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Home My WebLink About1507 W 10th St - Building Electical Permit 1507 W 1 0"' St 12 - 1014 ELECTRICAL PERMIT r � CITY OF PORT ANGELES Q 360-417-4735 Application Number . . . . . 12-00001014 Date 8/06/12 Application pin number . . . 856326 Property Address . . . . 1507 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0680-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . (Location Code 0502) Property Zoning . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Demand response hot water tank no fee ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MEYER KEN/BEVERLY. OLYMPIC ELECTRIC CO INC 1507 W 10TH ST 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457-5303 - ------------------ ------------------------ Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DEMAND RESPONSE HOT WATER TANK c�(� Permit Fee . . . . .00 Plan Check Fee .00 Issue Date . . . . 8/06/12 Valuation . . . . 0 Expiration Date . . 2/02/13 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --------=- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 - .00 .00 Grand Total .00 .00 .00 .00 MA INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 3 20 13 FINAL 3 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING 08/03/2012 08:46 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT 1A010/026 RE, IVED LI C7 CITY OF PORT ANGELES PERMJT APPLICATION AUG Building Division/Electrical Inspections OLYMPIC ELECTRIG�CO. 321 East Fifth Street—P.O.Box 1150/Port Angeles'Washington,98361�01RT ANGELES,WA Ph: (360)417-4735 rax: (360)417-4711 'NsPECJIONS Date:. __. _ -XL 1 &2 Single Family Dwelling "Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1507 W 10TH Building Square Footage:' Descrlptlonofabove VEMAND DRESPONSE DISCONNECT FOR-WATER HEATER , Owner Information Contractor Information Name: HEN MEYER Name: Olympic Electric Mailing Address:1507 W 10TH MallingAddress: 4230 Tumwater City:PORT ANGELES State: WA Zip: 98363 Clty:Port_AngtUL.Slete: Wa ZIP: 99363 Phone:452-6711 Fax: Phone:360-457-5303Fax: 16Q 49A License 6 I Exp, License#1 Exp. Item Unit Charge Qty Total(Qty Muttiplled by Unit Chanel Service/Feeder 20D Amp, $120.00 $ Servide/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ ServlcelFeader over 1000 Amp, $373,00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuli W10 Service Feeder $ 63.00 1 $ 0.00 Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1A $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201-400 Amp, S110,00 $ Temp,ServlcelFeader 401.600 Amp. $149,00 $ Temp,Service/Feeder 601.1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circull/Umited Energy-1 a 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion or $ 40,00 $ Each Outbuilding or Detached Garage $ 74,00 $ Each Swimming Pool or Hot Tub $110.00 $ $ 0.00 Total Owner as defined by RCW.19.26.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized,(2)Owner is required to hire an electrical contractor if above said property Is for sale,rent or lease.Permit expires after six months of last inspection, After reading the above statement,l 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 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical adminlstrator: M Cpeh 0 check 009 Crodll Card# X _Michael -L _Rotten oal�d: elroltzolz RECEIVED OLYMPIC ELECTRIC CO. PORTANGELES, WA ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 �. Application Number . . . . 12-00000073 Date 1/24/12 Application pin number . . . 848395 Property Address . . . . . . 1507 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0680-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Demand response no permit fee Larry Dunbar ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MEYER KEN/BEVERLY OLYMPIC ELECTRIC CO INC 1507 W 10TH ST 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457-5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DEMAND RESPONSE NO PERMIT FEE _ Permit Fee . . . . .00 Plan Check Fee .00 ( `y Issue Date . . . . 1/24/12 Valuation . . . . 0 Expiration Date 7/22/12 -------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 1 Z FINAL Z COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING N f � t _til A '. 1 CITY OF PORT ANGELES PERMIT APPLICATION ��\� �t �a �.¢ (a Building.Division/Electrical Inspections �„ v 321 East Fifth Street—P.O.Box 1.150/Port Angeles Washington,98362 ELECTRICAL Ph: (360)41.7-4735 Fax: (360)417-4711 INSPECTIONS Date: 01/24/2012 X 1 &2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1507 W 10TH _ Building Square Footage: Description of above DEMAND DRESPONSE DISCONNECT FOR WATER HEATER Owner Information Contractor Information Name: KEN MEYER Name: Olympic Electric Mailing Address: 1507 W 10TH Mailing Address: 4230 Tumwater City:PORT ANGELES State: WA Zip:98363 City:Port Angeles State: Wa Zip: 98363 Phone:452-6711 Fax: Phone:360-457-5303 Fax: 360-452-3498 License#I Exp. License#/Exp. OLYMPEC2 8 5D1 Item Unit Charge Clty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 1 $ 0.00 Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ 0.00 Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. 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 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check Credit Card# x Michael L. Rutten Dated: 01/24/2012 0110112012 BUILDING PERMIT INSPECTION RECORD CALL 4174815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH-IN PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/GIRDERS SHEAR WALL WALLS/ROOF/CFILING DRYWALL T-BAR INSULATION SLAB WALL/FLOOR/CEII ING MECHANICAL CHIMNEY WOODSTOVE/PELLET DUCTS PW UTILITIES/SITE WORK (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE/EROSION CONTROL rEENGINEERrNG FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCW, DATE ACCEPTED YES NO L LIGHT DEPT 4174746 ELECTRICAL LIGHT DEPT TION RW/PW/ 417-4807 CONSTRUCTION PW/ENGINEERING W FIRE(MULTI-FAM.ONLY) 417-4654 FIRE DEPT BUILDING 417-4815 BUII.DING GENERAL COMMENTS: PW-1102.1514/96) 0-44N4�1 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 PAST 5TH STREET, PORT ANGELES,WA 99162 ELECTRICAL PERMIT ISSUED: 4/06/2001 PERMIT NO 7215 OWNER/APPLICANT PROPERTY LOCATION NPBA 1507 10TH ST W 3430 E. HWY 101 Lot: 19 Port Angeles, WA 98362 Block: 306 ❑ Long Legal 360/452-8160 Subdivision: TPA T: S: Parcel No: 063000030670000 CONTRACTOR ARCHITECT STRAITS ELECTRIC N/A P.O. BOX 2914 PORT ANGELES, WA 98362 98360-0000 360/452-9104 360/000-0000 PROJECTINFO Project Type: RES.NEW Project Value: $0.00 Occupancy Type: Construction Type: SERVICE INSTALL U Occupancy Group: Zoning Use: RS7 Q Electrical Heat: ❑ Baseboard 0 KW ❑ Riser ® Underground Service ® Furnace 10 KW ❑ Overhead Service Voltage: 120,240 ® Heat Pump 5 KW ❑ Temp Service Phase: ® 1 ❑ 3 ❑ Fan Wall 0 KW Service Size: 200 n Feeder Size: 0 PROJECT NOTES NEW HOUSE 10KW FURNACE, 5KW HEATPUMP _ 4- FEES ASSESSMENT Service: $67.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $67.00 AMOUNT PAID: $67.00 BALANCE DUE $0.00 ( ()M'M1.NIS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO C0j ER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENT/S YES NO DITCH -01( FINAL 1 l/ GENERAL COMMENTS: PW-N 102.15 141961 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET, PORT ANGELES.WA 98362 V..B ELECTRICAL PERMIT ISSUED: 10/03/2001 PERMIT NO 7417 OWNER/APPLICANT PROPERTY LOCATION Ken Meyers 1507 10TH ST W 1507 w. 10 th Lot: 19 Port Angeles, WA 98362 Block: 306 ❑ Long Legal 360/452-8160 Subdivision: TPA T: S: Parcel No: 063000030670000 CONTRACTOR ARCHITECT STRAITS ELECTRIC N/A P.O. BOX 2914 PORT ANGELES, WA 98362 98360-0000 360/452-9104 360/000-0000 PROJECTINFO Project Type: RV PED. Project Value: $0.00 Occupancy Type: Construction Type: ADD CIRCUITS _ Occupancy Group: Zoning Use: RS7 /7 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 _ Q fi S FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $45.50 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $45.50 AMOUNT PAID: $45.50 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T-) 19 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH wit-r ,r -' jiot ;k FINALzi z GENERAL COMMENTS: M-1102.15[4f961 • ►r,_� P ORT NGELES WASH 1 N GTO N, U. S. A. PLANNING DEPARTMENT December 1, 2000 TO: Bill Roberds, President North Peninsula Building Association FROM: Brad Collins,Planning Director SUBJ: TEMPORARY USE PERMIT-TUP 00-02 1507 West Tenth Street The request for a Temporary Use Permit (TUP) to allow the placement of a construction trailer proposed for supervision purposes during the construction of a single-family residential structure located in the RS-7,Residential Single Family zone is hereby approved with the following conditions: Conditions: 1. The temporary use is hereby approved for use during the construction of a single family residence at 1507 West Tenth Street for a period not to exceed six months(June 1,2001) or until final occupancy is approved,whichever occurs first. The unit must be removed from the site within one week of issuance of final occupancy if such issuance occurs prior to June 1, 2001. 2. The placement and occupancy of the temporary trailer shall be in compliance with all pertinent local and state development regulations including the installation of a 2A1 OBC fire extinguisher within the unit. The extinguisher must be mounted no higher than 5' from the floor and be accessible at all times. Inspection and approval of the trailer placement and set up by the Fire Department and the Building Division is required prior to occupancy. 3. Address numbers shall be posted on the temporary trailer. The numbers shall be at least 6" in height and plainly visible. This decision is made based on the following findings and conclusions: Findings: 1. A request for occupancy of a temporary office structure to be located at 1507 West Tenth Street was received on November 27, 2000, from the North Peninsula Building Association. The temporary office unit is desired for on-site supervision and storage during the construction of a single-family residence in the RS-7, Residential Single Family zone. 2. Building Permit #12298 was issued for construction of the single family structure at 1507 West Tenth Street on November 8, 2000. 3. Section 17.95.060 of the Port Angeles Municipal Code allows for the Planning Director to issue permits for the occupancy of temporary buildings used in conjunction with construction or reconstruction projects for a period not to exceed one year. Such temporary buildings may be located in any zone provided that sufficient setbacks are maintained to protect the public health, safety, and welfare. 4. The Fire Department will require that the temporary construction trailer bear the address number of the site until removal. 5. Placement of the temporary office unit must be inspected and approved by the City's Building Division and Fire Department to ensure that all relevant local and state regulations are followed prior to occupancy. The temporary units will be removed from the site for storage off-site immediately upon completion of the structure or by June 1, 2001,whichever occurs first. 6. The temporary office units do not contain restroom facilities. Sanitation facilities elsewhere on the site will be used during the remodel activity. Conclusions: A. As conditioned,the use complies with Section 17.95.060(Temporary Buildings) of the Port Angeles Municipal Code. B. The use as proposed does not endanger the public health, safety,or welfare and is in the public interest. i70 rad Collins,Planning Director IJate cc: Building Division Fire Department Appeal of decisions of the City's Planning Director may be made to the City Council. Appeals must be made in writing, accompanied by a $200 application fee, and must be received by the Planning Department within 14 days of the mailing of the final decision. a k} �- r' L2 r � IV Ll 4 o � T -r� z (n i 0 Q JO r � Q _ i 4 ,,c 4 ct J 0 O r� d � di J 3 � O /j 0 S vonr Z tirmar, FOR OFFICIAL USE ONLY: �� ELECTRICAL PERMIT APPLICATION Date Rea: Pemut N: 7 Date Appy i The Electrical Permit Application mus[be filled out completely. Date Issued: �/T-"-�7=.zjl/ Please type or print in ink. If you have any questions,please call(360)4174735 Fax number: (360)417/-4711 Applicant and/or Agent: S TR/9 1 TS Eldeek _Phone: "5- 19/OYFax Property Owner: Phone: Address: City: Zip: Contractor License#: Exp: Phone: Address: City: Zip: Credit Card Holder Name: S tR�11 TS ��GTK 1G C Alt%STt E CIC E le Billing Address: p-Q. SOX 9/S� City lgfAwhs Zip; 9f3d VISA MC_ Permit Fee•, 6 7 PROJECTADDRESS: / -07 l� ZONING LEGAL DESCRIPTION:Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER TYPE OF WORK: ❑ Residential ❑ Multi-family ❑ Commercial ❑ Mobile Home Electrical Permit fees are based on WAC 296-46-910 BRIEF DESCRIPTION OF THE PROJECT: / ger) 4L R Electrical Heat Load Additions Service Information ❑ Baseboard KW ❑ Riser Voltage: /Zc9 L Hornate 17 KW ❑ Overhead Service Phase: ❑ 3 eat Pump KW ❑Temp Service Service Size:,ZEf � ❑ Fan-Wall _KW 'Underground Service Feeder Size: Comments: I hereby ccrtry that 1 have read and examined this appllcadan and Imo a a truer artd correct, and l am authoKsed ro apply jar rlrLr permit. 1 undetsrand it is not the C!ry'r legal ntrponalbtllry t dere I s rmtp are requlnd•it remains rho applieantb rerponslblhry ra.derermtne YAarpermits are required and to obtal such. PW-I Io:_zI[W31,001 Credit Card Holder's 5imatur Data S ��r PD 74 =-S"r FOR OFFICIAL USE ONLY: ELECTRICAL PERMIT APPLICATION DateRm.: Permit - Date ApproveC:��[ °�•u° TheElectrical Permit Application must befilledoutcompletely. DateInued: Please type or print in ink. If you have any questions,please call(360)417-4735 Fax number:(336/0)417-4711 Applicant and/or Agent:�TR/4 1 7—.S61EC et C Phone: 102 12LO—VFax# V!s:7 6 s8 Property Owner: Phone: Address: City: Zip: Contractor License#: Exp: Phone: Address: City: Zip: Credit Card Holder Name: SrK14ITS A,hck/e— CNRI £ 1 CIC£ rQ Billing Address: P0- SQ -2 / CityvZip:_M3dL VISAX MC_ Permit Fee 6 7 PROJECT ADDRESS: ZS-0 7 W + l/ ZONING LEGAL DESCRIPTION:Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: ❑ Residential 0 Multi-family ❑ Commercial ❑ Mobile Home Electrical Permit fees are based on WAC 296-46-910 J( (_ BRIEF DESCRIPTION OF THE PROJECT: C Z �1 tR.CIs, I Electrical Heat Load Additions Service Information ❑ Baseboard _KW ❑ Riser Voltage: ❑ Furnace —KW ❑ Overhead Service Phase: 0 1 ❑ 3 ❑ Heat Pump —KW ❑Temp Service Service Size: ❑ Fan-Wall —KW ❑Undergrou�nddJ Service Feeder Size: Comments: Pl I hereby certVl rhar I halve road and exam ined'this appltcotlon and kno a e rete and correct,and l am authorised to apply for thlr permit. I understand It is nor the Clry'legrtl rerponr/blllty t dere a permlp are required•it remains rhe applican('r responsibglly 10.derermine what permits are required and b obrai rueh. eW-uo:2)pNtt.ocl Credit Card Halder't 5inatur Data 10/03/2001 11: 40 FAX 5604574698 STRAITS ELECTRIC laO1 `�R+—rte ELECTRICAL PERMIT APPLICATION FOR R^CIw"'SED"' ® Dne W,, wppmrcJ: The Eledri®I Permit Application meat 00,filled out Completely, Dm I.J Please type or reprint In Ink H you have any questions, please tall(360.4174735 Fox number:(36o)417.4711 REQUEST INSPECTION ❑ ownerorElec.ConvactorAgent; Straits Electric pie. 452-9104 Fax: 457-4698 Property Omer: Phone:_50a I �o / I Address: f ,�O7 Gt1r /Q S74 city (4LA zp: 9?3G3 Electrical Contractor. Straits Electric ' Ucensns STRAIE*0j;f S 9/03 Phone•452-9104 Address: P.O. BOX 2914 city, Port Angles, WA ZiV 98362 INSTALLATION WIRED BY: ❑OWNER *1 ELECTRICAL CONTRACTOR Credit Card Holder Name: Straits Electric Billing Address. P•0• lox 2914 ChY•, Port Angeles, WA ZIP:98362 VISA: MC:_ PROJECT ADDRESS: 1,561 T / TYPE OF WORK: Check all that apply. O New AtteratioNAd tion XResidemal ❑ Multi-family ❑ Commercial ❑ Mobile Home Sq. Ft. ❑ Remote Meter ❑ Detached garage El Hot Tub O Swim Pool ❑ Septic Pump O Low Vollage C Telecom. E Sign Number of Circuits added or altered: J DESCRIPTION OF THE ELECTRICAL PROJECT; A J Electrical Heat Load Additions Service Information ❑ Baseboard _KW Voltage: ❑ Furnace _KW O Overhead Service Phase: ❑ 1 ❑ 3 ❑ Heat Pump _KW ❑Temp Service Service Size: O Fan-Wall _KW ❑Underground Service Feeder Size: PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one-line drawing of the Electrical Service& Feeders, building size (sq. R.), load calculations, and the type&of conductors and/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and 1 am authorized to apply for this permit, 1 understand it is not th City's legal responsibility to determine what permits are required R remains the applicants responsibility to d ermine what permits are required and to obtain such. Credit Card Holders Slgnatu : ucker/Christie Tucker Date; PW-9019 Owner or Elec. Cont. Slgnatu Date; d I