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Home My WebLink About1112 W 16th St - Building,,~T C1TY OF PORT ANGELES °~ PUBLIC WORKS - BUILDIlqG DIVISION '~:~ · 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/30/2001 PERMIT NO: 12915 OWNER/APPLICANT PROPERTY LOCATION 1112 16TH ST W NEAL CAPENER 1112 W.16TH ST Lot: 3 Port Angeles, WA 98362 Block: 440 [] Long Legal 360/452-5289 Subdivision: TPA T: S: Parcel No: 063000044005000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 3601000-0000 PROJECT INFO Project Value: $5,000.00 SFD Units: 0 Commercial: 0 Project Type: ADDITION SFD SQ FT: 0 Industrial: 0 --_.. Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 ~J Construction Type: MFD SQ FT: 0 Zoning Use: RS7 C PROJECT NOTES ~ CONSTRUCTION OF A 8'X20', 160SQ. FT. 2 STORY BATHROOM ADDITION I~ FEES ASSESSMENT Building Permit: $111.25 Misc Fee 1: $0.00 Plan Check: $44.50 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: $292.50 Plumbing: $90.00 AMOUNT PAID: $292.50 Mechanical: $42.25 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits ara raquired 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 raquired inspections have not been raquested within 180 days from the last inspection. I hereby certi~ 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 herain or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or/~oc~t law regulating./~gnstruction or the performance of Signature of Contractor or Authorized Agent Date Signature of Owner (if o~i~'r ~s builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING iNSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UN~A WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. INSPECTION TYPE [ DATE ] YEsACCEPTEDI NO COMMENTS FOUNDATION: ROUGH-IN ~ ~ ~OZ w~ I/~I)~ I ~/~ SHEAR WALL ~9 ~ WALLS / R~F / CEILING ]-/0 '-~'~ ~ s~ I'-I0 ~ ~/J WALL/FLOOR/CEILING ~a> ~'~ I Cg,APPLWPD ~,~ ~o~ O~'~C~AL BUILDING PERMIT- APPLICATION ~':~ ~:. ~ B~lding P~it - Pre~plic~ion ~t ~d out co~l~e~. O~ ~ ~ PI~ ~e or p~t In in~ Ryon haw any qu~flom, p~ enH 417~815 Appli~t ~or Agent: ~ ~ ~ ~A ~ Phone: 0 ~ -~ ~: ~ Phone: ~A~ ,(2~ ~ ~,~b~ Zip: ~t~~: Pho~: Ad~s:. Ci~: Zip: Bi~g Add~: ~:. C~ Ca~ g: Kxp. h~: ~A MC ~ R~ n Si~ n ~ ~ V~UA~ON $ CO MERCIAI~P.~ SIDENTIAL: O~ ~up~cy Group:. Occupant Loa~k Construction Typ~: No. ofstorie~ ~ L~$jze: 70GO % Lot Coverage: , 70 % /~ot$ d Existing Lot Coverage: ~]sq. ft. + Proposed Lot Coverage: ~/sq. fi. = TOTAL LOT COVERAGE: -- / ' PLANlqI~ USE ONLY; '~-S-A/Wetla~(s): c~ Yes n No SEPA Checklist required? c~ Yes t~ No Other: OTHEI~. BIJILDI~IG APPLICATION SUBbII'I'I'AL: Your ~q~plicat~on rmdsiteplan m~l &efllled o~t can~letely to be ~cce~tedfor review. T~ Building Divizion can provide you with more detailed information on the application and plan submittal requirements. BUILDING PER1MIT APPLICATION SUBIVII'FI'AL: Your completed application, site plan (for additions) and building consm~ctin~ plan~ 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 en¢ may be revised by the Building Div. to comply with curront fee schedules. Contact thc Permit Coordinator at 417-48 ! 5 for assistance. PLAN CH~CK FEE: Your plan check fee is due at the time the building permit application and conslmction plans am'submitted. All oth~ permit foes are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within lg0 days of the date of application, this application will expire limitations. 'l~e Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (se~ Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby cert~ that I have read and examined this application and know the same to be true and correct, and I am authorized to applyfo~ thi~ permit, l understand it is not the City's legal responsibility to determine what permits are required; it remains the applicaut',. responsibility ~o determine what permits are required and to obtain such. : 20C~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Time Received by~ (phone0~person) Location of Work to be inspected Name of person requesting inspection ~ ) · Address of person requesting inspection Phone No. Type of Inspection (circle appropriate onel: Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES:c, ~ ~ ~? ~ Inspected: Date ? ' Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt [~PCC []Other [] Repaired by City Work Order # ~--1 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 ~/~V (phone, person) Location of Work to be inspected ///~-- ~'~ 1~ Name of person requesting inspection /~/E~'c ( Address of person requesting inspection Phone No. ~ Type of Inspection (circle appropriate one): Permit No. Sewer ~ti~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NI 'ES: Inspected: Date ~ /- ~ / Time Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # I--} Repaired by Permittee [] COMPLETE I--} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST:~_[7~._0 I Date . Time Received by (phone, Location of Work to be inspected /II Z ~1~ / (o ~ Name of person requesting inspection ,~¢~o~ ~-~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer {~oundation)Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~ - t 7 ~'/ 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 DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date c~ ._ ! :~ _ ~ [ Time /~, O~'-~c,1,-~ Received by ~/f (phone, person) Location of Work to be inspected t I i'~- L~t [ Name of person requesting inspection ~J e , [ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ,NSPECTION NO~ES: ~ ~ 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 I [ I ~--~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ~ Permit No. Sewer Foundation Framing Chimney Plumbin~ Fine, Sewer Excav. Other Inspected: Date ~_---~//_.3 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: 1/07/2002 PERMIT NO 7510 OWNER/APPLICANT PROPERTY LOCATION 1112 16TH STW NEAL CAPENER 1112 W.16TH ST Lot: 3 Block: 440 [] Long Legal Port Angeles, WA 98362 360/452-5289 Subdivision: TPA T: S: Parcel No: 063000044005000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: Occupancy Group: Zoning Use: RS7 Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 Heat Pump 0 KW [] TempService Phase: [] 1 [] ~ Fan Wall 0 KW Service Size: 60 Feeder Size: 0 PROJECT NOTES WIRE BATHROOM FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $45.50 TOTAL FEE: $45.50 AMOUNT PAID: $45.50 BALANCE DUE $0.00 ('OMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO VER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE '~--[ DITCH ROUOH-~ / COWR ///7/o,-~4 SERVICE GENERAL COMMENTS: '~ ~ CITY OF-PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]2\ EAST 5TH STREET. PORT ANGELES. WA 98]()2 ... App~~cat~on Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning . Application valuation Owner VICKERY, JOAN 1112 W 16TH ST PORT ANGELES WA 983637040 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date 06-00001086 Date 10/10/06 686900 1112 W 16TH ST 06-30-00-0-4-4005-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Contractor OLYMPIC WIRING INC 9601 PROVOST ROAD NW SILVERDALE WA 98383 (360) 692-0134 ELECTRICAL NEW RESIDENTIAL OLY. WIRING/ DETACHED GARAGE 88245 OLYMPIC WIRING INC 48.10 Plan Check Fee 10/10/06 Valuation 4/08/07 00 o Qty Un~t Charge Per 1 00 48 1000 ECH EL-R-OUTBD/DTCH GAR SEP Extension 48 10 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 48.10 .00 48.10 COMMENTSI ACTION NEEDED 48.10 .00 ...)".. .oo~- ......-.'\-io~f'OO -'t -. .00 .00 .00 48.10 ' .00 II rL'L v., ('(IN', L\~l' . .:.. ~b.O.(..;:":t:15"yn~AlJ.W . 1"" "7n~r ~ \ .. . ......"'~. rb, T ~ ' j', -~....-"-- c' ,~" r, P <;RP ..,......... -""~,'. __ ...--...+."'.......-~'<..lI ~ .t rJ.. i: __~.- __ ___ __ . , ....., ,W' ~ r It l ~ \:k I I s~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~()2 ~, Application Number . . . . . 06-00000495 Application pin numbe~ 179425 Page 2 Date 10/10/06 Special Notes and Comments OK to omit flre extinguisher from Office/Rec Room 110. OS/22/2006 11 31 AM KDUBUC ----------------------------- OS/22/2006 11 31 AM KDUBUC ----------------------------- OS/22/2006 11 31 AM KDUBUC -----------------------------If commercial cooking equipment is installed in the kitchen, a hood and,duct fire extinguishing system will be required. OS/22/2006 11 32 AM KDUBUC ----------------------------- Provide signage for the exterior door of Mechanical 109 that reads, "Sprinkler Rlser" If fire alarm control panel is located in this room, also provide "FACP" label OS/22/2006 12.40 PM SROBERDS -- The proposal is a clubhouse associated with a RMD development. No land use issues are apparent Electrical load calculations and elctrical permits are required Sanltary sewer connection inspection is required by Public Works prior to back fill of dit~~~,21_~~~~~ya~ce notice is required. Other Fees MILW DRIVE ASSESSMENT SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 240.00 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 237 90 .00 2314.50 2552'.40 237.90 .00 .00 .00 - ~~}}:~~.7~-~~~ ~~r" 00 .00 .00 .00 , "P,--)]J.l:,g~ l' 1", , '.1" - ,,~",'~h, .,~"""" ,< ",,------- ,c,:<""Sfo.r_u~(o-1C - ",. " "'IJ I5IK 111l" )~" , ......,_~..,;- ,...~ "". ?', t', COMMENTS/ACTJON NEEDED ".,~..,~ ~.,. ..j. i' ..,~. ~'jt~. .............-_--.- - .. ' L ~'l. ~..'" ELECfRlCAL PERMIT INSPECfION RECORD .' CALV417-4735 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 TYPIt DATE ACCItPTItD COMMENTS YES NO lJITCli IHlIlCyl-l.lN I CUV-hK ShK VICh FINAl 1/0- 9-0b J-r, ]I GENERAL COMMENTS: PW-II02.U (4'961 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 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 04-00000779 Date .102116 1112 W 16TH ST 06-30-00-0-4-4005-0000- ELECTRICAL ONLY 9/03/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor CAPENER, JOANNE 1112 W 16TH ST PORT ANGELES (360) 452-5289 OLYMPIC WIRING WA 983637040 SEBRING FL Permit Addl.tional desc Sub Contractor Permit Fee Issue Date Expiratl.on Date ELECTRICAL ALTER RESIDENTIAL 3-RECEPT/ 1 HEATER/TISTAT-BEDR OLYMPIC WIRING INC 48.10 Plan Check Fee 9/03/04 Valuation 3/03/05 .00 o Qty Unit Charge Per 1.00 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 t / " ~ t~ Separate Permits are required forelectncal 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 penod 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 authonty 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 \PLANNING\FORMS\1102 15 [11/14/2003] 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 UNLAWFUL 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION ORAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT OEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER I AIR SEAL I WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng 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 ELECTRICAL - LIGHT DEPT 417-4735 /p/fht Jno ELECTRICAL LIGHT DEPT CONSTRUCTION R. W / PW/ I CONSTRUCTION - R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING OEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1 10215 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date I { ~ (z.. - {) " Time I: '3 () ;:J M.. Received by /Je .~vt 15 E. (phone, person) Location of Work to be inspected / I ( 'Z- W, ( to ~ Name of person requesting inspection j)~Vlrl"S C. Address of person requesting inspection Co r;;J 'It:L("'~ r1"r8 Phone No. Iff? -'18-11 I Type of Inspection (circle appropriate one): Permit No. ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othe~ ~1 INSPECTION NOTES: Inspected: Date 1/-(2- ~ 0 Co. Remarks: lCeLJtt:; r<zd Z" I Time 5: s.c f/ "^ C -T. WI'-f~ tl.'*' By f)e."-'-""5 E. 5". 5'. repk.,"r b4l......d. , RESTORATION REQUIRED . . . . .. YES NO X ~ m \!'J - 'f.: ~ 'r;-rl V\ tl1 W. ~ I ~ - n ~ . ~ <::l 2. t, . r k . \[J (}- C- ']: . s~ pap 103 >b V) )( , SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City [] Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order #~03 i./-z.. ~I07 o COMPLETE o INCOMPLETE (Continue on reverse side if necessarv) C::T.D~~:T_C"I.lClI:::: rUAI:T:r:..........."....... Sep-02-04 12:13P OLYM~.IC..~!.I'I..ING INC 360 692 3680 P.02 . ., ,. ELECTRICAL PERMIT APPLICATION POI. OJlFtClAL usa QtIlL..,. ~--._- '-' ""'- DIl.eIa\llllt___ ,~ '\:\ ~ The ElectrIcal Permit Appllcalion IJlt.l$' b., flIle:d Gut COt'IlII6IItutv, PINa. _ or reprint In Ink, If__..... ""Y ""_S. plNac coil (3fJO) .17-4735 f... nu_ (3111l) 417-4711 tJL/ - 7'79- Own., or elee, Contradar Agent 0 L Y M P H' W TR TN r; TNr Phon4;l60 16g?-01Hu:i 360 1692-3680 """".:W360-41 7-31 53 H31i~:-452-5289 :OIlillII PropertyC>M1er. .Tn~Nl\l1:' ('7J.nt:''fI.l'C'b A_os: 111? 1 61'H STREET E'_ca1 Oontrlldoc...J2L.Y M P T (' W T R T N r. . T1IIr CIty: PORT ANGEl,ES ~WI31 ORU e.p: ... Addnwl: Q ~ n 1 Pl)()~.1()'::'T' l)T) ~lW Clly, SIT.VERDALE PtIon'fig;>_0114 Zlp:<Hl1 R 1 INSTAl..U\TJON WIRED BY: DOWNER III El..l'CTRJCAL CONTR.ACTOR CtedIIC"fflHoIrlerName: WILLIAM OR JUDITH CARTER / OLYMPIC WTR ING. INC. Bmlng~: 9601 PROVOST HD. NW ~~ SILVERDALE, WA Zip: 98383 \IrSA:_ llfC~ _ PRO.IiCT ADDAI!6S: 1112 ~1 6TH STREET pm/',' Check i!llhat apply: 0 N_ AMt:'J:'TP~ J&1:a . TYPE OF WORK: i:XAIterB1ionlAddlUoc1 III Residential 0 Multi-family LJ Commercial 0 MobNe Home Sq.FI o RemoleMeter OOelachedgarage DHoITub OSwlmPODI OSepllcPump o LowVoII8g. o Telecom, ClSign Nwnller of ClIl:Utb _ or anerect. ? DEac:ltlPT1CllilOFTHEELECJRJCALPROolECT: "ODED 3 RECRPTlIrr.E!':, ONE U"'l\~'PR AN!). THERMOSTAT IN CUEST ROOM. Electrical Held I ".d Addlllona and or Subtrllcllona Service fnfannatfoft _KW ~ KW _____ 0 OYIlmell!!.. Sem<:. _ TON_ _/J,BA _o.Jemp SeNI~ KW 0 UnderglOuml > /O"':'j-iP' r//Y.4-L ') , hereby csrtlfy thaI I have 'n d this II lication and 1m -lIlat same to be true and conecl. and I am allt/lol'ized to apply for t/lis permit I understand it Is not the City's legal responsibility to de/e1mlne WMt permlls are roquired; it remains the applicants responsibility to determine wflat petmits are required and to obtain such, ~,","-'-'f- :~;~ -"-Ni Owner or elee. Cant. Slgn.ture: ''':; ~ .--' Date: '7 - 2 -0 ~ o AI:I_~td qFumace o Heat Pump o Fan-Wall 03 VoIIega: Phase: 0 1 ServIce SIze: Feeder Sjz..: C:lElE~ICAlPERUlTAPP1JCA TlON PERMIT FEE: $ 'If?'. 10 /r!v o/z)( SEP-29-2006 02:25P FRoM:oLYMPIC WIRING c-\\"\ OF X'o\'<..\" ANC1E1..ES 111= 3(,,0- '-I n - /..77 II S' l --". '\: .....~, ""'... Job wired by (360)692-3680 TO: 13604174711 P.l VICKERY - \ ELECTRICAL WORK PERMIT APPLICATION InslollMion description o Commercial ,)( Residential Electrical Conlractor DOwner Dale Expires lJ Altered/Addition v (,110 Vlr_~ I~~ s+. Electricnl COnlrllclOr !lame License number O~M" Ie uJl"'!.\. "J:v..c.. P~chn"'" .";/lrS odd,c.. ...J J l.M i1:QuO~'T Bo;. J.. CilY SIRtc ZIP ~\."/Prtl/lrl,~ wA- "l U~ Telephone number FAX number 1("j)~ /DQ1,..- 01'> ~ X'New Ot".tk-\~J (l)k~<" . Premises owner's Dame ~ c9AY'\1'\ Address of lnspectlcn \ \ \ "2..vJ, City fl.l.- ^_ f'OrT ~~~\<...,,:> Phone number to schedule: I pecllon; 3 (JlJ.., E:>1'2 * 011 Owne,. as defined by RCW 19.28.26/:(1) Owner will occupy thl!flru('ture for two years after lhi~' electrical permit iJ fillalized. (2) Ow"e,. ;,f required to hire an elecb'ir./JI con/raclor if ahoW! saM property is fol' sa/c, rem Of" /caM!. After reading the above statement, I hereby certiry (hot I Bm the owner or the 3bove named property or R licensed electrical contractOr. I am mDking th~ eleclricnl illSltll- Intion or allerolion in compliance with the clcctrical laws, N.E.C., RCW. Chapter 19.28, WAC. ChDpter 296.46B, The City of Port Angeles Municipal Code, Dnd Utility Specifications. slgnolu71r owner e~eetrlCDI contrllctor or electrical administrator X i~ Date: . _ Electrical Load Ad Ions and or subtractions o NO LOAD CHANGES o Baseboard KW CI Furnace _ KW CJ HOBt Pump _ Ton _ LAR o Fan-Wall KW ~~~ Q Cash Q Check # D Credit Card Card # Visa Mastercard Discover Expiralion Date of cord ~ Overhead Servico Cl Tamp Service a Underground Service Voltage I '1.C>~ 2.J.t \\ Phase a 1 0 3 Service Size: .1.ucl- Feeder Size: _~__ SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH.IN THERMOSTAT SERVICE D~le ^ppmycll Uy DOle ....1I1'ruvcdlly DAlc ...."pro"C..1 B~ //7/q/ F1NA~ OITCH FEEDER . I DIl)fj AIlProvcot By../ "- Dale Appmved Ry "- Dtlc ApIIllned>>y Inspection Area, Buildins or Equipment Inspected Aclion Taken Electrical O:ite Inspector . . --.- -.-.-