HomeMy WebLinkAbout1021 S Chase St - BuildingPREPARED 3/24/09 8 29 48
CITY OF PORT ANGELES
ADDRESS 1021 S CHASE ST
TENANT NBR BOBBY FOWLER &AMY BILLING
CONTRACTOR ALL WEATHER HTG COOLING INC
OWNER ROBERT FOWLER AMY BILLINGS
PARCEL 06 30 00 0 3 3045 0000
APPL NUMBER 07 00001090 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01
09 JLL
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE (360) 452 9813
PHONE (360) 457 4251
MECHANICAL FINAL TIME 01 00
March 24 2009 8 28 22 AM 1pangrle
JEFF THROOP 808 4225
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
PAGE 1
DATE 3/24/09
4)Lts tretwlix-An° 1013/
1,1—
1)10 i/14 f-
1.J., E
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ROBERT FOWLER AMY BILLINGS
1021 S CHASE ST
PORT ANGELES
(360) 457 4251
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
14 8000 ECH
Date' Print Name
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
MECHANICAL PERMIT
INSTALL HEAT PUMP
111443
64 80 Plan Check Fee 00
10/09/07 Valuation 0
4/06/08
Per
BASE FEE
ME INSTALL
Charged Paid
64 80
00
64 80
■UZ /7 m. L 0
T:Forms /Building Division/Building Permit (10 /01 /07).wpd
07 00001090
043000
1021 S CHASE ST
06 30 00 0 3 3045 0000
BOBBY FOWLER &AMY BILLING
RS7 RESDNTL SINGLE FAMILY
8860
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
64 80
00
64 80
100- FAU
Credited Due
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 has commenced, or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date 10/09/07
Extension
50 00
14 80
00
00
00
1 C 7 N/
°pZ?
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
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)
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 /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
1 FIRE 417 -4653 1
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815
T Forms /Building Division/Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
YES NO
FINAL
FINAL 0 C I 2-741 DATE
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
417 -4807 PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
DATE
o ACCEPTED BY.
ACCEPTED
YES 1 NO
0
0
09/21/2007 13 20 13604525177 ALL WEATHER HEATING
Applicant or AgentAII tklenvPtr WM Int7)4 Cool (021 Phone 360 G laj13
Owner 4b �I l r Mil/ Ji 1 l fl Phone 3,(p 0 L S 1
Owner's Address J 1017.1 4 5 h aS P Po \A Prm_e 1 t C c o P
Contractor/Engineer .i t tie l at" 1 II 0 f• I t State License PIUAIEW 1501Gti Expires J 9)
Contractor/Engincer's Address WZ.. `e-es Mof VA ArOf k'S lJ�)r1ff 'Phone —1 el?,
PROJECT ADDRESS 102.1 (riO.s e
LEGAL DESCRD?TXON Lot Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER.
Residential
Multi- family
Commercial
O Repair
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 y" x 11" site plan MUST BE COMPLETE to be
accepted for review (360) 417 4815 FAX (360) 417
TYPE OF WORK
New Constr
Addition
Remodel
Sign
Existing Structure(s) basement
l" floor
2 "d floor
3' floor
Existing Structures) TOTAL
Maximum Height of Proposed Stntcture(s)
BUILDING PERMIT APPLICATION
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
O Re -roof in Stove
D Move 0 Garage
O Demolition 0 peck
O Other
BRIEF DESCRIPTION qqF T EC PROJECT'
ITV I I I Gt 'kl rs til
COMIYIERCIAL/R.ESIDEIq'T'IA.L. Occupancy Group:
Sq. Ft.
Sq, Ft.
Sq. Ft
Sq. Ft.
Sq. Ft.
Ft.
Occupant Load: Construction Type:
Proposed Structure(s) basement Sq. Pt.
1" floor Sq. Ft.
2°d floor Sq. Ft.
3r floor Sq. Ft.
Proposed Structure(s) TOTAL Sq. Ft.
TOTAL Sq. Ft. of existing proposed structures
LOT COVERAGE
SF
SF
SF
TOTAL VALUATION
ZONING.
SIZE/VALUATION
PAGE 02/02
FOR OFFICIAL USG ONLY
Aatc Rec,..12 2 :1
Permit )n
Date Approved_
Date issued:
/SF
/SF
/SF
$_era 00
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft)
VALUATION'OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant This figure will be
reviewed rind may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 4174815
for assistance.
PLA. N CIIECX( FEE. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN It,EV1EW An application for a permit for any proposed work shall be deemed to have been abandoned 180
days .after the date. of filing. unless such appiication.has. been pursued,in good.faith or.a,permit. has been issued:, except that the buildiog
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
project,) each. The extension shall be requested in writing and justifiable• cause demonstrated. (tRC!IBC 2006 105.3,2)
1 hereby certify that 1 have read and examined this application and know the same to be true and correct 1 am• authorized Co
apply for this permit and understand thatit is my responsibility to determine what permits re required; and that must obtain
such-permits prior to- work.
Date W Applicant( 1JJ 1 8 I G' 5
T•1FORM5\8UILDING DIVISIONeldgPermitAppl. -200$ CODE.wpdd
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ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001054 Date
490432
1021 S CHASE ST
06-30-00-0-3-3045-0000-
ELECTRICAL ONLY
9/26/07
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
BILLINGS
1021 S CHASE ST
PORT ANGELES
(360) 457-4251
OWNER
WA 983627843
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ALL WEATHER/ T-STAT
111500
ALL WEATHER
35.00
9/26/07
3/24/08
HEATING & COOLING
Plan Check Fee
Valuation
~
~
-.....
.00
o
Qty
1. 00
Unit Charge Per
35 ,,0000 ECH EL-LVT-FIRST THERMOSTAT
Extension
35.00
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
l
~
l:
INSPECTION ELECTRlCAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
9-;;.~ -()7 t1f> kD
FINAL
COMMENTS:
........
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
Applicatio~ Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
~pplication valuation
07-00001054 Date
490432
1021 S CHASE ST
06-30-00-0-3-3045-0000-
ELECTRICAL ONLY
9/14/07
RS7 RESDNTL SINGLE FAMILY
o
'Owner
Contractor
BILLINGS
.021 S CHASE ST
PORT ANGELES
(360) 457-4251
OWNER
WA 983627843
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OWNER/ FURN HP
Permit pin number 110841
Permit Fee 46.00 Plan Check Fee
Issue Date 9/14/07 valuation
Expiration Date 3/12/08
.00
o
Qty Unit Charge Per
1.00 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.00
~
N
......
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.00 46.00 .00 .00
~
~
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~
~
1
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COMMENTS/ACTION NEEDED
~
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
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
11 'f ']...:J I
.-
12 U In,w_IN I CUYhK
SERVICE
-
F]Nd Iq-~-"71~ J
.
GENERAL COMMENTS:
PW-lI02.J' (4'96)
...
~ ~ORT ~
tO~~~
"..
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..--:
'ttii:,,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001055 Date
807930
1021 S CHASE ST
06-30-00-0-3-3045-0000-
AMY J BILLINGS
MECHANICAL APPL. PERMIT
9/12/07
RS7 RESDNTL SINGLE FAMILY
9000
Owner
Contractor
AMY BILLINGS & ROBERT FOWLER
1021 S CHASE ST
PORT ANGELES WA 983627843
(360) 457-4251
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
4-TON 15 KW HEAT PUMP
110858
64.80 Plan Check Fee
9/12/07 Valuation
3/10/08
.00
o
Qty Unit Charge Per
Extension
50.00
14.80
BASE FEE
1.00 14.8000 ECH ME- INSTALL 100- FAU
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 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
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
ltJ ~~
Signature of Owner (if owner is builder)
Cf - (') -V)
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
G
~
I
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 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 ANJ' WORK BEFORE
I.NSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
o
\Ti
V\
INSI'ECTlON TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CElLING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
ROUGH-IN
HEATPU~/FURNACE/DUCTS I FINAL q /nJ 07 DATE -S LL-
GAS LINE ACCEPTED BY:
WOOD STOVE / PELLET / CHlMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEP ARA TE 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 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUTLDING 417-4815 BUTLDING
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T:\Po1icies\1102 15 building permit inspection record05.wpd [1I4/2005J
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"
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 'lZ" x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417-4815 FAX (360) 417-4711
FOR OFFICIAL USE ONLY:
Date Rec.:--9 - 12----07
Pennit#: 01- 1055
Date Approved: 9 - L 7...-07
Date Issued: \ \
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent (2. w. fb wier
Owner Aml.l J, ISd /,',/18- s
Owner's Address I J () J IS. L A/.Jse ?-C-.
Contractor/Engineer
Contractor/Engineer's Address
PROJECT ADDRESS: .) ()).. ( .5. CAlis e '2C.
--
Ph~
Phone f/.5-7- '/1 S- I
.--
State License #
Expires
Phone
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel -3- Demolition
o Repair 0 Sign .~ Other
BRIEF DESCRIPTION OF THE PROJECT:
-7 f.4..C..'ll 0 I d -[ G T r.' L
o Stove
o Garage
o Deck
SIZEN ALUA TION
SF. @ $ /SF, = $
SF.@$ /SF.=$
SF. @ $ /SF. = $
TOTAL V ALUA TION $
qpoo
.
~
-~-
-
-
w,'1"'" r.srA/I~ /Jew L
Occupant Load: Construction Type:
Sq. Ft. & Proposed Structure(s) basement Sq. Ft.
1st floor Sq. Ft. & 1st flpOl:'--/' Sq. Ft.
2nd floo;-===~L-. & _.------2iid floor Sq. Ft.
3rd floor Sq. Ft. ~ ----- 3rd floor Sq. Ft.
Accessory Structures ~& Access~t:~ Sq. Ft.
Existing Structure(s) TOTAL----- Sq. Ft. & Proposed Structure(s) TOTAL Sq.~.-
TOTAL of existing & proposed structures Sq. Ft.
Maximum Height of Proposed Structure(s) Ft.
LOT COVERAGE
Lot size Sq. Ft.
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage %
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
V ALUA TION 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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
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, and that I must obtain
such permits prior to work. 7 ff
Date 9- i?-: 6 / Applicar:t ( tJ &~
~
T:\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd
CITY or PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15980
Port Angeles, washlngton_m_mn__I/=~__:.::nm_m__mm._....m_m_, 19u?_f
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 grante.d t~ liJJ.. electrical work as listed below.
;y J. (Dk~
Address nn!._?_mm_.u_.m~mu_n:~~umm....--u--unnun.nun.n OccupancYm_~~n!_m_n__._.__._..umm
Owner _u__:m0_e.~!~-::mm_L_){[rf2R.~_.__ Tenant__n._.n._muu.n__.um____nm_...mnu_um___u__mm_u
Wiring Contractor una~-~~--'~e.-~~:;;-;;-;~:;.mmmmnnmm--.-....n-nn--m--.--.m-u.__um.
Light Outlets....................__.__......_.._..... Service, volts n..n_mmi.................__..... Type at Wiring:
R eptacle Outlets No. wires .......;~_..nmm.m.n..m... Armored Cable ...___.__....hd..........._
ee _.....h.__.._._..n._n.......
Size wires.....:7.%!2.................
;/506 A
Main fuse ........m._.._____.___u..___........
@.-r;.
Enclosure h................&:..m_..__m
Dryer, KW nn.n_u..u...._.___n_____n__________
Runge, KW ___.._______n__.____._.___.._
Water Heater:
KW............nmm....mmn
3. C> .V'
Heat: KW...... ..h_..'f.!LLC .'m"'"
Motors: sIze, volts an phase:
Type of wIring;
Entrance Cable ......nu..mm._..____.n
Rigid Coudult __..._........._........_......
Metallic TubIng .h__.m_............__...
Current transformers:
No. & Size.............................._........
Ser. NO............_.nn.__._..n___._._....hn.....
Ser. No. ..........................-_.................
Ser. No.........__.._....._........_..................
Total Loadm..m.....m.._._.m....
Ser. N" o. n__nn_....nn_nnn..h_h_n.........
Non-Metallic .......__._____............_...._
Knob & Tube..............._n..__.n......._
Rigid Conduit ............._.................
Metallic Tubing ....u..m.._........_....
Raceway _...__.........................__..._
Circuits, Light................____.....m._._._.....
Utnit). ___......_............__.........h........_
Heat 00_...0000._................__..............___
Range ._......._............._..___.._.............
Water Heater ....m..._.._.......n...n.u
Motor ..._..._....nh_..................n.......
Dryer n....hu............n.......n..n.n..._......
Furnace __.....__..._.._........__0000.___.____......
Total..........._...._..__......__.._.......
Remarks: n_u.n__mnnu_n._u_nmnn.__4._ed<f,~~'_mnm.unmnnnmnmnmmn_nm____._.nu.u.u....__nmnmmn
/"
.m_mu_.nnU_u__nm__nnun__u_ummmnmmnnmum_mnum_mmmmu.n...u-un:m----n11..mmmmn-mmmm-mnz.
::~_=:_~__~::________________n_. ::~_~_~:__~_~_~_~~~_~..._.._. By ..~!~LL.__tJfrddde.?_q.__~.--L'-E.~
~~~ / .
NOTICE-Current must not be turned on until Certifleate of Inspection has been issued. It work is to be eon.
eealed 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?
15980
Address.______.____..___..__......____.._..___..._..___...._.__..........................................__......._........__._.__...__..__....Date..._......____......_.........._......_...__.___..__...
Owner n....h_h_........n..h....................._..............____._........_n......._n..h.....__.._....__..........n.... Tenant...hn____..nu...nnuu.n.n.._n.nn_._.._nu...___...nn.
Wiring Contraetor .....__..__..__..._........_.........._......________......_..............._....._.........................._.._........_ By_______.._____..............................................._
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
c'ealed due notice must be given the Inspector so that work may be inspected before concealment.
,
,
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.....,..__'~ D...;"t",rR. Inc:.
G- - :>0
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor p( Owner
Installation description
o Commercial fil Residential
Electrical contractor name
License number
Date Expires
lit New
o Altered/Addition
~
Slate ZIP
(;J It-
hteN~c.
"
-t-
/-1,.0
FAX number
r
bex. to schedul inspecti~:
5"0- oC- C
Owner as defined by,RCw'.19.28.261:(l) Owner will occupy rhe structure for two
years after this electrical peril/it i:i finalized. (2) Owner L\' required to hire an electrical
colllrac/or if abol'e said properly is for sale, rent or lease.
Arter reading the above statement, I hereby certify that [ am the owner of the above
named property or a Iicensc1d electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RC\\'. Chapter
19.28, WAC. Chapter 296!46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, ele'ctrical contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Visa
Mastercard
Discover
.,
Card #
x
Date:
Expiration Date
of card
Electrical oad Additions and or subtractions
l"I- NO LOAD CHANGES:
o Baseboard KW
1i'C Furnace LS:KW I
W Heat Pump i::L Ton W LAR
o Fan-Wall KW '
Service Information
b!'" Overhead Service
o Temp Service
o Underground Service
. 1''10
Voltage b:::.~
Phaseiil1D3
Service Size: 2. 0() A-f"'I1(J
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
'ROUGH-IN
THERMOSTAT
SERVICE
,
Dal~
Appro,"ed By
Dale
Approvcd By
Date
Approved By
INAL
:JQ
DITCH
FEEDER
Dalc
AppfOvCJ By
Dalc Approvcd By
Inspection
Date
Area, Building or Equipment fnspectcd
Action Taken
Electrical
Inspector
q-/~'o7
M
flA<
LIGHT DEPT
09/21/2007 13:20
13604525177
ALL WEATHER HEATING
PAGE 01/02
.
Job wired hJ'
t8,
..~...W
I '~lettriC9.1 Cnnt.-ador 0 Owner
ELECfRlCAL WORK PERI\fiT APPLICATION
lcctric;'J.l cnntn.ctor name
IIl!":t:lll:nion dc~cript;on
o Commercial J1l. RCllidclltlal
CJ New
o Altered/Addition
Purchaser's mailin~ actdrbl:'l
'667. 1{.f'lrh~
CiJ'). . Slale ZIP
xolA Arl0iJfS (),)A qPJ~-Z
Telephone l1umhcr I FAX numbe,
I
~v t-c;tot Lui vitq
AdOCSS of spec::tlon
I ZI L,. c.VlO-:'Se
ClpO'r1 Av1Qlfl-f~
Phnne nlJmhu' tn ~ch:l!;dule In!'l:pcctinn:
Owner a.f clr!fincc{ by 1~CW.J!J.28.261;(l) Owner wll/ occt/py 'Ire S/ruc:I",(!!or '1110
yemw n(ler thf.~ c!ecI171:(J/lpe,."lir i,tji1lol;;;ed. (2) Owner is n'qll;n:d 10 hire an deefn'eXlI
c:(mlrar;lur if abu'YC' ,fair} properly is fur J(1lt!, refll Qr /(~tIS(!,
Ancr reading the above ~Iatcmcnt, I hereby certify thut , a.m lhc owner of the above
numcd properly or :J lie~n!\ed c1cdrielll cnnlruclor. 1 1101 making the eleetricsl inRtnl~
lotion or alleration in compliance will1lhe elcctrical IIlWR, N:E.C., RC:W. Chapter
19.28. WAC. Ch-.pter 296.46B, Thc City or rol'1 Angeles Municipal CocJc. and
tllility SpccifiC:'l1ions. I
Sir=nAlllrr or uwner. clectriclIl co.Hr~clor' or cleetrilll,l ndministrntor
iJ Cash 0 Check #
'fA Credit Card
Card #
Visa
Mastercard
Discover
- .
- -- - --- - - -- -. -.- ---
x
Date: q
Expirat;on Date
of card
~dO
Inspection fee
$
Elec
o N LOAD CHANGES
IJ easeboard KW
o Furnace _ KW
Q !-leel ~ump _ Ton ___ LAA
IJ Fan-Wall _ KW
Service Information
IJ Overhead Service
IJ Temp Service
IJ Underground Service
Vottage __
Phase IJ , IJ 3
Service Size:
Feeder Size~
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
IR1
ROUGH-IN THERMOSTAT / SERVla: ~ )
ll.nte - _.~~r;-~- Dille ^!IllMVe,IO;:- " D"l~
I\flI1TllvOrlfl)'
~/u,l;A~ DITCH ., TIEIIDER
I U~IT.'T ^P1ll1lv~1l Dy ../ Untc ^1'lmlV~d B)'../ l)nlr. ^ltProvodD~/
Inspection ,
, Arc~, 8uilding 01' Equiptn~nL Inspected " R1cctricnl
D:Hc Actit:ln T:'lkCl1 Inspector
,
---
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Olle f{; 1!':. U " lit I!.JI
~~~" 1 [,
".;n
.;rI:T
o.
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[TO
,
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/~
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
0\~?
INS~\~V
OWNER/CONTRACTOR
M\I
ADDRESS
APPROVED NOT APPROVED
o ............",..... DITCH, , . . . . . . . . . . , , , . . . . . 0
D......, ,:.....,.. ROUGH IN/COVER...."......... ~
D. , , , . , , .:. . . . . . . . . . . . SERVICE. . . . , . . . . . . . . . . . . , , 0
D. . . . . , , ; . . . . . . . . . . , , . FINAL. . . . , , . . , . . . . . . . . , , , 0
CORRECTIONS NE~DED:
10I~SI ()/J v/Z-O NoT Au...o t.J iZ..D
n; .<-NP-LPZL vv r--.'? .
I
~ TZ--
...
":?"'''IIZ'i'-i c."v=~ lZ~ul'7"",t::;::>-.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRIN,TERS, INC. (360) 452-1381
-