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Home My WebLink About535 1/2 E 3rd St - BuildingPREPARED 6/28/07 8 48 09 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/28/07 ADDRESS 535 1/2 E 3RD ST SUBDIV TENANT NBR SANDRA HALLER CONTRACTOR ACE MICHAELS INC PHONE (360) 417 9579 OWNER BOURN LAWRENCE /IRENE PHONE PARCEL 06 30 00 5 2 5878 0000 APPL NUMBER 07 00000435 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/09/07 JLL 5/10/07 AP BL9 01 6/06/07 JLL 6/06/07 AP BL3 01 6/28207 c BLDG FOUNDATION FOOTING 05/08/2007 08 21 AM LPANGRLE MIKE 460 6172 WED AFTERNOON INSPECTION FOUNDATION 05/10/2007 08 04 AM JLIERLY BLDG SHEARWALL 06/05/2007 11 39 AM LPANGRLE MICHAEL 460 6172 SHEARWALL HOLD DOWNS 06/06/2007 04 53 PM JLIERLY BLDG FRAMING 06/27/2007 03 15 PM LPANGRLE MIKE 460 6172 FRAMING COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BOURM LAWRENCE /IRENE 802 E 6TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T•\Policies \1102.15R [1/05] Qty Unit Charge 1 00 50 0000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total On Ffl WA 983626404 RIGHT OF WAY 460 00 00 460 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000397 736223 535 1/2 E 3RD ST 06 30 00 5 2 5878 0000 PUBLIC WORKS UTILITES UNKNOWN 0 Contractor STREET ALLEY RESTORATION Date 6/19/07 KUCHAN CONST CO INC 3049 E HICKORY STREET PORT ANGELES WA 98362 99697 50 00 Plan Check Fee 00 4/19/07 Valuation 0 10/16/07 Per Extension ECH RIGHT OF WAY PERMIT 50 00 99713 290 00 Plan Check Fee 00 4/19/07 Valuation 0 10/16/07 Qty Unit Charge Per Extension 1 00 290 0000 ECH STREET ALLEY RESTORATION 290 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 99705 Permit Fee 120 00 Plan Check Fee 00 Issue Date 4/19/07 Valuation 0 Expiration Date 10/16/07 Qty Unit Charge Per Extension 1 00 120 0000 EA SAN SEWER HOOKUP 120 00 Paid Credited 460 00 00 00 00 460 00 00 Due 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within. 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 Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \1102.15R [1 /05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY 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 LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING Application Number 07 00000435 Application pin number 033745 Property Address 535 1/2 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 5 2 5878 0000 Tenant nbr name SANDRA HALLER Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 15000 Owner BOURM LAWRENCE /IRENE 802 E 6TH ST PORT ANGELES Other struct info Qty Unit Charge Per Other Fees T•\Policies \1102.15R [1/05] BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor Date 6/19/07 ACE MICHAELS INC 431 VASHON AVE WA 98362404 PORT ANGELES WA 98362 (360) 417 9579 TOTAL Is LOT COVERAGE 29 18 CONSTRUCTION TYPE V N HARD SURFACE AREA 1 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1564 00 LOT SIZE 10500 00 PROPOSED LOT COVERAGE 1500 00 TOTAL LOT COVERAGE 3064 00 NUMBER OF UNITS 1 00 Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 101147 Permit Fee 170 00 Plan Check Fee 00 Issue Date 5/08/07 Valuation 0 Expiration Date 12/09/07 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 05/02/2007 05 17 PM SROBERDS The proposal will result in a very large detached garage in the RS 7 zone ABSOLUTELY NO RESIDENTIAL OCCUPANCY IS ALLOWED as the setbacks allow only an unoccupied use in this area of the site Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Extension 170 00 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 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 clays, 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. or F e Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 4, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION T \l 102.15R [1/05] PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED COMMENTS RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION RW PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 07 00000435 Date 6/19/07 Application pin number 033745 Permit Fee Total 170 00 170 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 174 50 174 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within.180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All 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 Signature of Owner (if owner is builder) Date T•\Policies \1102.15R [1/05] CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 16 INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION T•\Policies \1102.15R [1/05] PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES 1 NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING Qty Unit Charge Per CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000435 Application pin number 033745 Property Address 535 1/2 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 5 2 5878 0000 Tenant nbr name SANDRA HALLER Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 15000 Date 6/19/07 Owner Contractor san 4 C 1329 W i 0 t 5 tACE MICHAELS INC 431 VASHON AVE PORT ANGELES WA 444444.64.94- PORT ANGELES WA 98362 360— '{60 151(o 1 i) 363 (360) 417 9579 Other struct info TOTAL LOT COVERAGE 29 18 CONSTRUCTION TYPE V N HARD SURFACE AREA 1 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1564 00 LOT SIZE 10500 00 PROPOSED LOT COVERAGE 1500 00 TOTAL LOT COVERAGE 3064 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 1500 SF DET GARAGE W /BATHROOM Permit pin number 100248 Permit Fee 277 75 Plan Check Fee 111 10 Issue Date 5/08/07 Valuation 15000 Expiration Date 12/09/07 BASE FEE 13 00 14 0000 THOU BL -2001 25K (14 PER K) Extension 95 75 182 00 Permit MECHANICAL PERMIT Additional desc BATHROOM IN GARAGE Permit pin number 101030 Permit Fee 57 25 Plan Check Fee 00 Issue Date 5/08/07 Valuation 0 Expiration Date 12/09/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 ECH ME VENT FAN 7 25 Permit PLUMBING PERMIT Additional desc BATHROOM IN GARAGE Permit pin number 101022 Permit Fee 100 00 Plan Check Fee 00 Issue Date 5/08/07 Valuation 0 Expiration Date 12/09/07 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00 on le T \Policies \1102_15 building permit inspection record05 wpd [1/412005] rr\ 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 Signature of Owner (if owner is builder) Date 0 I"V J 01 C 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, IA'SULATE OR CONCEAL AA'I' WORK BEFORE INSPECTED 4ND ACCEPTED. POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMING UNDERFLOOR /SLAB ROUGH -[N WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE I FIRE 417 -4653 1 I PLANNING DEPT 417 -4750 I 1 BUILDING 417 -4815 I T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES ACCEPTED COMMENTS NO FINAL FINAL MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. DATE I ACCEPTED I YES I NO Application Number Other Fees CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 07 00000435 Date 6/19/07 Application pin number 033745 Qty Unit Charge Per Extension 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL EA BLDG SEWER 15 00 1 00 7 0000 ECH PL EA WATER HEATER 7 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 05/02/2007 05 17 PM SROBERDS The proposal will result in a very large detached garage in the RS 7 zone ABSOLUTELY NO RESIDENTIAL OCCUPANCY IS ALLOWED as the setbacks allow only an unoccupied use in this area of the site Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 435 00 435 00 00 00 Plan Check Total 111 10 111 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 550 60 550 60 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All 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 Signature of Owner (if owner is builder) Date T \Policies \1102 15 building permit inspection record05 wpd [114/2005] CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 4] 7 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAMFUL TO COI-ER, IA'SULATE OR CONCEAL 4A'I WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD kND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS 'CST WALAOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -1N HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD DATE 1 ACCEPTED I YES I NO I- 5-- I 0 TL—L_ 05fi5 /07 ALL- a7 Y`07 £B I(o /06461 I J I FOO G FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW /ENGINEERING FIRE 417 -4653 1 1 1 I FIRE DEPT I PLANNING DEPT 41 -4750 I 1 1 le, ,1 or J PLANNING DEPT 1 BUILDING 417 -4815 /I/1i' I/ I i y "V'I 1 '4 1 1- 0- V r� A BUILDING T' \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] COMMENTS H II•l (0/12/ jul, DATE ACCEPTED BY. DATE ACCEPTED BY. DATE I ACCEPTED I YES NO 1 I I f I I I I PREPARED 6/12/07 9 23 04 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER 535 E 3RD ST SANDRA HALLER ACE MICHAELS INC HALLER SANDRA M 06 30 00 5 2 5878 0000 07 00000435 RES DETACHED GARAGE PL2 01 5/11/07 JLL 5/11/07 DA PL2 02 5/15/07 PB 5/15/07 AP PL2 03 6/ 2/07 a JLL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTOR JAMES LIERLY PLUMBING ROUGH IN 05/10/2007 01 42 MIKE 460 6172 ROUGH IN PLUMBING 05/11/2007 04 40 backfill around pi protect pipe from PLUMBING ROUGH IN 05/14/2007 04 50 MIKE 460 6172 ROUGH IN PLUMBING 05/15/2007 04 31 PLUMBING ROUGH IN 06/11/2007 03 59 MIKE 460 6172 ROUGH IN PLUMBING SUBDIV COMMENTS AND NOTES PHONE (360) 417 9579 PHONE (360) 460 7516 PM LPANGRLE PM JLIERLY pe with sand or non abrasive material/ concrete /j11 PM LPANGRLE PM PBARTHOL PM LPANGRLE PAGE 7 DATE 6/12/07 PREPARED 6/06/07 8 09 28 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/06/07 ADDRESS 535 E 3RD ST SUBDIV TENANT NBR SANDRA HALLER CONTRACTOR ACE MICHAELS INC PHONE (360) 417 9579 OWNER HALLER SANDRA M PHONE (360) 460 7516 PARCEL 06 30 00 5 2 5878 0000 APPL NUMBER 07 00000435 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/09/07 JLL BLDG FOUNDATION FOOTING 5/10/07 AP 05/08/2007 08 21 AM LPANGRLE MIKE 460 6172 WED AFTERNOON INSPECTION FOUNDATION 05/10/2007 08 04 AM JLIERLY BL9 01 6/06/07 LL BLDG SHEARWALL \_I 06/05/2007 11 39 AM LPANGRLE MICHAEL 460 6172 SHEARWALL HOLD DOWNS COMMENTS AND NOTES PREPARED 5/15/07 8 17 21 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ PL2 01 PL2 02 535 E 3RD ST SANDRA HALLER ACE MICHAELS INC HALLER SANDRA M 06 30 00 5 2 5878 0000 07 00000435 RES DETACHED GARAGE PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 5/11/07 JLL 5/11/07 DA PLUMBING ROUGH IN 05/10/2007 01 42 MIKE 460 6172 ROUGH IN PLUMBING 05/11/2007 04 40 backfill around pi protect pipe from PLUMBING ROUGH IN 05/14/2007 04 50 MIKE 460 6172 ROUGH IN PLUMBING SUBDIV COMMENTS AND NOTES PHONE (360) 417 9579 PHONE (360) 460 7516 PM LPANGRLE PM JLIERLY pe with sand or non abrasive material/ concrete /j11 PM LPANGRLE PAGE 11 DATE 5/15/07 PREPARED 5/11/07 9 09 05 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ PL2 01 535 E 3RD ST SANDRA HALLER ACE MICHAELS INC HALLER SANDRA M 06 30 00 5 2 5878 0000 07 00000435 RES DETACHED GARAGE PL 00 PLUMBING PERMIT REQUESTED INSP COMPLETED RESULT 5/11/07 DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET SUBDIV PLUMBING ROUGH IN 05/10/2007 01 42 PM LPANGRLE MIKE 460 6172 ROUGH IN PLUMBING COMMENTS AND NOTES PHONE (360) 417 9579 PHONE (360) 460 7516 w/ 56,2 n PAGE 10 DATE 5/11/07 PREPARED 5/09/07 12 14 17 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/09/07 ADDRESS 535 E 3RD ST TENANT NBR SANDRA HALLER CONTRACTOR ACE MICHAELS INC OWNER HALLER SANDRA M PARCEL 06 30 00 5 2 5878 0000 APPL NUMBER 07 00000435 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/09/07 SUBDIV BLDG FOUNDATION FOOTING 05/08/2007 08 21 AM LPANGRLE MIKE 460 6172 WED AFTERNOON INSPECTION FOUNDATION COMMENTS AND NOTES PHONE (360) 417 9579 PHONE (360) 460 7516 Applicant or Agent: Ace It/L.C-, S Jn C Phone Owner M a P T.. Phone. Address. 04 City P V Architect/Engineer Mor e W e. d n Contractor Ac_L I* e_ W�.�t S "AC State License /ICJ Akre- ls,1'?4' ,xp Address:_I'i a 1 L City (A PROJECT ADDRESS 3 ra- 1 9 OR- ZONIlVG LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential ra'New Constr Re roof Multi family Addition Move Gif Garage Commercial Remodel Demolition Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stories: r Lot Size: SOCK Existing Sq Ft. 5 ro Proposed Sq Ft./ 5 Cl TOTAL Sq Ft. 3 0 Total lot coverage .2ct I PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Block. Subdivision. SIZE/VALUATION Stove l 5 00 SF /SF SF /SF Deck SP /SF TOTAL VALUATION 8L 5c� x 30 X /4» ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other 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. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of 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 R105.3.2 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. 1 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. L-- T•\FORMS\BldgPermitform.wpd Applicant: Zip ('g'S Phone: L/5 a c 5, 0 4 0 V Occupant Load. Construction Type. Date: FOR OFFICIAL USE ONLY Date Rec. 0 —0 7 Permit 0 1 Date Apprm to Issued: Phone: 4/4 ('1 1 Z o2 Zip 5' APPROVALS PLAN BLDG DPWU FIRE. OTHER This map is not intended to be used as a legal description. This map /drawing is produced by the City of Port Angeles foi its own use and purposes. Any other use of this map /drawing shall not be the responsibility of the City V ru al Datum NAVD 6 Horisontal Datum NAD 8: Legend N 100 Feet 7 38 4 5 3 'rte 13 r n 5o 7 1 SA. 1 S T R I DATE. q DESIGNED BY -_.■ni■v,, 1 I E PROJECT 5-5 34 a.' 6 FOR. Ac p r 1/ (1. I SI-11 I OF /7 7 0 6.-r 1_ 5 o r 4 x p -7 -3 /44:2-e3 XcE. Act.a/QL Ace 4.1> O r'i2 ej4 t_ )4-6 1„■...) 4-0 A-0 E _4 NTI 17' kiwi ,L1-6r NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 .(360) 452-8491 www.nti4u.com info@nti4u.com L, E 4 /5 i a. V Y.ie 0 e? r v ,e)( y°,)/ i 0,,,,, t in r. /7 9 2-x bp )/v i I s T R I DATE 4 7 Li! I DESIGNED BY ,i-4_'"eo w [1;1 PROJECT I FOR. Lj I SHT o? OF /7 15 .6 )1, (1 2 y3/r) c(t6t 5 °4 ct li l-/O 1 4 f 'c-f4 /4-'7" A (I t-71 /Z4 2 NTI (4v t. 17 o 3 NORTHWESTERN TERRITORIES, INC a JLS Group Company /VV cir Le--14 4- Engineers Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 .(360) 452-8491 www.nti4u.com info@nti4u.com a I) /-4:„./-./ 1 A ci 1 k---7-. A-64,-7-ty.zie p r t ff 0- -7,c(/*) T 2 S? i--g RI ,7 P /(96p 4 -r (9 'I-) 1 9 '5 v514, k 0 F 11/0---(t 6) wt 1 5 /s 8 e 1 P 7 /L.L„ p .a I s T R I DATE `7/ /2-e2 /al s `At I DESIGNED BY kTM ki 1 1 PROJECT `/.-"Di=. FOR. ti SHT OF /7 NTI /8' 4.,) I A.. Ci e) 1 5 ,P5c? oA7 tA 1 1 A .6 0 7 NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY• PORT ANGELES, WASHINGTON 98362 .(360) 452-8491 www.nti4u.com info@nti4u.com r1 22/g /47/ /4, ).(1) e.nt �Emm �rn E, I S T R 1 DATE ''/2 J I DESIGNED BY k' in W' PROJECT FOR. I SHT OF 7 v tie (22 -7) 0..qv z (3 6 6- (04 3 3/) NTI /l -/44 �r> s� 'tv 1 PI-F o rg r 6) a_ +16A go K--t- +10V-121 CA-a S NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 •(360) 452.8491 www.nti4u.com info @nti4u.com 1) 4, 7 f m I S T R DATE DESIGNED BY 4."-fm. A/ I PROJECT fitp ri I FOR tISHT OF /7 tri?-v,0 NT1 L q NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers. Land Surveyors Geologists -Materials Testing 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 -(360) 452 -8491 www.nti4u.com info @nti4u.com Analysis by Kate Waddell Description Garage User Input Data Structure Type 1 Building Basic Wind Speed (V) 100 Struc Category (I 11, 111, or IV II Exposure (B, C, or D) C Struc Nat Frequency (n1) 1 Slope of Roof 4 0 Slope of Roof (Theta) 18 4 Type of Roof Gabled Kd (Directonality Factor) 0.85 Eave Height (Eht) 14 00 Ridge Height (RHt) 19 00 Mean Roof Height (Ht) 16 50 Width Perp. To Wind Dir (B) 1 50 00 Width Paral To Wind Dir (L)1 32.00 Calculated Parameters Type of Structure Height/Least Horizontal Dim Flexible Structure Gust1 Zm lzm Lzm Q Gust2 G WINDO2 v2 -21 Detailed Wind Load Design (Method 2) per ASCE 7 -02 Company Name: NTI Engineering mph Hz 12 Deg ft ft ft ft ft Calculated Parameters Importance Factor 1 1 1 Non Hurricane, Hurricane (v =85 -100 mph) Alaska Table 6 -2 Values Alpha 9 5001 zg 900 0001 At 0 1051 Bt 1 0001 Bm= 6501 Cc 0.2001 1= 500 001 ft 0.52 Epsilon 0.2001 No Zmin 15 001ft Gust Factor Category I Rigid Structures Simplified Method For rigid structures (Nat Freq 1 Hz) use 0 85 Gust Factor Category II Rigid Structures Complete Analysis Zmin Cc (33/z)^0 167 I *(zm /33) ^Epsilon (1/(1 +0 63 *((B +Ht) /Lzm) ^0 63)) ^0.5 0 925 *((1 +1 7 *Izm *3 4 *Q)/(1 +1 7 *3 4 *Izm)) Gust Factor Summary Since this is not a flexible structure the lessor of Gust1 or Gust2 are used Fia 6 -5 Internal Pressure Coefficients for Buildinas. Gcpi Condition Gcpi Max 1 Max Open Buildings 0 00 0 00 Partially Enclosed Buildings 0 55 -0.55 Enclosed Buildings 0 18 -0 18 Enclosed Buildings 1 0 18 1 -0.18 Developed by Meca Enterprises, Inc. Copyright 2006 0.851 15 OOIft 0.22811 427 061ft 0.91471 0.88011 0 851 4/8/2007 Page No. 1 of 4 Elev Kz Kzt qz Pressure (Ib /ft"2) Windward WaII* 1 Leeward Wall 1 Total Shear 1 Moment ft Ib /ft"2 +GCpi -GCpi 1 +GCpi 1 -GCpi 1 -Gcpi (Kip) 1 (Kip -ft) 19 1 0.89 1 1 00 I 19 41 1 9.81 16.59 1 11 40 1 -4 62 21.21 2.651 3.31 16.5 0 87 1 1 00 I 18 85 1 9 42 1 16.21 11 40 1 -4 62 20.82 4.211 7 80 15 I 0.85 1 1 00 1 18 47 1 6'9 17 I 15.95 1 11 40 1 -4 62 1 20.57 19 641 189 87 Note: 1) Positive forces act toward the face and Negative forces act away from the face. Figure 6 -6 External Pressure Coefficients. Co Loads on Main Wind -Force Resisting Systems (Me od 2) B WINDO2 v2 -21 Detailed Wind Load Design (Method 2) per ASCE 7 -02 6.5.12.2.1 Design Wind Pressure Buildings of All Heights I z Variable Formula Kh 2.01 *(Ht/zg) ^(2 /Alpha) Kht Topographic factor (Fig 6 -4) Qh 1 00256 *(V) ^2 *I *Kh *Kht *Kd Khcc Comp Clad: Table 6 -3 Case 1 Qhcc 100256 *V ^2 *I *Khcc *Kht *Kd Developed by Meca Enterprises, Inc. Copyright 2006 Value 0.87 1 00 18.85 0.87 18.85 L Units psf psf Wall Pressure Coefficients, Cp Surface 1 Cp Windward Wall (See Figure 6 5.12.2.1 for Pressures) 1 0.8 4/8/2007 Page No. 2 of 4 Developed by Meca Enterprises, Inc. Copyright 2006 s /17 WINDO2 v2 -21 Detailed Wind Load Design (Method 2) Der ASCE 7 -02 Roof Pressure Coefficients, Cp Roof Area (sq. ft.) Reduction Factor 1 00 Calculations for Wind Normal to 50 ft Face Cp Pressure (psf) Additional Runs may be req'd for other wind directions +GCpi„ GCpi Leeward Walls (Wind Dir Normal to 50 ft wall) -0.50 "11_40 -4 62 Leeward Walls (Wind Dir Normal to 32 ft wall) -0.39 -9 60 2.82 Side Walls -0 70 14 61 7 82 Roof Wind Normal to Ridge (Theta =10) for Wind Normal to 50 ft face Windward Min Cp -0 51 11 4 -4 70 Windward Max Cp -0 06 -4 38') 2 41 Leeward Normal to Ridge -0.57 12.51 5 72 Overhang Top (Windward) -0 51 -8 10 -8 10 Overhang Top (Leeward) -0 57 -9 11 -9 11 Overhang Bottom (Applicable on Windward only) 0 80 12.56 12.56 Roof Wind Parallel to Ridge (All Theta) for Wind Normal to 32 ft face Dist from Windward Edge 0 ft to 33 ft Max Cp -0 18 -6.28 0 51 Dist from Windward Edge: 0 ft to 8.25 ft Min Cp -0 76 15 63 -8 85 Dist from Windward Edge: 8.25 ft to 16.5 ft Min Cp -0.90 17.81 11 02 Dist from Windward Edge. 16.5 ft to 33 ft Min Cp -0.50 11 40 -4 62 Dist from Windward Edge: 33 ft -0.30 -8.20 1 41 Horizontal distance from windward edge 4/8/2007 Page No. 3 of 4 WINDO2 v2 -21 Detailed Wind Load Design (Method 2) per ASCE 7 -02 Fiaure 6 -11 External Pressure Coefficients. GCo Loads on Components and Cladding for Buildings w/ Ht 60 ft a= r I r 1 2 L 3- 3.2 1 3.20 ft 1 Double Click on any data entry line to receive a help Screen Component Width Span Area Zone GCp Wind Press (Ib /ft^21 (ft) (ft) (ftA2) Max 1 Min Max Min truss 2 1 30 300 00 3 0 30 2.00 10 00 -41 08 0 00 0 00 I 1 0 00 I 1 1 0 00 1 0 00 0 00 0 00 1 0 00 0 00 I Note. Enter Zone 1 through 5 or 1H through 3H for overhangs. Developed by Meca Enterprises, Inc. Copyright 2006 a a a a Gabled Roof 7 Theta 45 4/8/2007 Page No. 4 of 4 44-44 e /-7 5 /vv /z 7L�LL. eLv r 9v rq N, fi 07 3#V i? k' c Z a 57 7 6-61- (1,r) 4 F 5 6 7 0, S T R DATE. zaiv 1 DESIGNED BY ft. W PROJECT FOR. SHT: /0 OF /7 Cp NTI 3(237S L 4 L ry NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers■ Land Surveyors Geologists ■Materials Testing 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 .(360) 452 -8491 www.nti4u.com info @nti4u.com lt .44 (7) ir 1—P F I s T R DATE i/ .,o 1 1 DESIGNED BY "--=7/14 I 6, 1 PROJECT' 1 FOR. i SHT OF /7 b F 11 ;2, NT! of 7-- 7, 3 NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 .(360) 452-8491 www.nti4u.com info@nti4u.com h DG� 1 L G \r,/ l L-L L t .9c,p 5E i 511/13 of S T I DESIGNED BY 1 I PROJECT I FOR. Lj LjI SHT S b V I 35a r c am c r (Fb> OF R I DATE. 10 ?St (0 3 /7 NT1 lel A, L -4 .4, z zs ,f,cq o 2 t, o esF 6-"/ 54-1 ‘470-1( A z.5 vxZ 5t 1n NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 .(360) 452-8491 www.ntl4u.com info @nti4u.com A o C.: t 2 S DESIGNED BY PROJECT FOR. 1 SHT /3 LD .e 2 O 75 v t (5) (J 6. Y(FX -6 1) /350r. 25) 6 6)(1 a)(i l J� rge R 1 DATE y /z.-6/) 7 A eff":"44/ OF 3 90/ 8 25,4 k ,v /2." NTI G 3S1 :278) NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 117 SOUTH PEABODY. PORT ANGELES, WASHINGTON 98362 .(360) 452 -8491 www.nti4u.com into @ntidu.com 11 Z r /3.5b 25)0,€),K;# if )6), e6, 2'72'7 m I S T R DATE. i DESIGNED BY K'Z 0/ 1 PROJECT FOR. SHT /V OF /7 e (12)(44)(C4 )(Cr) D 75 ekr1 ca..c X4.0 s 0 a 7 8 NT1 5 7 375 0)(/00 2 se NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers= Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY■ PORT ANGELES, WASHINGTON 98362 -(360) 452-8491 www.nti4u.com info@nti4u.com 3 ,20 57Ps 33)6Y F1 _f) 670 7 5/ Sy r —L Jet— if' 13 C (C C (1(r)( 7 l 6' 6. fi (7 a) (/4 /5 Q) /52 ,9 90 f CIS T R DATE. !I DESIGNED BY PROJECT FOR. BHT 5 OF 7 NT1 67 Fi NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 117 SOUTH PEABODY• PORT ANGELES, WASHINGTON 98362 .(360) 452 -8491 www.nti4u.com info@nti4u.com J C c /57, 0 (//b)6( 6D) I P 3s/ J) �c ff rya (1 3 5 1 L D 7 5 65- z/7 o '7(l 2( 0 `76/ 0 74I�- zt7 X)6 oa F 13 0 0)(1 /)(0,2.1) 0 EI S T R IDATE �//zzle, I DESIGNED BY /N'1 W J 1 PROJECT `ill FOR. 1 SHT /G OF /7 Z ,;y z NTI 92 fi s O k NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY• PORT ANGELES, WASHINGTON 98362 ■(360) 452-8491 www.nti4u.com into@nti4u.com 711) 0")5(L qz 490 VF m 1 S T R 1 DATE Y -moo --o 7 I DESIGNED BY jf.:4l (A/ PROJECT -7,(-/-15-;9 a v ill FOR. I ISHT OF /7 t 6 TM �x �bk NT1 /04 2-/ 5 2 o 75 r /o6 215 ej e 0.56 2/O -ro NORTHWESTERN TERRITORIES, INC a JLS Group Company Engineers Land Surveyors Geologists Materials Testing 717 SOUTH PEABODY■ PORT ANGELES, WASHINGTON 98362 -(360) 452 -8491 www.nti4u.com info@nti4u.com 0 v d'""~. $fj~~ Da 'I.oO~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98362 Lasered CEO Application Number Application pin number- Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Applicat~on valuation 7/30/07 07-0000070~ Date 276352 535 1/2 E 3RD ST 06-30-00-5-2-5878-0000- ELECTRICAL ONLY UNKNOWN o Owner Contractor BOURM LAWRENCE/IRENE 802 E 6TH ST PORT ANGELES WA 983626404 OWNER ------------------------------------------------------'~~-------------------- Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL OWNER/ 104919 75 00 7/30/07 1/26/08 NEW RESIDENT-IAL '-- " "', ,,< ~ '",' plan Check Fee Valuation 00 , 0 Qty Unit Charge Per 1 00 75 0000 ECH E~-RM-O-200 1ST SRV FEEDER Extension 75 00 . . --------------------------~----------------------~_._------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 00 00 Plan Check Total 00 .00 00 00 Grand Tptal 75 00 75 00 00 . 00 COMMENTS/ACTION NEEDED \, ~', / ~ ~ \i'\ ~ ' ~ ~ ~ ~ ~ \i. ~ ~\ ELECfRICAL PERMIT INSPECfION RECORD CALL 4) 7-4735 FOR ELECTRlCAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL AM' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-lI02 15 (4'96) ~~~~"" o~. ,,-- ~~'~ "\..,~".. _... ELECTRICAL WORK PERMIT APPLICATION I Job wired by o Eleetrical Contractor li( Owner Installation description D Commercial ld""'Residential Electrical contractor name License number Date Expires zNew D Altered/Addition Purchaser's mailing address 10 -I-\.... 5 T D.;) '1 w....c:;;- ~t~'"lr ~~Q~'S Telephone numb , G:.~ - "/ 5' II.., 7 - ~ 'I Premises owner's name ~~ C 5~t\...\t ~l \",,r- - I, a0J. Add'es,' ~f;~to.n, 't:':cl;,'!> ~. "S:'3 - za<.:'"'\-' 3, Si-'" C~y ~ ) J-'~+ l~ eO) Phone number to sc dule inspection: State ZIP wt\ 98 ~ (...5- FAX number r;or~ ~~+ Sr.rll;' c.~ ill \ \ , Owner as defined by_RCW19.28.261:(l) Owner will occupy the structure fbr two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical in:.tal. lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signatur o Cash 0 Cheek # o Credit Card Visa Mastercard Discover Card # x Date: (.,-13-07 Expiration Date of card Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAA D Fan-Wall KW ~ Overhead Service o Temp Service ~ Underground Service Service Information Voltage I~VIO Phase (!('t c:i 3 Service Size: ~ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 '\ THERMOSTAT SERVICE Date Approved By D3te Approved By DITCH FEEDER 7 Dale Approved fly Dale Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector I -'2. 2. -"'7 J 10 ~ &',.,JCl.-r F.T M!,z".JttJ u