HomeMy WebLinkAbout931 W 7th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000921 Date 8/23/06
083289
931 W 7TH ST
06-30-00-0-1-5758-0000-
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RS7 RESDNTL SINGLE FAMILY
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Owner
Contractor
JOSEPH B LAVIN/SUE-ELLEN KRAFT
931 W 7TH ST
PORT ANGELES WA 983635703
AIRFLOW HEATING
221 W. CEDAR
SEQUIM
SEQUIM
(360) 683-3901
WA 98382
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
INSTALL HEAT PUMP
85399
64.70 Plan Check Fee
8/23/06 Valuation
2/19/07
.00
o
Qty Unit Charge Per
Extension
50.00
14.70
BASE FEE
1.00 14.7000 ECH ME- INSTALL 100- FAU
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.70 64.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.70 64.70 .00 .00
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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. Ihereby'certifythaH 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
)
T:\Policies\1102_15 building permit inspection record05.wpd [1/412005]
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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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FfNAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FfNAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING -
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNG/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005J
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
DateRec~: G
Pennit #. _
Date Approved:
Date Issued: ft'/ fog/ t9~
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: J fA /V1'~ 'f' r;It () A " L /'
Owner: k 1'0. CI- S ~ f.-II-e.. V) / J (5) 5 t' ,) h 13
) I
Address: qJ l tv 7 'f-0 City:
Phone: 6.q, '3 ~ '3 <; 0 (
).ec. VI Y) Phone:
Zip:
ArchitectlEngineer:
Contractor A. I R F 10 State License #:
"
Phone:
Exp: Phone: b t2) - 3fi) I
Zip:
ZONING:
Address: City:
PROJECT ADDRESS: y:) I tv 7Y-k..
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK:
E1'"Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 MoveD Garage
o Commercial D Remodel 0 Demolition 0 Deck
o Repair D Sign tzfOther ,oVl( ~4.('cA- (
BRIEF DESCRIPTION OF THE PROJECT: ; /111c. I f{r:- I'A
SIZE/V ALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL VALUATION, $ q~ of)
i ;fJ './:'J.';O f( f(/V'(II a. c...,,' .
COMMERClAL/RESIDENTlAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
%
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno 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 Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work. .
T:\FORMS\BldgPermitfonn.wpd Applicant: i 'l"""~' ciJ C Date: <b - z... ,,- o~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
32\ EAST 5TH STREET. PORT ANGELES. WA 98362
Appl~cat~on Number
Applicat~on pin number
Property Address
ASSESSOR PARCEL NUMBER
Appl~cation type description
Subdivis~on Name
Property Use
Property Zoning .
Application valuation
06-00000921 Date
083289
931 W 7TH ST
06-30-00-0-1-5758-0000-
ELECTRICAL ONLY
9/27/06
RS7 RESDNTL SINGLE FAMILY
9800
Owner
Contractor
JOSEPH B LAVIN/SUE-ELLEN KRAFT
931 W 7TH ST
PORT ANGELES WA 983635703
AIRFLOW HEATING
221 W. CEDAR
SEQUIM
SEQUIM
(360) 683-3901
WA 98382
Permit
Additional desc
Permit pin number
Sub Contractor
Perm~t Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
BOB'S EL / NEW 200A PANEL
87718
BOB'S ELECTRIC INC
78.70 Plan Check Fee
9/27/06 Valuation
3/26/07
.00
o
Qty Unit Charge Per
1 00 78 7000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
78.70
Fee summary Charged Paid Credited Due
,
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 78 70 78.70 .00 00
Plan Check Total 00 00 00 .00
Grand Total 78 70 78.70 00 .00
COMMENTS! ACTION NEEDED
~~
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~
~
~
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-I102.1S 14'961
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~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J2\ EAST 5TH STREET. PORT ANGELES. WA 98J(12
Appl~cation Number
Appl~cat~on pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivis~on Name
Property Use
Property Zoning
Application valuation
06-00000921 Date
083289
931 W 7TH ST
06-30-00-0-1-5758-0000-
ELECTRICAL ONLY
8/25/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
JOSEPH B LAVIN/SUE-ELLEN KRAFT
931 W 7TH ST
PORT ANGELES WA 983635703
AIRFLOW HEATING ~~,
221 W CEDAR
SEQUIM
SEQUIM WA 98382
(360) 683 -3901
Perm~t
Additional desc
Permit pin number
Sub Contractor
Perm~t Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
OLY EL / HP-FURN
85316
OLYMPIC ELECTRIC
48 10
8/25/06
2/21/07
Plan Check Fee
Valuation
00
o
)~
~, "
~
~ t
Qty
1 00
Unit Charge Per
48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Perm~t
Additional desc
Permit p~n number
Sub Contractor
Perm~t Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
AIR FLO/ T-STAT
85324
AIRFLOW HEATING
36 40 Plan Check Fee
8/25/06 Valuation
2/21/07
.00
o
~
t ':\
Qty
1 00
Unit Charge Per
36.4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
00
00
00
\
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,
V\
't
Fee summary Charged Paid Cred~ted
----------------- ---------- ---------- ----------
Permit Fee Total 84.50 84 50 00
Plan Check Total 00 .00 .00
Grand Total 84.50 84 50 .00
Due
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
./
/1
I
GENERAL COMMENTS:
,
PW-II02.1S 14'961
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· v'°"'~ CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORt ANGELES, WA 98362
I~UIIUINC~ I:'t~MIT ISSUED: 6/25/2002 PERMIT NO: 13487
OWNER/APPLICANT PROPERTY LOCATION
931 7TH ST W
JOE LAVIN / SUE ELLEN KRAFT
931W. 7TH Lot: 13
Port Angeles, WA 98363 Block: 157 [] Long Legal
360/457-7478 Subdivision: TPA
T: S: Parcel No: 063000015758000
CONTRACTOR ARCHITECT
PAUL T KNUER N/A
504 EUNICE STREET
PORT ANGELES, WA 98362-0000 , 98360-0000
360/582-3820 360/000-0000
PROJECT INFO
Project Value: $20,000.00 SFD Units: 0 Commercial: 0
Project Type: WORKSHOP SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0 _.~
Construction Type: MFD SQ FT: 0 ~
Zoning Use:
PROJECT NOTES ~
24X28 DETACHED WORKSHOP
RECE,PT 247 0...- +$
FEES ASSESSMENT
Building Permit: $321.25 Misc Fee 1: $0.00
Plan Check: $128.50 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: $481.25
Plumbing: $27.00 AMOUNT PAID: $481.25
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work1 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 cancei the provisions of any state or local law regulating construction or the performance of
c°n I~i°n'
Signature of Contractor br 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 UNLA WFU£ TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
.EEP, ERM,T C^RD AND ^P}'RO, ED PL^NS AT,OB SIT'
INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS
ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: ~
~DER FLOOR / SLAB
WATER LINE
BACK FLOW / WATER
CE1L~GWALLS ~ 't ~' O ~
INSULATION
HEAT PUMP
WOOD STOVE / PELLET / CHI~EY
HOOD / DUCTS
PW UTILITIES ~ SITE WORK (Englneehng Division) SEPA~TE PE~IT
WATE~INE / METER
SEWER CO~ECTION
SANITARY
PLANNING DEPT. SEPA~TE PE~IT Ws SEPA:
FINAL INSPECTIONS REQUIRED PRIO~ TO
ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL
i LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
PLA~ING DEPT. 417-4750 PLA~ING DEPT.
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 (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date · ' ,-. Time By .~
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~]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~ -I~- 4'-~- Time Received by ~/-~ L~ (phone, person)
Location of Work to be inspected ~>~ I L~ -7 ''~
Name of person requesting inspection ~::~.~ ~
Address of person requesting inspection Phone No. ~
Type of Inspection (ci~priate one): Permit No. !
Sewer Foundation~,~amin~Chimney ~Final SewerExcav. Other
INSPECTION NOT,ES: ~
Inspected: Date ~ ' ~ ',y '~ Time By
Remarks: .... ~
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt I--~PCC ~lOther
[] 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:.~ ~ ~'- O~
Date __- __ Time Received by (phone, person)
Location of Work to be inspected (~ '~/~) "~
Name of person requesting inspection
Address of person requesting inspection Phone No.
(~?,[~o~riate one): Permit No.
Type of Inspection .
Sewer Foundatior~ ~rami_~ Chimney Plumbing Final Sewer Excav. Other
INSPECTION N OT-E-S~ .................. ,'/
Inspected: Date ~'~ 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 ~ --/~-~ ~-- Time Received by ~/ (phone, person)
Location of Work to be inspected ~-~-~/ ~' -7 '~ ~
Name of person requesting inspection
Address of person requesting inspection Phone No. Z//~/~_/,~
Type of Insp~ectin~(circle appropriate one): Permit No.
'-~ h
Sew~oundation Fra~g C imney Plumbing Final Sewer Excav. Other
INSP~
Inspected: Date -? ~ /~--~--~'~--~ Time. By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee L-~ COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~ ~ //--) ~ ~ ~ Time . Received by //~ (phone, person)
Location of Work to be inspected E~'~ / (~ --7 +k
Name of person requesting inspection ~'~ I
Address of person requesting inspection Phone No. /-'/'~/-
Type of Inspection (circle appropriate one): Permit No.
Sewer o/P'b~un~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~7~'/0'- ~'-~_ Time. By
Remarks: f~,, ~/~x,.~r II
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)
~ eoRr~ } FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Pe=it~:
Date Approved:
Date Issued:
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-481~
Applic~t orAgent: ~ { ~'. [~e~er Phone: ~eO/~'~Z-
Address: ff3l W. 7L~ ~4- City: %Cfi A~ae~e5 Zip:
~chitecffEngineer: Phone:
Contractor [ Idne er License :ff.aDkeoo yOExp: q/,7/e+ Phone: ¢Z-3 ZO
LEGAL DESC~PTION: Lot: /~ Block: /~ Subdivision:
CLALL~ COUNTY P~CEL NUMBER~/~ Credit Card Holder Name:
Billing Address: City:
Credit Card $: Exp. Date: ~SA MC
T~E OF WO~: SlZE~UATION:
~ Residemial ~ NewCons~. ~ Re-roof ~ Wood-stove ~ ~ SF. ~ $. /SF. =5
~ Multi-fa~ly ~ Addition ~ Move ~ Garage SF. ~ $_ /SF. = $
~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $_ /SF. = g
~ Repair D Sign ~ ~O~ TOTAL VALUATION $ ~o
COMMERCI~SIDENTI~: Occupancy Group: Occupant Load: ~ Cons~ction T~e:.
No. ofStories: j LotSize: ~KI~O % Lot Coverage: ~ ~
Existing Lot Coverage: /~/~/sq. fl. + Proposed Lot Coverage: ~ 7~ /sq. ~. = TOTAL LOT COVE~GE:
PL~NI~ USE ONLY: , ~ ~PROV~S: PL~~
~ F~
ES~ctl~d(s): D Yes D No SEPA Checklist rcqu~cd? D Yes D ~o Other: OTHER
FeP~E~. ~C ~uil~in~ D~v~sion can provMc you wRh more detailed in~o~fion on the application and plan s~b~al requirements. Your
completed application, site plan (~or addR~ons) ~nd bmldin~ cons~cfion plans arc to bc subdued to thc Buildin[ Division.
V~UATION OF CONSTEUCTION: In all cases, a valuation amount must be entered by thc applicant. T~s fi~re ~11 be reviewed
and may bc revised by thc ~ildm[ Division to comply wRh cu~cnt fee schedules. Contact ~c Pc~t Coordinator at 417-481~ Eot assistance.
PL~ C~ECK FEE: ~our p[an chcc~ fcc ~s duc at the t~c ~c ~ufld~n~ pc~t applicatio~ and cons~ction p]e~ ~re subdued. ~11 other
pc~t fccs arc duc at thc time o~pe~t issuance.
EXPIATION OF PL~ ~VIEW: If no pc~t is issued wRhm 180 days o~the date of apphcafion, this application will expire. Thc
Bufldm~ O~cial can c~tcnd the time for action by thc applicant up to 180 days upon ~i~cn request by thc applicant (sec Section 107.4
thc Unffo~ B~ddin~ Cod~, c~cm edition). No appl~c~tmn can b~ cxtcndcd more th~n once.
Applicant~ ¢~T> I~~ Date:
From: Gail McLain
To: Roger Vess
Date: 6/19/02 6:07PM
Subject: permit applications - 6/19/02
931 W 7th - detached workshop: service wire to house must be 5 ft horizontally & 3.5 ft vertically away
from new structure.
907 W 5th -propose garage is right under house serve - must have a clearance of 3.5 ft for 4/12 pitch.
Customer may want to relocate or u/g house service.
Need elect, load calcs on both for transformer sizing
WASHINGTON STATE ENERGY CODE:
TABLE 6-2
PRESCRIPTIVE FOR GROUP R OCCUPANCY
REQUIREMENTS~
CLIMATE ZONE 1 * HEATING BY OTHER FUELS /.
/
HVACs Glazing Glazin U-Factor Door ~o Vaulted Wall Wall, Wall. Slabs
Option Equip. Area": U-Factor Ceiling2 Ceiling3 Above int4 ext4 Floors on
Effic. % of Vertical Overhead~ Grade Below Below Grade
Floor Grade Grade
I. Med. 10,% 0.70 0.68 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-10
11. Med. 12% 0,65 0,68 0.40 R-30 R-30 R-15 R-15 R-10 R-X9 R-10
II1. High 21,% 0.75 0,68 0.40 R-30 R-30 R-19 R-19 R-10 R-19 R-10
IV.* Med. 21,% 0,65 0.68 0.40 R-30 R-30 R-19 R-19 R-lO R-19 R-10
V. Low 21,% 0.60 0.68 0.40 R-30 R-30 R-19 R-19 R-10 R-19 R-10
VI.? Med. 25% 0.457 0.68 0.40 R-38 R-30 R-19 R-19 R-10 R-25 R-10
VII? Med. 30,% 0.407 0.68 0.40 R-30 R-30 R-t9 R-t9 R-tO R-25 R-t0
VIII. Med. unlimited 0.25 0.40 0.40 R-30 R-30 R-19 R-19 R-10 R-25 R-lO
· Reference Case
· * Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
1. Minimum requirements for each option listed. For example, ifa proposed design has a glazing ratio to the conditioned
floor area of 19%, it shall comply with all of the requirements of the 21% glazing option (or higher). Proposed designs
which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this
Code.
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling.
3. Requirement applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level of R40, or on the interior to the same level
as walls above grade. Exterior insulation installed on below grade wails shall be a water resistant material, manufactured for
its intended use, and installed according to the manufacturer's specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed
according to manufacturer's specifications. See Section 602.4.
7. The following options shall be applicable to buildings less than three stories: 0.50 maximum for glazing areas of 25% or
less; 0.45 maximum for glazing areas of 30% or less.
8. Reserved.
9. Minimum HVAC equipment efficiency requirement. 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of 0.78.
'High' denotes an AFUE of 0.88. Minimum HVAC equipment efficiency requirement for heat pumps. 'Low' denotes an
HSPF of 6.35. 'Med.' denotes an HSPF of 6.g. 'High' an HSPF of 7.7. Water and ground source heat pumps shall be
considered as medium efficiency and have a minimum COP as requked in Table 5-7.
10. Doors, ~nduding all fire doors, shall be assigned default U- factors from Table 10-6C.
11. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross
conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor of U=0.40 or less is not
included in glazing area limitations.
12. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5.
38 7/01/01
2000 EDITION
TABLE 6-1
PRESCRIPTIVE REQUIREMENTS~** FOR GROUP R OCCUPANCY
CLIMATE ZONE 1 · HEATING BY ELECTRIC RESISTANCE
Glazing Glazin! U-Factor Wall Wall' Wall. Slab4
Option Area~0: Door s Ceiling= Vaulted Above iht4 ext4 Floors on
% of Floor Vertical Overhead~ U-Factor Ceilings Grade Below Below Grade
Grade Grade
l. 10% 0.46 0.58 0.40 R-38 R-30 R-2l R-2I R-t0 R-30 R-10
II, 12% 0.43 0.58 0.20 R-38 R-30 R-19 R-19 R-10 R-30 R-10
IlL 12% 0.40 0.58 0.40 R-38 R-30' R-21 R-21 R-10 R-30 R-10
IV.* 15% 0.40 0.58 0.20 R-38 R-30 R-19 R-19 R-10 R-30 R-10
V. 18% 0.39 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
VI. 21% 0.36 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
VII? 25% 0.32? 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-10
+ R-5a
VIII.~ 30% 0.297 0.58 0.20 R-38 R-30 R-19 R-21 R-10 R-30 R-10
+ R~5s
* Reference Case
** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned
floor area of 19%, it shall comply with all of the requirements of the 21% glazing option (or higher). Proposed designs
which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this
Code.
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed
Ceiling.
3. Requirement applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10, or on the interior to the same
level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material,
manufactured for its intended use, and installed according to the manufacturer's specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed
according to manufacturer's specifications. See Section 602.4.
7. The following options shall be applicable to buildings less than three stories: 0.35 maximum for glazing areas of 25 % or
less; 0.32 maximum for glazing areas of 30% or less.
g. This wail insulation requirement denotes R-t9 wall cavity insulation plus R-5 foam sheathing.
9. Doors, including all fire doors, shall be assigned default U-factors from Table 10-6C.
10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross
conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor of U=0.40 or less is not
included in glazing area limitations.
11. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5.
Effective 7/01/01 37
Appendix E: Sample Checklists & Worksheets
Attacl]nent ¢
Plans Examiner and Inspector Checklist
Permit No. Address ~'"~/ ~ "'~,/' ~
Ptinl blndner: Check. wdte in N/A. o~ fill in value on s~aded boxes.
Inspector: ChecA off boxes st left as items are found to comply.
Compliance approach: (d'mc:k one) [] Systems analysis [] Component periom~ance ~i~ Presumptive ~
A) c:~npliance approach is systems analysis or component performance;
B) compliance to minimum ventilation criteria is demor~J,~ied l~rough engineering caJcu~3tiofls or performance te~bng.
[] Be{ow grade exterior wall Inlulaflon: R- i~ (if Interior-- see Insulaifon Phase)
[] Radon mitigation:I ~f~ca~yrequ~red~mc~awtspacevenUng<1tt/3~ft2~fc~aw~rve~ts~nc~udean~perat~ed~m~er
[] Source apeefftc exhaust lens: Size requirement -- I:~, leu~ (50cfm); k~tc~e*~ (10ChUm)
[] Who/e house exhaust fen ~. c~ Intem~tmlt system hss rnanLm/& auto c~a~is; Oub~<x air ~Jpp~y req, fo~ hai~tal~e rms.
[] Integrsted ferced~lr *y~tmtt ~-~ aut.qlde ~' duct (wt~ dm~q~r) ~low~ng betweefl .35 ~ .S ACH
[] ~ Wall Insulation (ibove grade)
[] ~ Wall Itlaul~t]on (~elow grade): Interkx ~ Insulatlo~
[] Rldofl moflltor off ~lte: w~h Im ired gene~] I~/cxma~Jofl
[] Sa41cl ~1 apld~nce~: gl~ m me~ c~m~; ~t;ec~ ~.',-~,. ,., mum~, a~ 4' C~L, c~rr~er~, V~rec= murce tm unooncL meu
[] DHW heatrol: NAECA bd:~; sep~rele paWfK a~ FIs ~hu~-aff; ~ R-10 pad I~ eiec~c m~cI In .~ ~. ~ ~ ~ ~ ~me
[] Mer..hanleel v~ntflat~n duct~ Insulated to FI-4: ext~t du¢~ I~ ~ eree~'su~ _~_ _,,'A~_ In ~ ~re~
[] ~ HVAC duot~plenum Intuition: duc~ hi ~ I~'ees m'e Insisted ind .Iodn~ lu, e ~eeJed
[] Pipe In~ubt~on: R-3 loc hal m~d ooid w~ter pip~ng In uncar~ll~ecI mees (If ~m'Vk:~ or recltcul~ng, m T~ ~ 12)
E-52
Appendix E: Sample Checklists & Work, heats
PIm'~ Ex.nines-- fill ou~ thi~ glazing ~eclJo~ or mlach a window ~heclule to this chec~isl. Inspe¢l~ -- v~ win~ow
tormation dudng f.~ld inspections. Indude skylights, glass 0oo~ and all olher glazing on '~is ton'ri. Use rough
area lot calculations.
Size ,Quantity Area U-Value/Manufacturer
/ [ ' / ,
Signmum of Bu#dlng OfllciM:
Dete of Rnal Inspection: ~-~
E-53
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 8/09/2002 PERMIT NO 7770
OWNER/APPLICANT PROPERTY LOCATION
JOE LAVIN / SUE ELLEN KRAFT 931 7TH ST W
931 W. 7TH Lot: 13
Port Angeles, WA 98363 Block: 157 Long Legal
360/457-7478 Subdivision: TPA
T: S: Parcel No: 063000015758000
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: RES.GARAGE Project Value: $0.00
Occupancy Type: Construction Type:
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: i 1 I
Fan Wall 5 KW Service Size: 0
Feeder Size: 60
PROJECT NOTES
DETACHED GARAGE
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $46.70
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $46.70
AMOUNT PAID: $46.70
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417~4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A IVfl]qlMUM 24 HOUR NOTICE. [TIS UNLA ff/FUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE '7 ~7 7~-?
DITCH
ROUGH-IN / cOVER
SERVICE
FIN~ I I I
GENERAL COMMENTS:
vw-I I o~.l ~ I,Vg~l
d'~'~
.~
ELECTRICAL PERMIT
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J2\ EAST 5TH STREET. PORT ANGELES. WA 9RJ62
ISSUED: 3/08/2000
PERMIT NO 6891
OWNER/APPLICANT
JOE LEVINE
931 W. 7TH
Port Angeles, WA 98362
360/000-0000
T:
S:
PROPERTY LOCATION
931 7TH ST W
Lot:
Block:
Subdivision:
Parcel No:
o Long Legal
CONTRACTOR
BOB'S ELECTRIC
1227 DEER PARK RD.
PORT ANGELES, WA 98362
360/457-6887
ARCHITECT
N/A
, 98360-0000
3601000-0000
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
o Baseboard
o Furnace
o Heat Pump
o Fan Wall
RES. REMODEL
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use:
o KW
o KW
o KW
o KW
o Riser 0
~ Overhead Service
o Temp Service
Underground Service
Voltage: 120,240
Phase: ~ 1 0 3
Service Size: 200
Feeder Size: 0
PROJECT NOTES
REMODEL BEDROOM
FEES ASSESSMENT.
TOTAL FEE:
$44.25
$0.00
$0.00
$0.00
$0.00
$44.25
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
. Mise Fee:
AMOUNT PAID:
BALANCE DUE
$44.25
$0.00
COMMENTS/ACTION NEEDED
ELECI'RICAL PERMIT INSPECI'ION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT TS UNLA WFUL TO COVER.
TNSULA TE OR CONCEAL ANY WORK BEFORE 1T TS TNSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCIlPTED COMMENTS
I YES I NO
lU)TTr.t:r.lN I L,UY ~K <;/~/~ ~
:::mm; Y II :.... ,
/ ~/ j ,
r. I 1'110._
,
GENERAL COMMENTS,
"'-1102.1514'96]
.
",,'. ---'"
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
ELECTRICAL PERMIT
7ff
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
q21
Installed By:
Owner/Business:
#J
Owner/Business Address:
~ RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
}ii( ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
.
- .
l
/
DATE
,~83fo
.
/o-/6.9~
PERMIT NO.
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
OJ iDu4
1- c..J
. 'J:
~.Il1~ N.L
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
/A ;; Ditch Inspection O.K.
(~ Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
t1I
Cjj
LJ
L
v tAl
New Meters
-
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
?6 JrL
Electrict.llnspector
Installer:
~
e
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
YEllOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
:lV. t)<!J
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
I
~
\~
f, '._--i, 7. u,
ElECTRICAllNSPECTIQN
WIRING REPORT
457-0411 Ext. 224
DATE
LO-(~-~t
OWNER/CONTRACTOR -~
::Ic>[
ADDRESS
13t
PERMfT /I
fNSPECTOR
I~-
L~i,J
U/. -1-Pt
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER............ 0
o .................. SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED:
0-) ::r:t.Hf..4( ~c.,U / IJ.... i Lit h r
-~cQ~~ ~ ~
~:tL.:t;}.i 5-4+( C9J~l,u w*-II
~ ~~~ to bl/:S~~
(3_~T~ ~ f~ J c-~
. hl/ -Lt't0f1-d~.
?Lf)-/~~_3;/' UO/( ~~
~ ~ vJ-_~.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
,
Itv
- DO NOT REMOVE -
OLYMPIC PAINTERS, fNC. (206) 452-1381
, "1'
.'
ELECTRICAL INSPECTION
WIRING REPORT
457-0411 Ext. 224
DATI c9 _ L { _~ L ,RMIr.
OWNER/CONTRACTOR
INSPECTOR
\~
ADDRESS
q')t
w-r--;
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER.... . . . ... .. " 0
o .................. SERVICE .................. 0
o . . . . . . FINAL. . . . . . . . . . . . . . . . . . " 0
CORRECTIONS NEEDED:
--OJ ~v~wi~i.u~o~~
~~ ~ ~ ~ . LAJ,'f-R-,
_1&L~_~-f-LU(_I-L_Jj-
~~~~~
,
IN
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
Ol'rMP1C PRINTERS, INC. (206)452-1381
.
(1-. .
--.do ~- ~
""Electrical Contractor 0 Owner _...
Q ADDual Permit 0 Alarm 0 Carnival CJ Commercial
ELECTRICAL WORK PERMIT APPLICATION
. '..J
~CQucst Iuspection
1:1 Residential 1:1 Residential Mainl. 1:1 Signs 1:1 Thermostal 1:1 Telecom.
Job wired by
l:l Electrical Contractor 0 Owner
Installation description
{~q, (...7 L/50 40/
~)..I&i~./
~clncal. contnctor name License number
J;dop,S ~~1N!.. J?4jc;;xklJ'J.~:N
Purchaser's maltins addrcs" A. I A .
:/rlc;~ tfJ(~"^ Y(J.a~
"C:'l? /' Sl.le ZIP
{/.q..;/- {L, G'1/.-'1 Cr .lJt?.....
t~~cphonc 'number 0 FAX number
"
"
:,i
City
of OWDer, eJectrtcal
o Cash 0 Check #
o Credit Card @ Mastercard
Card # ______
ExPira~'
of card ~
Discover
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or aJtcr.ltion i{l coropli;;Lncc: with the elcctricallaw, Chapter] 9.28 RCW.
WALLS
Insulation Only
Dille Approved By
Cover
D.lIlt AtlP/'OIIQj By
Dille
Approlled By
THERMOSTAT "'
l)ll.Ie AWI'(\"<;uBy
/ DITCH
" Oalll "'Pflrtl..el1R)'
SERVICE
D;allll Appl'lI\'e4 By
FEEDER
O;oIC A#DfoV\ld By
CEILING
Insulation Only
Cover
0..111:
"PPlOlle(l8y
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
1:1 Basaboard JfNV
o Furnace KW
o Heat Pump _ Ton _ LAR
Q Fan-Wall _ KW
Service Information
o Overhead Service
CJ Temp Service
a Underground Service
Voltage
Phase 1:1 1 1:13
Service Size: _
Feeder Size:
Inspection
Dale
Area, Building or Eq\.lipment Inspected
Action T.\ken
Electrical
Inspector
.?tpr~,,---
/<fz.O
[1'66 ;:SP 09[ ,
'ON XttJ
~!-lP"13 s,aoa
WOCl.:J
-
-
08/21/06 MON 15:0; FAX 360 683 39;1
AIR FLO HEATING
141 001
e
......
ELECTRICAL WORK PERMIT APPLICATTpN
Job ",ired by
o Electrical Contractor U Owner
Iuslallation description
o Cummerclnl 1Il Residential
Electrical Gontractor name Licen....:: nUl'l"lber Date Expires
A 111- fUJ ~r1['"7 AI!',PL H~Jx:A(l2J
'purchaser's mailing address
Z2l W. (Iv/cA all- .'
Cily Stall::: ZIP
~,o1J IWI kJA- ~-3'2d
Telephone number FAX number
ONe",
JI!!t AJteredl Addition
'.
1- .:5,1\-..-
Addreu of inspecliuD
~ IA I -:}-=t:YI
16r+. ~~t~
Phone AU be.. to sc cdule inspection:
Owner as defined by RC ~/ .18.261:(1) OW/Ie,. will occupy Ow stT'Ucrurej'nr two
yellrs after ''''$ electrical {JPJIrIl'( is finaJi2ed, (J) Owner is f'C(Juircd 10 JUrI! Q'1. dcclrical
Co"froctor if abO\.t: said properly is for sale, rem 01- tea.':r:.
After reading the above staremen~ I l'lcreby ccnify 11m r am the owner of !.he above
n3med propcny or i1 liccnsc(t eleclrical CO'ltractOr. I am making the e1cclrical instal-
lation or alteration ill complianc:c Wilh the electrical laws, N.F...C.. RCW. Ch3pler
19.28, WAC. Chapler 296-46B. The C:ify of Pon Al\~eles Municipal Cod!:. and
Utility Specifications.
512:D -ocr. electrical contr~crOr Dr electriul administrator
IJ Cash IJ Check #
1(CreditCard @ Mastercard Discover
Card #
x
Date:
ExpirationDatc
of card
Inspection f!:e
$ 3" .-IfD
Service Information
Electrleal Load Addition and or
o NO LOAD CHANGES
Q Baseboard KVV
ri' Furnace ~ kw
!ilHeatpump 2 Ton_LAA
o Fan-Wall l(W
ctions
CJ Overh9ad Service
CJ Tel"l1p Service
D Underground Service
Voltagl:!
Phase0103
Service Si2a:_
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
t' ROUGH-TN TIlERMOSTAT r SERVlCE
"- Dlle I\l"pro~.:d 6y DlIte ^PflrovoJ By "- D.." Apprtlvedl:l)' ./
FINAl. /' DITCfT r FEwER
,
,
, 0," A.p1"O~~.,JBY~ , D;lt~ Ap!,ro~eG By '-- D::I.lc Al'Prav~d tly./
Inspcction Area. Building or Equipment Inspected Action T3ken Electrical
Date Inspector
-
.
, ,
1m
g/~/crc.
08/22/2005 15:58
3504523498
OLYMPIC ELECTRIC
PAGE 01
i
,
f/t1J1j0..
It
s
ELECTRICAL WORK PERMIT APPLICATION',
Job wired by
ilI'Electrical COOl tractor 0 Owner
Tn~ttll1lHion description
a Cnmm~rdat Qo1{esidential
E1ectric..') contractor name
~~~r r!,-<frr'
p ~CT . mailing address
JO:?~ Tr.#lFY~/?
Cit
~r/~,-6-
Tclc"honc nO cr
License number Dote Expires
O/"Y~/?P;X>f?1
il)1Iiew
o A1teredl Addition
~r7cl1'!. ,J.-flP
:
Stiltc ZIP
(./.;'. YAY6".L
FAX nllTtlbeT
.
-.fJLo
Addr-css or iasJectinn .~
7.// f/J '7;..L
c~rr /I'-'(I"'/r
./
Phone num.ber to schedule inspec:tinn: if;7 7- ? If 7?
Owfter as dl'!.jincd l'y RCW,/9.28.261:(J) Owner will occupy ,he s,ructf1rc .r",. two
year.c (lfie.r this electrical permit i.'I: fillaII=ed. (2) Owner t.o;: reqr.ired 10 hire /'In dccrricol
conrraclor !r above sa.id pr(ll't.rry is fn, solc., J'(!nf or leCUf:.
Arter reading the nbovc ~t:JtemC11t. 1 hereby certify that I om the owner of the abo\lc
named property ('or II licensed electrical contractor. 1 am fI'laking the electrical inst~l-
la1.ion or alteration in compliance with the elcctrico.l1aw!i, N.F...C.. RCW. Ch;lpter
19.28. WAC. Chapter 296-46B. The City or pcnt An@clcs M\lnicipal Code. Olno
Utility Spec;fieation~.
Sl~natart of owner, electrical contnt:lor or electric. I ,,'dminlstralor
o Cash
o Check #
lB"Credit C~rd
Card #
Visa
Mastercard
Discover
-------------------
x
~G
Expiration Date
of c~rd
Date: $/A
~ Iloed Additions e.llll..2rJ;.ubtra~lons
o NO LOAD CHANGES
CJ Baseboard ~
til"Fumoce .Jt:2. KW
liI1"leat Pump Z- Ton _ LAR.~ 1.\ \:-vJ
o Fan-Wall _ KW
o Overhead Servica
a Tgmp Service
(J Underground ServIce
~~rmatIO!'l
Voltage ;2 '117
Pho.. I!f 1 0 3
Service Size:~
Feeder SiZe:
SAME DAY INSPECTION eAJ L BEFORE 7'00 AM 360-417-4735
, -
/ , SERVICE ,
ROUGH.IN THERMOSTAT
'- D~le l\CCmYl:d Dr r)nte ^rrrrovc(t "y nnlf ^I'f'r"Ov....J Ry
( I L JFfNAL DITCH / FErnER
q ~ --dE) I
'-7 D"~/ AM'r ved 8:0' ./ OUe ^~ve~ ljy-/ ~u, AJlP"'''C(lRy-/
IMlIcctic'ln Arli:(l. Building or EquipmC1"lt Inspected ^cnon Taken Electric:'!l
Dele Inspector
t?; -fJ~./D& ^~- :ti'-/J
1)
A~ J ,
.,%7 8/)'3j JOb
"
Rug 05_,02 12: 50p
'f \'OA1~_
(j~
Bobb", O.
Coleman
360-452-7594
p.l
ELECTRICAL PERMIT APPLICATION
" "L-'
4
rox OFFICIAL USF_ O.'>lL Y
o...dlt.-:____..._____
I'enn"f- _______
V~~A.l'I"n"..;l:_
Pb~ase ty!). or reprint in ink. If you have any qUQ$liolls. Please call (360) 417-
4735
Fax number: (360) 411-4111
/) /7 REQUEST INSPECTION 0
Own",a,Eleo Ca"'''cla, Agen' - Lt1/f~~ Phone c:z -7 j-'; Y Fax;;Z -7J)'y
PropertyOwrw, 0cL<' L"Q Vi.,) J-~S'U& J!//CI-t/ K~/1 ,cr Pha". ~~"7-7.y17f3
Add,." -9 ::; J ~ :::: 1: -;pty.~ /l lop
EJec1ncal Conlr.:lctof - "4"..: __ "!./ZL~ lIcense II Exp Phone
^'
,
l
The Eh:clrical Permit Application must be filllld out comnlel~lv.
7170
Address:
City:
INSTALLATION WIRED BY: rJ OWNER 0 ELECTRICAl CONTRACTr
Credit Card Holder Name.- (? ~-;f~, f;y.,-r-z;r-<-<-
Zip:
Billing Address' City:__.
Credit Card Number '/ Exp_ Date:
&/
/
Zip:
VISA~ MC,--
PROJECT ADDRESS-
"'31
tI\l -, C-
TYPE OF WORK:
Check il!! that apply: ~ew
o Alteration/Addition
~eSidentiC;iJ C1 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added Dr altered:_L
o Low Vollage 0 Telecom. 0 Sign
DESCRIPTION OF THE ELECTRICAL PROJECT:
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Sl!rvico Information
8 Baseboa,d
U Fumace
o Heat PunJJJ
)lfan-Wall
_KW
_KW
- TON LRA
~i<w -
o Overhead Service
Ll Temp Service
o Underground Service
Voltage:
Phase: 0 1
Service Size:
Feeder Size:
03
i hereby certify that I have read and examined Ihis application and know that same to be true and correct. and I am
authorized to apply for this permit_ I understana it IS not the City's legal responsibility to determine what pennits
are required; it remains the appliCants responsibility 10 determine what permits are required and to obtain such.
Cretlil Card Holder's Signature: ~ to ~
Owner or Elec. ConI. Signature: (/ l 7r C~fd.' '
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