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Home My WebLink About918 E 8th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/06/2002 PERMIT NO: 13351 OWNER/APPLICANT PROPERTY LOCATION 918 8TH ST E SCOTT & LAURIE DUDLEY 3107 SO. MAPLE STREET Lot: 5 Port Angeles, WA 98362 Block: 276 [] Long Legal 360/417-9415 Subdivision: TPA T: S: Parcel No: 063000027620000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $12,314.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE NEW SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 576 Occupancy Group: MFD Units: 0 ~'~ Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES 576 S.F. DETACHED GARAGE RECEIPT#9502 FEES ASSESSMENT Building Permit: $223.25 Misc Fee 1: $0.00 Plan Check: $90.20 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: $317.95 Plumbing: $0.00 AMOUNT PAID: $317.95 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Perm]ts 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 certif~ 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\FORMS\ I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY }FORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I ~'~'~ / INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAiNAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH_IN ~' GAS LINE BACK FLOW / WATER AIR SEAL WALLS [ CEILING FRAMING JOISTS / GIP~DBRS SHEAR WALL WALLS/ROOF/CEILING i0 '~/. ~ ~ DRYWALL T-BAR INSULATION SLAB ~g- ~¥' 0~l. L~-H C~,,'~3 e WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PWUTILITIES/ SITEWORK (EnglneeHngDivislon) SEPARATEPERM1T#'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL CONSTRUCTION R.W. / PW/ CONSTRUCTION - R,W, ENGINEERING 417 4807 PW / ENGINEERING BUILDING 417-4815 / --~b-I -- ~) ~ ~['~ BUILDING CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ./% Date ~:~--'~,'7~ ~---)~_ Time Received by ~ ~/ (phone, person) Location of Work to be inspected ~ ~_ Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspecti~3,,[circle appropriate one): Sewer ou.n, da~i0n~ Framing Chimney Final Sewer Excav. Other Plumbing INSPECTION NOTES: Inspected: Date Time By Remarks:. ., RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel []Asphalt []PCC F-lOther [] 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 ........... REQUESTS: 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~ ~ ~ ~r' ~ ~' 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 DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /C'~) ~ ~ (- ~/~ ~ 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 (c~priate one): Permit No. / Sewer Foundation~.~ramidg~Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: -~ i '~ '~ .~ Inspected: Date ;/'~ * '~ _Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {~Gravel I~Asphalt []PCC ~]Other El 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: Date / - J~,~ ~-- ~?' ,~'~ Time / C,) ' ~/(~' Received by ~<~- ~erson) Location of Work to be inspected d~' / ,~t .~, ~. ~' Name of person requesting inspection / , L~ m,_~ i )'.'~ /~' Address of person requesting inspection Pho~Jne No. ~J )'7 ~-/l/~- Type of Inspection (circle appropriate one): ~- Permit No. Sewer Foundation Framing Chimney Plumbin~/~l~ Sewer Excav. Other INSPECTION NOTES: ~ Inspected: Date /-~'(~/~-(~ Time. By Remarks: ~ ,/~. RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # ~-1 Repaired by Permittee [] COMPLETE ~-I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/06/2002 PERMIT NO: 13584 OWNER/APPLICANT PROPERTY LOCATION 918 8TH ST E SCOTT & LAURIE DUDLEY 3107 SO. MAPLE STREET Lot: 5 Port Angeles, WA 98362 Block: 276 [] Long Legal 360/417-9415 Subdivision: TPA T: S: Parcel No: 063000027620000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $90,068.00 SFD Units: 1 Commercial: 0 Project Type: SFR NEW SFD SQ FT: 1,920 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES CONSTRUCT 1920 SQ. FT. 2 STORY SFR, PERMIT INCLUES PLUMBING, MECH, WOOD STOVE REGEIPT~t9502 FEES ASSESSMENT Building Permit: $930.75 Misc Fee 1: $0.00 Plan Check: $166.07 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: $1,283.72 Plumbing: $112.00 AMOUNT PAID: $1,283.72 Mechanical: $70.40 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electricalwork, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE ] DATE ] YEsACCEPTEDI NO COMMENTS FOUNDATION: BUILDrNG 417-45,5 I-5~1-°~ BUILDING .~.o ~,.~ Date R¢c.:'-~. 1~ '~ ¢~' BUILDING PERMIT- APPLICATION o~[~°'[~"~="~: The Building Pe~it application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applic~t or Agent: ~ ~ ~r~e ~[e~ Phone: (3DQ~ ~i3 - Owner: ~co~ ~ L~rtE ~di~u Phone: (Bb0)q Address: 3~O'~ 5 ~~ BCity: ~O¢~ ~o~S ~ Zip:~ ~chitecffEngineer: Phone: ~ Contractor ae.ke S ~:~tooo~Exp: 09/o~/~&~hone: Address: 2~ ~keS ~ City:~5 ~qeles W~ Zip: LEGAL DESC~PTION: Lot: ~ Block: 27& Subdivision: ~c~n~l ~ o~ ~orb CL~L~ CO~TY P~CEL NUMBER: Credit Card Holder Name: %~ ~d Billing Address:_ ~to7 5 ~IF. ~+ City: ~ ~o~[~$ ~ Credit Card g: Exp. Date: ~ ~ ~SA MC T~E OF WO~: SI~UATION: ~ Residential ~ New Coast. D Re-roof ~ Wood-stove ~ZO SF. ~ $. /SF. = $ ~ Multi-h~ly D Addition ~ Move ~ Garage ~ SF. ~ $. /SF. = $ J ~ Commercial ~ Remodel ~ Demolition ~ Deck SF. ~ $. /SF. = $ ~ Repair D Sign ~ TOTAL VALUATION $ ~ amEFVESCmeTIO~OFTHEeRO~Ct: ~S%,~ r~den~[ ho~ Iq2os~t )2q'g2q' COMMERCI~/~SIDENTI~: Occupancy Group:~ Occupant Load: ~ Cons~ction T~e: No. of Stories: ~ Lot S~e: ~l~ ~OI % Lot Coverage:_ ~ ~ % Existing Lot Coverage: /sq. ~. + Proposed Lot Coverage: _ I~ ~ ~ /sq. ft. = TOTAL LOT COVE~GE: / ~4~ ~ /sq. ft. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPT FI~ ES~Wetland(s): ~ Yes ~ No SEPA Checklist required? D Yes ~ No Other: OTHER BUILDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out compl~ely to be accepted for review. The Building Division can provide you wi~ more detailed infomtion on the application ~d plan sub~al requkements. Your completed application, site plan (for additions) and building cons~ction plans are to be subm~ed to ~e Building Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. T~s fig~e will be reviewed and may be revised by the Bulldog Division to comply with cu~ent fee schedules. Contact the Pe~t Coordinator at 417-4815 for assistance. PL~ CHECK FEE: Your plan check fee is due at the time the building pe~t application and cons~ction plans are submi~ed. All other pe~it fees are due at the time ofpe~t issuance. EXPIATION OF PL~ ~VIEW: If no pe~t is issued Ithin 180 days of~e date ofapphcat on, ~s apphcat~on will expire. The Building Official can extend the time for action by ~e applicant up to 180 days upon ~i~en request by the applicant (see Section 107.4 of the Umfo~ Building Code, c~ent edition). No application can be extended more ~an once. I hereby cert~ that I have read and examined this application and know the same to be true and correct, and 1 am authorized to apply for this permit. 1 understand it is not the Ci~'s legal responsibili~ to detemine what pemits are required; it remains the applicant's responsibili~ to determine what permits are required and to obtain such. Applicant: ~~~ Date: ~"l~ r:*o~s'~PPS~Buildin~e~i~ (~ ~ 7 ~ Building Permit AppUcation Scott and Laurie Dudley 3107 S Maple Street Port Angeles, WA 98362 360-417-9415 Lot 5, Block 276, Townsite of Port Angeles NNA East 8th Street 2 Story Single Family Dwetting Double Detached Garage Retaining Wa,[ Wood Stove Designer/Builder Angeles Construction Dale Gesellchen crrY OF PORT ANOELES -- Co~Jon The Issuance e~ this p~ ba~ed IlpOII thesll plans, sp ANG ELC *O030A ca~o.s and other data ~41dl not prevent (360) 460-6508 from themsftm' requirteI the c~ plans, specificatJ~ll~ and O~NN' ~ ~1' ~ prew building operatio~ b~n8 carried oll tll~rmlRder Jut~ 17, 2002 violation of all ~ and orifi~oce~ ~ ~ jurisd~d:~.,n. (SECTION 303(C,1 - Uniform B~ldin~ ~ Approval Date City of Port Angeles Applicant Project Review Sheet IApplicant: ~'co~ ,t ~ax¢~e_ ~)t.t~e~ Property Address: Lo~ c3 ~[0c lc 27(0 Owner: $cx>.t14 /.axt~e_ ~m:l~ej Proposed Use: lT, e~tct,e~,~x~a\ Zoning: Is the proposed use listed as a "permitted use" or an "accessory use n th s zone. [] yes: ok ['-[ no: requires PD review Is this the only use (business, residence, etc.) on this site? ~1 yes: ok [] no: requires PD review Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one ! J yes: requires PD /Xl~no: ok been submitted and is pending approval? review Does the proposed use require a new buisiness license? [] yes: requires CC ~ no: ok rev/ew Does the project extend into any required setbacks or cross any lot lines (interior or [] yes: requires PD [] no: ok exterior)? review Does the project exceed the permitted height allowance or cause the property to exceed [] yes: requires PD ~ no: ok the allowed lot coverage in this zone? review Does the project require any additional parking or special design/landscape improvements [] yes' requires PD ~ no: ok in this zone? ' review Does the project eliminate any existing parking spaces? [] yes: requires PD [] no: ok review Is the project located within 200' of the shoreline? [] yes: requires PD [~ no: ok review Are there any environmentally sensitive areas on or within 200' of the property, including: [] yes: requires PD ~ no: ok · wetlands or areas of standing water (year round or seasonal); · streams (year round or seasonal); review · areas with a slope of 40% or greater; or · areas that have ev dence of past ground movement or erosion? Have all the required submittals been provided by the applicant? [] yes: ok [] no: mark [] Site Plan [] Construction Drawings required [] Parking/Drainage Plan [] Civil Drawings item(s) [] Energy Calc [] Supporting Engr. Calc [] Landscape/Lighting Plan [] Other If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, 1 understand that in the event that any of this information is determined by the City to be incorrect, this project will be stopped until such time the City determines the correct information is provided and any subsequently requirfd-~viflf and approvals are completed and granted. Applicant ~ '~ Date -'/ - l g ~O 2. Permit Category ti (see reverse side) Building Permit ti Master Tracking # Route to: []BD []CC []FD [] LD [3PD []PW []File [3 Other Staff Initials Date Cornpletion of this form is required for all category lb, 2 & 3 permits. Completion is not required for category la permits unless they result in a potential change of use or occupancy. 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 (c'~priate one): Permit No. / Sewer Foundation~.~rami~i'g~Chimney~ Plumbing Final Sewer Excav. Other /"~'~'/ INSPECTION NOTES: Inspected: Date //(~* 2/- (~)'~-~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~-rAsphalt ~rPCC []Other [] Repaired by City Work Order # [--J 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: Date / / -- -7 --~'~<~__- Time Received by /~'~ [~/ (phone, person) Location of Work ,o be inspected ~/~ ~ (~ '~ Name of person requesting inspection Address of person requesting inspection Phone No. ~// Type of Inspection (circle appropriate onel: Permit No. Sewer Foundation Framing Chimney ~mbing~Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~]Asphalt I--IPCC []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: Date ~ ~O~"C~*-~-~ Time Received by ~ ~/ (phone, person) Location of Work to be inspected ~j (:~ Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. /~-~--~ Type of Inspection (circle appropriate one): Sewer~~Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~r~ Time By Inspected: Date '~ /~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {~Gravel []Asphalt [~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE I--} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 511t STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 8/28/2002 PERMIT NO 7803 OWNER/APPLICANT PROPERTY LOCATION SCOTT & LAURIE DUDLEY 918 8TH ST E 3107 SO. MAPLE STREET Lot: 5 Port Angeles, WA 98362 Block: 276 Long Legal 360/417-9415 Subdivision: TPA T: S: Parcel No: 063000027620000 CONTRACTOR ARCHITECT HALVORSEN ELECTRIC N/A 1426 W. 11TH PORT ANGELES, WA 98363-0000 , 98360-0000 360/457-7803 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE TEMP. Occupancy Group: Zoning Use: Electrical Heat: Baseboard 0 KW Riser Underground Service Furnace 0 KW Overhead Service Voltage: 0 Heat Pump 0 KW Temp Service Phase: ] 1 3 Fan Wall 0 KW Service Size: 0 ~'~ Feeder Size: 0 PROJECT NOTES TEMP SERVICE RECEIPT# 9546 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $40.90 Uisc Fee: $0.00 TOTAL FEE: $40.90 AMOUNT PAID: $40.90 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED P[Adq'S AT JOB SITE 7~ DITCH ROUGH-IN / COVER SERVICE GENERAL COMMENTS: ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY Oal~; Pel'Ul.it" Date ^ppoved: The Electrical Permit Application must be filled out comoletelv. Please type or reprint in ink. If you have any questions, please call (360) 417- 4735 Fax number: (360) 417-4711 It- 7 60::8 Owner or Elec. Contractor Agent: Property Owner: C,('nTT f Intl;?/;;: DtlOLiZY Address: 3/1i If <;r> AAI1PLt: I Electrical Contractor: Ij,IlJ.-V/JR<;i:N S ELF/'TP/t' Address: /4 ? /. IN II TIJ Phone" REQUEST INSPECTION 0 Fax: '-/57 - 71303 Phone: 4/7 -.91/5 City: IIIILVtJFzI011CL License #: Zip: Exp: i!/i:3/t) 4- Phone: 4.t;'?- '7BO'? Zip: 9E~'5;;'-=? City: ,PIJ8T I9Nr;;PI t=<; INSTALLATION WIRED BY: 0 OWNER )1(ELECTRICAL CONTRACTOR , Credit Card Holder Name' I-IflLI//)RSi::N,<; FLF:c.TR/C Billing Address' /42.c, ,AI l/iIJ City: PtJRi /JIVtS/:;a;<;' Credit Card Number' Zip;9Pl:"?/. =3 VISA" V MC~ PROJECT ADDRESS' .9/1< ;:; rr III TYPE OF WORK: Check all that apply: .% New o Alteration/Addition l>Il Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: 'mAjP _~;;:RVICE - Electrical Heat Load Additions PERMIT FEE: 10 ,,9() ~f7r-# 95~6 Service Information lRA o Overhead Service l)(r emp Service fJ 'Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: o Baseboard o Furnace o Heal Pump o Fan-Wall _KW _KW _TON _KW I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what perml1s are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: -fJ:LM/4 ?J1 dInl~ r;4<fh '?11 slfu~ Date: fi"./ZI'J/&Z 9i/P'7/VZ Owner or Elec, Cant. Signature.: .91E;.ECTRICALPERMIT APPLIC~T'.9N ~ C ~ $;'.;z~CZ- Date: _ Sf ELECTRICAL PERMIT APPLICATION ~ FOR OfFICIAL USE ONLY [4lclR&c: Pennitll: l41e Approved: The Electrical Permit Application must be filled out comDletelv. Please type or reprint in Ink. .fyou have any questions, please call (360) 417- 4735 Fax number: (360) 417-4711 ;;Jt-7B13 REQUEST INSPECTION 0 Owner or Elee. Contractor Agent: Property Owner: <;/:oIT fj LI'JIAI?IE IJu IJLFY Address: .J J if ~ pM:3 J ofJ So. JlllIiFLEcity: F!I FcTF? J(' Phone" Fax: Electrical Contractor: HIiLV()!?SiiN ~S" I Ll?!o W I/TX Address: _:+ ___ _ _ PORI ANt;FiIY5 I1ACVOEI011C-L License #: Phone: 4 J'l-,9Q IS' 71p: 9R"?b2- Exp: <?,/I'Cl/J1 Phone.4.~7-7803 Zip: 98-:?("z... City: P'?RT /:J/l/C;;;;LFS DOWNER )Ill:LECTRICAL CONTRACTOR . r Credit Card Holder Name' I#fLi/oR,C;;:;AI., FL[;;"{'J RI(O Billing Address' 112 (. IA/ / / fA City: PI)J(T /IN ,';l;L [?-;" Credit Card Number' , INSTALLATION WIRED BY: Zip: .383&;? VISA' V MC:- PROJECT ADDRESS' fh 9ft: E l? Check E!! that apply: ~'New o Alteration/Addition TYPE OF WORK: Ill( Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Fl /9;?O Remote Meter ~ Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. . 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: ~VERIfE/JO TI! 3Z0 /I M17rF1? 81fs,E #r>/ B;;rAo}F-f) ;),f!t)'?;;}I.r:: wllti1J/I ;7/}h/;;:!L Tf/E"A/ t:Uv'I7E-i?Gf'tJull//) II? ?JJ tJ A P/Jt1/ii:t oAf #JJ/lSr: Electrical Heat Load Additions PERMIT FEE; i4!J,P,() Service Information .s-~~.f" 11(,.;2.0 P?eMpr#95Yt3 ~/$"'4J;~:/~o_ o Baseboard - KW Voltage: 1?./;/f'.40 o Fumace - KW !>(Overhead Service Phase: pill 0 3 o Heat Pump _TON LRA o Temp Service Service Size: 4t?,?/J ~Fan-Wall I~KW . (i . 0 Underground Service Feeder Size: At-- - Pow u..-- ntC"., t17~ fHl.'- () /::: 1fc;. ,. ~ . fo Tf)< 1$ fllc:: fi>"o 41 ~~ t:O<"t. . -rC..L S\K. W ;af.,. ,W~u.-<- NI II t[.~Mder- ~c.A ~~ be.? 14")< -J..t.,J / hereby certify that / have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. / understand it is not the City's lega/ responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Car /27/02. , Date: 8/Z1/(;2- Owner or Elec. Cant. Signature; C:/ELECTRICALPERMIT APPL leA TION J"'~ / ". ~ ---.. .......', .- Lc?;9Z) C/3L!./J./F//ON. SCC;7T r/ LAURIE 0t10LJ;;'i _9../& c e(i poRT AItIGEt.ES/ /1//) __GENERRL _/,C>/IR_ .I9j3.{) St;> -fT @ 3 Vfl 2- - 2M /1ppt/19iJa OWTLET CIRCUITS l-fi/L/J..QB.'1..Cl!2Cf,l/.L 1~ItN G E _ WATER. /I EliTE R_ DRIER MLCROWllVE___ _ DtS!20SltL. _ ._._ ____ _ DISH wAstiER. __ 57(,0 u_30DO 1:5()O 8DDD _ 45LlV 5o()o .___.1000 300._ _ ',,/Jh :JD/~6> [) FI/?ST 10. f<i/f)@ It7(/lp _ RE(VlltuJDER OF CEtJeRBt.- /"/J/1lJ@ 4070__ j!/)(!LJtJ vB_ )<., () 4- -- 10tJ..~()- ___ _ 82.,{ . __.fL:~c.rRlc w/iLCF-/tr.L HTR~ _ !/",2-5'o 27;67& -_._------------~--- ---_._-----~-_._----_._-- -----------".----- -----~-- -------- 27;o7te.-:-Z46 =//2,82.. /fMPS _.TJ2T.I7t. L()t1D___ ------ -/