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Home My WebLink About2010 W 5th St - BuildingPREPARED 9/07/11 9 11 38 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/11 ADDRESS 2010 W 5TH ST TENANT NBR SCOTT SOULE CONTRACTOR ALL WEATHER HTG COOLING INC OWNER SCOTT RAYMOND SOULE PARCEL 06 30 00 1 0 3460 0000 APPL NUMBER 11 00000808 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV ME99 01 8/23/11 JLL MECHANICAL FINAL TIME 01 00 8/24/11 DA August 23 2011 8 33 39 AM 1pangrle JENNIFER 457 6871 MECHANICAL FINAL HEAT PUMP AFTERNOON August 24 2011 4 27 12 PM jlierly electrical final before building final can be complete/ jll ME99 02 9/07/11 J MECHANICAL FINAL TIME 10 00 September 1 2011 9 15 13 AM 1pangrle �Tr TRENT 808 2613 Vt MECHANICAL FINAL HEAT PUMP TRENT REQUESTS THAT YOU COME INSPECT AT 10 00 AM TRENT AND BOBBY WILL BE THERE TOO THEN THE OWNER IS A TEACHER AND HAS A HARD TIME GETTING TIME OFF FOR INSPECTIONS AND REQUESTS THAT YOU PLEASE COME INSPECT AT 10 00 AM COMMENTS AND NOTES PHONE (360) 452 9813 PHONE (360) 457 6871 PREPARED 8/23/11 8 46 36 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/23/11 ADDRESS 2010 W 5TH ST SUBDIV TENANT NBR SCOTT SOULE CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER SCOTT RAYMOND SOULE PHONE (360) 457 6871 PARCEL 06 30 00 1 0 3460 0000 APPL NUMBER 11 00000808 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 8/23/11 U MECHANICAL FINAL TIME 01 00 August 23 2011 8 33 39 AM 1pangrle JENNIFER 457 6871 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES 1- S CSA---y t c i_ei e ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit heat pump Owner SCOTT RAYMOND SOULE 2010 W 5TH ST PORT ANGELES (360) 457 6871 WA 983631608 Permit Additional desc Permit pin number 190660 Permit Fee 73 50 Issue Date 8/08/11 Expiration Date 2/04/12 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Fee summary Permit Fee Total Plan Check Total Grand Total 8&2/1( 11 00000845 462475 2010 W 5TH ST 06 30 00 1 0 3460 ELECTRICAL ONLY ELECTRICAL ALTER RESIDENTIAL Charged 73 50 00 73 50 Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING Paid s' Contractor 73 50 00 73 50 Plan Check Fee Valuation INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Credited Date 8/08/11 w "a REPORT SALES TAX 0000 on your excise tax form to the City of Port Angeles (Location Code 0502) BLACK DIAMOND ELECTRICAL CONTR 502 BLACK DIAMOND RD PORT ANGELES WA 98363 (360) 565 1035 00 00 00 Due RESULTS 1 -i/ 9 7--I/ 4 00 00 00 00 0 Extension 73 50 INSPECTOR. Date x CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 /,Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date Y-1 1 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 2( t O WEST 5 71 1- Building Square Footage: Description of above 2 l Ai„eu0 —1 12-L 4 1 '100 i i-/: P Dated: Credit Card 0110112010 Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Owner Information Contractor Information Name: C'C 4 c A 'A/1 -.COuLc' Name: ti Oka_ "Ne r;L: c."7 c,'L. C MailingAddress: Mailing Address: 5Z7 71-Au, i Arw. D City State: Zip: City P4 State: vumt Zip:'1 63 Phone: Fax: Phone: `Y6/ -3', 7 Fax: License #1 Exp. License Exp. 3 Liesk___ c r4 Dz Item Unit Charae Cly Total (Qty Multiplied by Unit Charael Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. $145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 I Each Additional Branch Circuit 2.60 Temp Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. $110.30 Temp. Service /Feeder 401-600 Amp. $148.70 Temp. Service /Feeder 601 1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection $119.90 Renewable Electrical Energy 5KVA System or Less $102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 Each Additional.500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 S Total 73 Owner as defined by ROW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N E.0 ROW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications. Signature of owner ele trical contractor or electrical administrator Cash check 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc T stat 4 ton heat pump Owner SCOTT RAYMOND SOULE 2010 W 5TH ST PORT ANGELES (360) 457 6871 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983631608 190249 56 00 8/02/11 1/29/12 Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Fee summary Permit Fee Total Plan Check Total Grand Total �lzz lip \t?1 -50!1) Signature of owner or Electrical Contractor X G EXCHANGEBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 11 00000810 452400 2010 W 5TH ST 06 30 00 1 0 3460 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ALL WEATHER HTG 302 KEMP ST PORT ANGELES (360) 452 9813 ELECTRICAL ALTER RESIDENTIAL INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation Charged Paid Credited 56 00 56 00 00 00 00 00 56 00 56 00 00 Date 8/02/11 COOLING INC WA 98362 rr RESULTS 00 0 Extension 56 00 Due 00 00 00 INSPECTOR. Date V REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) City of Port Angeles Permit Application Building Division!Electricai Inspections 321 East Fifth Street— P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date: Jot,� .X1 2 Single Family Dwelling Multi -Family or Commercial` Commercial Addition Alteration I Remodel I Repair' Plan Review a Be R_q r Ple mpiet- Electrical Pia Review Inf• nation S Job Addressr (7 Building Square Footage: Description of above \nstrillahoo C Owner Name: Malll City Phone License Exp, VV4.15:9 Address v.. Unit Charm 93.75 $113.75 $160.00 $205.00 $291,25 2.00 57,50 2.00 72.50 86.25 $116.25 $131,25 75,00 69,00 75.00 50.00 50.00 93.75 80,00 86,25 27.50 57.50 86.25 43.75 n t/0 /E0 39Vd State: Fax: Zip: Signature of owner, electrical contractor or electrical administrator rite: IOI _I Contra Name: Maili Address: City 4 g Phone. License Exp. .1. Wo State: LY- Fax: In Total (Otv M!Iltiolled by Unit Char e Service /Feeder 200 Amp. Service /Feeder 201-400 Amp. Service/Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp, Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp, Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401-600 Amp. Tamp, Service /Feeder 601 -1000 Amp. Portal to Portal Hourly S. SlgnlOutline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Mum- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square FL Each Additional 500 Square Ft, or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub L�}?,��•� Thermostat Total Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner Is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Cash Check Cl Credit Card ECE E E1V E gut 12011 ELECTRICAL INSPECTIONS atio 1.1,v3 r 1SOK v 9NI1v3H el3H1V3M 1 LLTSZSti09ET 61 ZT TTOZ /T0 /130 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc HEAT PUMP (4 TON CARRIER) Owner SCOTT RAYMOND SOULE 2010 W 5TH ST PORT ANGELES (360) 457 6871 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 14 8000 EA WA 983631608 Per Charged 64 80 00 64 80 11 00000808 248464 2010 W 5TH ST 06 30 00 1 0 3460 0000 SCOTT SOULE MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 16462 Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 BASE FEE ME FURN /HP /FAU OR 5 TON MECHANICAL PERMIT HEAT PUMP 190223 64 80 Plan Check Fee 00 8/01/11 Valuation 0 1/28/12 Paid Credited 64 80 00 64 80 00 00 00 Date 8/01/11 Extension 50 00 14 80 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) oi0 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 any state or local law regulating construction or the performance of construction. 8/3/11 iaz en M bA eow Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T.,rrnc/P1 ilriinn nivisinn /Ruildina Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 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. Inspection Type Date Accepted By Comments Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date PLANNING DEPT Separate Permit SEPA. Parking I Lighting i ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By 9-> 0 0 Applicant all A.CJ,P Q Ca" n Property Owner S,. Property Owner's Address Contractor Contractor's Address License PROJECT ADDRESS aup 5 Parcel Number 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 Phone OQCc C Oro—). E13 �CQ� hone '5120 `t"v�• (00_11 Phone aQQ C•IC w Expires k1T1 E -mail bbC L n Lot Zoning Project Time Brief Description: 1 1 XResldentlal o Multi- family A Commercial Chock all that apply o New Construction VtlAN\ o Addition o Remodel o Repair o Demolition o Re -roof )Heat System o Other TOTAL VALUATION WS els Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17 94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be Installed? Occupant load Will afire sprinkler system be installed? Construction type Floor Areas Existing (sq. ft) Posed (sq. ft) Basement per sq. ft. 1 al Floor 2nd Floor 3` Floor Garage Carport Covered Porch Deck Shed Other I .Forms/Bullding Division/Bldg Permit.doc b0 /t'0 39Vd For City U e Only Date Received l -1t Permit It— 9 Date Approved o House o garage o other o tear off re -roof lay over one layer Meat pump o wood burning stove gas fireplace pellet stove o other of bedrooms of full baths of half baths 1 have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that It is y responslbillty to determine hat permits are quired,. and to obtain permits prior to i ng on p��ects. Date DI I I Print Name n nt lyt.06, Signature o Industrial I 9NIlV3H 2i3H1V3M 11V LLISZSb09ET 61 ZT '110Z/10/80 Clallam County Assessor Treasurer Property Details 60894 SCOTT RAYMOND S Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 60894 SCOTT RAYMOND SOULE for Year 2011 2012 Property Account_ Property ID' Taxes and Assessment Details Improvement Building j Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement 60894 Exemptions: Legal Description: Website version: 9 0 32.2200 Database last updated on: 8/1/2011 3:47 AM TX #8175 SUB LOT 34W Geographic ID 0630001034600000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNN 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 Address: 2010 W FIFTH ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID 3 Neighborhood CD 10955130 Owner Name: SCOTT RAYMOND SOULE Owner ID• 53567 Mailing Address: 2010 W 5TH ST Ownership: 100 0000000000% PORT ANGELES WA 98363 -1608 Property Tax Information as of 08/01/2011 Amount Due if Paid on. E. 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 i I Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 155442 $1560.19 $1560 12 $0.00 $0 00 $1560 19 $1560.12 Statement Details 2010 43722 $1493.49 $1493 47 $0 00 $0 00 $2986 96 $0.00 Values Taxing Jurisdiction This year is not certified and ALL values will be represented with N/A 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =60894 8/1/2011 - ~" ., "ti"''''''''~'''.''.' l~ f\1JI. ~~,.' .~J:'.t'....""w.....,",,,, .I,."u.aIIUC~ Property Address . ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning .' '. . Application valuation Owner SOULE, SCOTT RAYMOND 2010 W'5TH ST PO~T ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDJNG DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 U~-UUUUU8Ub Date 8/20/03 2010 W 5TH ST '06-30-00-1-0-3460-0000- RES ADDITION 29380 Contractor' DRY CREEK CONSTRUCTION' 316 W 14TH STREET PORT ANGELES (360) 452-7635 NEW 460 SF ADDNT TYPE V NON-RATllD SINGLE FAM &: CONGREGATES NUMBER O~ UNITS WA983631608 WA 98363 Structure Information Construction Type Occupancy Type . . . . . Other struct info .' . . . 1.00 -~~----,-W-~-------------------~----~-~~-~-------~---T------~---------~~_____ Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 404 SF BATH/BEDROOM ADDNT 465.25 Plan Check Fee 8/20/03 valuation' 2/17/04 ' 1? 186.10 29380 ~..... ~ -... \:) Qty UnitCharge Per Extension , 414.75 50.50 BASE FEE 5.00 10.1000 THOU BL-25,001.,50K (10.10 PER It) - ~,.-..... --.-:- -... - - - - - - - -.,. - - -... -:- - --~'- -----'-.- -.. - -.- - - - - - - - - - - -- -- - -- - ---.- -~ -~ --- ----..;- , . .. Permit . . . . Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT .",' "0 6t '~ (V) -:t . 54.25 Plan Check Fee 8/20i03 Valuation 2/17/04 ..00 o .. Qty Unit Charge Per ~tension , 47.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN -----~--~-~---------~---~---------------~------..;----------~----------------- perniit . . . . Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 68.00 . Plan Check Fee . 8/20/03 Valuation' ,2/17/04 .00 o Qty Unit Charge Per Extension '47.00 21.00 BASE FEE ' 3~00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Other Fees --~---.----------------------------------------------------------------.---- 4.50 Fee summary -----~----------~ Permit Fee Total Plan Check Total Other Fee Total Grand Total STATE SURCHARGE Charged Paid Due Credited 587.50 186.10 4.50 778.10 587.50 186.10 4.50 778.10 .00 .00 .00 .00 .00 .00 .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 commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, orif required inspections have not been requested within 180 days from the la,st 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 any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.1S {412002] I ,~f,' "~:)f!':"1~i" ,;-';~O~:t~:\~~:}tf;~,~:~~!i~r:):0:~~::~r'f~t;;f~~: J " "BtJ'll.niNGipEJ.iMIT INSPE~TION RECORD '~(,:,~.'i",(!:./:l};\/ ~;,:' " .'- ~,; e.>_ It; ~:" t~ ~".- CALLAl7-48 15 FORe BUlL pING rN.~F,'I::gU~~~~P!-I::~S~ rROVIDE A MINIMUM 14 HOUR NOTICE.1TIS.lfN.fY4 INSULATE OR CONCEAL ANY WORKBI!FORJn/flSPEC1'ED'"ANDACCEPTED~'!/~Ji>STfP~PldlT1NAJf9,~~ , ;:'-,''';' e"', " KEEP PERMIT CARD AND APPROVED PLANSAT.J():BSrfE ., .,;,"ti,";?;~4i .' .' . DATe cJ ACCEPTED ~'. -: ~. '.' F YES I NO I ;;itz'~':;;: d.' .:. ~":"" '. .. :~ ' . ." INSPECTION TYPE COMMENTS;ii"~"~?:;' O' ,c' "..' ". "'.,' '.', ,.. .... . . . .., :,'" . ..; '" ."; ,'< ,...i!:;. /'-;:~,"" ;">~:}-<,1~8" ... " . . I. FOUNDATIO!'C: FOOTINGS WALLS ].L.~ ~f' ''':z~';o3. deL .. O"'~ ~?.J'\L1..".;"'Y : SEPARAtt~ar.m;i ,,' '.. ,::;.. i'7 '1.1 : ,,_ ..;os. _ '/':"'~'-. . T',~ ,. '.~..::~, ". ./.:. . ,,,~""':' ..' ,'.,.' , .' . '," ",' " ..::. ,.. . '., .. ....; . <<". ....:.. '.. .- ....... ,.... . :- .,,;:::.':. .:' '<;",-"",1; " I. . .. . .', ... .'t.. "< .~* . .... . .. . ,f " ~ t'1 FOUNDATION DRAINAGE . ELECTRlqAl. ..... (LIGH"T DEPT) ROUGH.IN ...' . r~ ~. , '" - ,. . , I PLUMBING UNDER FLOOlt ISLAB " . .' . ""'., '. C,!, " . , . . ;, .....",' ;'....: . ,lpr2.? -03 .:.~, -c:-,. I" ROUGH-IN . I" .' "i,; WATER LINE .' . 'i,,'i.;;C' ,:IX !' . .... ~::'(:':it.~,. . ~" . ... ,,'., ":::' '! , .... ',.'. - -., - '",,1'.,. BACK FLOW1W A TER .. ~,i, ;. J GAS LINE .. .... . ,. .':' . L' Jt.L. AIR SEAL 'l\I!l- - ~t/*,: .;<t' ''','', -Y' " ..': . , '."'." WAu.s ".'. CEILING ...... ',. FRAMING . :> JOISTS I GIRJ?ERS SHEAR WALL. ..'., ;...;;.'. .~}~ .>'.. . ., ~. ~~.." '"" , .'. . c'L.. ...,.,. ,:tft."', ~; , :'f' ~e . .- '. . > WALLS/ROOF/CEILING tt1;-:-'?.I!'o3 JLL.. DRYWALL, .. ... .,,;i ;>:> ('v.. T.BAR .','. Xc ' ': ., . INSULATION .......; . ,;. '.' '. .. SLAB' ....... . ,., . ...<i ");..1 'P;"i~"l)> 'sL.L.- WALLi.nooRiCEILING): ... ...,............ -:1 T ,.... I. MECHANI~L:' -,' ~::' . 'HEATPUMP . ',. ".i WOOD STOVEl PELLET I.CHl~ HooDI DUG1'S " ,ii'.. ,.,," ...,'. '. ,:;., ,,' .. . , .: '>~}' :,'j' ,.;;: "- ... . . . --. ....., .' .- . ., . ..".' . ; ":' " ,.i~ . '.. . -- - I: .' .' ... . " ,_. .. . PW UTILITIES 1 SITE WORK "(EngineeringDivislon) SEPARATE PERMrrt#.s: " '/' .... . ..... WATERLINE 1 METER: SEWER CONNECTION SANITARY STORM 1\' ". . . .' ':~;'. i . , . .. -" . '. """ SEPA: " PLANNING DEPT. SEPARATE PERMIT"",; PARKII'lGlLI~I!'n.~G .. ,," ,; ESA: LANI>SCAPIN6':" C;,,' w'''~'''i,''';';'i..,>H>)1'' i.i!' ""::""i.Sit.o~t.~ .....' .. ... I...... ; ....,..;,'",i':!Hiii ;jJ*I.;1.J1'ND;1l'<1SPECTJO~.SRE91.1IREDJ1Jl'OR T~ OC~~,ff\~g-~~;'~'ili,. ~,.:J .. .... i:" '..":.:l., .';~;v; , RESIDENTIAl." ':':~;~;lJ~~:~";nA~;':'I!i1;VEs ........ NO.,' COMM:tR(:I-ts1>-,v,;:t I>D~'ff" 1:~./~Cf;:~trElf .: 'i,".\'/ "f""; ".+' ... Ii:} ..,,'t'....'.fr'/'j;,.+;,.YES,t". fi NQ" ELECTRICAl.. L1GIHOEPT.;' . nh .M14"3~i ~~ ;:: .' .. ' fhf~fH.' !'i"';, ",C(:'?I~;~?;. 'i:'''''' CONSTRUCTION R.W.I PWI CONSTRUCTION .1\.W. ... ...... .. ENGINEERING 417-4807 .... PW /ENGINEERlNG" FIRE'.. .. . 41;7-4653:" '!Vi' . ...:,,'~ FlRE'DEfT.~ .......... PLANNING D.EPT. ...., 417~47~()' .~. .... ..' PLANN.NG~EPi.;"., BUILDJI\IG/,j;*f::, .....417-48IS " BUlLDiNc3t';"- .. :" ,<*."'.,,,.,;;-. -. . ',,: ......, . " ,'.;,'.J' ..' ""," ...... "':, ;i' ,;~' ..":., ." . " ,...........,.... .: ~k,.:.~:. :'::~~)~~~{::~~~ '" ,~~'" ~;" ,i-.';,>. ,~;! .. < , ,~ '. ',. . .. ,.' .-"/:;' ','_! , ..' ~ .......'!i" ~~ ~ ," I .. . _r ;S.. 'S .~~. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUn..DING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number 03-00000806 ~age Date 2 8/20/03 Separate Permits are required for electrical work, SEPA, Shoreline, E.SA, utilities, private and public improvements; This' permit becomes nuUand vo.id if work or construction authorized is not commenced within 180 Clays, if co'nstruction orwork Is suspended Or abandoned foraperiodof180 d~ys after the work ,as commenced, orif required inspections have not been requested within 180 days from the I~st inspection. I hereby certify that I have read and examined this application and know the sa!11e to be true and correct AU provisions of lawsan~ ordinances governing this type of work will be complied with whether specified herein or not. The grantingofa permit does not presume to give authority to violate or cancel the provisions, of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\II02.IS [412002] .. BUILDING PERMIT INSPECTION RECORD " CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOU~ NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WO)U( BE.FORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION; KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPECTION TYPE DATE I ACCEPTED COMMENTS I ' YES NO FOUNDATION: FOOTINGS 6/-"" -~ J.~ I WALLS t!:j-Z(;" t> ~ _\ LL. FOUNDATION DRAINAGE lo/?$It.:>~ ~ L..L- ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE , BACK FLOW / WATER AIR SEAL , WALLS . I _I t 1 1_ CEILING , I ,..,. , '1- FRAMING JOISTS / GIRDERS SHEAR WALL ; WALLS / ROOF / CEILING Jo/zllo?' ..iL.L.. DRYWALL , T-BAR INSULATION , SLAB I I WALL / FLOOR / CEILING IIOI2'YD5 IJLL- I , MECHANICAL HEAT PUMP \ WOOD STOVE / PELLET / CHIMNEY '. HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT "'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM ~ PLANNING DEPT. SEPARATE PERMIT "'5 SEPAl PARKINGILIGHTING ESA: LANDSCAPING " SHORELINE: \ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE , .. RESIDENTIAL . DATE YES NO COMMERCIAL DATE ACCEPTED " " YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELEcTRiCAL . . LIGHT DEPT CONSTRUCTION R. W./ PW/ CONSTRUCTION ~R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 'f' PLANNING,DEPT. BUILDING 417-4815 17 -_5'.. ~ -~/ / BUILDING PREPARED 10/23/03, 12:28:34 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 2010 W 5TH ST DRY CREEK CONSTRUCTION SOULE SCOTT RAYMOND 06-30-00-1-0-3460-0000- 03-00000806 RES ADDITION SUBDIV: PHONE PHONE : (360) 452-7635 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/23/03 JLL BUILDING FOUNDATION FOOTING 9/23/03 AP Foundation footing Jim Hill 461-2474 BI2 01 9/25/03 JLL BUILDING FOUNDATION WALL 9/25/03 AP Foundation wall Jim Hill BL3 01 10/21/03 JLL BUILDING FRAMING TIME: 17:00 10/21/03 . BAIR 01 10/23/03 J L BUILDING AIR SEAL TIME: 17:00 BLFD 01 10/23/03 J L BUILDING FOUNDATION DRAINAGE TIME: 17:00 Roof drains Jim Hill 461-2474 BLI 01 10/23/03 ~ BUILDING INSULATION TIME: 17:00 insulation Jim Hill 461-2474 PAGE DATE 4 10/23/03 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/25/03, 12:39:32 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 9/25/03 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2010 W 5TH ST DRY CREEK CONSTRUCTION SOULE SCOTT RAYMOND 06-30-00-1-0-3460-0000- 03-00000806 RES ADDITION SUBDIV: PHONE PHONE : (360) 452-7635 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~~~--~~----~/;;/~;----;~~-------~;~~~~~;-;~~~~~~~~-;~~~~~;------~/~---------------------------- 9/23/03 AP Foundation footing Jim Hill 461-2474 BI2 01 ~/25/03 LL BUILDING FOUNDATION WALL Foundation wall Jim Hill -------------------------------------- COMMENTS AND NOTES -----------------------------------___ PREPARED 9/23/03, 13:11:12 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 9/23/03 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2010 W 5TH ST DRY CREEK CONSTRUCTION SOULE SCOTT RAYMOND 06-30-00-1-0-3460-0000- 03-00000806 RES ADDITION SUBDIV: PHONE PHONE : (360) 452-7635 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 ___________'/"/')I:I~------~~~~::::::~::~::, N"" --____________________________________ 01 BUILDING FOUNDATION FOOTING r~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: ..9 It' /6 :3 Permit#: ebb Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Uyou have any questions, call (360) 417-4815 Applicant or Agent: 0\1"'-" \-\\ \ \ Owner: ~~c.o rr Sou l.e~ Address: Z C) 10 vJ 5-1::b Phone: 452.--' h"35 Phone: 2-i '5 l 68"1 I City:J=tft- ~ lfJA, Zip: 9A3b3 Architect/Engineer: Contract~ Q~\< ~"S+, Address: 3lb lA.J 1L.\ ~ PROJECT ADDRESS: 20 10 "'-" s tb LEGAL DESCRIPTION: Lot:1j...+ 8/7.5 ~~k: i-OT ELf v1I Subdivision: . CLALLAM COUNTY PARCEL NUMBER: Ck:J'3c:co 10 3Y 600000 Phone: DR~~R~. I I State License #: 0I"'1"Z. ..), Exp: 1...\ Zb 05 City: Pd+ P,~-e1z.s vJA. Phone: 452.-1b35 Zip: cr83b2.. ZONING: '.1 Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: .""p,Residential 0 New Constr. 0 Re-roof . D' Multi-family 'a Addition 0 Move o CoinmetCial 0 Remodel D. Demolition o Repair q<Sign .BRIEFopESCRIPTIONOF THEPROJE(JT:. . ...i'dadrF,on . .ek..... ~-teir' City: . g,St()X~.. g.Garage D;Deck ....q,..PJh~.l': Exp. Date: SIZENALUATION:I~. /.;;) . . 2.9 -seO -::! 04 SF. @ $ 2<1 ,38E> /SF!.~$.:1 a 1 d SF. @ $ ISF. =$> SF.@$ ..../SF.""$:;.. TOTAL VAI"U1\.TION' ...l"GG!, 3cnO MC # . ~~:~"'>)':':',' ~;;: ,,'oJ ,.-,"./"<-_.,- I . ,".' ,. ""..,,< COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: COnStructionType: . . 150 ~7S: .. 7~/<t L- 6L;;;?77u No. of Stones: '3 LotSlZe: liZ-SO EXlstmgSq.Ft. ~ . &ProposedSq.Ft._~ \ ~_ =TOTALSq~Ft.. - 7, Existing lot coverage ~ % & Proposed lot coverag~% = Total lot coverage ~41,. 6 % -. I 1 APPROVALS: PLANNING USE ONLY: P'LAN: tj1t::. BLDG: DPWU: ~ . ESA.JW:etland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: FIRE: OTHER: - Bm~DING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply:with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted'at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition): No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits rior to work. T,IFORMSIAPPS\B,;W""""miO.wpd Applicant, 6 \:jW Date, e; 5 \ 0.3 1 ,j I A'17f,b PREPARED 12/05/03, 12:27:56 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 12/05/03 -) 2010 W 5TH ST DRY CREEK CONSTRUCTION SOULE SCOTT RAYMOND 06-30-00-1-0-3460-0000- 03-00000806 RES ADDITION 01 9/23/03 9/23/03 9/25/03 9/25/03 SUBDIV: PHONE PHONE : (360) 452-7635 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION DRAINAGE Roof drains Jim Hill 461-2474 BUILDING INSULATION insulation Jim Hill 461-2474 12/05/03 ~LL BUILDING FINAL Jim Hill 461-2474 -------------------- --------------- COMMENTS AND NOTES --------~~~---------------- tp~ \hk- ,()~. :d~ , ~~ ~ ~'^ \(}t~~ ~~y. BL1 BI2 BL3 BAIR 01 BLFD 01 BLI BL99 01 01 01 10/21/03 10/21/03 10/23/03 10/23/03 10/23/03 10/23/03 01 10/23/03 10/23/03 JLL AP JLL AP JLL AP JLL AP JLL AP JLL AP BUILDING FOUNDATION Foundation footing Jim Hill 461-2474 BUILDING FOUNDATION Foundation wall Jim Hill BUILDING FRAMING FOOTING WALL TIME: 17:00 BUILDING AIR SEAL TIME: 17:00 TIME: 17:00 TIME: 17 :00 r '., ~ <0,7"/ " ;;'~~::':~'S~R(;";';;G~"~?:~Y,"'/>?;:-',:':;: .,-,:C','t',1fiil BUlLDINGPERMITINSPECl10N RECORD CALL 417-4815 FOR BUILDING INSPECfIONS.PLEASE PROVIDE A MINIMUM24 HOUR ~OTI(;E,.lTisinvfAfrp.gLT(JCf!,ygl1. INSULATEpR CONCEAL ANY WQ1l,K.BBFOREJNSPECTED AND ACCEPTED. POST PE!WIT INA:CO-NSPICUO~L(:)(;^TION. KEEP PERMI1" CARD AND APPROVED PLANS ATJ9BSITE : .: ,. -""""" > '3 '.' "' :. , .,-,.. I INSPECTION TYPE . DATE ACCEPTED , .COMMENTS : ..: . I YES NO . .' ":" ," . FOUNDATION: , . FOOTINGS WALLS FOUNDATION DRAINAGE .' . . . ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN . I ':. I . PLUMBING ,. UNDER FLOOR! SLAB ROUGH-IN . .' WATERLINE G~L~ . 8ACKFLO;WIWATER .. " ." '. .' (~SEAL :" ..' ...... . ~~J,.S . ,:kEIiINci I I . : . , FRAMING '. JOISTS/GIRDERS I:.sHEAR WALL ).wALLS I ROOF iCEn..ING ..' " ',c } ~RYWALL T-BAR INSULATION SLAB I WALL! FLOOR! CEn..ING I I MECHANICAL .. . HEAT PUMP . WOOD STOVE I PELLET I CHIMNEY . ..' , HOOD I DUCTS . PWUTlLlTlESI SITE WORK (Engineering Division) SEPARATE PERMIT #'S: ." WATERLINE I METER SEWER CONNECTION SANITARY STORM . PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKlNGlLIGHTING ESA: LANDSCAPING .' SHORELINE: , : . ',' FIN~ ~S.p~()NSREQmRED PRIOR TO ocqJP~g~E . f RESIDENTIAL DATE .', "YES NO COMj\I~CIAL . DATE ACCEPTED . : YES, .NO , ....'- ....... .. /;';1103 4.,/7 Ei..EctRIC:AL '. . :> ELECTRlCAL~LlGHT DEPT. 417n4735, . . " . -uc. LIGHT DEP'F '. . .. -":" CONSTRUCTl8N It. W.I PWI CONSTRUCTiON"- R.W. ENGINEERIN 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. : . PLANNING DEPT. 417-4750 . .' PLANNlNGp~. ... BUILDING 417-4815 BUILDING c.-f {,; ,- ("'J ~ (.J " ,..... f'~ T:\PLANNING\FQRMS\II02.15 [412002) ....~ /' . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 Site Address: ELECTRICAL PERMIT S'ft.. ~ D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT D BASEBOARD KW _ ;gI FURNACE KW ~ !j'l HEAT PUMP KW ~ D FAN/WALL KW 1i: RESIDENTIAL b COMMERCIAL D NEW CONSTRUCTION D REMODEL E!' ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D TEMPORARY SERVICE Details/Description: K~ ell. s4// ~ /:tAJ ~ ~ f /rk /l::L c / /----/'" PERMIT NO. _ -s-- </S-h 0//~/Y(,. DATE Phone: Sq. Ft. D RISER D OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D1l15 D3l15 SERVICE SIZE FEEDER SIZE AMPS AMPS &~t(/ d/~, . W.S. No. SERVICE SIZE CAPACITY: D O.K. D NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. DO.K. to co~rv!ce 11ltvtfl,.Final O.K. ;3 I ~V Site Address: {; Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. If ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ (i 30 Elef\rlCa\ Inspector PermIt Fee . WHITE - File by address PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. GREEN - Top: Meter Dept., Bottom: City Hall ......... 1 If . / ANGELES . , "VBThrrm f IIn accordance with the City Ordinance to regulate the installation. extension. or repair of elec- ill equipment in. on, or about any building or other structure in the City of Port Angeles. per- Ision is hereby granted to dO electri2.al work as listed below. fdress .....;;;.?l.l.Q......{--c..::=:m.~:.:t;{.uu.uumn.unn.....u.um Occupancyu~:~::n~..,.,,,mum.u.....u.m.u / IX 0. . in I' Jwner m___~'t-:!~_':;,;'E::::"':.._J-:_~_._~-::..m;"-:_~...t__~~.:=:~.m_m_ Tenant...........-....u.mnmmm____nnn___...._......mm_h.__... / . Wiring Contractor ..m..,.~.~.,'=~.d:"'.~m.mu..uu.nu...uuuu Bymuum.mm..uuun....umu.umnm..u..uu....n.u.. j S- LIght Outlets.n.....____.......................__.... '70 /J .. Receptacle Outlets._..._....................... (p ::::, ::..........:....Z::~:.......................u. / Water Heater: ./ 'I,~ KW.mm...uuum...mu....u.........m.. -, "'- ~ ;.s (.. fc"'i 1.-" ' Heat: KW...._._._._...._,.!__...:.__~..h_._nn__..__.__ Motors: size. volts and phase: / ,f!,.vr- ....;'i;V~;;j;......................... h../h._.__n.n__h..ij"._____..___nn_.....___....... ELECTRICAL PERMIT N? 16449 .~ .... '';> . ,,', ,_ / A' . J ;" r/ ''', /' / Port Angeles, Washlngtonm.m._'m.mu_...m.....mm...u.m.mumum. 19umm .J''-J:J /'*J .Y;..... Service, volts .t:::.;........~.....~.......':::.... ? . No. wires ..__....~..........._............._ .Armored 9ab1e ..------...--................ SI I ~;"''''! "'~~A>~.A ~on.MetalUC ...............................-. ze w res...__...__........................._.. . -" /.\ .,t'hj C.J.//r Knob & Tube..................m..._......._ Muin fuse m..Z.~......~......m._........ ('!..7/- Enclosure .........__...........__.....__.__..... Type at WIring: Rigid Conduit ..............u.............. Metallfc Tubing ._.........m............. Type of wiring; Entrance Cable ...__.mm..____ Raceway ......._......................._.__._ Circuits, LlghtmL.q..........__............ . ", /'::L . UtIlity ..........'--...._......................... t;. Heat ____.__.....L"........................._...... .:2 Range ............................................. ... Water Heater ..;;;l.....__................. Motor ..._........................................ 'Dryer m...____~...._........__..__.____...__._ Rigid Coudult ................. Meta1l1c Tubing m...mm. Current transformers: No. & Size.....__.....__............_.__......... Ser. No........__...........__.....______............ Ser. No...............__.........................__... Furnace ..........._................._............... "( y' ....., Total ~ad.....__.......__....__n_.... Ser. No. ................._.......................... Total .............__........................ Remarks: __n..n.~_'o_:!"'<~:-::~.__.fir.:~,::.f.~tlLn'.n..n........_.........n.......__.................n.m.ummm.mm..mmm... " Ser. No.._______............__........................ .;:~~--~:~.m....--..---.--.....--m.;~:~:...~:::;~~..........u....m..u...---.---~4(;..;~.:.L.~:~..:..~~:.....m~:lmm. $m.__m.hnn_._..~n.nnmm__. NOh__~_m____.__nm_______ . By u..~.~::'n[~___!!m~=:_::'~m~::__!.:!.m___~~::!_=--"~~::1._",' i .. .. 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER' WHEN READY FOR INSPECTION '" -- ELECTRICAL PERMIT N? 16449 Address..................................................._..__................................n......_...................;..................Date..............._.._.._.........._._...._................. Owner __................................._......____...._._......_..............__.......................__.........__........... Tenant.....__.__..____..__........____________......__...____....__._..__. Wiring Contractor ........................................................................................................................._ By.........................................................._... NOTICE-Current must not be turned on untl1 CertWcate of Inspection has been issued. It work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. , ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY 'It DfttelRo:c: Permit#: Date Approved: Date Issued; ,- The Electrical Permit Application must be filled out comDletelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 fiT€- #= BOh Fax number: (360) 417-4711 REQUEST INSPECTION 0 Owner or Elee. Contractor Agent: Phone: Fax: Property Owner: SCtJTT StJULE. Address: 2.1> I t:. w J;'~ , Electrical Contractor: HALVtJ RSEN oS Address: ?- 44:2 PIA~ R 0 Phone: City: p()RT .4A1&G.U5.5 tlALVDEIt"'14a. EI.ECTIr/C License#: City: PiRT AN&FLES Zip: 9B363 Exp: 2./;311I"1 Phone: '157-7IlIJ"l Zip: 96:JJ ~ 3 INSTALLATION WIRED BY: 0 OWNER .P!'ElECTRICAl CONTRACTOR Credit Card Holder Name: J.lIILVDRSEW'.s litLE"CTRJC Billing Address: Exp. Date: / , Zip: !JR ~ to "3 VISA: V MC: - - Credit Card Number: 2."I'IZ P/./1CJS" RD ~/ F/LF City: PtP/fT RNt:J::"LI5S PROJECT ADDRESS: 2"){). w .t'11. sr' Check ;ill that apply: 0 New :i '4 .~.- v.. ( ~ TYPE OF WORK: ~Alteration/Addition jl(Residental 0 Multi-family o Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: .3 DESCRIPTION OFTHE ELECTRICAL PROJECT: J$EDRlJbM lIiJ"D/J/I>A/ , 8.;?iHNrJOM /i'$J/I1"V/:t... o Low Voltage 0 Telecom. 0 Sign Electrical Heat Load Additions PERMIT FEE:/.q(,. 7[> Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW KW TON LRA -KW- o Overhead Service D Temp Service o Underground Service Voltage: /.e"Je4o Phase: ~ 1 0 3 Service Size: 4t)()>!! Feeder Size: PAMC 14.05.060(8): For industrial, commercial, & residentiai projects larger than a duplex, a one -line draWing of the Electrical Service & Feeders, building size (sq. fl.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants res bility to determine what permits are required and to obtain such. t2L C~ 1"/;31,,~ AI0\ t~ 4J ~H~ r~" ~ AJ.~. A-~\)l-C c6\J ~Lt-k:~-c ? Jk:J Date: /.p//;/n /~/;) h3 , Credit Card Holder's Signature: Owner or Elec. Cont. Signature: C:/ELECTRICALPERM IT APPLICATION Date: , - (/ G , , , , UV~- ---+-J B ~, l'1b: , 200'1 'I.-'\.cjo 1937 ...FIFTH -1...1.1...-.1-1...1-...--......-..--....... ST ^^^~^^ ":;:::::J 'Mr"~~"'- I I I " " " I , , , , I , [b' 1~ 6HF x.. ~ <1 , ji'138 If" ,L - I!:J- I -7 I' I I, I I I I I I , , , , , , ) I / , ~j ~" 12010 , I , , , '[ 2016 i I I z-' I :1 I "1 I ! I 1<1 I> 'lLJ 8.5 .(:J / / " " [c ~ -, ==== \ \ , , \1 I , ~1 , ,~ \",1:\- " / \ \ \ [-=J ~~! \ 8" , , I I I I - ] 5 C 143 100A c/o F65K 516 ~" 01 L o 14 Cl~; ~ ~ , J , J I 1'1 6 203'1 2017 2027 1'135