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Home My WebLink About217 Columbus Ave - BuildingApplication Number 08 00001218 Application pin number 354814 Property Address 217 COLUMBUS AVE ASSESSOR PARCEL NUMBER 06 30 09 5 8 0060 0000 Application type description SIDING Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 10000 Application desc INSTALL VINYL SIDING OVER EXISTING Owner MARSTON DONALD L 217 COLUMBUS AVE PORT ANGELES Qty 8 00 Other Fees Fee summary Unit Charge Per 14 0000 THOU 'Nate Print Name CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 /8%/ "4/ WA 983622503 Permit BUILDING PERMIT NO PR FEE Additional desc INSTALL VINYL SIDING Permit pin number 13!194 Permit Fee 207 75 Plan Check Fee 00 Issue Date 9/23/08 Valuation 10000 Expiration Date 3/22/09 Charged Paid Credited Due 1 Permit Fee Total 207 75 207 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 212 25 212 25 00 00 BASE FEE BL -2001 25K (14 PER K) STATE SURCHARGE 4 50 Separate Permits are required for ele ctrical 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 thatll 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 T Forms /Building Division /Building Pennit (05 /13 /08).wpd Contractor Date 9/23/08 G M VINYL SIDING GUTTER 4113 SOUTH C STREET PORT ANGELES WA 98363 (360) 457 3949 Extension 95 75 112 00 Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) INSPECTION TYPE DATE 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 PLANNING DEPT SEPARATE PERMIT ll's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD 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. ACCEPTED YES NO II -1+ 1 FINAL DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE I ACCEPTED 1 YES 1 NO Applicant or Agent Property Owner Property Owner's Address Contractor /Engineer Contractor /Engineer's Address License PROJECT ADDRESS Parcel Number Proiect Tvoe Brief Descriniion. Check all that apply New.Construction Addition Remodel Repair Re -roof Demolition Heat System Mather Floor Areas Existing (sq. ft.) Basement 1 Floor 2 Floor 3rd 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 /tip` fl 7-A /7/-4 7 Z 7 Residential Commercial Expires E -mail /7 eo /0,.,ed,s Phone Phone Phone Lot Zoning Multi family Industrial /f. if-- /7 1 5 !e 7 /;tA O I J, i s 1 L J 4, Heat pump wood burning stove P (sq. ft.) sq. ft. Lot size gas fireplace pellet stove other TOTAL VALUATION For City Us Onlyy Date Received lisp 498 Permit Date Approved `7 83 c per sq. ft. sq. ft. Lot coverage 5 4,0- 'p Max. height of proposed structu es ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. I arr authorized to apply for this permit and understand that it is my respons ibility to determine what permits are required, and to obtain permits prior to working on projects. Date q- Print Name /9/ /1 Signature of bedrooms of full baths of half baths CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 03 00000539 Property Address 1 217 W COLUMBUS AVE ASSESSOR PARCEL NUMBER 0630095800600000 Application description II ELECTRICAL ONLY Property Zoning Application valuation 1 0 Owner Contractor MARSTON DONALD L OWNER 217 COLUMBUS AVE PORT ANGELES WA 983622503 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL Date 6/02/03 67 50 Plan Check Fee 00 i/02/03 Valuation 0 11/29/03 Qty Unit Charge P Extension 1 00 46 7000 ECH EL -R OR RM 1 4 ALT CIRCUITS 46 70 4 00 5 2000 ECH EL -R OR RM ALT ADDNT CIRCUITS 20 80 Fee summary Chard Paid Credited Due Permit Fee Total 67 50 67 50 00 00 Plan Check Total 00 00 00 00 Grand Total 7 50 67 50 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 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 [4/2002] N a 3 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL LIGHT DEPT 417 -4735 T.\PLANNING \FORMS \1102.15 [4/2002] st 0.3I YES NO ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 I I FIRE DEPT PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT BUILDING 417 -4815 1 1 1 1 BUILDING r;/i'ORT~G' CITY OF PORT ANGELES ,joJ. ~<(~ ,. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION w_ -=:;..:11 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ,_ I; ~ Application Number 03-00000539 Date 2/06/04 pin number .3617 Property Address 217 W COLUMBUS AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0060-0000- Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor ------------------------ ------------------------ MARSTON DONALD L OWNER 217 COLUMBUS AVE PORT ANGELES WA 983622503 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc REMOVE FURN. /ADD 8KW. HEAT Sub Contractor SIMPSON ELECTRIC Permit Fee 46.70 Plan Check Fee .00 Issue Date 2/04/04 Valuation 0 Expiration Date 8/02/04 ~ Qty Unit Charge Per Extension "-.... 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS 46.70 ~ Fee summary Charged Paid Credited Due ~ ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 ~t Grand Total 46.70 46.70 .00 .00 :)_.... ::_",.. r ~~ -\~,:- -~- -,...,--- ~a - - - - -.- - t ~ ~ <:. ""- 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 grantmg 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, 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 I DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: I FOOTINGS WALLS I FOUNDATION DRAINAGE/DOWN SPOUTS I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # I ROUGH-IN I I I I PLUMBING I UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL I WALLS I I I I CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING I DRYWALL (INTERIOR BRACED PANEL ONLY) I T-BAR I INSULATION I SLAB I I I WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s WATERLINE / METER I SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING I I I ESA. LANDSCAPING SHORELINE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 I9/Pt! ELECTRICAL LIGHT DEPT , , CONSTRUCTION R W. / PW/ CONSTRUCTION - R. W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT I PLANNING DEPT 417-4750 PLANNING DEPT I BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [11/14/2003] S CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ......::::;0> '. - BUILDING PERMIT ISSUED: 9/1712001 PERMIT NO: 12962 OWNER/APPLICANT PROPERTY LOCATION DONALD MARSTON 217 COLUMBUS 217 COLUMBUS Lot: 31 Port Angeles, WA 98362 Block: D Long Legal 360/000-0000 Subdivision: southwood T: S: Parcel No: CONTRACTOR ARCHITECT LARRY'S ROOFING N/A 352 AVIS ST Port Angeles, WA 98362 , 98360-0000 360/452-2215 360/000-0000 PROJECT INFO Project Value: $3,000.00 SFD Units: 0 Commercial: 0 , '" Project Type: RE-ROOF SFD sa FT: 0 Industrial: 0 - Occupancy Type: RESIDENTIAL Garage: 0 _. Occupancy Group: MFD Units: 0 Construction Type: MFD sa FT: 0 ..." Zoning Use: J, -- PROJECT NOTES ,- torch down over one layer hot mop ~-v~ , \, '.. \, FEES ASSESSMENT Building Permit: $83.25 Mise Fee 1: $0.00 Plan Check: $0.00 Mise Fee 2: $0.00 State Surcharge: $4.50 Mise Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 wnhin 180 days from the last inspection. I hereby ify that i have read and examined this application and know the same to be true and correct. All provisions of iaws and 0 inances ove ing this lype of worK will be complied with whether specified herein or not. The granting of a permit does not presume t give au orily 0 violate or cancel the provisions of any state or local law regulating construction or the performance of constru tio . 9- ,\j-t> 1 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date <:J'''''''~ CITY OF PORT ANGELES S~ PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 9RV,2 - - - ELECTRICAL PERMIT ISSUED: 5/24/2001 PERMIT NO 7270 OWNER/APPLICANT PROPERTY LOCATION DONALD MARSTON 217 COLUMBUS 217 COLUMBUS Lot: Port Angeles, WA 98362 Block: D Long Legal 360/000-0000 Subdivision: T: S: Parcel No: CONTRACTOR ARCHITECT ANGELES ELECTRIC N/A 524 E. 1ST ST. PORT ANGELES, WA 98362-0000 , 98360-0000 360/452-9264 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: MOVE METER Occupancy Group: Zoning Use: l-J Electrical Heat: -. D Baseboard o KW D Riser c><J Underground Service -J D Furnace o KW D Overhead Service Voltage: 120.240 D Heat Pump o KW D Temp Service Phase: c><J 1 D 3 (> D Fan Wall o KW Service Size: 200 Feeder Size: 0 \) - PROJECT NOTES ~ CONVERT TO UNDERGROUND J () $= \J'. FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: MOVE METER $33.50 TOTAL FEE: $33.50 AMOUNT PAID: $33.50 BALANCE DUE $0.00 (( J\1\1U'..rS/6_CIION Nj:ED!;:'p ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I DATE I ACCEPTED I COMMENTS I YES I NO I IIJlTCH I I ROUGH-IN I COVER I I SERVICE I I FINAL 1 hl,I,.1 I '7.1 I I I I I I I I I I I I GENERAL COMMENTS, PW-ll02H(4I'96] : . . . , . en!y OF PORT ANGELES N9 15999 tIGHT DEPARTMENT ELECTRICAL PERMIT /1 - ? (j ;'t; Port Angeles, WashIngton..___.._.______..............__________________.....____.___.. 19..___... In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- m;ission is hereby granted tl) do electrical work as listed below. 2J' ,), ~= ~~~5~:;f;~~~;:::iJ~:O=?~~:==:-==:==== Light QutletS.mhhmhmhhh.hm.h_h_hh. /"'Y-,jc() Type of Wiring: Service, volts on __mu__~ ....~h_ ............. :( Armored Cable .............mOod........., Receptacle Outlets..............__.____n........ No. wires ______........,......................... . '. '/',~ /~ ,:..,1 Non.Metalllc mmm___mhhmmmh.h D:tyer, KW..o..o._u__o_o____.._____o.____o__._..... Size wlres........'m.......:__nm.___...._.. .' 'I').),:j Knob & Tube____...............__...__........ Rlj.nge, KW ____mmnnmnn__m_____ Main fuse ..___mho......___L:................ ." Rigid Conduit hhm.m.....h..nmnm. Water Heater: Enclosure ._..___n:~___.________n ...___....n. Metallic Tubing ...___nm_h............. KW.mhmmmnmnmnmnnhn.nnm Type of wiring: Raceway......................... H)al: KWn.n-2..2.n&.{T/~~mm Entrance Cable m..m................ .... Circuits, Light....................................... ~':otors: size, volts and phase: Rigid Conduit .................._.. .....m. Utility ........n................................... Metall1c Tubing ..m....._....... ........ Heat ....n......................................... ........................................................... Current transformers: Range ................_....._...................... ...............................-.......................... No. & Size....................................... Water Heater ............................... ................-...........................-.............. Motor ............................................_ Ser. No.............................................. ........................................................... Ser. N'o. ............................................. Dryer .......................................;........_ .........................................................- Furnace . .............................~~......... ...... Ser. No............................................... Total Load_...h....................... Ser. No.............................................. Total................._..................... - Remarks: ....nu...~.:::J_.JZ_...-:!_~>f..~~___~_nnn_hdh__..uunnu.hunu.u__n__nunnnnn_n_n__..._._n.unuunnn.nn._nnn ~ __....__..._~.._n__._..._..___~._...u_..__u_._.__.______.._...___.__._...__...uu....u........._.___...._....._._...._.__..u_...n._.____..._____._u____....._.n._~_.._. ..._un_n.uun.nnu_n_nnnnn.nn.nnnnnnnn_nnnn.n.u_._n_nnnh____nnn_u._._u.n._n..nn.n...unn..__nn_huun.nnU_n___U__'n_u.. Fermit Fee Treas. Receipt $.__.....___....__..____..____________. No,___.___,______..___......_.. By ..___.___....___.______._.___.....______...______....___........___... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cC;laled due noUce 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 N9 15999 A~dress......................_.............................................................................._............n..._................Date..._......_......_.._.........._......_.....__..._..... Owner h................................._......_.._......_......_.._..................................u....................... Tenant....u...................................................h......... Wiring Contractor...................................... .................._.._..............................................................By............................_................................. NOTICE-Current must not be turned on until CertifIcate of Inspectlon has been Issued. If work Is to be con. cElaled due Dotlce must be given the Inspector so that work may be inspected before concealment. '" .....1..__'_ r1_'_<___ T__ I c.d . A't{ 51 -' , FOR OFFICIAL USE ONLY ELECTRICAL PERMIT APPLICATION D~lclRC',:: Pcnni'_: DalcAppmvtlJ: Dalcls,uc<'. The Electrical Pennit Application must be filled out com~letelv. Please type or reprint in ink. If you have any questions, please call (360. 417-4735 531 F.sx number: (360) 417-4711 Owner or Elee. Contractor Agent: 1< L'I11 i1I) ~ R<;-ro 1\1 Phone: Lj~-7 .D'13~ Fax: Property Owner: R rrlJ /IV) A R "T()I\J Phone:Lf57-()'1 :s &, Address: 2/'7 ( nLuVhi3U<; City: ?rlllT A-1I\4eLP_~ Zip: 9~,.?'2 :.. Electrical Contractor: License #: Exp: Phone: Address: - . City: Zip: INSTALLATION WIRED BY: )(OWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: . City: Zip: Credit Card Number' Exp, Date: V/SA- MC:_ PROJECT ADDRESS: ,)/7 ~ 0 {.M.n?L!JuS :lll W. c.oL.Llml3!."~ AV~ ? TYPE OF WORK: Check all that apply: o New ~ Alteration/Addition }(Residental o Multi-family o Commercial o Mobile.l;iome Sq. Ft .' o Remote Meter . 0 Detached garage o Hot Tub 0 Swim Pool o Septic Pump o Low Voltage 0 Telecom.-., o Sign Number of Circuits added or altered: :s : .:!<:..", '."... DESCRIPTION OF THE ELECTRICAL PROJECT::2 N (' ,U J C:' 1='[ R p ,.0.. r.JV 7?> A=fTA fI. rYv,,^ ""- . . \ - I ._-- fll('.I1) Pf'r/'o _"7"0 lnMe,A" J-I e .4-7" ~ / ~ c:-~r. 12." r f J4vv"'\ '5 T?&w J 6.R(1(A n 0 Be rjJ ::rH) 41f fJ'" 'J !?()UI/\ 1) P '.' 1<" ~. C',IPrfu If<:. I f"'" .. . .n Electrical Heat Load Additions ~ 'I:; "I tJIIS.~ Service Information - J" '/",711 o Baseboard _ 'rWI Voltage: /2;:; /2'fO o Furnace _ 'rWI o Overhead Service Phase: Q!(1 0 3 o Heat Pump _KW o Tamp Service Service Size: frY'>'tr" o Fan-Wall _ 'rWI )iQUnderground Service Feeder Size: '(If) ~ . PAMC 14.05.060(B): For industrial, commercial. & residential projects larger Ihan a duplex. a one -line drawing of the Electrical Service & Feeders. building size (sq, fl.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electrical Permit application, I hereby certify that I have read and examined this application and know that same to be true and correct. and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: PW-9019 Owner or Elec, Cant,. Signature:~/ ~~": Date:....j::; ,1/;'-.1.71? . kP ~'VI.I)$ ~ _ Ukc ~ 5/zr~3 ~:v Jc-vrt€/d- 03 01/28/2004 06: 47 4579270 5IMPSON ELECTRIC PAGE 01 \ , 1\ 01 , J . /74 .ltH /.:.. A L'lN '}J;:j'"~ . , ,\ i'J f/f-/~ / / (!~ !)" {/F~ -V' - . . :: llfi i'D~a'~W",l1J ".... 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