HomeMy WebLinkAbout1930 Hamilton Way - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application desc
IRRIGATION DOUBLE CHECK BACKFLOW ASSEMBLY
08 00000655
319150
1930 HAMILTON WAY
06 30 00 9 3 3040 0000
PAM TEITZ
PLUMBING REPAIR
RS7 RESDNTL SINGLE FAMILY
500
Owner Contractor
DAVID M PAMELA J TEITZ SANFORD IRRIGATION
1930 HAMILTON WAY /J PO BOX 2246
PORT ANGELES WA 98363 SEQUIN
(360) 460 4499 (360) 683 9807
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
IRR DOUBLE CHECK BACKFLOW
127589
57 00
5/30/08 Valuation 500
11/26/08
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00
Fee summary Charged Paid Credited Due
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 00 00 00
aye- 5nS)e -cAej 0.��ltiVP� ,?C
Re:61-11_ LL
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
.5/3G/? /avid Cobvez4
Date Priqt Name Signature of Contractor or Au,horized Agent Signat; re of Owne; (if owner is builder)
T Founs /Building Division/Building Permit (10 /01 /07).wpd
Date 5/30/08
WA 98382
Plan Check Fee 00
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000655
Application pin number 319150
Property Address 1930 HAMILTON WAY
ASSESSOR PARCEL NUMBER 06 30 00 9 3 3040 0000
Tenant nbr name PAM TEITZ
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 500
Application desc
IRRIGATION DOUBLE CHECK BACKFLOW ASSEMBLY
Owner Contractor
DAVID M PAMELA J TEITZ SANFORD IRRIGATION
1930 HAMILTON WAY PO BOX 2246
PORT ANGELES WA 98363 SEQUIM
(360) 460 4499 (360) 683 9807
Fee summary Charged Paid Credited Due
T.Forms /Building Division/Building Permit (10 /01 /07).wpd
Date 5/30/08
WA 98382
Permit PLUMBING PERMIT
Additional desc IRR DOUBLE CHECK BACKFLOW
Permit pin number 127589
Permit Fee 57 00 Plan Check Fee 00
Issue Date 5/30/08 Valuation 500
Expiration Date 11/26/08
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL EA LAWN BACKFLOW 7 00
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 00 00 00
r
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. �I
.5/3 G /og /z vi d Cowan %v l
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
GAS LINE
BACK FLOW
AIR SEAL
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
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
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 8 s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653
I PLANNING DEPT 417 -4750
I BUILDING 417 -4815
T Forms /Building Division/Building Permit (10 /01 /07).wpd
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
YES I NO
FINAL A- 25-0 &ATE V\R
I
SEPA.
ESA.
SHORELINE.
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
DATE
ACCEPTED BY.
ACCEPTED
YES I NO
VT
P
FINAL DATE ACCEPTED BY.
Applicant or Agent COW a ti
Property Owner ®a l m T 7
Property Owner's Address q 3 t' �n 1'
Contractor /Engineer Sa rov d Z' //v.- 4 roiV
Contractor /Engineer's Address f; P, ,0 3,- 2 z 5L 6
License 54 FO fi s 47
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
ew Construction
Addition
Remodel
Repair
Re -roof
Demolition
Heat System
Other
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
I
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc
l g 3 0 get. h r 11 o It /ay
y
Lot
esidential Commercial
3/ti" (11
Heat pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
sq ft. Lot size
ft.
y -S
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. p
Date J /.?0� o o Print Name
Pay; COPt/C'
Oo to c ke ek
00 .5'1, S 7 -Pr?n,
Occupancy group
Occupant load
Construction type
t/Qy
Z C
For City Use Only
Date Received 5- 3U —d$
Permit 655
Date Approved
Phone 36'0- C20 5
Phone
Phone 36'0- (5 9, Y
Expires D{' 2/2,0!0
Zoning
Multi- family Industrial
0 4 5 e ms l y
per sq ft.
TOTAL VALUATION $,5 ad
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
Signature atra CMCZtfi
OA
..... ~ CITY OF PORT ANGELES
°~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~;~l. ll~i.l~l¥[.~ ~'~f-~flflll ISSUED: 9~27~2002 PERMIT NO: 13652
OWNER/APPLICANT PROPERTY LOCATION
JEFF PRIEST 1930 HAMILTON WAY
2755 MONORE RD Lot: 4
Pod Angeles, WA 98362 Block: 3 [] Long Legal
360/452-9696 Subdivision: WESTVlEW
T: S: Parcel No: 063000933040000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $162,353.00 SFD Units: 1 Commercial: 0
Project Type: SFR NEW SFD SQ FT: 1,860 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 520
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
CONSTRUCT 1860 S.F SFR WITH 520 S.F. ATTACHED GARAGE
HEAT PUMP, THERMOSTAT, PROPANE FIRE PLACE
FEES ASSESSMENT
Building Permit: $1,346.55 Misc Fee 1: THERMOSTAT $34.40
Plan Check: $538.62 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: $2,100.27
Plumbing: $110.00 AMOUNT PAID: $2,100.27
Mechanical: $66.20
BALANCE DUE: $0.00
t Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signatur~'of/Owner (if owner is builder) Date
T:\PLANNING\FOILMS\1102.15 [4/2002]
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 ] DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
POOTiNOS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
~NDERP~OOE/S~^B (0 '-9-q'-o9~ /-~H
ROUGH IN
WATER LINE
CEILING WALLS
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS/ROOF/CEILING ll-ol-o',,l-- J.-rT-~-}
DRYWALL
INSULATION
SLAB
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
/tODD / 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
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
P~.^~INO HEPT, 4~7-4750 Pt^NS/NO DEPT.
T:\PLANNING\FORMS\1102.15 [4/2002]
FOR OFFICiaL USE ONLY:
~-°~ ~°Rr'?e Date Rec.:
BUILDING PERMIT - APPLICATION
The Building Permit Application must be filled out completely.
Please type or print in inL If you have any questions, please call 417-4815
Applicant or Agent: O~fC ~Ci c~ Phone:
Owner: ~ ~ Phone:
Ad&ess: ~ ~[~ar~ ~L City: ~? ~,~ ~ Zip:
~chitec~ngineer:
Contractor License Exp: Phone:
Address: City: Zip:
LEG~ ~ISC~PTIO~: Lot: q ck ~ Subdivision: ~d ~ ~} ~' ~
CL~L~ COUNTY P~CEL ~BER: ~ ~e~O~ Credit Card ~older Name:
Billing Address: Ci~:_
Credit Card ~: Exp. Date: ~SA MC
t~[ OF WO~: SIZE~UATIO~:
O Residential ~New Consm ~ Re-roof ~ Wood-stove ~ SF. ~ $. /SF. :5 /~ / p Z ~6 --'
~ Multi-fa~ly ~ Addition ~ Move ~ Garage ~2~ SF. ~ $ /SF. = $
~ Co~ercial ~ Remodel D Demolition ~ Deck SF. ~ $. /SF. = [
~ R~ak ~ Si~ D TOTAL VALUATION $.
0
COMMERCI~S~ENTI~: Occupancy Group: Occup~t Load: Cons~ction T~e:
No. ofSto,es: ] LotSize: ~0~0 ~ % Lot Coverage: 2~,~ %
Existing Lot Coverage: ~/sq. fl. + Proposed Lot Coverage: /sq. ff. = TOTAL LOT COVE~GE:
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
ES~Wetl~d(s): ~ Yes ~ No SEPA Checklist required? ~ Yes ~ No Other: OT~ER
BUILDING PE~IT ~PLICATION S~MITT~: }'our application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you wi~ more detailed info~ation on the application and plan sub~al requirements. Your
co~leted application, site pl~ (for additions) and building cons~ction plato are to be subdued to the Building Division.
V~UATION OF CONSTRUCTION: In all eases~ a valuation amount must be entered by ~e applicant. T~s fig~e will be reviewed
and ~y be revised by the Building Division to comply wi~ c~ent &e schedules. Contact ~e Pe~t Coordinator at 417-4815 for assistance.
PL~ CHECK FEE: Yom plan check fee is due at ~e time ~e building pe~t application and com~ction plans ~e sub,Red. All other
pe~t fees arc due at ~e time ofpe~t issuance.
EXPIATION OF PL~ ~EW: If no pe~t is issued within 180 days of the date of application, t~s application will expire. The
Build~g Official can extend ~e time for action by the applicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of
the Unifo~ Building Code, cunent edi~on). No application can be extended more th~ once.
I hereby cert~ that I have read and examined this application and know the same to be t~e and co~ect, and I am authorized to apply for
this permit, l under, land it is not the Ci~'s legal responsibility to determine what permits are required; it remains the applicant's
responsibili~ to determine what permits are required and to obtain such. , ~
Applicant: Date: ~-
T:XFORMS~PPS~BuiIdin~e~it ff ~ / ~
q2
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~ ~ ~ ~--~ (~--~' Time Received by /~/ (phone, person)
Location of Work to be inspected t~.~~'~ /~,~(,*~,~t ,'[ J~C'~ ~.~,~/'
/
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. l~-~ ~c.~-~___,
Sewer ~~.~Framing Chimney Plumbing Final SewerExcav. Other
,NSPECT,ON NO S.:
Inspected: Date Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [-~Asphalt [~PCC [~]Other
[] Repaired by City Work Order #
r-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~)~-7--¢;( ~'~---~'~-'~' Time Received by /~/~ (phone, person)
Location of Work to be inspected /~-~'~--~ /~'~ ~ '/ ~c3 ~c
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimne Final Sewer Excav. Other 0~
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 b~ COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUI~ST~ji//.~ ~
Date/l~ Time (phone, person)
/,fi~eceived by
/ocation of Work to be inspected i~~ ~'~/~//~'-~7~'~L~, ~/
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 SewerExcav. Other ~'~-~-J~(~
Inspected: Date ~ '~ ~ Time By
Remarks: .-.," .,.~ ..
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel r-lAsphalt I--IPCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [-~ COMPLETE
I--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:
Date /~ ~- - ~-~ Time Received by /~J~ (phone, person)
Location of Work to be inspected /d~Z~ ~r- /c~_~) ~/-~/~/~o~
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 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 //-- / --(~<~ Time Received by /~ F (phone, person)
Location of Work to be inspected
Name of person requesting inspection -~'~- ~' ~t)r :~ ~-"-
Address of person requesting inspection Phone No.~~--
Type of Inspection (circle appropriate one): Permit No. / ~--~
Sewer Foundation ~ Chimney Plumbing 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}
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be flflad Qut carnaleteN.
Pleese type or reprint In Ink. If you have any qUlltion., pl.... call (380) 417-4735
FIX number: (380) 417-4711
FOR OffiCIAL USE ONLY
O.tQ'Rl;C; ...._.__..__
?\,.'ITJlll*: __h_~
0& Approved: __'_'__ __-=-~
D.lte luUCll: __________._...
Property Owner:
Addre.s:
-\"-<..~
"
..A......
)
Phone:
REQUEST INSPECTION 0
'tS' 2-(;'0" Fax: ~
Phone: & 13 - x-.. ~ 1-
Zip: qy,> c'l...-
It/,.!"." Phone: 4,.2.-''''v
Electricel Contractor:
~ V<-~
?J.9"_~L<- ~ ----L-
~ 12'--- l(~ icl.. .
Cllv:
If\-
City:
0.....
Ucense #: F LJ7 cf 51 I }2. Exp:
VA-
Address:
BL.-
INSTALLATION WIRED BY: 0 OWNER
Credit Card HOlder Name:
Zip: 1f341-
Billing Address:
Credit Card Number:
o ELECTRICAL CONTRACTOR
~ \~~[.
City:
Exp. Date:
Zip:
VISA:_ MC;
PROJECT ADDRESS: 1 "1<~o ~-.i-.... L.J~
= WORK: Check i!!! that apply; ~ !J Alteration/Addition
esidental 0 MultI-family 0 Commercial 0 Mobile Home Sq. Ft
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
LICV
Number of Circuits added or altered:
o low Voltage 0 Telecom, 0 ~
DESCRIPTION OF THE ELECTRICAL PROJECT:
~~
Electrical Heat Load Additions
PERMIT FEE:
;//P. -vO
ServIce Information
(] BaIlSboard
crfumace
o Heat Pump
o Fan-Wall
fW'/
rrKW
-TON
=KW
LRA
o Overhead Service
o Te"lP-Sarvice
~erground Service
"2.2..0
Voltage: /
Phase: Ql.1' 0 3
Service Size: 2.<>v
Feeder Size: '--Il.,
PAMC 14.05.060(8): For industriai, commercial. & residential projects larger than a duplex, a one -line drawing of the Electrical Service 8
Feeders. building size (sq. ft.), load calculations, and the type & of conductors and/or raceway Is required and shall accompany the Eleclrh
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!
required; It remains the applicants responsibility to cietermine what permits are required and to obtain such.
Credit Card Holder's Signature:
Owner or Elec. Cant. Signature:
C ;/ElECTRICAlPERM IT APPLICATION
ib
Date: /0 (2..1/0L
Oate:IO />-r( "....