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HomeMy WebLinkAbout114 E 11th St - BuildingINSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE RESULTS PERMIT %A')LL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X 71 `' !cr, . G:\EXCHANGE,13UILDING INSPECTOR: Date: s � ELECTRICAL PERMIT CITY OF PORT ANGELES J 360-417-4735 Q Application Number . . . . . 11-00001370 Date 12/02/11 Application pin number . . . 551250' REPORT SALES TAX Property Address . . . . . . 114 E 11TH ST tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4325-0000- on your excise Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . (Location Code 0502) Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 2 circuits shed / Hobby room ---------------------------------------------------------------------------- Owner Contractor STEPHEN C / LISA M MAY OWNER 114 E 11TH ST PORT ANGELES WA 98362 (360) 460-0253 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee . . . . 76.10 Plan Check Fee .00 Issue Date . . . . 12/02/11 Valuation . . . . 0 Expiration Date . . 5/30/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL -BRANCH CIRCUIT WO/FEEDER 73.50 1.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 2.60 ---------------------------------------------------------------------------- Fee summary Charged ---------- Paid Credited Due ------ — ---------- ----------------- Permit Fee Total 76.10 -- ---------- 76.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.10 76.10 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE RESULTS PERMIT %A')LL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X 71 `' !cr, . G:\EXCHANGE,13UILDING INSPECTOR: Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections n 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 EC 2 2gjj Ph: (360) 417-4735 Fax: (360) 417-4711 ELECTRICAL Date: /A -2,—// INSPECTIONS 1 &_2 Single Family Dwelling _ Multi -Family or Commercial* _ Commercial Additio Alteration' Remodel / Repair* * Plan Review May Be Re�juired, Please Complete Electrical Plan Review Information Sheet Job Address: -1 / q /- / / r Building Square Footage: —AtO O Description of above h eCe /Hjft41,,o v CA f MC -0 I`I�S Owner Information Contractor Information Name: .5tr_v c, a- L "S q Name: D (.) vl v r Mailing Address: d I SI F I Mailing Address: City: Pow 114 hj�w I. S State: -w,4 Zip: City: State: Zip: Phone: NGo o zs 3 Fax: Phone: Fax: License ## I Exp License # / Exp. Item Unit-Charqe QtV Total (Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201400 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 $ 7 S O Branch Circuit W/O Service Feeder $ 73.50 Each Additional Branch Circuit $ 2.60 i $ d 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 $ $ to 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 alteration in compliance with.the electrical laws,.N.E.C., RCW. 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, electrical contractor or electrical administrator: ❑ Cash ❑ Check ❑ Credit Card # �Gl/1/ x Dated: .0110112010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION ® / 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 10-00000717 Date 7/26/10 Application pin number . . . 728036 Property Address . . . . . . 114 E 11TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -4325 -0000 - Tenant nbr, name . . . . . . STEPHEN C / LISA M MAY Application type description RES REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 3000 ---------------------------------------------------------------------------- Application desc CHANGE FLAT ROOF TO RAFTER ROOF, FRENCH DOOR, ETC. ---------------------------------------------------------------------------- Owner Contractor STEPHEN C / LISA M MAY OWNER 114 E 11TH ST PORT ANGELES WA 98362 (360) 460-0253 --- Structure Information 000 000 II ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . RAFTER ROOF, FRENCH DOOR ETC Permit pin number . 169052 Permit Fee . . . . 109.75 Plan Check Fee 71.34 Issue Date . . . . 7/26/10 Valuation . . . . 3000 Expiration Date . . 1/22/11 Qty Unit Charge Per Extension BASE FEE 95.75 1.00 14.0000 THOU BL -2001-25K (14 PER K) 14.00 ---------------------------------------------------------------------------- Special Notes and Comments MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and electrical permits are required, if changing or installing electrical wiring. Any modifications to the City's electrical facilities will be at the customer's expense. Current code requires 4 feet of clearance between shed roof and overhead electrical supply line. This will need to be corrected when an electrical permit is pulled for this address. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE ---------------------------------------------------------------------------- 4.50 Fee summary Charged Paid Credited Due ------------------------------------- -------------------- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total 71.34 71.34 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 185.59 185.59 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) TjYIOJI2-(3-6l 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. �%�Date Print Name Signature of Contractor or Authorized Agent Signature of Owner-0,0wner is builder) T:FonnsBuilding Division/Building Pennit 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 I Date I Accepted By I Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rough -in I Water Line (Meter to Bldg) Gas Line Back Flow/ Water I FINAL Date Accepted by AIR SEAL: Walls Ceiling I I FRAMING: Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) _ I T -Bar I INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In I Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs I Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / Lighting ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical 417-4735 I Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 i T:Forms/Building Division/Building Permit V) PREPARED 12/13/11, 11:02:12 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/13/11 ---- -------------------------- ---------- ADDRESS . : 114 E 11TH ST SUBDIV: TENANT, NBR: STEPHEN C / LISA M MAY CONTRACTOR : PHONE OWNER STEPHEN C / LISA M MAY PHONE (360) 460-0253 PARCEL : 06-30-00-0-3-4325-0000- APPL NUMBER: 10-00000717 RES REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 1/18/11 JLL BLDG FRAMING 1/18/11 DA January 13, 2011 11:34:51 AM 1pangrle. STEPHEN 460-0253 FRAMING PLEASE INSPECT BEFORE 2:00 PM. January 18, 2011 3:59:59 PM jlierly. Block studs above top plate and no double top plate, tie rafters w strap or h clip/block top plate/ nail osb on interior with 8ds/ nail masonite with 8ds not finish nails.... All of this is required to be per code/jll BL99 01 12/13/11 J L BLDG'FINAL December 12, 2011 4:00:43 PM pbarthol. STEVE 460-0253 -------------------------------------- COMMENTS AND NOTES — ---- —------- — --- ----------------- rt V-k'4-^� �� k bio=7�7 f I �{ � I I� 5-�- RECEIVED JUL 13 2011 CITY OF PORT ANGELES BUILDING DIVISION _.74 � isle -41 C-neq PAW- e- q 04P PROJECT STATUS UPDATE Permit # I d _7 1 _� Date: — «- I phoned the: pplicant S�P k� a_ t 'K 0--- 02 53 I Property Owner at ntractor / at J I (left a phone message, discussed): The permit (has expired, o wi I expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. I . rA p n rrn�k 0 s4e�091A _V+Int�7t t - 13,12,- T:Forms/Building Division/Project Status Update PREPARED 1/18/11, 9:31:15 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/18/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 114 E 11TH ST SUBDIV: TENANT, NBR: STEPHEN C / LISA M MAY CONTRACTOR : PHONE OWNER STEPHEN C / LISA M MAY PHONE (360) 460-0253 PARCEL 06-30-00-0-3-4325-0000- APPL NUMBER: 10-00000717 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INS? DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 1/18/11 --d.LL BLDG FRAMING 1� January 13, 2011 11:34:51 AM 1pangrle. dJ STEPHEN 460-0253 FRAMING PLEASE INSPECT BEFORE 2:00 PM. ------------------------------ COMMENTS AND NOTES ------------'j, (A/Vj - � � I BUILDING PERMIT CITY OF PORT ANGELES _-. Attn: Building Permit Technician 321 E Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant ,(e X77" Property OwnerA0,-1 Property Owner's Ad— e s �� yh Contractor COW h Contractor's Address License # Expires PROJECT ADDRESS Parcel Number Protect Type & Brief Description: Check all that apply ❑ New Construction rig/ F 1►Th AResidential APPLICATION Print in ink For City Use Onl t Date Received "'1 � ��) U Permit # ate Approved Ph 0l 3&oY`o cPZS3 Ph ne Phone E-mail Lot Zoning ❑ Multi -family ❑ Commercial ❑ Industrial ❑ Addition AAA11 VI ❑ Remodel , Repair(FA t --d —. Pis f - ❑ Demolition 7- X /0 1='acin 6:ciS-F-$ �ieSF ❑ Re -roof ❑ Housegarage ❑ other o tear off & re -roof ❑ lay. over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other S ❑ Other Floor Areas Basement 15' Floor 2"d Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existinq (sq. ft.) Proposed (sq. ft.) per sq. ft. = $ i� &- x- of s 150n L– /kbo r I X011 TOTAL VALUATION $� Total footprint of structures sq. ft. T 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 # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths /have read and completed this application and know it 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, and to obtain permits prior to working on projects. Date 7- 9- /0 Print Name i<t,es, r h Signatures Al T:Forms/Building Division/Building permit application a R Clallam County Assessor & Treasurer - Property Details - 59504 STEPHEN C/LISA M ... Page 1 of 4 Clallarn County Assessor & Treasurer Property Search Results > 59504 STEPHEN C/LISA M MAY for Year 2010 - 2011 Property Account Cycle 5 Res Map ID: Neighborhood CD: Property ID: 59504 Legal Description: Geographic ID: 0630000343250000 Agent Code: Type: Real PORT ANGELES, WA 98362 Tax Area: 0010 - PA 121 PORT ST CNTY H2 L Land Use Code Open Space: N DFL Historic Property: N Remodel Property: Multi -Family Redevelopment: N $0.00 Township: $E Section: Range: $8.02 $8.01 Location $0.00 9 Address: 114 E ELEVENTH ST Ma sco: PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: Neighborhood CD: 10955130 Owner Name: STEPHEN C/LISA M MAY Owner ID: Mailing Address: 114 E 11TH ST % Ownership: i Base PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Due 11 Property Tax Information as of 07/09/2010 Amount Due if Paid on: 7771. LOT 6 BL 343 MAP M6 11 N N 39413 100.0000000000% http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=59504 7/9/2010 First Half 'Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest i Base 2010 42400 ST SCH - STATE SCHOOL $107.16 $107.15 $0.00 $0.00 $1C 12010 42400 CC -GEN - COUNTY $57.03 $57.03 $0.00 $0.00 $E 2010 42400 PORT -PORT $8.02 $8.01 $0.00 $0.00 9 2010 42400 _ PORT ANG - PORT ANGELES $132.04 $132.03 $0.00 $0.00 $12 2010 42400 SD #121 - SCHOOL DISTRICT #121 $138.80 $138.80 $0.00 $0.00 $1 2010 42400 NTH OLY LIB - NORTH OLYMPIC LIBRARY $16.57 $16.57 $0.00 $0.00 $1 2010 42400 HOSP #2 - HOSPITAL #2 $23.40 $23.39 $0.00 $0.00 $2 12010 42400 WSMET PK DIST -WILLIAM SHORE MET PARK DIST $7.44 $7.45 $0.00 $0.00 9 2010 42400 CITY STORMWATER -CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $: 2010 42400 WEED -CONTROL - WEED CONTROL $0.82 $0.81 $0.00 $0.00 9 2010 - 42400 TOTAL: $527.28 $527.24 $0.00 $0.00 $5,1 2009 595042008 ST SCH - STATE SCHOOL $121.16 $121.15 $0.00 $0.00 $24 i2009 595042008 CC -GEN - COUNTY $61.32 $61.32 $0.00 $0.00 $12 2009 595042008 PORT -PORT $8.69 $8.68 $0.00 $0.00 $1 2009 595042008 PORT ANG - PORT ANGELES $134.49 $134.49 $0.00 $0.00 $2E 2009 595042008 SD #121 - SCHOOL DISTRICT #121 $149.81 $149.85 $0.00 $0.00 $2� 2009 595042008 NTH OILY LIB - NORTH OLYMPIC LIBRARY $17.82 $17.81 $0.00 $0.00 $' i 2009 595042008 HOSP #2 - HOSPITAL #2 $25.15 $25.14 $0.00 $0.00 $E 2009 595042008 CITY-STORMWATER - CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $7 http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=59504 7/9/2010 --1ppi - -- - - r 1.� - -- -- - t--- - -- 1 I -- }- -» - -- - -- ----� �__ a Sa�E•5 — - - - - - I--� - --- - I --I-- - — �-- �—i —� -- - --- - --= - +-- �- — --i — ---- �- - - - - -- — f-- TIL -T---- N6r� I I - - - - - — -- -t t I I i I t 2x L I !-11-11 E� �Cr�rIC�Hfe✓ - -� - 1 I i $,$ `•z ! - C oF�os�T.�tbGEt E� —Con + - - - - The Issuance afthis - stomPlans, , �`-�-- r --- I permit based upon these lansn Plans I - I tCations and other data not P►event the-buildingecirl. therea - I plans, $ffer requiring the COrnaon of err official - -+- _ J_ Pecifications and- other ors in- -•- - �- - building operations' being carried °r from preventing -v�olab_on}oi_a!I_codes anA thereunder when-in--'-- } ° of this Jurisdiction, l :Ap�pfoval Date 8Y I' , '"y�••p.'"S[".:C:' ev. �.'Ly '.n'nN `n,,. ^ ,. �5a�'.3.i'�:."� w at-• too AV 91 , n . 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'�,`"u'=.AYak .Z. .. ._�,.' ,.v -?gym:..' t � ...7^,• . „ .... . . „ n... ..., PREPARED 10/12/09 8 37 21 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/12/09 ADDRESS 114 E 11TH ST SUBDIV TENANT NBR STEPHEN C/LISA M MAY CONTRACTOR PHONE OWNER STEPHEN C/LISA M MAY PHONE (360) 417 2604 PARCEL 06 30 00 0 3 4325 0000 APPL NUMBER 09 00000388 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 10/12/09 BLDG FINAL TIME 03 30 �t October 9 2009 12 54 14 PM 1pangrle DEAN 460 0253 BLDG FINAL RE ROOF PREFERS A 3 30 PM INSPECTION COMMENTS AND NOTES +t,Lt ����` IZ-110 TV Zoo �, ee---)D o *" CITY OF PORT ANGELES �1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION ` 2 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000388 Date 5/01/09 Application pin number 683352 Property Address 114 E 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4325 0000 Tenant nbr name STEPHEN C/LISA M MAY Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3400 Application desc TEAR OFF & RE ROOF HOUSE Owner Contractor STEPHEN C/LISA M MAY OWNER 114 E 11TH ST PORT ANGELES WA 98362 (360) 417 2604 Structure Information 000 000 TEAR OFF & RE ROOF HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF_ & RE ROOF HOUSE Permit pin number 145169 Permit Fee 123 75 Plan Check Fee 00 Issue Date 5/01/09 Valuation 3400 Expiration Date 10/28/09 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL 2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 00 00 ,n Y 1 (6, IZ-pq 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Ow �-o--'r is builder) T:FormsBuilding Division/Building Pennit C) BUILDING PERMIT INSPECTION RECORD -Q� — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 d0 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 INCONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type 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 Parking / Lighting Landscaping Date I Accepted By Comments I I FINAL Date Accepted by i I I [� I FINAL Date Accepted by I I 1 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 I Planning 417-4750 Building 417-4815 10— iz—Oq 7_W_ T:Forms/Building Division/Building Permit VOkTg1 BUILDING PERMIT APPLICATION Print In Ink ri�'�•"M"- CITY OF PORT ANGELES For City Use Only - s. Attn Building Permit Technician Date Received 5— 1-- oq ==' 321 E Fifth St. Port Angeles WA 98362 !► Permit # nq- 3910 (360) 417-4815 fax (360) 417-4711 Date Approved Applicant Phone / 7,9-hoz/ Property Owner ,Sty vPhone 11 Property Owner's Address Contractor _S>`t° L, .� 1 Phone Contractor's Address License # Expires E-mail PROJECT ADDRESS r, CF Parcel Number Lot Zoning Protect Type & Brief Description. X -Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel ❑ Repair ❑ Demolition )(Re -roof mtHouse ❑ garage ❑ other tear off & re -roof ❑ lay over one layer ❑ Heat System '❑ eat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 1s' Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existing (sg. ft.) Proposed (sq. ft.) @$ / per sq ft. = $ 10ia�i adS 1760 DOTAL VALUATION $ 3 , y Q jj Total footprint of structures sq ft. . Lot size sq = 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 # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths /have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that it /s my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date,5/- c/' Print Name C 4-e-0; e- 7? 2.,__ Signature T Forms/Building Division/Bldg Permit.doc °F°^�� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION G� 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 03 00000460 Date 5/28/03 Property Address 114 E 11TH ST ASSESSOR PARCEL NUMBER 0630000343250000 Application description ELECTRICAL ONLY Property Zoning Application valuation 0 Owner Contractor MAY STEPHEN C/LISAA ANGELES ELECTRIC 114 E 11TH ST 524 E 1ST ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 9264 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Sub Contractor ANGELES ELECTRIC Permit Fee 64 90 Plan Check Fee 00 Issue Date 5/28/03 Valuation 0 Expiration Date 11/24/03 Qty Unit Charge Per Extension 1 00 64 9000 ECH EL -R OR RM 0 200 ALT SRV FDR 64 90 Fee summary Charged Paid Credited Due Permit Fee Total 64 90 64 90 00 00 Plan Check Total 00 00 00 00 Grand Total 64 90 64 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 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 T-\PLANNING\FORMS\1102.15 [4/2002] Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION INSPECTION TYPE KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATEI ACCEPTED YES I NO FOUNDATION: FOOTINGS I` WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH -IN PLUMBING UNDERFLOOR/SLAB I` ROUGH -IN WATERLINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL I` WALLS / ROOF / CEILING DRYWALL T -BAR INSULATION SLAB WALL / FLOOR / CEILING 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 #'s SEPA. PARKING/LIGHTING LANDSCAPING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATEYES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417-4735 I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ pff CONSTRUCTION R. W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T-\PLANNING\FORMS\1102.15 [4/2002] COMMENTS DATE ACCEPTED YES NO I PONiq,', .w F N CITY @F. PORT ANGELES DEPARTMENT OF 7COWAUN1TY DEVELOPMENT - BUILDING DIMION 331 EAST STH STJ T, -POR -T. ANGELPS; WA-983A6Z . , -. BUILDING PERMIT ISSUEb: if -. PERMIT NO: 13591 OtiVNERiAPPj.IA$!f ; PROPERTY LOCATION STEVE MAY Lot 1,14, 11TH S7s 114E 11TH STREET Block: 3433 - Lon Port Angeles, WA X62 � 9 Leal g 360J417-2604 Subdivision: TPA T: S: 'Parcel No: 06300 003432M CONTRACTOR, ARCHITECT PELLET HEAT CO. WA 230 "C" 1E.1 ST STREET Port Angeles, WA;98362 3601457-1649 00 . PROJECT INFO Proj'eet Value: ' $2,600.00 SFtf Uh ts: 0 Commercial: 0 1, Project Type: PELLET STOVE SPI)'$0 FT 0 Industrial: 0 , Occupancy Type: RESIDENTIAL Garage: -0 Occupancy Group: MF�D Unrts: 0 Construction Type: MFS 80 FT: 0 Zoning Use: PROJECT'TALLREE'E STANDING PELLET STOVE � RECEIPT #9474 �.,. FEESASSESSMENT T Building Permit: $0.00 Mi$c Fee 1: $0.00 Plan Check: $0=00 Mise Fee 2: ' $0.00 State Surcharge: $0:00 Misc Fee: $0.00 House Moving: $0.00 - Menu cctured Home: $0.00 Sign: '$0.00 TOTAL FEE: $50.00 Plumbing: $0.00 AMOUNT PAID:. $50.00 Mechanical: $50.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required foreiectricsl work; SEPA, Shorellne eSA: utifttles, private andpublic improvements. This p it becomes null and void jf.work or construction authorized taint commenced Within 18fJ days, if construction or work is suspender abandened for a Period of180 days after the work as commenced, pr if required inspection$ have not been requested within 180 days t{om thin last ins,Peatlont. •1 i^r r certify that 1 have read and`examined �s ip 6on'9nd-kh6w the same"to be true'arwd d6nict. AJCprcrcisiu of laws and ordinances governing this type of work will be complied Wth whether specified herein or not. The granting of ap4mit,d6itridt presume _to give au ority to violate or cancel t64 -provisions of any state or local law regulating construction or the pper€ormance of , construction. Signature of Contra or or Authorized Agent ©ate w S' Lure ofwner {if ovwner is builder) Qat ,.. _ - BUILT M PER-Wr INSPEMON 000RD CALL 417-4815 FOR BUILDING II+ISPEC'T`IONS. ,I'LEASE PROVIDEA MINIMtJM 24 HOURNOTICE. ITIS UNLAWFi�la INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST Pmmrr INA CONSPICUOUS ":!,KEEP PERMjT CA kRp.AND APPROVED PLANS AT JOB SITE [iYSPECTTON TYPE = ` � � ►1 A 1 A EP7 ED cob"" I{ � , YE3 ' NO FOUNDA'T'ION: FOOTINGS 1 WALLS FOUNDATION DRAINAGE ELECTRICALr4E PARA - TE PPERRMI '. (LIGHT DEPT) SET: # ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATERLINE GAS LINE BACK FLOW / WATER =i 4 AIR SEAT. -i.WALLS CEILING .. FRAMING JOISTS / GIRDERS -� SHEAR WALL WALLS / ROOF, i CEILING DRYWALL T -BAR INSULATION -SLAB WALL I,FLOOR/ CEILING � - MECHANICAL- HEATPUMP e 1 WOOD STOVE / PELLET / CHTMiSf, HOOD/ DUCTS PW UTILITIES / SITE WORK (Enering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM . PLANNING DEPT. SEPARATIIIT #-s SEPA: PARKING/LIGTTTING � I I SHORELINE: ��UV4PECFIONSRBQ,UIRIM-PRIOR.IO DMI -E , - 'YES' NO . , r . CO1GiM8RC1►L x :xz a b.,:�•r. - i qtr _ : -_ - ts. _,� ACPT,<±D, ,b 1 ELIiL CRiC�AL >i IGH7 DEPT 417-4735, ip"}L CONSTRUCTION R.W. / PW/ ENGINEERING ,CONSTRUCTION - RW. G a 1748117 PW/ ENGINEBRING FIRE t 417-4 , 6 53 FIRE DEPT PLANNING DEPT.,417 4750 - PLANNING DEPT,,` BUILDING 4I7-4815 ii Y BUILDING TAPLANNINGIFORMSU 102.15 [4/2002] 7-25-02; 9:43P.M ; FROM : SPA SHOP -PELLET HEAT CO FAX NO. : 3604520503 Jul. 2 5 �d pe.r BUILDING PERMIT - APPLICATION �cwa� 1%e Bui/ ft A~ - Pres -application penal baJ3lled aW eamphMeiy. JPlease typo or prlmtia ink, If you have any gFcstions, please =U 411-4gi5 4 3604520503;# 1 2002 09:51AM P1 FOR OFFMAL U:6K ONLY; D= Rw Dam taaued: Applicant and or Agent: I5E // Phone: 6"C_ Phone: 411 Address: Ar0hi%TvE49iwcr: L Contractor % /' �� t r H� 0 8 0 ,,, s Phone: �A „— icense #.phone, -4zs Addr wsa: Z 3 n c - r_— a City. /?Or k Zip: r z z -, —. PROJECT ADDRE85: l ! 4, _e4s3- // T4 LEGAL "DESCRIPTION: Lot: (v Htocic '3 t1 7 ZONING: G; COUNTY PARCEL NUMSKR-- o .Subdivision T P O CredH Card 13oldet LYnale: Addrw�: 2 � _ i=asl- t=fps-} s� City. ►%brf p,. .1/mss �'�'&`—` x "e- Credlt Card fh O N F" /c exp. Dste: '� VISA x MC TYPE OF WORK - 13 Itesidarmal o New Cans#r. a .goof Q MUN-faanil ' C Addition Q Mare C3 Commercial Ca Rcmod l c volition © Repair o Sign BRIEF DESCREMON OF THE PROiECf: �N Stsa// Fri $fA �r'r g SvANALUA7wN: 0 Woodstovc 5F. @$ /5F. = $ unlc /SF Z3 Deea SF. @ S . = $ SF. @ $ /5P. - S X' e li i- 5Y6 TOTAL VALUATION C0hflKERCtAI4kE57DENTlAL: Occrgncy CroaP.. Occupant Loa &- Co numctkm Type - No. of Stariex Lot Sir= % Lot Coverage: 95 � Exiw8 Lot Coverage; /sq. It + Proposed Lot Coverage: /sq..fL - TOTAL LOT COVERAGE: PLANNING USE ONLY: APPROVALS: PLA NNotes: BLDG. DPW RWWedsed(a): Q Yes a No SFPA Chcc;dist�8 req red? o Yes ❑ NaNn Otter OMR BUU,DING APPLICATION SU>l3A=AL: Fora qWUM40n mtdaKr pinedurrt bs filled OW w cry lb Bube eccePf w%f®r tevmaw. The ilding Divssioa can provide you with stoma detailed ialotmation on the application end plan subanbW requkements_ • BUILDING. P$RMT APPLICATION SUBMITTAL: Your completed application, aim plan (for addhioats) and bung construction ph= arc;to bo submitted to the Building Divi m. VA,LUA'IIONOF " � . ks x %VC7WN: is alt emus, a vaivaidon. 31nount must be marred by the applfeaat_ Ibis figure will be revic%vod and away be rvnmd by the Building Div to comply witty ouzra nt fere schedules. Contact the Permit CDorditalor at 417-4815 for aasistaanco.. FLAN CH=FEE: Your pino check fee is ace atihe time dw buildi tg permit appUcation.and cottstauctia®plans are submitted All other peimk fees are due at the time of pwwit iBBAaace. \- EXPIRATION OF PLAN REVM W: If no permit Is issued witbia 180 days of the date of$pplicativat, rhesappllcatiore will esgire try lanitatians. 7118 Building Official can =t= d tto time for action by the applicant up to 180 days, is wti d saucst Section 107.4 of the UniformBuulditg Code, cvaeztt odWou). No application can be extended m m thast Ossa, by the applicant (sea I hereby oM*tient I have read*d e:r=bwd tins appuc ation and know the am w to ba &%w Qnd COrer,-t, pod I am amthorked to apply for rear iI to E� t1� City's legd respariei6taJry to dcre>yrrine what pc�mits aTe required; it remains the appfieaat's Porn' kY PwMib are requ& d and to obtain suck Pw-r toz 131tav�J011 Applicant: �`f Date:. -7-2 r -.0 -Z POR7.IryC CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION v 321 EAST STH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 7/25/2002 PERMIT NO: 13591 OWNER/APPLICANT STEVE MAY 114 E 11TH STREET Port Angeles, WA 98362 360/417-2604 T: S: CONTRACTOR PELLET HEAT CO. 230 "C" E. 1 ST STREET Port Angeles, WA 98362 360/457-1649 PROJECTINFO PROPERTY LOCATION 114 11TH ST E Lot: 6 Block: 343 ❑ Long Legal Subdivision: TPA Parcel No: 063000034325000 ARCHITECT N/A , 98360-0000 360/000-0000 Project Value: $2,600.00 SFD Units: Project Type: PELLET STOVE SFD SQ FT: Occupancy Type: RESIDENTIAL Occupancy Group: MFD Units: Construction Type: MFD SQ FT: Zoning Use* PROJECT NOTES INSTALL FREE STANDING PELLET STOVE RECEIPT #9474 Building Permit: $0.00 Plan Check: $0.00 State Surcharge: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $0.00 Mechanical: $50.00 Radon: $0.00 Misc Fee 1: Misc Fee 2: Misc Fee 3: 0 Commercial: 0 0 Industrial: 0 Garage: 0 0 0 TOTAL FEE: AMOUNT PAID - BALANCE DUE: $0.00 $0.00 $0.00 $50.00 $50.00 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. (-�) �J F'' I� Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T TLANNINGTORMSU 102 15 [4/2002] 1 3604520503;# 1 7-2S-02; 9.43ANI ; Jul. 25 2002 09:51AM Pi FROM : SPA SHOP -PELLET HEAT CO FAX NO. : 3604520503 FOR OFFK3AL U19 ONLY: BUILDING -PERMIT - APPLICATION ft= K= no BroddM9 Awmit - Pr&-,W1kation NUW bejgkd out ConV&e#. Dam Inued: Please type of print ig JuL If you trove any questions, please call 417-4815 Applicant and/or Agent: phmv: V4 7 - 11711416.1 el OVMa.- S t e- V I- A Phone; ao v Addms: City:-- A,,gel- Zip: 18'3 L 2 Anhi%vVEaginecr Phow: PELL 614C 0 8 0 - 9 C0nftWt0r_A1_Ze-_t__1)c-44- 4e, Liceme F -V: Phone- k5"`7f/s�4e, Address: 2.3 0 c- PROJZCT AVOWS$: A'4 -5i- ZONOG: LNGAL'DESCRIMON.-Lar 4, subavWm- T -P A CLALLAM COMITY ?ARM NUMBm of, a Poo o% ys 2Y cndit caN Hower Name- M, c A.4 82ftAddnno. 2-10c Ems i- jtr-,-_v+ ;,a- Car ;>00 -0 - Credit Cars! * OAII Sep. Date: VISA WC TYM OF WORK • Residtemiil 13 NeW Constr. C3 RO-Nof • MW&fkmily U Addition 0 ft" • cmm&rjd a Pamodcl a DcmdIftioin 0 Repair 0 sip BRIEF DZSCRUnTON OF TILE PRjDJ1Cr- SWWALUATION-, 0 Woodblevc 3F. @$ /W. = $ 13 Gane SF. @ $ 19F.=S 13 DO& SF. @$ /W. -S X-JE�142- P6,- TOTAL VALUATION $ 2. 4 "Pe-Ite-t sjo-.,- 00b0MCL4L4UZSMEN11L4L: Otcopoicy Chvvp: Occupant Load-, -r-onstmction fie- No. of St Lot Sim % Lot Cuvrsrage. I % Exbft Lot CoverAP; /sq. & + Proposed Lot Coverage: Aq- It - TOTAL LOT COVERAGE: PLANNM USE ONLY; APPROVALS: PLAN Notes-, AMC DPW ESVWeftt4,): 0 Yes 0 No SEPA CkcklistroqWred? a Yes; 13 1110 OdW. BU9A24GAPPLICATION 9=N=A11,. 'Me Building t&idoft can provide ymvvhh =am detailed taformilion an the appB40oa and plan Buba requirements_ BIMMENG YUt=r AMACATION SUBMMAUU-, Your completed application, sitar plan (for additiou) and buwfing construction pl= am to be subadued to the Building Divftica. VALUATTWOF k,,b j, mATCMN: In SU avahudmamount must bocwxndbylite applicant. lois figunwilt berenevedand wru4y two mYL-wil by 6e Buddiag Div. to comply with attrzwn fee schadides. Contact the Permit Coordbuxor at 417-490 for astamcc. FLANCIM=M: Yomplan d=k fee is dee attht time The building permitapplicalimmd con3mwficm plow mv snbraittA All other permit fm are dim at the time of pwm& bouaiw1a. EXPIRATION OF *PLAN REVW-. If no permil is ivand within 190 days of the deft of application, d2k appifteafloft VVIR expire by l=kW=m To Building Official can vmmd the time for action by the applicant up to Joe &M on wnftm mqucatby the applicant (se, Section 107.4 of The Uniform Building Code, ewent tMoo). No application can be extended mord than oncv, fhffoby ccrf6 dust I have readjW numtwd dia applAwhan and know the mw to be &w and compo and darn aurkmtred to apply for it isolnot the CY&'s legal responskiloyto &femixe whapermft are required; drmaim the qppjkanj,$ responsibility to daermimwhat jowmia arc rqubvd and to obtain such. ?W-1102j31x4j0lj Applicant:14�j��7�Date- '7-2r--0-2_ d-15-203 3 : 03PM FROM ANGELES ELECTRIC INC 360 d52 9265 P.1 pirx ornciAi, usf or+t,r �� q ELECTRICAL PERMIT APPLICATION 1 >i'} 0.11APm--w (X`"' ThP EteclliCal Pmmit ApobCation must be filled out completely, Please type or reprint tri ink If you hove any questions, pleasr. call (360.417-4735 Fax number: t360) 417.4711 REQUEST INSPECTION 0 Owncr or Elec. Contractor Agent ___ANi'aL' LES_�i;/LIiCTl%J_(:_.T Nf: _ �„� Phone 452-9264 Fax. 452-926S Property Owner: _—,�+ "y"-Y�.. /1 �} ,/ Phone: nddress:__-_//2% Lr. ��_ Jam% - City, 1'ye�. re: ANGELE1460RS Electrical Contractor: ANGELES ELECTRIC INC. license#: Exp Address: 524 EAST FIRS*' City PORT ANGELES, WA INSTALLATON WIRED By; I_IOWNER JWLECTRICAL CONTRACTOR Credit Card Holder'Name - - TSA Ci•mnann i Credit Card Number: /1 fCM 40340N /Y!! Exp. Date: 110(0 .1 PROJECT A0ORESS:__11. 1 J!. t! -0- Jv. TYPE OF WORK: Check all that apply: Cl New WAileration/Addition NResidental O Multi -family 0 Commercial U Mobile Home Sq. Ft. Phone: 4 57-cI264 Zip: VISA: MC.A' O Remote Meter n Detached garage M I lot Tub t_1 Swim Pool O Septic Pump Q Low Voltage O Telecom. D Sign Number or Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJEC'-•F Electrical Heat Load Additions Service Information W i i2f- '5r L IV * Baseboard _. KW I Voltage: yrc Q ice' 04 U- Furnace _KW p Overhead Service Phase: O 1 ❑ 3 :3 Heat Pump __KW 0 Temp Service Service Size: J Fan -Wall _KW U Underground Service Feeder Size: 'AMC 14.05.060(8)7 For industrial. commercial, & residential projects larger than a duplex, a one - line drawing of the Electrical Service & 'eeders, building size (sq. 1t.), load calcilations, and the type & of conductors and/or raceway is required and shaft accompany the aeclrical Permit application. hereby certify that l have read and examined this application and know that same to be true and correct, and I am ,uthorized to apply for this penrlit. I •understand it is not the City's legal responsibility to determine what permits re required; it remains the applicants responsibility to determine what permits are required and to obtain such. rsa Credit Card Holder's Signature: Date: c/ Owner or El+:c- Cont. Signature: Date: JV -8019