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Home My WebLink About1421 S Cherry St - BuildingApplication Number 08 00000789 Application pin number 408889 Property Address 1421 S CHERRY ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 2165 0000 Tenant nbr name MICHAEL FISH Application type description RE ROOF Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF RE ROOF Owner MICHAEL E FISH 1421 S CHERRY ST PORT ANGELES WA 98362 (360) 457 6442 Structure Information 000 000 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 5000 Contractor Date 7/07/08 LINDBERG CONSTRUCTION LLC 139 W 7TH ST PORT ANGELES WA 98362 (360) 457 6408 TEAR OFF RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF Permit pin number 129387 Permit Fee 137 75 Plan Check Fee 00 Issue Date 7/07/08 Valuation 5000 Expiration Date 1/03/09 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total rh3 T Forms /Building Division/Building Permit (05 /13 /08).wpd 137 75 137 75 00 00 00 00 00 00 4 50 4 50 00 00 142 25 142 25 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 sta)or I cay law regul ting construction or the performance of onstruction A ate U `Print" Ndme v ��ig nature of Contractor or Signature of Owner (if owner is builder) 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 I MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PLANNING DEPT SEPARATE PERMIT ll s PARKING /LIGHTING LANDSCAPING T 1: c /Ri Jrli ll�vi RESIDENTIAL o /fti ildim Pe and (05 /13 /O81.wod BUILDING PERMIT INSPECTION RECORD I FINAL DATE ACCEPTED BY. FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I B DEPT 417 -4815 I �)reed ii —i it IV I BUILDING DEPT DING DATE ACCEPTED BY. DATE ACCEPTED I YES I NO rb I I I. I Applicant or Agent Property Owner Property Owner's Address Contractor /Engineer Contractor /Engineer's Address License PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair (Re-roof ❑_Demolition Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 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 I Forms /Building Division /Bldg Permit Appl 2006 Code dcc Residential Commercial Phone Phone Phone Expires /z/, rr2 �ot Multi family Industrial Zoning �P Irvs,24 Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Posed (sq. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type per sq ft. For City Use Only Date Received (Y? Permit Date Approved TOTAL VALUATION ''S sq ft. Lot size sq ft. Lot coverage 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. Date) C Print Name Signature f pORT ~ 84.0~~~ ~ L -=o..>r ~ 'l.tii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl~cation Number P~n number Property Address ASSESSOR PARCEL NUMBER: Applicat~on description Subdivision Name Property Use Property Zon~ng . . . Appl~cation valuat~on 04-00000543 Date .331345 1421 S CHERRY ST 06-30-00-0-4-2165-0000- ELECTRICAL ONLY 8/03/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor FISH, MICHAEL 1421 SO CHERRY ST PORT ANGELES WA 98362 STRAITS ELECTRIC PO BOX 2914 PORT ANGELES (360) 452-9104 WA 98362 Permit Addit~onal desc Sub Contractor Permit Fee Issue Date Exp~rat~on Date ELECTRICAL ALTER RESIDENTIAL HOT TUB AND RECEPTICLE STRAITS ELECTRIC 46.70 Plan Check Fee 8/03/04 Valuat~on 1/31/05 .00 o Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extens~on 46.70 "- ";'\~~ ~~' " '^ ~ ~- ~ ~\\ f'~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .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 withm 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (If owner is builder) Date T \PLANNING\FORMS\1102 15 [11/14/2003] 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL I WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (EngIneenng DIVIsIon) SEPARATE PERMIT #'s WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKINGILIGHTlNG 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.I PWI CONSTRUCTION - R.W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [11114/20031 d'OIl'~_ .s(i~~ DS ~~,... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l21 EAST 5TH STREET. PORT ANGELES. WA 98~62 Applicat10n Number Application pin number Property Address ASSESSOR PARCEL NUMBER. Application type description Subdivision Name Property Use Property Zoning Application valuation 05-00000281 Date 562043 1421 S CHERRY ST 06-30-00-0-4-2165-0000- ELECTRICAL ONLY 4/26/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor FISH, MICHAEL 1421 SO CHERRY ST PORT ANGELES WA 98362 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 Perm1t Add1t1onal desc Permit pin number Sub Contractor Perm1t Fee Issue Date Expiration Date . . ELECTRICAL NEW RESIDENTIAL HI-TECH/ SEC JYSTEM 47845 HI TECH SECURITY 42 20 4/26/05 10/23/05 INC Plan Check Fee Valuat10n 00 o "- ~ ......... EL-LOW VOLT SYS <=2500 SQFT Extension 42 20 Qty Unit Charge 1 00 42 2000 Per Fee summary Charged Paid Credited Due r________________ ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 00 00 Plan Check Total .00 00 00 00 Grand Total 42 20 42 20 00 .00 iI\ ~. U ~ ~ , COMMENTS/ACTION NEEDED I I i ELECfRICAL PERMIT INSPECfJON RECORD ! . I CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TEIOR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. i KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.II02.J~ [4196] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00001128 Date 11/21/03 Property ~dress ...... 1421 S CHERRy ST A~SESSOR PARCEL NUMBER: 06-30=00-0-4-2165-0000- Application description . . . PLUMBING REPAIR Subdivision Name ...... Property Zoning ....... RS7 RESDNTL SINGLE FAMILY Application valuation .... 400 Owner Contractor FISH, MICHAEL LANDSCAPING BY COCKBUM 1421 SO C~ERRY ST 4950 SEQ DUNGNESS WAY PORT A~ELES WA 98362 EEQUIM WA 98382 (360) 681-0644 Permit ...... PLUMBING pERMIT Additional deec. . Permit Fee .... 54,00 Plan Check Fee . . .00 Issue Date .... 11/21/03 Valuation .... 0 F~i3iration Date . . 5/20/04 Qty Unit Charge Per Extension ~ASE FE~ 47.00 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 cer[ify that I have read End examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thi )replied with whether specified herein or not. The granting of a permit does not presume to to , or cancel the provisions of any state or local law regulating construction or the performance of construction or Authorized Agent Date Signature of Owner (if owner is builder) Date [11/14/2003] s ~~'. CITY OEPQRTANGELES DEP ARTMENT()l:'gOMMUNITY" I)EVELOPMENT-BUILDINGDJyISION 321>EAST STH STREET,' PORT ANGELES; W A 98362 Applica~ion Number pin number ... . . Property'Address ASSESSOR PARCEL NUMBER: Applisa~io~ dessription Subdivision Name' . Property.Use .... Property Zoning . . . APplication valuation 04':'00000543 Date .331345 142r>~. CHERRY ST 06 -3 0'-00"..0-4 -2165':' 00'00- ELECTRIcAL ONLY 8/03/04 '.,;1 .'i -':.,;\ i il ;I RS7 RESDNTL SINGLE FAMILY ,0 FISH, MICHAEL' 1421 SQCHERRY ST PORT ANGELES WA 98362 STRAITS ,ELECTRIC PO BOX 29i4 PORT ANGELES'! (360). 452...9104 WA 98362 Owner Contractor .~._- --- - - - - ~ - -- - - - - -',- - - - - - -. - - - -- - -.... - - - - - -;...;;; - - .....- - - .:..'~ - ...;....-.:.._..;.:..;...;.-_...;,. -'---' -' -..; - - -..; - - ~- Permit . . . . . Additional desc' . SubContra.ctor Permit'Fee Issue Date ExJ;>iration Date ELECTRICAL ALTER RESIDENTIAL HOT TUB AND RECEPTICLE STRAITS ELECTRIC ,', 46.70 Plan Check Fee 8/03/04 Valuation 1/31/05 .00 o M ............~.......~'".. ','......""Q...... '.....~......\.. .. '. ,,~.N ......"1...........,...............'..-< , .... \. ~ '"'- M. ~c~.. , .:t t\ .. ~~ ~ Qty UnitChCl.r9~ Per 1.00 46. 7000ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 "Fee sununary Charged Paid c::redite!i Due __..;___~i~___~..;.~~~._ ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46..70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .00 Date Separa~~ ~erfu~are required for electrical Viork, SEPA,Shor~lir~iESf', utilities, private and public improvem~J1~.:[hi~AAp:rIit~,.c:p~es null an~y()l~if,,,,,,o~pr 9<'nstructklnauth()~edis n()t cO':llmence~~i~in 1~O days, if construction or WO~I$\t>>lJsp~n~~der~b~J'I~~ned fora periO~'~f1~O days after the wark as commenced, arif rec4Liredlnspectlons have not been requestecJ'Within'18(fcfaYS:frOrTlthelast inspecyonB..I,'h~r~~y ce~ that I,ha~~ read and exa':llil1edtpis'~pplica~on and knaw the same to betru~ian9 ex>rrec:t;.AUprovisians of laws andordinanbesgoverrilng this type of work wUlbe cornplle~\Yit/1whether specified herein or not. Thegrantiogbfapernlitdoesnat presumEltq.give!a.utharity to. violate or cancel the pravisians of ciriystate or local law regulating construction'.orthe pelformance of construction.' . . Signature ofCo.'.h,'tractor o.r. AlJfho.riz..ed Agen. t. . '. ", ...... .,.... '. Signature of Owner (if owner is builder). BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECfIONS. CALL417-4735 FOR ELECfRICAL INSPECfIONS. PLEASE PROVIDE A MINIMUM 24 HOURN0TICE. IT IS UNLAWFUL TO COVER; INSULATE OR CONCEAL ANY,WOllJ(,B.PEORE . INSPECTED ANIJACCEPTED, .POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB'SITE. . . ".' INSPECTION TYPE DATE ACCEPTED ~ COMMENTS " I., ..... I YES I NO , -. ". .... .'.. . . FOUNDATION: " -',' FOOTINGS WALLS . .' FOUNDATION... DRAJNAGEIDOWN SPOUTS ',,' . .,' ELECTRICAL . . '..' (LIGHT DEPl)' SEPARATE PERMIT: /I ROUGH~IN I .' I /~". .. . ". " . PLUMBING , . UNDER FLOOR I SLAB . ROUGH-IN . . WATERLINE (METER TO BLDG) GAS LINE BACK FLOW / WATER -.-. 1 ..'. . AI~ S~L . I WALLS r CEILING I . I . ...... . FRAMING .; , ,. JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS/ ROOF / CEILING '. DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL/ FLOOR/ CEILING . I I . MECHANICAL HEA')"PUMP . GAS LINE .... WOO!, STOVE / PELLET / CHIMNEY . . HOOD / DUCTS PW VTILmES / SITE WORK (Engineering Division) SEPARATE PERMIT /I's: WATERLINE / METER SEWER CONNECTION .. SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTlNG ESA: LANDSCAPING .' , ; ~~O~INE: '. .. "~ INSPECTIONS REQUIRED PRIOR TOOCC"PAJll.9'~E. ,. .. .' ; . RESIDENTIAL DATE YES NO COMMERCIAJ,. DATE ,4.CCEPTED '.' I '" . YES "NO , ..'>." ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL , 'LlGlITDEPT . CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 P'N / ENGINEERING . FIRE 417-4653 FIRE DEPT. 0- PLANNING DEPT. 417-4750 . PLANNING DEPT. -:-. ". BUILDING 417-4815 BUILDING , T:\PLANNlNG\FORMS\1102.15 [11/14/2003] 1--- $~ \If CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST STH STREET. PORT ANGELES. WA 98J62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000281 Date 562043 1421 S CHERRY ST 06-30-00-0-4-2165-0000- ELECTRICAL ONLY 4/26/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor FISH, MICHAEL 1421 SO CHERRY ST PORT ANGELES WA 98362 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL HI -TECH/ SEC. ~YSTEM 47845 HI TECH SECURITY 42.20 4/26/05 10/23/05 INC Plan Check Fee Valuation .00 o "- ~ """ EL-LOW VOLT SYS <=2500 SQFT Extension 42.20 Qty Unit Charge 1.00 42.2000 Per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42:20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.20 42.20 .00 .00 ~ .... J l!) "i , COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPE~JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAl:. ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE COMMENTS NO GENERAL COMMENTS: PW.1I02.1' (4196] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15714 3 - Jq )/t:: Port Angeles, Washlngton..oooooo..oooc.ooo.._...L.1..oooooo.oooooo.ooo.......ooo., 19.....000 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 d~ctrlcal work as listed below. Address ..n/f...2:./... g--fl:.e~~ooo..ooou-..--.mnnnm...--.. Occupancy._. <tP !4..~.....____..._..____ooo......_ ~::~~~:::~~tt.~:::=::::::::::::::u--~~:~~~;:::::::::::::'.:'::.~::::::::::=::::::::::::::::::::::::::::::::::::::: Light Outlets_n_______________________.___________. Service, volt, _/-.!2n~i?:.~t;__ Type or Wiring: Receptacle Outlets.................h...__....... No. wires ....__...;!...............__........... Armored Cable .............................. Dryer, KW._.m..m..m................_____ Size wlres...~~_ __ ______0.._________________ Non.Metalltc ______m______________________u . g L1 Knob & Tube................__................ Range. KW......n.......__.......__ Main fuse --.. ....;"';...__..__/7......... .s: Rigid Conduit ------------------------------- Enclosure ......__........____................... Water Heater: KW.______________nmnnn______nn_ H"" KW._____I-_5:._!~'_'rr:: Type of wIring: Entrance Cable ..__.................. Motors: size. volts and phase: Rigid Conduit ............................... MetalUc Tubing ...........h............__ Current transformers: No. & Size....................................... Ser. No..............................____............. Ser. No.................,;....__.........__..__........ Ser. No............__................................. Metallic TubIng ........................... Raceway .................................._..._ Circuits. Light..............................__....... Utilit~r ......................._.................... Heat __..__...__.................................... Range ............................................. Water Heater ..................__........... Motor ..._........................................ Dryer ...__..__...__n......h......................__ Furnace .........................,~.........__........ Total Load......................__..... Ser. No.__...__.__......__........__................. Total ............................h......... Remarks: ---ooo-;r'~cb-(:;~"..ooo...4.1?..4...".u.S<.:ooo.ooo;6J!.&-?.dZu~~____..__..........__..__...ooo . ~ / . Treas. ReceIpt By-1f....ri..~ei~d~ Permit Fee ~.J.~ if fj $.n____..eu...:!_:;_~____-;._oo...____oo. N 0..__00_______________0.______ NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. It 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 '~..... --. /sl((.r~ - ~O A- ELECTRICAL PERMIT Addres, _h_l..y:!_-/_n______..A.___h Owner _"___:;;'~---h-,"%-'-- N? 15714 I / . ~.............................................. Date..._......_.._.._.._.........._......_......_......." ..............(/....................................... TenanL..........................................__....................... \Viring Contractor......~.~...... ... ........_. ._...................................................... By.............................................................. NOTICE--Current must not be turned on until Certlficate of Inspection has been issued. If work is to be con- '(:eaIed due notice must be given the Inspector so that work may be inspected before concealment. '-. \ ~~ 1M Olympic Printers, Inc. O Owncr ~-...;~~""r~~:: 0 ELECTRICAL WORK PERMIT APPLICATION " .: Request Inspection o Electrical Contractor o AnnuallJermit 0 Alarm 0 Carnival U Commercial,.erRcsidcnli:.1.1 a Residential Mllillt. 0 Signs 0 Thermostat Cl Telecorn. ,. CI Owner 1"~l~lI;lliQT1 dc::u.7Mption Job wired hy o Electrical Contractor I:.Jcctrlcal contractor name Lic~nse number HI - n<,-I+ 5 t.,,-uR. \ \""1' \-I1:'\'"Z:"--,':> ~5'S-E.5 :C...;l~,A.\\ s,~c.uR..\~'i' Purchaser's mailing addn:ss 123 ~"', F~QU-r (->...\~......... S0 ...'T-e.............. Ci~ Slate ZIP OR., (.\,.;l6tJ...~ ...,A. , 98:562- Telephone number fAX nu.mber B5,,",O 3(,0 - '-fS-2 - 2. 12 ':f -:5"'0 - 452 - Premise! owner's n3mr ('1\"'."'''' f-L ~'Sl-\- Address of inspection c.i-lUQY 1'-1;21 SO. CI~ CR.. AoJ6 f....\ z....s o Cash CI Check # 0..) FdL I hereby certify tbat 1 3m the owner of the above named propeny or 3 licensed CI Credit Card yisa Ma.'itt:rcard Discover dcctrical contractor (or tbe tirm's aulhorized agent) and am making the electrical installation or alteration in compliance with the e1eclrical1aw, Chapter 19.28 RCW. Card # - - - --_.-------------- Sign3ture of owner, c1~ctrieal contractor or elec:tril:..3J 3dminh:tntor Expiration Date X B-...~ ~Pulf of card ($n'P4~. ~ 0 --- WALLS 11\~ulatioll Only IlMe AJll'TOvell. By Cover DJ-Ie ApllroVnl By CEIUNG Insu1:1tion Only V~l.. Al'l'rllvc:d By CuveT Illl.le Approved By THERMOSTAT !hI" ^~cm>ve~ By DITCH D~ll: Apprvvcd By / SERVICE '- D~'c Approved ~y / FEEDER Dllte AIljlrllve<l8y ")~cal Load Additions and or subtractions. (J NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAA Cl Fan-Wall KW Service Information o Overhead SQlVice o Temp Service Q Undergrol,l":d Service Voltags PhaseD 1 03 Service Size: Feeder Size: ___ Inspection Area, Buihting or Equipment Inspected Action Taken E1c:ctrical DaLe Inspcctor I .- - ... ~~I - - -. /iOV 1d I,~ W%'~~~G '..ldCi 8958 G5l> 89~ 'ON XCid SJINO~lJ3l3 HJ31-IH WO~d 36045i4698. "":~}~Il;,N~~~~(f7-;-rn'r~_rrjj'T;> ~O; " ~-. "~ . -~..,~; ." ,,"~ -~~;~~;.' .(;~~~J:l~::-~i;{~ '-,-{:~"~'~.-li':~~~{~~::~~-'~-;'- · '7-:,1~~~~!t~~>~,.u ' ~- "'~" .,," ~ "'f" ';:",'1>' "~~'EttE(:;TRJcAl PERMl1\b;PPLICATlDN' . <",-":::',;,'''','.' ~- ~*~:~:~Ytif[liJ~I~~j;L~~~1m.L:~~i~~in~;~ ."'~~I;~>~~4 ~\{):7~:tL ..';:)_:'.~~~rlri''''' ~~;::rt=~i:on(l8~41t~P.y-5Y3 ~&iiS=iC _ .w... f-"'-"o,^",= 4~;trtt '. .. ".';- ..-... '...', - ".:, '. ..;'"", '1'" . . _..:.b-.o~~ J:-D.:l\c.s""~/,,'~' _ AS' 2 '9104 ~Q5;,~'::. sftau;j;..tl'fietrl..... Ucen.e"'~"-' . - 'CleF-:' ._, "" .........,..- ~ ;p~O~ Box <29:'.4 >: I . G."Y-port Angeles, WA . ZIp: 96362 :,::~=:,~:~~~L Elec:~CALCONrRACioR-n . . .' '. I BlliIng~, P,O.' Box 291.~' . ,. ~ - . ~ . . I . Credit~~N~;..b~4ii(!i'hA/.e:. " . cItY: Por~ .Angel~~,' WI\. &,.i. Date: 98362 ZIp: . .'. X VJSA.: ' Me: - - '~~ADDReis:~1 .S .~ lYPl! 01' WORK: Chedc aIIlntlt applY: PtNGW 0 A1ferallonlAd~ ' t. ResIdential [J MUm-tamDy 0 eommen:ial n Mobl~ Home . Sq. R nRemol&Maler :C'Oelad\edgMllJe ~HotTub CSWlmPooI O.5epllcPump' otJ:IwVOIl8ge o To/GCOrn. QS~ Number of CiIClIlts added Dr aI!erad; . DESCRIPTION OFntE eLecmtCAl. PRo.1cCt; -.:J1 at . V r'~' P/9;C/L). . 1ub ~c:h{ftC . E1eclrlcal ~t Load :Addltlons.anrt _Subtractlons SerVtcelntUrmll1fon o Bliaoboanl o RlInace ri Heat f"UriQ> :J Fan-W811 ~KW .' KW' -TON -KW LRA o 0\I1lIhead 'ServIce cTemp Sf!NIce o UndG/glound SIlIIIice V6~'- Phase:. 01 0:1 Se1VIl:e SIze: Feedl!r SIze: " r hereby certify that I have read end examined this sppliat wthoJtzed to apply forlhis penn/t. {understand If is n w 1Br1lJ/tW; it 18mains the app/icarits responsibility (, d . ~ Credit Card ffold~s Sig (/~ ~ \ Vrv\ D \ ~ar E1~ Canl Saii~ (j l()\ffI '- . .. ::JElECJlU~APPUCAl1ON Bnd know that same to be true and correct. and I ar. Cily's l8gaJ 1fl8/JOfJsJb1Jity to defenn1ne what!iebnits Ine what ~ BIB required 81Idto ob~~. . . uk/Christ e-Tucker Da~ . ,. ,.' . . -' DarU/U/6t/- PERMIT~FEE:$ .;;& ,fJI) " ".. j1@ 6Pl/o1 ....')cD.. . ," ...... .. . . (' ELECTRiCAL ~NSPECT~tO~\L, '\ - WIIRUNG REPORT \. 417-4735 D'~E 2-~ JOd ERICON~ PERMIT , ADD E 5 L/ ;:L / 75 ,"5 ~ ~T( (!t#j CORRECTIONS NEEDED: (]) 562-0 r/~ ~~ q5'7 - 0q~/2- iffl'M7 sC-rl.llk 87 (Pfll - en 32- l.DA, (' bJ4.-r: (~()..;c- 7f- (")77 CL.v. )) Mlcd~ "c/~ H I n(!-K /'S'iJ~ . NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE -