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Home My WebLink About707 W 4th St - Building ~f'ORr ""'v. A.,4.0~~ ~rra""' "-~ ~ 'to>:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ,'~ ~~.~ I : - J41 ,Iff' Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000089 Date .838246 707 W 4TH ST 06-30-99-0-0-9820-0000- RES ADDITION 3/16/04 PUBLIC BUILDINGS & PARKS 11160 Owner Contractor WILLIAM/JOANNE LEICHT TRUST 707 W 4TH ST PORT ANGELES WA 983632245 OWNER Structure Information Construction Type Occupancy Type Other struct info 180 SF GARAGE ADDITION TYPE V NON-RATED GARAGES, CARPORTS, SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 10.00 V-N 1.00 1614.00 17424.00 180.00 1794.00 1. 00 ~ (:) ~ Permit Additional desc Sub Contractor Permit.Fee-- . . Issue..Date Expirati~n Date ELECTRICAL NEW RESIDENTIAL RELOCATE METER STRAITS ELECTRIC 87.40 Plan Check Fee 3/16/04 Valuation 9/12/04 ~ .00 o ~ \~ Qty 1.00 1.00 Unit Charge Per 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER 11.1000 ECH EL-METERS REMOTE INSTALL Extension 76.30 11.10 Other Fees STATE SURCHARGE 4.50 CA :'\ Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87.40 87.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 91.90 91. 90 .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"of180days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection~'l hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and or.dll1ances 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERiOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRiCAL - LIGHT DEPT. 417-4735 ~';or 0,", ...&<0 ELECTRiCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMSllI02.15 [11/ 14/2003] d; VOR-,~G' A.....~~ "'r\Iai'" L -=...r ~ ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 . ~"'.i1!fl:.y'I,.... _.u., ,,- _ T '."" f',"":'" 04-00000089 Date .838246 707 W 4TH ST 06-30-99-0-0-9820-0000- RES ADDITION 2/19/04 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 peri()d.9t180 days after the work as 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 or-dinances gov riling this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give auth Ity to violate or cancel the provisions of any state or local law regulating construction or the performance of construction~ / ./.. / / Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation PUBLIC BUILDINGS & PARKS 11160 Owner Contractor WILLIAM/JOANNE LEICHT TRUST 707 W 4TH ST PORT ANGELES WA 983632245 OWNER Structure Information Construction Type Occupancy Type Other struct info 180 SF GARAGE ADDITION TYPE V NON-RATED GARAGES, CARPORTS, SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 10.00 V-N 1. 00 1614.00 17424.00 180.00 1794.00 1. 00 -------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 232.75 Plan Check Fee 93.10 IssueHDate 2/19/04 Valuation 11160 Expiration Date 8/17/04 Qty Unit Charge Per ~- " BASE FEE 10.00 14.0000 THOU BL-2001-25K (14 PER K) Extension 92.75 140.00 -------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 232.75 232.75 .00 .00 Plan Check Total 93.10 93.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 330.35 330.35 .00 .00 "'. X' Signature of Owner (if owner is builder) T:\PLANNING\FORMS\l 102.15 [11114/2003] ~ o J ]I 7 )> g ~ \ -h ~ ~ ~ ;, \ -I:. +- 5 Date BillLDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS A.. - 9-'1-01-/ J )-. WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING <3-'i-Ot:-[ ': I. J-. DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I I WALL 1 FLOOR 1 CEILING IJ-J - / - OH I i 1. MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 rl-rw~OH \1. BUILDING T:\PLANNING\FORMS\l 102.15 [11/14/2003] n o 3: 3: 01 Z >el Ul ~ a Z o >el 01 Ul III III t--< t--< \0 H \0 o 0 H H III III t--< t--< W H o 0 H H .J::>of::>.fi::>.WWNN .......................................................................... 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BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: 2.. -l- cj 'j Permit #: 0 '1- 89 Date Approved: ;;Zlt?--- j I Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: (~ill A IlL\. 5A-vvLc W ~ rl1. 57: Architect/Engineer: fA). 1. / A./f) P. ElL ( Contractor ~c.u Al <? ~ State License #: Le\c.. "', . Phone: ?II? -0& CJ '-I Phone: S~~ Zip: :7836 3 Af~ L - (0//;;., Owner: Address: 767 Exp: Phone: Address: PROJECT ADDRESS: /t<J? (L' LEGAL DESCRIPTION: Lot: 13 CLALLAM COUNTY PARCEL NUMBER: City: ~r4. Sf Block: 7& t:!J G:3 0 99 CJeJ ? & 2.....0 Zip: iC-s 7 ZONING: Subdivision:sH-T Plll-T86~C;- 7V/7 zS- Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: )&.. Residential 0 New Constr. 0 Re-roof o Multi-family )il.Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: /6' / ~'~IZ-A 69 i'A--f.l [) ,-p:, J City: Exp. Date: o Stove )(. Garage o Deck o Other SIZEN ALUATION: /Bo SF.@$6:(.oo /SF.=$ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $ II j be? c/u J / /6 tfJ. ou , COMMERCIAL/RESIDENTIAL: Occupancy Group: ~? Occupant Load:L. Construction Type: -r ~ e No. of Stories: L Lot Size: /7, L/Z~ Existing Sq. Ft p-/I,I, 't{ & Proposed Sq. Ft. /l~ 0 = TOTAL Sq.Ft. J 79'( Existing lot coverage ~ % & Proposed lot coverage ~% = Total lot coverage / 0 % a IV" ., ',,/6 t; PLANNING USE ONLY: APPROV ~ PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING 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 Pennit 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 pennit application and construction plans are submitted. All other pennit fees are due at the time ofpennit issuance. EXPIRATION OF PLAN REVIEW: lfno pennit 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 a understand that it is my responsibility to determine what permits are require , it)j , an yt:; ~ - 180 Applicant: . /-10 US E... 1119 correct. I am authorized to apply for this permit and at 1 must obtain such permits prior to work. T:\FORMS\APPS\Bui Idingpermit.wpd c: rlriz.JJ 6 E... ~ 0 Ilt tier-v Date: ~/~~I N 199;! . 'N!:) OYlfO N!/!q!suoosa, oYloq IOU /lvyS aU!MIUp/dJJIU srYlfo om 'OYIO ,(uy '""."oo.md puv om UMO $I! ,of sa[Oauy j.lOd fo N!:) oYI,(q p.,npO-ld S! aU!A<1up/dvw s/Yl 'uO/ldF'saP [va.[ v STJ pom i1lf 01 popuO/U! IOU S! dvw s/Yl dvw VtJ.lV S~ , "' "' "' >-3 'C :;;:;;~8E; 0'0 r< r< r< "' ~ H~ , H '" H '0 'O"'ZZtJ >-301 , , L'ntIj>-3~ ",'0 , Ul H 01~~01 P , 0 0 0 10 ..; Zr< PUl O~ , H H H ~. OUl ...,01 , >-3 tJ 11 0; "' 0 '0 'C 01. "'. 0 , o~~ '" ~... , NN 001 >-3' , " 3:10 0 , N N 'Cco 00:>; -.J ~!::: , ...... r<010 "''''H 0 I ................................ O1Ul , , r< -.J Glo I 0 000 >-3>-30; O"'r< 01'" I .s::. oI::o.s::..a::. O101q OOH :>; r<- tJtJH 0' P 01 , e:; 0"'3: ... UlH 0"" >-3 '" H 0 , <-< :r: '-$~>Y ~ Z 0000 H I r' L'1't:lL' O1HGJ "'~~ Ul '-" I L' L' t"' UlZ >-3 , ~;g~ ~, '-" , 01"'01 '-" , Uloo , Nr< , H POO1 , ..; tJ , H tJoo L'ttt.s::.tttt-ittl ~tJl HO:r: O1CHC01C 0101 >-30>-3 HH....,JHHH gj~[:J H 0 or< , r<or< 0 , >-3 ::r:t:lot:l~tJ r<~Ul Z ~ >-3HO'IH>-3H >-3HH C zoz Z Ul'Ot:J Ul 0 ~G).t>(j),p..G:l '>-3~ >-3 0 01 H OH H 3: IOH '"<j-.J'"<j 00 HZ 3: CZ ~, 0 3:ZH ZUl 01 O1Ul !\:~~ ~ ~ Ul'C Z UlC '001 >-3 >-3r< HOtJ Z 010 Ul UlP Z"'P >-3 0>-3 >-3 I;) >-3 Ul >-3H ~ pH H 00 0 0 ~Z tJ HZ Z Z <-<>-3 Z Ul ..., pH 0 C 0 'O'OUl 3:0 >-3 r< 0 551iJ 01:>< 01 ~ >-3 , UlO1 Ul >-3 Z ZZtJ >-3 0 , O101H r< I;) <: Z r< H H ~ 01 Z ~ Ul r< '0 "' 01_ ~ H 0 ~~ >-3 :r: H Ul '0 3: 0'0 PP >-31;) 0101 ... , 0 H , 0 ...'" lls.;J. r1' FEE RECEIPT NUMBER eoP) I 5H a,pJ Av"- CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A I~Of? PERMIT NUMBER . TOTAL FEE 30~ t.-S CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ~A" 7 Site Address 11 C RRECT ADDRESS ISlESPONSIBILlTY OF APPLICANT PERMITS WITH WRONG AfP~7SSES ARE CANCELLED / J Owner 6/ I'J V G. Ep I 'r,t-.S 0 ''xi. Installation By ~U 'i./I ~ t L ~ L- Owner's Address 707 tv, '$I Installers Address CO -i Day Phone Installers Phone Sf <:r hEN, /01" Application is hereby made for Permit to install Electrical Equipment as follows: I ~ M~ r, . \( 4- ALlr xJ'ivJ $.l/.J'L -/.......)l) ~ S''U-u \ CL I}l NO OC~NCY OR USE ESTABLISHED UNDER THIS PERMIT ELECTRICAL PERMIT ONLY . , 11 ,. .Ot/;' 4 I,)) ,z::u -' ,A./.At: i Wiring Method , -, , I AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PEA 100R FEE USE OF CIRCUIT PEA 100A FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN LIGHT I / ~ 50 VOLTS OR LESS CONVENIENCE --r-t;A ~ 1{ 1717- I MOTOR rll#' CONVENIENCE MOTOA APPLIANCE ,11 . lit...... If) "~WR . DISHWASHER III/I~I " FIAE ALAAMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKEA A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code, Date Application made ,19 By . Date Permit Issued CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of e ity of Port Angeles. 01 ~J!r 1/f; /i7 ~CANSA PROVE ,... .' ,"', ' Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work 'must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS / , S u-./~.;( !{v,.-.L' ,>-S::-h4-t'1'1lvt I , / ,.u ~./fJu",~...1- . . z o a: <C :E ~ :I: I- Z I1J I- ~. l- e z e c A 91/~ jF7 '7 h-'"~ O..K fJ ( 'h--e. lo/Slf 7 ,"" O.K. FOR COVERING /O/;, If 7 ~rf-, O.K. TO CONNECT SERVICE J..:J W f. 7 .V'~ ....,.N~ . I .~ 61$~ FE RECEIPT UMBER CITY OF PORT ANGELES DEPARTrYlEN-j' OF LIGHT APPLICATION AND ELECTRICAL PERMIT AJ.;;l 07 PERMIT NUMBER . TOTAL FEE J'~ /,fj CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY Site Address E CTRICAL PERMIT ONLY NO OCCUPANCY OR~ESTABLlSHED UNDER THIS PERMIT ~ " . A 70 tu. t C RR T A DRESS IS RESPONSIBJLlTY OF APPLICANT PERMlTS WITH WRONG A~ES ARE CANCELLED ( b (I<)D IV Installation By I/f..IlJ-ovJ C ~(> L- Installers Address Owner hJ<z- Owner's Address 1lrlA-r Day Phone Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: '- - ;J t-Cr,---/ Wiring Method AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PER 120V 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH . I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ,19 By . Date Permit Issued CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and accordin to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of t City of Port An~~A{ EC~ IT LIGHT /"Jt!3if7 By, r 'X I J PLANS PPRQ otify De artment of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report \.-1 (.~, . DATE OF VISIT -' /, ;\ REPORT OFINSPECTOR MADE BY REMARKS ELECTRiCA[ iNSPECTiON WIRING REPORT 457-0411 Ext. 158 INSP711J-- u'vz.. (/yJ' ~ IJI) APP;~~~................ DITCH .........~~ o .............. ROUGH IN/COVER.... .... .. .... 0 o .................. SERVICE .................. ~ o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 ADDRESS L , I , , CORRECTIONS NEEDED: )jEt/) gr;,/ifJ} jJiJ TPL,4- L- 7D , fr : Lot, f- A- r /).)11(.[ it .s ~ M 6iLoutJP ~d. /v~c..7z., (V's I , I " b/L., . - ~ .. \ " , I "r I I j I , I I I I I I 1 I' I I " ,,t O.K. FOR COVERING . ., O.K. TO CONNECT SERVICE FINAL O.K. '. . ., .' " . z Cl a: <l: :iE !!! :I: I- Z W . I- o Z o c . 03/12/2004 09:43 FAX 36045i4698 20D4/FEB/13/FRI 09: 10 ftj CITY OF PA BLDG DEPT ,. 'f... - 17("U G STRAITS ELECTRIC FAX No. 360 417 4711 I4J 01 . P. 002 ) ELECTRICAL PERMit APPLICATION .1'01 aJ'PDa.t.tn!Ie CJNLY -- -.. .....- -- TIe Elecb?CIIl Permit AppUcrti'an must. hit. filled OUI. oomnl...",. P_.lMlo or -'"' In...... lfyaLr __..-...... pIw&a Oaal ~u,. -41T'4735 'Full\lllll>er: (3~-417-47'l1 INSTAlJ.ATlON WI~ bY: r:I CNJNER lit l!U<crrRlCAl. CONTRAC'f~ ~c.rdHolderM.me: Straits Electric atrHngAddI . P.O. Box 2914. CredlfCanlNulfJber. OwnerOl'l:lel:. CuntracuAgent: straits Electric PIOOeJtv Owner. ~ ; \ I L.('.. \ '"' "'-\- Ad.......: -:f-0 -=t- lA..!, .., ~ s+-o Electric:ol COlllraclDr. s t r it its E l~ctr i c "''''t_: P.O. Box 2914 otf- B / 452-9104 """"'" ' 457-4698 r...: p~_ '-/r7-- oft1ot.! Zlfl: '1f3r..3 9/05 p~~452-9104 ZIp: 98362 Clly: C?n r+- A-..,. ~-" I.. <:: U........,STRAIE*O 1~ CIty: Port Angeles, WA "fYp1! OF WORK: Ctll!ck !!.IJ.lhat apply. D New ~llaldBnb81 D MuJtI..filmD~ 0 Commen:ial 0 Mal;lMe Home Sq.. Ft ~emol6 Miller - 0 DetacI\ed ga,age 0 HilI Tub D SWIm Pool 0 Septle Pump Nu_ at Cln:ull.llllddlld or 8IIe<1td: / PRo.le:CT 'IIIll~ ~~w. -4'\.-S..-\-. CIty: Port. Angeles. . WA &p. Oa~ - Z/p;98362 - - x VJSA:....::....- MC: P.C'\-. ~t.ar8IIonIAdcliti;;,., · ClLDwV~ DTMcom. OSi{ DESCRIPnON OF THE ELECTRICAL PROJECT; /e'EL.IJ~ e~./s~",Jc ZtJtJ If c/xC , ~~/.2 ;49?"P/2>........ 9" ?7)- /Y"~.&E=~~ ~U- -...-e.e6k///.2;-S ..- A 4-A7N"/ ~ L?zh::;4.~ Elattrical Heat L--" Additians and ar. SubtlillC:ttans CI Baseboanl Q Fumu<:e o Haet Piln\Il :J Fan-WaU _KW -- KW- -TON -KW lRA -Smvlce InfonnaUon Eov " -Service c ServIce _ ds'llround SeI'iice VollBge: ~~ 1i:40 Phase: 1 0 3 S8tvleII Sll!e:"'Z r{J Feed~ Slul: P'/ ~ , hereby certIfY that I have TBfId and ..xsminsd this applicsfion and know that same to be lTue and correct, and I aT. ~uthorized to apply for this pennit. I undenitand it is nat the City's 1f1gflI188POnsibi t petthits ~fe Rlqw-ed; it TernairIB the applicwJt$ responsibility to detennlne what pe".f'its ers required and to obtain 31Jf;h. \\ Credit Card Holder's SlgnatUl'1t: Jon D'i( ~)~\J\O~ ";"'~"'~_$i'_ ~CAl..PERMlTAPPUCAl1ON fINk'!- ;1t& .:I1z.kl ristie .Tucker Oat..: Data:,.3 -/2'-(} ~ PERMIT FEE: $ 87 LJ2..... f, ,.~' ~ cf e/_?A --,