HomeMy Public PortalAbout10-0367 GoldbergIthlk
INTERNATIONAL
CODE COUNCIL"
Permit No.
Q �(
City of bee Island • Community Deveic. lent Dept.
Inspection Report �'�
403 Butler Ave. • P.O. Box 2749 • Tybee Island, GA 31328 1,
Phone 912.786.4573 ext. 114 • Fax 912.786.9539 y0v
> Date Requested 1 ° ? C
Owner's Name C r, o \ C �0 -
Gen. Contractor V ? + 1 ) L a e^ s4,
Contact Information
Project Address
MEMBER
Date Needed 1 - L ° I CD
Subcontractor j Se, it L e G,
'#° Lt - l 3 o 1
Scope of Work n ex- +- ; 0 h4. 5 c r Lr , D S L)
Inspector "11(11/ Date of Inspection f I L -/e D
Inspection ' Pass Fail Fee
4, 1I
7
Inspection Pass ❑ Fail ❑ Fee
Inspection Pass El Fail ❑ Fee
Inspection Pass ❑ Fail ❑ Fee
7.\\)\,"
e
DATE ISSUED: 07 -15 -2010
WORK DESCRIPTION
WORK LOCATION
OWNER NAME
ADDRESS
CITY, ST, ZIP
PHONE NUMBER
CONTRACTOR NAME
ADDRESS
CITY STATE ZIP
CITY OF TYBEE ISLAND
BUILDING PERMIT
ELECT -POWER & LIGHTS CROSSWALK
1623 CHATHAM
RONALD F. GOLDBERG
9980 WHITEFIELD AVE
SAVANNAH GA 31406 -8505
RUSSELL ELECTRIC
1714 WILMINGTON ISLAND RD
SAVANNAH GA 31410
FLOOD ZONE
BUILDING VALUATION
SQUARE FOOTAGE
OCCUPANCY TYPE P
TOTAL FEES CHARGED $ 54.00
PROPERTY IDENTIFICATION #
PROJECT VALUATION
$1,800.00
PERMIT #: 100367
TOTAL BALANCE DUE: $ 54.00
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 date of issuance.
Signature of Building Inspector or Authorized Agent:
P. O. Box 2749 - 403 Butler Avenue, Tybee Island, Georgia 31328
(912) 786 -4573 - FAX (912) 786 -9539
www.cityoftybee.org
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 & TEMPOR ARY SERVICE AFFIDAVIT VNew 4 - ■ j — \ l� �/ New Work Replacement
Location of work (street address)
Contractor RU.Sje:c.�__
Address of Contractor V'1
Telephone
Property Owner Telephone
Date work will be ready for inspection, if known "I —1 C)
Estimated cost of construction ¶ 3c ), pc
Permit Number
10 -03107
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes.
2. Temporary electrical power is intended for completion of the construction process and testing equipment
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
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
O ner /Contractor Signature Date
s5Lu- . cam
Owner /Contractor Printed Name
•
-T-,:Ss —;O
APPROVAL Fee
Building Official Date
•
.49-/
A/C Unit and Heat Pump
Attic Ventilation Fan
Bell Transmitter — low voltage
Border /Outline Lighting
Building Saw
Exit Lights — life safety
Heat Pump
Meter Box
Motor(s): hp
Outlets —110 volts circuit
Parking Lot Lights
✓
Pool Lights — grounding
Range — commercial
Permit Number
10 -03107
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes.
2. Temporary electrical power is intended for completion of the construction process and testing equipment
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
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
O ner /Contractor Signature Date
s5Lu- . cam
Owner /Contractor Printed Name
•
-T-,:Ss —;O
APPROVAL Fee
Building Official Date
•
.49-/
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 - ;rte.1,0,... 41..:1
• t > .1&.
Permit Number
10 -03107
ALL WIRING,
SERVICE
INCLUDED,
MUST BE
COPPER. NO
ALUMINUM
ALLOWED.
APPLICATION FOR TEMPORARY SERVICE REQUEST
In requesting temporary electrical service, the undersigned understands and agrees:
1. Connection of temporary electrical service does not remove the requirement to comply with all State of
Georgia minimum construction codes.
2. Temporary electrical power is intended for completion of the construction process and testing equipment
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
policy may result in disconnection of the electrical service until all violations and deficiencies are corrected.
O ner /Contractor Signature Date
s5Lu- . cam
Owner /Contractor Printed Name
•
-T-,:Ss —;O
APPROVAL Fee
Building Official Date
•
.49-/