HomeMy WebLinkAbout1224 E 3rd St - BuildingPREPARED 12/06/06 10 03 31 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/06/06
ADDRESS 1224 E 3RD ST
TENANT NBR TERRY MCCARTNEY
CONTRACTOR PENINSULA HEAT
OWNER TERRENCE JAMES MC CARTNEY
PARCEL 06 30 00 7 9 0410 0000
APPL NUMBER 06 00001046 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME3 01 12/06/06
/14
SUBDIV
MECHANICAL HEAT PUMP TIME 13 00
ROSS 417 1006
12/05/2006 01 30 PM PERMITS
COMMENTS AND NOTES
PHONE (360) 681 3333
PHONE
PORT
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
TERRENCE JAMES MC CARTNEY
104 W 12TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
WA 983627714
MECHANICAL PERMIT
87536
64 70
9/22/06
3/21/07
T• \Policies \I 102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001046
886810
1224 E 3RD ST
06 30 00 7 9 0410 0000
TERRY MCCARTNEY
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
5775
Contractor
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
1 00 14 7000 ECH ME INSTALL 100- FAU
Fee summary Charged Paid Credited
Permit Fee Total 64 70 64 70 00
Plan Check Total 00 00 00
Grand Total 64 70 64 70 00
Date 9/22/06
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681 3333
00
00
00
00
0
Extension
50 00
14 70
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 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 -t have -read -and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to authority t iolate or cancel the provisions of any state or local law regulating construction or the performance of
constr ti
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
�rn
V)
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 COMMENTS
YES 1 NO
FOUNDATION:
FOOTINGS 1 I
SHEAR WALLS WALLS 1 1 1 I
FOUNDATION DRAINAGE DOWN SPOUTS 1
PIERS 1 1 1
POST HOLES (POLE BLDGS.) 1 1
PLUMBING
UNDER FLOOR SLAB I I
ROUGH -IN 1 1
WATER LINE (METER TO BLDG) 1 1
GAS LINE 1 1
BACK FLOW WATER I
AIR SEAL
WALLS 1 1 1
CEILING 1 1 I
FRAMING
JOISTS GIRDERS 1 1 1
SHEAR WALL/HOLD DOWNS 1 1 1
WALLS ROOF CEILING 1 1 1
DRYWALL (INTERIOR BRACED PANEL ONLY) 1 1 1
T -BAR 1 1 I
INSULATION
SLAB 1 1 1
WALL FLOOR CEILING 1 1 I
MECHANICAL
HEAT PUMP /FURNACE /DUCTS 11 o 1
GAS LINE r 1
WOOD STOVE PELLET CHIMNEY 1 ---"--L I
COMMERCIAL HOOD DUCTS I 1
MANUFACTURED HOMES
FOOTING SLAB 1 1
BLOCKING HOLD DOWNS 1 1
SKIRTING 1 1 1
1 1 1
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING PERMIT INSPECTION RECORD
BUILDING 417 -4815 11
T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
FINAL
FINAL DATE
SEPA.
ESA.
SHORELINE:
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
1 1 1
1 1 1
1 1 1
09/22/06 11 27 FAX 3606812086
LEGAL'DPSC,tIIPTION: Lot: Block
CLALLAM COUNIY »ARCBL NUMBER.
edit Card Holder N e: 1. V 6
Wing Address.
redit CardType VISA MC
FWORK:
e;idcapal 0 Now Ccna!r: 0 Re roof 0 Steve
Multi- famr1r 0.' Addition D Move 0 Garage
o moaeniA D Re.00del 0 Demolition •0 DG k
RV* 0 .S1� 0 4
DESC8itP7ION OF THE PROJECT.
Peninsula Heat
BUILDING, PERMIT APPLICATION
Pill out COMPLETELY and 'in INK. Your application and aite.plan MUST BE
COMPLETE to be accepted for 7evlew. Ifyou have any questions; can
(360) 417 -4815
Phone: eg/- 3 3.3
Phone: ‘00-4e
Zip: c a
Address:
Architect/Engineer I Phone:
Contractor P l Sf Ai IL Sta License Phone; �o "33
Address:, i j� -a1 v City: J' E 1 G
Z ip: st?
PROJECTADDRE53: 1 A a.4_ 3.0 5 ZONING:
Subdivision:
City- C
SSE/VALUATION
f 17l V
O AL uA a
1 r1 btl
w
`OMME&C t (1 ESIDENTrALT Occupancy Group: Occupant Lead:
of Stoles: Lot Size: Existing Sq. Ft. Proposed Sq Ft.
t}cisting lot coverage Proposed lot coverage Total lot coverage
rLANNING USE ONLY
S A/Wetland(s): O Yes 0 No SEPA C becklistrequired? O Yes 0 No Other:
i 'eby CO* (hell have read and examined this application and know these a to be true e
1ersfand that 8 k my responsibility fo determine what permits are requ d the City's 4U
8ORMS'APPSeluitdingpenrdtwpd Appli v %s!
0102
FOR OFFJC��E�Y-
Da tc.,
rermtt 'I OGKl
Due App infect: /?nil o
Data Lssve40 0
f.tJ4- .4 ,Y3,R Z-
Exp, Date:
/SF s e
/SP is
/SP: C
Construction Type:.
TOTAL Sq.Pt.
APPROVALS:
PLAN:
BLDG:
F'DiE
OTHER:
INC PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with infomsation on the application and
submittal requirements if you have questions.
UATIONOF CONSTRUCTION. In an cases, a valuation amount must beenteted by the applicant. This 5gure win bereviewed
may be revised by theBuildingDivisiunto comply with current fee schedules. ContactthePesmit Coordinator at417 481S for assistance.
AN c CKPEE: IF. aphis check fee is due* must be submitted at the time the building permit application and construction plans are
'tted. All other permit fees are due at the time ofpermit issuance.
IRATION OT'PLANBEVIEW, If no permit is issued within 180 days of the date of application, the application will expire. The
ding Official can. estend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107 4 of
UniformBuilding Code, current edition). No application can be extended more than once.
correct I em authorized to apply for this permit and
1 ust In such permits priori(' wort.
ate: 4J2
g.
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98J()2
Lasered
CED
~
,.,~ -
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zom.ng
Application valuation
06-00001046 '. :..:,~::',>~,,~.7-~:; Date 11/27/06
886810
1224 E 3RD ST
06-30-00-7-9-0410-0000-
TERRY MCCARTNEY
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
5775
Owner
'.:~~~=~~:~~.~;~~;:. '-'--- ~.~ - - - - - .' ,
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681-3333
TERRENCE JAMES MC CARTNEY
104 W 12TH ST
PORT ANGELES WA 983627714
Permit
Additional desc .
Permit pln number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ANGELES EL/ HP FURN
88864
ANGELES ELECTRIC
48,10
11/27/06
5/26/07
Plan Check Fee . .
Valuation~t-:,... '-;>/-,
_. ~~~.;~ "~~.Ji,~~~-- f~'_"_
.00
o
~
N
""t
Qty
1 00
Unit Charge Per
48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
48 10
,00
48 10
48,10
.00
48.10
.00
00
.00
00
,00
00
~
" ~ I
~
l~
~ - t-- '- ~ .~
..c._.,.'~HLA.L "'!kPJ;,.."~.ir ""
.. ~ _......~ ;;;~~jfi~~ t .' '. . ..- - --... . .
, '"';.if t,"
.: "('1 ~T
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. )' F'U"N ,"""" "
1,1 1.
'~ I),...:
t s. ~ ~ ~,. _ ..1.,
i~ -"""- _..- - ... - r ..... ;.....
-
. . 0
'':J.
Of
COMMENTS/ACTION NEEDED
'.
j J'
_._~
ELECI'RICAL PERMIT INSPECI'ION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
IlITt :H
Il I 1I II TH_IN I COVER
:OO'...~K v II 'I.'
IS ~''I-o?1 -IrJ /'
GENERAL COMMENTS:
PW-II02.1514I96J
d,l,)8I~_
.)fi~~
D8
~r~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:l21 EAST 5TH STREET. PORT ANGELES. WA 98:l62
Lasered
CEO
...
,.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Application type description
Subdiv~s~on Name
Property Use
Property Zoning .
Application valuation
Owner
TERRENCE JAMES MC CARTNEY
104 W 12TH ST
PORT ANGELES WA 983627714
Permit
Addit~onal desc
Perm~t pin number
Sub Contractor
Perm~t Fee
Issue Date
Expiration Date
9/27/06
06-00001046 Date
886810
1224 E 3RD ST
06-30-00-7-9-0410-0000-
TERRY MCCARTNEY
MECHANICAL APPL. PERMIT
RS7 RESDNTL SINGLE FAMILY
5775
Contractor
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681-3333
ELECTRICAL NEW RESIDENTIAL
PENINSULA HEAT/ T-STAT
87692
PENINSULA HEAT
36 40
9/27/06
3/26/07
"
~
N
~
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1 00 36 4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
Fee summary Charged Paid Credited Due
"
Permit Fee Total
Plan Check Total
Grand Total
36 40
.00
36 40
COMMENTSI ACTION NEEDED
36.40
.00
36.40
.00
.00
.00
.00
00
.00
~
~L
.y.... ..~-.... - ...~ -""'T ..-.,.....,.....-~...
~
i
...
1 .J::'
-.-.- -------- - ..
\
..........,.,~_...J.oI"'~tij:;~...
-_....-~...~.~
,
ELECTRICAL PERMIT INSPECTION RECORD
.
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-1I02.1514'9ISJ
.... CITY OF PORT ANGELES
d~ PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 7/19/2002 PERMIT NO 7749
OWNER/APPLICANT PROPERTY LOCATION
TERRY McCARTNEY 1224 3RD ST E
1224 E 3RD STREET Lot: 6 & E 19' OF 7
Port Angeles, WA 98362 Block: 4 [] Long Legal
360/000-0000 Subdivision: CAIN SUBURBAN LT 18
T: S: Parcel No: 063000790410000
CONTRACTOR ARCHITECT
ANGELES ELECTRIC N/A
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-9264 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type:
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 []
[] Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
REPLACE 200 AMP PANEL
RECEIPT#9295
FEES ASSESSMENT Service: $63.20
Additional Feeders: $0,00
Circuit Wiring: $0.00
Temp Service: $0,00
Misc Fee: $0,00
TOTAL FEE: $63.20
AMOUNT PAID: $63.20
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL I~SPECT1ONS. PLEASE PROVIDE A ~ 24 HOUR NOTICE. IT IS UNLA IPFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH-IN / COVER
SERVICE
/ /
GENERAL COMMENTS:
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT ~ BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 7/25/2002 PERMIT NO: 13589
OWNER/APPLICANT PROPERTY LOCATION
1224 3RD ST E
TERRY McCARTNEY
1224 E 3RD STREET Lot: 6& E 19'OF7
Port Angeles, WA 98362 Block: 4 [] Long Legal
3601000-0000 Subdivision: CAIN SUBURBAN LT 18
T: S: Parcel No: 063000790410000
CONTRACTOR ARCHITECT
EVERWARM N/A
257151 HWY 101
Port Angeles, WA 98362-0000 , 98360-0000
360/452-3366 360/000-0000
PROJECT INFO
Project Value: $500.00 SFD Units: 0 Commerciah 0
Project Type: LP GAS INSERT 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 LP GAS FIREPLACE INSERT ~_~
RECEIPT ~9472 ~.~
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $35.00 AMOUNT PAID: $35.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ETA, 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:\PLANNING\FO KMS\ 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 I ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB ]
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PER.lIT #'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.
ENGINEEKING 417-4807 PW / ENGINEEKING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ~ ~t/?, I ~ PLANNING DEer.
BUILDING 417-4815--~-~L~)Ytl ~'~' BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002)
ZIJL 25 '0~ 09:£9AM EVERWARM P. 1
BUILDING PERMIT - APPLICATION
PI~me ~ or prilt II ~ E~u h~v~ ~y qu~m, ~ ~
COM2VI~R~IDL'qTIAL: Occupancy Group:. ~ L,~I: Ce~.ua~m 'rye..
No. of Smrie~ Lo~ Size: % Lot Covm'qe: %
f, xi~ Lot Co~vm~qe: /sq. fi. + k~x~e~ Lot Cov~aSe:
BLm.nI~G ~ APPLICATION SUIIMITTAL: Your compleMd 8pplica~m, si~ plan (for sddiik~) md ~ con.,mic:ion
plsm ar~ '., I~ fubml~M to tl~ Building DIvi~
may be revis~l by the Bm2din~ Div. to comply wifl2 currm~t f~ schedule~. Conlact the Pmnit Co~l~9*~r st 417-4~15 for aa~ancc,
PLAN CI-IKO~ FEE: Yo~ pJm~ check fee b due at th~ time the buildin8 pcrmi~ 8pptirafion md consm2ction plans ~'m)zni~e& All other
permit f~e~ indue i~the time of p~n~ hs~ce,
EXPIRATION OF PLAN P&~I~W: If no IXrm~ ia b~ed wtthlo lSO day~ oftkc dat~ of q~pllca~on. ~ a~ ~ cxplre by
I~i~. ~ ~fld~ Offic~ ~ ~ ~o ~e ~ ~tio~ by ~e ~l~t ~ m IR ~p, ~ ~ ~ ~ ~e ~5~t (see
~ion 1~.4 *f~ ~o~ 9u~ ~, ~t ~on). NO a~ll~ ~ be ~ m~ ~ ~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~
INSPECTION NOTES:
Inspected: Date Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I-]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)
10-11-2062,27PM
FROM ANGELES ELECTRIC INC 360 452 9265
P_ 1
.Tob wired by
e
.
..
ELECTRICAL WORK PERMIT APPLlcATlmi .
.
r;~~l.--
Eleclricaol contractor name
License number
Dale Expires
Insl"llation description ./'
Q Commercial ~identinJ
o New ~Addition
DOwner
City
ANnFI ,C; Fll'rrrllr INC
524 EAST FIRST
PORT ANGFI FS VIA Q~1h?
State ZIP
Pu~h:lscr'~ mailing address
Telephone: number
FAX number
;V~ ~.Jce. ;.--- ('hFr
.~ ~-
(Ij R1:AM..TS
.
City
SC~
Owner s define by RCw'J9.]8,26/:(I) Owner will "ccupy rh~ .)!(ruClureJQf lW(J
y{!ar.~ afier Il;is c:/(!ctrico.l p~rmir is firwli::ed. (2) o-,....,u:r j~' f((t1'4i,lld /0 hire 01'1 dc:clrka/
con/ructor iFahoW! said property is for ~'Qle, rl:nf or lease.
After reading the above statement, ] hcrchy certify that t am the owner of the above
named property or a licensed electrical contractor. I am m!lkin!; tbe electric:l1 instal-
la,\ion or alter.ltion in compliance wilh thc electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46R, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of 0
o Cash 0 Check #
~ard Visa Mastercard
Card# ______-~_,B~_-----
Discover
x
Date: A
Expiration Date
of card
Electrical Load Addition nd or subtractions
o NO LOAD CHANC,~S
u Baseboard KW .
Q FIJrnaC9 ~ KW
o Heat Pump :z. Ton _LAR
Q Fan-Wall KW
~d Service
CJ Temp Service
D Und9rgroIJnd Service
Service Information
VolI.ge /2b".L,"'eJ
Phase riRfJ"~.
Service Size: ~
Feede( SizQ: ---7TR
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/ ROUGH-IN r THERMOSTAT "- (' SERVICE
i
'- D,IC: Apllf'O~'u Iho " D~lr: Ajljlr,,~<:<Jl)y / '- D..l: Approved (1)1
/ _),_./,,,.-IN.<\L ~ DUCH FEEDER
1~"d"-7 W
0 ' ^!lprcwcd fly '=" D"'l~ ^ppro~orJ By D~tc: ArPlOvcd B}'
lm;pection Area, Building or Equipm("'1\t Inspected AClion Taken EIt:clrica1
Date Inspector
-"
I()~J 7" 0" # My
.J
/1LJi') /!J/" !,/ I
/ /
09/22/06 11:29 ~~ 3606812086
G--7.Z- II
~~.l} . cJs
Peninsula Heat
I4J 01
ELECfRlCAL WQRKPERMIT APPU~N
.< ,
a Owner
!netallation description
(J CommerdaJ
Date Expires
o New
a Altered! Addition
Lol1../ ,/" I-I-AJe .:Jfaf ~
Owner tiS d~ ned by RCW.J9,2&.261:(J) Own.er will occupy lhe .slnlcture for two
yean afier thll t:!utrical permit is fmar~d (2) Own.u is ~Jrt4 10 live Qn eJectrit:QI
CtJllfraclOr If dbow- SGld property ts for sale. /'eftt or lease.
After n.adins: the .abo~ 1ibW:ment, I ~ certify that: I 8m Ihe owner of the above
named property Dr a licensed electrical cootraeto~. I am milking the electrical instal-
lation or alteration i.a compliance with lbe elettricaJ laws. N.E.C.. RCW. Chapter
19.28, WAC. Chapter 296-46B, The CiLy of Port An,teles MUDicipal Code, and
UUlit)' -ficatioDS.
51;
lJ Cosh lJ Check #
WI Card ~ Mastercard Discover
Cw#____~AfFLLb~____
w
Elf!efrlc:ol Load AdditIons: ond Dr RubtrBotlonQ
o NO ~OAD CHANGES
o Baseboard KW
o Fumace KW
,s Heal Pump .;l. Ton _ LAR
a Fen-Wall _ KW
Servl~8 Information
a Overhead Service
a Tamp Senli""
a Underground ServiPWG
Voltage
Phasa a 1 a s
Sarvice Size;_
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN . 1lIERMOSTAT SERVICE
.... ............, '- D.~ Appruved 8y D.III App"",~B)'
5h _/FINAL.~j} DII'CB FEEDER
.... A~81 o.~ ...,...,.,ed By
D. Appnwfd .,./
Inspection Area, Buildiog or Equipmentlospected .Acrion Taken Electrical
Dtlle Iaspeclor
')-7.-7-0(, /1".p,e. veA /S.ri-/
7JX7 ~ '26kh