HomeMy Public PortalAbout12-0030 Hendrix01v -Co f `j S_S
City of , _ See Island • Community Develoi._,ent Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
iii►
INTERNATIONAL
CODE COUNCIL
MEMBER
Permit No. 12 T);J 1J Date Requested 0/4i ti
Owner's Name 1- -r l f,� 1 � +/ _ Date Needed 2 �2 4/2--
Gen. Contractor �.i( Subcontractor
Contact Information �� ^ ^ "t - 13 % =''
Project Address 4 L 9 0`3 ‘ C- Av 2-.
Scope of Work , a::..Li i v jp6ifili6.
Inspector -2 t Date of Inspection'
Inspection 1-7,r2j E?' e. L . Pass l • Fee
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
Permit No.
City of , bee Island • Community Develo ,_.dent Dept.
Inspection Report
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328
Phone 912.786.4573 ext. 114 • Fax 912.786.9539
4v
Owner's Name HP J'»Z i K
Gen. Contractor /SS^
Date Requested Z!
Date Needed "L1�z3�ri-
INTERNATIONAL
CODE COUNCIL'
MEMBER
Subcontractor /-3U7
Contact Information 303 '/' ,; j)),J0 /d
Project Address 1' (.e.tAiLs d,)re.,
Scope of Work a ?.daeI ck,
Inspector
Inspection % - �( --�-r A.
Date of Inspection
Pass
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass U Fail Fee
Inspection Pass ❑ Fail ❑ Fee
TX Result Report
P 1
02/23/2012 15:48
Serial No. CM35228060004
TC: 320205
Destination
Start Time
Time
Prints
Result
Note
Georgia Power
02 -23 15:47
00:00:48
001/001
OK
Note
MIX: Timer Origginal_TX11CAALL:CManual1TX. Original Size gFWD:FForward, PC: PC -Fax.
RLY: Double-Sided Confidential. : Bulletin. SIP: SIP rSIPnFax.FIPADR:FIP Address Fax.
I -FAX: Internet Fax
Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busy, M- Full:Memory Full,
LOUR:Receiving length Over, POVER:Receiving page Over, FIL:File Error,
DC:Decode Error, MDN :MDN Response Error, DSN:DSN Response Error.
RELEASES FOR ELECTRIC SERVICE FROM TVBEE ISLAND
FOR . FAX TO: Lynn Brennan '7 Phone 912
.QQorg : s �o c✓t r 3 o Ce - 2 44.4 .o ,9 03 6- 2�oS
aQ+4, y 3c46- 62 S
i2 -c c> c
Location Address: 'T S
Release Date.
Type of Release: Temporary .------Permanent Subd Name:
Electrician: it v S S ,l (--. 1 e G_ Electrician Phone Number: g`-f — {3 c7
OwnerBuilder:
Phone Number:
Location Address:
Type of Release: Temporary Permanent
Electrician:
OwnerBuilder:
Lot #
Release Date:
Subd Name:
Electrician Phone Number:
Phone Number:
Location Address:
Type of Release:
Electrician:
Lot #
Temporary
Release Date:
Permanent Subd Name:
OwnerBuilder:
Electrician Plione Number:
Phone Number:
RELEASES FOR ELECTRIC SERVICE FROM TYBEE ISLAND
FOR . FAX TO: Lynn Brennan 937 Phone 9124499:- WC'
eorg ► a 'Po u+e rr � 0 (0 - 2 to ,./b 3o (0- 28oS"
Ca.-+ -t w 3o8- 2 (02.5-
2 -0030
Location Address: (04 L2VJ s Ave.' Lot # Release Date:
Type of Release: Temporary ✓Permanent Subd Name:
Electrician :R u S S 2t( E I 2 c_. Electrician Phone Number: g 4 1+— (3 O-7
Owner/Builder: 4.14 `i lA Ctet d, r :X, Phone Number:
117 -q- 35
Location Address:
Type of Release: Temporary Permanent Subd Name:
Electrician:
Lot # Release Date:
Owner/Builder:
Electrician Phone Number:
Phone Number:
Location Address:
Lot # Release Date:
Type of Release: Temporary Permanent Subd Name:
Electrician:
Owner/Builder:
Electrician Phone Number:
Phone Number:
DATE ISSUED: 01 -13 -2012
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE
TOTAL FEES CHARGED
PROPERTY IDENTIFICATION #
PROJECT VALUATION
CITY OF TYBEE ISLAND
BUILDING PERMIT
ELECTRICAL PERMIT
164 LEWIS AVE
DONALD HENDRIX
164 LEWIS AVE
TYBEE ISLAND GA 31328
DONALD HENDRIX
164 LEWIS AVE
TYBEE ISLAND GA 31328
P
$ 50.00
$ 600.00
PERMIT #: 120030
TOTAL BALANCE DUE: $ 50.00
It is understood that if this permit is granted the builder will at all times comply with the zoning, subdivision, flood control, building, fire, soil
and sedimentation, wetlands, marshlands protection and shore protection ordinances and codes whether local, state or federal, including all
environmental laws and regulations when applicable, subsequent owners should be informed that any alterations to the property must be
approved by the issuance of another building permit. Permit holder agrees to hold the City of Tybee Island harmless on any construction
covered by this permit.
This permit must be posted in a conspicuous location in the front of building and protected from the weather. If this permit is not posted work
will be stopped. The building contractor will replace curb paving and gutter broken during construction. This permit will be voided unless
work has begun within six months of the datg of issuance.
Signature of Building Inspector or Authorized Agen
P. 0. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
City of Tybee Island — Community Development Department
Permit Number:
lob Address:
Job Name: Hearin
Type of Work: &I
BUILDING PERMIT
�� Issued te: / / /3 //L
&CIL ( *M. Air
Oiriee
Flood Zone (if applicable):
To avoid penalty this placard must be posted and visible
from the street until completion of the project.
TO SCHEDULE AN INSPECTION
call (912) 786 -4573, extension 114, by 4:00 pm the day before you need an inspection.
CITY OF TYBEE ISLAND
BUILDING & ZONING DEPARTMENT
P.O. Box 2749, Tybee Island, GA 31328
Phone (912) 786 -4573 • Fax (912) 786 -9539
ELECTRICAL PERMIT APPLICATION & TEMPORARY SERVICE AFFIDAVIT
Date l 1 I c� New Work 1 Keplacement
Location of work (street address)
Contractor
Address of Contractor
s Ave_
oLg- P -10r7
Telephone / /15-6
Se �'' II Qv -14
Property Owner % e 7'[j/ 3n y„e /7r Pt t' ; K Telephone /o(' 7 S'f ' /03.5-
Date work will be ready for inspection, if known
Estimated cost of construction 00 6 Q
Permit Number
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
APPLICATION FOR TEMPORARY SERVICE REQ
In requesting temporary electrical service, the undersigned understands and agrees: EANS N EC�PMENT-- (:O�INECTINI
1. Connection of temporary electrical service does not remove the requiremei4ie&iA9e6bEEQ sconneCt al
Georgia minimum construction codes. Conductors in a building or other trueturE
2. Temporary electrical power is intended for completion of the constructionti8aessetuics
o rs.
installed within the structure.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
p licy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
Ogi, /4-4-1 /01-
Owner /Contractor Signature Date
Owner /Contractor Printed Name
•
APPROVAL Fee
Building Official Date
A/C Unit and Heat Pump
Attic Ventilation Fan
Bell Transmitter — low voltage
Border /Outline Lighting
Building Saw
Exit Lights — life safety
Heat Pump
t/'
Meter Box
Motor(s): hp
Outlets — 110 volts circuit
Parking Lot Lights
Pool Lights — grounding
Range — commercial
Permit Number
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
APPLICATION FOR TEMPORARY SERVICE REQ
In requesting temporary electrical service, the undersigned understands and agrees: EANS N EC�PMENT-- (:O�INECTINI
1. Connection of temporary electrical service does not remove the requiremei4ie&iA9e6bEEQ sconneCt al
Georgia minimum construction codes. Conductors in a building or other trueturE
2. Temporary electrical power is intended for completion of the constructionti8aessetuics
o rs.
installed within the structure.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
p licy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
Ogi, /4-4-1 /01-
Owner /Contractor Signature Date
Owner /Contractor Printed Name
•
APPROVAL Fee
Building Official Date
Range Hood — commercial
Service: amps
Sign Circuit - wattage
Smoke Detector — low voltage
Spa or Tub — grounding
Special Outlet
Swimming Pool — grounding
Water Heater
Welder — 220 volts circuit
Well Pump — grounding
X -ray
Other
'_v1 [-. L 4 iE
Permit Number
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
APPLICATION FOR TEMPORARY SERVICE REQ
In requesting temporary electrical service, the undersigned understands and agrees: EANS N EC�PMENT-- (:O�INECTINI
1. Connection of temporary electrical service does not remove the requiremei4ie&iA9e6bEEQ sconneCt al
Georgia minimum construction codes. Conductors in a building or other trueturE
2. Temporary electrical power is intended for completion of the constructionti8aessetuics
o rs.
installed within the structure.
3. Issuing approval for temporary power connection does not constitute approval to occupy the structure.
A Certificate of Occupancy must be issued by the City of Tybee Island prior to any occupancy.
4. The owner and contractor are hereby held responsible for any violations of this policy. A violation of this
p licy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
Ogi, /4-4-1 /01-
Owner /Contractor Signature Date
Owner /Contractor Printed Name
•
APPROVAL Fee
Building Official Date