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Home My WebLink About1409 W 5th St - BuildingPREPARED 1/03/07 9 21 42 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/03/07 ADDRESS 1409 W 5TH ST SUBDIV TENANT NBR TERRY STOLZ CONTRACTOR PHONE OWNER TERRY STOLZ PHONE PARCEL 06 30 00 0 1 2275 0000 APPL NUMBER 06 00000997 RES REMODEL PERMIT BPR 00 BUILDING PERMI T RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 1/03/07 JL BUILDING FINAL 01/02/2007 03 42 PM PBARTHOL l 1�� KERRY 457 8500 OR 702 375 2236 CALL FIRST COMMENTS AND NOTES PREPARED 9/25/06 8 21 40 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/25/06 ADDRESS 1409 W 5TH ST SUBDIV TENANT NBR TERRY STOLZ CONTRACTOR PHONE OWNER TERRY STOLZ PHONE PARCEL 06 30 00 0 1 2275 0000 APPL NUMBER 06 00000997 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/25/06 PLUMBING ROUGH IN OVERRIDE TAKEN BY DYASUMUR DATE 09/25/06 TIME 07 52 47 MARK 452 8525 09/25/2006 07 53 AM DYASUMUR COMMENTS AND NOTES e CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000997 Application pin number 750910 Property Address 1409 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2275 0000 Tenant nbr name TERRY STOLZ Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2500 Owner Contractor TERRY STOLZ 136 E 8TH STREET PORT ANGELES Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 86777 Permit Fee 109 75 Plan Check Fee 43 90 Issue Date 9/21/06 Valuation 2500 Expiration Date 3/20/07 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 87429 Permit Fee 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 3/20/07 Permit PLUMBING PERMIT Additional desc Permit pin number 87437 Permit Fee 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 3/20/07 Special Notes and Comments The Fire Department has reviewed the project application and has no comments Electrical load calculations and elctrical permits are required Other Fees Fee summary WA 98362 Signature of Contractor or Authorized Agent T• \Policies\1102_15 building permit inspection record05.wpd [1 /4/2005] OWNER STATE SURCHARGE Charged Paid Credited Date 9/21/06 Due 4 50 Permit Fee Total 109 75 109 75 00 00 Plan Check Total 43 90 43 90 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 158 15 158 15 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 fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. l- 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 gulating construction or the performance of construction. ?//4,6, Date Sign&e of dwner (if o ner is builder) `7 7 Date FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -1N 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 HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I �f BUILDING 417 -4815 I /4 Q i \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS NO FINAL FINAL SEPA. ESA. SHORELINE: 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED I I I I I I I I I YES I NO Fill out COMPLETELY and in INK. our application and site plan MUST BE COivIPLETL+ to be accepted for revnen If you have an, questions, call PERMITS (360) -4815 F_AX(360)417 -4711 Applicant or Agent: Tt 5i'0 I Owner 1JC Stglz BUILDING PERMIT APPLICATION Phone Phone 4 FOR OFF1CLL1 JSE $NLY Date Rec. Permit n V ate Approved: Date Issued: 6 Address 136 8f09 shad-44 34 Cit rT r1'tl le. Zip Wq l 8' 3 CO'a Architect/Engineer Phone Contractor State License Exp Phone. Address. 6k-tad 1 Zip PROJECT ADDRESS 9 k) 5 411 6 04- (46- is 369 ZONING LEGAL DESCRIPTION Lot: lS Block. iaa Subdivision. 7 CR Pocr 44tlyZl1S CLALLAM COUNTY PARCEL NUMBER. C7 (O 3405 n I as 7s` TYPE OF WORK. SIZE/VALUATION Residential D New Constr Re roof Stove SF /SF Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION 4$ /O BRIEF DESCRIPTION OF THE PROJECT I rL .Q h. beki.. c d :3 /y b COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories Lot Size. Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Occupant Load: Construction Type: Proposed Sq Ft. TOTAL Sq Ft. APPROVALS PLAN BLDG DPWU FIRE 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? of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that t have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determi e what per its are required ,nof the City's, and that 1 must obtain such permits prior to work. T•1Policies\BL 1102_13 wpd Applicant: Xate: 7Algoo 4 42 1418 40 147 41 Pen, tl Date NA PD 88 Hr aryl Datu NAD 83/91 Area Map c%)` 0 Th ap at ue ided to be used as legal descr rpuor This nap /drat ding is produced be the Cih• of Port Angeles, fot its se and in 'poses eTiR ■■■..E• a° 1 By PITY OF PORT ANGELES Construction Plans lhe Issuance of this permit based upon these plans, specifi- .;tations and other data shall not prevent the building official Jrom thereafter requiring the correction of errors in said 1ars specifications and other data, or from preventing operations being carrie on thereypder when in l4tion of all codes and ordin ce V ckhis jurisdiction. laps T oft_ .t,s>J'-~n~x'%.~? '°"; CITY OF PORT ANGELES . v~.. PUBLIC WORKS - BUILDING DIVISION ' ~ 321 EAST 5TH STREET, PORt ANGELES, WA 98362 BUILDING PERMIT ISSUED: 4/05/2002 PERMIT NO: 13314 OWNER/APPLICANT PROPERTY LOCATION 1409 5TH ST W ANN STEWART 1409 W. 5TH STREET Lot: 18 Port Angeles, WA 98363 Block: 122 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT HATHAWAY CONSTRUCTION N/A 309 W. 7TH. STREET Port Angeles, WA 98362 , 98360-0000 360/457-5627 360/000-0000 PROJECT INFO Project Value: $8,604.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE NEW SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES ADD 46' X 4' TALL RETAINING WALL & 20' X 30' DETACHED GARAGE RECEIPT~8927 FEES ASSESSMENT Building Permit: $167.25 Misc Fee 1: $0.00 Plan Check: $66.90 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $238.65 Plumbing: $0.00 AMOUNT PAID: $238.65 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits ara raquired for electrical work, SEPA, Shoraline, ESA, utilities, pdvate 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 pedod 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 goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authodfy to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized~Kgenl Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSU.LATE OR CONCE~4L ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CAP..D AND APPROYED PLANS AT JOB SITE INSPECTION TYPE DATE [ ACCEPTED COMMENTS I YES [ NO FOUNDATION: /f) FOOTINGS zr,'.~ o ,z_ FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEFT) SEPARATE PERMIT:# PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SwL::L / FLOOR / CEILrNG I I I MECHANICAL HEAT PUMP WOODSTOVE / PELLEI/CHIMNEY / INSERT HOOD/DUCTS PW UTI LIT1ES / SITE WORK (Engineering Division) SEPARATE PERMIT WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING BUILDING 417-4815 5 - ~;~ ' O'~-~ ~t~ BUILDING c~ eom'~ FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION P,--~#: I Date Ap~ved: Da~ ~ucd: ~e Building Pe~it - Pre-applica~on mu~ be~ed out compl~ely. Please ~e or p~nt in inL If you have any questions, please call 4174815 Applic~t or Agent: ~/~/. ~ ~0~x~ ~(. Phone: ~ - Omer: ~ ~T~ Phone: ~2- Ad.ess: /Va ~ ~. ~ CiW: ~ ~$~ Zip: ~chit~n~e~: ~/~ Phone: Con~actor~ ~ Ca*~/ ~r. Lic~se ~:~xp: ,~ -~- 0~ Phone: 9~2 LEG~ DESC~PTION: Lot: l~ Block: I~[ Subdivision: CL~L~ CO~ P~CEL ~ER:~redit Card Holder Name: Billing Addr~s: CiW:. Credit Card g: Exp. Date: ~SA MC ~E OF WO~: S~E~UA~ON: ~Residenfial m New Com~. m Re-roof m Woo~tove SF. ~ $ /SF. = $. ~ Multi-f~ly m Addihon m Move ~age SF. ~ $ /SF. = $ ~ R~ak ~ Sign ~ TOTAL VALUA~ON CO~RCI~S~ENTI~: O~cy Gropp: Occup~t Load: Co~cfion T~e: so.o sto,=.. - ~xi~g Lot Cow~g~:~/~q. a. + ~opo~d Lot Co~g~: ~ __/~q. a. = TOTnL LOT COW~O~: ~OO /,q.~ PL~N~G USE O~Y: APPROVES: PL~ Notes: BLDG. DPW ESA~etland(s): ~ Yes ~ No SEPA Chec~ist re~ired? D Yes ~ No O~: O~R B~D~G PE~ ~PLICATION S~T~: Your applica~on and site plan mu~ betided out compl~ely to be ~cepted for r~iew. ~e Buil~g Division c~ provide you wi~ more derailed mfom~on on ~e applica~on ~d plan sub~l requkemen~. Yo~ completed application, site pl~ (for ad&hons) and building com~cfion plus ~e to be subdued to ~e Building Division. V~UA~ON OF CONS~UC~ON: In aU c~, a valuation amount must be entered by ~e applic~t. ~s fi~re ~11 be ~viewed ~d my be termed by &e Bufld~g Di~ion to co~ly ~& c~mt fee sche~les. Con,ct &e Pemt Coord~ator at 417~815 for ~sismcc. PL~ C~CK ~E: Yo~ pl~ check fee is due at ~e ~e ~e b~ldmg pe~t a~licafion ~d cons~cfion p~ ~e subdued. All o~er pe~t fees ~e due at ~e t~e ofpe~t iss~nce. E~ON OF PL~ ~W: If no pe~it is issued wi~ 180 days of~e ~te of applicafio~ ~s application will expire. Build~g Official c~ extend ~e ~e fo~ action by ~e applic~t up to 180 days upon ~en request by ~e a~licant (see Section 107.4 of · e Unifom Bulldog Code, c~ent edition). No applica~on can be extended more ~n once. I hereby ce~ that I have read and examined this appl~ation and know the same to be ~e and co~ect, and I am author~ed to apply for this pe~it. 1 understand it is not the Ciu's legal responsibtli~ to dete~ine what pe~i~ are required; it remai~ the applicant's responsibili~ to dete~ine what permi~ are required and to obtain such. [~- :~FTO ~R. 8 .I?_ ..C.. "Your Door & Mdlwork Source S~n. ce 1964" BOO-DOOR-DD! ...... ".]~.i s~ific~ons ~d ~er dlta ~ lmm ~ev?Ung vpoi~lon of 8II ~'and ordlflanc~ ~ ~ ~ _5/~5-~ /~ '"..::.'FILE r pt/veFoundation ntRe ements: *Single F~!R~d~~- over 41 feet to 8 feet*. Max. MINIMUM FOOT~'¢ REINIrORC~MXNT: , (2) ~ b~s ~ic~ aH c~es VERTICAL WALL ~ORCE~: ~ b~s not to exceed spacing of lg" on ' ' center M~ Homz~ WALL 6' w~! (5'0' max): (4) ~ b~s, spacing not to ~ceed 18" on c~ 8' w~i (8'0~max): ~4 b~s m I0" on center ~ or ~5 bars at 15" on c~ter ~ ~ Top b~ placed not more ~ 7" ~om top of ~ w~l in ~1 c~s. h ~O~A~ON5 FOR S~ B~G ~ ~ ~Q~S I 12~ 6' 12" 2 18" T, i5,; 8'-0" Max. 3 24" 8" 18" , Bas~ on ~C T~Ie 29-A ~Iinimum concrete strength 2000psi at 28 days. Floor diaphragms and slab must be in place prior to backfilL Minimum grade 40 reinforcing steel Lap splices shall be a minimum of 12". Anchor bolts (1/2"xlO") shall beplaced a maximum spacing of 48" on center. ~lny variation to the prescribed reinforcement must be approved by the Building Official WASHINGTON, U.S.A. PUBLIC WORKS & UTILITIES DEPARTMENT D~TE: M~h 26, 2002 TO: P~mlt Co~t~ ~OM: G~I Mc~, EI~c~ En~ne~g Speci~ist ~ Sv~cT: B~l~ng Application Re~cw 1. 733 S. Libe~ - n~ s~, Je~e Co~eia Und~go~d ele~c~ utilities ~e ~ place: ~e pa~o~t ~sfo~g is located at sou~e~t~ly pmp~ comg. El~cal 1o~ c~cs ~d p~t r~ed. 2, 428 E 11~ St. - Mdi~on, Dave U~ch El~c met~ m~t r~ accessible ~d se~ce ~e must m~t r~ cle~ces. El~cfl loM calcs ~d p~it r~. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT . . . Date '~;I' ? ~) , '4~'~ ?~-' Time Received b phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Ins~p_ection (circle appropriate one): Permit No. Sewe undatio~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOT,ESi ~ Inspected: Date '/-/' '~/? ~ ''~ ' Time By ~ .~ ,, Remarks: ~///~t RESTORATION REQUIRED ...... YES. NO ;URFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST:~ oO~ ~-- ~ Date ~- Time Received by (phone, person) Location of Work to be inspected / ~/~:~ ~J ~_~ ~-~ 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 ~;ewer Excav. Other INSPECTION NOTES: ~[ Inspected: Date ....... Time By .. ~. Remarks: /Y-~*~/ ~i~ RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {~Gravel []Asphalt [~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee b~ COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-/~-~-~'~'~-~ Time Received by ~'~L.~ (phone, person) Location of Work to be inspected //_~__~d~ j/(.~/ Name of person requesting inspection /~ ~ Address of person requesting inspection Phone No. ~ Type of Inspection (circle appropriate one): Permit No. /<~:-~.~/-/ Sewe F~oundat~o Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date '~'-4~) ~-~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [--} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION UI EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address . ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation 06-00000997 Date 12/21/06 750910 1409 W 5TH ST 06-30-00-0-1-2275-0000- TERRY STOLZ - RES REMODEL --", RS7 RESDNTL SINGLE FAMILY 2500 Owner Contractor TERRY STOLZ 136 E. 8TH S~REET PORT ANGELES . ", ...? . .....J1,..... (~o - .t.t-.S! OWNER WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Addit~onal desc OWNER/ BATHROOM Permit pin number 92452 Permit Fee 48.10 Plan Check Fee 00 Issue Date 12/21/06 valuation 0 Expiration Date 6/19/07 Qty Unit Charge Per Extension 1 00 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48 10 Special Notes and Comments ' " The Fire Department has reviewed the project 'application and has no comments Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total plan Check Total Other Fee Total Grand Total 48 . 10 .,. . 00 . OOL::'","*Q.r ......00 4.50 .00 52.60 .00 .00 .00 .00 .00 48 10 .00 4 50 52.60 . , vL,,~ - t~-t,_ : ..-_;*..~~ ~;:L~Lt..,~_ .~ COMMENTS/ACTION NEEDED :. ,\""t1I ',4>'r.,' 'f ._ .~~ ..::.;.rl;w-.. i (" ylICftAk)G1t.' ;, ~ 1 f ~ ~"' " ''','-.1'''''''' ,. '<' "-~"""~'1iiio...~........l.~ .1~~' """ - J:.. o -0 s ~ ~ ... ,I ELECfRICAL PERMIT INSPECfION RECORD ~ CALL 4) 7-4735 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 INSPECTlON TYPE DATE ACCEPTED COMMENTS I I YES I NO UIICti K( Jll( iH-IN I COV~K SERVICb E'TlII.T A T 1-),'1.'1.. . ~ ~t J I , . '0: .,.-; "", '.. .,GENERAL COMMENTS: <2.. . PW-Jl02.U 141961 . -" ., l\ i .. ". ....- ..1... : , " . I' , . ~. ~ 10: (TO A.---. ....O~T... ~,....-:c-~ ~~~ ,,'lllii:j;d 1.{--~,! 'tt>~~ _... ELECTRICAL WORK PERMIT APPLICATION 0&- 997 P'?30" r~ ~"S-t 4\ 3d-tf ~2, 1 ft/1~es sw;P q~3Cp'd Telephone number FAX number ? Lfs7 ' ~SOO /fpLJ /1LTE~ Gff74 rAN of o 0- I: ...0 -P -.J Job wired by o Electrical Contractor ~Owner Installation description o Commercial )( Residential Electrical contractor name License number Date Expires D New )( Altered/Addition t1',/ dA'",/ J' T'? eel Premises owner's name /Q.{(-,\ 0tDl'Z- Address of ir~spection .iA.A JII()~ w' 51.:-' Ci'Y?O' f M9rQkS wft Ph.2J.:c number to SCh~ inspectIOn: 1/...."\ JJc. 7.- C50~ /00- '7$ - ;;>;;lc3b I:JU 7/ D <J Owner as defined by,RCW./9.28.261:(l) Owner will occupy the structure for two years ajier this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Arter reading the above statement, r hereby certify that I am the owner of the above named properly or a licensed electrical contractor. I am making the electrical instal- ]ation or alteration in compliance with the eleetricallaws, N.E.C., RCW. Chapter ]9.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signatur s~ QS5'3<O'd o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Expiration Date of card . Ele ic ad Ad Ions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o HeatPump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 10 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Date Approved By Date Approved By Date Approved By FINAL b A<D Approved By DITCH FEEDER Date Approved By Dal':: Approved By Inspection Date Area, Building or Equipment Inspected Action Taken E]ectrical Inspector \ \ /' \