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Home My WebLink About734 W 9th St - BuildingApplication Number 04 00000485 Pin number 016675 Property Address 734 W 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 9835 0000 Application description RES FOUNDATION REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5348 Owner Contractor HERSCHELMAN TINA E 734 W 9TH ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total 46 70 Plan Check Total 00 Other Fee Total 4 50 Grand Total 51 20 T• \PLANNING\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 CURTIS CONSTRUCTION P 0 BOX 512 WA 983637323 CARLSBORG (360) 460 5810 EL- DETACHED GARAGE 60 A PNL GARAGE 46 70 6/29/04 12/26/04 Qty Unit Charge Per 1 00 46 7000 ECH EL- R- OUTBD /DTCH GAR SEP Other Fees STATE SURCHARGE Paid Credited 46 70 00 4 50 51 20 Date 6/29/04 WA 98324 Plan Check Fee 00 Valuation 0 00 00 00 00 Extension 46 70 4 50 Due 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 fora 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. n Co actor or Authorized Agent lute Signature of Owner (if owner is builder) Date 'I 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. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /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 GAS LINE 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 ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \PLANNING \FORMS \1102.15 [11/14/2003] DATE YES NO COMMERCIAL DATE ACCEPTED I YES I NO /A Z) YES i NO I I I I I I I I I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING I I I I I I 1 I I JUN -23 -2004 02 58 PM JEFF NELSON Fr Owner or Elec. Contractor Agennt:,j e. icki 644. Phone: 9 j Fax: 64'I-4 ZS 'Pre nty^ewnerr tin 7'a MUFF'S CONS/7 Phone: Address: 7 7V 9 City Zip: License #.JeFTk /qI Exp Electrical Contractor: Address: 76422. PROJECT ADDRESS. C /ELECTRICALPERMITAPPLICATI ON de ee/zg:/c. ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out comoletel, Please type or reprint in ink, If you have any questions, please call (380) 417.4735 Fax number. (380) 4174711 G� City )c v INSTALLATION WIRED BY D OWNER `ELECTRICAL CONTRACTOR Credit Card Holder Name. P /Whet% FleC lkE.. BIIIJng Address. '7462_ d ki O�Y arc. City' y this, ZIp. 91 Z G Credit Card Number. VISA. MC' L/ TYPE OF WORK. 'C l h@ a ll that apply' New $4Jteration /Addition or 6Amomc_ 0 Residential Multi- family 0 Commercial Mobile Home Sq Ft Remote Meter O Detached garage Hot Tub 0 Swim Pool 0 Septic Pump Low Voltage C Telecom 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT j oy Electrical Heat Load Additions and or Subtractions Service Information Baseboard KW D Furnace KW z S r' e O Heat Pump TON LRA —0-Temp-Service Fan -Wall KW Underground Service I hereby certify that I have read and examined this application and know that 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 applicants responsibility to determine what permits are required and to obtain such Credit Card Holder's Signature Owner or Elec. Cont. Signature: c l' 13606810729 P 01 PERMIT FEE. FOR OFFICIAL USE ONLY AWaRoc. Permit p: Dena Approved: Date Irtued. Phone: y Zip: �h 3� Z caA Voltage: Phase: 0 D 3 Service Size: Feeder Size: Date. 6/6 3 A, Date: Oy y� 36 (7) Y‘ 79 Application Number 08 00000030 Date 1/09/08 Application pin number 887450 Property Address 734 W 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 9835 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor HERSCHELMAN TINA E 734 W 9TH ST PORT ANGELES Fee summary Permit Fee Total Plan Check Total Grand Total WA 983637323 Charged Paid Credited NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 118737 Permit Fee 91 00 Plan Check Fee 00 Issue Date 1/09/08 Valuation 0 Expiration Date 7/07/08 Qty Unit Charge Per Extension 1 00 91 0000 ECH EL R OR RM 201 600 ALT SRV FDR 91 00 91 00 91 00 00 00 00 00 91 00 91 00 00 Due 00 00 00 INSPECTION TYPE DATE DITCH SERVICE li*Vo, ASP' 4;1447 ROUGH IN FINAL EL FETRICAL RESULTS INSP F, C TOR CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000485 Date .016675 734 W 9TH ST 06-30-00-0-2-9835-0000- RES FOUNDATION REPAIR 6/08/04 RS7 RESDNTL SINGLE FAMILY 5348 Owner Contractor HERSCHELMAN TINA E 734 W 9TH ST PORT ANGELES WA 983637323 CURTIS CONSTRUCTION P. O. BOX 512 CARLS BORG WA 98324 (360) 460-5810 Permit BUILDING PERMIT -RESIDENTIAL Additional desc REPAIR/REPLACE EXISTING GARAGE Permit Fee 148.75 Plan Check Fee 59.50 Issue Date 6/08/04 Valuation 5348 Expiration Date 12/05/04 Qty Unit Charge Per Extension BASE FEE 92.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 148.75 148.75 .00 .00 Plan Check Total 59.50 59.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.75 212.75 .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 orwork 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 pre~u to give authority to rOlat or cancel the provisions of any state or local law regulating construction or the performance of c '" ~n AJ . 06- il-Cl-( Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] -:: ~ ~ -.. " -. C ~ 1> '\ ~ ~ ~ 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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS YES NO FOUNDATION: ~ S Lc~-.b FOOTINGS l,-i4-6L/ 0LL.- WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB b~"^, k " ROUGH-IN 6- Ii/-e/I 5L-L ~\A. .9c.. ..-a...~ ~ WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION , SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARAl'E PERMIT #'5 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 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 /~4J-I-o H - \. 1-., BUILDING T:\PLANNING\FORMS\ 11 02.15 [11/14/2003] 01 01 o-J '" ;J>'OonEj n'O t-< t-< >< ~ :g~~~a H" \0 '" '0 o-JOl \0 Ul '- t-<nOlo-J" ><'0 Ul H 01""01 ;J> 0 0 10 o-J Zt-< ;J>Ul 0" .... .... ~. nUl "'01 o-J a Il:I 01 0 '0 '" 01' ". 0 n"ll:l " ,,'" "'''' 001 o-J'- '-'- 30 tv ........ 'OC::o o o:I: ()....J S::~ Vl"," t-<OlO -;~~~~ '-'- OlUl Qo 00 o-Jo-Jll:I OWC/)I-i 01"'" "'""'" 0l0lC:: OO()H::E; t-<- aaH 0' :I:Ul 01 ~ 0001 \0 Ul.... 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Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or,Agent: C lAr \., ~ COA <;,~(,^-cA, Or-.. Owner: .f(! he\. \ ~".she.1 ~a.';: \ Address: J I ~O y-hOrY'-p->C>r'\ QJ City: a 1 Y t\ Architect/E~ineer: fl0f\Q... Phone: - Contractor l' VIr\-:. S C"10 5 ~ r- ,^-J~tate License #elA'~' ~ ~472m ~xp: 7-r)-o5 Phone:3to 4 /j) -~IU Address: P ,0. ~\Ji- ,~I L City: (.c.r \S 68\5 Zip: CJ& J 2 <-/ ~~ PROJECT ADDRESS: 73LJ vJi ~ I V Phone: 3W 1 '160 - <):y 10 Phone: 360 ,LfbO .sJ 10 Zip: q 83~ ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: (h l'i.s6 ~Q:r l\/. C t,I\.( \~,S Billing Address: 9/1) / ~)-. _ ,'-,"17.. ~~_r~ ~ Citr . (" Credit CardType VISA V MC # ,/ TYPE OF WORK: SIZEN ALUATION: I LJ Ilt'iesidential 0 New Constr. 0 Re-roof 0 Stove 3~ -Z SF. @ $ _ /SF. = $ o Multi-family q.Addition 0 Move ~Garage SF. @ $ /SF. = $ o Commercial 'Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ )Ii. Repair 0 Sign 0 Other TOA'AL VALUATION J $ BRIEF DESCRIPTION OF THE PROJECT: re (rtOJ:.... D 0\ ~e.. e.. Wo-.U ';' /1 ~ lL b c,0r). 6(,-: \J 1~<AJ Wv.Us . (t}lt ~ s S"pf'vrkJ f9lJU" flew COMMERCIAL/RESIDENTIAL: No. of Stories: L Lot Size: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: Existing Sq. Ft. Total lot coverage = TOTAL Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figme will be reviewed and may be revised by the Building Division to comply with cunent fee schedules. Contact the Pennit 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 pennit 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the sa e 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 reQuire9yo the City's, and tha mu t obtain such permi:s prior to work. T:\FORMS\APPS\Buildingpermit.wpd Applicant' Dater< On - [) 2-tJ-.( '\ ' J. . t ==:;.' ""'--- --c:: .... c- ........ "'-- -~ 1\ I \ ~ 9- j ..... ~'- \, -J " ~! ......, ! \b I --- \~ \ r, " / I I \ I " , i I I I -r~r /,1.> '"' 1 ./' 1 +- e:: ~ ~ -;;:-. ~ ~ c' "" _ J ~ ~, .,. \ '\ .:r- A - hr ~ t:Jd ~ ~ -r. --- i I ,..., ~, I~ i ( J " I ; '91- I / ,.-"",.::,'):' ~~ ~1- C> ("- ~ ~ ":) (> ~ G V\ ,,- .+ '4 ~.(, 0" ..., j ~ IF~'"") '1;)\. -{ ''''0' /- """ t '~, l..' ... - - ... ,,/ o '0\-:::- J I"J -- ,&r- ~--- .- - '-.}- \ \ . C") , : , Q)'-^ \, I C~ r " ';. j - 1 p ~J " r; ~\ ! -., ( .~ r <"<.;' ') )<. '. {'- -,_...- ) -- ~ .....,,\;" ;~ i-J 9 i A" /'1,Y (...: fl. Jf. ~ '-<. , ~ ~~ ~ ~ Q ;.., :::: ~ ~ :< , ~t~~:~ ~ ~ C_' ~::: ~ ~ -.J' v; .g ~ ~ ~ ~ ~ ~:: fg ~ 5: or ~ )> ~;:::~"U a.~ ~..... 2: ~8? l:o;l3C') ; ::_:,:=? g g. S ::: ;:::;: m ~'.:3a;<1>g~r- .1M :~~j: f t~,,~og~g 0 ;:~:,~,::?,::?g ;---.. ___ l~ -, __ C'i) C'O ~ ,.. _ ~. ~ 3 ~ g ~ 2 ! -~ \ s_ ~ "0 Q ~ ~ g t{ IV-' $ ....., (J) ::;]':::1 o. I~ ~'1 : i ~ ~ ! ? ::;" ~. 5,- 2. E.: g _ --;-. en \::) 0 ~ -, (f: ;t c-~ t. --, ~r' ........'J .......: 7' -,/ ~. ~ ~ -t-- to ~ V 0- ~ \"' '"'J ~ '~ r- -r V"" - A " ~~ ~ t., C'.' , (-- I I t ' f: ,""'" : '",) ~ C' ,"'" ~ \) " r~ (- ~~r (1 -) ~ Iv!') ..,. ~.c ~ -F- \ - 0., \""'7 '" \~' J I - c-.. ( ,. , \ \{" . .1 , CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16249 I ~ ~ ~ ,,} / ... .... Port Angeles. Washlngton__....../.:..m.._...~m:.nm..m.m.mmnm...... 19....__.: 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. ,,~-;. -. Address mm..:.n.:........c__,/____...:.:.--'.:.....n--.n----.--n.mmnm--.--......n Occupancy.___.:'-....:....:...n__...______.__n.__...n . Owner n__nm.m:mc:.:m.~.n.mm.__:.:::.:n:.::..n:n".--.n..m Tenant.mnnmm.mmn....n...._m.nnm.n.....m..n.......nnn Wiring Contractor .m.mmmmn.m..__..:.......'______.__.:'____.___...__.__. By...nm.mnmnm.mm..m....m.____n..__m__..__.__....n t 0 tl t \: Service. volts ___,./:::..,':.....,~~..~~.::....:~.C.. Type of Wiring: Llgh u e L_.....__..___...__..__....________.__ . Armored Cable .......__.......h............ Receptacle Outlets............................... No. wires ......:.:......................:....... SIze wires.....~~;:...~~..~.::..:.....:...~.._.. , ',~) ....,,,. ...~~ Main fuse ......~'J:!.......n......m..... ,- Enclosure m....::;?:...."..................... Dryer, KW __unn................................,. Range, KW....un............. Water Heater: KW'nu.._______________u_uuuu Type of wIring: Entrance Cable ...h...... Heat: KW......h...h.....h........................ Motors: size, volts and phase: Rigid Conduit ...m...".................... Metallic Tubing .h................mm.. Current transformers: No. & Size....................................... Ser. NO............h................................ Ser. No. ............................................. Ser. NO.....u.....h................n............... Non.Metallic ................................_ Knob & Tuba...............m................ Rigid Conduit "um"m",U""""'''''' Metallic Tubing h......................... Raceway ......................................._ Circuits, Light....................................... Utility............................................. II eat ......n..............................._...... Range ............................................. Water Heater ...h..h...................... Motor ............................................. Dryer .......".""""""""""""''''''''''''.._ Furnace .........................'_................... Total wad............................. Ser. No. ......n........._.......................... Total ..........n........................... Remarks: .....-..m.'..~.c~L.,',.,....,..,!2::....{~uuu.u.umu.u...m...m.......................u.....mn.m..........m...m......m...... .;~;:;~.;~~.........................m.;~~~~...;~~~;~~.....mn........m..............~j7;/....n;;;.....m/m....m................... /J / .'. I .: ", .-- $.................mm.m.........._ NO.m...........m...m..... By L.....L.......:......m...m.:..:.m....m.m...:..4....:'.~ 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 ELECTRICAL PERMIT N'! 16249 Address...................................__...................................................................................................Date..._......_.._.._.._.........._......_......_..:...... Owner..................................._.........._......_......_.._.............._...........................................Tenant...................................__............................... WiringContractor.....__............................_..................................................__.................................By.......__..................................................... 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. 1M nl",.,.,.."... P,.lnt..,... Tn... Of) It~ .-~ tteiillJ1'6 .r ol:.~~~~ ~~. -- lL, =::;;..:c.. \~1 -... "...~ ELECTRICAL WORK PERMIT APPLlCATI~ . Job wired by DOwner Installation description o Commercial ~sidential Elec/rical contractor name _ License number Date Expires ~ Jt.}O('+/" jOi:J1fY1WltJ g,.d~;- Alo.,.j-J,l"p_o,'3c:r1.2- /'",,'"w Purchaser's mailing address f'-f3(toUTG- i("O rre.&h 11jC)~ t'.?}.iL 3:::20 Anlf) City State ZIP r fOrI ~1-fJ ~ S \ \. J"\ C\ cr 2:,L.. '2:> b\2:le:~ \--e ~ FAX number s: '-\ 'S: ~ k:~-()f) t.. 0--- C) fb1L:eJe.S LU1 'lg-~G" L\l\- \\~y o Altered! Addition See 0\ Telephone number Premises owner's name (II i te..- Ad~SS:r yspection 1ttJ City fori Cftf-- "'-A ~r - Phone number to schedule inspection: Owner as defined byRCW-J9.28.26/:(J) 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. After reading the above statement, [ hereby certify that r am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- ]ation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter ]9.28, WAC. Chapter 296-468, The City of Port Ange]es Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator x /(b.., aJJ-.-- Date: 1-&-09 Check # Discover Electrical Loa dditions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information CJ Overhead Service o Temp Service o Underground Service Voltage PhaseD 103 Service Size: __ ;':eeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT , SERVICE -, '1/Z~!~8 ~ "- Dale Approved By Date Approved By ../ Approved By FINAL DITCH FEEDER ,-r/~q!6f> ~BY Oate ApprovcdBy../ Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrica] Date Inspector OJ_OP. h-, lZ^"''' C,\~-= IJ.(,nF<' ., iOF 7724 q /);.Jj ( INC, ""<','''- ~. .) l"" I I>',IY, ,-:j t- ~!2-"~<.. ~<~ 'r-~::;w,\ ~; \~.$'''' ....~. ELECTRICAL WORK PERMIT APPLICATION, Job wired by ft Electrical Contractor 0 Owner Installation d~scription o Commercial ~sidcntial Date Expires tlJO,+-},., Y:;''llln (lI!rI EI~d~, Id{),Hn~_I12cfY\ 2- Purchasl'r'~ mailinc address , rr e:..C}, 11 Atv1 \i'A- L Stale ZIP Electrical conlractnr naml' License number ~\\ U Altered! Addition IleO Cil} fOrI ~(-k-' \e-- S \ \.Y\ q (( 6L.. ~ '-\<; 3,'J.o An~ \ ~ \ ,- ." t:)\.:::",=~ he v--c> ,,,C-r '-' \c.~ Telephone number '--." , T Ad~SS:r ySpection v0 ~ 0 ml:.J~S Phon!' numher tu Hhedule inspition: OW/Jer a.1 dl!.(ined III kCH< 19.~8.~6~;( 1 j OH'IH!!'lJid! occupy the slruelure fa tI.J/O year.1 after. this elec/I"Icv.j permit IS fin i;;ed (2) CX. ~t'ner is requirc(j to hire an elect iC,'u ;., (Ol1lractor !f ahovc sOld property IS fi " sale, rent or lease" After readmg the above statement. I h~ebY certIfy that I am the owner or the above::t' named property or a licensed electricacontractor. ,[ am making the. electrical instal- latIon or alteration In compilance WIt ,the clcctncal laws, !\.E.C.. Rev.' Chapter ;:> 19.28, WAC Chapter 296-468, The .'ity of Port Angeles t\.1unlcipal Code, and ~ard # Utdlty SpecificatIOns' t /1 Signature of owner, electrical cont,~ctor or electrical administrator ,. fExpiration Date X /fbh C2.. a.lL-- Date: 1-S-o'3 ;J of card Electrical Loa dditions and or s4btractions o NO LOAD CHANGES \. o Baseboard _ _ KW . :J Furnace KW o Heat Pump Ton u Fan.Wall KW Cit)fOI~ l if I .. f Discover Service Information LAR o Overhead Service :J Temp Service o Underground Service Voltage Phase 0 1:J 3 Sf::rvice Size: :~~eder S~ze: SAME DAY INSPECTIO'li, CALL BEFORE 7:00 AM 360-417-4735 TI!ERMOSTAT "- I ( ROUGH-IN '\ /" ( i '- /" SER", ~ CE \ I , Dale Appto,~d Hy Dal<' Appr"ced By.,./ I Cm'..~~:: TJal< Approved By '- !lalc' Appro,.;:(ill;- FIl\'AL ( DITCH Inspection Dale I I I I I -I I I I --1==-- Area. Budding or EqUipment Insp(:cted Action Taken Electrical Inspector I I I I , I +-- I I 1 1---------- - I ---riiEN. (AL) ~ ...,...",,-- ..~-.,.,..,.,....,~.- .~ , RECORDS ...... ~<;. CITY OF PORT ANGELES, LIGHT DIVISION. STAKING SHEtT PancjlMap_ ~-...:'" DEPT. 1.0. PROjECT Field_ ~~'~ ~. I ~ 10386 WF 77249/01 "" - .~ 1 1 II - PRIORITY; 3 COORDINATE WITH INSPECTOR WORKSKHCHNUMBER 10386 SHEET OF FxedAssl. - , - - MatI. Sheets_ NAME: TRENT 4735 WORK ORDER NUMBER 77249/01 '"''"''~'''~ ""..!L16/08 - CHECKED BY, ' DATE: ~/~ 10~ - GrtdMaps - LOCATION 734 W 9lli 9TH and A STREET Fdr,Maps - - - WORKOIOSCRIPTION, REROUTE SVC WIRE REMOVE METER FROM POLE , DLStMaps REI/ISED --:.;.-- - - - SPECiAl INSTRUCTION ASSIGNEQFOREMAN Sir. Ltg - A 1201 8-10 SYMBOLS; PRIORITY '" - SUBSTATION/FEEDER FEEDER MAP' GRIOIAAP; --'L STARTQATE .-REMOVE 1.EMERGENCY ! E.EXISTING 2-NORMALSCHEDULE IndexCards_ lOCATE COMPLETION DATE TIM!; NUMBER COMPLETED A.ADD 3-CAlL TO SCHEDULE TILM/Cards_ --1-METER---1--INSP -L -----1- ScE~~ce: ---L- OPS. MGR 4-FILl-INWORK COPIES TO, TEL,_ N._ '" - FILE PURCHASING --L TOfAL 6 Engr,Check_ ,- SPAN POlE PRIMARY FRAMING UNIT TRANSFORMER SECONDARYO.H.fU,G SERVICEO,H.lU,G. MISC&REMARKS POLE NUMBER WIRE SIZE MISC GOY ANCHOR ". "" OH U,R.D '" "' . SPAN (FT,) WIRE SIZE SPAN (FT.) WIRE SIZE E 1 ~ 28 FR 02 160 2-I6CU 40/3 PF107 25 1100 B CUSTOI.IER RISER ETC.' GaOl Al0l " 121PX I 100* ,1/01PX. REl.40VE l.4ETER 111703 FROM POLE. E 2 26 FR 02 30/3 ST. IT POLE S004 170 . I6DPX . A 2 26 FR 02 170 11/0 T?X 70 1/01PX : i NOTE: , TRIM TREES AS REQUIRED 2 ,9th St, CUSTOMER UPGRADING TO 320 A PANEL lfl AND RELOCATlNG SERVICE ENTRANCE 1I00 25 ,- 11/ /1 I ~ --~=~_ J L_-oJl/--!.- ~~- Il:.--- -~ -------~- ,~ I I ;\ -'c ..f\~1 II' I ---~-~ j 6001 ~ .0 J . :_L-",___ [, " 0 <>i!l ,------ o " Z C < . m > o ~ '" m , ~1~05r2005 20:15 , .1 ... I 4579270 SIMPSON ELECTRIC PAGE 01 r::J Electrical Contractor CI Ann.al PermIt IJ Alarm {i CJ Owner ~.......l CJ Carnn."al Q Commercial ELECTRICAL WORK PERMIT APPLICATION 1:1 Request Inspection R.,ideotial CI Residential Mainl. IJ Signs IJ Thermostat IJ leleeom. E1ectTical c:ontr9.crnr n;u'flC <;"".II<'''h GI@c+",e. L(~ ~;nP;llddrc:~ .;J..1f3D~'" . I~.o I c.J Cij\ - _ cj - ~- St.'Jtc ZlP ~L{jf'lR' I...~. tAlA- 95"3(." ~ TclcphClnc number FAX number 5- 0 ",.. License n'lmbC1' S""'fSeA 1f7-f R- rp In,,,II'';on des<dption ~ Afe~. ur ..,~,1J.4/ '7P ~ ~6~~-- Job wired by ?i1 Electrical Contractor CJ Owner l"remises owner'. Ilame: Mif(.~ KlAnl<a. Adelre,s or Inspection 041.. '73'1 (,IJ. ,= City Lf~o ~-::J;:)8' A. l~"'o) CJ Ca<h CJ Check # Q Mastercard Discover QIu.W (h'.L:~ Tb I hereby certify that I am the Qwner of the above named properly or a Iicon!lcd electrical contractor (or tbe firm's authorized agent) and am making the clcctrical installation or alteration in compliance ",ith the electrical law! Chapter 19.2ll; RCW. 9lICrcdit Card Card # SJ~nature 0 --------------~- r or elccrrical adminilltrator " Expil'ationDate of card Inspcc[ion fee J 0 $ ...,.~.- x r WALLS Insulnlion Only . , D~'c 'AlI\l'I"OV1:c1l)y Cover I)~re " ^""flrYe61:1) '- . . r CEIUNG rn$ul:U:ion O"ly 1)lIlc "llr"w"'Il\y Cover OMc AllllI'ovell Dy THERMOSTAT Unlc """1'1,).,(1(1 By DITCH Dnte ^rrmvl'<,1 By r SERVICE "- Dille ^JlI'f(IVNI ~y -./ FEEOER. Dnl~ ^flI'MVe/l Ry ./ ~.!!.clrlcal Load Additiori!i.illltLoLS.lIb.ttactlons CI NO LOAD CHANGES IJ S...board _ KW Q Fumace _ KW }II ,"",af Pump 3- Ton _ LAR Cl Fan-Wall KW Sm:W:.ILlIltoJ.l!lJltlon IJ Ovarhead Service o Temp ServIce o Undi:!rgrt1und Service Voltage Ph... IJ 1 IJ 3 Service Size: Fei:!di:!r Size: In~pcctjon Area, Building or Equipment Inspected Action Take1'l Blcctrieal O:nc Inspector , 1/ JI./,,-; /'lM/1r- /.JP .&<0 , /1z:g} ~~s-