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HomeMy WebLinkAboutBLD08-189BUILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit Type Residential - Single Family - New Site Address 1710 JEFFERSON ST Project Description NEW (2ND) SFR Fee Information Project Valuation Site Address Fee Building Permit Fee Energy Code Fee - New Single Family Unit Mechanical Permit Fee per Dwelling Unit - New Residential Plan Review Fee Plumbing Permit Fee per Dwelling Unit - New Residential State Building Code Council Fee Technology Fee for Building Permit Record Retention Fee for Building Permit Total Fees Conditions Permit # BLD08-189 Project Name NEW SFR Parcel# 957308001 Project Details $124,044.75 Decks — Residential 165 SQFT 3.00 Dwellings — Type V Wood Frame 1,290 SQFT 1,133.75 Units: 1 Heat Type: ELECTRIC BBH 100.00 Bedrooms: 1 Construction Type: V - B Bathrooms: 2.5 Occupancy Type: R-3 150.00 736.94 150.00 4.50 22.68 10.00 $ 2,310.87 10. Property corner survey pins must be located at time of f000ting inspection to verify setbacks. 20. Temp. erosion control measures must be installed and maintained prior to approval of any building inspections. 30. Average grade must be established at time of foundation inspection to set reference point to determine height. Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. 1 certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that l am the owner of the property or authorized agent of the owner, Print Name ��� r) Date Issued: 09/23/2008 Issued By: FRONTDESK Signature : Date12QDate Expires: 03/22/2009 BUILDING PERM IT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Project Information Permit Type Residential - Single Family - New Site Address 1710 JEFFERSON ST Project Description NEW (2ND) SFR Names Associated with this Project Type Name Contact Applicant West Peter Andrew Owner West Peter Andrew Contractor Coxen Design And Construction Contractor Coxen Design And Construction Permit # BLD08-189 Project Name NEW SFR Parcel # 957308001 License Phone # Type License # Exp Date (} - CITY 002970 12/31/2008 (} - STATE COXENDC0051 11/29/2008 * * * SEE ATTACHED CONDITIONS * * * Ca11385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that I am the owner of the property or authorized agent of the owner. P U i U 1,1I`��H � k F1 I Q� - Signature Date Date Issued: 09/23/2008 Issued By: FRONTDESK Date Expires: 03/22/2009 CITY OF PORT TOWNSEN j PERMIT ACTIVITY LOG PERMIT # _ ,....._�........�_ DATE RECEIVED SCOPE OF WORK: yy zl� vOar City of Port Townsend Development Services Department 250 Madison Street, Suite 3 Port Townsend WA 98368 360-379-5095 Fax 360-344-4619 REVISION TO BUILDING PERMIT # OF— I F9 Revision # OWNER: Pt--fcf� W t .-rT SITE ADDRESS: Q to TeFFeejz5N sr. Total Value of Revision: $ mo Impervious Surface Change? R Yes ❑ No Revisions re uire 2 sets of plans and a written scope of work that fully describes the proposed change plus any additional rr��aiuZ ilCuif" ,HTTe of assistance in issuing vour revision_ ifvour nlnnc im-p glarnrwd hu n ,iPcian professional, all revision submittals require a stamp with a wet signature. Be aware that changes to the existing approved plans may also require you to revise your original building permit application (lot coverage, impervious surface, structure square footage, etc.) and energy code documents (changing windows, heat source, etc.) to conform to your proposed changes. y1M AbOYO j i3A-rH PL.AN GNA�IGTED, WPM I75I,15-T5D) WW6 ggApt � P12-, I6 maw � P-OOP APP5 P 01/5E2 QDD IT, OH ' / '\ 4-r0, 12 IOf5D, VYDW, IS Apb5D. I� RXF P56K GAN7I►,f V5R W/ KN515 �VZA6V55 AM'P, A \ Ca xG PoSTS W/ kOOF F�,4H APMD) RBI' ADDFP -"D Wk5R 1PGGK D�-r5 0-) 6VW6., 0f4 wpo. Aap ...... a�z�a r''sraata� Date OFFICE USE ONLY: Submittal date: Two sets of plans for revision: Approval of engineer of record (if original plans engineered): ❑ Yes ❑ No ❑ NA PADSMDepartment Forms\Building Forms\Application-Revision.doc PERMIT It SCOPE OF WORK: CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG DATE RECEIVED DATE ACTION .. ...._ .__. ._._.._..�..._.._.. ......___ ......... _....-_.._..... __. ENTERED INTOw CHET , ....... INITIALS _......___. ... ........ 12 M CKED OR COMPLETENESS ...... Ll ,,�PJ....... _.................S 9712 08 ,gyp _ ................ ...�.. i� _....................................... ...... .. w ...... Zoning .__.__ ............... Setbacks OK? Lot Size: Bildiii '��_._° .._. - Ctipe �liY2n�_ .. �........ -� �... _ _t Lot Coverage: r _ is " FAR OK? Height OK Parking OK? W6 Me, � ._ _- .,, � y � .�� � �- t � �,. � p -tVt � � �� Critical Area? � ._..._ � . __. _.. _ Demo?.. �.. __................ Historic Rev? Notice to Title? A) p Lots of Record? �, o Dre-velopment Services AT 250 ' Madison Street, Suite 3 Porgy Townsend WA 98368 Phone,'360-379-5695 Fax 360 _I A 344-4619 W www,cityofpt.us Residential Building Permit Application Project Address: f7ic� Y4, Legal Des r pti,on, (or T ft Office Use Only Addition:%",%i%V�.A Permit erm Zoning: l Block: #BLD Parcel # Lot(s): w 3 Associated ermt Project Description: 5'j4xJJe #-v-h4t C > Applications by mail must include a check for initial plan review fee of $150 for projects valued over $15,000. See Page 2 for details on plan submittal requirements. Lender Information: Lender information must be provided for projects Pronert 0 r/An ficant: over zo5,000 in valuation per RCW 19.27.095. Name. Ir Address. 6"XI., y o 6 .5- —1 City/St/Zip; Lell(o ut&=e uv 160/3' A Phone: Email: Contact/Represeltative: Name: ryt �'4' ka'e' e 0've n Address: L14 01 cevv MMS Phone: '40- 3-74 V"15_95' io� '5"1-t'q1'e Email: Contractor: ci Same as Owner Name: ColL, yt 0 Ilk Address: i'(_W_ ­kt_'-(e"r-q0 v2A City/St/zip: '0' Phone: Yie-- Email: Name: (_4 PL Avt 6 �51 Project Valuation: Building Information (square feet): 15tfloor Garage:. ­0- 2 d floor L417, 3 Deck(s): 16, 3rd floor _3-Zi-3 Porch(es): � q Basement: Is it finished? Yes No Carport Other: Manufactured Home 0 ADU [I New Addition El Remodel/Repair 11 Total Lot Coverage (Building Footprint):* 1�le 7 Square feet:, 0 0 0 Impervious Sjurfac 229',p Square feet: *Total existin:a.& proposed What year was the structure built? !�4� State License #: J01 "I.-11­1f,work-incl des demolition, see Page 2. J01 City Business License #: 601r"V"�` etland':s on the property? Y Any st pes (>15%)? Y 1 hereby certify that the information provided is r L1, thak,& ter 1'08"wn o;4a thorized to act on behalf of the owner and that all activities associated with this permi will b in accordance with Laws and the Port Townsend Municipal Code, Print Name: ove("J GY Of :OkT I ov", W"I 10 Signature: Date: q�, Page 1 ofY7d1/MNF7_' oar In City of Port Townsend o Development Services Department 250 Madison Street, Suite 3 Port Townsend, WA 98368 4 - (360) 379-5095 Fax: (360) 344-4619 WAS Washington State Energy Code (WSEC) 2006 Residential Construction Checklist Complete this form in addition to WSEC prescriptive compliance form. Please answer the following questions: TYPE OF PROJECT: New construction, or addition over 750 square feet Must meet whole house and spot ventilation requirements, and show full WSEC compliance as a stand-alone project. A detached, habitable structure such as an Accessory Dwelling Unit regardless of size must also meet these requirements. House addition under 750 square feet Possible trade-offs are allowed with the existing building for WSEC compliance, such as increasing ceiling insulation. See WSEC component performance forms. NOTE: A house addition less than 500 sq. ft. does not require whole house ventilation. Spot ventilation is still required. TYPE OF HEATING — Please check all that apply: Electric Forced Air Furnace Radiant Floor (Boiler) Wall Heaters +� Baseboard)' ) Other Non-Electric:-� Propane: ' Radiant Floor/Baseboard (Boiler) "'LPG Stove I LPG Furnace ' Other LPG Heat Pump ' Oil Furnace Woodstove (can only be used as secondary heat source) VAPOR RETARDERS: Vapor retarders shall be installed toward the warm surface as represented below. Select one option for floors, walls, and appropriate ceilings: • loors: 1 Plywood with exterior glue 1 Poly plastic (greater than or equal to 4 millimeter thick) 1 Backed batts • Walls: 1 Poly plastic (greater than or equal to 4 millimeter thick) 1 Face -stapled„ backed batts V 1 Low-perin paint • Ceilings: Not required where ventilation space averages greater than or equal to 12 inches above insulation 1 Face -stapled, backed batts I Poly plastic (greater than or equal to 4 millimeter thick) Low -perm paint SEE BACK PADSDTorms\Building FormsWpplication-Residential Energy Code Cheddist.doc Page 1 of 2 536979 I IL Page: 1 of 2 09/05/2008 03:09P Jefferson County Aud PETER WEST NTIT 43.00 F ty of Port Townsend velopment Services Department 250 Madison Street Suite 3 Port Townsend, WA 98368 NOTICE TO TITLE Grantor: Peter Andrew West Grantee: City of Port Townsend, a Washington municipal corporation Reference: City Permit Number BLD08-189 Legal description: Grantor/Owner owns the following described real property: Hastings First Addition, Block 80, Lot 1 (all) and Lot 3 (less West 10 feet) Assessors Property Tax Parcel No: 957-308-001 NOTICE IS HEREBY GIVEN to the Grantor/Owner of the above -referenced real property, to potential purchasers and future owners, to agents or representatives, and to any other concerned person or entity: 1) The current dwelling at 1710 Jefferson Street will become the Accessory Dwelling Unit (ADU) to a single-family residence to be built at 427 Calhoun Street through BLD08-189. 2) The Port Townsend Municipal Code (PTMC) requires that the property owner reside on the subject property, in either the principal residence or ADU in order to rent or lease the other unit. A one-year hardship waiver may be granted by the City in accordance with PTMC 17.16.020.C.2. Additionally, neither the principal nor accessory unit shall be used as a transient accommodation (PTMC 17.16.020.C.3). A transient accommodation is defined as a use less than 29 days (PTMC 17.08.060). 3) This notice may be removed or modified only with approval by the City. Page 1 of 2 Parcel Details Page 1 of 2 Parcel Number Parcel NUOlheF: 9573[]80(]1 Owner Mailing Address: PETERANOREVV WEST PJBOX 4O6S7 BELLEVUE VVA980154657 Site Address: 1710 ]EFFERS[)NST Section: 11 Schcm|Ohsthc1: PortTovvnsand (SO) QtrSection: NE1/4 FineObst: PmrtTovvnsend (8) Township: 30N Tax Status: Taxable Range: 1VV Tax Code: 100 Planning area: Port Townsend (1) Sub Division: HASTNGS 1STAOODION Assessor's Land Use Code: 1100 - HOUSES (single units, non -farm) PropertyDemcription: Printer, Friend] HASTlNGS 1ST ADDITION | BUK 80, | LOT 1CALL1,LOT 3/LESS VV 10'l | | Click on photo for larger image. No Permit No Assessor Data Available Available 7, 7;;7 - p9',`L01.� HOME I COUNTY INFO I DEPARTMENTS I SEARCH Best viewed with Microsoft Internet Explorer §,0 or later ��W&�ow*'Mac m� -BUIDoS- 189 City of Port Townsend Development Services Department BUILDING ADDRESS APPLICATION Name of Property Owner: Mailing Address: JEST �o4 ET ^7 T d.� ...L.-- L. C v u L W 1q_.� ® q B D...j.. 15 Telephone: 0 1� �0c) Z Z- Directions to the Property (draw vicinity map on back) � � . If this is a new ADU, has a building permit been applied for" Yes No Date: Notes uf�0.�(�C -� tZl✓ AT' 1. _%(b �'� � .b1 l e�i.. 1,L, tiii�: t—::: _�>G ID HOUSE NUMBER ASSIGNED: � � �--�0(� Date o f Approval r 1)e n �°a"aa regl' t. se Qnl Application Fee Received ($3.00, TC 2200): 501) Date 4 Copy to: ❑ Finance ❑ Fire Dept ❑ Post Office ❑ Sheriff ❑ Pot -tee (Lyn) ❑ G1S ❑ Public Works ❑ DSD database ❑ Assessor's Office For address changes: ❑ Qwest Address Management Center --- 206-504-1534 P_\DSD\Foems\Building FormslApplicaion-Address Number_doc -, 6!12106 17.08.020 and does not include open structures such as towers, steeples, porches or other attachments to buildings. "Building height" means the vertical dis- tance from the average natural (preexisting) grade to the highest point of the coping of a flat roof or the deck line of a mansard roof or the average height of the highest gable of a pitched or hipped roof. Figure 1. Average Grade and Building Height Figure 2. Calculating Average Grade r�, sratxaurte ,�� � i I r a Po i p s A + B + C + f) — Average Grade a "Building line" means the line of that face, corner, or any part of a building nearest the property line, including by way of example but not limited to all cornices, architectural appendages, exterior balconies, and similar projections beyond the main foundation line of a building, but excluding the top roof or roof overhang of buildings, and excluding side- walks, driveways and patios on ground level, and decks less than 30 inches in height. "Building materials, garden and farm sup- plies store" means businesses primarily engaged in selling products such as lumber and other building materials; paint; glass; wallpa- per; hardware; nursery; tractors; and farm sup- plies such as seeds, feeds, fertilizer, and farm tools. It includes such firms if they sell to the general public, even if they also sell to contrac- tors; if they do not sell to the general public at all they are defined as "Wholesale trade." Flo- rists and other stores selling cut flowers and potted plants not grown on the premises are classified as specialty stores. See also "Green- house" and "Plant nursery." "Building official" means a duly appointed officer of the city charged with the administra- tion and enforcement of the International Building Code. "Building, principal" means a fully enclosed and roofed structure, or portion thereof in sep- arate ownership, which houses the primary uses of at least one business, residence or other establishment. Accessory buildings or out- buildings are not included in this definition. "Bulk plant facility" means a facility where flammable or combustible liquids are received by tank vessel, pipelines, tank car, or tank vehicle and are stored or blended in bulk for the purpose of distributing such liquids by tank vessel, pipeline, tank car, portable tank or con- tainer, or via other methods of wholesale sales. "Bus and transit storage and maintenance facility" means any building and adjacent out- door space required for the servicing, washing, and the overnight parking of buses or other transit vehicles that are used for transporting the general public, tourists, school children, the elderly, and/or handicapped or construction workers. "Business service" means an establishment primarily engaged in rendering services to other business establishments on a fee or con- tract basis, not involving the sale of any goods or commodities available on the premises, and not dispensing a personal service. Business service establishments may include, but are not necessarily limited to, activities such as real estate, insurance, accounting or bookkeep- ing, financial institutions, management or con- sulting firms, or other similar uses. "Camouflaged" means the use of shape, color and texture to cause an object to appear to become a part of something else, usually a structure such as a building, wall, flagpole, (Revised 2/08) 17-8 W rm H W'a,"7 00 , mo RlA, st Als 7X- 00 ilk Y C�l sp NN ��� ter, _, a ell ;2w Q- cz� AN -Ij 00,001— dS 1� I J06, 7777��.;� • F 5 f4i - - - --------- A"or 0'1-� 10 7011t2l - -------- -- ANK- It Ila, 0,3 J1 r5/v c �WDEIWT", 41,0 MPWILT' TuOlkW, LIN5 A2- , rr—w� ff1we LOT VAt L::-M�F e%' PJ,,&k i?> A rAFF' Lv 01/'4, I-W\LT-rONJ 7Z- 2.)( z et:;o 6elo 1, HT Receipt Number. 08-06211 BLD08-189 =OEM= 'Rece,ipt Re, celpt Date Feeescrlp!16h 08-0790 08/2212008 Plan Review Fee Paymont Check Fla,,�m e nt Methlod Number Am'o'Un't CHECK 4523 $3.00 Total $3.00 genpn-drreceipts Page 1 of 1 Receipt Number: 09-0239 Receipt Date: 04/13/2009 Cashier: SFOSTERPayer/Payee Name: WEST PETER ANDREW BLD08-189 957308001 Building Permit Fee $1,206.55 $72.80 $0.00 BLD08-189 957308001 Plan Review Fee $784.26 $47.32 $0.00 BLD08-189 957308001 Technology Fee for Building Permit $24.13 $1.45 $0.00 BLD08-189 957308001 Plan Review Fee - Revision $100.00 $100.00 $0.00 Total: $221.57 Previous Payment History L.Recelpt # Receipt Date Fee Description Amount Paid' Permit # 08-0861 09/23/2008 Building Permit Fee $1,133.75 BLD08-189 08-0861 09/23/2008 Energy Code Fee - New Single Family Unit $100.00 BLD08-189 08-0861 09/23/2008 Mechanical Permit Fee per Dwelling Unit - Nev $150.00 BLD08-189 08-0790 08/22/2008 Plan Review Fee $150.00 BLD08-189 08-0861 09/23/2008 Plan Review Fee $586.94 BLD08-189 08-0861 09/23/2008 Plumbing Permit Fee per Dwelling Unit - New 1 $150.00 BLD08-189 08-0861 09/23/2008 Record Retention Fee for Building Permit $10.00 BLD08-189 08-0821 09/03/2008 Site Address Fee $3.00 BLD08-189 08-0861 09/23/2008 State Building Code Council Fee $4.50 BLD08-189 08-0861 09/23/2008 Technology Fee for Building Permit $22.68 BLD08-189 M 'Payment Method '� Check Number Am ent ount CHECK 4397 _ .. $ 221.57 .............. Total: $221.57 D�1teNRE� �ou�N Pit, k/ *TAY LOO, /-/O/O� genpmtrreceipts Page 1 of 1 Receipt Number; ........ .. Receipt Dato, 0912312008 Cashier: FROWDESK PayerlPayee Name: Coxen Design,and Construction Driginal Fee Amount Fee', Permit # Parcels Fee Description Am lount Paid salab'CO', . . . . . ... . . ....... ... BLD08-189 957308001 Plan Review Fee $736.94 $586.94 $0.00 BLD08-189 957308001 Technology Fee for Building Permit $22.68 $22.68 $0.00 BLD08-189 957308001 Energy Code Fee - New Single Fam it $100.00 $100.00 $0.00 BLD08-189 957308001 State Building Code Council Fee $4.50 $4.50 $0.00 BLD08-189 957308001 Plumbing Permit Fee per Dwelling L $150.00 $150.00 $0.00 BLD08-189 957308001 Mechanical Permit Fee per Dwelling $150.00 $150.00 $0.00 BLD08-189 957308001 Building Permit Fee $1,133.75 $1,133.75 $0.00 BLD08-189 957308001 Record Retention Fee for Building P $10.00 $10.00 $0.00 Total: $2,157.87 Previous Payment History Receipt # Receipt Date Fee Description Amount Paid Permit 08-0790 08/22/2008 Plan Review Fee $150.00 BLD08-189 08-0821 09/03/2008 Site Address Fee $3.00 BLD08-189 Payment Method CHECK Check Number 7400 Total Payment Am ount $2,157.87 $2,157.87 genpnitrreceipts Page 1 of 1 IT-JUD 06- 189 City of Port Townsend,, Development Services Department BUILDING ADDRESS APPLICATIONS"" 111-opertN, is located ill: Addition qtq, T5n mqS ..1 15-r m" Block s Faces/Access is from: l� Q 1, � o () / 4 Street Parcel Number., � 3 PS.. . ,. ,00 1, __.___ Directions to the Propertv (draw vicinity map on back) If this is a new ADU, has a building permit been applied for? X Yes No Date: . 2t�CUt2t-:.,,.AT ......! %1..0..... " .F' QSbf� Lo, LJ ,. Notes; �v�0.E1�C' S i., m .... .. .-. p t-kiZt-:: Q7 ` r� J_ HOUSE NUMBER ASSIGNED: O V Date of Approval: � For Department Use Only: Application Fee Received ($3.00, TC 2200): `� ov Date 9 `,1 Copy to: ❑ Finance ❑ Fire Dept ❑ Post Office ❑ Sheriff ❑ Police (Lyn) ❑ GIS ❑ Public Works ❑ DSD database ❑ Assessor's Office For address changes: ❑ Qwest Address Management Center - 206-504-1534 P_\DSMFocros\Building Forms\Application-Address Number_doc ; 6/12/06 2 T d a> Lg-) > 1ri d O T Q O Q m co :3 N -O C -0 (L) co N m L d X a) N C � O a) o k l3 C Z w O . 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U) w O U LU c� ti IL Z 3. a O z III z J � a a > = c9 = a a O N Y Z O 2 Q O J U Z O 40 Z U (� Q .� LL, � 0 QJ C) Z_ � Z_ Z - (m'h�M Q Z ❑ � Q� W m m Q U J O O � QZ > a > a.... cn LL U. ....._O uw=i......... LL Q E .? 0 Z O U w a Z } Q F' N Z N Ln O co LL Gaa v O J M Q O U � Z 02 p a U W d W Z w ZW Q a. W Lu m Wcn D w E F W D CJ W w Z O U w IL U) Z VoRT CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE I SI) IE CTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. C) DATE OF INSPECTION: PERMIT NUMBER: SITE ADDRESS: CONTACT PERSON: PHONE: JAILIIJ( TYPE OF INSPECTION: J APPROVED 0 APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection Inspector Date . ............ . ____ Acknowledgement Date 0 NOT APPROVED Call for re -inspection before proceeding. ... .. ................... . ...... ....... Approved plans and permit card must be on -site and available at time of inspection. A re- inspection fee may be assessed if'work is not ready for inspection. Poser r CITE' OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT WA CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. DATE OF INSPECTIONt PERMIT NUMBER: SITE ADDRESS: S;,z t CONTACT PERSON: PHONE: W TYPE OF INSPECTION. r'V i '; , ... rN kiKi fli� 0 . . . ....... . ..... . ....... .. ........ .. .. .. .. . .......... � M ❑ APPROVED ❑ APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection r Inspector_ ....... Date Acknowledgement. Date ❑ NOT APPROVED Call for re -inspection before proceeding. .. C Approvedplans andpermit card must be on -site and available at time of inspection. A re -inspection fee may be assessed ii 'work is not ready for inspection. 'PORT fCi CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT WAS CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION, CALL BY 3:OOPM FRIDAY. DATE OF INSPECTION: PERMIT NUMBER: a SITE ADDRESS: 0/0 CONTACT PERSON: PHONE: TYPE OF INSPECTION:, ...... .. ...... ­1 1 ... ... ... . ..... . . 0 APPROVED 0 APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection Inspector. Lo Date Acknowledgement-- Date 0 NOT APPROVED Call for re -inspection before proceeding. Approved plans and permit card must be on -site and available at time of'inspection. A re -inspection fee may be assessed if work is not ready far inspection. Inspection Report Project Permit # �"