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Home My WebLink About318 W 10th St - BuildingCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001269 Date 10/06/08 Application pin number 403550 Property Address 318 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 2515 0000 Tenant nbr name HAIDEE MARGARET HAMPTON Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation 5086 Application desc FURNACE INSTALLATION Owner HAIDEE MARGARET HAMPTON 318 W 10TH ST PORT ANGELES WA 983627604 (360) 477 4280 Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Permit MECHANICAL PERMIT Additional desc INSTALL FURNACE Permit pin number 135830 Permit Fee 64 80 Plan Check Fee 00 Issue Date 10/06/08 Valuation 0 Expiration Date 4/04/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100- FAU 14 80 Fee summary Charged Paid Credited Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 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 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 7e)/0 VOR k■GhouiA/ Date Print Name Signature of Contracror or Authorize�.Agent Signature of Owner (if owner is builder) T Forms /Building Division/Building Permit 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. 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 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 Electrical Fire Planning Building Inspection Type RESIDENTIAL 417 -4735 I Construction R.W PW Engineering 417 -4807 T:Forms /Building Division /Building Permit 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 4807 Backflow Prevention Inspections 417 4886 Date Accepted By 417 -4653 417 -4750 I 417-4815 I F k O 1 re.l. C `1 -24 -119 rI Comments FINAL Date: Accepted by FINAL Date: Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE DATE Accepted By Commercial Date Accepted By 'Electrical I I Construction R.W PW Engineering I Fire I Planning I Building C> OQ p l!" Do Oct 02 08 12:39p Applicant or Agent 4-f 1 Wen-fiber *alit/ u COD I ii (hi Phone 5/p() -452 3 Owner 14 tdee {tgr' i'/h t,® /A4A Phone 1,O 171 4 Owner's Address t) /1 $7 ee i' Contractor Engineer /g We'a --1levu nri CDD/inc, /nc Phone 3koI/52. 9 98'/3 Contractor /Engineer's Address 9"2 Kcni ,'5777€1- -i �r k W4 9'.,X,2 License Alum/6-11, /s t) (I L q/, /Ape/ PROJECT ADDRESS 3/8 /6 Parcel Number Protect Tvoe Brief Description: Check all that apply New Constrtktior o Addition o Remodel o Repair o Re -roof o Demolition o Sign M eat System o Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Viae5/S 325/5o 0O 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 Existing (sq. ft) proposed (so. ft.) Total footprint of structures sq. ft. Lot size Max. height of proposed structures ft. Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Occupancy group Occupant load Construction type per sq. ft. For City Use Only Date Received to-3-0g Permit n d'-- `r 69 Date Approved Lot Zoning K Residential D Commercial a Multi- family Industrial Furnace I n5, //4/- o wall mounted a projecting a freestanding o awning Total sign area sq. ft. Maximum allowed sign area sq. ft. -teat pump o wood burning stove o gas fireplace o pellet stove )i( other ple4'r G fg rnl2ti TOTAL VALUATION 5,O Lt'r L' sq. ft. Lot coverage of bedrooms *of full baths of half baths p1 a other I 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 determine what permits are required, and to obtain permits prior to working on projects. Date.J /)/'3'Dr Print Name Jt'a /VIA C A T:Forms /Building Division /Bldg Permit Appl. -2006 Code.doc v l' PREPARED 10/20/08 8 59 51 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/20/08 ADDRESS 318 W 10TH ST SUBDIV CONTRACTOR KATHOL CONSTRUCTION PHONE (360) 417 5594 OWNER HAIDEE MARGARET HAMPTON PHONE PARCEL 06 30 00 0 3 2515 0000 APPL NUMBER 08 00001226 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 9/29/08 PB BLDG FOUNDATION TIME 01 00 9/29/08 AP September 29 2008 8 52 54 AM 1pangrle FRANK 808 1672 FOUNDATION AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE September 29 2008 4 26 16 PM pbarthol BL99 01 10/20/08 JLL BLDG FINAL TIME 01 00 October 20 2008 8 12 04 AM 1pangrle FRANK 808 1672 1 Il BLDG FINAL FOUNDATION v AFTERNOON COMMENTS AND NOTES \\4A7f7' Application Number 08 00001275 Application pin number 457575 Property Address 318 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 2515 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc Electric furnace 20kw Owner Contractor Hammel Eli 318 w 10th st PORT ANGELES WA 983627604 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Fee summary Charged Paid Credited Due Date 10/07/08 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 135897 Permit Fee 46 00 Plan Check Fee 00 Issue Date 10/07/08 Valuation 0 Expiration Date 4/05/09 Permit Fee Total 46 00 46 00 00 00 Plan Check Total 00 00 00 00 Grand Total 46 00 46 00 00 00 Extension 46 00 CY FIN I� SPECTION TYPE DATE RESULTS DITCH SERVICE ROUGH IN _AL 'COMMENTS: V l r 3/0e ACP )04/0;3 P 'Tge ELECTRICAL INSPECTOR Application Number 08 00001276 Application pin number 533228 Property Address 318 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 2515 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc Furnace 20 kw Owner Contractor Hammel Eli 318 W 10TH ST PORT ANGELES Qty Unit Charge Per 1 00 35 0000 EC EL LOW VOLTAGE Fee summary Permit Fee Total Plan Check Total Grand Total WA 983627604 Charged Paid Credited 35 00 35 00 00 00 00 00 35 00 35 00 00 Date 10/07/08 ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 135905 Permit Fee 35 00 Plan Check Fee 00 Issue Date 10/07/08 Valuation 0 Expiration Date 4/05/09 Due Extension 35 00 00 00 00 IN SPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL 'COMMENTS: /oJ13 (oe /NG I ap ELECTRICAL RESULTS INSPECTOR PREPARED 9/29/08 9 30 52 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/29/08 ADDRESS 318 W 10TH ST SUBDIV CONTRACTOR KATHOL CONSTRUCTION PHONE (360) 417 5594 OWNER HAIDEE MARGARET HAMPTON PHONE PARCEL 06 30 00 0 3 2515 0000 APPL NUMBER 08 00001226 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 9/ /2/08 JLL BLDG FOUNDATION TIME 01 00 —7 September 29 2008 8 52 54 AM 1pangrle FRANK 808 1672 FOUNDATION AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001226 Application pin number 689016 Property Address 318 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 2515 0000 Application type description RES REPAIR Subdivision Name Property Use Property Zoning Application valuation 5600 Application desc FOUNDATION REPAIR Owner Contractor HAIDEE MARGARET HAMPTON 322 W 10TH ST PORT ANGELES WA 983627604 KATHOL CONSTRUCTION 312 BIGLOW RD PORT ANGELES (360) 417 5594 Fee summary Charged Paid Credited Due T Forms /Building Division/Building Permit Date 9/29/08 WA 98362 Permit BUILDING PERMIT RESIDENTIAL Additional desc FOUNDATION REPAIR Permit pin number 135319 Permit Fee 151 75 Plan Check Fee 60 70 Issue Date 9/29/08 Valuation 5600 Expiration Date 3/28/09 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Permit Fee Total 151 75 151 75 00 00 Plan Check Total 60 70 60 70 00 00 Grand Total 212 45 212 45 00 00 A .r/ o 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 q/' /d to Print Name Signature of Contracto r Authorized Agent Signature of Owner (if owner is builder) tk 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 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 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 SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. RESIDENTIAL T Forms /Building Division /Building Permit 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 4807 Backflow Prevention Inspections 417 4886 Date Accepted By Comments 9 zq rig P13 (FINAL Date: Accepted by FINAL Date: Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE DATE Accepted By Commercial Date Accepted By 0 f Electrical 417 -4735 1 1 1 Electrical 1 1 fD Construction RAN Construction R:W i PW Engineering 417 -4807 PW Engineering Fire 417 -4653 I 1 I Fire I I 70 Planning 417 -4750 1 1 I Planning 1 1 Building 417 -4815 1 —'7 e9 —n 1 Tcci I Building I 1 1 PROJECT ADDRESS Parcel Number Applicant or Agent Property Owner Property Owner's Address '�j 2� Contractor /Engineer Contractor /Engineer's ddress c`3 /e License rnrHOC O /C4Z Proiect Tyne Brief Description. Check all that apply New._Construction Addition Remodel Repair Re -roof Demolition Heat System 'Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 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 Ph it Irp -42711- Phone I ,1b7 4 4.- Phone c vt/ re) r r� Expires octet/, d g e mail i J4 /NIL 5t /Residential Commercial -57 J 1/ 1 J4 1(3 Existing (sq. ft.) l (sq. ft.) Total footprint of structures sq. ft. T Lot size Occupancy group Occupant load Construction type fel rf ,4 e- 4-5 /mot• 5 f6 Lot Zoning Multi- family Industrial #3Q CU. Q. 1 t >S l/l.) under- e_(,S plat 11")u5P i Heat pump wood- burning stove gas fireplace pellet stove other TOTAL VALUATION sq. ft. Lot coverage I 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 determine what permits are required, and to obtain permits prior to working on projects. Date 6/ 4 Print Name T,rcrit4 t v TALI Signature per sq. ft. For City Us Only Date Received ?S 0,E3 Permit r9 Date Approved of bedrooms of full baths of half baths P `er Pap_5 l47;ecc1 pff y 12 a Cii -g CITY OF PORT ANGELES Constructson Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval Ole �p j3y v e A 'ik SCYeen@ t 1( p er- s V re�iQ r 005•l-bc.5- •fr eVel��/ Screen ve .15 a. c-0 r rte 5 Z p f All 14044- isfeg-aui9 Y,.d 574 vVc V ee eol 3 1,a aYl.�i YL UPC( .... CITY OF PORT ANGELES °~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 5/14/2002 PERMIT NO: 13423 OWNER/APPLICANT PROPERTY LOCATION 318 10TH ST W MARGARET HAMPTON 318 W. 10 TH STREET Lot: W20 FT LT 4 E 20 LOT 5 Port Angeles, WA 98362 Block: 325 [] Long Legal 360/000-0000 Subdivision: TPA T: S: Parcel No: 063000032515000 CONTRACTOR ARCHITECT GREAT NORTHWEST ENTERPRISES N/A PO BOX 2963 Port Angeles, WA 98362 , 98360-0000 206/452-9518 360/000-0000 PROJECT INFO Project Value: $2,980.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF 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 TEAR OFF / REFELT/3TAB RECEIPT#9081 FEES ASSESSMENT Building Permit: $83.25 Misc Fee 1: $0.00 Plan Check: $0.00 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: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 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 / ce,~struction. /~ ~ _J' ' f Signature of Contractor of Authorized Agent/ / Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOKMS\ 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 } '3~.~ INSPECTION TYPE DATE ACCEPTED COMMENTS YES I No FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PER.MIT: # PLUMBING UNDER FLOOR. / SLAB ROUGH-IN WATER LI~E ~ ~ORT ~ $~O~<?~ ha '- ~ ~ '4<~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application\Number pin number I. . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000430 Date .082500 318 W 10TH ST 06-30-00-0-3-2515-0000- ELECTRICAL ONLY 5/24/04 o Owner Contractor HAIDEE MARGARET HAMPTON 322 W 10TH ST PORT ANGELES WA 983627604 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL REPLACE METER/PANEL OLYMPIC ELECTRIC 64.90 Plan Check Fee 5/24/04 Valuation 11/20/04 .00 o Qty Unit Charge Per 1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.90 ~~ ,~ t Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 64.90 64.90 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 64.90 64.90 .00 .00 ~ ~~ \"- '-l . \~ ~ ~ ....... ~ 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. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.IS [11114/2003] 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. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'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 5h~ /0'1 A'e{[) ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] 10/05/2008 20:15 4579270 SIMPSON ELECTRIC RECEIVED PAGE 01 og -I 2- IS; . OCT 0 6 2008 ElECTRICAL WOR,KPERMIT APPLICATION UGHT DEPT. J"b wU"d by \l1lEI.ctrlt,RI Conlractor 1:1 Owner Elcc"'..' .onna.'" .ame (' L1een" numb<' n... e.rrrcs c:..:n\t?~e.ch.;'C. ~ 'IJnPSEL 9'731l@ /2/1'/ ~31ng;J;;j 10/ W City POI(+ fln.g.eJf!:s Telcp~o,nVumb" '1"::' 7 - '1:J.- 70 rrentbe, owner', nnm, , _ r;/i f'-I'O.rnrne...1 A.ddT't.~ .r lRlfted'.n -r. '\ .-f:h C' ~ 3J~ (1\...1' jO J't. City PD 1'\ + AYI.fj~Je.5 ptulDe anmber to u"hedule talfleetlGR: ,dt . (,0- OL/{g 's I Owlfe,' D,( dltfi,.ad b,. ~CW.J9.28.26 :(1) Ol'l'n~" will flCCUPJ' rill!! ,'PII.CII/1'f!jor two years 4flp.r thiJ ttlectrlcfll ~mJlJ is Ji,tlDliHtJ. (]) Owner is rr:quired 10 M~ "" eleCl1'fcal co"rrpctn,. if obl)\ll'! JD.ld prOp'-r1y i.! for .'ffJ/~, rtn' or I,~ase. After rcfliotfl8 me ftbove ltatcment, I hr.~Y ccnify thAI' am the owner <,C the Above Mmcd pro"erty or Jl licenaed aleetric..l C()tltraetor, lltn making the deetrical if:l!ltal~ ,..ion or Alterati01l in eomp\il\n(:~ with the ele"rical Inwlt, 'N.E.C.. RCW. Chftpter 19.28. WAC. Chapter 296..MIIB, 11l<: City of Port ^"zelcs MlInic\l'fll Cod~. An(1 Ulilit)' Specific_tions. St,Rut e owner. electric lnltallanon dctCftptioo o C......erclal ]I. R.alolentlal Sl.8tC zrp W" 0/531.03 PAX numbeJ # L-~ ;Jtmi ~ ,;2. () K fA) C'-,";'< t'_UI--f l./ t . ~ F/-IAhrA,p .J 0J OQ \ ~ N --J \J\ ON... ')i A1t....dIAddldoD 1:1 Cash 1:1 Cheek Ii pi Credit Card B M.~te1"C3rd Discover Card/! _.__~.!...._-_._--- Date: /o-b -08' lJ~!!Ill E~piration Date of card l~pection fee S <fb '.~ Service Inlormd90. x ~1la\JJ.!!-'I41.e.ddltlons M o "10 LOAD CHANGES o B...b08rd KW 1iI Fumeo_ .:lD- KW o Heat Pump _ Too_ LAR a F8n~Wen _ KW o Overhead SeNlca C Temp SaNtee o Undetgrou"d S01VIc:e volfllge P""...0103 Service Stze: __ Fe8det Size: SAME DAY INSPECTION CALL BEFORE 7'00 AM 3611-417-4735 . . ROUGlI..JN , THERMOSfAT SERVICE ID./r./~ ~"r D.l~ ^",,",vtlll'l)' D.l~ ^Pfl",~ny '- o. ( FINAL \ ( nITOl ^""'"'" 0, J ( .rp;uEQ. "'" ~!{::.~ ~ I Dille' "".. ^PI"'"'cdB)'/ Inlipec::tion Area, Buil4ing or Iilluipmenl hUpeclOd Electric..1 Date Action Taken In&pectot 101 (p lo't ntv T.--.~_ .J. L ",...J.) /:..'" d' /. >7u14. AP I3:rA , - II , -,'- - - _. . ! .. ----- -- _..~-- - DR - -z.: - -- ____=G 7f.... -1 ;~6C...\7,J.7' , OJ 14I ~.~ '. OS/20/2004 13:25 FAX 3604523498 " - "'-....-.-'..; "': ~O.-.I~l; ,:.;, I, 1~0HT .'<'I'IGC:LE: ~ OLYMPIC ELECTRIC s~ 110 C/ P,.... ~ or ...,nolln _ llyn. heVtlony q___. p_ coli (3eo).17~ns /,,' II ~ '< F_ nurn ber: (HO) .t7~711 (!>l \ D Ow.....elec. Conn_Agent 01 ymp icE 1 ec tr i c Co., I nc . P"'poItyOwn..., lI/9-rrr H/9;11Prc;u/ Addr_: 3/J" J./ 1013 e_eonlrllClDr. Olympic Electric Co., Inc. ~ 4230 Tumwater , ELECTRICAL PERMIT APPLICATION POll Clf'Flcw. US&OHLY _. Peta.b., bIt.AfIpN...., n.. ..ai The E lectrfc:al Permit Application must be flll.cf our cam Df_Iv. oL(-Q30 Phone: 457-5303 Fu: 452-3498 '167- 9h%S- ZIp <J~rk2 "non.: 457-5303 ZIp: 98363 Phone: City: .&rr-~r,..kr license 0: a... YM=EC28.5Jle ICp: 3/31/03 Diy. Port Angeles INSTALLATIONWIFlEO BY: o OWNEFl lO ELECTRiCAL CONTFlACTOR C~C.rdHold8t'N.m.: Charles T. Burkhardt, Olympic Electric Co., Inc. BIlling Addrua: Same City: : Zip: VISA: X Me: PROJECT ADllAE8S: .J if u' /P ti. TYpe OF WORK: Check iIlllhat apply: 0 New rr1iiteratlonlAddlllon ~esldenll8l 0 Mu/tI-family o Commercial 0 Mobile Home Sq.Ft. o Remote Mater 0 Oel8ehed garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Slg Number of ClrcullB added or allered: R ~ /J !;?r-___ )11" /;;r -.I- Pa /7 ~ I f . DESCRIPTION OF THE I!lECTRICAL Pi:lOJECT: Electrical- 1"11.1111 Addition. and or .ubtractlona Service In'ormatlon o Baaaboanl o FU1N1C8 o H..t Pump o Fan-Wall KW KW - "tUN LAR -KW- ut&erhaed Service o Temp Service o UndetgnJund Service VOIl8g.: ri 'I t7 Phos.: 1 0:1 Service Size: 2L:?:P Feeder Slze:~--<2... PAMC 14.05.060(8): FOI induolrial. com m"rcial. & residential ptOjects larger than a duplex. I one - line drawing of the Elacrrical Service & Faed8lll, buik1lng e1ze (oq. II,). Ioed calculations. end tha!y pe & of condlJClot8 endIor raceway Is requited and Ihallaccom pa!ly the Elecll'lc:eJ Pennlt appIlcallon. I hereby cettify thaI I have read and examined this applic81ion and know Ihal same to be /rue and correcl, and I 8/ authorized to apply for Ihls permit. I understand il is nol the City's legal responsibility 10 determine whal permils are f9Quirad; it rsmains the applicsnts responsibility to determina what permits aro f9Quired and 10 oblain such. lgnature: 0_: 5{20/o'/ Ow_ Dr I!lee. CatlL 8lgnalUre: OaLe: pw-901enlO3 PERMIT FEE: $ tit .ct.O ;1tv ~r)f ~r27b ..~~. t~ ~~ . '"'i "'ii;;....... RIEClE~V~tD OCT o6lOtrfCIRICALWORKPERMITAPPLICATION p.2 Oct 02 08 1240p Jo6 wired 6y ~Electrical Cootractor talla[ion description d Commercial ~esidentiaJ o New o Alteredl Addition 23 St.ate ZIP 'I J3cP 2 LV 111fWjD<:.kJ I/(J,(l119 - ~ 0- Owner as defi'1ed by RCW/9.28.26J:(l) Owner will occupy the structure for n....o )'ears afrer Ihis elecrrical perml1 is finalize-d. (2) Owner is required to hire an electrica.l COnlNlclor ~( abot.'C said propert).' is for sale, '"enr 0'- lease. After reading the above slatement, I h~reby certify :hat I am the owner of che above nam~d' property or a licensed electrical contractor. I am making the electrical instal- lation or al(cration i:'l compliance with the electrical laws, N.E.C., RCW. Chapter 19..28, WAC. Chapler 296.46B. The Cit)' of Port Angeles Municipal Code, and Utilil)' Specilication~. Signature of owner, eleclric~1 contractoT or eleclrh::al adrninistrajllr :J Cash 0 Check # ~ Credit Card VJSa Card # Mastercard Discover ---------------- Date: IIJ IJ If Expiration Date of card o NO LOAD CHANGES o BaseboarQ' KW Q Furnace 2/}KW o Heat Pump Ton o Fan-Wall KW ubtrac:tiQ...DS ServicE! Information lAR o Overhead Service o Temp Service CJ Underground Service Vortage Phase0103 Service Size: Feeder Size: SAME DAY fI\'SPF:CTION. CAJ.l. RIi:FORIi: 7'00 AM 3611-417-47:15 ROUGH-IN ( TIIERMOSTAT \ /D.~'!:/rt6 A~ 0", A"",., B, SERVICE FINAL 1O)~~dB ~., D.~le Aw10Hd By DITCH ) APPI<l'fcd OJ ./ FEEDER Dale Dale APPID..ed B} Inspt::ct;on Dale Area, Building or Equipment Inspected Action Taken Electrical [nspeclor cB--l "Z- 15'