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Home My WebLink About1506 W 10th St - BuildingPREPARED 6/07/06 12 31 49 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/07/06 ADDRESS 1506 W 10TH ST SUBDIV TENANT NBR ARTHUR MOORE CONTRACTOR TOPNOTCH ROOFING GUTTER PHONE (360) 457 0066 OWNER MOORE TTE ARTHUR /SHIRLEY PHONE PARCEL 06 30 00 0 3 1300 0000 APPL NUMBER 06 00000594 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/07/06 JLL BUILDING FINAL TIME 13 00 4 ART 452 2955 06/06/2006 10 01 AM DYASUMUR 4l7 COMMENTS AND NOTES pORT .Cy ftnuc Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor MOORE TTE ARTHUR /SHIRLEY MOORE REVOCABLE TRUST PORT ANGELES WA 98363 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000594 916190 1506 W 10TH ST 06 30 00 0 3 1300 0000 ARTHUR MOORE RE ROOF RS7 RESDNTL SINGLE FAMILY 5436 TOPNOTCH ROOFING GUTTER 1235 W 9TH PORT ANGELES WA 98362 (360) 457 0066 Permit BUILDING PERMIT NO PR FEE Additional desc Permit pin number 79517 Permit Fee 151 75 Plan Check Fee 00 Issue Date Valuation 5436 Expiration Date 12/03/06 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 151 75 151 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 156 25 156 25 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 provisl of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit doss of presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performan e construction. Signature of Contractor or Authorized Agent T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Date 6/06/06 Date Signature of Owner (if owner is builder) Date ../.7 pis BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS 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 RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FIRE 417 -4653 I I I PLANNING DEPT 417 -4750 I I I BUILDING 417 -4815 I 7(06' I �E I Inc ._a iw nnnci FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I I I I I I I PLANNING USE ONLY BUILDING PERMIT APPLICATION 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 FAK(360)417 -4711 Applicant or Agent: Owner• JQ w to R I IM.mok e_ Address. 43 t o 4- Architect/En sineer• Contractor Top iu g Z Address: /a 3 S 111 PROJECT ADDRESS LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. State License Block: TYPE OF WORK. Residential New Constr X Re -roof Stove Multi family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT Roe- o 5 e- COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stones: Lot Size: Existing Sq. Ft. Total lot coverage ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: Phone. 360- qS2- Z.gSs City ?0,4e7- #4 A9 9eIe c Zip Phone: Exp Phone City Roarr ceJes Zip 98363 ZONING Subdivision. STZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 4y L kJ,. Occupant Load. Proposed Sq Ft. Construction Type: TOTAL Sq Ft. FOR OFFICIAL JSE LY Date Rec.., V 4 Permit 4- Date Approved: 6 Date Issued. 6 183 4. 3 64_ APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordmator 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 If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wntten request by the applicant (see Section RI05.3.2 of the International Buildmg/Residential Code, 2003). No application can be extended more than once. I hereby certify that 1 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-\FORMS\BIdgPermitform.wpd Applicant: plicant: Date: t to J~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 911:\62 Application Number Application pin number - Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001050 Date 10/26/05 630950 1506 W 10TH ST 06-30-00-0-3-1300-0000- MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 6000 Owner Contractor MOORE TTE ARTHUR/SHIRLEY MOORE REVOCABLE TRUST PORT ANGELES WA 98363 ANGELES HEATING INC. 2114 W 8TH ST PORT ANGELES WA 98363 (360) 457-0111 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ANGELES EL./ FURNACE-HP. 63479 ANGELES ELECTRIC 48.10 Plan Check Fee 10/26/05 Valuation 4/24/06 .00 o Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 ~ \) ~ ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 !'. 1"- \- " r- \) I}. ~ ,./ " COMMENTS/ ACTION NEEDED ELECTRICAL PERMIT INSPECTION 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 COMMENTS NO GENERAL COMMENTS: PW.ll02.J'I4'96) fPORT~ cY.J..O~(l(~ rea ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00001050 Date 10/25/05 630950 1506 W 10TH ST 06-30-00-0-3-1300-0000- MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 6000 Owner Contractor MOORE TTE ARTHUR/SHIRLEY MOORE REVOCABLE TRUST PORT ANGELES WA 98363 ANGELES HEATING INC. 2114 W 8TH ST PORT ANGELES WA 98363 (360) 457-0111 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc LV THERMOSTAT Permit pin number 63404 Permit Fee 36.40 Plan Check Fee Issue Date 10/25/05 Valuation Expiration Date 4/23/06 .00 o Qty Unit Charge Per 1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT HEAT PUMP & LV THERMO 63396 61.70 Plan Check Fee 10/25/05 Valuation 4/23/06 .00 o ........... d "G\ - ~ re Qty Unit Charge Per Extension 47.00 14.70 BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.10 98.10 .00 .00 ........ ~ 'f.. -.. ....... (Y) '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 . te or cancel the provisions of any state or local law regulating construction or the performance of constru . Signature of Owner (if owner is builder) Date T:\Policies\ 1102_15 building permit inspection record05.wpd [1/4/2005] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR 1 CEILING I MECHANICAL HEAT PUNW 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 1J/-"~f!>S ~H- BUILDING T:\Policies\ll 02_15 building permit inspectIOn record05. wpd [1/4/2005] ~ -t! n o 3: 3: trl Z >-3 UJ f--'tof--'3: f--'Of-'tIj ..........tJj'n o o::r: ::: ~~ W'::'WH OVlOn O-JO>- V10Vlt1 >-' >-' "l QJ-lOH '" "'Z " ~ '" "'0-< '" '" ~ o Z o >-3 trl UJ '0 '0 3: 3: '0 '0 tIJ tIJ ~ ~ :co :co >-3 >-3 ::r: ::r: o 0 0-< 0-< 3: trl '" '" >-3 '0' ~ ~ UJ .... o ... o >-' ~ n:co Otrl 3:0 'Oc::o o-<trlO trlUJ t;J;a OO~ :co .... &lzG C::UJE< 0-<'0 >-3 '0 ~ .... :coO... trltrl UJUJ c::n o-<:co >-3H UJ'O ""->-3 nH 00 3:Z 3: trl Z >-3 UJ r,;;<;~8E; 'O:COzzo r-<nl:l1t-3::O trl:co:cotrl Zo-< ~UJ c:: nUJ 3: . >-3 tIJ 0 trl. :co. :co ~;;~~~ 10GlO OW:::dtrjO'\ ootJjt" o I tI:I ~ QOl-3(f) I-'O~ I--' o I tfj::r: 0 UlO tr:l>-3 o I );> ~::r: w:CO>-3 3:1 t-3HC/) tIjf-'::r:Z~ Q6~G) ~~-;;-z HO::r:n no H' ~o:co 0-<00-< 'trl ~ '" '0 '0 0-< '0 trl :co 3: H >-3 n'O H:CO >-3trl "''0 ~ O:CO "ltrl o '0 0>-' :CO>-' >-3""- o ~~ <;)0 trlv> , 0-<- trl UJ>-' o V> '" V> >-' 'O'OUJ ::r:::r:c:: OOtIJ ZZtl trltrlH < zz UJUJ '0'0 trltrl nn >-3>-3 OH :COO " Z '-<>-3 ~~ trl~ UJtrl >-3 0-< w '" o 0-< H trl :co 0-< '" '" V> oJ o >-' >-' >-' 0'0 ~~ >-3<;) trltrl >-' >-' ""- o oJ ""- 0>-' v> v> r ' '/ 5'1t FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 636 PERMIT NUMBER . 3eJ~ 1C'i- is' . TOTAL FEE CONT. Lie. NO. TIMETO COMPLETE NO. STORIES LEGAL OCCUPANCY Site Address ELECTRICAL PERMIT ONLY /5'0 G (/J /0 71i . CORRECT ADDRESS IS RESPON5IB~TY OF APPLICANT I rv,L rt ARI1hJ NJ,DOfL'i.... NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner ~al Owner's Address Installation By Installers Address o c.u /V UL- Day Phone :z - Z--"'f ~ S- Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: , N'tMJ,vto cLu I ~t2.... ~M '\: S l:.W L J 'hu-M. ~ M. L 0 rJ C. M-D-iL G r.u..~ ( , 32...0 A.M.?' ML~ Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 10QA FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE --c- MOTOR , CONVENIENCE MOTOR APPLIANCE J i-7~ MOTOR DISHWASHER J , / p~ FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. - OVEN , U WATER HEATER If) I~W I t'7 'T-+- LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT . ... TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. 1 SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH nder this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. k, ,19 By Date Application made CONTRACTOR OR OWNER (OR AUTHORIZED AGEND PermissionJs here~y given to do the above described work,accordlng to the conditions hereon and according to the approved plans and "00"""""' .~'"'". ,.,,,,, '"""','" ':~:'~:" .,," '."' ~:,"'21 '":t:;?'}~ . , 'Date Permit Issued PLANS APPR EO . , .. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.{)411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . , - , . , , .1 \ ~~...~,.n""'''''''''' /fuLl. M< \0 i !\ \(P M. ~ . ft-. 1.. \rJ O.K. TO CONNECT SERVICE IS . V I ,.p- I K , . z o a: < ::!E !2 ::J: I- Z W l- . I- o Z o C fJ ~} (l~kCM~R CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A0()4.t(- PERMIT,f..lUMBER . TOTAL FEE ~b '00 , " , CONT. Lie. NO. TIME TO COMPLETE NO STORIES . ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -lJ.---- 0 4- . T ADDRESS IS RESPONSIBILITY OF APPLICANT Site Address Owner Owner's Address Day,Phone Applic_atjon is hereby m~de fo! Perm' ,.P'\A. Installation By Installers Address' Installers Phone. L<,/ [h J"-': J A A eXU.J{.l1.lA., <J1 {I A...A l-40rf~ Wiring Method ~ . NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUiT CIRCUITS PER 10 10QR FEE CIR 30 CIR 30 LIGHT J SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE Y .. . MOTOR' CONVENIENCE p - , MOTOR APPLIANCE -.. MOTOR DISHWASHER . .. . FIRE ALARMS.. I DISPOSAL BURGLAR ALARM ., RANGE MISC. OVEN . , , WATER HEATER .lAIA, ----- LAUNDRY DRYER , . REINSTAllATION UGHT FIXTURE # FURNACE . SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT /~ ---- , TOTAL FEE ELECTRIC HEAT " ( '" SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT /-'< J. A) //)() / AMP PHASE FEEDER i- f--- SIZE OF SERVICE ENTRANCE CONDUCTORS .- , J 2 :;z'ft.. I ~fi, SERVICE ,A A.W.G. / ,. I SUB-TOT i'lL t(Z{"OF ENTRANCE SWITCH SIZE OF GROUND WARNING \ \ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ ( I certify that the work to be performed under this permit will be done by the installer an O_"1_~- ~ Date Application made L bZ> ,197 By Permission Is h~reby given to dq the above described work, according to the conditi hereon and according to,the approv specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR 0 ITV LIGHT , .. v '. ... Date Permit Issued WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report OLYMPIC PRINTERS, INC. ,.. ." ;- . " " J REPORT QF INSPECTOR -, .. ,.., DATE OF VISIT MADE BY REMARKS . .. /- r- rr- , ,1( f:Jl , fl/eetJ TO (! A U. 'f- SeT j/t.,II,/iNj.q,r Ft>1(' .. '. .. . . , ... -- fl/t'AL , , ;... " - - .. .. ,,:," '. .. .. - 'y . . ; , . ., , " .. .. ., , i '.. , . . . .. . , .' . \ . --I.: , , \ , . .\ . . . ,. . , ) , , . - . , , , , , .. . . - - - \ , . .. - . . .. .. . , ... . . - , - - .. . n n. : \ , . . - . , . , . ., .. , , - .. . . : \ .. .. . , . .. . , . - .. . , . , . ;- . -. . " . .... .. . - , , .. .. , , ... , . '. \ " , , . .: . '. , , , - ~. ',l' . . \ , . , .' - , m$- " , , O.K. FOR COVERING 1C1 ' /, '1/0 O.K. TO.CONNECT SERVI~E (IA .<{J i- /l( I> Jj " I , , " FINAL O.K. , " " - . " ,. .' .. .. " ,e ~ Cl II: <I: :E ~ J: I- Z W l- . l- e z e o .. 10-25-205 8,43AM FROM ANGELES ELECTRIC INC 360 452 9265 P.1 " , 5~~ ....'.'(i ~'t'~;.iIll~ , ELECTRICAL WORK PERMIT APPLICATION 1- ~.ontractor nap~ .. .~ ' ~ - baser's Tll311ing addlt:ss License number Date Expire$. ~/~.:rVL.1'J J(..S Inslallation description a Commercial ~eDtial ~AdditiOn ONe\\' Job ",ired by lectrkal Contractor 0 Owner City St:.lle LIP ~~~ al FU~ '. , Telephone number FAX T\UIlJOcr JK~ /~t f:/ PA- Phone humber to scbcdulc i sp-ecuon: z -:5 Ow'r~r as lh-flm:d by RCw'J9.18.26J :(1) Owna will occupy zlw sJretcLlJ.r(! ror twn )'f.ors afrer this dectrical permit ;~'fina'izt'd. (2) Owner is rt''I14in:clIQ hirr: (1ft "','CI";"'"(4/ ccm'raCWr if "bUilt, suitl properly is Iv" ;!lCt"~. r('fit f)" k"St~, After reading the above statement. I hen:by certify lhtlt I am the owner of the ,~bove n:ul1t;d property 01" a licensed dcctricl:ll contractor. r ~m 'Ylakins rile electrical in.~tal- latioA or altcralion in compliance wjth the electrical laws, N.~.C., RCW. Chapler 19.28. WAC. Chapler 296-46B. Th~ City of Port Angeles MUllicipal Code. and Utility Specifications. Si.(:Dll.turt or OWl r. elect o Cash 0 Check # ~C.rd Visa Mastercard Discover Card# ____-_~_-I!9f=_-_--- x ate: Expiration Date of card ,e~c.tr.i&..i~JJ~19f1d Additions and or subtractions o NO LOAD CHANGES o Baseboard KW D Furnace KW :5lJ~ CJ Heal Pump Ton _ LAF( ~..,..., D Fan-Wall KW . I a Overhead ServIce o Temp Service o Underground Service Service Information von.go ,1~,;~..~ Phase~ Service Size: ~b rf,/ ~ Feede' Size: ~ SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-4]7-4735 ROUGH-IN THERMOSl'A:I' SERVICE n~lt ApvrOv,,\t By Ihle: ^pr'l'we,t My '-- DiU~ AJlpmv"d~y 1/leh~AL k:. DrrCH /" FlEDER I Dale ^P>ro.i:? '-- D:lle ^pprovtll By ./ ['Idle -~^l'Ptr:>vellliy ../ lm;pcction Areal Building or equipment inspected Action Tak.';m cleclrical Date Inspeclor 11/- / iJp ---"ZL i3~. Z-5' Am/} .-,. ~ .", I I .-; , ~ kJ) --_.~--~- . - ~.,.- --~_."""".~ -'-.'---,---- r' /1/1-1'.) /t '-6 <, /., ~ /