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Home My WebLink About1739 W 7th St - BuildingApplication Number 08 00000979 Application pin number 361806 Property Address 1739 W 7TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 4950 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Replace broken sidewalk along L Street Owner Contractor KEDISH STEWART L PO BOX 507 PORT ANGELES Fee summary T\Policies \1102.15R [1/05] WA 983620077 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Charged Paid Credited Date 8/11/08 Permit RIGHT OF WAY Additional desc REPLACE BROKEN SIDEWALK Permit pin number 131979 Permit Fee 00 Plan Check Fee 00 Issue Date 8/11/08 Valuation 0 Expiration Date 2/07/09 Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 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 ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY 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 ,T•\Poiicies\ 1 IO2.15R; i /05J' PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE. SITE EROSION PARKING SIDEWALK'. CURB GUTTEIt DRIVEWAY. APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES I NO RESIDENTIAL'' CONSTRUCTION R W PW ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I I J I I.. I 1 I I I I'. I. L. I I I 1 I I I I I I` I I I I I I I I I I I I I .1. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO; COMMERCIAIs DATE` ACCEPTED, YES`. I NO CONSTRUCTION R.W PW ENGINEERING I .FIRE DEPT. I PLANNING DEPT I BUILDING COMMENTS I I I I. I IF, I eel c1 'PORT ~ ~~~~"" ~hii~ L~ ~ 'lOl",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ \N Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000201 1739 W 7TH ST 0630000149500000 ELECTRICAL ONLY Date 3/18/03 \ o \J Q) Owner Contractor "- REDISH STEWART L PO BOX 507 PORT ANGELES OWNER WA 983620077 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ELECTRIC SERVICE 70.80 Plan Check Fee 3/07/03 Valuation 9/03/03 .00 . 0 " ~ ~ Qty Unit Charge Per 1.00 70.8000 ECH EL-R-SQFT FIRST 1300 Extension 70.80 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70.80 70.80 .00 .00 Plan Check Total ..00 .00 .00 .00 Grand Total 70.80 70.80 .00 .00 t' , ~ ,~ ~ ........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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ......... ROUGH-IN ~9-111 ~D1tI #X./ PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE . BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB I I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / 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 ELECTRJCAL - LIGHT DEPT. 417-4735 1h.-5' Io.~ M~ ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ / / CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERING FIRE 4 J 7-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLAl\'NINGIFORMSIII02.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 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 IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE [ DATE I yEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR ! SLAB ROUGH-IN WATER LINE FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750Hr]~V~ PLANNING DEPT. ~ ..... CITY OF PORT ANGELES E~_~. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Nua~0er ..... 03-00000237 Date 3/07/03 Property Address ...... 1739 w 7TB ST ASSESSOR PARCEL ~3MBER: 0630000149500000 Application description . . . RES REMODEL Property Zoning ....... Application valuation .... 10000 Owner Contractor KEDISH STEWART L OWNER PO BOX 507 PORT ANGELES WA 983620077 Permit ...... BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee .... 204,75 Plan Check Fee . . 81.90 Issue Date .... 3/07/03 Valuation .... 10000 Ex~iration Date . . 9/03/03 Qty Unit Charge Per Extension BASE FEE 92.75 8.00 14,0000 THOU BL-2001-25K (14 PER KJ 112.00 Other Fees ......... STATE SURCHARGE 4.50 Fee shum~ary Charged Paid Credited Due Permit Fee Total 204.75 204.75 .00 .00 Plan Check Total 81.90 81.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 291,i5 291.15 .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 ordinances goveming this type of wonk 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 ioca! law regulating construction or the. performance of construction. >~ ~ 4%¢,~/~~ / / Signature of Contractor or Authorized Agent Date Signature ofOwner (if' owner~Is~ builder)' " Date T:\PLANNING\FORMS\ 1102.15 [412002] 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 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE [ DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL C IL oWALLS IT II FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION MECItANICAL HEAT PUMP WOOD STOVE ! PELLET / CHIMNEY HOOD / DUCTS FOR OFFICIAL USE ONLY: BUILDING PERMIT- APPLICATION P mit#: 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 41%4815 Applicant or Agent: KEDISH, Stewart L. (Mar-Ked Enterprises) Phone: 360-457-5005 Owner: KEDISlt, Stewart L. & Margie Phone: 360-$457-5005 Address: P 0 Box 507 City: Port Angeles, WA Zip: 98362 Axchitect/Engineer: Bill Lindberg (Consultant only) Phone: Contractor Mar-K~d Ent~rprJ ~o~ License #:MARKEECQ21KC Exp:. 5/3/03 Phone: 360-457-5005 Address: p 0 Box 507 City: Port Angolos WA Zip: q8367 PROJECT ADDRESS: 1739 W. 7th Street, Port Angeles 98363 ZONING: RS-7 LEGAL DESCRIPTION: Lot: 11 Block: 149 Subdivision: Townsite of Port Angeles CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: P 0 Box 507 City:Port Angeles~ WA 98362 Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZE/VALUATION: m Residential [] New Constr. m Re-roof [] Wood-stove 934 SF. ~ $ /SF. [] Mutti-fanfily [] Addition [] Move [] Garage SF. ~ $ /SF.- $. [] Commercial ~ Remodel [] Demolition m Deck SF. ~ $ /SF. = $ rn Repair [] Sign [] TOTAL VALUATION $ /O,Ft3~:O ~o BRIEF DESCRIPTION OF TIJtE PROJECT: Re-locate rbnterior non-struct;urai wails, electrical. I oE9 ~ and plumbing. Add deck, re-roof, new windows/glass, improve insulation, COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type: No. of S~ories: 1 Lot Size: '~0t2~160 % Lot Coverage: % Existing Lot Coverage: ol ,~ t_~ /sq. fi. + Proposed Lot Coverage: /r_-/~' -'s~_fi. = TOTAL LOT COVERAGE: .... /sq. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on thc application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submiRed to the Building Division. 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: Your plan check fee is due 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: If no permit is issued within 180 days of the date of application, this 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. [ hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such./// / / ~,- Applicant: Date: 2/13/03 T:\FO RM S~APP S~Buildingpermit CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~/-~-o~--0'~ Time // .'~)~T-~)/~'t/~Receivedby ~'~person) Location of Work to be inspected / F~,'~ ~:~, {~t~' ,~-~ Name of person requesting inspection ~)~/~ y,~J ~/.~>~, Address of person requesting inspection ..... L~'d ' Phone No. ~"O~C~/~/J Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing ~ewer Excav. Other INSPECTION NOTES: Inspected: Date /~?--(~"'~ ~_~.~_~.z) Time. By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~-]Asphalt ~-]PCC [~Other []Repaired by City Work Order # E] 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 ?./~x/~A~3 Time-~,'d:~;//~,/~/Receivedby Location of Work to be inspected ~~~"[ / ?'~ ~/' [~', ~ ~'~ Name of person requesting inspection _ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav.~,~/L~$ INSPECTION NOTES: Inspected: Date J~'~O~ Time ~.'~D,~'% By Remarks: ~_~-~-~ ,..~..,,~/,c..~.,/. RESIOR~IION ~FQUIRED ...... 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 ~/~-3~"{~-c)-~ Time ~--:~ ~'~/Receivedby ~~~person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No, ~ ~/~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Inspected: Date ~/~-0~ ~Time ]:~) fi~ By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC [~Other [] Repaired by City Work Order # El Repaired by Permittee [-~ COMPLETE ~ [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) 'O"~. ~fjd~':, De ~~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Lasered CEO Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . Application valuation Owner KED ISH SrEWART L PO BOX 507 PORT ANGELES WA 983620077 -----------------------------------------~-------~~--~~~!--------~~~-~~----- , '-'" "'""l,::H~ 07-00001005 Date 582135 1739 W 7TH ST 06-30-00-0-1-4950-0000- ELECTRICAL ONLY 9/14/07 RS7 RESDNTL SINGLE FAMILY o Contractor SIMPSON ELECTRIC 243036"WHWY 101 PORT ANGIj:LFi9, (360) 457-9?70 WA 98363 Permit Additional desc . Permit pin number ,Sub Contract~r Perm~t Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL " , :< ~", SIMPSONI 200A SVC ".~ ". 110015 SIMPSON ELECTRIC 75 00 9/14/07 3/12/.08 " , .' " Pi~n Check Fee Valufltion 00 o Qty 1 00 Unit Charge Per ',' .75' OOOO,:ECH .' EL,-RM-0-'200 'lST'SRV FEEDER, Extension 75.00 Fee summary Charged Paid Cred~ted Due --~-------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 00 75 00 00 ,,00 Plan Check Tota1 00 .00 00 60 Grand Total 75 00 75 00 00 00 COMMENTSI ACTION NEEDED ............ c : "J c (A '{) t "'J \~ tf\ ~\ ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPlt DATI. COMMENTS NO GENERAL COMMENTS: PW-II02.1S (4'96) . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. / '5)? /0/(9/J7 DATE Site Address: J 7Jl 7':/4 1~EADY FOR o WILL CALL FOR tV. INSPECTION INSPECTION Installed By: ~" [ / t.? f(u ~ Ie-. I License Number: Phone: Owner/Business: Mfzr. WA 1ft Phone: Owner/Business Address: Sq. Ft. M Residential r-Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel ~ervice update/alter:re~air Overhead o derground Volta e o 10 Service ze o Tempo ry Amps DetailslDescription: 01(( ~ , o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) 5~JILC- e~ [ ~ Mz1 1J"iM/ Zlct:) . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. ~~O.K. to connect service o Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: /7 'J9 M f Itr f{fc.--&a.' L New M~ Date: Site Address: . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. M r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :=30 ~ , Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall -._..~.... ........T.....L 'NC:, lb/7 FEE AECEIPT NUMBER CITY 6~T ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A //tz- PERMIT NUMBER . TOTAL FEE 119@ ; CONT. Lie. NO. T1METOCOMPLETE NO. STORIES LEGAL OCCUPANCY .. Site Address /7;J ELECTRICAL PERMjT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . 'fA..- O,~ner -----=t:-tt Owner's Address CORRECT A~ESS IS RESPONSIBILITY OF APPLICANT u)Lv;' -,".' - .C JAvvJ . , - PERMITS WITH WRONG ADDR Installation By Installers Address Installers Phone. Day Phone Application is hereby made for Permit Wiring Method fJ/~ , I . NUMBER AMP 120V 240V NUMBER AMP _120V 24QV USE OF CIRCUIT - 'PEA 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOL T8 .. OR LESS CONVENIENCE .--c- MOTOR CONVENIENCE .. ... MOTOR APPLIANCE . .. MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN . WATER HEATER LAUNDRY . . DRYER . REINSTALLATION'LIGHT FIXTURE 1# FURNACE ... SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC '. . . BASIC FEE ELECTRIC HEAT .. .. .. TOTA~ FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONOUCTORS ... SERVICE AW.G. . I SUB.TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work "to be performed under this permit wiii be done by the installer and in' conformance with the N.E.C. Electrical Code: Date Application made ,19 By CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, accordil"!g to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angel s. , CTOR CITY LIGHT WARNING I' I By . .. .. PLANS APPA EO. .'. \ t.\\', ,;:, Jv""J\ Notify Department of City Light by Street Address and Per Number when ready for inspection. Work must not be covered or curren! turned on before inspection and O.K. f.or covering or service has been given by Inspector in Writing on PermifPlacard. A. - Permits Phone: 457-0411 Ext. 158, PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - . Date Permit Issued WHITE" Original CANARY" Duplicate PINK. Triplicate WHITE CARD" Inspector's Report ___.n. "I,nll~ PRINTl=RR INC. REPORT OF ~PECTOR DATE OF VISIT MADE BY REMARKS -:- . , . - .. -:- . " . - , , O.K. FOR COVERING . f O.K. TO CONNECT SERVICE 7~ /,,/ If! % 7 ~AL-O~ ""'7 . . .. , . z Cl a:: < :::!: ~ :I: I- Z W . I- o Z o c . 08/30/2007 19:15 4579270 SIMPSON ELECTRIC PAGE 0lJ G--w . } ELECTRICAL WORK PERMIT APPLICATION .Ioh ",ir~ b)' }(EltctritSI Controttor [J Owner eehical contractor name ~ l.ict:n.'1c ,number Dille Ep;pints "rnt/~ Ekvho'~ _YJ...I/JP_Oi; '!73tt9 ~~~;:31~"ddi:Jw~J~/ 0 CityD~ (J'1 _ I U Sto'e ZIP V- I ~. H1Ud;A't'6 Wn- 'fo'3t.3 TclClJh nt number ,f 7 0 F~* oi!~ I'remllu owae"l~ na,e f(.,- J j r..-. I $; fi'~ (pJrT ""6l CJI/;j'11 Address or inspcetion , ..J4... /7_=39 W. ~~ City POI{J ~.. / Pbone DlIm er to lJehedJlle InspeetioD: -5 Owne,. 4~ di!jlfled hy IICw.r.9.28.26J.-(1) Owner wilf o(:efl~' the SI",ctu~/o" 'wo years q{ter th/..<: elec'rjCQ[ Pfrmll is ,finolized. (1) Owner is reqlljr(!d to "ire (Ut electriCtJ[ CQltll"dClt1r ff 4bQllt .~lI;d proptrty is for sole. rmt or leost. Afler readins the above lltlf1.cTncnt. I hereby CeTti('y 11\8\ , 11m the nwner of the above named propcny or a licensed elecmelll contrnclor. , om mo.kl1\{t the electtical instal. lIltion or 2l1tcration in cClmpliaocc with the electrical lows, N.E.C., RCW. Chaptet 19.28. WAC. Chapter 29G-46B, The City of Port AnaeleJ: Mun;cipnl Code,and Utility Speeificarinn~. Signa r of "Wllcr, fleet 'j~ (;) Cash [J Cheek # . redit Card ..:f!iJ M_.stcreard Discover ~d#__~___~___~ Expiration Date of card ~ I.3D S@rvlce Information. Electricsl Load Addition. aD !.Il:>..!r.\!.1allml o NO LOAD CHANGES lJ eaoebOard _ KW o Furnace _ KW 1:1 Overhead Service [J Heal Pump _ Ton _ LAA Q Tamp Service CI Fan-Wall _ KW ]!A Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360417-47:15 Voltage P_D1D3 Service Size: _ Feeder Site: .. ROUGIIcIN THERMOSTAT SERVICE Dlll~ ApllNvcoJ By DQI~ ^PI'"'-' By OSle /Ip'fO~18y (7/ ~,/,.,FTNA~ /,/~ mrcu FEEDt'.Il ~,'~/l.:7 ".~ DIll 7 ^~I!'d [11' ./ Om ^",,"",llll8y/ """ """"OT/ ITl9pection Area. Building or Equipme~t Inspctled Etectrieal O~te Act;on Taken t,..speclor q-'1-oi NO ()orJoJ/:'"<4 Fi:-c M ,g~L . I5lIE /AI I? n II W"__"=D t I l!:, /jJ/ AUG3 1 2C 7 LIGHT DEPT.