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HomeMy WebLinkAboutBLD07-085) ') BI]ILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-s09s Project Information Permit # Permit Type Residential - Addition/Remodel Project Name Site Address 2211 ROSE ST Parcel # Project Description Conversion of existing garage and apartrnent into habitable living space BLD07-085 REMODEL 9852A1403 Names Associated with this Project Type Name Applicant Holly Blaise M Owner Holly Blaise M Contact Phone # License Type License # Exp Date Fee Information Project Details Dwellings - Rernodel @ 50% Dwellings - Type V Wood FrameProject Valuation Building Permit Fee Plan Review Fee State Building Code Council Fee Technology Fee for Building Permit Record Retention Fee for Building Permit $ 105.268.31 1,021 .35 661.18 4.50 20.55 10.00 2,058 SQFT 77 SQFT Total Fees $I,730.18 CalI 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certifu that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certifz that I am the owner of the property or authorized agent of the owner. Date lssued: 08/2012007 IssuedBy: PWESTERFIELD Print Name t-bay / //"1i4/ / . ..\ Kirk Boike ARCHITECT t Jot Mason Street t PortTownsend WA I 'OA o 360 38s 6140 architect@su rfb$t. net 6528 REGISTERED W/\\+E HOLL:( &O'-;rS- 4'W' 4ol ,'111c1 gl'9 I i4\:c;tl e Y,,,,,,),,,,,y. gf,'s PN^e t1l- 5( /''(,FSo"r Hl @ I I ++ KIRK BOIKE STATE OF WASHINGTOII tr + $ j *_-,:*' e1A c2l vev ++ -+ l- ,'l .ftf o ??I' & ri g=,L :@t: ' T::fr 6)-r i -"1 F # -rlr**1" 1 bL r +f;n b I Ig FJ -r -1- i I I I : I i l 1 i , 'r-+_{ +t *& @ -s {+ e,hsu * nbJo gt welFtb HATI I la r Lrt ?c+er|AtrtL agp L,o.w. 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BO I K E ST A T E O F W A S H I N G T I } } I $-t-=l$i oris I t)-f \\T $T \-\t v.\u -\ - 3 +-I I i \J}v FL o o ? QE f A t L ltt 'l' - o" x3 - i - 6 x ': x , ., b , ' i y , il , q ve D # c e Lzrl -f-r.r-'sr I 1 Kirk Boike ARCHITECT a 4601 Mason Street <) PortTownsend WA 98368 a 360 385 6140 arch itect@s u rfbest. n et 02May 2007 Dear Jan, We are planning to use 2xl0 rafters and a2xl2 ridge board; we could also use 2xI2 nfters and notch them to fitazxI2 ridge as well. 4x4 posts (min.) throughout are adequate for strength although larger ones could be used for architectural reasons. The embedment for the threaded rod shall be: 4" for all diameters. Sincerely, 6528 Kirk IRK BOIKE STATEOFWAS}IINGIbN Ii-t l9 \[A\ 2 2001 ii \\\ \ I I )\ \ REGF'TERED t Kirk Boike ARCH lrEcr=Y601 Mason Street O PortTownsend arch itect@su rflest. net . 360 385 6140 3/+u ?Lf oE^ 6/4tt x trtl"{Er{(J(i.l ,.t/ t/\ at-ll r +rlrrI tL^i+ , ,/YlI.l'-() -(At T lrr\Lr gJrll P \lv/ wAsHe?6 ag. (tL\ l+ J'3 €e,,Vt <rloE, A.r)r2lTloF-la.L r2=-rAtiLs FoK ?La.t4t6 yle{ +- w' aet. n11n ixaa t /Z 4rt-a. E46.rL pEA+ 6528 REGISTERED NIRK BOIKE STATE OFilASHING1EN (") ta J toJ@ ?'t o,c- 'TAqlJeK e. l:/dt 4 r jll I FlaU . Wre lott O,{, +--+5- *- Ll ,,;=g?ftlXao) W= \b@ t'4 " ?-4@-4xb PF# I o,Y, = 11,* eur LEADA€R i t# . ?= O@#F-.1 = r{o$Z nle rLGa. t?, , . l. +'x li4" HtFl, pEAtur-{t Lw'a, !,6"r ?,€" . 6,44IHL Pac\4DgD r.J l. /rE,t raNttt(;'L IA F ,i. '/a. q E)crt\ (b)' 6'oure ge,i?'p, : lt7" + x q" goV-f* e.19,, O,c. ' '|f't' Bo a f 'trol'fl:Ea', o: lo d H\1L5 @ t{ o. C, I Va+T /- 6,,,oNE#ir!?r-:l .. ?LOIE 'LlL @ @- a otu I+ a -q7. ?'e gqqb #- fr4fr'"- +lrili6rt .bt ++o-itt KE\/rcED FOTL SHEAE. ' ' tAL4otATtoFta 1ar fleoyL 4(*lF FlAfl<1 ' q66 c2R'lalF{aL - W/rLr* b,lA.lulila AHtl Han*e '-poWl'l 6?€e'/t?\Q# \o$a ' ,t .l Development Services Project Address: 'a/Z ll V{->&- 3f- Legal Description (or Tax #):,L;9 Addition a Block 'v4 f+6- ('q, P 1,o'eo\ Utlr- '{'p,f ASi Parcer# 1,6{lp+1e'b Project Description : l-*-\o*L €>*+I (- Li \'x-e .t Residential Building Permit Application F Applications accepted by mail must includeta check for initial plan review fee of $150 F See the "Residential Building Permit Application Requirements" for details on plan submittal requirements. Property Owner: Name: lltan5 Q FhLt'/ Address Va $-x 6it City/St/Zip s'cr-r D i.J D> Phone Email: i(,o 3o (q v7-1 Lender lnformation: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Name: Project Valuation: $_ Contractor:8*t\,tRNamee i,JPt-t<- Address:_ City/SUZip: Phon Email State License #: City Business License #:_ I hereby certify that the information provided is correct, that I am either the owner or authorized to act on behalf of the owner and that all activities associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code Print Name Total Lot Coverage (Building Footprint): Square r".r, li!'*% ,;f ? -J{i-lmpervious Surface:* [i'a',i i <' \ , '] r tL square feet: /4{h La"f '' '7AOA ,t .- .-r ContacURepresentative: Name Addres City/SUZip Phone Email: Building lnformation (square feet): l"tfroor l,tZP Garage 2nd floor 2o r.z Deck(s tlT 3'd floor Porch(es):w Basement: \ ls it finished? Yes No Carport \- other: \ Manufactured Home IJ ADU n New n Addition n RemodellRepair n Any known wetlands on the pro Any steep slopes (>15%l? Y Signature: wea-(( Date .2 RESIDENTIAL BUILDlNG PERMIT APPLICATION CHECKLIST This checklist is for new dwellings, additions, remodels, and garages. The purpose is fo shaw what you intend to build, where it will be located on your lot, and how it will be constructed. I Residential permit application. I Washington State Energy & Ventilation Code forms ! Two (2) sets of plans with North arrow and scaled, no smaller than /o" = 1 fool'. I A site plan showing: 1. Legat description and parcel number (or tax number), 2. Property lines and dimensions 3. Setbacks from all sides of the proposed structure to the property lines in accordance with a pinned boundary line survey 4. On-site parking and driveway with dimensions 5. lf creating new impervious surfaces, indicate measures utilized to retain stormwater on-site 6. Street names and any easements or vacations 7. Location and diameter of existing trees L Utility lines L lf applicable, existing or proposed septic system location l0.Delineated critical areas boundaries and buffers f Foundation plan: 1. Footings and foundation walls 2. Post and beam sizes and spans 3. Floor joist size and layout 4. Holdowns 5. Foundation venting I Floor plan: 1. Room use and dimensions 2. Braced wall panel locations 3. Smoke detector locations 4. Attic access 5. Plumbing and mechanicalfixtures 6. Occupancy separation between dwelling and garage (if applicable) 7. Window, skylight, and door locations, including escape windows and safety glazing I Wall section: 1. Footing size, reinforcement, depth below grade . 2. Foundation wall, height, width, reinforcement, anchor bolts, and washers 3. Floor joist size and spacing 4. Wall stud size and spacing 5. Header size and spans 6. Wall sheathing, weather resistant barrier, and siding material 7. Sheet rock and insulation 8. Rafters, ceiling joists, trusses, with blocking and positive connections L Ceiling height 10. Roof sheathing, roofing material, roof pitch, attic ventilation I Exterior elevations (all four) with existing slope of the land in relation to all proposed structures f lf architecturally designed, one set of plans must have an original signature I lf engineered, one set of plans must have one original signature_l For new dwelling construction, Street & Utility or Minor lmprovement application Parcel Details Page I of2 :lr;nCiiii* Fr'$mtev Fri endlv ud8 Parcel Number: 985207403 Parcel Number: 985207 4A3 Owner Mailing Address: BLAISE HOLLY HOLLY I HOLLY PO BOX 611 PORT TOWNSEND WA9B36BO61 1 Site Addressr 22TL ROSE ST PORT TOWNSEND 98368 Section: 35 Qtr Section: SW1/4 Township: 31N Range: 1W SJdt /txldr-@ 1o-r< lt't "grppos<i/V*a.,fr[,rc.&-a S3* All "fl&O"*ufri/r6, School District: Port Townsend (50) Firc Dist: Port Townsend (B) Tax Status: Taxable Tax Code: 100 Planning area: Port Townsend (1) BL,CID1 *OW Sub Division: PETTYGROVE'S 2ND ADDITION Aqcstqcnr'c I a n* Use C*dc 9800 - GARAGES, SHEDS (out-buildings only) Property Description: PETTYGROVE'S 2ND ADDITION I BLK 74, LOTS 5 & 6 (LESS N60'EA) | WPTN VAC V sT ADJ I BND BY LLA #98503 | Click on photo for larger image, X f\Jo lnd l)lroto Avail;*hl*i No Permit Data Available Assessor Bldq Data tt lMap Parcel Pfals SSurveystt ''' l-ifrfl:e tnuntlulnin Drpnnf*nnnts Snnrc[t SEARCH J gf f g r$0 n Ca u nty 't',j i,,,I:ir,i;i'ii,:,,i;:; 'i;;.:i,,,; Jallerrcn (*unty';;.:i';.', 1i. .:.:,H*ME | flOLfruTy srur* | ffiHpARTMsr{TS ' SsARfrF.{ Sext viewed with Micros*{t Internet Explorer 6.0 or later http ://www. co j efferson. wa.us/assessors/parcel/parceldetail. asp s1212007 I , I t' t t, I Z z s/ t l JJ r s 1 f , \ ul o l s ]3 t s l N al s q t \ Je l ? r [ re a ; 69 qe n b o qr u 1 oo r L v r c o ; u r .l z r u ; r r r, ; : : :. : . ) ! s !o pi s i ! t tt , r r i r : 1 : i i v rr ' : g su . i o r t l : i , s! : li : ? l! i j x r n r s ( ) , _ it : , . i ;, i L, . r .) u r i; l y x l l rx ! . t ri e n rt l i i, , jr : l q ' s r o J , . ) ! ra ; i i( 1 1 ir ur a " L r . ! o r Jp u Ii l J . , t r r u . : l ) ? .r F ln dr , * sr q r rr 1, : ' . : * u r: , ,x , l r u u r , ; , ; , -a l r lo , { r " i $ r s rq r ^u f jn 6 in i l i t 4 yi L t t ) ? rl i r 1 < i r u a r: r po z rc r s ; n o I Fo . t jo , u r , ri i t _ .r s e l .. ' r i t : : r t ir !r b , , ,, ! s r sr , , rr rr r Fr e n o : r J sr rh u sr t . i B t ) B 80 t 4l I m "4t n ru $t {$s o $m $g ; il u { A I r8 A, :' - ' . 1. , , 06 (o l oo t- 0 I f I o $g #E f { $ 96 B I I ba s*ffi (o I I r- - - I I I Z .' bs r -l o rS r 4 Jr o -N 0 1 f i Building Checklist LegaI Description:f t)cl1 lqC. VSI-, Location:V+ Qos* Zoning; Recorded Plat Shows Lot Size as: uh7i,A Assessor Shows: $d*w* ArcReader Shows:1Uo &S A, Critical Area?: No ' Other Permits?: Site Visit? Notice to Title needed? AJ, Building meets setbacks?U,e Sa Building meets lot coverage?Ws(/ rUo Restrictive Covenant needed? lUo Lots of Record needed? Alo vlo*Comments 5^J WSEC Residential Construction Checklist Washington State Energy Code (WSEC) 2001 Residential Construction Checklist Complete this form in addition to WSEC forms. Please answer the following questions: TYPE OF PROJECT: ! New construction, or addition over 750 square feet Must meet whole house and spot ventilation requirements, and show full WSEC compliance as a stand-alone project. A detached, habitable structure such as an Accessory Dwelling Unit regardless of size must also meet these requirements. n House addition under 750 square feet Possible trade-offs are allowedwith the existing buildingfor WSEC compliance, such as increasing ceiling insulation. See WSEC component performance forms. NOTE: A house addition less than 500 sq. ft. does not require whole house ventilation. Spot ventilation is still required. TYPE OF HEATING - Please check all that annlv: City of Port Townsend Development Services Department 250 Madissn Street, Suite 3 Port Townsend, WA 98368 (360) 379-s095 tr'ax: (360\ 34+4619 'l,lAY ?. iflll "Etii;:t Heater ! Baseboard I Forced Air Furnac " ffior^nt Floor (Boiler) n orher --.?;?T;:Kadiant Floor/Balebgard (Boiler) tr Lpc Srove ! Lpc Furnace I Other LpG tr Heat Pump tr Oil Furnacer$Woodstove (can only be used as second,ary heat source) YAPOR RETARDERS: Vapor retarders shall be installed toward the warm surface as represented belor,v. Select one option for floors, walls, and appropriate ceilings: o Floors: with exterior glue Poly plastic (greater than or equal to 4 millimeter thick) ! Backed batts o Walls: ffioly plastic (greater than or equal to 4 miltimeter thick) ! Face-stapled, backed batts tr Low-perm paint o Ceilings: ! Not required where ventilation space averages greater than or equal to 12 inches above insulation I Face-stapled, backed batts tr Poly plastic (greater than or equal to 4 millimeter thick) tr Low-perm paint SEE BACK P:\DSD\Department Forms\Building Forms\Application-Residential Energy Code Checkli$.doc Page I of I -)') /I/{/,|l flao{t- deru Co,q.l 5$,:it /c^/ 7 X lt :27 + [Vl nr ,tJ Fl*oort f,Xtt}7n )+ Zt X <) L == t, l7A +t 7 r:b ff*a z/Zl X Ll L r: OgZ i l t : . " , r . i l r . . l i . l I I : . l i l i ! n 0 ; : Z , \ V ' f ^ l ' I i i : : i , j l r l l i l I l i i - b - t A b - - E ( A / - \ 9 d r l o 5 a ? t / - ' t l t - 2 7 r r y ' r < \ i l c ' O r t t d \ * < 4 / W * = 3 4 t 9 v 2 ) 4 ) ' / ) v t 4 t t t c z A d - ? l - Z l r n ^ n ' + n 4 - = , e 4 a 4 - " + - l ' t - t I 4 u r * . = 1 r 9 z 7 a 1 9 * - r e U 4 f / = u L J L L A S , > - { 6 r L - 7 - 2 7 l - 7 g - - ) . { e z o \ t ? * ? - d ' 4 \ ' n 1 > y " t r J a ? f - l ; o € c - t 2 l L R l d ? ' s - L y ' o 2 - J 9 c " @ 9 * ' ) s € ) ^ { \ ! , o . , d ) S t * n 9 ' ' , ^ - r ' g 4 S v - ^ g o e d . - . € d / - ' 1 + - r s 3 o 4 ' t - Q \ \ 9 ( \ J ) 4 ' - ? . r y L r e ( - J ) * \ f t ' t 1 / a - ' c J / * t - 4 t c a = y t " l / d d C @ ' a - t ' u o t ] d - S { w F ! ( - € d a a - L , 4 , / f l ' " y * * J a f 2 a 1 z r f ) 4 1 J - r " r r c n < t ? o " = s ? r c 4 A ^ t o - , t Z ^ f b w r < < Y 4 " ' r y 4 ( ) 2 * F ) 1 9 C + t y y r y ( r - > - z f n : ' , t Q f r 4 a t ' * t 7 ) u ' / ' 2 u c ! t r < t J + S - 4 1 N J , - - ' ? 4 t S - . - _ J 3 > ? - 4 + u C a , o i { L - V - : = \ o C a u ' o q 4 + L b 5 t ' t ' / C l t 2 4 n a , 1 , t , 1 1 c < a 4 l D - = 2 c Q < r , 9 d l - 1 . r c @ < t . - / , - k l ^ e - * r - k * v < V < : 2 + * J J ' Y l f t r + ) " - - r , r a q - l - < 1 C - * ) A 2 ( > - v o A ) , ( j s - , ; , 3 2 1 ) - 2 c c ? q L Q Z J o a z ) t ? 2 - r i \ ' l r c z p ( , Receipt Nunber: BLD07-085 BLD07-085 BLD07-085 BLD07-085 BLD07-085 985207403 985207403 985207403 985207403 985207403 $667.78 $20.55 $4.50 $1,027.35 $10.00 Total: $667.78 $20.55 $4.50 $877.35 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Review Fee Technology Fee for Building Permit State Building Code Council Fee Building Permit Fee Record Retention Fee for Building P $1,580.18 -0397 CHECK 0510212007 Building Permit Fee 2486 Total $150.00 BLD07-085 $ 1,580.18 $1,580.18 genprntrreceipts Page 1 of 1 1 f Receipt Nunber: BLD07-085 985207403 Building Permit Fee $1,4s8.5s __ _ _l1l_o.o!Total: $150.00 ,308.55$ CASH $ 1s0.00 Total $150.00 genprntrreceipts Page I of 1 CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG PERMIT # SCOPE OF WORK: DATERECEIVED 5*2 - O-7 e- I r tt thc ehr DATE ACTION INITIALS6-2 - 07 ENTERED INTO CHET CA - to Planning - No evidence CHECKED FOR COMPLETENESS Sjont nrJ . ot tf *l . n ln rn n .)trvv! fv1()tAt)] ,/l/'--/f '%bt ann l i--ztrn>h, uxltru+ n . / r* Jtwn o r.ll C>h nl 'rvv, 14)a / (// u t/cfl01 ok cv/ ka4 us<,5t^t , 5'/ > t ln^>-fLoto Ku\ltrv,"t lXtr {- n 'f/ e t lrtt YLtqA-J Aff//NVK\Kr((* l I B- 2D-07 u/taltt,al -rA/1!1f CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT For inspections, call the Inspection Line at 360-385-2294by 3:00 PM the day before you want the inspection. tr'or Monday inspections, call by 3:00 PM Friday. DATE oF INSPECTION: 4-ll"- A &PERMIT NUMBER: -7 -g? SITE ADDRESS: ZZ \ \,D-"<d PROJECT NAME:CONTRACTOR: CONTACT PERSON:PHONE: TYPE OF INSPECTION: L t0rL d{ rl U( C looi.( ! APPROVED ! APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection NOT APPROVED Call for re-inspection before proceeding. { Inspector Date 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. PO S T TH I S CA R O IN A SA F E , CO N S P I C U O U S LO C A T I O N , PL E A S E DO NO T RE M O V E TH I S NO T I C E UN T I L AL L RE Q U I R E D IN S P E C T I O N S AR E MA D E AN D SI G N E D OFF BY TH E AP P R O P R I A T E AU T H O R I T Y AN D TH E BU I L D I N G IS AP P R O V E D FO R OC C U P A N C Y , ST A M P E D AP P R O V E D PL A N S MU S T BE AV A I L A B L E ON TH E JO B S I T E , PA R C E L NO . 98 5 2 0 7 4 0 3 PE R M I T NO . BL D 0 7 - 0 8 5 IS S U E D DA T E Q8 I 2 O I 2 O O 7 D( P I R A T I O N DA T E AD D R E S S 22 1 1 RO S E ST CO N S T R U C T I O N T Y P E OC C U P A N T L O A D OW N E R HO L L Y B L A I S E M PR O J E C T DE S C R I P T I O N Co n v e r s i o n of ex j s t i n g ga r a g e an d ap a r t m e n t into habitable living spr CO N T R A C T O R LE N D E R IN S P E C T I O N IN S P DA T E CO M M E N T S IN S P E C T I O N COMMENTS CO N S T R U C T I O N PR O G R E S S RE C O R I ) CI T Y OF PO R T TO W N S E N D De v e l o p m e n t Se r v i c e s De p a r t m e n t 25 0 Ma d i s o n St r e e t " Su i t e 3. Po r t To w n s e n d . WA 98 3 6 8 IN S P DA T E y7 - . r i -t * t t ' " {L ' 4 0 u* ' z " l * " Nf f i iw > f r t * i l 02t16t2008 r Ns p Ec r r o N RE o u ES +3 fi i3 Y ?T S N: S ? ' J H ' # | ' [1 ' 3 ' P t ' J fl t - ' DA y I N s p Ec r I o N. \\ h' r 2- \ { - 9 , rl k\ 0 , E h L t' \ t l " ( \ ' ,1 p s o q 6 1 6 p f f i - f h XZ "E 2- w [ rl \ , ( r. ' M L$ t z- t 4 - 6 7. > L , 7 -t 8 \^ , ( ,r ' t ^r ("n "\ t *l t W TE S C FO O T I N G FO U N D A T I O N WA L L Fo u n d a t i o n dr a i n SL A B BL D - F M ) R O N I C S FL O O R FR A M I N G FR A M I N G PL U M B I N G ME C H A N I C A L PL U M B I N G WT R PI P I N SH E A R W A L L IN S U L A T I O N GW B FI N A L BU I L D I N G CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want the inspection. For Monday inspections, call by 3:00 PM Friday. 7 PERMIT NUMBER:DATE OF INSPECTION: SITE ADDRESS: TYPE OF INSPECTION: L PROJBCT NAME:il al,I..,CONTRACTOR: CONTACT PERSON:PHONE: UL ! APPROVED ! APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection ! NOTAPPROVED Call for re-inspection before proceeding. Inspector Date Approved plans and permit card must be on-site and available ot time of inspection. A re-inspection fee may be assessed if work is not ready for inspection. CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT For inspections, call the Inspection Line at 360-385-2294by 3:00 PM the day before you want the inspection. For Monday inspections, call by 3:00 PM Friday. PECTIoN: IZ.A{. O,T pERMrr NUMBER: bLPo7' DBs SITB ADDRESS:zz tl Q.o 3EDATE OF INS PROJECT NAME: b Lq i 7R-lbllq coNrRACroR: CONTACTPERSON: V Lg.,'7^e o Ll- PHONE: 3OI TvzV FIN ON:t L_tTYPE O No 3 "7 N APPROVED ! APPROVED WITH CORRECTIONS Ok to proceed. Corrections will be checked at next inspection I NOTAPPROVED Call for re-inspection before proceeding. Inspector Date 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. q-l CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want the inspection. For Monday inspections, call by 3:00 PM Friday. lo PERMITDATE OF INSPECTION: SITE ADDRESS: PROJECT NAME: CONTACT PERSON: TYPE OF'INSPECTION: CONTRACTOR: 6 PHONE:3 ? A^4:^, d ie €'./ak-uS 6 h/t@ htulbau)LDA s (**o""o APPROVED WITH proceed. Corrections will be ! NOTAPPROVED Inspector Approved permit checked at next inspection Date / be on-site and available at time of inspection. A re-inspection fee may Call for re-inspection before proceeding. /u / s /or be assessed if work is not ready for inspection.