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Home My WebLink About1032 Madrona St - Building en E-< Z ~ :>; ~z:>; ~oo ~HU E-<'- ~o..en o..HE-< ~..:l OU::> zenen ~~ IQ~ ... >-< ~o..:; "'en::> zen ~H~ Z ~ >-< 9 >-<QQ ::>~~ 1'lE-<E-< en~ O~..:l 0::>0.. a:>; "'~o o~u z I'l ... >-< ~ ~ '" Q) '"" '" 01 c: '" 0. '"" ~ en ~ E-< o Z co ON o " " N 'rl'" 10" ~ , co 0 I.. 0 'kjr--rlP:: I:€OU"l1 I HO'<1'W U) If-.1NO'IP=: ~ , , Z I .. r- I ~ I o;;f'.--i ::E l....:!rio::;f'...:I ::E .,; ";z 0 ~j~~~ U ~ <.9Q);t:~~ Q;>UQE-< :~' ~ ~ ~ Q ~ rl a 0 en '- '" 0.. m >< ..:l E-< <Il ,..---- f pORT ~ t;O~""<,,, hiii~ ~-- ~~ 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: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001165 Date 10/08/07 691740 1032 MADRONA ST 06-30-08-5-8-1320-0000- DEAN MANGIANTINI RE-ROOF RS7 RESDNTL SINGLE FAMILY 4984 Owner Contractor DEAN & MICHELLE MANGIANTINI 26 WALKER RANCH RD PORT ANGELES WA 98363 (360) 417-9451 Structure Information 000 000 TOPNOTCH ROOFING & GUTTER 1235 W. 9TH PORT ANGELES WA 98362 (360) 457-0066 TEAR OFF AND RE-ROOF Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF & RE-ROOF 112714 137.75 Plan Check Fee 10/08/07 Valuation 4/05/08 .00 4984 Qty Unit Charge Per Extension 95.75 42.00 BASE FEE 3.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 142.25 142.25 .00 .00 hila/eel /1_; ~l- (j 7 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 prOViSi:SOf any state or local law regulating construction or the performance of construction. 0/.-"/7 tfJ#c// (A)&,f"~ [?.JZ ~ Date 'Print Name Signature of Contractor or Authori ed Agent Signature of Owner (if owner is builder) T:Forms/Building DivisionIBuilding Permit (I 010 I/07).wpd 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 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. o ,-J I ..-- - INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTING 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. I PWI CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 j PLANNING DEPT. BUILDING 4 J 7-48 IS IU 1410"1 PC:1 BUILDING T:Forms/BlIildin' Division/BlIildin' Permit 10/01/07 .w d . I E) U1 o vJ \'l 3 ~ d :5 ~ 70 (0 , g --t\ g g ) p " 1-" (\'. '..~'w~:.n "1,'\,(,(_ 6......r..~I~~ ~~\ ~1L_m=::.Jr,i I \" 'I ~<~ BUILDING PERMIT - APPLICATION FOR OFF1ClAL USE ONLY: Date Rec.: 1(') - D &-0 J Pennit #: ('")"1- l \ bt? Fill out COMPLETELY and in INK. l'our application and site plan MUST BE COMPLETE to be accepted for review. IfYOll have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 Date Approved: Date lssued: Applicant or Agent: -r /9 jCJ L/ c.9 --tr (, tfl /"HI> I f ~ ~ b df-!, .R L.' Owner: ~.pc tJ k.ta.......r ra.. ~-+ ; AJP Address:....< ~ WdJ ) k.p II" Ro-. ~ {k Rd. City: ?,./)..-, . Phone: ~~ 7 -<!Job b Ph011e: ~J /7 -qLj S- J Zip: 9~3~3 ArchitectlEn gineer: Contractor "?dV I W /$// ~ L-- Address: J;:;L 3. S' W. q-~ PROJECT ADDRESS: /6 3 ~ vi. r LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL Nl..J1v.1J3ER: Phone: State License #:7(9;> N b r-61q 'tD.J Exp: S:'/~-Dft- Phone: q 5"l-ot'll..~ City: y. 4-- Zip: <:J ~ 7th ~ fI1M r~ IUd.. rr~. ZONING: Block: Subdivision: SIZE/V ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ~/ 'f., ffJ{. cro \<e..r-<9a>'/ --r-e-~f' <>tl 1 N€-Q..j Ve.u--\- ~ . l..d t!ttLU,'t ( / ... \ Gdf-"- f(,df(r v..:z..AI~ l~y ka../f-1., rooflADf TYPE OF WORK: s'Residential. 0 New Constr. . Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF TRE PROJECT: P.f ~/u-s), ? 6> -:U. F(..I-&- 0 /,-, P COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. .:l3~ No. of Stones: ~ Lot Size: Totallot coverage Existing Sq. Ft. % ESAlWetland(s):DYesDNo SEPAChecklistrequired?D Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In aU 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 CRECK FEE: JF 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 RKVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl05.3.2 of the International Building/Residential Code, 2003). 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. 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\BJdgPemritform.wpd Applic~~ L ') ~ - Date: y- S- -0 ., 1Id84!I)~ 1II_1h1!!', a I.!!!Rirlh.... ~1f1JJ'~~.~.~ '~ ~ . .!I;~.. '~IJ ~I!;l j IJ. l_--Sltb:, -l ~~-- 9/3/07 topnolchroofi nga@qwesl.nel ,......-;-~,.- y6o-(; <--(';> S t. ,.,;," .' .j}- "i..,.J<. ....:. .., l .) TOPNORG994DA >>>> EXPIRATION DATE: 5/18/08 Comp,ny ,;gn,'"CZ -f le ~ D,'e '!-:J - <9 '1 Bid prices are subject to reasonable incre ses due to any necessary alterations, additions, Increases In material and/or labor to complete work. Homeowner will be notified of any necessary changes, which may affect cost. Property owners are responsible for obtaining any permits required for work and materials described herein. TOPNOTCH is happy to provide permit, but will add the cost to the final bill. Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to. Please feel welcome to call if you have questions concerning this estimate/bid. If bid is accepted, please sign one copy and return It to TOPNOTCH ROOFING & GUlTER, at the address above. Work is scheduled UDon receiDt of sianed bid. Verbal aareements will not auarantee scheduled work. References are available! ESTIMATE AND BID PROPOSAL - CONTRACT rOo Dean Mangiantini, 26 Walker Ranch Rd., Port Angeles, WA 98363 460.8843 FOR: Re-roof at 1032 Madrona, Port Angeles, WA 98363 Two layers of composition roofing. Rental Tear off existing roofing. Clean up and disposal included. Roof with 30-year laminated, architectural composition over 30# felt. Install starter course composition, 6-AF50 vents, 21' of ridge vent, 1-small vent, 1 -1" neo, 2 -3" neos, 50' W valley, chimney flash. Estimate cost of tear off and re-roof, Using the materials specified herein, labor to complete work as described, and sales tax: $4984.00 418.66 $5402.66 Five thousand, four hundred two, and 66/100 Mho';"" pm')'''''''''' h,d D---~ Date 9(fg L(J? MATERIAL WARRANTY BY MANUFACTURER, WORKMANSHIP GUARANTEED BY LICENSED, BONDED, INSURED CONTRACTOR PAYMENT TERMS: ONE HALF TO START WORK. BALANCE DUE IN FULL WHEN WORK IS COMPLETED * ALTERNATIVE PAYMENT ARRANGEMENTS MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB ~ .... CITY OF PORT ANGELES ~¢~ PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TIt STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 6/10/2002 PERMIT NO 7693 OWNER/APPLICANT PROPERTY LOCATION CAROL BROWN 1032 MADRONA 1032 MADRONA Lot: 8 & E 1/2 LT 9 Port Angeles, WA 98362 Block: 13 [] Long Legal 360/000-0000 Subdivision: PENNSYLVANIA PARKADDNT. T: S: Parcel No: 063008581320000 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. MISC. Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 10 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wail 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES NEW 10 KW FURNACE, THERMOSTAT WIRE RECEIPT#0149 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $45.50 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $45.50 AMOUNT PAID: $45.50 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECrRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA IFFUL TO CO VER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE FINAL Ir~/Y/~Tz 1~1 GENERAL COMMENTS: PW-1102.15 [~961 ~,o,, - CITY OF PORT ANGELES ~*~' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 6/04/2002 PERMIT NO: 13464 OWNER/APPLICANT PROPERTY LOCATION 1032 MADRONA CAROL BROWN 1032 MADRONA Lot: 8 & E 1/2 LT 9 Port Angeles, WA 98362 Block: 13 [] Long Legal 360/000-0000 Subdivision: PENNSYLVANIA PARKADDNT. T: S: Parcel No: 063008581320000 CONTRACTOR ARCHITECT DAVES HEATING & COOLING SERVICE ~IC N/A 991 FRESHWATER PARK RD. PORT ANGELES, WA 98362-0000 , 98360-0000 360/928-0245 360/000-0000 PROJECT INFO Project Value: $4,820.00 SFD Units: 0 Commercial: 0 Project Type: ELECTRIC FURN. SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL ELECTRIC FURNACE AND DUCTS RECEIPT~t9182 FEES ASSESSM E~ 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: $38.30 Plumbing: $0.00 AMOUNT PAID: $38.30 Mechanical: $38,30 BALANCE DUE: $0.00 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 certif7 that I have read and examined this application and know the same to be true and correct. Ali provisions of aws and ordinances governing this type of Work will be complied with whether specified herein or not. The granting of a permit does not I presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of signat-re of Contractor ~r Auth~'rized Agent Signature of Owner (if owner is builder) Date T:~LANN~NG\FOP. JVJS\] 102.15 [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 1N 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 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF /CEILING DRYWALL T-BAR INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY 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 BATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 __ /' PLANNING DEPT. BUILDING 417-n815 BUILDING T:\FLANNINGWORMS\I 102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF pUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date //'~'- ~Z ~ ~"~-- Time Received by (phone, person) Location of Work to be inspected / C T ~-~ //~/~/-~)/~¢~/~,/' ~ 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 ~Finai~,~ewer Excav. Other Inspected: Date .//~'-~-~-~-)'~" Time 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 LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Installed By: ft1 Owner/Business: I Owner/Business Address: IlYffESIDENTIAL D COMMERCIAL D BASEBOARD KW _ D FURNACE KW D FAN/WALL KW _ D HEAT PUMP KW_ D SIGN D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION D REMODEL la-"1l:DD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) Details/Description: PERMIT NO. 3wD / Z. -1'/ - f L DATE Phone: Sq. Ft. D OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D SINGLE PHASE D THREE PHASE SERVICE SIZE AMPS ck' Ih / r' ( dr~ . /, I t. d/:s- t, tv & -e.-,. W.S. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. D O.K. to connect service ~ 'P Final O.K. Site Address: Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ~ Electrical Inspector Installer: 0:3 L /l/l4J~ JI() It- C~ . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYlolPIC PAINTERS INC_ Permit/Receipt No. 3?/f} New Meters Date: /Z-117<:'" ~ ,..:::)0- Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15071 ~-~0 . >V Port Angeles. WasWngton........,...............m...............m.m.............. 19........ In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. 'I Address ..l.:'..)..:2:.m'-.n.~!f:n';&,:?&1.,"'f.,o=...............................n... Occupancy..,d~!.:.'LL.......n................... I .~ Owner ..__~.~!f.I__L"';.?'!_,~=:_.:~n~.n.(li'-~'i:._.";un.nnnnu__... Tellant.h____n_...__nnn.....n_n_n...___.._ndun____ndnn...nunu V\Tiring Contractor n-.:.-h:::.......':."::_..,::~.~_~_.nun.nunu.nnu..._..n_uu. By u_.__nnn_n_nn_nn__n.__dhnn..UUn__nuuunUn__._n /5/ Light Outletsn....!.____........____.___.......__.... Receptacle outletsm__LQ.......m_... C Dryer, K\VI.hU....__n__nn......n_.____.n____n /.:2 Range, KW u_n_n_________________ __nu_n__u__. Water Heater: ./ KW.n____..t.'-__~____________________._______. Heat' RW ....m;;:;.!2.~..f/r;<!:.j)8mm M-:>tors: size, volts and phase: . (' .:!...._C..~L!.:::..~.__.._.........__mm...m._ Total Loadn.........mmm......_.. Service, volts ..ls~:..~'!._f!..t_f.!.m__. No. wires .:m.j0..:m "m...mm~.. JO,pl'/ Size wiresm...L..-:_._.m..._...__.n.__..... Main Ius. m::~<1...~....mnnn 5 Enclosure ._...___::._.____................______. Type of wiring: Entrance Cable __..un...........mm..__ Rigid Conduit .......__nmm.mmm__n Metallic Tubing ....m__.........m___m Current transformers: No. & Size................._._______...n____n.. Ser. NO........_...____..___n.............___._...... Ser. NO.._n_.._____.__________________.________...... Ser. No.____________._____________.__________....... Ser. NO........n_.............................______ Type of Wiring: Armored Cable ._............ Non.Metalllc m.m.m__mmm__m__.... Knob & Tube_ Rigid Conduit . Metallic Tubing ____m___m C i rc~::.e :~:h~-.-.----r:. ~_-~~~~~~~~~~~~~~~~~~~~~~~~~. Y- ::::ltY.:::Z'l...:.::::::::::::::::::::::::::::: ~ Range .._............._.........................._. ., Water Heater ..'2~:._____...__..m........__ Motor ___n..._____.._____.__._______________....._ Dryer...__f.;t._..mm__...___.m.___.mm...._ Furnace ................._........_. Total ~-. .-......_.~.........------_..._---- /'- . r-. Remarks : ..__~.__l...r.:!.~n.?::nnunnu.:nG_?_~..-:.n:nnn.....:u:;n_:C'!..~.~_~._nn..__U___ndnn_n___...._n_...___unn...__nnnu...n..unnn___ , . Permit Fee Treas. Receipt .:;;: Y; elf . j /' $u...;?~.F.Q......n.....unn. NO...................._..n... By ...u..:u.~..'--..~;~.'!..(--'!.....c.g."."'u;::.~-'--.,:.!..,....... NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work Is to be COD- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION dO; 5' J(..if B Jl ELECTRICAL PERMIT N? 15071 Date cal1e~}in~eciiknm0&.,f.h.""':?n""z.mm....h._.......m.......h..h..m........nmn....n.....!~.:::.:~1..~m.::::..2n?:'................ ,'I...~ ."y. ~e.- Preliminaryllnspectlonuat~.......................___......___._._..__._.....______.___...__............_..__..........._......__....._....___....__.__............_.___.___.___......__ InspectioncomPleted...~:~~______.__._.___.___._._..__.._.._.__.._....._............_.._.____.____.................__..........._.......__..______._...._._..._......_.. " \ 1M 3-72 Olympic Printers, Inc. Total Load _____.__.__.____.n__.............._................___........__._....._.............._ 00__0000___ FROM: Electric7S 'Qj"""'(, ~ ~ ~ FAX NO, : 4525424 Oct. 02 2002 07:54AM Pi I "" "._--~, H/itLl,-?":\;!A: _.., ',1',,1_) ~:"Ile.I{..... .....,~;\ ~ .. ..-.. . fJ~t~ A.;~~y.b.! __. __ ._ O.IC:...'....: .___ "__..' ELECTRiCAL PERMIT APPLICATiON Ths E,s.:lr:cBI ~&'~I: A.ppi,ca'J:n mu.~ b. flUId OL.'t c:am~ilt.tv, Own... or Elee Cenlractor Agant: F, ( l " -i p"'p."Y 0......." ('8, '()~" . Add,e3l: I n ~::1- ~'\'\ "-(j~ c; "v", Ploa"" type or reprint In in.. If lOU ~.vo .n~ quO'~C", Pl.... call (36(1) 4H~73$ F... "","b.r: (380) .11~71' REQUEST INSPECTION C r) c/ .s:, ("VI" ~ l'1hi..-Phcn.: '-J'l J-u-n<p Fa..: '1'0""2,-1"4'")9-_ Phone: #- 7fJ16 Elactricol C<>ntraCltlI: Address: Si<L 0 (" ''-fll' r INSTALLATION WIRED BY; 0 OWNeR Credit Card Halder Name: P\ld V Nl "--,; ~i Ci':y: ptu=CTRICAI. CO~TRACTClR 0(\ +\ Lu Zip; g~3~'<. '} )1...,/<1 Phon.:7?:i.-b"t; , Zip: "j S--:1 ~ 2, SII/ing Addresa: City: Credit C.rd Number: ~_ n."'- --p. ......: PROJECT ADDRES6: / /}.:5 2 /71/1f?-tJUA . ,-,- Zip: V/SA:--@ TYP~ elF WORK- Check llll that appl)'; C Naw CJ Alteration/Addition ~RtlSldental D Multi-family D Commercial Cl Mobile Heme' Sq. i't Remote Meter 0 Detached garage [) Hot TUb 0 Swim ~ool . 0 Septic Pump 0 l.ow Voltage 0 Telecom, 0 Number of Circuits added or altered: OESCRIPTION OF THE ELECTRICAL PROJECT: h.Lo:+ p ,; r-n.p Cl Baeeboard o I'" urnace ';;J HEliIt Pump 5Fan-Wall 'I'Y'I - 'f(W IrON -~ PERMIT Ffl!: 4h .70 .€dip '1738 a.Nice Information Electrical Heat Load AddltJons l.RA o O~erha8d Service [l Temp SeNlce ~J Underground S.",ica Voltage: PhaGe: ~ 1-, 3 SllNlce Sl~e; Felder Si;(a: PAMC 14,05,060(13): Far Industrial, commercial, & 'b.:dentlal ~'ojllCts largllr than's duplex, '3 one ,-line Drawing of ths Electrical Servioe Fae<lers. building Size (Sq, ft,). Iced <:aIculstione, snd Ih. 'ype !l at ccnduetor. andJor racewllY Ie require'; aod lhall aecampany the ElaClf F'ermit Il;lpllcallon, ' : / hereby certify that I have read and examined thi$ appJi..'Stion and know thllt Slime to be true and correcl', and I 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 datermlne what permits are required and to obtain such. , , Credit C:.,d H Oete: -XQltJ..n Owner or EI.c. Cant. Sill".ture: C:I RICAl.P'ERM1T APPLICATION ~ C p~ /?>P/PZ- Date; L- ~cG FROM: Electric7S FRX NO. 4526424 t1 ='0 Jun. 06 2002 08:40RM Pl ~ poRl 4"., l'O G't"C ti~~. if 1~~ ~~:l ELECTRICAL PERMIT APPLICATION FOR OmCIAl liSE (l~I..'~ ___. [):,h'IIl~" \lP-I'-'.-C?z.... ,,~'" ---=7-<.0 <=(:s r):ll~ 1'\1'1"'''\"<,1, D~h' 1,,,,r,l. The Electrical Permit Application must be till~ out comDletelv. REQUEST INSPECTIONP OwnerorElec. Contractor Agent: S("" ::\-,-, ~/ \;u VI~)1nv Phone: 1.J5J.- t,'i2'f Fax: '-152- ~'-ICJ.Jf PropenyOwner: CD...-ol [3,"'0"'-',..) Phone: 417_:;>1..0 r Address: ! 0 ~'J /'vC:rJ,o"" City: PD'It ~~1<, Zip '7,",3 c.2- Electrical Contractor. ~frJ 1./ SQ-rv I.rvj lh& Ucense #:~!r ,.f-J;,,,, Exp: <:J1/1-t.,JoS- Phone: '-15? -t..<.t--Z, Address: %'1.. O<"",,~r Vq Il~l RLP Cily:porl- I+n.~r - Zip: '7l<:? "'? CI INSTALLATION WIRED BY: iJ OWNER :: ELECTRICAL CONTRACTOR Credit Card Holder Name: A r 1 \...V ..- R\.) lX:P BillingAddress: 8:L ~~ \)~L~Z RJ City; Por-+ ftn~l-t< Credit Card ' It:> 3 2 ~.Jro~a Please type or reprint in ink. H you h.we any questIons, please call {360_ 417..4735 Fax number: (360) 417-4711 _ Zip: 9 J<'? k--:> ~ '.,' VISA:_MC:X PROJECT ADDRESS: TYPE OF WORK: Check all thaI apply: [J New o AIleration/Addition ~ Residental U Multi-family [] Commercial [] Mobile Home Sq. Ft. o Remote Meter [] Detached garage [] Hot Tub 0 Swim Pool 'J Septic Pump ~Low Voltage 0 Telecom. 0 Sign Number ot Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: -tv r J'.C<.4- r-l' c;:;, If-) -t~r h1..-\J d,,+ lvlr Electrical Heat Load Additions ,v -0 rcc..:r' ~s: .s ~ Service Information [I Overhead Service ei Temp Service o Underground Service Voltage: Phase: 1Q 1 0 3 Service Size: '2o-Q-A. Feeder Size: o Baseboard [.1 Furnace n Heat Pump o Fan.Wall _K!N l.D.. KW _K!N _K!N PAMe 14.05,060(8): For industrial, commercial, & residential projects larger 1han a duplex. a one. line drawing of the ,Electrical Service & Feeders, building size (sq. ft.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit applicat pplication and know that same to be-true and correct, and I am 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 a.pplicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature; ft:~ Date: tt/& 1m. { ~/6Ib2.. . Owner or Elee. Cont. Signature: Date: PW-9019 "REMD\!6 "? c31 I<.Jf.:} ~f\1112.., tJ. \(.. NO Ac\wJ i2-8Q \J IIZGD t! _/I;;JJ & 4(Ci/-