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HomeMy WebLinkAbout617 B St - Building i is CITY OF PORT ANGELES s� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000884 Date 8/17/11 Application pin number 408264 Property Address 617 B ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 5850 -0000- Tenant nbr, name HOWARD V DOHERTY JR On your state excise fax form Application type description RES REPAIR to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3600 Application desc REPAIR RE -ROOF THE COVERED PORCH Owner Contractor HOWARD V DOHERTY JR OWNER 617 S B ST PORT ANGELES WA 983635713 (360) 457 -9135 Permit BUILDING PERMIT RESIDENTIAL Additional desc REPAIR /RE -ROOF PORCH Permit pin number 191189 Permit Fee 123.75 Plan Check Fee 80.44 Issue Date 8/17/11 Valuation 3600 Expiration Date 2/13/12 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total 80.44 80.44 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 208.69 208.69 .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 co menced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commen -d, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read o /ex amined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of w.r`" will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or ca- cd the provisions of any state or local law regulating construction or the performance of construction. V/ K Ir 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 D 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. M.) Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -tn Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: (?&y +1 OA q -13° 11 Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wail Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Stab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit; s SEPA: Parking Lighting I ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 t Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 00 Planning 417 -4750 Building 417 -4815 ./)-01 1 r ‘Iw T •nr. -,c /Ri iilrlinn niviSinn /Ruildina Permit d' N H (1, O 0) E 0 H U 0 W W E O H -H 0 0 x a Q U a a) O m a •H rt b1 N H 0 z b1 O 0 C r O a N H H 0 0 m C v 0 0 E 0 x>, 00 0 tv H H z o O b1 ?a C 2 a) o 'b 0 0 0-H N C O 0 R. 0 C ro N 0 H H o 0 O. 0 W ro X m a X 00 .0 W a o a H H 0 H a H W W u1 0 H H 0 z z N a o C 0 m 0 0) al 0 0 W 0 ro W 0 W 0 0 x o x co 0 0 0) H H 4 0) a s 0 x O N 0 N Z 0 H h 0 FC 3 d' 0 0) 0) a N jj W z Q Oa H 0 H H0 cn o0 20 H0 R. H H H N 0 x H 0 N U) 0 0 2 o 0 N 0) 0 H 00 N 0 00 0 0 H r 0 0 7 Z V)0) I--II2Z 2H 0 NQ 0 0 2 2 0 0 H o 2 H a 3 0 0H H NmOH 00 -0) 0 G a 0 A a 0 aA 2 H+ H U H H E H 000Z000 X 0) o a 0 0 0 0 wu 0 W 0Q N, o ff W W a 0) H x Ol a N rt3 O 00 i 0a W En W Hv)Q£U.0 X a o a o a H H H ro N H H a alnw WWW as 00 0 o o t� -ii 0 a s a g 0 Dom Z a ha i m H m H> 0 0 G c1) (I) o 0 o-7 m a 0 a'' oo 500 Hi 0 N W 1 Ooo 0)E t- -1 .-1 H HU' 0 3 U) W o H o 0 H O W 0 0 0 0, 0, too 000 0.70 H N 0 00 r1 a X a a a 0 0, 0) r1 O z ro w w w m 0 H H W 0 zz00 a z 0 0 o 0 0 >c O OHWUa H a, (1 1 0 Q 2 2 2 a a a 0 a, W U .4H O U 0 W a a F 04 0) PROJECT STATUS UPDATE CifeCttiJe-el Permit I' V6 t2 "21 x/21 I 1 2 Date: 1-)1,1 1,1' 1 a I phoned the: Applicant M1 -C Do be ifs/ at 13 Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or et mef the project is abandoned. U 4 11- 27 5 S 1 11 7/ T:Forms /Building Division/Project Status Update S), i00 0 Q L e vi -4 0 O g czs M H I■ H 6 m H V 1 1 8 g F I.. P q U a o a J H a W i r x V' f, o a v o F Q) m W a H W W n F Q z 'z N a v) ,`y�� U W i v W W a U O V 1 H 10 H H z rC x y J F h W S 3 Q J\ H o 1 U) o 0 a Z v` 4.''' F 1 F (V0 CJ E J U U, Z O 0 W Pi E N r Q CO W w M z O z rl co I l� V I 1 HH °O U H S..� Nm OH O V F FG N U H N a a .4 a w v< H Z V o a m cn Q (3, Cl W o a qa Z a o 1 W F o a H t F F m V) F o w w a P. c 5 to O O 0H W 0 m 0 Q o m X a H o, H to N o 0 a w a a o 0 5 w w H H W 1 y jmo a1 H ,-,0 r3 3 0W --Z H° 0,0H O W .7 M M r., 1 lDx x 0 0 0 0 0 00 ma a ck IX a° 0 o 0 0 W a a, z o o CO g wz H 0 o WH QZZZ,7a N a M aH 0003<0 G P ,-7 au a F ro y u o h roHrA BUILDING PERMIT APPLIC ION Print in ink CITY OF PORT ANGELES For City Use Only: I.. M.7-7.- Attn: Building Permit Technician Date Received 321 E. Fifth St., Port Angeles, WA 98362 '3 (360) 417 -4815 fax (360) 417 -4711 Permit NNW Date Approve Applicant tt(()( 6• Po t- ,Q.. 1 1 Ph• Ir r 7 9l Property Owner Th-i /fi i.*- t-ltr Phone y( 7 22_3 Property Owner's Address Contractor 1, k i ___P© k,- v Phone Contractor's Address 6 l 7 3 S '7 VA License Expires E -mail PROJECT ADDRESS 6 1 j6 Z 5f e4 Parcel Number Lot Zoning Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply New Construction Addition Remod K ■i `0161 S hi S+©riccc.(1 e. S'ttme Repair Cove+re4. p&rck 1 Re roa -din e- PO roof Wi- y. r(\ Sh eS Demolition 1 Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor -AIM 3rd Floor Milk Garage ri1Cc \PX1CAS Carport LO-Icti r i gin Covered Porch W Deck Shed Other TOTAL VALUATION 3 1 60O Total footprint of structures q. ft. 'T Lot size sq. ft. Lot coverage Site Coverage the amount of impery •rface on a parcel, includin• tures, paved driveways, id- Talks, patios, and other impervious surfaces. (see P C 17.94.135 for exemptions) Site co age Max. height of proposed structures ft Occupan group bedrooms Will a lawn sprinkler system be inst- ed? Occup- t load of full baths Will a fire sprinkler system be ins led? Construction type of half baths I have read and completed this application r nd 4 now it to be t and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine wh. p its ar- /d and to obtain permits prior to workingg projects. Date d l 6 Print Name II1 Signature 1 Y T:Forms /Building Division /Building permit ap ation f S a 1 Y 4 1 0 0 4 t ti +.fix w v a fir! 4 'ry '''''',i9,,,,, 4 r m ca ha.i� k as lr 1000''' a s ..V .4 41 til, s:„,,,„ i i' N. si-,,„., �t3 j'' 4 1 t C o0 d w a z ,,2- 44 440 c f* cam r ;4■•4Wf. ati a i co S� e r w` ipit:;;;;:°:1,', V a `,v fi h /a e �a d ar �iRh 'Da lr q a 4,44-44041 4144444 4. .--*::.r.7:,T.;,:.,A-',..:','- $41 0 ,,.-r.47F`4"',:-. ,,,,4141kr 0„,:,. ',...',/,r.„`...",'",,f-'7,' ',,,://".4",,tii"e+7,,"',-' r ,,,'!'.':',...7.,,,z .,,,!--7,-rafor ,,-,1---, ;:iit.:'-';:i44-.;',2,-:-....:;','-',-''' -1 '',...ii.:,,,*, --,?,;.;,,„,..-A.,:t.!?F'.--.- ii,,,,,m, i k,,,,, ,...,:,:.9-7,:,,, 4040tiki, ..,,,e,- c2. 4,4444444444,??4:14it /.,,,,,l.,..„ ..,,,,,../46,4,1„,, '!:,%ir„T"P•trik-,4 4 ;ik i j''''Agd",t, .',111,4•■'',.. CD.,. f,'-• 1 4" .44E, .z:iiii;e4.0,,„"klii:I6,:.. .,,;40. 4 i-Illq.1" 1 1 1-, rip '•"Q", ,Ic 7 11/4)4 :4;i7,.4,.) 4..., ,/?,.,k4.1,■ A1),0.,,, '''s/a,,,.,,,„:,,, 7 7 „:,..ti%'041.1,!!,,.,,,,„,,,, x <0 i -,:-....,,,,-4,41,0.,,,n,,-:-.4-.-41.4, A •4;:-°,,.., S'4-°4°'4:'"I''' •44,,k•e'• 1,°,'i' 4•15/ %-•2°..' '''„,4V11111,4 4:117,:::-:- --,-='''-'1 1 9 9 4k•-, Ni 4 S.. ;44444 .4iO4.44,::4-4f '',1"410r '4,,,,,... •t"v 4, '44 ,..,./.,Ali:2,'••• 0 t pk,..,..::;,-,),„„„,:>,, (1, r• ,i;','/•,°,1',;::;!.;',4°,,,,:.- f-'4 ';i lir. t 7,4 0 AA :7 4 44 454, 4111, i 773 i i 1 1 At A 7 r.' V' 4:..1124,,,erly.,,,,,,,,,- .4 .,,,,,,.,:::::,:olpf 2.,-,5,4,-- •.0-• „.;,46,;,,, '.1-'-:,- ',.„41,',:ie itk,444, t N,,, .icii,c ''''0iik ,,,,zb ''''*•.,'w 7 4444 Y V44 141,: '44.440_, ,4,•••r/ .rAUt.'"•• 416%,-,° '1 1 1... 411,',.,:''C;'I''''%t'',NoH''' p „,w 4Pjl* A s` /4,1%.!;;,,': 0,4 1,, LN",- Clallam County Assessor Treasurer Property Details 57158 HOWARD V DOHERT... Page 1 of 1 Clallam County Assessor Treasurer t Property Search Results 57158 HOWARD V DOHERTY JR for Year 2011 2012 Property Account Property ID: 57158 Legal Description: LOTS 11 14 BL 158 TPA Geographic ID: 0630000158500000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location I Address: 617 S B ST Mapsco: PORT ANGELES, WA 98363 Neighborhood: x ref Cycle 5 Res Map ID: 3 J Neighborhood CD: 10955130 t 1 Owner Name: HOWARD V DOHERTY JR Owner ID: 21779 Mailing Address: 617 S B ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -5713 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/16/2011 Amount Due if Paid on: M. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest j Base Paid Amount Due Statement Details 2011 151876 $1988.13 51988.03 50.00 50.00 51988.13 $1988.03 Ir Statement Details 2010 40166 $1902.68 $1902.68 50.00 $0.00 $3805.36 $0.00 Values Taxing Jurisdiction Improvement 1 Building Sketch Property Image Land Roll Value History I Deed and Sales History I Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 8/16/2011 3:55 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =57158 8/16/2011 c e e F., CITY OF PORT ANG'LLES Conf.-vtzei ion Plans Tho issuance oi this permit based on these plans, spe cations and other data shall not prevent the building oihcial trorn thereafter requiring the correcton at errors in said 0 an7, speciticahons and other data, or from preventing building operations being carried on thereunder when in violation ot ail codes and ordinances ot this jurisdiction, 0 1 -'7 419 --12--C—, nprOVal Date 0 1 1 By al---C----- 1:.\\ i (*IL )a-S ..."3.......„„,,,,.... c......1,.. V\ t I 1 1 4:2• Z5zt• 1\P \V 1 t7-15::7H i i r -t----,<--- 1 k-, I 1 TY 4,, e4,1 ',..1 i r 1 C f I 'N\yy ---.Q 4........._ t........::\ r."■ I I 4-4 cz=v r' --pAui, 0, v---\,, .„,1 ---1 H 4 i cO r\1 1 i NI X N& 'c: 44/ 1 a W i V�9 k c, L ANGELES MILLWORK LUMBER COMPANY INC. PAGE NO 1 1601. S. ,C" ST PORT ANGELES, WA 98363 TOLL FREE 1- 888 457 -6610 y PHONE: (360) 457 -8581 VISIT US ONLINE ANGELESMILLWORKCOM WE APPRECIATE YOUR BUSINESS CUST NO JOB NO PURCHASE ORDER: REFERENCE; TERMS CLERK. DATE f TIME 108762 000. NE1- 1 OTH 21 7/28/1 1 f 4:47 TERMINAL: 585 SOLO TO EXP. DATE: 8/4/11 MICHAEL RIVERSCONSTRUC 840 W 6TH ST RESALE NO: A227772 12 2/11/12 SALESPERSON: 21 CHANCE LEE PORT ANGELES WA 98363 rAx: A2 MILLWORKS CHARGE RESA` ESTIMATE: 211269 --LINE SHIPPED? ORDERED LIM SKU DESCRIPTION SU.GG UNITS'; ,.PRICET PER EXTENSION 1 4 PC PT2410 2 X 4 PRES TREATED 10' 26.66 831.25 /MF 22.17 N 2 NOTICE I PRESSURE TREATED 3 PRODUCT IS TREATED WITH ACQ 4 WHICH HAS BEEN SHOWN TO BE 5 CORROSIVE TO METAL FASTENERS 6 AND CONNECTORS 7 4 PC PT248 2 X 4 PRES TREATED 8' .21.33 831.25 /MF 17.73 N 8 4 EA 12PWSG 12X12 PIER W 4X4 GALV BRKT 4 7.27 /EA 29.08 N 9 1 PC PT4410 4 X 4 PRES TREATED 10' 13.33 877.50 /MF 11.70 N 10 1 PC PT4412 4 X 4 PRES TREATED 12' 16 877.50 /MF 14.04 N 11 1 PC PT4812 4 X 8 PRES TREATED 12' 32 921.25 /MF 29.48 N 12 6 PC PT2820 2 X 8 PRES TREATED 20' 159.99 815.00 /MF 130.40 N 6 PC PT2816 2 X 8 PRES TREATED 16' 127.99 815.00 /MF 104.32 N `...4 5 EA 999 CEDAR PRIVACY LATTICE 2.25" 4X8 5 39.99 /EA 199.95 N 15 2 PC PF1068 1x6 8' SPF KD PRIME FACIA 8 154427 /MF 12.35 N 16 2 PC PF540820 5/4x8 20' SPF KD PRIME FACIA 33.34 1459.64 /MF 48.66 N 17 13 PC EG1620WW 5 /4x6 20' EVERGRAIN WEATHERED WD 260 2.90 /LF 754.00 N 18 13 PC EG1616WW 5 /4x6 16' EVERGRAIN WEATHERED WD 208 2.90 /LF 603.20 N 19 144 PC CCL223 2 X 2 CLEAR CEDAR 3' 144 1282.70 /MF 184.71 N 20 4 EA TK2410 2 X 4 CEDAR TK 10' S4S 26.66 1393.74 /MF 37.17 N 21 4 EA TK248 2X'4 CEDAR TK 8' S4S 21.33 1393.74 /MF 29.73 N 22 4 EA TK54610 5/4 X 6 CEDAR TK 10' S1S2E 25 1568.75 /MF 39.22 N 23 6 EA LUS28Z ZMAX- LUS28Z JOIST HANGER 6 1.31 /EA 7.86 N 25 .1 BX 112HGJSTI 1. 1/2" HG JOIST NAIL #1 1 2.69 /BX 2.69 N 26 1 EA 6374134 2 -3/4" DARK BR TRAPEASE 350PK 1 36.39 /EA 36.39 N TAXABLE 0.00 NON- TAXABLE 2314.85 SUBTOTAL 2314.85 6 t 15 TAX AMOUNT 0.00 TOTAL 2314.85 TOT WT: 1603.60 r1 S 4. X C� Received By Owner DOHERTY JR HOWARD V 617 S B ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change with 2 circuits bedrooms WA 983635713 150763 97 75 7/29/09 1/25/10 67.) c ra'L ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000744 413800 617 B ST 06 30 00 0 1 5850 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 2 00 2 0000 ECH EL BRANCH CIRCUIT W /FEEDER 1 00 93 7500 ECH EL 0 200 SRV FEEDER Charged Paid Credited 97 75 97 75 00 00 00 00 97 75 97 75 00 Date 7/29/09 y WA 98362 00 0 Extension 4 00 93 75 Due 00 00 00 007, 07, 17%tto dAvi,gow Signature of owner or Electrical Contractor X Date Db 61 a m.v 4/7/ )0 DATE RESULTS INSPECTOR. SEP-17-2005 07 04A FROM ELECTRIC SERVICE R VED City el Port Angles Perm% Angie/Nee edam tOttalmdrnmelest bnictlens 321 Ent PM Inn -PA. Iles 1130 Pad MOM Vh.111,0111, MOSS Fir (111)4M4M Diet 2 8410 Frilly Dianne Mulf only et Converdor Cornwell Adam I Alteration /Resell Roar Plan RIMINI lily Re tqfsi4 Please 5 Compistgectried Plot Wow Inkridav Job Arnhem Bunn; Severe Rotor Description el Ora OsTree Irdotinsion Nam VIA. I Re ftV‘i 44 1 MMIr Lw I N Clly: Mis A a.: _LT 6 Plum license 1 E.* Wham 03.76 $113.75 $205110 ttieta 220 37.50 '1 72$0 10125 $11$2.5 $13123 7300 $9.00 7500 1 UM S 50.00 S 10.75 101.25 $2150 57.50 85.23 43.75 itt .11■216... 111 JUL 2 9 ;poi ELECTRIC/ INSPECT1011$ 0 5' sor Iv Berdafeedw '3 SivIceffesder Tosnixikeder I SoNtafttim Biwa Goa 1 MVO OW Taro fogke/ Ti Temp. Peed b Sigeltleive ttensl Stool COW i; Stag Ismodsid Roma Flid 1X05 WA 0 Olhuld Ernti &WOO imam Tell 1 Amp km. k Fad* Fair Chun 201400 Ira /4514m Amp. 60141:00 Amp. TO 4174711 1: EL esa-rit_s &fr %–ef 13 1 19L Le (00 3 1 OINSPIS lidIM/ tv itaussist m VAIN a taw OW=0 ft. or pm a shaft NM t 6 bawl (SOON r 6 WO NO IN in WOW 01101.0014000 aildwipty. et aft nat et INN. ..1 dm WOW Mime. Vm Woe titlead,1 waft we ma t am re wow lift sloe asofc mom w a 1101 el WOW emooscow. Inveollo er Mallon Is emilion dii le *Mal MOM. OM csisrssP,Alccborimosallocsraftimaks 4 10111 1 0 allith lei WM lesernalmrn d(4 Avaltowelwart, wage or *OM dielilair P 1/1'( DATE PERMIT */t V OWNER/CONTRACTOR ADDRESS 617 APPROVED ELECTRICAL INSPECTION WIRING REPORT 417 -4735 INSPECTOR NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: FO D i2 U 1 aI'3�r- �pa W2 r P-L-L l 12 6. 6 ,Nc s i Ii J c Xtot4 Fa p Ps 4� 'iAl.. Au, t914 J s1- l7 Bgg xl r•l L S J.1 e //6 fz 4- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE DATE hp OWNER/CONTRACTOR ADDRESS &I 7 S APPROVED CL. .sp T 91 1T u.)Vrz, ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT 69-07 DITCH ROUGH IN /COVER SERVICE FINAL ire 1- -W r) DO NOT REMOVE INSPECTOR ccf. AC.L -V.. Qt 000 P_ 7 2 9ti 11Ztrz- b 1c, L I‘O l 2 S 713T51� D Pc" I J c 3rr' 13 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS NOT APPROVED CORRECTIONS NEEDED: FL a gyp. U 2 4�� �►"L r w1 r z, ALL �uEdg1S►°,C� PREPARED 7/08/08 9 11 39 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/08/08 ADDRESS 617 B ST SUBDIV TENANT NBR MIKE DOHERTY CONTRACTOR PHONE OWNER HOWARD V DOHERTY JR PHONE (360) 457 9135 PARCEL 06 30 00 0 1 5850 0000 APPL NUMBER 08 00000785 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PLSP O1 7/08/08 JLL JuyBING SHOWER PAN TIME O1 July 8 2008 8 8 29 16 AM 1pangrle le MICHAEL 477 5100 SHOWER PAN AFTERNOON COMMENTS AND NOTES Application Number 08 00000785 Application pin number 089055 Property Address 617 B ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 5850 0000 Tenant nbr name MIKE DOHERTY Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5000 Application desc UPDATE SHOWER FLOORING WALLBOARD Owner HOWARD V DOHERTY JR 617 S B ST PORT ANGELES (360) 457 9135 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty BASE FEE 3 00 14 0000 THOU BL -2001 25K (14 PER K) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Other Fee Total Grand Total Unit Charge Per Qty Unit Charge Per 1 00 Other Fees Fee summary WA 983635713 PLUMBING PERMIT 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 arystate or local law regulating construction or the performance of construction .1/2/65 ///,wt( k./ v r Lr i C /1 Efate( Print Name /Signature Cf Co6tractor or Authorized Agent Signature of Owner (if owner it builder) T.Forms /Building Division/Building Permit (05 /13 /08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor OWNER BUILDING PERMIT RESIDENTIAL UPDATE SHOWER /FLOORS /WALLS 129338 137 75 Plan Check 7/03/08 Valuation 12/30/08 BASE FEE 7 0000 ECH PL EA FIXTURE ON ONE TRAP STATE SURCHARGE Charged Paid Credited 194 75 194 75 00 00 00 00 4 50 4 50 00 199 25 199 25 00 Fee 00 5000 Date 7/03/08 Due Extension 95 75 42 00 129346 57 00 Plan Check Fee 00 7/03/08 Valuation 0 12/30/08 Extension 50 00 7 00 4 50 00 00 00 00 oreA CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE 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/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 BUILDING PERMIT INSPECTION RECORD YES NO CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I I I I PLANNING DEPT 417 -4750 I 18 I I BUILDING 417 -4815 I j `,rA IA 7_Z -W I T t: /ri, III n. n /R. ;id; °ennit (05/13/081.wod SVowQr- Pa A I FINAL DATE ACCEPTED BY. FINAL PLANNING DEPT SEPARATE PERMIT H's SEPA. PARKING/LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING 1- 8 -0S Ie) DATE ACCEPTED BY. DATE ACCEPTED YES I NO I I I I I I I I PREPARED 8/19/09 9 47 02 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/19/09 ADDRESS 617 B ST SUBDIV TENANT NBR MIKE DOHERTY CONTRACTOR PHONE OWNER HOWARD V DOHERTY JR PHONE (360) 457 9135 PARCEL 06 30 00 0 1 5850 0000 APPL NUMBER 08 00000785 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/17/09 PB 8/18/09 AP BLI 01 8/19/09 BLDG FRAMING August 17 2009 9 21 19 AM 1pangrle DAVE 808 0641 FRAMING August 18 2009 8 43 12 AM pbarthol BLDG INSULATION August 19 2009 9 45 39 AM 1pangrle "DAVE 808 0641 WALL INSULATION HE REQUESTED AN INSPECTION AS SOON AS POSSIBLE COMMENTS AND NOTES PREPARED 8/17/09 9 24 48 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/17/09 ADDRESS 617 B ST SUBDIV TENANT NBR MIKE DOHERTY CONTRACTOR PHONE OWNER HOWARD V DOHERTY JR PHONE (360) 457 9135 PARCEL 06 30 00 0 1 5850 0000 APPL NUMBER 08 00000785 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/17/09 JLL BLDG FRAMING August 17 2009 9 21 19 AM 1pangrle DAVE 808 0641 FRAMING COMMENTS AND NOTES Applicant or Agent Property Owner /4-7 e_ T Property Owner's Address Ell 7 'N. St Contractor /Engineer Contractor /Engineer's Address v License PROJECT ADDRESS 7 B 5 Parcel Number Project Type Brief Description. Check at that apply New Construction Addition Remodel ,e'Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkles system be installed? I have read and completed this applicatio understand that it is my responsibilityt projects Date 713- 705 Print Name T Forms /Building Division /Bldg Permit App 2006 Code coc 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 )(Residential Commercial Multi- family Industrial J1 1Li•tn..kQ, 1,4 ..L.rQa t 34.-rd""Wo7.ltk ICY' —rr.. ewe A3.44-1— I Heat pump wood-bul'ning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) ,t- J(o 4_ TOTAL VALUATION b 00 sq ft. Lot size sq. ft. Lot coverage ft. Occupancy group Occupant load Construction type and know it to be true and correct. I am authorized to apply for this permit and determine what permits are required, and to obtain permits prior to working on aC- c/ 0,- ig nature For City Use Only 44, Date Received 07- O3 —Q$ Permit (7R-- 7P5 Date Approved o Pea-mit NO ta O" one ¥5 79 /3S clheck: Phone Phone Expires V5 9/ 3r Lot Zoning per sq ft. of bedrooms of full baths 11 baths OA I ...10 alb 2 0 111, 14 .4E11 .40 4Pb 13 7ty <!~O"T~ CITY OF PORT ANGELES "(i) DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 'II... -- 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ""<;;;;' -STj;LDING PERMIT - - - ISSUED: 6/25/2002 PERMIT NO: 13522 OWNER/APPLICANT PROPERTY LOCATION MIKE DOHERTY 617 B ST S 617 S."B" STREET Lot: 11-14 Port Angeles, WA 98360 Block: 158 0 Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000015850000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $1,500.00 SFD Units: 0 Commercial: 0 Project Type: REMODEL SFD sa FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 (i' Occupancy Group: MFD Units: 0 - I Construction Type: MFD sa FT: 0 -... Zoning Use: V\ PROJECT NOTES GC REMODEL OLD CARRIAGE HOUSE tJ - FEES ASSESSMENT Building Permit: $54.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $58.50 Plumbing: $0.00 AMOUNT PAID: $58.50 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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. AU provisions of laws and ordinances governing this type of work will be compiled 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 Z ,or locai law regulating construction or the performance of construction. ,,//1 c-:> _ ~VDv~ 0/410-- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner IS builder) Date T:\PLANNING\FORMS\1102.IS [412002J 0.3 (/..:s--- CITY OF PORT ANGELES /</1 DEPARTMENT OF LIGHT A FEE RECEIPT -NUMBER PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT J: " I' ~,\ \ . ~)r;; - " \ TOTAL FEE I CONT. L1C. NO. TIME TO COMPLETE . "\ NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 0/7 J; "R." Site Addreso. _ _ Sf: ;, CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT. PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner A.'kLA?~_ bo J.. ':'~7= Installation By o~ , t;r7 &, _ 13, 1 Owner's Address Installers Address Day Phone <;t s- 7 - r f. 3.. - . Installers Phone 'J.[)' 1 ,':t :e- ~.~ Application Is he.reby made f~>r Permit to install Electrical Equipment as follows: ~pc.~ ,,--- ' - 3 ~ ~1~~ ,Wiring Method /1 IJ/V'f e, ;? I NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA '" 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 10QR 'FEE CIA 30 CIA 30 LIGHT SIGN LIGHT 50 VOLTS I OR LESS CONVENIENCE MOTOR I CONVENIENCE. MOTOR I I APPLIANCE _ MOTOR I DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM . RANGE MISC. OVEN I WATER HEATER I LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE ! GAS. DIL- I FURNACE ENERGY FEE ELECTRIC I BASIC FEE i I'ELECTRIC HEAT I TOTAL FEE'.:ff "/ C. i I ELECTRIC HEAT i SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER , I A.C. UNIT AMP PHASE IFEEDEA SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.Q. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made (,r/e5- .19 lfrBY /:2 >-=~/1 ~ , , I CONTRACTOR OR OWNER OR tUTHORIZED AGENT) . , Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and. ~ . specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. " " " \ , ' DIRECT R OF CZT ' - r9' ~;J ~ ." 9 t 5 . By , . _. U<-t!d Date PermIt Issued ""''-) f PLANS APP OVED I e. . Notify Department of City Light by Street Address and Permit Number when ready fo~ inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in I I Writing on Permit Placard. A. . Permits Phone: 457.0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE. Original CANARY. Duplicate PINK. Trlplicate WHITE CARD. Inspector's Report '"" VLlPIl': PRINTERS, INC. - - -- ~-- - , - ';, - ~ _._- I I J REPORT OF INSPECTOR -; ~ ,.~..... ') \'::,,,", .. . I OATEOFVISIT MADE BY REMARKS 1_; , 1-9~y-~ -,'vllf~ M "S T 5"1' L I <<-_ e-/ q.... /:;'or( /? /.1e7/7 {,... I {} {l ~<.,( ~, I I ' , . I I "5")6 - YT I llf'J S'1d:-L ?d"II(f(,H'~ oj,; .j;{1J (!}~l ~p N/l I " I O/f Tt {c.I'l."! (' I I ' , , , j .. .- I .: ;..., -.I '.. r .' :1 , ) .. . . . I I I , ,- , 1 ' I ' .i'l I I I I I 1 I I I I, I I I z CJ I I I I l~ I I 1 ' - l~ I - - I I J: l- I I I z w I I I . I I ' I l- I I I 0 z I I 0 C I I I \ I 1 I " I, I I" I I 'j "-I \T I I I I -I - -- I I I I ' I I j I I J 1 i i' 1 ' . ...~-; j , c I 1 ' /' I ' j I ! - i-'bJI 1?Yc:? I .O.K. FOR COVERING I I \ , ' , \ I O.K. T? C?NNECT ~ERVICE -. - , , . 1'1 j'J.})J0:l"I(([f{ \"'.\<I~"'Y--:;;'_.' c' 'L -.'\ \- --I - ~ Je . ~ -~ .... ~; , . FtNALO.K. , \ I I I CITY OF PORT ANGELES N~ 17990 LIGHT DEPARTMENT ELECTRICAL PERMIT Port Angeles, washlngton...m.m.m.l.Z4~mmnmnm,m,.,..__...n,' 19.,i!.J 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- :::: ':ZL~::~S;:~1cl_"fJ~:":"~'''m~m_mm.. Owner ,.__,/lJ/f..f.mn.,J)t2.. .,.etf..m nmnmn__m' Tenant.mnncQL~,_m.m, m.""m__.....'.mmn Wiring Contractor 'mnm...,n...m,nn..., __n.",'...'..n....."..n"."., By'nnn...m.____.'nmm...n...'..,n...__"."'m..'..__mnn 3- Service, volts .....h....n.....n__................. Type or Wiring: Light Outlets....n......n....................._..... Receptacle Outletsu~l2.......h....... No. wires ............n...hn.................. Armored Cable .m__..........__........... Dryer. KW nn......nn..n_.n.................... Size wiresh...n.............n...m......._.. Non.Metalllc .n...._n......................_ Main fuse ..................nnn...... ........ Knob & Tube.................................. Range, KW'.h.nh.nnnnnn".n.. __nn...... Rtgld Conduit ...................,..........' Water Heater: jtJ~~' Enclosure ............_....n..u.......... ..h. MotaIlle Tubing ......,....,....,.........' KW..!VJ....., ,I......... Type of wiring: Raceway ...............................___._ Heat: KW..........................nn............. ....... Entrance Cable ..............n....... ...n Circuits, Light............m.m......m........... Motors: size, volts and phase: Rigid Conduit n.............. ......... .... Utility,....,.............,..,.........,........... h............h..n..............nhn.............h..n Metallic Tubing .......... ...... ......... Heat ....................................-..-..-. Current transformers: Range ..............................._............. ....... ..n... ...........h.n._...........nnn..... .... No. & Size.......................n... .......... Water Heater ............................... n..... ....... ..nn... .nn... "n."n. .n............... Ser. NO..................nnn.........h...n....n Motor n..............................h..__....... ......n..................................n_n........._.. Dryer ..nn............................n_n........._ Ser. No. ............n_.............................. n..n.... .....h.hnn... ................ .._... .......... Furnace .. .......................'_......_n._....n. Ser. No. ..n....................n................... Total Load.....n.............un.n.. Ser. NO.n..............._n..n.n................. Total .......__.............................. ~'~=:~::=~=::=.:=:::_=_==:m:=::=_::__=_=: Permit Fee Treas. Receipt ~ ,---- '''nn...nmmm.,..mnmn__,., NO......n.m..nm'......... By nnnm..m 'n...m.mm'..mnnm.......mn__.__ NOTICE-Current must not be turned on until Certificate of Inspectfo as 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 -- - --~ CITY OF PORT ANGELES IN ~ 1 7 6 6 9 LIGHT DEPARTMENT ELECTRICAL PERMIT , ~-9 V port Angeles, WashlngtOll.n_________________-'n_____________'___________n_____'____, 19,,______ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, 01)., 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..~2~~~::::~~~Z;.::;;~::::::::::::::::::::::-,-,~::~:~:::__,~::~~~_~:~::::::~=::::~::::::::::::::::::::: Wiring Contractor __d?li~:L:t:!.l;/ff_<r.~.'t,c;''r''m______ BY___nn____________nnn__________nmn___n___"nm______,m__, /-;; 'J L<_ /.. 'c. r (.I fWlrIn Light Outlets.......____....n._m_huh.._.._..... Service, volts '....;:;/............................ Type 0 g: Receptacle Outlets..........................___.. No. wires ___..~...__.._...hh._________._...;__ Armored Cable ....mm__.mh............ y/< ." //' Dryer, KW...............__n.___n__n_______u____ Size wtres..7........q:.:;..L....;:....:::. Non-Metallic ................................. , J d. ).:?.. j/ Knob & Tube.....,........................,.., Range, KW mn___..h..__...._ -.....----- __moo. Main fuse .....~..._..T._... ............. ..... f I' , Rtgld Conduit n..........n................' "-' 0;) Water Heater: Enclosure .....__m_...__.....__......_......... M t 11' T bl e a 1C u ng hoo....................... KW.______..............___mmnn__....__.... Type of wiring: Raceway............... ....._ Heat: Kw.....()hc.?....&I:._~l,:_~;_..::;g_ Entrance Cable ___mm_ ...m..n......n Circuits, Light................_........_............_ Motors: size, volts a.nd phase: Rigid Conduit m..mnmn.....n..m.... Utility ....00..._..._......._........_.._._...______ ................000000.00_0000__..........00..........00___ Metallic Tubing ..._.....00....... ........ Heat ............................................... Current transformers: Range .m_____m._.__.nmn..mn......__.____ .....-....-....-----.---..-.----.......-................... No. & Size_.............n...nnnn.. .m...n Water Heater .............-....-..-......... ---.------.......---......-..--.--...--.-.................. Ser. NO..nn...__.......n........n___n.nnn..._ Motor _n_.__...._..._n_nnn.__nn..____..... -..00-0000-..-.-..................-00.00..00---.-.......... Ser. No. .......,............................00 ...._. Dryer nn..nn..n_nnn___nnnn..n.__..nn._._ .___..__.._______n.______._.........................._.._ Furnace ______.___..n__.._...._.._._................. Ser. NO....____..............___.........__...n ..00' Total wad....nnnnn...n.......... Ser. No. __......,.................._...............n Total .............____.....00.........._.... _ ';;; r ( ,1 Re"TIarks : n..nn!...~.:>dn"'!.~=nS:.nm.::2.-:.&..::t__fJ.t.:_...~n~Q::._.,.-z..i:::r:L:..:__~..::.mm...!..__~.~;:.f'.._L.m._.t.~c?:.:..___.m.m.__ ) (- v, r!,v V -_ ';'. ,,;? I (i.- /-_-LL..( -, .I'JI!-'t.,A."..? ,}-_.'-...- .'t.~~ 1'..1 ,r,.~,,-.' -., u___on__..,c_oo_o_.o'____________m.m___...',o..o_m___nn___o___m____'___u_o..o_'n________'______fj,....'.....m___m____..__o'..on___o___..n_______moo_.... ____,_u________o__'o,_ooo_________mm_____'o.____o___m___o___m'o__....'___o__..,..__u__m---u---'----;:.'j--;mn--------T;'jm___;o____o____'_.....,;:.-......,u Permit Fee Treas. Receipt (1/ Y''-f,&:;... I .' $_.n______hu~_uu~___.mmn_m. ~O._u..m.mm.._.m__m By .__~>J_~__=~~._.!..~n~m_:(.__~_~~:!=~_:n~__:~::_~~_::_~_~_~_~.... NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work is to be con- cea:ed 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 N~ 1 7 6 6 9 ELECTRICAL PERMIT Address.........._......__.___.._.____...................................__.....___.___.._..........................__...___.................__Date..._...________.____.........._......_......_....___.. Owner_____................___..........._....__._.__..._.__._..._______...............__.......______................._._._.Tenant_._.___._...__....._...__._n______________.........___._______.____ .. WiringContractor.........._._.__.__..____..___..._.......n____________________.___.___._____......................._.__________._.._._....By.___.__.............................___.____._._...._.....__.. 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. 1M Olympic Printers, Inc.