HomeMy WebLinkAbout1213 W 10th St - BuildingPREPARED 8/30/11 8 19 00
CITY OF PORT ANGELES
ADDRESS 1213 W 10TH ST
TENANT NBA BRIAN J ANDERS
CONTRACTOR DAVE S HTG COOLING SRVC INC
OWNER BRIAN J ANDERS
PARCEL 06 30 00 0 3 0380 0000
APPL NUMBER 11 00000909 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 8/30/11
1
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
COMMENTS AND NOTES
PHONE; (360) 452 0939
PHONE (360) 460 8433
TIME 01
10 07 AM
4708
DUCTLESS
MECHANICAL FINAL
August 25 2011 9
BRIAN ANDERS 417
MECHANICAL FINAL
AFTERNOON
HE SAID HE LL TALK WITH YOU IN THE MORNING
TIME TO MEET AT HIS HOME THIS AFTERNOON
00
1pangrle
HEAT PUMP
PAGE 5
DATE 8/30/11
TO DETERMINE A
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Ductless heat pump
Owner
BRIAN J ANDERS
1213 W 10TH ST
PORT ANGELES
(360) 460 8433
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983629175
ELECTRICAL ALTER
191627
76 10
8/24/11
2/20/12
11 00000922
468654
1213 W 10TH ST
06 30 00 0 3 0380 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
EXTRA MILE TECH
418 N RACE ST
PORT ANGELES
(360) 457 0198
RESIDENTIAL
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 6000 ECH EL. ECH ADDNT RANCH CIRCUIT
Charged Paid Credited
76 10 76 10 00
00 00 00
76 10 76 10 00
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Plan Check Fee
Valuation
Date 8/24/11
ELECT LLC
WA 98362
RESULTS
/z»i
00
00
00
00
0
Extension
73 50
2 60
Due
r
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date.
AUG -24 -2011 09 27 AM E JANSSEN 360 452 2982
Owner Information
Name: 13 rL l
Mating Address: I ;)-I3
City; Pik Slate: v. "lr Z'y
Phone: =14.0 •j gy3i Fax:
Licensee l Exp,.
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 W/ Service Feeder
Branch Circuit W/o Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201.400 Amp.
Temp. SeMce/Feeder 401 -600 Amp,
Temp. Service /Feeder 601 -1000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy First 1500 st
Note: 35.00 for each additional 1500 sf
Signal Circuit! limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Muhl Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA Sys'em or !ass
Thennosiet
taliggan8=itant
First 1300 Square Ft.
Each Additional 500 Square Ft. or Pardo: c
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
w1
0 2
Unit Chem
5 119,90
145.50
I 204.00
262.20
372,50
1 2 60
73.50
2.60
92.70
110.30
148.70
167.90
5 95,90
138.20
Commercial 95.90
63.90
63.90
119,90
102.30
56.0(1
110 30
5 35.20
73.50
16110 30
_aged. -1
ECE
AUG 2 4 2011
0 Credit Car 1
bimlrreto
kZk c' Total
or
1
P 01
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Calf: I t
V 1 2 Single Family Dwelling Multi-Family or Commercial* Commerci Addition I Alteration I Remodel Repair"
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: :;1 3 /s1� rt.= r
Building Square rootage:
Demslptlon of above t
I
Contractor Information
Name: O m /Gg' TEGN e e-t.8(- reicei-
McltntlAddress: �r B Ntcwt RE1'a -G 4'r
City: j?„ z. ,Sire State: W {r Zip; Ca 3(
Fax: 44
License Or E xp. r_Rara r 97 Ph.
Loamy Multiplied by Unit Char
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 eleclrical contractor if above said property is for sale, rent or lease. Permit expires after sry +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.C. RCW Chapter 19.28 WAC Chapter 296.468, The City of Pori
Angeles Municipal Code, end Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
8lgnature of owner electrical contractor or electrical administrator Caeb :hnrh
Application Number 11 00000909
Application pin number 021433
Property Address 1213 W 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 0380 0000
Tenant nbr name BRIAN J ANDERS
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
DUCTLESS HEAT PUMP
Owner
BRIAN J ANDERS
1213 W 10TH ST
PORT ANGELES
(360) 460 8433
Permit MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit pin number 191486
Permit Fee 64 80
Issue Date 8/22/11
Expiration Date 2/18/12
Qty Unit Charge Per
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 983629175
Charged
64 80
00
64 80
RS7 RESDNTL SINGLE FAMILY
3305
Contractor
DAVE S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 0939
Plan Check Fee 00
Valuation 0
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited Due
64 80
00
64 80
00
00
00
Date 8/22/11
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 clays 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
V2eni 70(2,4,ro( LO ofe.4L,
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building 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
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
PLANNING DEPT Separate Permit
Parking Lighting
Landscaping
T c■r■c /Ri Minn niuikinn /Ruildino Permit
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 INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
FINAL Date S 30- Accepted by V.4 GlS Z.. —4
SEPA.
ESA.
SHORELINE.
Date Accepted By
Aug 19 11 09'32a
Dave s Heating Cooling
Applicant a t/-C S 1
Property Owner Js r ,4
Property Owner's Address I t 3 u- 4
Contractor 1)w -e_\s H 4-t. ry
Contractor's Address i) £o 413,
License PA- K G ExpiFes
Parcel Number
Proiect Tvoe Brief Description: )?esidential
Check all that apply
o New Construction
o Addition
n Remodel
o Repair
o Demolition
o Re-roof
XHeat System
o Other
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
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
ft.
Occupancy group
Occupant load
Construction, type
Phone
Phone
Phone
/o rb
E -mail
3604520939 p1
PROJECT ADDRESS 13 s f- f O±
Lot
For City Use Only
Date Received "6- 1 `f 1 1.
Permit* 11- qo9
Date Approved
loo �f33
Zoning
Multi family o Commercial Industrial
o House a garage other o tear off re-roof o lay over one layer
$.Heat pump o wood burning stove o gas fireplace pellet stove o other
cruc -tle.55
Floor Areas Existing (sq. ft.) Proposed (sa. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 3, 3o S c.°
Total footprint of structures sq. ft T Lot size sq. It Lot coverage ok
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 9k;
of bedrooms
*of full baths
of half baths
I have read and completed this application and know it to be true and correct lam authorized to apply for this permit and understand
that it is my resp sibility to determine what permits are required, and to obtain permits prior to working on projects.
Date I I' r Print Name 0 (4 i karma Signature h.e), f
T:Formslduilding'Divisionfeldg Permit.doc
Clallam County Assessor Treasurer Property Details 58979 BRIAN J ANDERS for Page 1 of 3
Clallam County Assessor Treasurer
Property Search Results 58979 BRIAN J ANDERS for Year 2011 2012
Property
Account
Property ID: 58979 Legal Descnption. LT17 BL 303
Geographic ID: 0630000303800000 Agent Code:
Type: Real
Tax Area 0010 PA 121 PORT ST CNTY 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: 1213 W TENTH ST Mapsco:
PORT ANGELES WA
Neighborhood. x ref Cycle 5 Res Map ID: 3
Neighborhood CD: 10955130
Owner
Name. BRIAN J ANDERS Owner ID: 10997
Mailing Address: 1213 W 10TH ST 'Y. Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -9175
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 08/22/2011
Amount Due if Paid on:
Click on 'Statement Details' to ex pand or collapse a tax statement.
First Half
Year Statement ID Base Amt.
Statement Details
2011 153605
Statement Details
2010 41891
Values
+1 Improvement Homesite Value: N/A
Improvement Non Homesite Value: N/A
Land Homesite Value. N/A
Land Non-Homesite Value: N/A Ag Timber Use Value
Curt Use (HS): N/A N/A
Curt Use (NHS): N/A N/A
Market Value:
Productivity Loss:
$708.14
$678.73
N/A
N/A
Subtotal. N/A
Senior Appraised Value: N/A
Non Senior Appraised Value: N/A
Total Appraised Value: N/A
Senior Exemption Loss: N/A
Exemption Loss: N/A
Taxable Value
Taxing Jurisdiction
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.
Second Halt
Base Amt. Penalty Interest Base Paid Amount Due
$708.07 $0.00 $0.00 $708.14 $708.07
$678.71 $0.00 $0.00 $1357 44 $0.00
N/A
Owner BRIAN J ANDERS
Ownership: 100.0000000000%
Total Value: N/A
Tax Area 0010 PA 121 PORT ST CNTY H2 L WMP
I Levy Code Description Levy Rate Appraised Value Taxable Value Estimated Tax
STATE SCH STATE SCHOOL N/A N/A N/A N/A
ICC GENERAL CLALLAM COUNTY N/A N/A N/A N/A
GENERAL
DEVDISIBLT DEVELOPMENT N/A N/A N/A N/A
DISABILITIES
COUNTY
LNDASSMT LAND N/A N/A N/A N/A
ASSESSMENT
COUNTY
TAX REFUND TAX REFUND N/A N/A N/A N/A
FUND COUNTY
VET RELIEF VETERAN'S N/A N/A N/A N/A
RELIEF COUNTY
http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =58979 8/22/2011
Application Number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
SPEER JIM
1137 W 8TH STREET
PORT ANGELES
3) 45 2773
Structure Information
Construction Type
Occupancy Type
Other struct info
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty
1 00
Other Fees
Fe„ summary
Permit Fee Total
Plan—Check Total
Other Fee Total
Grand Total
T• \PLANNING \FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
03 00000969
1213 W 10TH ST
06 -30 00 0 3 0380 0000
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
1500
Contractor
OWNER
144SR PORCH ADDNT
TYPE V NON -RATED
SINGLE FAM CONGREGATES
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
ELECTRICAL NEW RESIDENTIAL
Unit Charge Per
76 3000 ECH
76 30 Plan Check Fee
10/13/03 Valuation
6/09/04
Charged
76 30
00
4 50
80 80
EL -RM 0 200 1ST SRV FEEDER
STATE SURCHARGE
Paid Credited
76 30
00
4 50
80 80
00
00
00
00
Date 12/14/03
15 70
V N
1 00
960 00
7000 00
144 00
1104 00
1 00
Due
4 50
00
00
00
00
00
0
Extension
76 30
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 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.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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 I NO
FOUNDATION:
FOOTINGS 1 1 I
WALLS 1 1 1
FOUNDATION DRAINAGE/DOWN SPOUTS I 1 I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN M I I
PLUMBING
UNDERFLOOR /SLAB I I I
ROUGH -IN 1 1
WATER LINE (METER TO BLDG) I 1 1
GAS LINE I 1 1
BACK FLOW WATER 1 1
AIR SEAL
WALLS I 1 I
CEILING I I
FRAMING
JOISTS GIRDERS 1 I
SHEAR WALL/HOLD DOWNS I 1
WALLS ROOF CEILING I 1 I
DRYWALL (INTERIOR BRACED PANEL ONLY) I 1
T -BAR 1 I I
INSULATION
SLAB I 1
WALL FLOOR CEILING I 1
MECHANICAL y
HEAT PUMP 1 1 1
GAS LINE 1 1 1
WOOD STOVE PELLET CHIMNEY 1 1
HOOD DUCTS I 1 1
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER I
SEWER CONNECTION I
SANITARY I I
STORM 1 1
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING 1 1 ESA.
LANDSCAPING 1 1 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 V/0-5 /�y
CONSTRUCTION R.W PW/ L l/
ENGINEERING 417 -4807
FIRE 417 -4653 1 1 1
PLANNING DEPT 417 -4750 I 1 I
BUILDING 417 -4815 I 1
T• \PLANNING\FORMS \1102.15 [11/14/2003]
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
1 PLANNING DEPT
I BUILDING
:" '~;"'~~ :,>
:<?.rr:yOFPOR'r~ANGELES .
DEPARTMENT OF COMMuNITy DEVELQPMENT - BUILDING DIVISION
321 EAST5TH$TReET, PORT~GEI;ES,:WA 98362.
,;,
Application Number
PropertY'Mc1r.e~s' .......
ABSBS8Q~PARCEL NOM!3BR:
Appl;cation description
'<~visionNa:me' . ~
Property Zoning.. '.... .
Application valuation .'
03-00000969
1213W 10TH ST
06-30-00-0-3-0380'-OllOO-
RES ADDITI6N"~' ... . .
10/07/03
1500
Own:er
Contractor
SPEER; JIM OWNER <'\.' .
1137 W8TH STREET
PORT ANGELES WA 98362
. (.~j~":45-~7,'19'
u';;';_., StructUre Information 144SR PORCH ADDNT.
eonst:r\lctionType . . .. TYPE V NON-IlATED
Occuilancy Type. .. . .. SINGLE FAM &: CONGREGATES
Other struct info. . .. NUMBER OF UNITS 1.00
- - -------------- - - - - - - -.- ------- -- - - -- - - - - - - - - :'-'':_- - =-- -'- - - - - - - _: - - - - - - - ~.~ - - --
Permit . . . . .
Additional desc . .
Permit' Fee . . . .
Issue Date . ..,y'.
Expiration Date . .
BUILDING PERMIT -RESIDENTIAL.
144SF PORCH &: EXTEND EVES
77.50 Plan'c:!heclt Fee
1.0/07/03 ,Valuation . .
4/05/04
31.00
1500
Per
Extension
"\47.00
30.50
" - ,:' " -- , I :' " _ _ ~
- - -..: - - - - - - - - - -~-- - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - -,--~ -7 - -,-::',~c~": - - - - - - - - - - - - - - - - - - - --
BASE FEE
'3.05ll0 HND _ BlI"501-2K (3.05 PER C)
STATE SURCHARGE
4.50'
Pee . SWIIIIary Charged - Paid Cr:edited Due
----------------- ---------- ---------- __________ -f ----t7":~---
Permit Fee Total 77.50 77.50 .00 .00 . '. \
1'1anCheckTotal 31.00 31.00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
'''''''Gr8nd Tot'al'" 113.00 113.00 .00 .00
>,', \.
'- .' _', ' , ,- - , . - _ _ ' ~;. ,_ ,'-- ' _, _ _ , . ,_' ,-, , _ _: , _ ' ,'- ',,_ ,---,,- :': ..,~--:'..~''.-'.,..,'1''''~ :" :::'
sef:'l!fate Pel'l'i1l.ts are r~q~ir~.d{or~lectricalwork,~J:f:'A~~~qrelln~~S~tH!!!i~es, 'p!ivateand public ImproV~!l.l~f,l~~~!ni~,e;" 9jr!,!.
nun'~ndVold.jf work or::eonstruction authorized isnot qommencedWilliin 1.80 days, if construction or work Issusf.ijj.rtjfed;'i . . .... ........... . .oned
for a penod'oM80Ci8Y$afterthework ascommenced,or ifrequl,re~'lnspe,ctlons have nolbaen request~d wit~ir1~p -daYti''f1omtheJast
inspection.' Jhereby'certifY~ar-'1tJavereadande~mi~~'1nisappli~tipnand knQw the same tobett'tfu'an~i]'~ct:;'A1t;ptovisio~sof .
laws and ordinancesgovemingthlstype of work will becom'plledwith~whetherspecified herein or hat Thegr'antii1!fofa"perijtitdoes hot
presume to give' authority to viQlateorcancel the provisions of any" state or local law regulating construction"Or,the,performance of
ction. . . . . .
. ,
Ze?3
Date Signature of Owner (if Qw.ner Is builder)
,,; -.:j:'~;;~."~'.;:-"~,:,:.~..:,;
.f---,.",'-
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAIfFULTO COVER,
INSULATE qR CONCEtfL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PEkMIT IN A CONSPICUOUS LOcATION.
.~. --
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEJ',TED "- COM~~- ....~ 'c. ..
- YES NO ,. :. "" r ") ~~""k"
FOUNDATION: lLnv-J. L.." ~~'t~~
FOOTINGS 9-?J/-D3 J, l. 1* J,~, If) -/3 . -.
WALLS
FOUNDATION DRAINAGE . .
.
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: /I " ,~ ,.....
ROUGH-IN I I . -
. - .'
PLUMBING ;
.
UNDER FLOOR / SLAB
ROUGH-IN . " .
WATER LINE .'. '
GAS LINE
BACK FLOW / WATER
AIR SEAL
W AI.LS I 'J_J....~ 'I I "
CEILING 11"t'., , "'.... ....
FRAMING .
JOISTS / GIRDERS
SHEAR WALL J . '.. -
WALLS / ROOF / CEILING .J&/~ 1_- , (,. L.
DRYWALL ' ",
T.BAR
" - .
INSULATION .
SLAB I ,
WALL / FLOOR / CEILING ,.,JI?JO; \ \..-t...- -
MECHANICAL , , ..
ItEAT PUMP
WOOD STOVE / PELLET I CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering J);vision) SEPARATE PERMIT II's:
WATERLINE / METER
SEWERCONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT II's SEPAl
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
.", F,INi\L IJIlSPE;CfJIONS~~9U1~J!:1l PRIOR TO O<;CUP,4N9'!y~E:..' ". ..' ,; ...' '" "......: '0""
RESIDENTIAL 1~- DATE" , YES NO COMMERCIAL DATE. if ACCEPTED-,
, '.r
, v YES . '.. NO
, " .'. " . 7 ~ .
ELECTRJCAL. LIGHT DEPT. 417.4735 ELECTRJCAL ; .-- .; ""
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
. FIRE DEPT.
FIRE 417-4653 ',- .;;
PLANNING DEPT. . 417-4750 I~ ,^ .( lr, .,. PLANNING DEV", ..; : , \
BUILDING 417-4815 "..'JJ}$/, I<- I/V BUILDING
, . ,
T:\PLANNING\FORMS\1102.15 (412002)
PREPARED 12/12/03, 13:29:12
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
12/12/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1213 W 10TH ST
SUBDIV:
PHONE
PHONE :
3)
45-2773
SPEER, JIM
06-30-00-0-3-0380-0000-
03-00000969 RES ADDITION
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PW6
01
10/13/03
10/13/03
JLL
CA
PUBLIC WORKS DRIVEWAY
Wants a driveway form inspection prior to pouring concrete.
Jim Speer at ph# 452-7732
this is an inspection for public works, called trena and she
said eric was on his way to look at the drive approach/jim
BUILDING FRAMING
Jim Speer452-7732
rafter clips reqd/air seal jbox and plate penetrations/jim
:::'-::---::;::;::---~------:~::::~~~::: NO'" ----------------------------------____
01
12/03/03
12/03/03
JLL
DA
BL3
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CITY OF PORT ANGELES
OEPARTM ENTOFPUBLICWORKS
. ... . . ~ . . . . . INSPECTION REPORT . . . . . . . · .. ·
REQUEST:
Date '1-24-03
Time
Received by
RV
(phone, person)
Location of Work to be inspected 1.'2 I 3 W
Name of person requesting inspection. - ~ ~ """'
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewe Foundation raming Chimney Plumbing
t=o.i-~~
INSPECT
,o~~
Phone No. ... '1~~Z-77 52-
Permit No.
Final Sewer Excav. Other
Inspected:
Remarks:
RESTORATION REQUIRED . . . . .. YES. NO
~~ q:rJOf'M
"''<:-
SURFACE RESTORATION :
SURFACE TYPE: 0 Unimproved 0 Gravel
o Repaired by City .
D Repaired by Permittee
D No Damage Found
o Asphalt 0 PCC
Wort( Order #
o COMPLETE
o INCOMPLETE
o Other
/(~;~~tinue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
i.->.::....,. -,....f-,-,:.-.'_'
';."":.:".;::-<,..._..,",:,:,.",,.,,:':~c:.,"'.,-
PREPARED 12/03/03, 12:09:33
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
12/03/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1213 W 10TH ST
SUBDIV:
PHONE
PHONE :
SPEER, JIM
06-30-00-0-3-0380-0000-
03-00000969 RES ADDITION
3 )
45-2773
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PW6
10/13/03
10/13/03
JLL
CA
01
PUBLIC WORKS DRIVEWAY
Wants a driveway form inspection prior to pouring concrete.
Jim Speer at ph# 452-7732
this is an inspection for public works, called trena and she
said eric was on his way to look at the drive approach/jim .'
12/03/03 ~L BUILDING FRAMING
Jim Speer452-7732
-------------------- -- ------------- COMMENTS AND NOTES --------------------------------------
BL3
01
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PREPARED 10/13/03, 12:15:20
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
10/13/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
45-2773
------------------------------------------------------------------------------------------------
1213 W 10TH ST
SUBDIV:
PHONE
PHONE :
SPEER, JIM
06-30-00-0-3-0380-0000-
03-00000969 RES ADDITION
3)
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PW6 01
PUBLIC WORKS DRIVEWAY
prior to pouring concrete.
COMMENTS AND NOTES --------------------------------------
s(~ ~s..p
ok-
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( ~(2-lL)
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BUILDING PERMIT - APPLICATION
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:
Owner:
Address: /~ /3
Phone: 3'0- .y..s-~- 7?$~
Phone:
Zip: ?~~" '3
Architect/Engineer:
Contractor
Phone:
Exp:
Phone:
Zip:
ZONING:
Address:
PROJECT ADDRESS:
/~/3
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC # Exp. Date:
TYPE OF WORK: SI~N ALUATION: s
. ~ Residential 0 New Constr. ,kt Re-roof 0 Stove Kb &oJ SF. @$ " /SF. = $ /. ~t>O ~
, 0 Multi-family 0 Addition 0 Move 0 Garage, SF. @ $ /SF. = $ ,
o Co~ercial 0 Remodel 0 Demolition 0 Deck :.' /'" 11/4' SF. @$,>:, /SF.= $/'.5"0 D.Y
, . ;J!f Repair 0 Signd . . ..~. OtherPD~n:.u- TOTAL VALUATION $ .
,"...BIq.F;}?cD.ES~RIPTIONOFTHE.PRO~.Q.J:... .A/e:wi'po!1i7GH- /~ K /tJ.j; '. r;pp)('"./6, '..'
C?Ve:~H,o.N6- N/!!v - ~e-~oop
. COMMERCIAL/RESIDENTIAL: . Occupancy Group:' Occupant Load: . , ComtructionTjpe:
No.ofStories:-L Lot Size: ~a ,Xll"OExistingSq.Ft. q"f:,o &ProposedSq.Ft. )yLj =TOTALSq.Ft. t10<..!
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage IS 1'7 %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetIand(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 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 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 re uired, at the City's, and thatust obtain such permits prior to work.
T:\FORMS\APPS\Buildingpermit.wpd
Applicant:
Date: 9- J. ..y ~ 07
/
.
,
I
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CITY OF PORT AN"~ELES
DEPARTMENT OFCOMMVNITY DEVELOPMENT - BUll..DING DMSIQN
32r'EAST5TH STREET, PQRTANGELES, WA98362
1213 W 10TH ST
06~3Q-00~0-3-0380-0000-
RES ADDITION
Application Number
'pin number . . .: .3957
property Address
ASSESSOR. PARCEL .NUMBER:
Application description
Subdi-vision Name
PropertyUse ',' . .
Property Zoning . . . .
Application.valuation
03-00000969
Date 6/29/04
RS7 .RESDNTL SINGLE FAMILY
1500
Owner
Contractor
SPEER, .JIM "
1137 W 8TH STREET
_PORT ANGELBS
(3 )45-2773
,~..._-- Structure Information
Construction Type . '
Occupancy Type
Other struot info
OWNER
WA 98362
144SRPORCH ADDNT.
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBEROli' STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROP9SED LOT COVERAGE
TOTAL. LOT COVERAGE
NUMBER OF UNITS
'15.70
V-N
Permit . . . .
Additional desc
'SubContractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL. ALTER RESIDENTIAL
200AMETER/MAST '
ELECTRIC SERVICE
'64.90 Plan Check Fee
6/29/04 Valuation
12/26/04
.00
o
1.00
960.00
7000.00
144 . 00
1104.00
1.00
... ~.. - - - -_..;.. --.............. --........ -........ - ---...... -................ ~..;,.. ;..~-..;..... -...,;.... ..;;.-~.. ~ ~-_.. -.............. --....--
Qty Unit Charge per
1.00 64.9000 ECH BL-R OR RM 0-200ALT SRV FOR
Extension
64.90
Other Fees
STATE SURCHARGE
4.50
Fee sununary Charged Paid Credited Due,
,----------~--~--- ---------- ---------- ---------- ----------
Permit Fee Total 64.90 64.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 69.40 69.40 .00 .00
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
Separate Permits are required forelectrical work.SEPA.~hor~line.ESA. utilities, priv{:Ite and public improvemEmls;. ThisPQ..mift:l~C~mes
null and "oid if wo~ or construction authorized is,not cornnjenqed within180d~~,ifconstructionor work is susp~nc!.e~or ~t:l~n,doned
for ape_ri~d of180daYS,:afte[tI1El\y()rkasc()rTlrnel1.ce.d.()r.ifI~qui~f.}d il}sPElctJ~n~_~@ve~ot been requested within 180daysfrom~elast
inspectioh.. I. hereby certify that 1 have read and examineqJhis application .~ndl<now lhe same tobe hue and cOrreet. ,All proVjsionsdf
laws and ordinances 'goveming 1tlis type of work will be complied withwheth'tll"specified herein or not: The granting of a, permiedoes'not
presume to give authority to violate or cancel the provisiom; of any'st~~~ or Jo<;al 'law r~gulating construction or the performance of
construction. "
T:\PLANNING\FORMS\II02.IS [1111412003J
1_ UU_U__C - m un
BUILDING PERMIT INSPECTION RECORD
I
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL ~SPECTIONS.
PLEASE PROVIDE A MINIMUM.24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR C4NCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. .
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. I
"
INSPECTION TYPE DATE ACCEPTED CqMMENTS
I YES NO I
FOUNDATION: I
I
F90TINGS . I
WALLS
FOUNDATION DR.AINAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # I
ROUGH-IN I .
PLUMBING
UNDER :FLOOR./ SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CElLING .
~MING
JOISTS / GIRDERS
SHEAR WALlJHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERlORBRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR/ CEILING I I I ..
MECHANICAL .
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS .
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: . .
WATERLINE I METER
SEWER CONNECTION
SANITARY .
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE . .
. ~SJI>f;NTJAL DATE.. . . YES NO COMMERCIAL DATE ... ._.A_<;:~E.J>I~. ..
.-... . ..
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 1'1011 }/)1 ,(W 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 . BUILDING
417-4815
.'
:.1-
,....
I'
t:\PLANNING\FORMS\1102.15 (11/1412003]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16034
1/- /'
Port Angeles, Wash1ngton......__...,.:__m...:m___u.....__....m.._____.m__..__, 19.__.m.
In accordance with the City Ordinance to regulate the installation, e>.t.ension, or repair of elec-
trical equipment In, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby gr:nted to do elect~ica.l work as listed below.
Address .__...umn!-____.~_;imn.-:~...mm::.--m~_~-.!~:.-h--~~;.:.~...---mnh-hn'''..._ Occupancy ___. ._.._U__m..' ____..m_'_..n__n.__..__.
Owner __...._____"m".:..__:.u:.:u..__...:m.m_____'-'.::uu.:...'-u___ TenanL__u.__...u__________....__.u__.umuu.________...u..__...______..
. , -
Wiring Contractor _______...__u___m__.__.m__:,:uu_____,'....__:....__...:..___ By.......mm______.....u__m.mu..._____._____...__.u.......__u
LIght OUtletB_u.................mn......~.__m..
Service, volts ....:n..___...__~:..::~.....m......_
Receptacle Outlets_____m..........n__.........
~o. wIres ..00__..0000_....._...............00...
Type of v\!lrlng:
AI-mored Cable .mh........._mm_._....
Non.MetallIc ..........,_......nnh.........
K.nob & Tube.....__n_......._,._......_n....
Rigid Conduit ..... ........................
Metallic Tubing _.nm_.....___m........
Raceway .__.._____......_h_.u_...___.........._
Circuits, LighL..................nm.........._....
trtility 00__.._....._._.00_..._.............__00.....
DrYt'r, KW.._....._u_____........_...__
Range, K\l/ u.mmuuomuumuu.
Water Heater:
Size wires...._mmm...........~~........._..
Main fuse .:......mm_.m...
Enclosure ........m__:
K~r.nu___u____.u__......_..._uuu
_, : ,=) :5)
Heat: K~ ..............00.........::"::_.....__.0000.___.
Type of wiring:
Entrance Cable ..._n___m
Mot ors: size, volts and phase:
Rigid Conduit unmnm...
Metallic Tubing mm
Current transformers:
lIeat
No. & Size...m____nmn...._._....
Range 00..00_......_...00_0000._.....__00__...0000.
'Vater Heater ...__n___m......_.....______
Ser. NO.....__..._.n_..n.......__._._.... '__..00___
Motor
Ser. I\O.n__n.........._.._.._.n....___n__..
Dryer
Ser. l\" o. ..00...00................__..00___._____
furnllce ..._.._.._..00_...........___.._...._....._..
Total Load.....n__..__................
Ser. No. n_.nh........._....nn...___.n__.__.....
Total n_nn..__.h...___..._nn..__..__.._
Remarks: _.nn..__nn.n.mnn~n..___un__~n.'__~n.n___.nnn....._n_____nn..nnn..n______..m.___nn..._______m___mnn___......______n._""
Permit Fee
Treas. Receipt
$...____.___.___.__________....___m.. NO.m___.m_________..m____ By n,.___.:..___:______.-'___nn.___....___.::__m..".___...__:_____.;.
NOTICE-Current must Dot be turned OD until Certificate 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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16034
Address .....___..._.00.............................0000....00...........00.._.........._.....00...................__..._......._........._._._. DB..te_,__n......n_n_.._..._..___.__...n__.._..__,..____.
Owner
Tenant_____
Wiring Contractor.._n_.._.....nnn_.nnnn_.....nn....nnnn____h__._............_00............_00_......_........_000000..00_. By.'nn..nn.
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.
1M Olympic Printers, Inc.
.
,~ "OR],,^,
tj}CI}
~..O. L-l{r1f\ iY\O
- n_ -- -- - t\,\\V
Owner or Elec. Conbactor Agent:~~('''ia.J ltt.- Phone: 45 J-G,J--J'240ax' J..t5 'J...~Lf':l'i
Pooperty owner__~J_LP'Y\eS <; r -(' ~"L-... Phone: '--t5J.- 77'<.:J
Address ''J~) JO\"I. Cily~1 A~~<" Zip 9R'3"3
Eiectrical Contractor:- . n~ ~V; Cl \1 h<~ License#: .1Zk'1: 1~:2.on1'XP: ~! I '-II O~_Phone: li5 'l-ld-i'l.!:I
Address 8'2- Dr,,-p...u" \J~Cily:_Ph"'+ 1t11~\.'~-.s. WfT Zip q f?; ""
ELECTRICAL PERMIT APPLICATION
FOR OfFIC!....L USE ()N1..Y
o.'dll,,~, __~._..._
Pe.milll
UIlcAppro\'<l.1
Di:ebsu.ed
Tne Electrical Permit Application must be filled out comoletelv,
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
03.. 9b9-00
INSTALLATION WIRED BY:
DOWNER
Q ELECTRICAL CONTRACTOR
Billing Address:
6 V\.
ft~
Credit Card Holder Name:
Zip:
Credit Card Number:
Exp_ Date:
VISA:_ MC:
\ '2.1]
w.
t 1)'}'"
PROJECT ADDRESS:
TYPE OF WORK:
Check all that apply:
=: New
o Alteration/Addition
~Residential C Multi..family
o Remote Meter 0 Detached garage
o Commercial 0 Mobile Home
Sq. Ft
o Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage [j Telecom.
o Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
hlnv&
~t.er bo.~e... ..... vn Go", l-
Electrical Heat Load Additions and or Subtr.actions
Service Information
.:J Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
KW
TON LRA
KW ---.
~verhead Service
[J Temp Service
o Undorground Service
Voltage: ..J2s:Jh..!::U)
Phase: &/1 0 3
Service Size: ~..i)JI-
Feeder Size:
/ hereby certify that / have read and examined this application and know thai same to be true and correct, and / 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 responsibility to determine what permits are required and to obtain such.
) . Credit Card Holder's Signature: 4--' . Date:_#'2..Zf /1)'t
o P A1 0 'l.,q:{otowner or Elec. Cant. Signature:~(fJU- ~ Date: (01--:, W D';7
'/ )J (ol
PERMIT FEE: $
:./ELECTf~iCALPERMIT APPLlCA Tlol
f!IJ r;/Plft'1 r €-q SQ-
d I'S <0-0Y1nz..ct
Fri,
01(- '10
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