . . . . . . STATE SURCHARGE ---------------------------------------------------------------------------- 4.50 Fee summary Charged Paid Credited ------------------------------------- Due -------------------- Permit Fee Total 95.75 95.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 100.25 100.25 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) VW l2 2 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 applicaliorland know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complie with w etherecified herein or not. The granting of a permit does not presume to give authority to violate or ncel the provisions o ny stat or to law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit V) BUILDING PERMIT INSPECTION RECORD Ns' -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building inspections 417-4815 Electrical Inspections 417-4735 t. 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. T n �tR if3 ifnn nrurGinn/A717tdino Permit IInspection Type ( Date Accepted By Comments FOUNDATION: Footings Stemwall I I Foundation Drainage / Downspouts Piers ( j Post Holes (Pole Bldgs.) j !PLUMBING: Under Floor / Slab l Rough -in Water Line (meter to Bldg) I leas Line Flow / Water I I FINAL Date Accepted by 1Back AIR SEAL: j !walls Ceiling I I I FRAMING: Joists / Girders / Under Floor { Shear Wall / Hold Downs j !Watts / Roof / Ceiling IDrywall (Interior Braced Panel Only) T -Bar j INSULATION: Slab I l Wall / Floor / Ceiling I I MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line { Wood Stove / Pellet / Chimney { Commercial Hood / Ducts j FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab I Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / Lighting I Landscaping I I ESA.: SHORELINE: ,j FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYI USE Inspection Type Date Accepted By III Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 \� Fire 417-4653 Planning 417-4750 Building 417-4815 t 1 a" off.' �(��✓ T n �tR if3 ifnn nrurGinn/A717tdino Permit BUILDING / PLUMBING / MECHANICAL PERMIT APPLICATION - SHORT FORM (To be used for projects that do not require plan review.) Date Received 5✓ -It Permit #-/,/-/340 City of Port Angeles Please print in ink. Date Approved ao -- If Attn: Building Permit Technician Approved by_J 321 E. 5'h St., Port Angeles, WA 98362 " 360-417-4815 fax: 360-417-4711 Credit card payments are accepted Mon -Fri 8-5 pm (no American Express) Hours: Mon through Fri 8 - 5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm Contact person: Oro�n Property owner: r' t� Property owner's mailing addr ss: A Contractor's business name:�� (oo db� (or property owner's name if he/she is oing/overseei g the work) Contractor's mailing address: Z his J_ 0- Contractor's L&I license number: 4_9t cr� no 6ga) Project Address: '0 - Phone: 4 SZ�,� Phone: I� "'� Phone: qsZ ais 1 Expirati o � date Project Type: )<Residential o Commercial o, Industrial o Multi -family Project Business Name: (for commercial, industrial, or multi -family projects) The following permits are usually issued over-the-counter immediately, without the need for plan review Complete only the portions of this permit that are relevant to your project. _ A j Re -roof: house ❑ garage ❑ other 04aloLJA 'oln -on I tear off & re -roof ❑ lay over one layer (✓) Licensed contractor: Submit a copy of your re -roof bid. Project Valuation $ 10o-70.— * (labor & materials, not including sales tax) Re -side: ❑ house ❑ garage ❑ other Project Valuation $ Repair: (explain the r)roiect) Project Valuation $ * (labor & materials, not including sales tax) * *Homeowner: If you will be doing / overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 = Project Valuation $ T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application — Short Form (Revised 2011) Page 1 of 2 Swimminq Pool or Spa (> 24" deep): For prefabricated swimming pool or spa proiects that do not require plan review.- Obtain eview: Obtain the City of PA handout entitled "Pools & Spas" &.follow the requirements. Project Valuation $ Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? ❑ house ❑ garage ❑ other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. (✓) Agree to ensure that all utilities are/will be properly turned off (and capped off if needed) prior to demolition. (✓) Obtain (from the City of PA)'an aerial view map of the parcel and put an 'Y' over the structure(s) to be demolished. Submit the map with this application. (✓) Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360-417-1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. ❑ yes ❑ no Will the debris be going to the Regional Transfer Station in Port Angeles? ❑ yes ❑ No If yes, will a licensed contractor be taking it there? V) If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbinq Permit: (explain the proiect) Project Valuation $ Mechanical Permit: (explain the proiect) Project Valuation $ I have read and completed this application and know and understand that it is my responsibility deter working on projects. Date (��—�� Signature Print Name Page 2 of 2 true and correct. 1 am authorized to apply for this permit Lat permits are required, and to obtain permits prior to t r ' Y, r' t i 1 , I ._.. .... .....-._.. - c r i t _ - r r' A�D All cis, rr �-197 spin• i r a jj �`L�1rNr�tk°a'r •ie'zL. "Mot c � - ` r 5 1' � � r`��'' i z -'�`�* x '� � � _ � pro?- � ' " � � '�`� > y✓s' 1 i -_� @ `3r,r,�, z1�"� o-'r� .'2� -� u�'x`�,.. rr,•k5a - �'r` - `£ . r�� _ � 4�.y s �� 5 xis � r�`' ,�,~��,�' � `f,. x, . ' � • t7 i �� ;� �� .`�tf��U'� L ." ��`a r' i .�• �s.� 'Y- a s& � 1 Contractors or Tradespeople Printer Friendly Page General/Specialty Contractor Page 1 of 2 A business registered as a construction contractor with I -Ed to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name LARRY'S ROOFING UBI No. 600448541 Phone 3604522215 Status Active Address 352 Avis St License No. LARRYR*088LN Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 6/15/1992 State WA Expiration Date 11/21/2013 Zip 98362 Suspend Date County Clallam Specialty 1 Roofing Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty Sp Effective Expiration Status 2 Date Date Framing And WESSES*9421_6 WESSEL SERVICES Construction Rough Unused 6/26/2006 6/26/2012 Active Contractor Carpentry WESSEC1035NJ WESSEL CONSTRUCTION Construction General Unused 8/11/1997 9/30/2013 Active Contractor INC ICLALLC*04405 CLALLAM Construction General Unused 9/10/1996 9/5/1999 Archived CONSTRUCTION Contractor THROOLCO55PB THROOP LAYMAN Construction General Unused 10/2/1995 9/5/1996 Archived CONSTRUCTION Contractor IWESCOGC084D4WESCOGENERAL Construction General Unused 3/24/1992 1/11/1998 Archived CONSTRUCTION Contractor IWESCOGC1 1 OCZWESCO GENERAL Construction General Unused 2/9/1989 1/11/1992 Archived CONSTRUCTION Contractor (RAINMR*141KT RAIN MASTER Construction Roofing Unused 5/30/1986 5/9/1989 Archived ROOFING Contractor IWESCOR*164PQ WESCO ROOFING Construction Roofing Concrete 10/18/1984 4/1/1988 Archived Contractor RAINMR*193R3 RAIN -MASTER Construction Roofing Unused 12/23/1981 12/7/1985 Archived ROOFING Contractor ILARRYSR221C7 LARRY'S ROOFING Construction Roofing Unused 2/27/1978 2/28/1992 Archived Contractor RAINMR*099MK RAINMASTER Construction Roofing Unused 7/12/1991 11/9/2012 Suspended ROOFING Contractor Business Owner Information https://fortress.wa.gov/lni/bbip/Print.aspx 11/30/2011 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 Name Role Effective DateEx iration Date RHODES, THOMAS W 'Owner 101/01/1980 1 p Bond Information Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Name Number Date Date Date Date Amount Date AMERICAN Until 5 NATIONAL FIRE 790286531690 10/03/2001 Cancelled $6,000.0010/11 /2001 INS CO Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company policy Number Effective Expiration Cancel Impaired Amount Received Name Date Date Date Date Date ENDURANCE 18 AMER SPEC CBC10000051900 01 /29/2011 01/29/2012 $300,000.00 01/14/2011 INS CO 17 INS GL00309010 01/29/2010 01/29/2011 $300,000.00 01/19/2010 COTHAM FIRST 16 MERCURY INS FMIL003923 01/29/2009 01/29/2010 $300,000.00 01/29/2009 CO FIRST 15 MERCURY INS FMIL003133 01/29/2008 01/29/2009 $300,000.00 01/17/2008 CO FIRST 14 MERCURY INS FMIL002286 01/29/2007 01/29/2008 $300,000.00 02/07/2007 CO FI RST 13 MERCURY INS FMIL000352 01/29/2005 01/29/2007 $300,000.00 01 /26/2006 CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount IFFERD00508 13/22/2010 143.22.435 RCW IFAS INFRACTION (Satisfied I $200.001 https://fortress.wa.gov/lni/bbip/Print.aspx 11/30/2011 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N° 16197 *fir Port Angeles, Washington - --------------------------------------------- 19 !.. In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do eIctrical work as listed below. Occu y---.- ----- -- - Address = -- -- ---------- --- -------------v- Panc---'�----------------------- J �� ° '-- Owner ---- -_ - Tenant - - MS ....-------------------------------- , ._ _ _ Wiring Contractor,,.---='--=---'--=--=--=---------'-----------------------------$y------------------------------- ----------------------------------•--- Light Outlets....................L. ......-_----_----- Receptacle ..._.._..-.._Receptacle Outlets..------ �....i....... Dryer. KW ----- ._---------------------------------- Range, KW ------------------ ---------- ------ __. Water Heater: KW-----------------------------------✓�----- - Heat: KW......_,7.1.... i. .:t �.^a::".::.......... Motors: size, volts and phase: Total Remarks: Permit Fee Tress. Receipt �y7). j Y! - NOTICiTCurrent must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION Address Owner ELECTRICAL PERMIT N° 16197 Tenant................................................................... WiringContractor........................................................... _............. ................................................ Ry -------- '............ ..................... ------ ............. NOTICE --Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. Service, volts .- '� ----- Type of Wiring: No. wires ....... :............. ................ Armored Cable ........................ Size wires Non -Metallic ................................. ..................... Knob ube.....................---....... Main fuse ............................. Rigid Conduit ............................... Enclosure -------------------- Metallic Tubing Type of wiring: Raceway — ............................_.....— Entrance Cable --------------- .............. . Circuits, Light..................................-.... Rigid Conduit ... ............................ ..Utility ............................................. Metallic Tubing -`...... ................ Heat -----.......................................... Current transformers: Range ............................................. No. & Size ......----_-----------------_-..... Water Heater ............................... Ser. No ----------- ......---------................ Motor ............................................. Dryer ....................... .......................... Ser. No.--------------------------------------------- Furnace _ .......................-..._............. Ser. No. ---------------------- ...........`--........ Total ....................................... Permit Fee Tress. Receipt �y7). j Y! - NOTICiTCurrent must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION Address Owner ELECTRICAL PERMIT N° 16197 Tenant................................................................... WiringContractor........................................................... _............. ................................................ Ry -------- '............ ..................... ------ ............. NOTICE --Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment.