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Home My WebLink About1405 W 10th St - BuildingPREPARED 4/12/11 8 16 59 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/12/11 ADDRESS 1405 W 10TH ST TENANT NBR S EDWARDS J LEE CONTRACTOR DAVE S HTG COOLING SRVC INC OWNER SHAMBER EDWARDS AND JORDEN LEE PARCEL 06 30 00 0 3 0590 0000 APPL NUMBER 11 00000298 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 4/12/11 SUBDIV COMMENTS AND NOTES PHONE (360) 452 0939 PHONE (360) 460 8484 MECHANICAL FINAL TIME 01 00 April 12 2011 8 14 59 AM 1pangrle DAVE (DAVE S HTG) CELL #461 0471 MECHANICAL FINAL HEAT PUMP AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE 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 SHAMBER EDWARDS AND JORDEN LEE 1405 W 10TH ST PORT ANGELES WA 98363 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 1 00 Permit Fee Total Plan Check Total Grand Total Unit Charge Per 73 5000 ECH 2 6000 ECH Fee summary Charged ELECTRICAL ALTER RESIDENTIAL 183459 76 10 4/12/11 10/09/11 76 10 00 76 10 Signature of owner or Electrical Contractor X G \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000302 515006 1405 W 10TH ST 06 30 00 0 3 0590 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES 60) 457 0198 EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT Paid Credited 76 10 00 76 10 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 2_ i kW Date 4/12/11 WA 98362 957 Scby' Plan Check Fee 00 Valuation 0 Extension 73 50 2 60 Due 00 00 00 DATE. RESULTS REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date. APR -07- 20:11 09 19 PM E. JANSSEN CITY OF.PORT ANGELES 'PE RMIIT.APPLICA.TION Building Division /Electrical Inspections 321 East Fifth Street P 0. Box :1150 /.Port Angeles Washington, Ph: (360) 417 -4735 Fax. (360) 417 -4711 Date:.__ 4-1 -7 11 2 Single Family DwellInq Multi Family or Commercial* Commerriel Addition Alteration Remodel I Repair' Plan Review May Be Required Please Complete Electrical Plan Review Information Sheel .tab Address: l y o r,Z i f. 7 ti r:/i_at/ Building Square rootage: Dee-fiction of above w L 1 i c `�!L _LL 4( t K ti. t l r' A T,. �'o` i LEE r4 Owner In orma on Name: 3 "0 R ofir4 (_C( Mailing Address: i 4 o r W 1.' CRT State:., t. A 'L p: __1,57,7 4 /Phone,`? Fax: LiCen>to sy 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. Brans i Dircult W/ Service Feeder Branch Circuit W/O Service Feeder Each Addllionel Branch Circuit Temp. Service Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp, Service/Feeder 601 -1000 Amp Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy /First 1500 sf Note: 35.00 for each additional 1500 sf Signal Circuit/ Limited Energy 18 2. Family Dwelling Signal Circuit/ Limited Energy Muift -Fam)y Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or LOSS Thermostat NjaV Ck, BTItUCTItaN ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion rt Each Outbuilding or Detached Garage Each Swimming Pool or Mot Tub c.. Wit Chargg 119.90 145.50 204.60 262.20 372.50 2.60 '73.50 2.60 9270 110,30 148,70 167.90 95.90 86.20 Commercial 95.90 63.90 63.90 119.90 $102.30 56.00 110.30 35.20 73.50 3110.30 Signature of owner,•obctrlcal contractor or electrical administrator Oa w�. 360 452 2982 R ECEVE. APR 11 2011 ELECTRICAL 983G2 INSPECTIONS e--' 0 Pour,lq t r iptz /F� VI W 841 v~., tier vw O N..\ Contractor Information Name EerR/t /t.4 aN et e MaHIng_ 7 Address: 9 c aG /tA. err" City: _le �,J#ft.i.clss. State; tz 9134? Phone: 14" 7 S �.x Fax: 4 7 License ft Exp.. c x rie.4:4^ r (7 7 V2.4. 4' G C Total Or Multiollall by Unit Chow) �r 3 3_ 3 3_ a Cash 0 Cheat: CJ Credit Card 0 3 747. /t' 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. 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.alterafon in compliance with the electrical laws, N.E.C. RCW Chapter 19.2.8, WAC. Chapter 296.46B, The City of Port Angeles Municipal Code. and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Appfcatiions. 01/0112010 P 01 Application Number 11 00000298 Application pin number 395498 Property Address 1405 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 0590 0000 Tenant nbr name S EDWARDS J LEE Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation Application desc DUCTLESS HEAT PUMP Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SHAMBER EDWARDS AND JORDEN LEE 1405 W 10TH ST PORT ANGELES WA 98363 (360) 460 8484 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit MECHANICAL PERMIT DUCTLESS HEAT PUMP 183400 64 80 4/07/11 10/04/11 RS7 RESDNTL SINGLE FAMILY 4025 Contractor Charged Paid Credited Date 4/07/11 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Qty Unit Charge Per BASE FEE 1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 64 80 64 80 00 00 00 00 64 80 64 80 00 Plan Check Fee 00 Valuation 0 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) \oci\ xv 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. AU 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. 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 #s SEPA. Parking Lighting 1 ESA. Landscaping i SHORELINE. Inspection Type FINAL Date Accepted by FINAL Date I Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 cQ 1 Apr 06 11 02 34p Dave s Heating Cooling 3604520939 p 1 PROJECT ADDRESS Parcel Number Floor Areas Basement 1 Floor 2 Floor 3'" Floor Garage Carport Covered Porch Deck Shed Other 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 Applicant D c&V-e- iS f t' ecJ4l n R Pho e q5 ,2- c 9 3 Property Owner r 4 L-e-e. Blimp. mo d o 4LO '-f 2" Property Owner's Address o 5 ()e b-f- O�- S�fr,�, ,fib r-f- Contractor ,Dak.A -e, r In P 3 -7 Contractor's Address n .6 License# E SKCfie71 4(..C.-Expire s 5.j( E -mail Las W l oft, Project Noe Brief Description: Residential o Multi family o Commercial o industrial Check all that apply o New Construction o Addition o Remodel o Repair o Demolition o Re -roof o House o garage o other o tear off re -roof o lay over one layer H eat System XHeat pump o wood- burning stove o gas fireplace o pellet stove o other c Other d.ckc--{'(e.S Existino (sa. ft) Proposed (sa. ft. 'Max. height ofproposed structures ft. Occupancy group 'Wll:a lawn be installed? Occupant load 'Will a fine sprinkler system be installed? Construction 'type Lot Zoning per sq. ft. TOTAL. VALUATION &L((' 2- 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 for exemptions) Site coverage of bedrooms of full baths of half baths I. have read and cornpleted this application and know it to be true and correct. ,i I am authorized to apply for this permit and understand that it is my resp sibilityto determine w hat permits are required, and to obtain permits prior to rking on rojects. Date Print Name T 0 cCe-h k am Signature !fi T:Fer msBuilding Division/Bidg Permitdoc For City Use pnl I Date Received Permit* Ft- 2 cr Date Approved 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 meter repair Owner SHAMBER EDWARDS AND JORDEN LEE 1405 W 10TH ST PORT ANGELES WA 98363 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Fee summer Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER RESIDENTIAL 173203 119 90 9/13/10 3/12/11 1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 00 119 90 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 10 00001005 597155 1405 W 10TH ST 06 30 00 0 3 0590 0000 ELECTRICAL ONLY Paid 119 90 00 119 90 Contractor BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES Plan Check Fee Valuation Credited 00 00 00 114'1110 4q Date 9/13/10 RESULTS WA 98362 Due 00 0 Extension 119 90 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections SEP 1 0 2009 321 East Fifth Street P.O Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL INSPECTIONS Date. q /0 2 Single Family Dwelling Multi Family or Commercial* Plan Review May Be Rewired, Please C,nplete Electrical Plan Review Information Sheet Job Address: 4 2 (4> /0 5 A r At Building Square Footage: Descriotiobof above Owner Inf rmation Name: 5 n/ Mailing Address: City Phone: License Exp. State: Fax: MA_ ,0,7; /old Zip: Item 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. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/.Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 $110.30 35.20 73.50 $110.30 Signature of owner electrical contractor or electrical administrator n�C attETE3 Commercial Addition Alteration I Remodel I Repair* Contractor Information Name: C7., res Mailing Address: 9 Ta. t ft City' Pe State: Zip: 9f' e Phone: /_G.if 2- Fax: trc u License Exp. "'f" i W t Total (Qt, Mu4olied by Unit Chara j lil4 S S S S S Cash Check /Credit Card T711./ Dated: 7 Jd 4 110112010 )terc1 Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electricalpermit 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 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and 14 05 050 regarding Electrical Permit Applications. Clallam County Assessor Treasurer Property Details 59005 SHAMBER EDWARD Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 59005 SHAMBER EDWARDS AND JORDEN LEE for Year 2009 2010 Property Account Property ID: Geographic ID: Type: Tax Area: Open Space: Historic Property' Multi Family Redevelopment: N Township: Range: Location Address: 1405 W TENTH ST PORT ANGELES, WA 98363 Cycle 5 Res 10955130 Neighborhood: Neighborhood CD: Owner Name: Mailing Address: Taxes and Assessment Due Property Tax Information as of 08/13/2010 Amount Due if Paid on: E. Year Statement ID Taxing Jurisdiction 2010 41916 ST SCH STATE SCHOOL 2010 41916 CC -GEN COUNTY 2010 41916 PORT PORT 2010 41916 PORT ANG PORT ANGELES 12010 41916 SD #121 SCHOOL DISTRICT #121 12010 41916 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 41916 HOSP #2 HOSPITAL #2 2010 41916 WSMET PK DIST WILLIAM SHORE M_ET PARK 12010 41916 CITY_STORMWATER CITY STORMWATER `2010 41916 _WEED_CONTROL WEED CONTROL 2010 41916 TOTAL. ST SCH STATE SCHOOL CC-GEN COUNTY 2009 590052008_ 12009 590052008 '2009 590052008 12009 590052008 2009 590052008 2009 590052008 Values Improvement Homesite Value: Improvement Non Homesite Value: Land Homesite Value: Land Non Homesite Value: Curr Use (HS): Curr Use (NHS): Market Value: $181,540 Productivity Loss: $0 Subtotal: $181,540 Senior Appraised Value: $0 Non Senior Appraised Value: $181,540 Total Appraised Value: Senior Exemption Loss: Exemption Loss: Taxable Value: Taxing Jurisdiction 59005 0630000305900000 Real 0010 PA 121 PORT ST CNTY H2 L N N PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY $0 $125,290 $0 $56,250 $0 $0 $0 $0 $181,540 $0 $0 $181,540 Legal Description: LOT 19 BL 305 Agent Code: Land Use Code DFL Remodel Property: Section: Mapsco: Map ID: SHAMBER EDWARDS AND JORDEN LEE Owner ID: 207713 1405 W 10TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 Exemptions: 11 N N 2009 590052008 HOSP #2 HOSPITAL #2 12009 590052008 CITY_STORMWATER CITY STORMWATER [2009 590052008 WEED_CONTROL WEED CONTROL $0 82 $0.81 F_ 2009 2009 590052008 TOTAL. I Amount Due l $194.07 $194.07 $0.00 $0.00 $194.07 $194.071 $103.28 $103.28 $0.00 $0.00 $103.28 $103.28' $14.52 $14.51 $0.00 $0.00 $14.52 $239.13 $239.12 $0.00 $0.00 $239.13 $239.12' $251.37 $251.38 $0.00 $0.00 $251.37 $251.38] $30.01 $30.01 $0.00 $0.00 $30.01 $30.01 $42.37 $42.37 $0.00 $0.00 $42.37 $42.37 DIST $13.48 7 1 3746 $0.00 $0.00 $13.48 $13.48! $36.00 $36.00 $0.00 $0.00 $36.00 $36.00 $0.82 $0.81 $0.00 $0.00 $0.62 $0.81 $925.05 $0.00 $0.00 $925.05 $925.03, $222.59 $222.59 $0.00 $0.00 $445.18 $0.00 $112.65 $0.00 $0.00 $225.30_ $0.00, 1.9 $15.96 $15.95 $0.00 $0.00 $31 $0.00, $247.08 $24710 $0.00 $0.00 $494.18 $275.27 $275.26 $0.00 $0.00 $550.53 $0.00 $32.73 $32.73 $0.00 $0.00 $65.46 $0.00] $46.20 $46.20 $0.00 $0.00 $92.40 $0.001 $36.00 $36.00 $0.00 $0.00 $72.00 $0.004 $0.00 $1.63 $0.00 Base Due Base Due Penalty Interest Base Paid; $989.30 $989.29 $0.00 $0.00 $1978.59 $0.00 I First Half Second Half NOTE: If you plan to submit payment on a future date, make sure you enter the date and RECALCULATE to obtain the correct total amount due. M L w t L L yog.0 -1 s http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year= 2009 &prop_id =59 8/13/2010 DATE. PERMIT INSPECTOR s/131/ O SL, v∎2ss-0 OWNER/CONTRACTOR g.D k7 AR'p Lard ADDRESS ti 05 APPROVED 0 0 CORRECTIONS NEEDED• t, cpk c, L Z3b ID ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DITCH ROUGH IN /COVER SERVICE FINAL ,a RZ1 bbl t5 NOT APPROVED 0 0 I s tOdP1*_c-MSP sue— OW VA l 1Z 3�b e NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE f S v 1 r /5 ,1, I.. Off P LC ,;07JK--5 gazi4,117.) 11 ~~"..".>f' -! CITY' OF~J?ORTJ\:NGELES. DEPARTMENT OF CO~ PEVELQPMENT ~ BUILDING DMSION 321 EAST STH SJ;REET,". PORT ANGELES, W A 98362 .....'1. , ., ~.'" ,.1" ;.,; ~J t> BUILDING PERMIT. OWNER/APPLICANT BUZZ BURNHAM 1405 W.10TH STREET Port J.\ngel~s, W A 98363 360/452-5461 T: CONTRA~JOR DIAMOND ROOFING P.O.~OX 2963 Port Angeles, W A 98362 206/452-9518 . PROJECT INFO . Project Value: $3,470.00 Project Type: ROOF REPAIR Occupancy Type: RESIDENTIAL Occupancy Group: Construction TyPe: N/A Zoning Use:'" S: {S'Sl:JEQ:/ 8/06/2002 PERMIT NO: 13613 . ,PROPERTY LOCATION 'i:.,',140510THSTW Lot: 19 Block: 305 IZI Long Legal . Subdivision: TPA "....,'...P~r~1 No: ,.063000030590000, ,98360;.0000 360/QOO-OOOO Comrri'el'cial: IndustriaJ:' .' GaraQ.e: '. o o o o o '.",'-',," MFD Units: ",-,"'. .. MFD SQ FT: o o PROJECT NOTES TEAROFF,F~LT, COMPOSITION REGEIPT#9500 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $97.25 $0.00 $4.50' $Q.OO $0.00 $O.QO $0.00 $0.00 $0.00 - , 0\' -f.' $' Mise Fee 1: Mise Fee 2: Mise Fee 3: $O.OQ '$0.00 $0.00 ' TOTAl,. F.EE: .. .AMOUNTPAID: BALANCE DUE: $101 ]5 $101.75 $0:00'" Seeq~liteP.~rlT1j~arerequired for~l~ctrical W9r1<, SEP~,$lj.Qr~!l6e,!;~~~@~~ts;p~vateaod publicimprovemerl~" 1~, ' null and Yo.ld if work or constructipn authorizedls not commenf~d witliin .18€taays, if construction or work 'Is su"S,,~!1: . for a. p~riod of 18.0 days after the work as commenced, or if requl.;ed Inspectl()ns have not b~enrequested withir180 Insp!Ctlon,'lhere~y certify thatthave read>an~exarriil1ed tf1js'~ppli~tion~!!c1 know the samErtobetrue and'~rre: laws and ordinances governing this type ofworklNill be complied with whether specified herein or not. The grantl~g of" . . eS"not presume to give authority to violate or cancel. the provisions of any state or local law regulating construction'or the"p'e~rrn~n~:9f c . structlon. ,y . .... '. . ........ '.. .'~;""t.:.,,<. . .;: G~: T:\PLANNING\FORMS\1102.IS [412002J _----.::__,~.:2~,:~~.. .::",.: .:-:' ".';-:. -;~~_____"",:~,,-___-':"~~3~' Sigfll!tIJre of .owner (if owner is builder) Date., ~.:. . ',' ".. "'~;:/"' ----~ -'::-4t--~ ~' t*i -"r:~-:. . -~-<,," ';r;''S~'}.~':O''''''''~~!f'~ I '1 BUlLDING'P~RMIT'JNSPECTION RECORD "'",' "\.,-,"",:. CALL 417-4815 FOR BUILDING INSPECTIONS!.PLEASE,PROVIOg'A>MINIMuM2'fHOTJR NOTicE. ITISuN/..AWFUL l'OCqVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED." POST PERMIT IN A CONSPICQOUS LOCATION. .; -~f::;:;;" ' - . ~ ^. ~.. ~':;;' ~~~~~.,:';.:;;, .-...,;.' ....,~.. ,-.\-~;,;~~'-;;:.'::.?~:;;,o-:~'t';-;',,.;....s:;-"~:'k~~ ,,' ~':',~::;;;,:;."::--.. :;":., ~..:~;.__,~~:,:;;;::~,:,.:-~ .."co,:;>-i",-, <~~, ,~.;:; "':: lL~i,:L '.'''1 , : ':'\"1J:. f (:.,,:-i~';; -i" '-~"t' KEEP PE~1;C,AWJAND AJ,>,fRQVED PLANS AT JOB SITE' '^ ",\;l', ",',1'" ,. ,.' . ,. ',' .' 'y '. ..' .INSPECTION TYPE ;:r'1D.{~,,( ,'.I;r:;!'\C~PTED .' COM~~ ..f. 1'" ,.;}'.... ! ..' 1\i'r.: i.rn" Ar.h'YES NO . FOUNDATlO~: . . ,,' ". ..",..;' ~,~ ~ . , ..,.I.....:. t/<< FOOTINGS lc-. . di1-' .j""f>'1lfl WALLS "'. .' " -:,,,, . , FOUNDATION DRAINAGE ~ >,.,,,,, ',;. ..;1' ; " ; .' ELEcTRicAL " '.", .' '.',", " ... (UGHTDEP1) SEPARATE PERMIT: # ROUGH-IN " I ,.' y"}h ...' '. .j;"::. ' . ,,;{. ./..,/...~:.. i. PLUMBING . . . t:, ,. . UNDER FLOOR I SLAB ROUGH-IN \ -J :.",~' i,';:; ..,J...... WATER LINE ..' Cli';;:.") ..':c" GAS LINE:,. > '.,. '. ..,co" I. e BACK FLOW I WATER . .. ". , .. AIR SEAL ,,,;,', , ' , U , ,t:'; ,. '. .....f;: .' , : .;<1( " "" , '. ~ WALLS _.~; . CEILING ;; '.')1'>>3 .... I f .' j .' ii:.,' '~~ ;;'f'':::. c. , ; c FRAMING , . ~~ ,..... ..,.('~ JOISTS I GIRDERS .... :"'; I', SHEAR WALL . W ALLSI ~OPf I CEILlNy . ."'. I.;,,, . ,',; .. " . DRYWALL .. ..... : T-BAR "" ;. . INSULATION .. . '. SLAB .... .... W ALL I FLOOR I CEILING , tr,.; ':;;: I :'. MECHANicAL '. if I.... HEAT PUMP WOOD STOVE I PELLET I CHIMNlN$ ...", HOODI DUcTS '. ...,)'t; .';,7 I . i ~ ,..- .. PW UTiLI'fIEs r SITE WORK 'f~" ff,"?> 'SEPARATE PERMIT #'5: '. '!(I!!1gmCering Division) . :-., ... '\: '..' ,.'~ ,. W ATERLINEI METER .' c """ .""..,... ., ;,i. SEWER CONNECfION ...i~ "- , 'ii: ,,';f' ,.T .,;1\ SANITARY , .. .:r>f ~.~;t .., '..:~{ 'T~/: , iJ' '.. .- . " STORM "'~''';;;'''''''''''''''f .,;,. 'c,.,. ':. . .... . '. ,.,. '.." ". 'i~i PLANNING DEPT. SEPARA TfWERMIT #'s . '. .~: ". ~;!,. SEPA: P ARKlNGILIGHTING : . , . ESA:,x. LANDSCAPING '. "'. . SHORELINE: , ." . , ""h,,,'i..', " ." ..,:. ..... ;,tI~Mtm~!lE9il9~~~~,PRIOJ\,1:9,~qp~~9'~~t:;+'"'I,'&.i.(;,''' " to,;,;.:,,,.: ",' ,'.,.;- .;, ,... , I,U:SID~N'JIIAL ~~'~-'.:-.,J- ;\1" DATE~'i~~} ~:"~t YEs, NO'" , r;cOlwMERClAL · C; !!DATE.;'i.; ;;, ,',tceiPrifu::n "'~".!'1:*:''::' " ,l; b . .J'" ,JIU': "':..:e" ;.; . l,'},'H:.i'\! .' , ;: ".' }' " ';;'YES! .' '. '00-1,,' 'ELEcnUdXt,ttIGHT DEJ, 'i .; ,_:; '~_;:. l:J < .;L i~~ il' '. ,)1,' . .. 4~"',"."~;~,. , ",..,..,.~., .,. . I.J'1" f I 1q;473S, '., ELECTRICAL L ;i', ? ".' :. " ;. i.l' ,.-'';::V,~-- rt 'I d.' LIGHT D~rrr \, ,,~,~t;i-:, '-' .. CONSTRUCTION R. W.l p'w; '. ..~ c! ' 1'.tL..' . '." "",> ,,. ~.- ". , CONSTRUCTION- R. VI. > '. ENGINEERING 417-4807 . ~W ~~GlNEERlNG .,' FIRE 417-4653 ',,', \. 'R~qEPT. """ --,'10-''- I ) ..,/V,. IIC;k'J ~ , . PLANNING DEPT. .. " , n.,..." '."'?;,; PL~G QErr' (,;" . 417rmO, .^. .' ;; ,..,,",,.,1 ,',.,:,. . BUILDING 417-4815 ,,~1. R\I BUILDING ,) . .... . " .,,:/...'.... ,,.. ~. -., ,t"~"i '"I T:\PLANNlNG\FORMS\1102.15 [412002] . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. if~~J . ELECTRICAL PERMIT DATE Site Address: ~ D READY FOR INSPECTION License Number: r _ WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business Address: Phone: Owner/Business: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercialflndustrial load 0 Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (list below) Total Motor load 0 Special equipment (attach breakdown) (list below) Details/Description: ~~-i'..2 ~ .1%/1) ~JAr./ o New Construction o Remodel o Service update/alter/repair o Overhead ~ Underground Voltage 7 o 10 0 3.0 I/O . Service size.!!Ji? Amps o Temporary !IOP:JO e. W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough.in/cover O.K. o O.K. to connect service ~"rf- Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Install . /t7~ Permit/Receipt No. :3/ ? Y" -1'/ Site Address: New Meters . Notify the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized belore inspection and O.K. for covering or service has been given by th~tor in Ziti g on the Wiring Report orthe Building Permit. PHONE 457.0411, EXT.158. or EXT. 224. r.c NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT. ~?/"'t o ~ ~,OO In ector .. Amount paid WHITE - file by a dress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GRE~N - Top: Inspector, Bottom: City Hall I OLYMPIC PRINTERS. INC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT '.- ELECTRICAL PERMIT PERMIT NO. :;; ~ :z:3 DATE tf' - :L- -'i5 7 Owner/BtteiJ.eas.: READY FOR 0 WILL CALL FOR INSPECTION INSPECTION Li e 5e Number: n ,,-: Phone: / ,- CS" /eJ../' 1-- r53~{pfI9 Phone: Site Address: Ownerl (j.::c,( Sq. Ft. ~ New Construction D Remodel D Service update/alter/repair /EJ Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) D Overhead D Underground Voltage D 10 D 30 Service size D Temporary D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other D Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Amps Detai IslDescription: ~L---_ / !2--Yr/ -/ ~ ~- .- ~~J~ tfR4 ~h , #A/~ W.S. No. Service Size Capacity: D O.K. D Not O.K. Comments D Ditch inspection O.K. JJ: ~Rough-in/cover O.K. ICy;,/ wJ;L'"7 Af ",d ,(.e1/ +., 6~ .&...."',,).( .......;0 O.K. to connect service pi'" g/'Frnal O.K. Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan .Review approved/pending Installer: 00- d'2ScE L-U ;tJ4 E/ef PermitfReceipt No. ddD New Meters Date: Z ~ .J--?7 Site Address: . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writi~ 0 the Wiring Report or the Buiiding Permit. PHONE 457-0411, EXT.158 or EXT. 224. / \ l NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / (;, ( ~ 0 Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC.