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Home My WebLink About1204 S Cedar St - BuildingSSpecalNotes COY OF PORT ANGELESq File, Edit Commands Help° 81A GAltl7'PUBUC SECTOR Naatne V/ OK 'X Exit Centel Special Notes Display Property address: 12C4 S CEDAR ST ASSESSOR PARCEL NUMBER: APPL APPL 'APPL APPL APPL APPL APPL ;NOTE :NOTE MOTE, !NOTE !NOTE. lNOTE fjNOTE 06- 30- 00 -0 -3- 7400 -0000- Hiscell:aneouo Source Information Note Date Code April 13 2010 8 43 07 AM 1pangrle 4/13/10 ON '01 18..10 I LEFT A PHONE MESSAGE 4/13/10€ y;REQUESTING THAT THE OWNER CALL ME AND 4/13/10; DREQUEST A,FINALmmINSPECTION, OR TELL ME 4/13/101 :1:THE STATUS OF THE PROTECT HE DIDN T 4/13/10 RESPOND ON 04 =1 I EXPIRED THIS 4/13/10 PERMIT 4/13/10 PREPARED 1/23/07 9 59 35 CITY OF PORT ANGELES ADDRESS 1204 S CEDAR ST TENANT NBR RONALD WINTER CONTRACTOR OWNER WINTER RONALD F PARCEL 06 30 00 0 3 7400 0000 APPL NUMBER 06 00001235 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/23/07 JLL INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE BUILDING FRAMING 01/22/2007 04 52 PM PBARTHOL RON WINTER 670 6996 CALL FIRST SO DOOR CAN BE OPENED COMMENTS AND NOTES tA41 b US'e C-K‘f PAGE 7 DATE 1/23/07 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 32] EAST 5TH STREET PORT ANGELES, WA 98362 06 00001235 489400 1204 S CEDAR ST 06 30 00 0 3 7400 0000 RONALD WINTER COMM REMODEL RS7 RESDNTL SINGLE FAMILY 1200 Owner Contractor WINTER RONALD F PO BOX 116 PORT ANGELES WA 983627504 OWNER Date 11/20/06 Permit BUILDING PERMIT COMMERCIAL Additional desc Permit pin number 90639 Permit Fee 71 35 Plan Check Fee 46 38 Issue Date 11/20/06 Valuation 1200 Expiration Date 5/19/07 Qty Unit Charge Per Extension BASE FEE 50 00 7 00 3 0500 HND BL -501 2K (3 05 PER C) 21 35 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 71 35 71 35 00 00 Plan Check Total 46 38 46 38 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 122 23 122 23 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 ocal law gu ting construction or the performance of construction. /10 I Z D Ok Signature of Contractor or Authorized Agent Date S/gnature o er (if owner is builder) Date T 1Policies11102_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. ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE ACCEPTED YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) SHOWER PAN MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING I JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL /'/ti' 7 //9.3/7 7 I LL -1 14- CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I I f PLANNING DEPT 417 -4750 I (I I I BUILDING 417 -4815 I y�[ MC (jJI le/ /1 T \Policies \l 102_15 building permit inspection record05.wpd [1/4/20051 FINAL FINAL DATE SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY, 1) ACCEPTED BY., (II c) w v DATE ACCEPTED 1 YES NO Applicant or Agent: /t v►1 .AEI h Address: e6 Architect/Engineer Contractor SQL F Address: PROJECT ADDRESS 2O Y LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. Owner Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 TYPE OF WORK. Residential New Constr Multi- family Addition Commercial Remodel Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT j/ 4— ls W iY-t l.U» Re -roof Move Garage Demolition COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY k'T IFORMS\B1dgPer nitform.wpd Applicant: BUILDING PERMIT APPLICATION City State License City ceP Block: Stove Deck ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: .3L 6 Phone She PGafr /h,i Zip 9 3 2L Z Phone: s Subdivision. Exp SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION G✓i l /1&w2 ovi% rte iPey' /fie- J Phone: Zip ZONING 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 permit 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 wntten 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 my po ibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. 4 Date: FOR OFFICIAL S0 Nl Date Rec. k I K V Permit j Date Approved: 1 Date Issued /2 D O O APPROVALS. PLAN BLDG DPWU FIRE. OTHER F PORT A ELES t struction Plans The Issuance of this based on these specifi- cations and otherfifata shall"to revent the building official from thereafter /fequiring tbct correction/of errors in said pla,;s,,specifi ,cations an of t data, or -tom preventing building -o*grations mg ca •d an thereunder, when in violation pf Wit es and ordin. of this juri bon. (SECTIQN 30 uniform Building Apps Date N By Hhrrove)0X1 /1 GPI rc Viro eeee 4k\ te, 1 'Pitt Ag golpsunf slg; ;o saaueuiplo pue sapoa He to uoi;eloln uagM a$punaiaq; uo pawed 8waq suogetado Buipilnq w ;uanaId ukuj 10 'wimp pue suogebi;iaads 'sueld I saoaea JO uol;aaiJtio ay; ButJmbaJ Jageaiag; woi; pima Hulpllnq ag; luau! ;ou Ilegs e;eP Jaw pue stoked Iflaads `s asagi uodn paseq;lu»ar'slgj ;o aauenssi aq 'staid u0flon4sa00 53 13JNV L SOd JO AL10 i QZ l I a;e{flenoaddy r '~ Yl! CITY OF'P()RT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001254 Date 11/27/06 443756 1204 S CEDAR ST 06-30-00-0-3-7400-0000- ELECTRICAL ONLY. RS7 RESDNTL SINGLE FAMILY o Owner Contractor WINTER, RON 1204 S CEDAR ST PORT ANGELES WA 983627504 JEDI ELECTRIC 331 FORS RD. PORT ANGELES (360) 460-0556 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL.' ,..", . JEDI/ REPLACE PNL AND CLEAN-UP 91108 JEDI ELECTRIC 78..70 Plan .Check Fee 11/27/06 Valuation 5/26/07 .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 o C> L \Jl '1'4 fl) 1 F,i,fo~l .----- PrC ~ ~ ~ tl~~ ........ ~-~-- COMMENTS/ ACTION NEEDED .... ---~ - ... .>>-- _"_ -l:- ...~..(' ~ ELECTRICAL PERMIT INSPECTION.RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE I ACCEPTED COMMENTS . I YES I NO lJITCH , lUlTl~J.I_IN /l,;UYJ:ll{ ~FRVT("JT tlNAL 17_I,.,{e>-' I~ GENERAL COMMENTS: PW-II02.lS 141961 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORt ANGELES, WA 98362 g~plication Number ..... 03-00000375 Date 4/07/03 Property Address ...... 1204 S CEDAR ST ASSESSOR PARCEL NUMBER: 0630000374000000 Application description . . . RES REMODEL Property Zoning ....... Application valuation .... 2000 Owne~ Contractor RONALD WINTER COZI HOMES 1204 SOUTH CEDAR STREET 324 E 9TH ST PORT ANGELES WA 983627504 PORT ANGELES WA 98362 (360) 417-8089 (360) 452-9906 Permit ...... BUILDING PERMIT -RESIDENTIAL Additional desc . . ADD INT WALLS, WINDOWS Permit Fee .... 92.75 Plan Check Fee . . 3~.10 Issue Date .... 4/07/03 Valuation .... 2000 E~iration Date . . 10/04/03 Qty Unit Charge Per Extension BA~E FEE 47.00 15.00 3.0500 ~ BL-501-2K (3.05 PER C) 45.75 ............................................................................Permit ...... PLL~dB ING PERMIT Additional desc . . Permit Fee .... 54.00 Plan Check Fee . . .00 Issue Date .... 4/07/03 Valuation .... 0 Expiration Date . . 10/04/03 Qty Unit Charge Per Extension BASE FE~ 47.00 1.00 7.0000 ECH PL- EA.WATER BEATER 7.00 Other Fees ......... STATE SURC}L~RGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 146.75 146.75 . .00 .00 Plan Check Total 37.10 37.10 .00 .00 ' Other Fee Total 4.50 4.50 .00 .00 Grand Total 188.35 188.35 .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 co_nstruction 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. Ail provisions of laws and ordinances governing this type of work will be complied with whether specified herein o~not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or,legal la,,~lregul~ti~g construction or the performance of construction. / / / ~ / / Signature of Contractor or Authorized Agent Date S~ ture~)f wner~owner ~s bu~lder) T:\PI,ANNING\FORMS\I 102.15 [4/20021 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /'~ ~- I~ '~)-~'~ Time Received by ~ Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No.?~'~ Type of Inspection (circle appr?~priate one): Permit No. Sewer Foundati~m|~imney Plumbing Final Sewer Excav. Other INSPECTION NOTES:~_~/_/~ Inspected: Date ~.~ ~ ~)~ Ti'~e By Remarks: -~//~c ~ ~ ~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I-]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 LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17776 r-~ F~ Port Angeles, Washlngtonm....Lm.m,,~.._...........m..m.m.......__...., 19.000000. 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 d6 electrical work as listed below. Address ./~!__c::..t.:...L~.,..(!l./j@.~...........m......__m..m..m Occupancy.m..____.mm...m..m.....__m.m.m__ ~::~~~::~;'::Oi~~~l:~:::....~~::~~;:::::::::::::::....:~..:::::::::=::::::::::::::::::::::::::::::::::::::: Light Outlets.............................h_.._..... Service. volts ./c?:JC.i!.?'...t:.__..... Type of Wiring: Receptacle Outlets.....................h........ No. wires ..n...~L...........h......m.... Armored Cable .....h......m..n.......... / / Size wlres.~S.~1t<!L. Main fuse .h.....h............................. d Euclosure ..:.:i.......h....................... ~ Type of wiring: 13 . Entrance Cable n.h.mm.mn........... Dryer, KW _.uuu.....__.....__n....n..hn...... Range, KW....n........................... Water He'y,:S-ddT; K~..h--.TTl~;..jj~~.;. Heat. KW.h.......'.I.......n..........................._...- .' Motors: size, volts and phase: ~I Total Load.............n._n.......... Rigid Conduit .h.hh........ MetalUc Tubing ...hm...m..n......... Current transformers: No. & Size..nnn.............n................ Ser. NO....n......n.............hn................ Ser. N u. n....................n..................... Sec. No. .......................n.n.........n...... Sec. No. ..............h._..................hn._.. Non-Metallic _n...................hh.d.h_ Knob & Tuhe.............h.h.............._ Rlgld Conduit .....h.hh....hh........... Metal!!c Tubing h......................... Raceway .........................__....___..._ Circuits, Light...................._m....m.n__._ Utility ......................._.........hh.h.... IIeat _n.................h..__......_......_...... Range ............................................_ Water Heater .n.........................h. Motor ..._.......___...n_n...nn............... Dryec ........h........h......n...................._ Furnace .........................'..n................ Remarks: .........------m......--.--........--__.__.m.....____m__....__.mm...___..nnnm.....mnmm"".nm..nmn..mm.m""''''''n..___ Total ._._................................... --~nn.n.n_____.nn__nu.h__hn_n__n_hnnn_n_n_h____nn______.~_._.nnn__nnunn_nnn..u__n__n__nn_n__nn___n_.._n_n__u___nnnnn..~~n___ --..---.......m.mm...----.....nmn..__nmnn.__..__m..._______mmm..__..mnm..._____.n..'~:::l..mn.m..n.7 '7Z~.........--m...<.---mn..n......nn p~rmit Fee . Treas: Receipt V ./ ~.~ l $____..000000.....000000.00000__..000.. NO.nmn.m...'.nnm..... By n.....n:m:.:n(m.....~~____E0~__'m42.-!"'..... " ? NOTICE---Current must not be turned on until Certificate of Inspection has been issued. If work is to be COD- 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 ----.. '< J ELECTRICAL PERMIT N~ 1 7776 Address..................._............_......_........__......................._......................_......................................Date..._.....__.._.._.._.........._......_......_......... // / Owner............................___...._......_..__.__.._......_.._...........................................................Tenant............................_..............._............._......... WirlngContractor..................._..............._......_.............._-....................................._.......................By...................__..............._......................... \ '. NOTICE-Current must not. be turned on until Certlffcate of Inspection has been issued. If work fs to be COD- I, cealed due notice must be given the Inspector so that work may be inspe~ted before concealment. ... 1M Olympic', Printers, Inc. Nov 17 06 03:04p Jed Kimzey (360) 565-1178 p.1 ~Iect:rical Contractor D Annual Permit 0 .'\Iarm DOwner S: Q Caroival CJ Commercial.)il'Residential D Resideotial Maint. 0 Signs 0 Thermostat 0 Telecom. ELECTRICAL WORK PERMIT APPLICATION o Request Inspection Job wired by ~Iectrical Contractor ::J Owner Electrical contractor name License number ~DI 1:;:.;,.,n;L... :Se.DIIPG-i 757CL Purchaser's mailing address P.II). GOY 35v Citp A- InstaUa~ion description o..dd _ILL! 1/( C. rc.t-t t I~ ~ €M,Je \ Telephom number . I"? -oU(;, State ZIP W"- FAX Rum ber q ;-3 t: ;J. Premises owner's nalDe Q. <? '" /~ J IP'\.:u r Address of inspeC:Cion -1;).01.{ ~O~~ c ec\o-.r Cil~' o Cash t3 Check # I hereby certify that I am the owner of the above named property or 3 licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the clectrica11aw, Chapter 19.28 RCW. o Credit Card Card # Visa 1v1astercard Discover - - ---------------- x ~crrical contractor or electrical administratDr / Expiration Dale of card WAllS Insulation Only CEILING Insulation Only THERMOSTAT SERVICE DllIO: Approved By D~\o: Apprcncd By DJIC Apt:lllvcd Ill' DIIC ApPlll.o:d Bj' DITCH FEEDER Cover Cover 031e App'o.o:d By DOlt, Appro.ed B, D:t.lc ^1'p"UWOO By Dale Aflprovl:d By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump TOfl LAA o Fan~Wall KW Service Information Inspection Area, Building or Equipment Inspected Electrical Date Action Taken Inspector i : I o Overhead Service o Temp Service Q Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: /hf/ /t)'1~~ ( ELECTRICAL INSPECTION WIRING REPORT 417-4735 4!- ., "U So ADDRESS ..2 V "1 ~ APPROVED NOT APPROVED o ................... DITCH ................... 0 )Q .3'.-;~.-.Q~.'.. ROUGH IN/COVER.............. 0 o .................. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 . (f) 'J" L,A-o-':"; _L CORRECTIONS NEEDED:..... r vY7?I-h ]V<;- T (!j) . . tI- - 13'CJr'_r <{ ",";..i J?.A hI CJ PI P';' - @ /fk' rL'/I,?~/o/V ..7fZf1 L/ro 0 - ~-S--5& '?o~ . <;/-0 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ~ - DO NOT REMOVE - ~TERS.INC. (360) 452-1381 FROM Electric~S '\.. , :Jt FRX NO. : 4525424 ;;;. &71'1 Mar. 032003 09: 18RM Pi ELECTRICAL PERMIT APPLICATION ~(lR (lFtKI~,'. USE tJNLY O~ToVll.cC"' r~"l ~: ___..~_ DlI~ AppT"'''..J: ._,. _.-__ DII!e~nerl: ._.. ____ The ElectricBl Permo "",Iication lI1usl b. fllltd oul eomol.",lv. Pleas. t)<P* or n.prlnt In Ink. H YOIJ have any qU..tion., phil8118 C:IIl (360) .1741J! Fox number: (380) 41704711 ::If- ou;~ /c REQUEST INSPECTION [ OWnoro. EI"". Conlroctor Agent_i7--L<Z.L..-.!' ,,~.. ~~" 1"-< ,...!. L....... Phone:" 'n-&,""" Fex: l.\ C....L-G.v 'l. (/ P ropeny 0Wnet: e." \JJ c ~ 4-..- Phone: Add",..: 12.0 y '3. Gdl- M JI. (., CIIv: R,,-: (~-' t.,j _ Zip: <; )? '- ) ElectricaIContr.ctoc. \Z:\R'-'l"lL'''- ~ J..._ Lioen..It.~rtj ,1'fx; q/,,,;',,, Phone: ,-!f7...-{." Add","", <tJ'L ~ \(~ te.& I City. '~n.\ ~ ""J~' ZIP:-1!~(,;o..... INSTALLATION WIRED BY: 0 OWNER _l,.!C:TRI;;L CONTRACTOR / Credit Card Holder Name~ 9~ (yv'- City: Billing Address: Credit Card Numbar: _ Exp. Date: Zip; VISA:_MI / J.() Lj .5 c~ /l"P T -d c;. PROJECT ADDRESS: ~WORK: Check IDJ that apply: 0 New es/dental 0 Multi-family 0 Commercial o Alteration/Addition . 0 Mobile Home Sq. Ft . Remote Meter 0 Detached garage 0 Hat Tub 0 Swim Pool 0 Septic Pump o Low Voltage. 0 Telecom. 0 Number of Circuit. addBd or altered: ...~.~ OESCRIPTION OF THE ELECTRICAL PROJECT: PE:RMIT FEE17 fa ~3 0 (2tS.i f),(",:{1'\c b ~ :1._00 Sarvlce Information Electrical Heal Load Additions jV 0 /WLJbO f.,offjJ o 8aseboard !WI o Furnece tWV o Heal Pump =TON LRA o Fen-Wall KW o Ovemaad Sall/lce :::J Temp Service o Underground Service Voltage: Phase: ~D 3 Service Size; Feeder Size: PAMC 14.05.060(8): For industrial. commercial, & residential projects larger than a duplex. a one - line drawing 01 the Electrical Service Feeders, building size (sq. ft.), load calC1.llations. and the type & of conductors and/or raceway is reqUired and shall accompany the Elect Permit application. I heraby certify that I have read and examined this application and know that same to be true and correct, and I authorized to apply for this permit. I understand It is not the City's legal responsibility to determine what permits required; it remains the applicants responsibility to determine what permits are required and to obtain such. NO {Jew LO~6-~ 7(07'(0 CrecHl Card Holder's Signature; ~. Dale: 1/0" l f ' -e.j"s (0<; Owner or Elec:. Cont. Sign,lure; C:/ELECTRICALPERMIT APPLICATION Oate: t:k {'~ 3fi /D>