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422 E Lauridsen Blvd - Building
Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner TODD D/C MICHELLE HAWORTH 811 JUMA CT PORT ANGELES Permit Additional desc Permit pin number 71357 Permit Fee 57 00 Issue Date 2/16/06 Expiration Date 8/15/06 Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total 41t T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983635024 7 0000 ECH PLUMBING PERMIT Per Charged 57 00 00 57 00 06 00000169 247018 422 E LAURIDSEN BLVD 06 30 10 5 0 2110 0000 DR TODD HAWORTH PLUMBING REPAIR COMMERCIAL OFFICE 2000 Contractor BASE FEE PL- EA LAWN BACKFLOW OSTERBERG LANDSCAPING 706 S H ST PORT ANGELES (360) 452 9511 Paid Credited 57 00 00 57 00 Plan Check Fee Valuation 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. l6 -06 Date 2/16/06 WA 98362 00 0 Extension 50 00 7 00 Due 00 00 00 OA C c Signature of Contractor or Authorized Agent Y Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD FINAL FINAL SEPA. ESA. SHORELINE: 417 -4735 ELECTRICAL LIGHT DEPT DATE ACCEPTED BY. DATE ACCEPTED BY._ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION KW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 1 1 FIRE DEPT 1 1 1 PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT(.fit Q y to 0 b 1 BUILDING 417 -4815 1 1 1 1 BUILDING r✓1' i i b. T•\Policies \1102_15 building pennit inspection record05.wpd [1/4/2005] Applicant or Agent: �'6. c Owner' i°,v'`r (X� `i _✓C' Address (S 7 Snc. C9 (0 Architect/Engineer Contractor6k4 i 6. x-i :e Address. ate License City PROJECT ADDRESS 4-4? L.e; c d S�jn LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Re -roof Multi family Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stones: Lot Size: Existmg Sq Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION ESA/Wetland(s) Yes No SEPA Checklist required? Yes 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 Buildmg Division to comply with current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building /Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determ pe w t p; its. requ" ed ,not the City's, and that I must obtain such permits prior to work. Date: 7 (r; O T•\Policies\BL 1102_13 wpd Applicant: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417-4711 1-1,(' ‘:ac3 City Stove Garage Deck Otherfu Phone T"7 a1– f �7 Aa_ lip soh s Phone 2 9 S Zip 9<g-5 C Sf VG'r ZONING Exp Subdivision. SIZ,E/VALUATION Occupant Load. Proposed Sq. Ft. Phone Construction Type: TOTAL Sq Ft. FOR OFFIC1ALL SE NLY 2 yy Date Rec. 14 Permit# (/gyp 044 41 Date Approved hIto Date Issued iiiiii SF /SF SF /SF SF /SF TOTAL VALUATION 7. MO APPROVALS. PLAN BLDG DPWU FIRE. OTHER PREPARED 3/16/10 8 35 34 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/16/10 ADDRESS 422 E LAURIDSEN BLVD TENANT NBR HAWORTH BUILDING LLC CONTRACTOR ALL WEATHER HTG COOLING INC OWNER HAWORTH BUILDING LLC PARCEL 06 30 10 5 0 2110 0000 APPL NUMBER 10 00000064 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 3/16/10 SUBDIV MECHANICAL FINAL TIME 01 00 March 10 2010 11 29 29 AM 1pangrle JENNY (ALL WEATHER) 452 9813 MECHANICAL FINAL HEAT PUMP AFTERNOON THE HAWORTH OFFICE CONTACT IS KATHY 457 5152 AND SHE S EXPECTING YOU COMMENTS AND NOTES PHONE (360) 452 9813 PHONE (360) 457 5152 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 T stats 3 ton Heat pump Owner HAWORTH BUILDING LLC C/O 645 BLACK DIAMOND RD PORT ANGELES WA 98363 (360) 457 5152 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL ALTER COMMERCIAL 159830 112 00 1/22/10 7/21/10 Qty Unit Charge Per 2 00 56 0000 ECH EL LVT THERMOSTAT ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 10 00000067 657447 422 E LAURIDSEN BLVD 06 30 10 5 0 2110 0000 ELECTRICAL ONLY COMMERCIAL OFFICE 0 Special Notes and Comments January 21 2010 4 29 38 PM Brian 417 4708 OK Fee summary Charged Paid Credited Permit Fee Total 112 00 112 00 00 Plan Check Total 00 00 00 Grand Total 112 00 112 00 00 DATE Contractor Plan Check Fee Valuation 11 ,117) 447 Date 1/22/10 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Due RESULTS Extension 112 00 00 00 00 00 0 Signature of owner or Electrical Contractor X Date INSPECTOR. WI CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 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 Application desc INSTALL A HEAT PUMP Owner HAWORTH BUILDING LLC C/O 645 BLACK DIAMOND RD PORT ANGELES WA 98363 (360) 457 5152 Permit MECHANICAL PERMIT Additional desc INSTALL A HEAT PUMP Permit pin number 159798 Permit Fee 64 80 Issue Date 1/21/10 Expiration Date 7/20/10 Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total 14 8000 EA Per Charged 64 80 00 64 80 10 00000064 Date 1/21/10 560768 422 E LAURIDSEN BLVD 06 30 10 5 0 2110 0000 HAWORTH BUILDING LLC MECHANICAL APPL PERMIT COMMERCIAL OFFICE 19929 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 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 aw regulating construction or the performance of cgnsjructton. /0 0^ `fi 7( l ate f) e Print Name Signature o ntractor T:FormsBuilding Division/Building Permit Due 00 0 Extension 50 00 14 80 00 00 00 rized 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 Accepted By Comments 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 SEPA. Parking Lighting 1 ESA. Landscaping I SHORELINE. T.Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date 16'I° Accepted by 5LL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Applicant Property Owner, _TOO Property Owner's Address Contractor PA) Contractor's Address 3::)">.-- lt�.l. r. License 1i t, aA 'Ekoires I tQ PROJECT ADDRESS 1 E65 r FAVd Parcel Number av "'o Pr ject Type Brief Description: Residential o Multi- family Commercial Chedrall that apply a New Construction ,o Addition a Remodel Repair o Demolition o Re -roof Meat System a Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a.flre sprinkler system be installed? PO/E0 39Vd 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 at v14Ccc c In worm Ir1Q Lrn o 1nslaation For City Use Only Date Received 1 O Permit ko l.,L Date Approved Phone Phone aD 1 62. vd. Phone QC t- E =mail aaireE Q(v't Lot Zoning o Industrial a House a garage o other a tear off re-roof o lay over one layer ,<Fleat pump o wood burning stove o -gas fireplace o pellet stove o other Floor Areas Existing (so. frt1 EL( pt Isa. ft.) Basement per sq. ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch beck Shed Other TOTAL VALUATION IO "i "1. U Total footprint of structures sq. ft. 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 surraces. (see PAMC 17.94.135 for exemptions) Site coverage 9NI1ti3H el3H1V3M 11d ft. Occupancy group Occupant load Construction type of bedrooms of full baths of half baths /have road and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my sp to determine what permits are required, and to obtain permits prior r to O worki on J�jecis. Date d Print Name 7te rke_ X� Signature T ;Fa 1 u' .ing D'nrision1Bldg Permit.doc LLZSZSb09ET Z9 80 9T9Z /TZ /Z0 Clallam County Assessor Treasurer Property Details 65131 HAWORTH BUILDIN Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 65131 HAWORTH BUILDING LLC for Year 2010 2011 Property Account Property ID Values Geographic ID 0630105021100000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 65 Open Space. N DFL N Historic Property' N Remodel Property' N Multi- Family Redevelopment: N \p Location A Address. 422 E LAURIDSEN BLVD Mapsco Y` 4 �s `a PORT ANGELES C/ Neighborhood Cycle 5 Comm Map ID Neighborhood CD 20953140 Owner Name HAWORTH BUILDING LLC Owner ID 29575 Mailing Address. C/O 645 BLACK DIAMOND RD Ownership 100 0000000000% PORT ANGELES WA 98363 Taxes and Assessments Due Property Tax Information as of 01/21/2010 Amount Due if Paid on. 65131 Legal Description. PUGET SOUND CO -OP COLONY 2 ADD TAX #8817 PT LTS 3 &4 BL 21 Exemptions First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 651312008 ST SCH STATE SCHOOL $345.21 $345 21 $0 00 $0 00 $690 42 $0 00 2009 651312008 CC -GEN COUNTY $174 71 $174 70 $0 00 $0 00 $349 41 $0 00 2009 651312008 PORT PORT $24 75 $24 74 $0 00 $0 00 $49 49 $0 00 2009 651312008 PORT ANG PORT ANGELES $383.20 $383.21 $0 00 $0 00 $766 41 $0 00 2009 651312008 SD #121 SCHOOL DISTRICT #121 $426 90 $426 90 $0 00 $0 00 $853 80 $0 00 2009 651312008 NTH OLY LIB NORTH OLYMPIC LIBRARY $50 76 $50 77 $0 00 $0 00 $101 53 $0 00 2009 651312008 HOSP #2 HOSPITAL #2 $71 65 $71 65 $0 00 $0 00 $143 30 $0 00 2009 651312008 CITY STORMWATER CITY STORMWATER $59 05 $59 06 $0 00 $0 00 $118 11 $0 00 1 2009 651312008 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 2009 651312008 TOTAL. $1537.05 $1537.05 $0.00 $0.00 $3074 10 $0.00 NOTE If you plan to submit payment on a future date make sure you enter the date and RECALCULATE to obtain the correct total amount due Improvement Homesite Value N/A Improvement Non Homesite Value N/A Land Homesite Value N/A Land Non Homesite Value N/A Ag Timber Use Value http. /vpn.clallam.net 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_td =65 1/21/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 3 ton heat pump 8kw furnace Owner TODD D/C MICHELLE HAWORTH 811 JUMA CT PORT ANGELES Permit Additional desc Permit pin number 159707 Permit Fee 78 70 Issue Date 1/20/10 Expiration Date 7/19/10 Qty 1 00 2 00 Unit Charge 73 5000 2 6000 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983635024 78 70 00 78 70 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000058 924258 422 E LAURIDSEN BLVD 06 30 10 5 0 2110 0000 ELECTRICAL ONLY COMMERCIAL OFFICE 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation Per ECH EL BRANCH CIRCUIT WO /FEEDER ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 78 70 00 00 00 78 70 00 Date 1/20/10 /zz vti7 1 2 7 1en WA 98363 DATE RESULTS 00 0 Extension 73 50 5 20 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. City of Port Angeles Permit Application Building DlvielonIElectrIcat Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) _174735 Fax 1360) 4174711 Date: 1 01 Owner In 'u5tio Name: !t/ 4 if A. All Maili d ress; "1�M.1 •'1' City'. ■t+. .Salle g State: 0 Zip; (.19M1 Phon ax: License /.Exp. Unit Charge 3119.90 145.50 204.60 262.20 372.50 2.60 73,50 2.60 5 92.70 110,30 148.70 $157.90' 95.90 5 8820 5 95.90 63.90. 63.90 119.90 $102.30 110.30 5 35.20 73.50 110.30 56.00 t 39dd Signature of owner electrical contractor or electrical administrator RECEIVED JAN 2 2 2009 ELECTRICAL INSPECTIONS 1 2 Single Family Dwelling g Multi- Family or Commercial` Commercial Addition 1 Alteration 1 Remodel Repair Plan Review a e equ l d, e se Complete Electric tan Review Infer/nation Sheet Job Address: �.9. YlCA�C 11 V U Building Square Footage: Descrlpt of �C ogtr ed formation Name. 111 It a� Mailinr ddress: City: :tan" s Phone _r gail ,LiE. License l Exp. LBW �/b heck ate: l 0 Credit Card Ooaoq `■nc tate: Fax: Total /OW Mul6olled by Unit Charnel Service/Feeder 200 Amp, 5 Service/Feeder 201 -400 Amp. 5 Servlco&Feeder 401.600 Amp. ServicelFeeder 601-1000 Amp. ServlcelFeeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit IMO Service Feeder Each Additional Branch Circuit Temp. Seivlcel Feeder 200 Amp. Temp. Service /Feeder 201.400 Amp. Temp. ServlcelFeedar 401.600 Amp. Temp. Service/Feeder 601.1000 Amp. Portal to Portal Hourly 5 Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial. Additional 1500 55.00 -5 Signal.Clrcult/ Limited Energy 1 2 Family Nailing Signal Circuit/ Limited Energy Mulli•Fantly Dwelling 5 Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square FL 5 Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub ice Thermostat 5.1 •tr7 Total it C'I€OJY JC Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after this electrical penult is finalized. (2).Owneris required to him an electrical contractor If above said properly Is for sale, rent or lease. Permit dxplres after six months of last Inspection. After reading the above statement I hereby certify that tam the owner.of the above named property or a licensed electrical contractor.') am making the electrical Installation or alteration' in compliance with the electr►callaws, N.E.C. RCW, Chapter 1928, WAC. Chapter 296•468, The Clty.o(.Port Angelus Municipal Code, and Utility Specifications, 0 Cash e r 9NIL 3H 2►3H1V3M 11V LLI9Z9b09ET t9 80 0t0Z /tZ /T0 CITY OF PORT ANGELES PERMIT APPLICATION JAN 2009 Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS Ph (360) 417-4735 Fax: (360) 417 -4711 Date: //9!/ 1 2 Single Family Dwelling Multi Family or Commercial" Commercial Addition 1 Alteration Remodel Repair* Plan Review May Be Required, Please Compere Electric Man Review Information Sheet w Job Address: 7 1 v Building Square Footage: .n Description of above /-4-0•42/L C/7 77 Owner Information Name: rc' f A t to o Mailing Add' 2 C l�u.L.'� atd 6.411 Cty f+ State; /ii J Zip; Y* e:5 e 5_ Fax: License Exp. Item Service/Feeder200 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 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 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 Unit Charae 119.90 145,50 204.60 262.20 372.50 2,60 73,50 2.60 92.70 $110.30 146,70 167.90 95.90 88.20 95.90 63.90 63,90 119.90 102.30 56,00 110,30 35.20 73.50 110,30 Dated: JJ RECE VE Siggature of owner elect' al contractor or electrical administrator cans 0 check I ll Credit Card s Contractor jnformatlon Name: i/riD�S r &7.-r -de GG Ci Mailing Adcloes ..J <Y Oslo City c� y �ate:1 i ZIp: Phone: 1-e 7 to Fax: S,41-7 7� License 1 Exp,—$T.psr= r- 1 '7 Total or Multiplied by Unit Chard 3 •$__23 50 5 3 5� 70 Total 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. 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 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 -469, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 0110112010 NOTE TO PLAN SUBMITTER.. All plan comments require written response and/or correction for permit issuance. vern it Issuance O ncept Review O Revision Not approved. Comments to submitter for response and or correction, e Iiminary Review 0 0 Final Review other Reviewed by COMMENT NO 2 a SENT FOR DEPARTMENT REVIEW ON Z9 9� REVIEWING DEPARTMENT ,f Building PW Engineering Wastewater Water Street DEPARTMENT COMMENTS RETURNED4 COMMENTS TO SUBMITTER: DRAWING OR SPEC REF PROJECT NAME. ea9 PW- 110404 [12/93} by 12 m v. 'O r v_e_az 69k. C 4 z2 E LeAmAseo 61\tek. PLAN REVIEW COMMENTS REVIEWING DEPARTMENT FINAL APPROVAL. Date COMMENTS gch(f4J1 iLC LOCATION 1Jcse /fig e a4 Solid Waste Light Fire SUBMITTER RESPONSE DATE. Return response with plan resubminal Approval of ALL reviewing departments required prior to rfj" Yi Vr�y' \`;9:k: '•ir•" I.w:.vvi.v}'.v i'.y it n. �'•v STATUS CODES. PERMIT BACK CHECK BY/DATE: A COMMENT ACCEPTED C CORRECTION MADE N NO RESPONSE REQ'D PREPARED 5/21/08 8 49 00 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/21/08 ADDRESS 422 E LAURIDSEN BLVD SUBDIV TENANT NBR DR TODD HAWORTH CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 457 1708 OWNER HAWORTH BUILDING LLC PHONE (360) 457 5152 PARCEL 06 30 10 5 0 2110 0000 APPL NUMBER 08 00000080 COMM FOUNDATION REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLHD 01 1/25/08 JLL 1/25/08 AP BL99 01 5/21/08 BLDG FRAMING HOLD DOWNS January 24 2008 1 59 42 PM pbarthol JASON 461 2673 January 30 2008 9 39 10 AM 1pangrle BLDG FINAL TIME 01 00 May 20 2008 1 21 57 PM 1pangrle CHRIS 417 1565 BLDG FINAL FOUNDATION REPAIR AFTERNOON COMMENTS AND NOTES PREPARED 5/21/08 8 49 00 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/21/08 ADDRESS 422 E LAURIDSEN BLVD SUBDIV TENANT NBR TODD HAWORTH CONTRACTOR DUFF ENTERPRISES PHONE (360) 452 6052 OWNER TODD D/C MICHELLE HAWORTH PHONE PARCEL 06 30 10 5 0 2110 0000 APPL NUMBER 07 00000202 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 10/31/07 JLL BLDG FRAMING TIME 01 00 10/31/07 AP October 30 2007 4 42 00 PM 1pangrle CHRIS 452 5914 FRAMING October 31 2007 4 33 44 PM jlierly BL3 02 4/03/08 PB BLDG FRAMING 4/03/08 AP April 2 2008 4 13 02 PM 1pangrle CHRIS 417 1565 FRAMING April 3 2008 4 29 59 PM pbarthol BL99 01 5/21/08 JLL BLDG FINAL TIME 01 00 May 20 2008 1 23 02 PM 1pangrle CHRIS 417 1565 BLDG FINAL NEW ROOF STRUCTURE NEW PORCH COVERS AFTERNOON COMMENTS AND NOTES PREPARED 4/03/08 8 54 59 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/03/08 ADDRESS 422 E LAURIDSEN BLVD SUBDIV TENANT NBR TODD HAWORTH CONTRACTOR DUFF ENTERPRISES PHONE (360) 452 6052 OWNER TODD D/C MICHELLE HAWORTH PHONE PARCEL 06 30 10 5 0 2110 0000 APPL NUMBER 07 00000202 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 10/31/07 JLL BLDG FRAMING TIME 01 00 10/31/07 AP October 30 2007 4 42 00 PM 1pangrle CHRIS 452 5914 FRAMING October 31 2007 4 33 44 PM jlierly BL3 02 /03/08 JLL BLDG FRAMING q� April 2 2008 4 13 02 PM 1pangrle 7/ 5 N CHRIS 417 1565 FRAMING COMMENTS AND NOTES PREPARED 1/25/08 10 33 27 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/25/08 ADDRESS 422 E LAURIDSEN BLVD TENANT NBR DR TODD HAWORTH CONTRACTOR J GRICE CONSTRUCTION LLC OWNER HAWORTH BUILDING LLC PARCEL 06 30 10 5 0 2110 0000 APPL NUMBER 08 00000080 COMM FOUNDATION REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLHD 01 1/25/08 JLL SUBDIV BLDG FRAMING HOLD DOWNS January 24 2008 1 59 42 PM pbarthol JASON 461 2673 COMMENTS AND NOTES PHONE (360) 457 1708 PHONE (360) 457 5152 Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HAWORTH BUILDING LLC C/O 645 BLACK DIAMOND RD PORT ANGELES WA 98363 (360) 457 5152 Permit Additional Permit pin Permit Fee Issue Date Expiration Date desc number T Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000080 218800 422 E LAURIDSEN BLVD 06 30 10 5 0 2110 0000 DR TODD HAWORTH COMM FOUNDATION REPAIR COMMERCIAL OFFICE 5000 Contractor BUILDING PERMIT COMMERCIAL FOUNDATION REPAIR 119420 137 75 1/24/08 Valuation 7/22/08 J GRICE CONSTRUCTION LLC 223 MARSDEN RD PORT ANGELES (360) 457 1708 Plan Check Fee Qty Unit Charge Per BASE FEE 3 00 14 0000 THOU BL -2001 25K (14 PER K) Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Permit Fee Total 137 75 13'7 00 Plan Check Total 89 54 89 54 00 Other Fee Total 4 50 4 50 00 Grand Total 231 79 231 79 00 CAAA r Prirft Name Signature of Contractor o Date 1/24/08 WA 98362 Due Extension 95 75 42 00 4 50 00 00 00 00 89 54 5000 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. uthorize6 Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE 0 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS 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(4OLD 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 o 12 -og I TI.L YES I NO FINAL DATE ACCEPTED BY. I FINAL DATE ACCEPTED BY. PLANNING DEPT SEPARATE PERMIT N's SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE G RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED I YES I NO I p-÷ ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT b, CONSTRUCTION R.W PW/ CONSTRUCTION R.W 7 ENGINEERING 417 -4807 PW ENGINEERING I FIRE 417 -4653 I I I I FIRE DEPT I I I I i PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I I I I l BUILDING 417 -4815 I I I I BUILDING I5 3 I I I 5� T Forms /Building Division /Building Permit (10 /01 /07).wpd 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 Z.. etAsuf tom.. I vtc Owner t1,„.,,.,,,.- -k-t„ wc_ «..Trt t-k► L i a Owner's Address c ,a,, s &„1,_ Dtq„►,« r4 Pd 4 w A Contractor/Engi+ieef J c�,,.c Lt.� Contractor /Enginccr's Address 22,./_ WIl4v9 d.' (Id a.A. A License J6 2tcc*. az 4- t PROJECT ADDRESS 4.y2_ LA. Parcel Number to ,gib 211 O Project Type Brief Description. Residential os,Commercial Check all that apply New Construction Addition Remodel eepair Re -roof Demolition Sign Heat System Other 1mcaV. &4.A Q4 4 \kc Lek4 -L b a4.Nt wall- mounted projecting freestanding awning other Total sign area sq. ft. Maximum allowed sign area sa ft. Heat pump wood burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Eli: osed (sq. ft.) Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. T Lot size Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type For City Use Only Date Received Is 17- O Permit Date Approved II 2' a g Phone 4-17/ Phone 1- 5 `t8�to Phone 4-S w A €1.13302 Expires per sq ft. of bedrooms of full baths of half baths Lot Zoning CO Multi- family Industrial TOTAL VALUATION S OOt) sq ft. Lot coverage I have read and completed this 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. Date,) 6:10,0 o z r3 Print Name J 0--k-N. S ov\l r i L e__ Signature C C C20- rn v T•Forms /Building Division /Bldg Permit Appl. -2006 Code.doc I 1/2' SOLID —v' STEEL SQUARE 13/16 DIA BAR HOLE TYP �D DIA C DIA A LEN3TH I 6 PILOT TYP L TWIN HELIX LEAD SECTION 3 PLAIN EXTENSION INTEGRAL FORGED COUPLING TYPICAL ANCHOR ASSEMBLY B DIA ��HELICAL EXTENSION LEAD SECTION r TRIPLE HELIX LEAD SECTION CAT. AO. I 0150 mu 1 a I 122 0150 -0163 81 GP AO. 1 A ="P 1 5 1 u5 3 8 6 1 Br 20' 8150-017A 47 8150-8177 50 -0179 1 LEAD SEL'TTDV EXTENSlOV SECTTOV B 14 0 37' 37' B IA IA IA 3W —.i I. I I/2' SOLID STEEL F 1� SQUARE BAR FLAIN EXTENSION F I TC„ I 'rcTirn 1 X I X 1 X .1 X X =NOTES— HOT DIP GALVANIZED PER ASTM A153— TEST REVISION 2 LEAD AND EXTENSION SECTION LENGTHS AND HELIX SPACINGS RE NOMINAL. EXPECT SOME MINOR VARIANCE 3 SHAFT MATERIAL PER A5TM A29— ILATEST REVISION) DR MECH NICAL EOUIVALENT 4 HELIX MATERIAL PER ASTM A715 HOT ROLLED HIGH STRENGTH LOW ALLOY STEEL SHEET OR ASTM A656 HOT ROLLED STRUCTURAL STEEL PLATE 5 COUPLING BOLTS 3/4 DIAMETER X LONG HE/I HEAD PER ASIA A320 GRADE L7 6 NOMINAL SPACING BETWEEN HELICAL PLATES IS THREE TIMES THE DIAMETER OF THE LOWER HELIX 7 MANUFACTURER TO HAVE IN EFFECT INDUSTRY RECOGNIZED WRITTEN QUALITY CONTROL FOR ALL MATERIALS AND MANUFACTURING PROCESSES 8 ALL WELDING TO BE 00NE BY WELDERS CERTIFIED UNDER SECTION 5 OF HE AWS CODE 01 I 9 SEE ICBO EVALUATION SERVICE INC EVALUATION REPORT NO ER -5110 FOR ALLOWABLE VALUES AND /OR CONDITIONS OF USE CONCERNING MATERIAL PRESENTED IN THIS DOCUMENT SS150 HELICAL ANCHORS A LEN ITN B DIA ClY SINGLE HELIX EXTENSION C DIA F 3 PITCH ICBO SBCCI LISTED ILISTED ER -5110 IER -9504 r$ 1 4 TWIN HELIA EXTENSION HELIX MUST BE FORMED BY MATCHING METAL DIE (SIDE VIEW OF TRUE HELICAL FORMI 0 DIA— ALLOWABLE TORQUE CAPACITY 7 000 FT -LBS ULTIMATE CAPACITY FOR AXIALLY 70 KIPS LOADED FOUNDATION I TENSION /COMPRE55ION LOADS' 1/2 SOLID STEEL SQUARE BAR I I/O 7UNC -2A THREADS C DIA COUPLING BOLT AND NUT TRIPLE HELI\ EXTENSION r I 13 —I/2 THREADED ADAPTER C S0-0032 FOR /2 SHAFT 20 Kr g n my I mm o� m ALlaryAmom EC96091004 I HOYT 41 11,140.4 CEI ti I !WIN a 177 RESLUEN[ 1RL U TERCIAL �a3 a MARTIN sn.a UNDERPINNING TIFQQCK ANCHORS D I !3: amour QIcn_Inr1- FOUNDATION FOOTING FOUNDATION 4 :I BRACKET STEMNALL HELICAL PIER 1 -1/2• RCS SHAFT LIFTING BOLTS 7/8' DIA X 8" LONG 1 1 1 f2 DIA I 1 I 1 I TYPICAL INSTALLATION II 11 FOUNDATION REPAIR BRACKET I II I II IB' MIhIM1H LENGTH OF I I ANCHOR SHAFT ABOVE COUPLING 7e 1 0' 4 MAXIMUM HEIGHT ADJUSTMENT STRAIGHT CUT END II 1/4 MAXIMUM HEIGHT ABOVE MOUNTING SILL SIDE iIElt/ CROSS BOLT 5/8" DIA X 4 1/2' LONG n 1 1 Iln U 1 1/ I I I I I I ��l 1J II 4t114 401 II U 11j MECHANICAL RATINGS ON BRACKET PIER TYPE WORKING LOAD (LOS) ULTIMATE LOAD (LBS) SS5 20 000 40 000 SSI50 25 000 40 000 1 HOT DIP GALVANIZE PER A5TM 0153 1LATEST REVI5ION1 2 ASSEMBLE COMPLETE AS SHOWN IN SIDE VIEW 3 COVERED BY ONE OR MORE OF THE FOLLOWING UNITED STATES PATENTS: 5,011,336 5,120,163 5,139,368 5,171 107 5,213,448 4 00 NOT EXCEED 165 FT -LEIS CF TOROLE ON 7/8' DIA LIFTING BOLTS DURING STABILIZING CR LOAD LOCK -OFF 5 RECCHOElDED ANCHOR SHAFT CUTOFF LEVEL ABOVE THE BOTTOM OF THE FOOTING IS 8 -1/8 FOR MAXIMUI LIFT DISTANCE 6 FOR DETAILED INSTALLATION INSTRUCTIONS, READ CHANCE BULLETIN 01 -8906 7 SEE IMO EVALUATION SERVICE INC., EVALUATION REPORT NO ER -5110 FOR ALLOWABLE VALUES AND /OR CONDITIONS CF USE CONCERNING MATERIAL 04 nits DOCUMENT B MATERIAL SPECIFICATIONS: BRACKET BODY PER A5TM A36 T -PIPE TINE HOT ROLLED MECHANICAL TUBING PER ASIR A513 LIFTING BOLTS' HEX HEAD BOLT PER SAE J429 GRADE 2. CROSS BOLT HEX HEAD BOLT PER SAE J429 GRADE 5 SLOTS TO FIT 5/8" DIA ANCHOR BOLT 516 ANCHOR BOLT LOCATION i 7 ANCHOR BOLT CENTER -TO- CENTER DISTANCE NOTES IC80 SBCCI LISTED LISTED DER -51101 ER -9504 CATALOG NUMBER C/50 -0/2/ 96091003 1 0 109 -26 -961 MALLS 1 HOYT I woo, M to r w• lonr¢ rmc• I GLIALLS P.... 2 -BOLT BRACKET SUB -ASSY 150, ea H Seismic Hurricane Ties The Hurricane Tie series features various configurations of wind and seismic ties for trusses and rafters. The NEW H1OS provides a high capacity connection from truss/ rafter to stud. A flexible nailing pattern allows installation where the stud is offset from the rafter up to 1' Suitable for wood -to- wood and wood- to -CMU /concrete applications. The H2.5T's truncated design was developed to accommodate trusses with 2x4 bottom chords. The easy to install, five nail pattern is stronger and gets better uplift loads than our popular H2.5 hurricane tie. The H14 is the high uplift hurricane tie. It can be installed with rafter nailing flanges facing inwards or outwards. H8 mo (HIOR similar) FOURop p ouBLE SHEAR NAIL HOLES The H2.5A is designed for easy installation, with higher uplift loads to meet new code requirements. MATERIAL. See table. FINISH: Galvanized. H7Z and H11Z —ZMAX® Some models available in stainless steel or ZMAX® see Corrosion Information, page 10 -11 INSTALLATION: Use all specified fasteners. See General Notes. H1 can be installed with flanges facing inwards (reverse of Hi drawing number 1 H2.5, H2.5T 113, H4,115 and 116 ties are only shipped in equal quantities of rights and lefts. (Rights shown.) Hurricane Ties do not replace solid blocking. CODES: See page 12 for Code Listing Key Chart. H2.5 H2.5A 1 4-13/16. 4 H7Z 3' J 1410 -2� 73i 3�if,• H14 Profile Strong-Ti T I SUPPORT END OF BEAM ON 8X8 POST (SEE DETAIL A /S2) EXISTING BUILDING FOUNDATION 8' 1 11 —6 1 EXISTING BUILDING FOUNDATION b\_ INSTALL 8X12 #1 DF BEAM OR 6 75 X 10.5 OR 5.125 X 12 2200f —V4 GLU —LAM BEAM REPAIR PLAN SCALE 1/4" 1 —0" INSTALL 3 CHANCE HELICAL PIER FOUNDATION SYSTEM SUPPORT ANCHORS AT LOCATIONS SHOWN (SEE DETAIL B /S2) EXISTING CONCRETE STRIP FOOTING SUPPORT END OF BEAM ON 8X8 POST (SEE DETAIL A /S2) I L 1 GENERAL NOTES SOIL NOTES CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the budding official from thereafter requiring the correction of errors in said pip .s, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval Date FILE IN A wallet 1 Engineering la: Design loads: T' Roof live load: 25 psf (snow) �j- vCIA) c, Wind loading based on:100 mph/Exposure "C" Seismic Zone: D per I.B.C. 2. Construction shall conform to these plans and all applicable codes and local ordinances including the 2006 Edition of the International Building Code. 1. Foundation design is based on: soil bearing capacity of 1500 psf with increases per I.B.C. Table 1804.2. 2. All footings except where noted otherwise on plans shall be set at least 12" into undisturbed earth or certified compacted fill. 3. Any unusual soil conditions such as organic soils, cloy pockets or uncertified fills shall be brought to the attention of the engineer prior to construction. CONCRETE NOTES 1 Concrete shall be a commercially available transit –mix properly proportioned and delivered to the site in ready –mix trucks. Aggregate size shell be a maximum of 1X2" in foundations and 9" of all other locutions. Slump should not exceed 4" Curing compound shall be sprayed on oll exposed surfaces immediately after final trowelling: 2. All cement shall conform to the ASTM Stondord C -150. All aggregate shall conform to ASTM Stondord C -33. All reinforcing bars shall conform to ASTM Standard A -615 as follows: #3 -15 Bars and WWM –Grade 40 #6 Bars and larger –Grade 60 All rebar to be welded shall be ASTM A706 steel. Preheat all bars #7 and larger per AWS D14 -92. Preheat not required for bar sizes #6 and smaller 3. Concrete used for foundations and slabs on grade shall have o minimum 28 –day compressive strength of 2500 psi and shall not contain less than 5 sacks of cement per cubic yard. 4. Splices in continuous reinforcement shall lop os noted on the plans as follows: Grade 40 reinforcing bars: Minimum of 32 bar diameters Grade 60 reinforcing bars: Minimum of 48 bar diameters 5. Unless shown otherwise, the minimum concrete cover for reinforcing shall be 3" when placed directly against earth and 2" for all other locutions unless specified on the plans. I' O O n Ci zz c a W a C/) h O Q U Q ct C 0 O SCALE. FILE. NOTED 1/17/2008 233S-1 JOB NO: 07233 Q lO 0 03 Cr J z3 Ca O ttj U Q m I– Q�O O. I- z W J V z S 8 O A a 1- 1 I 12" EXIST 2X10 JOISTS SIDE VIEW I DEMO AND REMOVE EXISTING --FOUNDATION IN THIS AREA INCLUDING RETROFIT PIER PADS 28' -0" L_ DEMOLITION PLAN SCALE 1/8" 1 -0" BEAM PER PLAN CHANCE SUPPORT BRACKET MODEL C150 -0121 EXISTING GROUND DETAIL HELICAL PIER LEAD SETION 1 Efig11 inure a] i iau-- 1r =.'y J a END VIEW INSTALL SIMPSON H -1 BRACKET AT EACH JOINT MODEL C150 -0006 .ei r 8X12 #1 DF OR 6.75X10.5 OR 5.125 X 12 2200f -V4 GLB z 7 I I I L. EXISTING GROUND J EXIST 2X10 FLOOR JOIST WOOD FRAMING NOTES 1 All framing shall be Douglas Fir/Lorch as follows unless noted otherwise on the plans. o. Studs, cripples and miscellaneous vertical framing shall be stud grade or better b. Joist and rafters sholl be No. 2 or better c. Headers and beams shall be No. 2 or better 2. Plywood sheathing shell be grade C —D, exterior glue or Structural II, exterior glue in conformance with iBC standard 2304. Oriented strand board of equivalent thickness, exposure rating and panel index may be used in lieu of plywood. Sheathing fasteners shall be driven flush to face of sheathing with no countersinking permitted. Nailing shall be per IBC Table 2304.9.1 unless noted otherwise on plans and /or in shear wall schedule. 3. Glue laminated members shell be fabricated in conformance with ASTM and AITC standards. All beams shall have on AITC identification mark. All simple span beams shall be Douglas Fir combination 24f —v4, Fb 2400 psi, Fv 240 psi. Camber shall be as shown on plans. 4. Parallel strand lumber (PSL) shall be manufactured under o process approved by the National Research Board. Each piece shall bear o stamp or stomps noting the name and plant number of the manufacturer the grade, the national research board number and the quality control agency. Design is based on lumber manufactured by the Trus —Joist Corporation: with Fb 2900 psi and Fv 290 psi. Alternate manufacturers may be used subject to review and approval of the engineer 5. Laminated Veneer Lumber (LVL) shall be manufactured under o process approved by the Notional Research Board. Each piece shall bear a stamp or stomps noting the name and plant number of the manufacturer the grade, the notional research board number and the quality control agency. Design is based on lumber manufactured by the Trus —Joist Corporation: with Fb 2600 psi and Fv 285 psi. Alternate manufacturers may be used subject to review and approval by the engineer PLYWOOD SUBFLOOR 4/ 4 x -16 —fir[ 12" MIN. DETAIL BEAM PER PLAN r 8X8 PT POST OR EQUAL, PROVIDE SIMPSON A23 CLIPS AT TOP AND BOTTOM AS SHOWN SAW CUT AND REMOVE STRIP FOOTING AS PER DEMOLITION PLAN 6. limber connectors called out by letters and numbers shall be Simpson Strong‘-Tie Connectors. Provide the number and size of fasteners as specified by the manufacturer s recommendations. Where connector strops connect two members, one —half of the nails or bolts shall be placed in each member All bolts in wood members shall conform to ASTM A307 Alternate joist hangers and other hardware may be substituted for items shown provided that they are ICBO approved for equal or greater load capacity. All joist hangers and other hardware shall be compatible in size with members provided. All connectors used with pressure treated wood shall be ZMAX, Post Hot Dipped Galvanized, or SST300 (Stainless Steel). Use only stainless steel fasteners with stainless steel connectors. Use only Hot Dipped Galvanized fasteners with ZMAX and Post Hot Dipped Galvanized connectors. 7 Holes for bolts shall be the bolt diameter plus )(e 8. All bolts, threaded rod and log screws shall be tightened on installation and retightened before closing in or upon completion of the job. 9. All bolts, log screws and threaded rod shall be provided with washers where the nut heed bears on the wood. Washers shall have a minimum dimension of at least two bolt diameters. 10. Anchor bolts shall be provided at a maximum spacing of four feet or as shown on the plans. Each section of mudplate shall have at least two bolts with one bolt not more than 12" from each end. 11. The minimum size of anchor bolts shall be diameter by 10" long. The minimum embedment shall be 7" into the concrete and no anchor bolt shall be located closer than 2" from the edge of the concrete. All bolts shall conform with ASTM Standard A -307 Plate washers a minimum of 3" x 3" x 3fe thick shall be used on each bolt. 12. All nails for structural work shall be common wire nails os indicated on the plans or ICBO approved mechanically driven fasteners of equivalent holding strength. Nail size and spacing shall be as required by the IBC Table 2304.9.1 and as specified on these plans. 13. All horizontal wood framing shall bear on beams, plates or ledgers with o nominal width or at least 2" or be supported by sheet metal connectors as manufactured by Simpson or equal. 14. All connections between wood members not specifically detailed heron shell be nailed with the minimum nailing specified in IBC table 2304.9.1 SCALE. UA7t. FILE. JOB NO NOTED 1/17/2008 233S -1 07233 N C in d I vi I I CO W 0 r S wi :3 7 na a Ci) 0 6 H Q CJ) U N c 2 0 co Cr 0) Z� m 2 cc A; 0 Q ,tO x(on. f- z W J U PREPARED 10/31/07 9 12 52 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/31/07 ADDRESS 422 E LAURIDSEN BLVD SUBDIV TENANT NBR TODD HAWORTH CONTRACTOR DUFF ENTERPRISES PHONE (360) 452 6052 OWNER TODD D/C MICHELLE HAWORTH PHONE PARCEL 06 30 10 5 0 2110 0000 APPL NUMBER 07 00000202 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 10/31/07 J L BLDG FRAMING TIME 01 00 October 30 2007 4 42 00 PM 1pangrle CHRIS 452 5914 FRAMING COMMENTS AND NOTES Application Number 07 00000202 Application pin number 272114 Property Address 422 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 0 2110 0000 Tenant nbr name TODD HAWORTH Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 10000 Owner Contractor TODD D/C MICHELLE HAWORTH 811 JUMA CT PORT ANGELES Construction Type Occupancy Type Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 8 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments Other Fees STATE SURCHARGE 4 50 Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T.FormsBuilding Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 DUFF ENTERPRISES 73 KLAHHANE RIDGE DR PORT ANGELES WA 98362 (360) 452 6052 Structure Information 000 000 TYPE V NON RATED SINGLE FAM CONGREGATES NUMBER OF UNITS WA 983635024 BUILDING PERMIT COMMERCIAL NEW BUILDING AND PORCH ROOFS 96248 207 75 Plan Check Fee 135 04 10/17/07 Valuation 10000 4/14/08 Charged Paid Credited 207 75 207 75 00 135 04 135 04 00 4 50 4 50 00 347 29 347 29 00 Date 10/17/07 Due 1 00 Extension 95 75 112 00 00 00 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. 1 /7 7 c J 79 c/ Cam— flJ< Date Print Name Signature of Contractor k;ithbrized Agent Signature of Owner Of owner is builder) BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T Forms /Building Division /Building Permit (10 /01 /07).wpd 10-31-o 7 5L_i FINAL 4 y_3 --O 31 .4_ FINAL PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I ESA. LANDSCAPING I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES I NO i I I I I In 71-681 31. 1 BUILDING PERMIT APPLICATION "Ty Fill out COMPLETELY and in INK. Your application and site plan MUST BE 7 2c5 COMPLETE to be accepted for review If y h ave any questions, call lE v �`N PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: C l- A -L$'# 5M T ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T:IFORMS1BIdgPemitfoffi.wpd Applicant v Phone: d Date: I m' p1z o FOR OFFICIAL USE ONLY Data Rec. Permit n• ate Approved: ate Issued: 3_/ -0 Owner hb i Nbr o 1 Phone. Address: 4-zL l.0. V -I'XJ City 170 NG 'S Zip /9"b1/ Architect/Enneer LI Nr7' p-'w 'MI 'TLi a)Tb'`r..f Phone: 45Z Co I !o Contractor C 17-)L.3 oFt State License UFF1 6 C4 Exp c -18 °8 Phone: Address: 73 gAttt( �`7 R A-' -cOk pStr? c�= City r� T /ftiGC Zip g3 PROJECT ADDRESS: 4-V1.. 4 0" yr lAI v.10-1 N ZONING G O T ,RGAL DESCRIPTION Lot: 3 Block. 1" Subdivision. r4' !h T)P 1 l O k CLALLAM COUNTY PARCFT, NUMBER. TYPE OF WORK. ST7.F/VALUATION Residential New Constr. X Re -roof Stove 2/ M SF 4. 51 /SF d 000 Multi family Addition Move Garage SF /SF ''Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION 10,. BRIEF DESCRIPTION OF THE PROJECT rig.0V t Du' Ng VV �P t2OP. 977;a14 LTV V ON QV 714 t t75 a* #314► LP) ,V f24I pao• AT' 1= COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load. Construction Type: No. of Stories: Lot Size:1 Z 3 Q(J 5 E xisting Sq Ft Proposed Sq Ft 4-2 7 TOTAL Sq. Ft. I OS. 1 Total lot coverage 17 PLANNING USE ONLY APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant This figure will be reviewed and maybe '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 mast be submitted at the time the building permit application and construction pl ans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued withm 180 days of the date of application; the application will expire. The Building Off cial can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1.05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that [have read and examined this application and know the same to be true and correct. lam authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that must obtain such permits prior to Lvork. ORGAS AVE 92.04" S 14 49' 04" E 93.50" EXISTING ENTRY RAMP N SLOPE EXISTING BUILDING PROPOSED NEW ROOF STRUCTURE AT REAR ENTRY PROPOSED NEW ROOF STRUCTURE AT FRONT ENTRY EXISTING PAVED PARKING 25' 2 1/2" 58' -10" LAURIDSEN SLYD I, 3T 11 1/4" I, 10'- 1013/4" 10' -O" 25 11/2" 1, 58' -10" 1 1 8' -0" i z O EXISTING I ir GRAVEL PARKING I I I I J 31 5 L 2 1 0223 7 I.VD 3 C (.G aa►�n+ o 1 r 1 1 00030 eve D41/4-116 .3 r Lor Ylt nen 0(4 Pat ca 4/\10 Nssai 1 1 o 1 '74 ZoZ L0 4 41wse8 lV NIA J r F +n N LC) /1.1..y(4\ .1-1c1Y2INkt i*t)41 1# I gi c3n-4. •s/ d Ni (t6) /N■ -49 /?tt 1 t 4 4- I SzItSict 63 5 6' ""T":rid 9 Tivert ,0- k.th1-21r\ 1-2 It 0 Nsii4 4.47 •'0„4-4 j t..j4 11-0, r r i L 144 1 011. I V 09 Fc, I It 12 11 -1" \117- �N 1 970 1 Pex ■a/9,zt pvlw xi vk?-fr,r ?k Vi. k row‘ W /k' I t© _t f'YFip, INaltp -ti---4 .tp4 ID 1 1..t,�w 47 1 1 w {0;' \s& •fi)b t?'2 I tp� 6ktei Co 1 plF- \tSOr w/ Oal,5va app p1 t,3(). 141l77ti ct C, tiYC 24,`0•& Vi 1,t7(9 ?ID VI C9,) Ir,el 11 41 6-..A.A I tea ktNePA Q t&taji cA kr Qt441 ro c ,,,AS443 14A, 1'1 I I I I- vs-00.c.k z e --ty-st -got) v I I tke- 1 1 !I I Lc. 4-41 120C )11. I I 1 i 1 1,1 1 1 1 1 1 SI 4 4P 4 lo so t psC s Lo sip." %AA s(01:0 eft 1 .0 DV.r VD& ?SS I tpcks4 \AA Lit q.c v.., irk t o 7 2 Pl y 1 (LI o 2 7-st Co el.deo 12_3 4 1 1 4-e, 0 s 0 3 L. r c ,.4 /7-1-‘ 4- XI k.0 es 1 1 Lis ggsF -n- T s-C Zx t Cs\t Le r?J 4,13 2Z3 S2., tt /on /3 Co" 1:1 —1:>" tt,2 -b" II 11 A 5 V2it L 2 111-C C-=, L- Ls 4-0 5V5 io' INtoALII4tuw, 10444; 10. 10 Ckst GI ete-C. t AA& ut "I ‘V-cle v AtS ‘,A MAL. tlyLkodgagstp. C..ek %/NA 4 _12-Aat, e--tet44 I I i u 6'03 0 Its1 lc ("inOti;14.) I L-1- 4- b(£3 to,S to) /14 7. No, ('.ye Ct r2r) 40;s tr "2-L. tic. f IOW 76. A- (t) Ou_ 10 tb-v.- L ,12>k, 4- o-72.3 z %1 he/0-7 -7-/ d~""'~ .c- ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98162 :::::~::t:'::::::------------------::::::~P~;:':::AT'ON--____::::::_NO,____:::: RODNEYtKATAYAMA 422 LAURIDSEN BLVD E 422 E AURIDSEN BLVD. Lot: 3,E 10' & E 1/2 LOT 4 Port A geles, WA 98362 Block: 21 Long Legal: . 360/45 -3848 Sub: PSCC 2ND T: S: Parc No: 063010502110000 CONTRACT R-----------------------------DESIGNER---~--------------------~-------- BOB'S LECTRIC 1227 D,ER PARK RD. PORT .,GELES, WA 98362 360/45 -6887 , 000/000-0000 PROJECT ,NFO-------------------------------------------------------------------- prj T' pe: COML.REMODEL Prj Value: $0.00 Occ T'pe: Cnstr Type: ADD CIRCUITS Occ ,rp: Occ Load: Land Use: CSD Electr cal Heat Ba'eboard KW: Fu' nace KW: Heit Pump KW: Fal/wall KW: o o o o service Type Riser X Overhead Service Underground Service Temp Service voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 400 AMPS o AMPS PROJECT *OTES------------------------------------------------------------------- REWIRE BUILDING INCLUDING ADDITION FOR DR. HAWORTH PROJECT fEES ASSE~:;~~~~~-------$;~;;-------------~------~--------------~------- Adlitional Feeders: $0.00 Circuit Wiring: $156.00 Temp Service: $0.00 TOTAL FEE: $156.00 Misc : $0.00 Amount Paid: $156.00 ----~---------------------------- --------------------------------- -------------------------- TOTAL FEE: $156.00 Balance Due: $0.00 COt-.1ME 'TS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO . , -IN / .- 4/>-<//4% -/PM I , PTl\! A T I ><1::2.7 /4j'l-1l!~,- I . . ., GENERAL COMMENTS: PW-I 102.U (4196] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16297 (- '.4'-' ,....... --~.J ') ,,' __ Port Angeles, Washlngton.......___:............_..................................... 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 electrical work as listed below. (.' ' r . . /..' , .. .1 Address __1..._:n__~;~::u:.::.:;nm)-~.:---n_.~u___:m...;~....A.:n!'!:-:~c~~1_.:.._hnuu____.. Occupancy __~~-{~-ti--"'...t..---h---m.---n:.--- Owner ____......__......__.....__...__..h'....__...______...__"'__.....--..--. T!lnanLm......___......._..m.__n_...__.h....h.._.h__...____...__..__ ; . Wiring Contractor ..n:'.......n:..__..,__.......__.:...________...:m....::-::n-- By.____.__......__...____m______..........nn....__......h______..__ /.,' .' Service, volts y............;.!..........::....':..... Llllht Outlet...................................._..... Receptacle Outlets__n___________.......n....... Dr}/er, KW............................_.......___._. Range, KW._n..._______...____n_____.n__n_ Wa.ter Heater: KW,.....mmnmm.........__......m..m.. Heat KW........J./?..b.I:::............... Motors: sIze, volts and phase: Total Load.........._....._______..n.. No. wIres 00.....00:0000_..._...00.00.00_.'..00._ / ill I . ,.' A.~' M :~n :u::s ~~~~i.~2~'~.~~~~~~~~~.:~~~~~~~~Z~ (.. T/.- Enclosure ....:':::......__...~~:__..m.... Type of wiring; Entrance Cable .______nnn______m....___ Rigid Conduit _________nn... Metallic Tuhlng ........................... Current transformers: No. & Size............n...n..........._........ Ser. N 0..............__.00_0000...__....__._..._..... Ser. No.............................................. Ser. No. hnn.........................____.n...n._ Ser. No. ..00__..........._.......................___ Type of Wiring: A;:nor~ Cable .............-..-..........-.. tNOlI.MetalllC ................................. Knob & Tube......._......__nn_..........__ RIgid Conduit ............................... Metallic TUbing ...........______...____... Raceway ._........_................_._.___._ /1,. Circuits. Light......................................_ "':0 Utlllty ......C....._............................ I-Ieat ..._.............._.........___........_...... Range .....................___________...._______.. Vlater Heater ____._...._.____............... Motor ..._.fi(ln..nn....nn___n__n.n..... ~ ~r:~~~--~~~~~~~E~~~..~~~~.-~~.~..~~.......~~~~:::~~. /' R~marks : __.__n.n.__._:.::__f:.h:_n_:____..___.;:..:.::.__.~_:;::::__.;..~~__~.._....___u___..~..____..__.~_u___..h__n._..___.__.nnn..____un__u______.__n_____ Total _...___ .:-:~~__:~:!_.____....._.__.__... Permit Fee _n_.__.n__u__n.h_nn___n_.._~n___~n.__n.____~.u..u__....____n__...n_n_n._.~.__n_n__._______......hh_...U__.nu_..__.____.____..____.__n..__..____._..~... ~ ' " / Treas. Receipt No..___.............___........ . St.~:l ':.1 $.'..000.'.---....---------...---.---.. By h..__..__'___,___......___..__m__...m.___._________.'___..:h".. 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 ELECTRICAL PERMIT N? 16297 Address.__._._............_...................._._..........__..........__.._._.........._._______._.........___...................._.._.____.Date..._......__._.._.._.........._.__..._......________.. Owner ..__.n_.n...........n..........._.n......._......_......_.._........n___....__._n...........................n.n.... Tenant......n..........nn..........n..n....n.._.._._....:n..n..... Wiring Contractor __..._..nn_.nn_................_n_.n_n.n.nn.n__n..._...............nn..n__.............................. Bynn___....n_.....__...n....._.n.........................._ NOTICE--Current must n()j; be turned on until Certiflcate of Inspection has been issued. It work is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. 1M OlvmD1c Printers. Inc:_