The URL can be used to link to this page

Home My WebLink About1016 W 5th St - BuildingBuilding Permit 1016 W 5' 12 -L410 onV1 o 0 11 W M m V7 o O 0 m wn 00001-0 W H.(0 00 H• 1 o R o b m 0 p 4 0 0 H K n 0• r p rt. 0 r 0 H 0 co N 0 IA U H H p C 07 (0 n rr 0 N n a H 0 H a G H H O 0 N a m 10 N 0 r0 ro 0 U1 G H rr N 0 0 N H p R H y a N a o (Y H 0 N n o 0 V) H n K Z rt 11 M a.0 0 0 DD 0 (D 0 n F3 01 0. O 'd 0 0 0 Co H. a 0 n O rt p p n 0 '0 0 co n H- G H. G co 0 N G Do 0 r'0 O a m rr H (0 10 0 01 rr O Dw H 0 H 0 p W 0 I H 10 H. C y H n p H z ro Z Cr) 0 n rt H• d G 0 W 0(n ar r 0 0 DI m zn G 0 01 cD H 1 11 01 a n H- 0 01 mmm I D3 0 V X 0 0 H H H 1 -0 N ■1 J 0 01 0 11 H- N N N a ,r 000 1 V 01-')-' (D n 010101 H 0 G W ro 0 01 4 n 0- H 01 3 a X 0 co o b H 04.-300r1 O �rozro(n<�1 >cnT ?ro 10N0gor rb o n 0 0 ly 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0< 0 am 0 10 0 0 0 0 0T G 0. G 00 0 a 0 ro 0 0 0.500 0 0 00000(0 0 0 0.0 a 1- 1 1- 1- 0 01 0 0 0 11 G 0 1-'-11 a H- H- G H- H- rr 0-0(001110 0 a (0 a a 0 0 G£ 0 0 rr n n 01 n n H. C 44 z V] H. (0 0 0 0 11 a 5 0 0 0 1 s a a 0 0. y 0 G 0 m H n n n 0 a0 M 0 n n 0 n r 0 N H 000. 0 0 0 0 H 0 G O 01 H- H- a H H 0 00 M 01 1 1 0 0 0 0 0' H. 0•• 0 o n 0 0 H 0 'V 0 H 0 ryM 1 11 0 ,7 0 0 0 0 0 H .r C7 ID 0 DD 3 0- 0 W n n 0 rD G 0 0 1-1 W C7 0 a 0 0. 10 rt V a m 10 H. 0 R 0 0 n 0 a 0 (0 n o (0 0. C p 0 0 3 p 00 n? G] 1'7 0402 I '31 -'00 74 0 0 17 W 0 W O 0 07 0 01( 00 H tri 74 74,00 0 [0000000 x0 a, .0�H 0 0004 0 0 CO37 O to N HN 7 W II mO 00 00 C W 0000HW 0010' HM N y 00I H0)K1 000 <0 H r'V 0100100 (0 o z o 0i 00 0 0 o ro 010 4 01 o1)1 0 C ro 0 0 01 0 H C 00 H r 00 I z 00 x ro W H m o 0 H 0 DI 0 C m 0 n 00 w 0 H H 10 o X W Z C 0 0 w C0 W o m I 4 N 'q r0 Z H 01 C 1 0 C m 4 100 (D 0 0V n a H a 1 i 0 01 0 a ro x x00 ors C N N 000)0. 'o 0 0 as n ro 0 0 H 0 H- n 0 Pr a 0 0. 1 4 H 0 H 01-10 G a 0 H H H N G I ■,0 C O 0 11 H 0 11 o 10 H 11 H O W 1- )1 W 0 a z 0) N W 0 b o W r ro— z N H H G '(J co 0 n 0 7 0 1 0 O H a Owner Permit Additional desc Permit Fee Issue Date Expiration Date 1.00 1.00 1.00 Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00001410 Application pin number 450970 Property Address 1016 W 5TH 'ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 0815 -0000- Application type description MECHANICAL APPL. PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY. Application valuation 4500 Application desc GAS FIREPLACE AND GAS LINE JOSLYN MAIN MOORE AND JENNIFER 1538 GRAND AVE 1016 W 5TH ST SEATTLE Qty Unit Charge 10.6500 EA 10.6500 EA 50.0000 HR. WA 98122 Per Charged 121.30 .00 121.30 Contractor EVERWARM INC 257151 HWY101 PORT ANGELES (360) 452 -3366 BASE FEE ME- STOVE /FIREPLACE /MISC. APP. ME -FUEL GAS PIPING,1 -5 OUTLETS ME- INSPECTION, MIN 1 HR Paid Credited 121.30 .00 .00 .00 121.30. .00 Date 10/24/12 WA 98362 MECHANICAL PERMIT GAS FIREPLACE 121.30 Plan Check Fee .00 10/24/12 Valuation 0 4/22/13 Due Extension 50.00 10.65 10.65 50.00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 constr tion. 0,0 id go 10 A- &NZ mAZ to Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Accepted By Footings 417 -4735 Stemwall Construction R.W. Foundation Drainage Downspouts 417 -4831 Piers Fire 417 -4653 Post Holes (Pole Bldgs.) Planning PLUMBING: FINAL Date Accepted by Under Floor Slab Building Rough -In 417 -4815 Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T.nrmc /n �iId fli,,,c,nn /R■ iilrlinn Parma BUILDING PERMIT INSPEC :TION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 Project Address: /0 /&v d 5 acl- C� /-Pi Main Contact: S 6 Phon 4/5x Property Owner Na G- /941 60e -/e. 6 Phone 45, 9.37 0 Mailing Address Email City e—Af State Z j��. Contractor Name �1 2 cc1,4/? Phone 33 ee Co Mailing Address c25 74.5 A i y 0 Email rv/ rWa -rte Cvct6ddf'dW City Oiel State Zip C a Contractor License R A �Al Expiration: Project Value: 6 O Zoning: Tax Parcel Lot Type of Permit Residential Commercial Industrial II Public Demolition Fire Repair Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical x Plumbing Other Existing Fire Sprinkler System? Yes No Maximum height of structure. Proposed Bedrooms Proposed Bathrooms Project Description I have read and completed the 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. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date /D /o Print Name S/C. (46 c4f Signature /A THE CITY OF W A S H I N G T O N U.S. 321 East 5` Street Port Angeles, WA 98362 P: 360 417 -4817 F: 360 -417 -4711 hcatuzo @cityofpa.us Building Permit Application For City Use Permit /0 Date Received: lam, /2 Date Approved: Residential Structures Area Description (SQ FT) Existing Proposed Minimum value For Office Use Basement Appliance Vent Heater (Suspended, Floor, Recessed wall) First Floor Size: Heating /Cooling appliance repair /alteration Second Floor Pellet Stove /Wood burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping Covered Deck /Porch /Entry. Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Deck Ventilation System Garage Carport Other (describe) Area Totals Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove /Wood burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Oylets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Commercial Structures Area Description (SQ FT) Existing Proposed Minimum value For Office Use Structure (s) Medical gas piping of Outlets: Water Line Addition Vent piping Sewer Line Tenant Improvement Other (describe): Other (describe) Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water Heater Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor Other (describe): Lot /Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious structures) Site Coverage INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN Z J q 1 1 Z C FINAL z 9/ COMMENTS: Application Number Application pin number Property.Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit kitchen lighting Owner JOSLYN MAIN MOORE AND JENNIFER 1538 GRAND AVE 1016 W 5TH ST SEATTLE Permit Additional desc Permit Fee Issue Date Expiration Date WA 98122 Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL, ALTER RESIDENTIAL 63.00 1/06/12 7/04/12 63.00 .00 63.00 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00000008 604112 1016 W 5TH ST 06-30-00-0-1- 0815 -0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 -5303 Qty Unit Charge Per 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED Paid Credited Due 63.00 .00 63.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation .00 .00 .00 Date 2/09/12 WA 98363 .00 0 Extension 63.00 .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: 01/04 /2012 14:00 FAX 360 452 3498 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: /y //.z 4Z 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address, ((-1/4 L✓ 5 5 Building Square Footage: Description of above 1 c Owner Information Name: iy.? Mailing Address': ./s QAji /2 /E City: Sallc State: if..4 Zip: 57/7? Phone ax: License I Exp Item Unit Charge Service/Feeder 200 Amp. 119.90 Service/Feeder 201-400 Amp. 145.50 Service/Feeder 401 -600 Amp 204.60 Servlce/Feeder 601 -1000 Amp. 3 26220 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service! Feeder 200 Amp. 92.70 Temp. Service/Feeder 201.400 Amp, 110.30 Temp. Service/Feeder401 -600 Amp. 148.70 Temp. Service/Feeder 601.1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Oulline Lighting 66,20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection $119.90 Renewable Electrical Energy 5KVA System or Less 3102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 3110,30 Each Additional 500 Square FL or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Owner. 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 Penult Applications. Signature of owner, electrical contractor or electrical administrator; Olympic Electric 'Co. PA CITY INS; ECT 001/001 Contractor Information Name: OLYMPIC ELECTRIC Meiling Address: 423 TUMWATER City: PORT ANGELES Stale: WA Zip: 38363 Phone: 457 -53 Fe w 452-3498 License /Exp. oLY'MP£c2e5D1 RECEIVED JAN G 2011 ELECTRICAL INSPECTIONS Cash 0 Chock III Credit Card Dated; //r//- 01101/2010 Total (Qty Multiplied by Unit Charge) 3 3- Total (3 CAKk FI L-- A, 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000138 689152 1015 W 5TH ST 06 30 00 0 1 0973 0000 AL MAIN RE ROOF RS7 RESDNTL SINGLE FAMILY 4995 Owner Contractor ELMER HAROLD R 1015 W 5TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983632114 OWNER BUILDING PERMIT NO PR FEE Date 2/10/06 137 75 Plan Check Fee 00 2/10/06 Valuation 4995 8/09/06 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 00 00 00 00 Grand Total 137 75 137 75 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 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 ordinan overning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume o give -•r'� to violate or cancel the provisions of any state or local law regulating construction or the performance of construc on. Signature of Contractor or thorized Agent Date Signature of Owner (if owner is builder) Date T \1102_ 15 building permit inspection record05.wpd 1/4/2005] 2c 7 o� INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING 4 FINAL DATE ACCEPTED BY. 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 FINAL DATE ACCEPTED BY. HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE: PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 �-)1 F )(pi; Y pA. 1121O9 BUILDING T•\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. PLANNING USE ONLY APPROVALS PLAN BLDG DPWU FIRE ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other: OTHER. 'N'thce BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: Owner Address Architect /Engineer Phone Ja L ("moo or, Phone C Zip 13b� Phone Contractor State License Exp Phone Address City Zip PROJECT ADDRESS (■445_. ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Re -roof Multi family Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIP N OF THE PROJECT Stove o Garage Deck Other f‘ A MR COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories: Lot Size: Existing Total lot coverage FOR OFFICIAL USE ONLY Date Rec. Permit Date Approved Dat Issued SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. 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 pennit 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 R105.3.2 of the International Buildmg/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined 'is appiic.tionand know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to deform' what I e iyit 4 e required ,not the City's, and that I must obtain such permits prior to work. TAPolicies\BL 1102_13 wpd Applicant: Date: k i CITY OF PORT ANGELES LIGHT DEPARTMENT In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. t� 1 J is `tom 0 0 lur�tG_T Address Owner Wiring Contractor. -1. Light Outlets Receptacle Outlets Dryer. KW Range, KW Water Heater: KW Heat: KW... .7. Motors: size, volts and phase: Total Load ELECTRICAL PERMIT Port Angeles, Washington_ Q.- tCQQZ, �?1 Service, volts No. wires Size wires Main fuse Enclosure Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Ser. No Ser. No Ser. No Ser. No Remarks: /tit r• Permit Fee Treas. Receipt No IM Olympic Printers, Inc. By 3 sf /C/ '1 By ELECTRICAL PERMIT Occupancy NV _17375 lsr° ,r Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility Heat Range Water Heater Motor Dryer Furnace Total I, c a-e -e eat NOTICE Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N? 17375 ;:r.. Address Date..:_......_.._ Owner Tenant Wiring Contractor By NOTICE Current must not be turned on until Certificate of inspection has been issued. I[ work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. r Electrical contractor me 7776 /1./.42-e917/.4 number /s/',, S jG7077 77x!/1/ ?'+9S //.4 Purchaser's mailing address f o, e 99/ C ity T ephone number 'Premises owner's name 4 Ln� Address of inspection 11 /r' 6'', City /9/4 Phone number to schedule inspection: 5/Sr7 9370 Owner as defined by RCW.I9.28.26C(1) Owner will occupy the .structure for two years offer this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 ant making the electrical instal- lation 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. /Signature fine ec Teal _,oatractor or electrical administrator X Job wired by Electrical Contractor Elec rica oad Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Inspection Date H ROUGH -IN FINAL State ZIP FAX number Approved By Approved By Owner Date Expires or Date:. -2 -Oc, New Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 -4735 Dale Date THERMOSTAT Appro•cd By DITCH ELECTRICAL WORK PERMIT APPLICATION Installation description Commercial ptatesidential Cash Check Credit Card Card Expiration Date of card Approved By ACAltered/Addition Visa Mastercard Discover Date Date lInspectiop fee /0 Service Information Voltage Phase 1 3 Service Size: Feeder Size: SERVICE FEEDER Approved By Approved By grcO Area, Building or Equipment Inspected Action Taken Electrical Inspector 1 Application Number 06- 00000451 Date 5/12/06 Application pin number 261753 Property Address 1016 W 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 0815 -0000- 1 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor MAIN, AL 1016 W 5TH ST PORT ANGELES (360) 452 -9370 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total WA 98363 48.10 .00 48.10 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5T1-1 STREET. PORT ANGELES. WA 98362 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461 -0158 ELECTRICAL ALTER RESIDENTIAL THRONES/ T -STAT WTR HT- DRYER 76885 THORNES REFRIGERATION 48.10 Plan Check Fee 5/11/06 Valuation 11/07/06 Qty Unit Charge Per 1.00 48.1000 ECH EL -R OR RM 1 -4 ALT CIRCUITS Fee summary Charged Paid Credited Due 48.10 .00 48.10 .00 .00 .00 Extension 48.10 .00 .00 .00 .0 0