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Home My WebLink About1129 W 7th St - Building ...,~~~~ " <f .oT<T ....Q " l~~~ ". "--~ ~ ~'Wid'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00001135 Date .742885 1129 W 7TH ST 06-30-00-0-1-5560-0000- RES NEW SFR 2/07/05 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 100488 Owner Contractor MCKNIGHT, KENNETH JR 285 BLACK DIAMOND RD PORT ANGELES (360) 452-7467 Structure Information Construction Type Occupancy Type Other struct info BLACK DIAMOND BUILDERS 111 BENSON CREST DR PORT ANGELES (360) 452-8836 1484 SF NEW SFR W/576 ATT GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983635601 WA 98363 29.70 V-N 1. 00 1. 00 7000.00 2080.00 2080.00 1. 00 ,;P' C~ Permit MECHANICAL PERMIT Additional desc Permit Fee 90.80 Plan Check Fee .00 Issue Date 1/13/05 Valuation 0 Expiration Date 7/23/05 Qty Unit Charge Per Extension 47.00 29.00 14.80 4.00 1. 00 BASE FEE 7.2500 ECH ME-VENT FAN 14.8000 ECH ME-INSTALL FLOOR FURNACE Permit PLUMBING PERMIT Additional desc Permit Fee 132.00 Plan Check Fee .00 Issue Date 1/13/05 Valuation 0 Expiration Date 7/23/05 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00 permi t Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL NEW 1484 SF SFR & 576 GARAGE 1022.85 Plan Check Fee 12/22/04 Valuation 7/23/05 409.14 100488 Qty Unit Charge Per Extension N ..n < -J 1 f t 1 s.~ t~ ~~ \ 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 Owner (if owner is builder) T:IPLANNING\FORMSIl102.15 [11/14/20031 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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNING\FORMSI1102.15 [11114120031 ,.. li''PORT~ #l'O~ ,.. "--~ ~ ~'Wid'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 04-00001135 Date 2/07/05 pin number .742885 Qty Unit Charge Per Extension BASE FEE 1017.25 1. 00 5.6000 THOU BL-100,001-500K (5.60 PER K) 5.60 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments proposal will result in the construction of a s.f. res in the RS-7 for total lot coverage of 30%. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1245.65 1245.65 .00 .00 Plan Check Total 409.14 409.14 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3429.29 3429.29 .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 Date Signature of Owner (if owner is builder) Date T:IPLANNING\FORMSIl102.15 [11114/20031 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 UNLA WFUL TO COVER, INSULA TE 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 '-/</-OS j J-L- WALLS " -WJ-Q .cr" "l f-- L FOUNDATION DRAINAGElDOWN SPOUTS J-M-&~ J l-l- ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING AfIdJ. ~/~/()G -vU- - AfJIJ UNDER FLOOR 1 SLAB ROUGH-IN Q.A.;f'f1 \ I~ J.-J-. WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS '<..- J1v~~ <;:- .I L-L CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING :1-{)J(~S- ~I i--L DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL vnal-t. Ant:t-l, t:{'2-e./O$ cJLL.- A-PP HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ,.1J.1 ~.j ~ ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI , , CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~b V~V BUILDING T:IPLANNING\FORMSI1102.15 [11114120031 3: , o-J '" ::;:;;~8~ 0'" 01 >< ~ H'" , '" '0 "''''ZZO o-JOl , '" '- t"'OOlo-J'" ><'0 , UJ >-< tI:I:;d:;dtI:I )> 0 0 ..; Zt"' )>UJ 0", e-> ~. 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"--~ ~ ~.,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00001135 Date .742885 1129 W 7TH ST 06-30-00-0-1-5560-0000- RES NEW SFR 2/07/05 RS7 RESDNTL SINGLE FAMILY 100488 Owner Contractor MCKNIGHT, KENNETH JR 285 BLACK DIAMOND RD PORT ANGELES (360) 452-7467 Structure Information Construction Type Occupancy Type Other struct info WA 983635601 BLACK DIAMOND BUILDERS 111 BENSON CREST DR PORT ANGELES (360) 452-8836 1484 SF NEW SFR W/576 ATT GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 29.70 V-N 1. 00 1. 00 7000.00 2080.00 2080.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee Issue Date 1/13/05 Valuation Expiration Date 7/23/05 .00 100488 Qty 1. 00 Unit Charge Per 640.0000 EA PW W/M 1" SERV 5/8" METER Extension 640.00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 1/13/05 7/23/05 Plan Check Fee Valuation .00 100488 Qty 1. 00 Unit Charge Per 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Permit . . . . Additional desc Permit Fee Issue Date Expiration Date STREET ALLEY RESTORATION STREET CUT /REPAIR 230.00 Plan Check Fee 1/13/05 Valuation 7/23/05 .00 100488 Qty 1. 00 Unit Charge Per 230.0000 ECH STREET ALLEY RESTORATION Extension 230.00 Permi t . . . . Additional desc Permit Fee Issue Date SANITARY SEWER HOOK UP 95.00 1/13/05 Plan Check Fee Valuation .00 100488 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 ~~J< Signature of Owner (if owner is builder) 2-Jo( Date T:lPoliciesll J02.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:lPoliciesI1102.15R [11051 Of 'PORT ~ ~(i ~-- ~'Wid'" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Expiration Date . . 04-00001135 .742885 7/23/05 Page Date 2 2/07/05 Qty 1. 00 Unit Charge Per 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments Proposal will result in the construction of a s.f. res in the RS-7 for total lot coverage of 30%. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1010.00 1010.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2784.50 2784.50 .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 Date Signature of Owner (if owner is builder) Date T:lPolicies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. I PW I CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:lPoliciesl11 02.15R [1/05] \Vashington State Energy Code Pian Revie,,; Ch ecklist UfIl ~~~ HING Applicant please Check, write in N/A, or fil1 in value OD boxes or lines. l/JC] Project Address: I ') 7"!:!t V\.../ I ~-r. ? /}. 1. D-v- J..-i. i V\....- L 1 Co h1 "'C k>--if~ d o Component perf0l111anCe 0 Prescliptive path Compliance Approach:(check one) 0 Systems analysis REA TING SYSTEM o Zone Heating o Electric Furnace l"VHeat Pump FOUNDATION PHASE o Slab R-_ Exterior down to frostline/slab bottom; Interior 24" horizontal or vertical; or, If radiant under entire slab o Below grade exterior wall insulation: R-_ (If interior -see Insulation Phase) FRAMING PHASE t! Standard 0 Intermediate 0 Advanced IX!. Standard air seal: sole plate/sub floor; rim joist; window & door frames; wires, plumbing, ducts, light fIxtm-es ~ SOUIce specifIc exhaust fans: bath & laundry(50 cfm) kitchen(100 cfm) i)L Whole house exllaust fan 150cfm intermittent system has manual & auto controls: Outdoor au__ supply reg. for habitable rooms or o Integrated forced -air system, fan _ cfm, outside air duct(vvith motor damper) allowing .35 and .5 ACH INSULA TlON PHASE r,g R-~ Wall insulation(above grade) o R- _ Wall insulation(below grade): Interior wall insulation ['){ R-1.t. Floor insulation !Q R-.3.B Ceilulg insulation: Includlllg attic hatch ~R-..3..Z- Vaulted Ceiling lllsulation ~ Vapor retarders: Walls, Ceillllg: 04 mil poly ~erm rated paint Dlaaft faced batts o Vapor retarders: Floors: 0 4 mi1 poly Dlaaft faced batts ~ Ground cover: 6 mil Black polyethylene, 12" lap at joints & extending to foundation wall T:IROGERIBLDG_FORMS-BROCHURESIE}''ERGYPLANREVIEW Over: Fill in back side also. WINDOW GLAZING Please fill out window information, inclued skylights, glass doors, and all other glazing on this form. Use rough opening area for calculations. SIZE QUANTITY AREA U-VALUE & MANUFACTURER ,.]B'l-SQ ? -~/(. d~r; ,3$' _~ c Y- 59 2- /11 o fr: .3':> d.... 0 'f.- d..-~ J '-I " rr. , ~ -) _~o I- 3~- I q " rf. .,..- ?t .r.;- 0 "'1_ L/Q. I I",W Ii cr. . .~~~1 Total glazing area: Total conditioned floor area: Percentage of glazing: ~/3 /l/3'-J ~,qc" :b DOORS List doors by type(solid core, insulated, Etc.)quantity, U-value, and Manufacture. SIZE QUANTITY AREA U-VALUE & MANUFACTURER 30,+ loB 2 '-10 f1 Fr. ~/1 SrAJV~Lv STec:L SOLio Co/. f e T:\ROGERIBLDG-FO RMS-BROCH URESIEN E RGYPLAN REVI EW-2 Feet Vertical Datum = NA VD 88 Horizontal Datum = NAD 83/91 N Area Map This map is not intended to be used as a legal description. This map/drawing is produced by the Ci~l' qf Port Angelesfor its own use and purposes. Any other lise of this map/drawing shalf not be the responsibility of the Ci(I'. ,~ ,~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: 19-- 'l-oJ.-j . ...- Permit #: (f!p J..I ~ 3v Date Approved: J 'I ~ Dale Issued: vc Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: K ~t\J1\) ;S-Tf-I Owner: 51\ ME. Address: 28~ f1l..N.1<.l)l ~mOA)D L.. MCkNIGHT ..:TR.. Phone: 3 '=:>0 - LlSd.-741P7 Phone: Rd. City: K,R..T Atu:te:L~'5 LUA Zip: Qg'3b3 Architect/Engineer: t-J A Phone: ContractorBLK.K. D/AMod RLlt~~tate License #:6LACI<.Deqb5K~xp: S/3/DL:. Address: 2e~ ~ D, A~O RA. city:Fb.e:r AI-Xfucs W/J . PROJECT ADDRESS: //;;<9 uJ, 7f),$r. fAeT 11 IUCfl::t..../::..-:5 uJA-. ZONING: LEGAL DESCRIPTION: Lot: 13 Block: \ 55 Olo~OOOO /5560 Phone: ?bO-l.fS:;l-7"1~ 7 Zip: c;~3b"3 /(7 Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o Residential ~ew Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: NeLu Re5, City: Exp. Date: SIZENALUATION: 6eJ o Stove ~ /lJ8'1 SF. @ $ ....-:;-r~SF. = $ ~ ?~t::(~- o ""'ago G/If<. !j 7 t, SF.@$ ')..' ~ /SF. ~ $ ;. ~~~ii. o Deck oect< Zo SF. @ $ '''I ;..--- /SF. = $ _ _ ~__~ o Other TOTAL VALUATION $ ~ e Ofl./5T,el/CTI 01\/ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: ~ Lot Size: 70roSF:Existing Sq. Ft. .&- Total lot coverage '}- 9 ~ '7 Occupant Load: Construction Type: V - N & Proposed Sq. Ft. .9-0&'V = TOTAL Sq. Ft..;2.D8o % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the 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 R105.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby cerlify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd APp1icant~ tf!T ~~ Date: 12- -, ~ 0" o .{--'ov.)\::. R Pole II 'I 7 I ~ J s/)~) (7/7 Ie ~/ ::::;: j 'cjZ fl)I9/N / I ~ ~ '~(\ / I \, 'j , ' -_. _. "'- I-bnE tf 3W-l/S-~-7tjb 7 j) LLE L( !- ,,~\ ' f y 4 I , ,,' ---J:J ,4----- : -.. '! 01' __ 1__ \ I ~ :;?, '-..; .....1'. ",I ~, ! .,-"'i k ''\:! I ....., 'i .'.. -. '- '.... ~ ! - \{ 1\ . , /.:[1 I I I I I ~- - 20" L ;r- N LLV DR\VEWAY /) 1"1/~ H L r t" !"'l'~ "--" '. '. , .' t 1."-7 I j U' fT: , } '....-. ~\_ I (', ('J ! ,',) L j ::. __ l t ?- q tVt W' IYS'-( .5Gl. F'T !-.~_.._'".. .- r (< --~-'--_.._-~-~----- 4_~_.__~"p..__ ._.,._.._.,_.____~_.<'...___.. ~_.'~_.'_~.v.. .""_~ 50' ~ -,.. .---..--.-....-------- .-. --=--.--....----, -......, ---. '-[ W. r-{-Lh ST. J hfZ 0 r.. ':' 4- "~----9" - i I ___J "_,s ' !U .:< .... -...J ~ \, ~ '-J ~ () ~ f:\.. r I I I I I I ;. ,.( J hE nl\'-' I /\ f I c. N \ /1 ':. , \ C) SLP\L r. L.U 'i 1 t.k (YJ 1':1 i N '-"\( I; ...J _~. t j'1 I ! I r: d'D'lr~. $(i~~ D!I "" r ",.-,... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ."\21 EAST 5TH STREET. PORT ANGELES. WA 91B62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001135 Date .742885 1129 W 7TH ST 06-30-00-0-1-5560-0000- RES NEW SFR 3/14/05 RS7 RESDNTL SINGLE FAMILY 100488 Owner Contractor MCKNIGHT, KENNETH JR 285 BLACK DIAMOND RD PORT ANGELES (360) 452-7467 Structure Information Construction Type Occupancy Type Other struct info WA 983635601 BLACK DIAMOND BUILDERS 111 BENSON CREST DR PORT ANGELES (360) 452-8836 1484 SF NEW SFR W/576 ATT GARAGE TYPE V NON-RATED SINGLE ~ & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 29.70 V-N 1. 00 1. 00 7000.00 2080.00 2080.00 1. 00 ~ 'N- ~ Permi t Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL DAVE'S HEAT/ T-STAT DAVE'S HEATING & COOLING 36.40 Plan Check Fee 3/14/05 Valuation 9/10/05 t .00 o '" ,~ Qty 1. 00 Unit Charge Per 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 v "'l Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. lOrd. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments Proposal will result in the construction of a s.f. res in the RS-7 for total lot coverage of 30%. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior. to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPE9'.I0N RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH lUJVGH-IN I CUV-bK ~.hK V IC.h .FINAL I GENERAL COMMENTS: PW-II02.1S (4I96j '5 "" r;"" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l2\ EAST 5TH STREET. PORT ANGELES. WA 98:162 " Application Number . . . . . 04-00001135 pin number . . .742885 Page 2 Date 3/14/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.40 36.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1810.90 1810.90 .00 .00 COMMENTS/ACTION NEEDED ELECI'RlCAL PERMIT INSPECTJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE ACCEPTED COMMENTS YES NO Ill' " '.... 'F 5/7f7 -- O/V:Y !H)Uf'~I-I-IN I CUVbK 3/:J./ /C'~ /t:l/ -..:....WVIf .1.... , , , I t./.7.."//C";" ~/~ , / GENERAL COMMENTS: PW.I102.1~ [4196] 'ti "" r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 91l~62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00001135 Date .742885 1129 W 7TH ST 06-30-00-0-1-5560-0000- RES NEW SFR 3/29/05 RS7 RESDNTL SINGLE FAMILY 100488 Owner Contractor MCKNIGHT, KENNETH JR 285 BLACK DIAMOND RD PORT ANGELES (360) 452-7467 Structure Information Construction Type Occupancy Type Other struct info WA 983635601 BLACK DIAMOND BUILDERS 111 BENSON CREST DR PORT ANGELES (360) 452-8836 1484 SF NEW SFR W/576 ATT GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL ~ LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE. LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 29.70 V-N 1. 00 1. 00 7000.00 2080.00 2080.00 1. 00 ~ ~ '-l\ ---------------------------------------------------------------------------- permi t Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL JEDI/ 2060 SQFT. SFR. JEDI ELECTRIC 119.80 3/29/05 9/25/05 ~ .~ Plan Check Fee Valuation .00 o ~ \~ Qty 1. 00 2.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL. 500 Extension 73.00 46.80 \A " Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments Proposal will result in the construction of a s.f. res in the RS-7 for total lot coverage of 30%. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV CHARGE 410.00 745.00 COMMENTS/ACTION NEEDED \ \ ELECTRICAL PERMIT INSPECT.ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED . COMMENTS YES NO DITCH I lU1TT{;l-I_IN I cuvE.K. SE.K. VICE FINAL I I GENERAL COMMENTS: PW.II02.1S (<1196] 'ti ""r..~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l2\ EAST 5TH STREET. PORT ANGELES. WA 9R~(,2 Application Number . . . . . 04-00001135 pin number . . .742885 Page Date 2 3/29/05 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119.80 119.80 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2184.50 2184.50 .00 .00 Grand Total 2304.30 2304,.,30 .00 .00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPE(7fJON RECORD CALL 417-4735 FOR ELECTRlCAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.II02.l~ 14196] d'O'I'~_ J(i~~ D!i ",,",,;,,;,",. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 911]62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001135 Date .742885 1129 W 7TH ST 06-30-00-0-1-5560-0000- RES NEW SFR 2/10/05 RS7 RESDNTL SINGLE FAMILY 100488 Owner Contractor MCKNIGHT, KENNETH JR 285 BLACK DIAMOND RD PORT ANGELES (360) 452-7467 Structure Information Construction Type Occupancy Type Other struct info WA 983635601 BLACK DIAMOND BUILDERS 111 BENSON CREST DR PORT ANGELES (360) 452-8836 1484 SF NEW SFR W/576 ATT GARAGE TYPE V UON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 29.70 V-N 1. 00 1. 00 7000.00 2080.00 2080.00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 60A TEMP/ OWNER WIRED 42.20 Plan Check Fee 2/10/05 Valuation 8/09/05 .00 o ~ ~ '< ~J ~ ~ ~. f'-. r\ U \....- G r- \, ~ r ~. \J\ ,-. \ Qty 1. 00 Unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36. 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The Fire Department has reviewed the project application and has no comments Proposal will result in the construction of a s.f. res in the RS-7 for total lot coverage of 30%. Setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any-modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prio~ to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPE(;iJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO UrICH IH111(yH_IN I CUVhK SERVICE J<TN AT I GENERAL COMMENTS: PW.II02.JS (4I96j d'O"'~ '(I CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 911162 Application Number . . . . . 04-00001135 pin number . . .742885 Page 2 Date 2/10/05 Permit Fee Total Plan Check Total Other Fee Total Grand Total 42.20 .00 1774.50 1816.70 42.20 .00 1774.50 1816.70 .00 .00 .00 .00 .00 .00 .00 .00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPEQ'JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO III 'f:H .- 11I1IIl:H-IN I COVER . Sh.K. VICh 1':'", T ... I -:;,/~/{)~ Azf/ ~.LL~~ ,. GENERAL COMMENTS: PW-1I02.l.S (4'96) , \ ~rY/ ... " "'?'Electrical Contractor o Annual Permit 0 Alarm 0 Carnival 0 Commercial ELECTRICAL WORK PERMIT APPLICATION p:Bequest Inspection 1( Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired by ~lectrical Contractor 0 Owner Electrical contractor name License number k ~eOj: Glf...C1 riG- \Erv:ree- 7QSX2 Purchaser's mailing address _3' '(J, aC'/ 3 Srf' City State ZIP _porT AVIp,'eie;J I~)c...- 0,r3t;).. Telephone number FAX number 3 -Sb5- '7.,? Installation description --=l t c90 ,~O i tf 'd ~ S<:ir:f t- 51/, s.'} f-f. >CJ- l/\ uV\.P 7"- { I ('erv IL-€ (iou...s.~ 9O-"'cl-3~ Premises owner's name ~ e Y\ M cJ:f'\ ISi.v't\ Address of inspection _,_ I ''d-q lri/CST"7 J., City -e,/e..s 20/.,0 .s: Q -r==r ' o Cash 0 Check # I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making thc electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Credit Card Card # Visa Mastercard Discover Expiration Date of card o ,;)0 Inspection fee $ II ') 80 .i _';;2.. '1,30 SERVICE 'Y/~'Dq,/",,-- &.L7 l} Approved By WALLS Insulation Only CEILING Insulation Only THERMOSTAT Jj, ~~ ale Approved By Dale ~. a Cover , M./ ,. ",' o Approved By Dale h ,;;over 7....~ J'y' i Dale Approved By k-rlJ Approved By DITCH FEEDER doc Appro,.ea By Dale Approved By Dale Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard _ KW o Furnace 1..Q KW o Heat Pump ~ Ton _ LAR o Fan.Wall KW ~Overhead Service o Temp Service o Underground Service Service Information Voltage i d;j;) '10 Phase.i'f 103 Service Size: {),J!) tJ Feeder Size: Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspec.:or ~ ~ {'iNn /17" r1-d2 dr//} -:? /j a- ;;.,~ - - - ... CONNECTION FEE PAYMENT Date: March 28, 2005 Customer: Ken McKnight Contractor: Jedi Electric Project Address: 1129 W 7th St. Connection fee due: $ 410.00 Date Paid: CASHIER: 1. Please post check to: Capital Contributions / Construction Contributions L T 401 - 7180 - 343 -3024 connection fee In "additional comments": 1129 W 7"' St. 2. Send a receipt of payment upstairs to: Gail McLain Public Works & Utilities Dept 417-4708 N:PWKS\L1GHT\ENliR{jAIL-forms.pa)mcnt fonn to in~llcctor tV 5;:- , APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER.. .. . .. . . . .. . .,ffJ' ])il: . . . . . . . . . . . . . . . . .. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 / CORRECT10N~N : Q . .... . 'Y, ~-. f / v. /.5L""'" @ (j) ,('" A"...:Y, ~ .. ;.< oJ- ~ ON .,' , ~ :L tTUi.ht1L t1!I.-<'/, 1$0" A/'/I<'r ,.e.tAu/'~/J ~~,e. ~- t-t./n'""uv c.o"'7,~~~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OlYMPtC PRINTERS, INC. (360) 452-1381 IElIECrlRl~CAl ~NSIPIEClrUj)N W~Rl~NG 1Rl1E1P'(()~1i" 417-4735 PE;?Li'_ //3 ~ 'IL.t#7Mb -t. tv 215 <7'"' APPROVED NOT APPROVED 0, ,. '$:0' 0;""'1' , . " DITCH .............,..... 0 ftl r.-..'. . , .. .. .,< ROUGH IN/COVER. ..... .. , .. .., 0 o ............,..... SERVICE .,...,..,......... 0 o ..,..,.,.,..,....... FINAL. , . , .. . . .. . .. .. , , ... 0 CORRECTIONS NEEDED: /- 5m-r /(// ,e.( M? #/A///'u:/. . //(lJ TZJ {!. t)/v /Y..4eTlN'L : I' /JC7 /YV/ --etttv hmti..:A &N'T/L ~t>d,c -}- hAfe-/S ~ // ... '3'-1.€-f) //'-1, rE.. a//NC)i.'.-J,5 "/-' /}?Jf ,/.JA-/7~f, @ ..2- .1 51!.L.i/1C;.i- .57nA~.e:. /'</Vc& A'CUI-L,at'.A-./') @) A5r- 1f../~P~-c4/' #l'... ~Go#1I[t' A~.i'./')7<- FJA..rr- 'p/'fN~4_. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452.1381 Mar. 11 2005 08:45RM Pi '. FROM :Dave'S Heating & Cooling Srvc FRX NO. :13604520939 ::\~. :,::'li"::".:~ '.:' C:',". OF p~ ELDC DEFT .'." \h. JC': - oy'"- U3~ / , s ELECTRICAL PERMIT APPLICATION J"O'll.o.'8!l:el.'.LUSR0t4..'f P.t..l\Ilt: ',I'ftl!l:Jl: ..._" .,,~--.' ~)&l' M~~'" - Oalt III,," The EIG~ca\ P6rlT'll\ ApplfoBlion mu~t be ~!I.d out CoDn'Dletal.Y. Pi_DIi' type! o~fIIpr\tll in 'at.. It ~u hi.'" .I1Y q\.l."~Qnio. p~ aall (:IDD) 411-473& Pax numDClr: ~360).'1"711 . o..n.r.rao..e.nnoror_~ .D~liG'.s Hee<-+w,'6 Ph_; '-fS:J--O"13"1 F..:~~"CJq:?/f _ /L.L " _ ...- . -'--("r1-570-'l plOjlel1yO\ll1le,,}/{ Ke-n...-e.+6..~)+Vo'nr","e.. Mc-k",,',\I-I-\- _PMn,: Lf5";;,,-7..r...-r Add""';_ P f? 2:.....6.1 "'-c/s,.Jho.W\<l.4.1.cl Ci.... P6r~ k~~ LoA' Zip,:(8"3c;3 E\oGlri..ICcn_1J?lVG'.:; K-ec..~~~ L-'-"C>\;~_ -,j;b~;;;f.JHC "'1~G-EXjl: 6/65 Phon" ~~"I31 o .",-,~_., 1J Ma.."'" r.D. .taX "113 ___. C11y:~ ro..-+ th-'W'L>--'" t;JA Zip: Cf'i5a"~ * f,LAa :D:&AMb,vD e.u.:t:L.-O.-=RS - - . . - ." .. ...... ."-...- .-'... ..'" INSrALI.ATIOO WIRW BY: '" OWNER ,.{LECT~ICAl CONTRACTOR . - Credit Card HulderNam.: 5e.~~ f. <2.Jd~~~.L---lli'-lI'G-'S 1'.~+1'''''il "'" C.ool,',,~ BIllIng AdCIINIlL_..td~-':f 1'0 _ ___ CIty: 1'0...+ -^'~S- _ Zip' "H' 3 b~ c;...dItc.ntNumbr. ' ;> ;.uete' - - - PR~T ADPRJ!llll' 1\;;1."'[ Wes+ ~""" I tb. . .:; -l-r~+ o Alto~tionlAddllian Cl Mopile Home Sq. Ft TYPI! !;IF WO~ ChllGk J;IJ thll1 apply: ~.lidanliill 0 MUlti.fraIT\l~ 0 Commere~1 aortow VolSgll - 0 Telecoin. 0 S:g, ~........o.s"""o....+ n Remote Mlll9r 0 Oelactled garae"' 0 Hot Tub C SWim ""01 0 Septic Pump Nomiler of Chcub add", or .~: OESCRIPT1ONCfTH!ELI!~CALPROJElCT:~~ \/0 l~o-.~ ~"",o5-'1-o,.*;- - ----- .....-........--..-.' .----.".-. ,.,~..~p- 8arvlI;Q tnformaUnn i!!etricai Meat Lftlld Additions aftd or SubMctle". ~boIlftl =~ o FllIl-WlI11 _KW -LQ. KW ..2- TON_ LRA _IWI Volllllge; Ph_: 010":;- Service SI%E: Feoder S~.:~_ o o.erMed Be",\c. o "etnp Set\ll~ D undsraroUtl!l SONice r hereby cerlify /tJ~t I h~ve read and 8}(ffmined this application end know that samB to be vile ~nd correct, and J am authoriZ8d to ~ppJy 'r:r this perm!/. I ~nderstt<n? !t Is not the City's legal responsibility to determine what permllS _~re..r.equiftlrl:. i!-f8lf)alRIWh,.-8PP/JCBlJlil.r8SPOlJSibiJJjy-to.daI%lTmlf.l6..wJ,BLp"r:mJts..am4'.eQ/Jirell'8Rd-to-Gblajn-ouGh~- _""""~"":-"'''p~.. Date~ Ownsror EIDG. Cont Signature: ,!)~ Dete:~ PERMIT FEE: $ 3~':fg , :"E\.Ec;TR/CI\LPEfl~I"rIl~~UC"TION ... / i-. - ~y ~ ' -"'/ ~ ".~' o Electrical Contractor fl. Owner "r:i;;..... o Annual Permit 0 Alarm 0 Carnival 0 Commercial ELECTRICAL WORK PERMIT APPLICATION'" o Request Inspection .. o Residential Maiut. Cl Signs 0 Thermostat 0 Telecom. Job wired by o Electrical Contractor Installation description City f? fj . ClcDi A/i7.0/U{) 0 pg303 60 -.3/ tMqOOt'rofl-T W, r;:5 r: t/U14 jcfJ7 f' YI? .Ie {! .-.- oIUC,:; . /-:nuJf-; -/? 'hR l?;tjJt/s~<; Telephone number :2 - '-16 Premises owner's name Kl:;/Vt'VETII Address of 7pecti'l1' / .~ City ,t/.Il . I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Cash ~heCk # o Credit Card Visa Mastercard Discover x Card # --Zl------------- n170 6# # ~D/~ Expiration Date f d Inspection fee o CU $ WALLS Insulation Only Dale Approved By Cover Dale Appro~'ed By CEILING Insulation Only Dale Approved By Cover Dale Approved By THERMOSTAT . Date Approved By / DITCH , Dale Approved By SERVICE "- Dale Approved By FEEDER Dale Approved By ./ Electrical Load Additions and or subtractions o NO LOAD CHANGES a Baseboard KW o Furnace KW a Heat Pump Ton LAR o Fan-Wall KW Service Information ~verhead Service Temp Service o derground Service Voltage PhaseD 1 03 Service Size: Feeder Size: Inspcction Dale Area, Building or Equipment Inspected Action Taken Electrical Inspector 2 .tJO ~_/l - / I