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Home My WebLink About1401 S Cherry St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL HEAT PUMP Owner GRANT S MEINER 1401 S CHERRY ST PORT ANGELES (360) 457 0909 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Per 14 8000 ECH WA 983627622 MECHANICAL PERMIT INSTALL HEAT PUMP 128207 64 80 Plan Check Fee 00 6/12/08 Valuation 8544 12/09/08 64 80 00 64 80 T.Forms /Building Division/Building Permit (10 /01 /07).wpd 08 00000707 394082 1401 S CHERRY ST 06 30 00 0 4 2150 0000 GRANT MEINER MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 8544 BASE FEE ME INSTALL Charged Paid Contractor ABSOLUTE AIR INC 2820 E HWY 101 PORT ANGELES (360) 452 8444 64 80 00 64 80 100- FAU Credited Due 00 00 00 Date 6/12/08 WA 98362 Extension 50 00 14 80 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 _visions of any state or local law regulating construction or the performance of construction. -0 Q (1I 1 (6,VI /�®li Date Prini Sigdnatufg of n tracYor or Authorized Agent Signature of Owner Of owner is builder) BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS 0 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 0 J INSPECTION TYPE 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 417 -4735 INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION SITE. PERMIT CARD AND APPROVED PLANS AT JOB SITE. DATE ACCEPTED YES I NO CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I I I PLANNING..DEPT 417 -4750 I, I I BUILDING 417 -4815 I'ic i t1"'I��1V T Forms /Building Division /Building Permit (10/0 I /07).wpd 1 FINAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS DATE ACCEPTED BY. FINAL DATE ACCEPTED BY PLANNING DEPT SEPARATE PERMIT g s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 3 Applicant or Agent 4 D O r r C Property Owner CxZLc\t MrtJt v■,p,;r'' Property Owner's Ad kess )L-/ 0/ S Ch p„, st Contractor /Engineer Contractor /Engineer's Address 2g ,j 6 w License i Scu j py PROJECT ADDRESS L4-61 C Parcel Number Lot Project Type Brief Description. Residential Commercial Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date(9 /2 -0 Print Name T Forms /Building Division /Bldg Permit Appl. 200- Code.doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) TOTAL VALUATION sq ft. T Lot size sq ft. Lot coverage ft. Occupancy group Occupant load Construction type Phone Phone t'd► -n.(� Phone Expires For City Use Only Date Received„— I7 Permit Date Approved Multi- family L- D1 ,f2A Zoning per sq ft. of bedrooms of full baths of half baths I have read and completed this application and know it 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 to obtain permits prior to working on projects. Industrial Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner MEINER GRANT S 1401 S CHERRY ST PORT ANGELES WA 983627622 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 08-00000710 Date 906180 1401 S CHERRY ST 06-30-00-0-4-2150-0000- ELECTRICAL ONLY 6/18/08 RS7 RESDNTL SINGLE FAMILY o Contractor SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 ELECTRICAL ALTER RESIDENTIAL SHAMP 2 CIRCUIT + LV 128249 81.00 6/18/08 12/15/08 Qty 1. 00 1. 00 Unit Charge Per 35.0000 EC 46.0000 ECH Plan Check Fee Valuation .00 o EL-LOW VOLTAGE EL-R OR RM 1-4 ALT CIRCUITS Extension 35.00 46.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 81.00 81.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 81.00 81.00 .00 .00 .. " - ..J:. o ~ (J\ ~ ~ 1\1 --\j ," SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: f,';';', . '~... w CITY OF PORT ANGELES DEPARTMENT OF COMMUNTIY DEVELOPMENT - BUll.DING DIVISION. 321 EAST 5TH STREET, PORTANpELES,W A 98362. '-";''\'; Application Number Property Address . ASSESSOR PARCEL. NUMBER; Application description Subdivision Name . . Property Use . . . . Property Zoning . . . Application valuation . 04-00000034 Date 1/16/04 1401 S CHERRY ST 06-30-00~0-4-2150~0000- MECHANICALAPPL. PERMIT ---~-~'~~--~-~-----~----- -----~----~---~--~------ RS7 RESDNTLSINGLB FAMILY 3600 Owner Contractor MEINER GRANT S 1401 S CHERRY ST PORT ANGELES WA 983627622 PA SWIMMING HOLE & . FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360)565-1163 -----;~~~--~-~-~-~------~~~-;~~;------------------~-------------- Additionddesc PROPANE INSERT, LINES, TANK Permit Fee 57.65 Plan: Check Fee Issue Date 1/16/04 Valuation . . Expiration Date 7/14/04 .00 o 1.00 BAS2FEE 10.6500 ECH ME-GAS PIPE 1 7'05 Extension 47.00 10.65 Qty Unit Charge Per Fee summary Charged Paid Credited Due ---------------'-- .------....--- ~--------- ---------- - - - - - - -,- ... Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 : Grand Total 5'7.6S 57.65 .00 .00 \j\ - d .; Separat~ f'el1llltsare retiulred for electrical work, SEPA,Sh9J:e.llne,E$~,utilities. private and public ImProvementS;Th!s:~I\~omes nuJland~()ldifWork orcomltJ:uctlon authorized is not ~mrr.~~gedWlthin 1~80 da~, ifconstfuction orwol'J(Js s~spen~f?r a,bluldol"led for a pe"odof18~ daysafte.rthe work as commenced,orif.rtq~lred lJ1spe~onshavenot been requestedwithin1110di\ysftori1,tt1elast Ins~(m, Jtae.reby certify that I have read and examined thi.s application and know the same to be true and cOiTeqt.LA1lprovi~n~'ot laws and, ordinances govemlng tnis type of work will be coijlpliedwlth whether specified herein ornolTfle,grantill9 of:a~l111lttloe$~pt presume to give authority to violate or cancel the provisions! of any state or local law regulating ConstrUction orthePtiif6l111ari~cof ' construCtion. . .' . . . , . lj)AIF/Lc-- Signa~reof COntractOr or Authorized Agent Date Signature of Owner (if owner is builder) BUll..DING PERMITINSPECl10N RECORD ~.' ,?:"- ,.' c PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE; IT IS UNLAWFUL TO COVEllt INSULATE OR CQIVCEAL ANY JfORKllEF()RE , INSPECTEDANJ)ACCEPTED" POST PERMIT iN A CONSPICUOUS LOCATION. ' ,. KEEP PERMIT CARD AND APPROVED pLANS AT JOB SITE CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FORELECTRIC~ INSPECTIONS. , ,. INSPECTION TYi'E DATE . ACCEPTED . COMMENTS , YEs I NO FOUNDATION: FOOTINGS' ' I WALLS FOUNDATION DRAlNAGEIOOWNSPOUTS ELEtnuCAL ,._, .;...... (UGHTDEPT) SEPARATE PERMIT: II < ROUGH-IN ... I I . . PLUMBING UNDER FLOOR/ SLAB ROUGH-IN '. WATER LINE (METER TO BLOO) GAS LINE , . BACK FLOW /WATER AIR SEAL . " . WALLS I CEILING I " I I '. PRA.M~G . '. JOISTs / GIRDERS . 'SIDWlWALlJHQLD DOWNS WALLS! ROOF / CEILING DRVWALL (INTERIOR BRACED PANEL ONLY) T-BAR' .: . , INSULATION SLAB I WALL / FLOOR/CEILING I I I . MECHANICAL . HEAT PUMP GAS LINE '-:1l~ Ot{ JLL. WOOD STOVE / PELLET / CHJMNBY HOOD I DUCTS '.' . PW U1'ILITIES I SITE WORK. ~ Qivision) SEPARATE PERMIT ""s: WATERLINE / METER SEWER CONNECTION SANITARY S'l'ORM ." PLANNING DElT. SEPARATE PERMIT "'s , SEPA: PARKQll~~G~G ESA: L.UQ)seAPlNG:, 'f . ..if'!' ,; . '" , '{'.:.; ':~ .. f.~ >.' 'SlI~~: , . ,.' FtNAIo<lNSPEC,nONS REQUIRED PRIOR TO ocqJ1"~.gIUSE . . ...... RESIDENTIAL DATE' L YES NO . ,";00MMEllCIAL '" DATE ..ACC~ ". . . I YES ,NO " ELECTRICAL- LIGHT DEPT. 417-4735 El.ECTRiCAL IJGHT'DEPT .; CONSTRUCTION R. W.1 PWI CONSTRUCTION - R.W. - ENGINEERING 4174807 PW / ENGINEERING , .- - . " " . , r 'j',-- i FIRE 417-4653, 'FIRE DEPT. . , .... t PLANNING DEPT. 4174750 ~DEir. ",'. -::- , BUILDING 417-4815 ft.-, -oN ~l.L.l. BUILoING ... . .... .. T:\PLANNJNG\FORMS\II02.lS [1111412003] "....... ;/ BUILDING PERMIT - APPLICATION FrJI., OFFICI."II.IJSE ONI...\,: D~I~ '{l(:.:J:=l.b-t;>!:i.. "\'11111111._ 04 - 3 ':i- 1J00l\: ^1l111'uvcll: j)~ II': IS~\I,t\l: Fill out COJ\1C'I.ETli:L Y :md in INK. Your ~pplic..film .Ind site plan MUST 8E COIVIJ'LlCn; lo be :.u:cl!pl'ed lor revillw. II YIIU IllH-'C llDY qu~tions. c31J . (360) 411-4815 Applicant Or Ag-:nt: ~~ fA "'X H4 of ~4/t. O~er: (;)4A*----Mej'II~r- Address: 'LIfO' 'S. LJA'fmj 6+,. City;-.r~ 4rtJel~ Atchitect'Enginccr: Phone: ContractorJ2} S.(nMM.~()1 t-Ide _ Slale License~~~tO~~'7~~ }:::J...l'.clj';F'hone:5'~-1f"3 - w Address: 51~' tL) ~f!::, .6t, City: ?cc>\1- ~1J-e{e5 1..1p:~G~ I)ROJECT AOORJ!:SS: It! () I Sf L:.ite~ ZONING: ____ LEGAL DESCRfPTrON: Lor:. Blbck: Subdivision; Phonc:~~~-II~~ Phone: 4~7 - c:!2...-09 Zip: ~5'Q CLALLAM COUNTY PARCEL NllMOER: Credit Card Holder Name: .HiJling Address; City: t.;redit l.:ardlype VISA l\'lC 'R Exp. Da.t~: . TYPE OF WORK: SIU/VALUATlON: o Residenlial Cl N~w Con:::lr. tJ Re-.roM ~love SF. @ $ ISF. = $_ . o Multi-family 0 Addition 0 Movl:: t:'J Garage SF. @ :Ii /SF. = $~ . Cl COnIDlercial 0 Remodel 0 DcmolitiUlJ 0 Deck SF, @ $ iSF. =' $ Co') H..Cpllil' a Si~~lI 0 Other _._ TOTA1. VALUATION :$ .~ .: BRIEFllESCRJPTlONOIl'TH.J4:PROJIl:CT: .iAfecf~3q$ .q~e 't/lSe~ u)! . dzuf::.. ~~~'L______.__ _ {;;MMERcfAY/Rr~SlLll;:N'1'tAl.: (h:(:up:'\m:y Group:. Occupant Load: COllStruclion Typ~: No, of Stories:' Lot Si:lc: Existing Sq. fl. &. l'roposed Sq. Fl. .- TC)'fA!., ~(.(.Fl. E'l-isting lot covcr.lgc _ % & Propused 1(11 (;over".lge _% ::.: Towllut cover<\ge % .\PI'ROV.-\',,s: PL!\.N: BLn(~: OT'WI J: Imm: OTHER:_ PLANNING lJSE ONLY: .....-.,....--.-.... fSAfW~tlal1d(s): 0 YL:S LJ ~u SEPA Cbt'cklisl rcquire,d? 0 Yes 0 No Other: BUUJDJN(~ I'F.RMIT AI'.'L1CA'1'I0N SlIHMITTAL: The Buildin~ Divi.mm (;,tn provide you with ulfonnutio/l on the: application anci . plllu sllbrnitn.all'equifl;lllcClts if YOll have question!':. . VALUATION 0... CONSTRU<:TJON: In all c:\sc.~, ~l vlIhllltion amount must be entered by tha: applicant. This flgL.re: will be n:vicwcu i.Uld lllllY be revised by tltl'; nllildil1~ Diy isi(ln to) '....mply with CUlT<:llt Ie.: :o;.::;ho::.lul..:'l. ClllllllCl \he l\::l'tnit Cool'l'linator flt 4- , 7 -4g 15 for u:isistun"... J)LAN CHECK .FEE: 11-' ~1 plan l:hC'l:k ll::c j!l t11.1~~ it must ht.~ submitted at the: ,'ime thL~ building permit applicalion and CIIIl.'ilfll.::tiotl plans <II'C: submitted. All other penllll t~~:; :ll'e due at the time uf jJtTmil is~uam;c, . .KXPlRAnON Ol" I'LAN RF.VmW; 1foo permit is issued within IXO days ,.rlbt dare ofappJication, the appli~aliulI will expil-e. Tht.: Building Onicial can cxlclHI rh.;: Iim~ 1~11' actioll by the .lpplicant up co 1 ~O day~ upon written rcqlltSI by tbe applil;i~m (:;t).: Section 107.4 or tht.~ r.lnitnn~' Rllildin~. (~nfl,~. C:lllTl'III' I~diti(ln). .. N(\ Hl"1"lkn1inn 1'1111 he: 1,~tl"l1rl,.d mnn' 1han nm:c\ t. J am authorized to clpply lor this permit and li:lillliUl;/1 p/;ul/lil~ fJr;rJr I(J. wc;r/f.. Dare: 1- C3 - C?. <!.._ . 2:0 39'ii'd ::l3l3 dW'ii'HS 68912:S1;>09E1 00:02: 1;>002:/S1/10 PREPARED 2/06/04, 12,59,15 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR'JAMES L LIERLY 1401 S CHERRY ST PA SWIMMING HOLE & FIREPLACE S MEINER GRANT S 06-30-00-0-4-2150-0000- 04-00000034 MECHANICAL APPL. PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 1/16/04 1/16/04 JLL DA MECHANICAL GAS LINE . OVERRIDE TAKEN BY JLIERLY 301bs on gauge reqd/jim MECHANICAL GAS LINE 1/21/04 JLL 1/21/04 AP ME99 01 ~/06/04 l:):L("'J MECHANICAL FINAL ~ seth 460-2807 -------------------------------------- COMMENTS ME6 02 SUBDIV: PHONE PHONE : (360) 565-1163 DATE: 01/16/04 PAGE DATE 5 2/06/04 " TIME: 12:26:55 AND NOTES -------------------------------------- PREPARED 1/16/04, 12:28:23 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 1401 S CHERRY ST PA SWIMMING HOLE & FIREPLACE S MEINER GRANT S 06-30-00-0-4-2150-0000- 04-00000034 MECHANICAL APPL. PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 1/16/04 ~ MECHANICAL GAS LINE . OVERRIDE TAKEN BY ------------------------ ----------- COMMENTS AND ME6 01 NOTES -------------------------------------- SUBDIV: PHONE PHONE : JLIERLY (360) 565-1163 DATE: 01/16/04 PAGE DATE 3 1/16/04 TIME: 12:26:55 2'32,54 1/21/04, 1 . PREPARED ANGELES OF PORT ___ CITY -------------~-CHERRY ST FIREPLACE S ----- . 1401 G HOLE & ADDRESS . : PA SWIMMIN T S CONTRACTOR . MEINER GRAN -2150-0000- PL. PERMIT OWNER .. 06-30-00-0-4MECHANICAL AP ____u PARCEL . . . 04-00000034 ___________ NUMBER. -------- T A"L____________;.,...,CAL ""'D""''''DN ENT' _m . -" ,." ULT'/OO~_ '",,"T. ,,"",'TOO RE'ULT RE'------------L'N' COMPLETED --------- ANICAL GAS Y JLIERLY P/SQ u__u MECH TAKEN B T> - - - OLL . ~RERED' 'L<" 01 1/16/04 AP ECHANICAL GA ME6 1/16/04 JLL M M"__O'____'/"/O'__~-------- OO~,"T' AND NDT" \)'<> TICKET Y INSPECTION JAMES L LIERL INSPECTOR ______ --- SUBDIV, (360) 565-1163 PHONE , PHONE , 01/16/04 DATE, :>r-c~\t 30\'YJ't 4<) ~\"; PAGE DATE 2 26.55 TIME: 1, . t>,^ 3 1/21/04 I_~" VI cv Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. '- 3 d~S- "K.-/9 -Cj / DATE Installed By: <. o READY FOR WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. DetailslDescription: )( Residentiai ~ /J . 0 New Construction Heat KW (1fU ,-f:(rn{ H Remodel o Baseboard 0 Furnace/Boiler ~ Service update/alter/repair o Heatpump 0 Other o Commercial/Industrial load ~ Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (I ist below) Total Motor load 0 Special equipment (attach breakdown) (I ist below) JR/.u~~~ ~ , I L'.4 /LAr.g" - ~ ~ Overhead o Underground Voltage 010 03.0' Service size .VSl:> o Temporary Amps . ~p< .LJ ~ (!f) ?!} ~~~ W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~Rough'in/cover O.K. ~ O.K. to connect service .i..:rFinalo.K. q. 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: \ , Permit/Receipt No. 5 Date: <6-/9-9 I New Meters o . 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 Ins~Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158. or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT - t:j-tJ( 00 Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date l-/~-ob . Time ;; ~'UV fJfr1. , Received by Ilf ~person) Location of Work to be inspected / V u ( ,<) <:> C;; <'1/'-/ Name of person requesting inspection Uafe/ ;::?tv. I Address of person requesting inspection 17u.3 L)a 8 ST Phone No. '/17- c/'b7"y Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~c-</afe'- INSPECTION NOTES: Inspected: Date 7 -I q -06 Remarks: Time 10; t7V -'WI By 71 7 31- II ,serl/le.+' /eqk czT ('!tIe f'lvT RESTORATION REQUIRED. . . . .. YES V NO :z II cL U' ;;.\\(.L ~ \J I Lf rt, ~ 1 ~ I () '\ JI-c- .~ Iv"A-c , T t '1:5' .-L. .{] <:II ~ -J SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt o Repaired by City o Repaired by Permittee o No Damage Found o PCC ~Other Ib ~ - SOl I . I Work Order # "]03V{, -/ Irs o COMPLETE ~NCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 06/12/2008 10:26 FAX s....'" .. 'I ~. . ......... Job wired by o (';Icctrical Contractor [J Owner- DuLt: Ex ireli - OWI/"I" 1/." (/1;/;III'fl hI' HCW, II) .7,\',JM.lfJ ()II'IHT ....illlI("('lIfll' JIll' -'"/ntI'IIII'fjlll 110'0 )'C'UI";) '!/iel' tll/.r dcclrjml 11/:l'lIJif Lr Ji"UIi!l!l/. (2) UII'"t'l" i,1 f"t'quin.'cJ IlJ hm~ "" dl!L'lJ'ic:af ('(ltlll'u("IQr' if ubuvt,! J'tJitJ pr()pf/.rJ)' B' fur .I'{d~, I't!tll fJr I"/Ire. Aflt;r n:;:adinl:: the above slll.lcmCAI, ) hCl'cby certify Ihilt J am the llwner or Lhe IIbDYC llUmtl.l propeny 01' ~ Ill;cmset.! elCl:lrk..1 cunlrDclor. I um mHkil\~ the d';Cli'l\:.t1 ill,)131- lation Of llHo;:ralion in compliance with the ..:lcclricOlI Jonv$. N.E.C.. ftCw. C!l:1PLct 19.28, WAC, Ch;lPI~'1 2lJ6.4(,1I. The Cily uf I'un ^"gd.;~ MU1lkljlal ('wk. ;Illd Ulility Specificatiolls. S'gl\IIIU ur owner, I!lectI'lcal COlllrucror or dcdrical ::r.dmilli51ra r X nnte; (p ElectrIcal Load Additions and or subtractions a NO LOAD CHANGES [J 8as.boa," _ KW o Furnace KW o Heal Pump __ Ton _... LAA CJ Fan-Wall KW \ ~00'/001 (Ju-m/r' -:/i::- .. ,. '0 ELECTRICAL WORKPERMlT APPUCATION \)zj , ~ ~ 1l\~I;&lt"liull IIChI:riptinn CJ Commerdal ~Resldent181 a New ~llered/Additiun (}j,& ~ ~~~ 4& aQ r ili& \~U) \J W vJ vLvw, 3'0 \ D Cash D Check # D Credi L Card Card /I ViS.l Mastercard Discover Expiratioo Date ofc"rd lJ Overnead Service r.J Tamp SOt\ljco U Underground SsrvicG Vollago Po,s. a , [J 3 Service Slzo: Feeder Size: __ Tm;RMO~IAT SAME DAY INSPECTION. CALL BEFORE 7;00 AM 360-417-4735 ROUGII-IN 1lk~ . D.l~ ~BJ U~lc FINAL ~W_ ~ DITCH h~l~ "'{ollf,,"\',III)' InspecLion Dale ^r~a, 13uilding or EquipmclU Inspccted _JJR ~@__.... ___.______ ,._... ___ _..._. ____n___. lAM ......--. ---_.~-~._------_.,._._---_. ^",,'..v~J1)' SERVICE O;j.ll: "'ppru~cd a,. / FEEDER '\ O",lu ^I'lloo'.."'.:.llJ)' AClion Tukcn EleC1rical hapCclor