HomeMy WebLinkAbout1356 E 8th St - BuildingPREPARED 4/04/11 8 05 52 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/04/11
ADDRESS 2356 E 8TH ST SUBDIV
TENANT NBR PATRICIA VAUTIER
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER PATRICIA Y VAUTIER PHONE (360) 457 9740
PARCEL 06 30 11 5 5 0340 0000
APPL NUMBER 11 00000115 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 4/04/11
U
MECHANICAL FINAL TIME 12 00
March 29 2011 4 48 10 PM 1pangrle
JENNY (ALL WEATHER HTG 452 9813)
MECHANICAL FINAL HEAT PUMP
PLEASE INSPECT BETWEEN NOON AND 2 00 PM THE OWNER PAT
SAID SHE'HAS A 3 15 APPOINTMENT SHE NEEDS TO GO TO
COMMENTS AND NOTES
CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
DATE. PERMIT INSPECTOR
2.i I 11 -off
OWNER
P�sT 1 Z.1 C-i V lU u-r t m_re__
✓y am n1. �Iz r, 6 2 c
ADDRESS
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: C.orJlAl IV re_ r
R:DOO-CDia ..0./.070 TD 1)sisessniEr
MAX-- 2 /7.MMVP getZ C12 uC,T'* J
tovv rz__ b\ ■LW.c..., 11 a
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
3 circuits 2 5 ton HP 15 KW furnace
Owner
PATRICIA Y VAUTIER
1356 E 8TH
PORT ANGELES
(360) 457 9740
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
ELECTRICAL ALTER RESIDENTIAL
181206
78 70
2/09/11
8/08/11
11 00000118
139504
1356 E 8TH ST
06 30 11 5 5 0340 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
78 70 78 70 00
00 00 00
78 70 78 70 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Date 2/09/11
RESULTS
WA 98363
Due
00
00
00
00
0
Extension
73 50
5 20
INSPECTOR.
Date:
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application Number 11 00000115
Application pin number 816170
Property Address 1356 E 8TH ST
ASSESSOR PARCEL NUMBER 06 30 11 5 5 0340 0000
Tenant nbr name PATRICIA VAUTIER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
HEAT PUMP INSTALLATION
Owner
PATRICIA Y VAUTIER
1356 E 8TH
PORT ANGELES
(360) 457 9740
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP INSTALLATION
Permit pin number 181156
Permit Fee 64 80
Issue Date 2/07/11
Expiration Date 8/06/11
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
14 8000 EA
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
Per
Charged
64 80
00
64 80
Kkf etnit.ieown
RS7 RESDNTL SINGLE FAMILY
8094
Contractor
Paid Credited Due
64 80
00
64 80
Valuation
Date 2/07/11
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee 00
00 00
00 00
00 00
Extension
BASE FEE 50 00
ME FURN /HP /FAU OR 5 TON 14 80
0
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
L lk
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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
Inspection Type
Accepted By
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T•Forms /Building Division /Building Permit
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Comments
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
u1
c o
U I
I FINAL Date Li— I A ccepted bv
7
3
7
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
3211 East Fifth ,Street P.O. Box 1150 Port Angeles Washings na, 98362
Ph: (360) 417.4735 Fax: (360) 417-4711
Date: 2L
1 2 Single Family Dwelling
Plan Review MB C g mplete Electrical Plan Review information Sheet
Job Address:
Building Square Footage
Owner in omn$$tlnn
Name: cL t U
6
Mailing Add a ss' 5 (r _E cY
City' i State: 1.0/1 7_1p:
Phon r _Fax:
License iI Exp,-_
item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp,
ServlcelFeeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp, Service/ Feeder 200 Amp
Temp. Service /Feeder 201.400 Amp.
Temp, ServicelFeeder401 -B00 Amp,
Temp, ServtcelFeeder 801 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy I First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1300 sf
Signal Circuit/ Limited Energy 111, 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi-Family Dwelling 63.90
Manufactured Home Connection 119.30
Renewable Electrical Energy SKI/A System or Lees 3102.30
Thermostat 55.00
tIEW CONSTRUCTION Ot ICY
First 1300 Square FL 5 110,30
Each Additional 500 Square FL or Portion of 3520
Each outbuilding or Detached Garage
5 73.90
Each Swimming Pool or Hot Tub $110.30
Multi Family or Commercial'' Commercial Additions I Alteration
Unit Change
119.90
145.50
204.60
262.20
372.50
2.60
73.50
2,60
9270
$110.30
148,71)
$167 90
95.90
88.20
noted: 2 7
RECEIVE
FEB 8 2011
ELECTRIC.
INSPECTIl9,1Jli
Nerve: etOr Information N e L e.
Namta: �y�
Melling Address f� O�°. c
City; Slate' J 3zip y 6 G.'.
Phone O Fax: 0 ..JL
License ft 1 Exp. sa C /L 4
M
D Crete CI Cheek.
Cretnt Cent rr 21
Total,(Qq►t l�ul ailed -bv Unit Charge)
Owner as delved by RCW.19.28.261 (1) Owner will occupy the structure for IWO years after this electrical permit Is flnalizet Owner is required
to hire an electrical contractor if above said property Is for sale, rent or lease Permit expires alter six months of last inspects 11
After reading the above statement, I hereby certify that I am the ownerof the above named properly or a licensed electrical ractor I am making
the electrical installation or alteration in compliance with the electrical laws, N.EC. RCW Chapter 10.28, WAC Chapter 29 3- It 13, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications
SI of owner, electric: a ntractor or electrcal administrator
Remodel I Repair'
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
V0 /Z0 39Vd
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
('cn‘Ina
Applicant
Property Owner
Property Owner's Address
Contractor 401 W er
Contractors Address P S
License WFJAC1 1LiA
PROJECT ADDRESS
Parcel Number
Project Tvoe Brief Description.
Check all that apply
o New Construction
o Addition
poRemodel
u Repair
o Demolition
Re -roof
)(fleet System
o Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a tire sprinkler system be installed?
9is :gay*
Expires I E -mail OLA1 OC I P.n r
17.26(.0 c a Sb. qrarA
residential Multi family
a House garage o other a tear off re -roof o lay over one layer
)(Heat pump wood- burning stove a gas fireplace pellet stove o other
Existing (sq. ft.) Proposed (sq. ft.)
SNIlv3H 83H1d3M T1v
Gm$
ft. Occupancy group
Occupant load
Construction type
Phone
Pho ne
Pho ne
Lot
For City Use Only'
Date Received —j I
Permit*
Date Appr
;3.o() 9
l;
k C-'l _aWE
5 c 1
Zoning
a Commercial a Industrial
per sq ft.
TOTAL VALUATION y ociLk a3
Total footprint of structures sq. ft. Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
t 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 datem/in what permits a required, and to obtain permits prior to t�o(iyhg on pr9jects.
Date 11 11 Print Name fl. V Signature
T :Fonns/Bullaing Division /Bldg Permit.doc
LLTS E0 0T tTOZ /L0 /t0
Clallam County Assessor Treasurer Property Details 65452 PATRICIA Y VAUTIE Page 1 of 4
Clallam County Assessor Treasurer
Property Search Results 65452 PATRICIA Y VAUTIER for Year 2011 2012
Property
Account
Property ID' 65452 Legal Description: CRESTHAVEN,
ALTERATION OF LOT
EG
Geographic ID' 0630115503400000 Agent Code:
Type: Real
Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property' N Remodel Property N
Multi Family Redevelopment: N
Township: Section:
Range'
Location
Address: 1356 E EIGHTH ST Mapsco:
PORT ANGELES, WA
Neighborhood: Cycle 5 Res Map ID 2
Neighborhood CD' 10955130
Owner
Name: PATRICIA Y VAUTIER Owner ID' 57640
Mailing Address: 1356 E 8TH Ownership: 100 0000000000%
PORT ANGELES, WA 98362
Taxes and Assessment Details
Property Tax Information as of 02/07/2011
Amount Due if Paid on. 7_
Exemptions:
NOTE. If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty' Interest Base Paid Amount Due
2011 159375 ST SCH STATE SCHOOL $259.68 $259 68 $0 00 $0.00 $0.00 $519.36
2011 159375 CC -GEN COUNTY CLALLAM $143.37 $143 34 $0 00 $0 00 $0 00 $286 71
2011 159375 SD #121 SCHOOL DISTRICT #121 $339 46 $339 44 $0 00 $0.00 $0 00 $678.90
2011 159375 CITY PORT ANG CITY OF PORT ANGELES $330.95 $330 94 $0.00 $0.00 $0 00 $661 89
2011 159375 PORT PORT OF PORT ANGELES $20.18 $20 17 $0.00 $0.00 $0 00 $40.35
2011 159375 NTH OLY LIB NORTH OLYMPIC LIBRARY $60.12 $60.12 $0.00 $0.00 $0 00 $120.24
2011 159375 HOSP #2 HOSPITAL #2 $58.85 $58.84 $0.00 $0.00 $0 00 $117.69
2011 159375 WSMET PK DIST WILLIAM SHORE MET PARK DIST $17.89 $17.88 $0.00 $0 00 $0.00 $35.77
2011 159375 CITY_STORMWATER CITY STORMWATER $36 00 $36.00 $0.00 $0 00 $0.00 $72.00
2011 159375 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0 00 $0 00 $1.63
2011 159375 TOTAL. $1267.32 $1267.22 $0.00 $0.00 $0.00 $2534.54
2010 47672 ST SCH STATE SCHOOL $257 08 $257 08 $0.00 $0 00 $514 16 $0 00
2010 47672 CC -GEN COUNTY CLALLAM $136.81 $136 82 $0 00 $0 00 $273 63 $0 00
2010 47672 SD #121 SCHOOL DISTRICT #121 $333.00 $332.98 $0 00 $0.00 $665 98 $0.00
2010 47672 CITY PORT ANG CITY OF PORT ANGELES $316.77 $316 75 $0 00 $0.00 $633.52 $0.00
2010 47672 PORT PORT OF PORT ANGELES $19.23 $19.23 $0 00 $0 00 $38 46 $0.00
2010 47672 NTH OLY LIB NORTH OLYMPIC LIBRARY $39.76 $39 75 $0.00" $0.00 $79.51 $0.00
2010 47672 HOSP #2 HOSPITAL #2 $56.12 $56.13 $0 00 $0.00 $112.25 $0 00
2010 47672 WSMET PK DIST WILLIAM SHORE MET PARK DIST $17.86 $17 86 $0.00 $0.00 $35 72 $0.00
2010 47672 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0 00 $72.00 $0.00
2010 47672 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0 00 $1.63 $0.00
2010 47672 TOTAL. $1213.45 $1213.41 $0.00 $0.00 $2426.86 $0.00
2009 654522008 ST SCH STATE SCHOOL $294 72 $294 72 $0 00 $0.00 $589 44 $0.00
2009 654522008 CC -GEN COUNTY CLALLAM $149 17 $149 14 $0.00 $0.00 $298.31 $0.00
2009 654522008 SD #121 SCHOOL DISTRICT #121 $364 47 $364 46 $0.00 $0.00 $728.93 $0.00
2009 654522008 CITY PORT ANG CITY OF PORT ANGELES $327 17 $327 15 $0 00 $0 00 $654 32 $0.00
2009 654522008 PORT PORT OF PORT ANGELES $21 13 $21 13 $0 00 $0.00 $42.26 $0 00
2009 654522008 NTH OLY LIB NORTH OLYMPIC LIBRARY $43.34 $43.34 $0.00 $0.00 $86 68 $0.00
http. /websrv8 clallam.net/propertyaccess/Property.aspx?cic1=0&year=2011&prop id-65452 2/7/2011
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
4 Ton Heat Pump
Owner
PATRICIA Y VAUTIER
1356 E 8TH
PORT ANGELES
(360) 457 9740
Permit ELECTRICAL
Additional desc
Permit pin number 181172
Permit Fee 56 00
Issue Date 2/08/11
Expiration Date 8/07/11
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
56 00
00
56 00
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000116
617792
1356 E 8TH ST
06 30 11 5 5 0340 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ALTER RESIDENTIAL
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT THERMOSTAT
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES
(360) 452 9813
Plan Check Fee
Valuation
Paid Credited
56 00 00
00 00
56 00 00
DATE.
zi tSilt
2J
Ai it
Date 2/08/11
WA 98362
1151- X17 7
Due
RESULTS
Extension
56 00
00
00
00
00
0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date-
City of Port Angeles Permit Application
Building DIvlsionlElectrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417.4735 Fax: (360) 4170711
Date.
�C?t 2 Single Family Dwelling
Multi Family or Commercial"
Commercial Addition I Alteration Remodel Repair*
Plan Review Be RequiC�d, Pi�ase �a►rlplete ectrical PI n Review Information Sheet
Job Address: �1'V1
Building Square Footage: �.,1-11 M Zt ail ty
Description of above L 4ty 1\911-4- P'J O
Owner trim*
Name 1+ 'p
Ma" g Address: L +h
City 1 H _t State: Pr Zlp: Cein
Phone: WWI Fax:
License Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69,00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57.50
86.25
43,75
Owner as defined by RCW.19.28261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. 12) Owner is required to hire an
electrical contractor if above said properly 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
Installation or alteration In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
b0 /b0 39Vd
CA Ti tal.(Qty Multiplied by Unit Chargel
Ti
Thermostat
a Total
9NIIV3H d3H1t13M 1117
RECEIVE
FEB 7 2011
ELECTRICAL
INSPECTIONS
Cash
in Check
Credit Card
Information
ServicelFeeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder-401-600 Amp.
Service /Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit w/ Service Feeder
Branch Circuit Wi0 Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp. Service/Feeder 601.1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
AvrA *ID .q
U
W
Contra r
Name:
Mailin Address: U/
City i�
Phone' 0174%61
License I el'I!N
1 AIL_
or. I
State:
LLtiSZS1 E0 OT TTOZ /L0 /Z0
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00001110 Date
400740
1356 E 8TH ST
06-30-11-5-5-0340-0000-
ELECTRICAL ONLY
9/08/08
RS7 RESDNTL SINGLE FAMILY
o
Application desc
Security system
Owner
Contractor
VAUTIER PATRICIA Y
1356 E 8TH
PORT ANGELES
WA 98362
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES WA 98362
(360) 452-2727
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
----
133769
40.00
9/08/08
3/07/09
plan Check Fee
Valuation
.00
o
uJ
0\
0'
EL-LOW VOLT SYS <=2500 SQFT
Extension
40.00
Qty
1. 00
Unit Charge
40.0000
Per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.00 40.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 40.00 40.00 .00 .00
~
OJ
~
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
Cf;/"L'cB ~.
FINAL
OMMENTS:
d
~ pORT ~
84.0~~~
~
"-~
~
~"";;"""'"v?
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use
property Zoning . . .
Application valuation
04-00000920 Date
.202680
1356 E 8TH ST
06-30-11-5-5-0340-0000-
MECHANICAL APPL. PERMIT
10/26/04
Laserec
CED
RS7 RESDNTL SINGLE FAMILY
3500
Owner
Contractor
VAUTIER PATRICIA Y
1356 E 8TH
PORT ANGELES WA 98362
PA SWIMMING HOLE & FIREPLACE S
518 W 8TH ST
PORT ANGELES WA 98362
(360) 565-1163
Permit
Additional desc
Permit Fee
Issue Date
)1 Expiration Date
MECHANICAL PERMIT
DIRECT VENT PROPANE FIREPLACE
57.65 Plan Check Fee
10/26/04 Valuation
4/25/05
.00
o
C)
-t -
W
0<) ~
-
US ~
\J Of
~ (D
lr
'""" -I-
, S
t)
tf\
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
\0
Oy ':i1 ~
~ ~
%
OS"
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.
()AJ Fie/::;-
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T \PLANNING\FORMS\1102.15 [11/14/2003]
'\
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE Ii 0- :J-CrOIf vQv
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKINGILIGHTlNG 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 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T.\PLANNING\FORMS\1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date /b - L0 -6 c../
Time
Received by
RV
(phone, person)
r -6i-~
Location of Work to be inspected J3:::> b f= CJ
Name of person requesting inspection :t5. v--e.. vud ~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer 'Foundation Framing Chimney Plumbing Final
Phone No. s6S-I'~ L
Permit No. o4-C!j2(J
Sewer Excav. Other 3QS h;'" e
INSPECTION NOTES:
Inspected: Date /'IJ-2b -~O r
Remarks:
Time
By
PI/
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel DAsphalt D PCC
D Other
D Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
10/22/2004 07 33 FAX
..
III 002/002
BUILDING PERMIT. APPLICATION
J OH ()J'I )( l^ 1 I '~1 O"il.\
II..;,' :{" /6 -2Z-6<(
IJ,',ltllr" aLl - q~o
FiJI out COJ\.JPLETEL Y amI in IN K. Yuur a)lplit:ation 11l1d ~'ite plan MlIS'f BI4:
('OMPLETE lo be :accepted for review. rr you htlve allY que~tions, l'an
(360) 417.4815
J)~I, ^PPI'l\ c(j
D,lle l,'"ctI
Appl1cantorAgenL;~_~ Phon~, ~~....~~5= 11(;)-
Owner:~ Phone: ~'o-"I~-'7l.{O
Addreqs' I ~~l> ~. cr~ ~+.. CtLy:---IeS-.:t- ~_Ao~~~._ zlp:_ff..1.,"~
Arc:hitect/EllgLn~l:r Phont:,
Contractor fA 5~M,t.1 }111 /-10 {c:... Sl,llc: License f/ :P~ ,~)4.~~x.p: I::J../ /l/Drl'hom::'5Z~ -1/ ,:r
Addrcs$:5(~ -W_ q:~__~t,- (,itY:..Y~-AU~/e> ?,JP: 98"~~ Ql
PROJECT ADDRESS:~l~S-," E:=l ~~ tJ't. . ZONING: ~_,_~~
LEGAL DES('RJP'fl()N l.Ot.
Block'
SllbdlVtSlon
CLr\U,AM COlIN J Y P!\f{CEL NUMFlER: b'31'JJ l5""ro ?q~~~
Credit Card Holder Nl\mr:
Billing Address:
Credit CsrdType VJSA...._MC _ #
TYPE OF WORK: SlZ~:f\'AL(]ATION:
o R~sidenLial 0 Nc\-l. ('1I1\~1r [J Rt'-fOnC ~ Stove SF, Ci'4 $ 1ST'. .. $
o Muln-fanuly 0 .-\cltllllOrI CI Move (J G:lragc SF. ({ll $ fSF. ~. ~
o CommerCIal CJ f{t'mo(h:1 0 I h:1II0liliull 0 DL'ck ___'_ SF @ $ /sr. .. $
" R'1"'" 0 S .gn 0 Olh" _ TOTAL V ALUATlON l:tf~ .;..
B1UE}'DESCRU'TION ()l<''!'IU: VR()~JECf; ~II 1::J..f)~' ~bou~ ~J Lor .-r~/c: . J", 'S;e,ttt'!:/LJ}
)J1~~OC'" ~N~~t-~~O \?Tu 3~ 't 7~"r;t:J -d~e6"i'lA.t:. ~ D,\~ct-\l.e.1 t- /p ~\~l'lq~
COMMERCTALlRESIDEN TJ,V.: Occupanl'Y Group Ol'Cll/1JIll l.O:ld: ('oll,~n UC'tlOl1 TYllt"
('it).:._~.
Exp. Dat~: _
No, of Storles: _ Lol ::l1Ll:: ~.".' ___~ EXIstmg Sq. F1 & J'r\tpo~ed Sq Fl.
r'::xlstlOg lot coverilge __ ':-1: & l'rOptlsctllol Cl>\'Clagl! _'Y., ~ 1'Olal 101 C'()\"erage
PLANNING lJSF. ONLY:
1\ I'PROV r\l$:
"LA.N:
H1.I)(;:
J)PWI J:
FIRE:
OTltlm:_
ES.i\/Werlalid(~). l"J Yc', (J 0i'1 SEP" ('h'~l'kh:~r rC'~lIJl'L~d'!:J YL"~ n N(1 I ll!lL:r
HUlLDING PERMIT AI'PU('A'I'ION Sl1BMITT,'\L: rile DuiJdlllg DI'I.!"wn .;tm PrLlVIC.k you with mfOlnlatlll1l ull tlle: .1ppl1L:JIJOII.mJ
plan subl11tttall'equln:menLs if Y\IU holY\.: questl(ln~.
V ALUAl'JO!\i OF CO/l\S'I'JUJ("I'J()~. In all ca,c~. a villuatiCln a.mount IllU~t be entered by th~ applicant 1 h,~ ligllfL" will bL: rcvl~\ved
.lIld may be revlsccI by the BUIlding I )/yiSltJn to l omply wllb current fee ~chc\lult'~ ('omael the Ilemm COI)\,dln~ror;lr ~) 7-,H; l'i ror u~~I~lanL'~'
Pl.AN CHECK FEE' IF 1I plan chcc:k ft)~ 10; dill: II tl!\l';l b~' ~lIh[lll1kd al lhe 11111': the bUIldmg pernut apphCJlIWTl and C('Il~lr"CU01\ pl~ln~ .In:
~l1bmil1t:d All oth~J pl'flnll k(~$ ,u \' Jlll' ul !hc llmc ll{ pcrmlllssuanct:
EXPIRATION OF PLAN [([evlI.;w: If lie) perllllt (~; IS~lIcd Wlllllu180 d:&y~ 1)( [hc (hie ofaPTlllCatlDn, lh\'llpphrl:ltioll will expire. l'lle
Building. 0Jl1cl.11 call c;d~nlllh..: tlnw f\)1 ,1\:I;'J11 by (Ilt" apphcnol up It I lRO (hi)''' upon \"'Tll(~n l'cquesr by rhe- app!ic.Ul( (~;~'C ~'I:Lti(ln 107401'
Ih~ UrutOl'llI Budding Code, L'lIl'f~IH editIOn) No applic<lfrnn call be ,'Xt~Ll(kd mun' than ()
I \r'()RMS,^l'I'~\Dutldlllgp'::"J"1l '\p,l
Applicant:
rreet. J am aufhoflzed to apply for this permit end
1 st obtain slIch permits poor to wor/(
()tllL' 1t;/~b':t
I hereby certify that I have read and examined this application and know the same 0 be true a
lJnderstand that II is my lespol1Slllility 10 determine what pemlits are required, not ,Aty'S, al1
o'f pORT ~
t;~~~~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicat~on descr~ption
Subdivis~on Name
Property Use
Property Zoning . . .
Application valuation
04-00000813 Date
.116625
1356 E 8TH ST
06-30-11-5-5-0340-0000-
MECHANICAL APPL. PERMIT
9/13/04
RS7 RESDNTL SINGLE FAMILY
5000
Owner
Contractor
VAUTIER PATRICIA Y
1356 E 8TH
PORT ANGELES WA 98362
PA SWIMMING HOLE & FIREPLACE S
518 W 8TH ST
PORT ANGELES WA 98362
(360) 565-1163
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
o CLEARENCE FIREPLACE
57.65 Plan Check Fee
9/13/04 Valuation
3/13/05
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
~
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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 nd correct. All provisions of
laws and ordinances governing this type of work will be complied with wh ecified herein or not. The ranting of a permit does not
presume to give authority to violate or cancel the provisions of any tate or I cal law regulating con tru tion or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
"
T'\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. #
ROUGH-IN I I ,
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DiVISIon) SEPARATE PERMIT #'5
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA.
P ARKING/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. 1 PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102 15 [11/14/2003]
J 01
-(J;lI!>Y
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
CJD 25'A
PERMIT NUMBER
".
~i
;;l
TOTAL FEE
:10, CJo
)~II.IIl"tO
,>1.-1'
~
~EGAlOCCUPAN9~ ,'. .~ ...
Sfte Address
.,1>. ':~C9NT.-.LtC,:NO;~ ,~. ~TIME TO COMPLETE " . '~Np. STORIES
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
-- J' .~," t.'...... ...,'
(....-fi"'>o -......" . '., -
.~~RM~TS,W1TH WRONG
Owner \ .Installation By.,,:.,
Owner'~ Addr,e.ss ... ." - ~stalle:s'~~ddre~s
Day Ph~n'e' Z. "~' . ", ~-:. ..... \,!.....1 ~'I.oI<.., ......." _ :....... .....v..... ':-:"-, Instal'ler5-:PhO~~ . ,\
Appli9ation is hereby made for Permit to Install EJectrical Equipmen.t as follows:
Wiri.ng Method .~~
i.
NUMBER AMP 120V 24QV NUMBER AMP 120V - 240V
USE OFCIRCUIT PER 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT ~ /7; SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE ::l. .~()Qfj. MOTOR
DISHWASHER - . ""''' FIRE ALARMS
DISPOSAL :?D BURGLAR ALARM
IRANGE 57') MISC.
'OVEN
WATER HEATER 30
LAUNDRY I '10
DRYER I~f") REINSTALLATION LIGHT FIXTURE #
FURNACE ~ ') r,D;t SUB TOTAL FEE
GAS - OIL Q
FURNACE \ ENERGY FEE -
ELECTRIC
BASIC FEE -
ELECTRIC HEAT .' 3060
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.
A.C. UNIT V MtlC AMP -I PHASE
,
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE 3 -;;(L A.W.G.
I SUB-TOTAL 30 SIZE OF GROUND 4 SIZE OF ENTRANCE SWI;CH *'7__",.
Date Application made
I certify that the work to be performed under this permit will be done by the installer and in c
/t)~9 ftJ/
, 19
By
CONT A OR OR OWNER (OR AUTHO~IZEO AGENT)
~~!mlssion is here~y given to do the above described work, according to the conditions hereon nd according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the Clty.of Port Angeles;
DIRECTOR OF CITY LIGHT
",e Permit Issued
~
\1 WARNING
\
YMPIC PRINTERS. INC.
./
B~
PL S PPROVED
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ex\. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANAAY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
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DATE OF VISIT MADE BY REMARKS
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT j
APPLICATION AND ELECTRICAL PERMIT
.-
A o<9(fk:J..:! I
PERMIT NUMBER
FEE RECEIPT NUMBER
.
- - #~ . ,i ----=:;::. /J:
, .' \ I '7' ~
TOTAL FEE /.S .~ ,
CO NT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCOOPANCY
-
Site Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
Owner's Address
Day Phone I nstallers Phone
Application Is her~by made f.or_~~mit to install Electrical Equipment as follows:
.
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
-PEA
CIA
FEE
240V
100R
30
120V
10
LIGHT
LIGHT
-
-- .-
- <"
- - /~
<V ~]'.)
(< t,&)
V~r'~
V6/'/
</
.
CONVENIENCE
CONVENIENCE . .
APPLIANCE
DISHWASHER.
DISPOSAL
.
RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS-Oil
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
>n
IAS'"
I SUB-TOTAL
Wiring M~thod
NUMBER .AMP 120V
USE OF CIRCUIT CIRCUITS PER 10
CIR
SIGN
50 VOLTS.
OR LESS
MOTOR
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC.
..
--
/. h f"}
/.
. 246v
1 0 OR FEE
30
-/'--
!/ //.
S 'LATION eiGHT FIXTURE #
VGB 'Y3'TASFEE
E I
BASIl"; FW /;/\
TOTAL ~/ ) y' /
S~Z~F (jiAV"~SWITCH OR CIR~U T BREAKER
~r) ~~AMP J .
SIZE OF SERVICE ENTRANC{ C DUCTORS
PHASE
A.W.G.
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
I certify that the. work to be perfo~~ed under thl~ permit will be done by the Installer an~ I~,~~formance with the N.E.C~ Electrical Code.
Date Application made ~ r l.9 ~ f? <( , 19 By .J?a ~t- tn ,\
. CaNT CTOR OR OWNER (OR HORIZED AGENT) rp
Permission is hereby gjv_~n to.do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRE R OF CITY LIGHT
C
.
Date Permit Issued
- .
Notify Department of City Light by Street Address and Pe it Number when ready for inspection. Work must not
be covered or current turned on before inspection and O. . for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
\:...
-
__REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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DATE 10-19-84 1
GENERAL CONTRACTOR
.. ELECTRICAL CONTRACTOR
fJIIfI11 LOCATION OF JOB
Tom Martin Construction
Jarmuth Electric, Inc.
JOB NUMBER
_. .",
AMP O/H Service wire size
200 AMP UIG Contuit size 2"
phase single Wire 3
Voltage 120/240
,
CIRCUITS IN PANEL:
I. . 2 pole, SOA Range
-'-
2 pole, 30A Heat
.::L 2 pole, 30A Hot water
...:::L 2 pole, 30A Dryer
2 pole, 20A Heat
~ 1 pole, 20A Washer
1 pole, 20A Freezer
.~l pole, 20A Kitchen
j 1 pole, lSA Lighting
LOADS:
HEAT
Living room w-l stat
Dining room w-l stat
Master bdrm w-l stat
Bedroom #2 w-l stat
Bedromm #3 w-l stat
Bathroom w-l stat
Other w-
Range
Hot water tank
Dryer
Washer
Freezer
Dish washer
Outlets
1 poie switch
3 way switch
Lights
Bath fan
Smoke detectors
Chime
Compactor
Instant hot water
Other
OTHER LOADS:
TOTAL HEAT
.
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II\su'\ation Only
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THERMOSTAT
C1ol~ ^ppruvcllOy
( DUCH
U~le ..~!l~~UV~...o.x.
EleCHic:aJ Load Additions and~~?!ction~
o NO LOAD CHANGES
o B;;':;f:i:lo<=.r'J KW
o rurne.cc KW
o ""at ?urnp _ Ton _ LAR
o Fan-wa:1 KW
Ll,~pe-..; ~jCJ U
l).HC
.:1b./08
I
Service In1ormarjofl
Voltage
Phose 0 1 0 3
Service Size:
Feeder Size: _.'.
Cl Overhead Service
o T efllp ScrvicGi
o Undergrounc1 ServicE'!
Area, Building or Equipment Inspected
Electrical
!nl\ll~CtO(
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1r/JIfl
ACTion Tflkei"l
Fe N \b.'--
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