HomeMy WebLinkAbout3115 City Lights Pl - Building.... CITY OF PORT ANGELES
°~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000096 Date 2/18/03
Property Address ...... 3115 CITY LIGHTS PL
ASSESSOR PARCEL NI3MBER: 0630157601200000
Application description . . . RES ADDITION
Property Zoning .......
Application valuation .... 1000
Owner Contractor
LAWRENC~ J/GENELLE A DOYLE TTE OWNER
DOYLE FAMILY TRUST
PORT ANGELES WA 98362
.......................... Structure Information .........................
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Permit ...... BUILDING PERMIT -RESIDENTIAL
Additional desc . . ENCLOSE EEISTING PATIO COVER
Permit Fee .... 62.25 Plan Check Fee , . .00
Issue Date .... 2/18/03 Valuation .... 1000
Expiration Date . . 8/17/03
Qty Unit Charge Per Extension
Gr~d Total 66.75 66.75 .00 .00
Separate Permits are required for electrical w~ork, 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 t80 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 ordiHances 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
S ignatu re of Contra ctor or Au th orized Agent Date S~n atu r~'~ne ~' (if owVn er/b~ Da to
T:\PLANNING\¥OP. MS\t t02,]5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSUL,4TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT 1N A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
WALLS,ROOF,CE,L~G [q-04;-,V':~ ~ ;5
WALLIFI~OOR,CEIL~O ~-3~-o >
BUILDING 417-4815 5 - t 3 --03 (4 ~) BUILDING
FOR OFFICIAL USE ONLY:
c/ Y BUILDING PERMIT- APPLICATION Pe it :
Date Approve:
Date Issued:
The Building Permit Application must be filled out completely.
Please type or print in ink If you have any questions, please call 417-4815
Applic~t or Agent: Phone:
~chitecffEngineer: Phone:
Contractor License ~: Exp:_ Phone:
Address: City:_ Zip:
LEGAL DESCRIPTION: Lot~ /~ Block: Subdivision: CtTy ZI~ ~
CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder N~me:
Billing Address: City:.
Credit Card 8: Exp. Date: VISA MC
T~E OF WO~: SIZEN~UATION:
~Residential ~ New Cons~. ~ Re-roof ~ Wood-stove SF. ~ $ /SF. =~g ~
~ Multi-f~ly U Addition ~ Move ~ Garage SF. ~ $ /SF. = $
~ Co~ercial ~ Remodel ~ Demolition u Deck SF. ~ $ /SF.- $
~ R~air D Sign ~ TOTAL VA UA ION $
B~EFDESC~PTIONOFT.EPROJECT: ~~ ~
COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: Construction Type:.
No. of Stories: __ Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. fi. - TOTAL LOT COVERAGE: /sq. ft.
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed reformation on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
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: Your plan check fee is due at the time the building permit application and construction plans are submitted. AIl 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 application, this 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 I07.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this permit. 1 understand it is not the City's legal responsibility to determine wha~q~ermits are required;
resp°nsibilityt°determinewhatpermitsarerequiredandt°°btain~~x~ W itremainstheapplicant's
Applicant: /~---~~~ ~ Date: / ~'3/' -- 0~__~
T:\FORMSXAPPS\Buildingperma ~'7 ,../'//~ *" ~'/ /' /
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:,---/")..-//~ ~'~,,~ ---,~- (~ph --~n~,~
Date /_~4- .~-- ~ Time / , .~'~- Received by o arson)
Location of Work to be inspected ~,//~ ~/ ~IL~ J l C.~ J) 7-' ,~/d.~ ¢~-~_
Name of person requesting inspection .,-/k ~, )." ~.~.,j ,~.~j~ .~,..
Address of person requesting inspection ~__,J ,~J Phone
Permit No.
Type of Inspections(circle a~riate one):
Sewer Foundatio~rami~himney Plumbing Final Sewer Excav, Other
INSPECTION NOTES: ~::~/~
Inspected: Date .3,-~_.~-(D~> Time J-~$O /o~/~, By
Remarks: ~'-~.~,,~,,~.~/ ~' /~, ~ /~-----'-~ C)
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I-]Asphalt ~IPCC r--[Other
[] Repaired by City Work Order #
[] Repaired by Permittee L-~ COMPLETE
[--J No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at
inspection of your work revealed that the following
not in accordance with the codes governing the work in
this jurisdiction:
;,' ~:',,.* -<'5
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call
for inspection.
Date ;. ~:~ u ~ --~': ..~ ~/
Inspect~'.for Building Division
DO NOT REMOVE THIS TAG
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date~'~~''-C-3 ~'~ Time Received by ,~ (phone, person)
Location of Work to be inspected . ~-'//,~- (~z~c~' ~-~'~_~--~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~
INSPECTION NOTES: ~~/
Inspected: Date ~ '5 ~ -o'~ Time ~-~,'(Jd~'~-'~ By
Remarks: ~uc~-.~ ~ ~ ~o~ ~ ~ ~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [~Asphalt ~PCC []Other
[] Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date P, ~. '* Time ~/~.' ~ S Received by ~-~: .,~ (phone[~erson)
Location of Work to be inspected '.~//~ ('~, ~t~ .~, J~[
Name o, person requesting inspection ?- r~- v~-~ /~-'~_~.~ }.~b~
Address of person requesting inspection ~ Phone No.
lype of Inspection {~ir¢le appropriate oriel: Permit No.
Sewer Excav Other
Sewer Foundation Framing Chimney Plumbing~ .
INSPECTION NOTES:
Inspected: Date '~--/ ~ '~d_~ Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt [~PCC []Other
[] Repaired by City Work Order #
~--] Repaired by Permittee [-~ COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 12/04/2001 PERMIT NO 7481
OWNER/APPLICANT PROPERTY LOCATION
L.J. DOYLE 3115 CITY LIGHTS PLACE
3121 CITY LIGHTS PLACE Lot: 12
Port Angeles, WA 98362 Block: [] Long Legal
360/457-4966 Subdivision: CITY LIGHTS ESTATES
T: S: Parcel No: 063000480070000
CONTRACTOR ARCHITECT
ELECTRIC SERVICE N/A
924 DRAPER RD.
PORT ANGELES, WA 98362 , 98360-0000
360/452-6424 360/000-0000
PROJECT INFO
Project Type: RES.NEW Project Value: $0.00
Occupancy Type: Construction Type:
Occupancy Group: Zoning Use: RS7
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 10 KW [] Overhead Service Voltage: 0
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES ~"
NEW 2647 SQ. FT HOME WITH HEAT PUMP
reciept#8581
FEES ASSESSMENT Service: $135.20
Additional Feeders: $0.00 ~'~
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $135.20
AMOUNT PAID: $135.20
BALANCE DUE $0.00
(X)MMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINqMUM 24 HOURNOTICE ITISUNLAWFULTOCO}E.R,
INSUL.4 TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE /~,/~/o r ,?.,4-
GENERAL COMMENTS:
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 6/29/2001 PERMIT NO: 12769
OWNER/APPLICANT PROPERTY LOCATION
L.J. DOYLE 3115 CITY LIGHTS PLACE
3121 CITY LIGHTS PLACE Lot: 12
Port Angeles, WA 98362 Block: [] Long Legal
360/457-4966 Subdivision: CITY LIGHTS ESTATES
T: S: Parcel No: 063000480070000
CONTRACTOR ARCHITECT
PENINSULA HEAT N/A
502 W. 8th Street
Port Angeles, WA 98363 , 98360-0000
360/457-2775 360/000-0000
PROJECT INFO
Project Value: $7,375.00 SFD Units: 0 Commercial: 0
Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
INSTALL HEAT PUMP
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $31.50
Plumbing: $0.00 AMOUNT PAID: $31.50
Mechanical: $31.50
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod of 180 days after the work as commenced, or if raqulrad inspections have not been requested within 180 days fi'om the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All previsions 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.
oro
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL4WFUL TO COVER,
INSUL4TE OR CONCEAL .4NY WORK BEFORE INSPECTED .4ND/iCCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER i
AIR SEAL
CEILING
JOISIS ! GIRDERS
SHEAR WALL
WALLS / ROOF ! CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR ! CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
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 ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTI~ICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R~W.
ENGINEERING 417-4807 PW / ENGINEERING
BUILDING 417-4815 ~--~'O7~r' ~--~-/~ BUILDING
BUILDING PERMIT. PREAPPLICATION
The Building Permit - Preapplicatlon m~,~ bt fdltd out com~let~,iy.
Please type or print la ~ Ityou have any quotlo~st glea~ call 417-4815
Applicant and/or Agent: dho~l,J-~ ~v~r_<,~,a Phone:
Address: ~],~ }JEt ~/~laJe~-b t9/ City:_
Architect/Engineer: Phone:
PROJECTADDILE$$: ~//~ ~'{~l-t~ L}/}~'-f iOIO/~ ..ZONINO
LEGAL DESCRIPTION: Lot:. Bloc Subdivision:
TYPE OF WORIO SIZE/VALUATION:
a P~sidontial cl N~w Consu'. a Retool a Wood.st~.¥~ SF. ~ $ /SF. = $ ~'
r~ Multi.family o Addition O Mow . r~ Oareg¢ ,. SF. ~ $ .... /SF. "$ ~
a R~air c~ Sign '~ 0 l-'t+C---~_ TOTAL VALUATION $ 5 ?, 37~~ ~
COMMERCIAL/RESIDENTIAL: O~upan~ Group: Occupant Load: Construcaon T~,~:
No. d Stofi=: .., Lot $/z~: % Lot Cowr~,.:c: ~
Existing La Cowr~ge: /sq. fi, + Proposed Lo1CoveraS, /sq. i~ = TOTAL LOT COVEKA~E: .
PLANNING USE ONLY: APPROVAI~: PLAN
P~mits Required: , ,. No~: ~ BLDG
$i~ Plan and Use Approv~t by: __ Da~:
ESA/Wctland(s): c~ Yes r~ No SEPA Chec, klisl require? 5 Yes r- No Oth~.
PREAPPLICATION $UBMITrAI~ · · · '
Your aPt~,~n~n andtitt pl~, m~t b~.fil~l out comldzt~ to ~t a~ceptedfor.ro~'m Th~ Building
Division can provide you with mor~ dctaikd information on thc app.. :arian and plan ~ubmittal r~quir~nmt~.
BUll .r~ING PEKMIT APPLICATION SUBMI1TAL: Your c~plct~l application, site plan (for ~ ~,-~_!!ionz) ~uildiag c, oa.ntruation
plar~ ar~ to b~ lubmittod to the Building Division. Any addition la. ~*r than 500 sq. f~ will n~d · pr~appllca~l~vim~.
VALUATION OF CONSTRUC'I~ON: la all caa~, a valuation am~ ..;ti ~ I~ ~ by the epplle~lat figut~will b~ r~wicw~[ and
may b~ r~vi~:d by lhe Building Div. to comply with current f~ ~h~. :1~. Contort th~ p~'mit Coordinator at ,~ 17-48.~. for
PLAN CHECK FF,,E: Yea- plan c,h~k f~ iz du~ at thc time thc bu~k.,g pcnnJt application and construction planz are~ubmitlt~t. All
p~xm f~ ar~ du~ at the tlra¢ of p~'rmt
F. XPII~.TION OF PLM'4 REVIXW: II no l:~rmit is i~u~ win:., ~$0 days of th~ date of appticatiea, this apg ~ea will ~q~ia~
ra~fiooa Th~ l~idEmg Offi~al cm ~x~ad ~ Cam foc aafoa by ~ ap ,,acata up to l SO days. on writtm r~qu~t by the
304(d) of thc Uniform Building Cod-., cun'~at edition). No applicatic .. can I~ extended mor~ thru onc, r.
~ hertby certify that[ have read and examined thi~ a~plicati~n ~nd ~`~ ~ ~h~ ~am# t~ b~ ~ru~ and c~rre¢t~ dnd ~ am ~ iori~ed to opp~ for
tltl$ permit. I under~tand Il i5 not tire Ci~'$ legal responzibili.tv . determine what permit.~ are required; 11 reJ aim the applicant~$
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 5/29/2001 PERMIT NO: 12639
OWNER/APPLICANT PROPERTY LOCATION
L.J. DOYLE 3115 CITY LIGHTS PLACE
3121 CITY LIGHTS PLACE Lot: I1~.,
Port Angeles, WA 98362 Block: [] Long Legal
360/457-4966 Subdivision: CITY LIGHTS ESTATES
T: S: Parcel No: 063000480070000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $159,938.00 SFD Units: 0 Commemiah 0
Project Type: NEW SFD SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
BUILD A NEW 1913 SQ. FT. SFR WITH A 734 SQ. FT. ATTACHED GARAGE
PLANS J~10
FEES ASSESSMENT
Building Permit: $1,329.75 Misc Fee 1: $0.00
Plan Check: $531.90 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $1,995.15
Plumbing: $91.00 AMOUNT PAID: $1,995.15
Mechanical: $38.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are raq uired for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 mad 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 heroin 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 '- SigD~Ut6'°f Owner ((f'~w.n~'~ builder)
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 IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I YEsACCEPTED[ NO COMMENTS
FOUNDATION:
FmT GS / --fpOI
POWNDATION DRAINAGE
ELECTRICAL (LIGHT DEPTI SEP^RATE PERMIT: #
PLEMBING
UNDER FLOOR / SLAB
ROUGH-IN /Z-?t'of
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WAELS /g-Zl-Ot
CEILING
ERAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS/ROOF/CEILING ,t 2--2/J-~ /
DRYWALL
T-BAR
INSELATION
MECIIANICAL
tlEAT PUMP
WODDS"JO'qE / PEELE I/CHIMNEY /INSERT
I ]OODtDUCTS
pW ETILITIES / SITE W'ORK (Engineenng Division} SEPARATE PERMIT
SEWER ¢ONNE( THIN
SANITARY
PLANNING DEPT SEPA[LATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING S BORELVNE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGItT DEPT 4174735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R.W.
ENGINEERING 4174807 PW / ENGINEEPdNG
FIRE 417-4653 FIRE DEPT.
FOR OFFICIAL UgE ONLY:
Building/Utility/Electric/Fire Permit Application om ~: ~- 7- o I
Please fill out completely. Type or print in ink. If you have questions Pr~Ai~I Comple~
$HB1724:__ Y N
please call (360) 417-4815 or Fax: (360) 41%4711 Lea~ ofcom~l~.
e-mail: www. ei.por t-aagele~.wa.ns ISMs Pm~t At~,l:
B.P. l~nmd:
Applicant md/or Agcat: Phone:.
Architcct/Eflgin~'/D~er: CgL~ ~ ~ ~
A~:. Ci~ ~p:
CMt C~ ~ ~. Mte: ~ MC,
co~ac~g~: ~ ~: ~ 5 - ~ ~t ~: ~n~
E~hg~< ~ /~.~+~s~t~e: ~ ~ ~7 /~.~=T~L~CO~GE:~7I~.~
P~G USE O~Y: ~PROV~S:
P~ ~: N~m: B~G_,
~ H~: Smb~: ~: D~
Site Pi~ ~ Usc ~ ~ D~c:
~l~g ~ ~ pm~dc ~u ~ m~e d~ ~on ~ ~e ~K~fi~ md pin ~
~d m~ ~ r~ ~ ~ ~g ~. ~ ~ ~ ~t f~ ~. ~ ~e P~t C~r~
P~ C~K ~: Y~ pl~ ~ ~ ~ ~e ~ ~ fling ~ ~l~g ~ ~plic~ion ~d ~n~fion pl~s
o~ p~ ~t f~ ~e due at ~e fling ofpu'~t
EXP~ON OF P~ ~W: ~no p~t ~ i~ ~h 180 ~ys of~e dine of ~pli~on,
~ ~ffis. ~ ~filding ~ ~ ~d ~ ~ ~ ~fion ~ ~ ~fi~t up to IS0 days, o~ ~R~ r~u~ ~ ~ ~plicmt
(s~ S~ion 107.4 of~e Uni~ ~ldmg ~ ~t ~fi~). No ~pli~fi~ c~ ~ ~tmd~ m~c ~ on~
I hereby cf~ th~ ! k~ re~d and ~omined th~ ~p~co~on dnd kno~ the s~mf to be true
~$p~ for ~s pe~ ~ ~nder~d~ R ~ ~r t~ Ci~s ~g~l,~o~bili~ tp ~re~ine ~hat pe~i~ ~re mffu~d; it remaim the
a~flcant's respo~bili~ to dete~ine w~t pe~i~ .red. red and to.in suc~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
Date/I- ! ~ ~- ~/ Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Permit No. /~-?~'~
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney~ Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date,//-/~/~ -~/ Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~-~PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
{Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ?
Date~ ' ' ? ~"' ~ ~' Time Received by ,,~ (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. ·
Sewer Foundation Framing Chimney Plumb~ng~ Final Sewer Excav. Other ~' ·
/ · h,.~ ~ .~'.
INSPECTION NOTES:
Inspected: Date ,~' / ~? Time By
Remarks: ~'), / ~_~
RESTORATION REQUIRED ...... YES_ NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel [--]Asphalt [~PCC []Other
~1 Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date !2 -~O~ 4~ Time Received by /~ ~/~ (phone, person)
Location of Work to be inspected SI I~ Q..i'~!
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation~Chimney P~umbing~ Final SewerExcav. Other
INSPECTION NOTES:~'~-~<'~ ~ J
Inspected: Date [7.~~'~(~ (~Y'/ Time By
Remarks:,
RESTORATION REQUIRED ...... YES NO,
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel {~Asphalt [~]PCC [~Other
[] Repaired by City Work Order #
[-I Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date "~-~L'~I Time--Received by ,~ (~ (phone, person)
Location of Work to be inspected ~ P// ~--- C./t~v~
Name of person requesting inspection ./--~ff'"--~, / ~ '
Address of person requesting inspection ~ Phone No.
Type of Inspecti_qon (circle appropriate one): Permit No. /~-
Sewer/~oun[ J~ Framing Chimney Plumbing Final SewerExcav. Other
INSPECTION NOTES:
Inspected: Date '~-~-O/ .Time ~;~(~/-~ By ~)~
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
~-INo Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date Time Received by ~hon~ person)
Location of Work to be inspected
Name of person requesting inspection ~: U'~__
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. {;Z ~,'~
Sewer(Foundation\ Framing Chimney Plumbing
Final
Sewer Excav.
Other
INSPECTION NOTES:
Inspected: Date ~:~ ~- /'~'- ~' Time By
Remarks:
RESTORATION REQUIRED ...... YES NO.
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt I--]PCC []Other
[] Repaired by City Work Order #
~] Repaired by Permittee ~ COMPLETE
~] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 6/25/2001 PERMIT NO: 12752
OWNER/APPLICANT PROPERTY LOCATION
L.J. DOYLE 3115 CITY LIGHTS PLACE
3121 CITY LIGHTS PLACE Lot: 12
Port Angeles, WA 98362 Block: [] Long Legal
360/457-4966 Subdivision: CITY LIGHTS ESTATES
T: S: Parcel No: 063000480070000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Va~ue: $800.00 SFD Units: 0 Commercial: 0
Project Type: RETAINING WALL SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
CONSTRUCTION OF 87 L F OF 5' HIGH RETAINING WALL
FEES ASSESSMENT
Building Permit: $32.65 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $37.15
Plumbing: $0.00 AMOUNT PAID: $37.15
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits ara 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 spec fled herein or not. The granting of a permit does not
presume to give authority to violate or cancel the previsions of any state or~ulating ~nsJ~uction or tJ3eq~rformance of
construction.
Signature of Contractor or Authorized Agent Date S'gna~t~ra of.~)~er 0f owner's build~'~ Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL,4WFUL 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 ~PE I DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
WALLS
FOUNDATION DRAINAGE
ELECTRICAL fLIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
WATER LINE
GAS LINE
RACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR [ CEI LING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY ! INSERT
HOOD!DUCTS
PW UTILITIES / SITE WORK (Englneefing D~vision) SEPARATE PERM1T #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4174735 ELECTRICAL
L1GHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 41%4653 FIRE DEPT
PLANNING DEPT. 417-4750 PLANNING DEPT.
C:L~.PPL WPD
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
"-'
Date ~- ~i~ - O ( Time ~ ~. ::~4:),z~,., Received by , (phone, person)
Location of Work to be inspected "-?/' ' ~ "? '~ /~ ~
Name of person requesting inspection /~,~r f '/ j~,, ~
/,
Address of person requesting inspection Phone No.
Type of Inspeefior¥-l~circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date"~- ~- "~~-~ f .Time ~'~ ~(~)//~'~ By
Remarks:.
RESTORATION REQUIRED ...... YES_ NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
[~[ No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~'~--/~/" ~ f Time ~~:~ Received by ~ (phone, person)
Location of Work to be inspected ~;% [ ~._~~IvJ[''-~ ~ ~:~-~---~ ~---'~
Name of person requesting inspection ~~
/
Address of person requesting inspection Phone No,
Type of~ti~circle appropriate one): Permit No. ~ ~ ~
Sewe~ Foundation~ Framing Chimney Plumbing Final Sewer Excav. Other
Inspected: Date ¢-/~- O / Time ~ ~ By
Remarks:
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt [~PCC []Other
[-I Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
fl-,,"OATAI"'Q
$.J.~tl(1,.
~
'Ie. -=..:II'
~
~~
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03-00000357
3115 CITY LIGHTS PL
0630157601200000
ELECTRICAL ONLY
Date 4/02/03
o
Owner
Contractor
LAWRENCE J/GENELLE A DOYLE TTE
DOYLE FAMILY TRUST
PORT ANGELES WA 98362
OWNER
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
46.70
4/02/03
9/29/03
Plan Check Fee
Valuation
- .00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
<Jj
--
--
~\
-: (\
-
~
")-
-
~
-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 ruction r the performance of
construction.
Signature of Contractor or Authorized Agent Date
T \PLANNING\FORMSIt 102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR alJILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS l1NLA WFl1L TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUQl)S LoeA TION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
- - -
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DR,A.lNAGE
ELECTRICAL (LIGHT DEPT) .SEPARATE PERMIT: 1#
ROUGH-IN s-/ /~j 0:3 1.A-r..IJ
PLUMBING 7'
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL -
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 I#'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM - -
. .
PLANNING DEPT. SEPARATE PERMIT I#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
- - - FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
- -
RESIDENTIA", DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 5/~k:5 AaJ ELECTRICAL
- - LIGHT DEPT
CONSTRUCTION R. W. / PW/ / / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 15 [4/2002J
,.'
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec ~ -26- Os
Penmt# ~ '1.6
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
(360) 417-4815
Date Approved
Date Issued
ApplIcant or Agent: LA R R 'I ""f- (; E tV c L LE
Owner: ..s rt Y11 E
Address: ~3 II __\ e ill LIC/-fT5 PI- CIty:
)) oY' Lc
{
Phone: 3 bO ~ L/ S?- L/9 ~ h
ArchItect/Engmeer:
Phone:
{Jc?,e-rl/ rJ~L-e-..s
Phone:
Zip: 9 8' 3 b 2-
Contractor
..56 L- F
State LIcense #:
Exp:
Phone:
City:
C L T7 LI c;.N7S
Block:
ZIp:
p t.--.4 e-c- ZONING: R S - 7
SubdIVISIOn: e /,. Y L I~N/:5 E ST/1ie-s
Address:
PROJECT ADDRESS: 3 / CJ 9
LEGAL DESCRIPTION: Lot: I 3
CLALLAM COUNTY PARCEL NUMBER: 0' 3c:>/5 7 (gt!){ 301 DO
, , ~T " ~ \' , ~ ' . ,
'.J:s.e~~t Car.dTnolder:Name: ;-,.....,' '. ........t.. . . ,,' , .; . . $~' - _ ~. ,. :.~ . ,.
Billing Address: City: - ." ; I ,
Credit CardT~p8 YJS~" H~\.-'. "~ ~..r 'f #.... .. "1 .~ ...\ '. "', ' ~-..' ~ ,:;.... .'. ',. EX)>. Date:
.. ~ "Ii..~ ... . - .
TYPE OF, WO~~ -. (. ". ~ . . ~ ~., .- . .. ::"';" SI~~lJArJ~~: ~ '." ~ '
)K.ResIdential 'tS(N-et.iCoitstr. ,0 'Re~'~r'H; ;,t q ~~tove ,r;..Y Jtf~3" , SF. @ $ ~C'l 4!)U' '1SF. = $
o Mulh-fanuly 0 AddItion 0 Move 0 Garage iJ :?- q SF. @ $ /SF. = $
o CominercIal 0 Remodel 0 DemohtIOn 0 Deck SF. @ $ /SF. = $
o RepaIr 0 SIgn 0 Other TOTAL V ALUA nON $ I ";>2/ 66 0<:>
BRIEF DESCRIPTION OF THE PROJECT: AJ~w R l?SIDelllC,JE 4111'11 A7T;<9c,4c'.i:J a-ARA-Q:o
.,
,
"c.' r' p~~ -f.
(.r', :'
..; \ ,~.
'i.
(, '7 J 8:8 00
15"5"86 00
COMMERCIAL/RESIDENTlAL: Occupancy Group: Occupant Load: ConstructIOn Type'
No. of Stones: -'- Lot SIze: q 2 7 ~ EXIstmg Sq. Ft. (;) & Proposed Sq. Ft. D..~~ = TOTAL Sq Ft 268Z
EXlstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage 2 e, "_ %
APPROVALS:
PLAN:~
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checkhst reqUIred? 0 Yes 0 No Other
BUILDING PERMIT APPLICATION SUBMITTAL: The BUIlding DIviSIOn can provide you WIth informahon on the apphcatIOn and
plan subnuttal requrrements If you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. ThIS figure wIll be revIewed
and may be revised by the BUIldmg 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 hme the building permIt applIcatIon and constmctIOn plans are
submItted. All other permIt fees are due at the tIme of permIt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno permIt IS Issued wlthm 180 days of the date ofapphcation, the application will expire. The
BUIldmg OffiCial can extend the time for action by the apphcant up to 180 days upon wrItten request by the apphcant (see SectIon 107 4 of
the Uruform BUIldmg Code, current edIhon). No apphcatIon can be extended more than once.
I hereby certify that / have read and exammed thiS application and know the same to be true and correct I am authorized to apply for this pennit and
understand that it is my responSibility to determme what permits are requir:d ,not the City' I 'at I mus tain such pennits prior to work
Date. ~ - .;J. h - (J 3
?/.(JU r~-hv>-p t-~
.1T_
T \FORMS\APPS\BUlldmgpenmt wpd
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10.....11\ ~I::" I ?e&o 4-. "&r -';'{,,,.~
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FOR omOAL USE 0fI0'L Y
Darrnm:: . .
PmlWrfl:
[hie Apprtlftd:
Ihte ISlUN:
ELECTRICAL PERMIT APPLICATION
The electrical Pennit Application must be filled out comDletelv.
P357
Please type or reprint In Ink. "you have any questions, please call (360. 417-4735
Fax number: (360)417-4711
OwnerorElec.ContractorAgentL ,--:5', :L>e>YLc: Phone:1S7~Lj9b b Fax:
Properly Owner. L r ~, f 0' ~Ge Phone: <i-.'f ;7 ~ y 7'?, ~
Address: _'":? II ~ C- '"2' L I Q H TS ~ tPL City: PO RTf) 'l/ c;: C t/7 .s Zip: 9.5'.J>,b 2-
Electrical Contractor: IE; t- F - 0 lU ;J ~ tl- . ~nse I: A Exp: .- Phone:
Address'-~~/S- I~/~ L/C.i/"7-S PLcny: lJt')~T "V(2ELt>.s. Zip: 9,g]t>
INSTALLATION WIRED BY: WNER 0 ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
Credit Card Number:
City:
Zip:
PROJECT ADDRESS:S/ / S-
(3ITY
/
Check all that apply. 0 New
L-/ ~hI/:S
t:J L-/f Gc~
/
VISA: MC:_
f]RT HN(;:cLc,.s
Exp_ Date-
TYPE OF WORK:
.xAlterationlAdd~ion
~eSjdental 0 Multi-family
o Commercial 0 Mobile Home . Sq. Ft.
o Remote Meter 0 Detached garage
Number of Circuits added or altered: .t". I
o Hot Tub 0 Swim Pool
o ~epticP,u.rnPO Low Voltage 0 Telecom.
OSi
.,<'.-'; :;
,: r",.
.' ~:
tA
.(T
Ol1TLFTS -f-,
:;t;i, --
. Lrrti s
o '\/'. ~fL/CL.t7Se'a .
ELECTRICAL PROJECT:
. ;'
/- <I C./~(r54'-i~, 70
Electrical Heat Load Additions
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
o Baseboard
o Fumace
o Heal Pump
o Fan-Wall
_I'm
_I'm
_I'm
_I'm
PAMC 14.05.060(B): For industrial, commencial, & residential projects larger than a duplex, a one. line drawing of the EIec1rica! Service &
Feeders. building size (sq. fl.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct, and I a
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
~
oate;3A :/03
oate:~
Owner or Elec. Cont.. Signature:
PW-9019