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Home My WebLink About3604 Galaxy Pl - BuildingApplication Number 05 00001157 Application pin number 504271 Property Address 3604 GALAXY PL ASSESSOR PARCEL NUMBER 06 -30 -15 7 5 0050 0000 Application type description SIDING Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 18000 Owner Contractor LINGERFELT JOY EXTERIOR SDNG NTWK INC 3604 GALAXY PL 3566 E MCKINLEY AVE PORT ANGELES WA 983623753 TACOMA WA 98404 36) 457 -9306 (253) 627 0101 Permit BUILDING PERMIT NO PR FEE Additional desc REPLACEMENT SIDING ON HOUSE Permit pin number 65839 Permit Fee 319 75 Plan Check Fee 00 Issue Date 11/22/05 Valuation 18000 Expiration Date 5/21/06 Qty Unit Charge Per Extension BASE FEE 95 75 16 00 14 0000 THOU BL -2001 25K (14 PER K) 224 00 Fee summary Charged Paid Credited Due Permit Fee Total 319 75 319 75 00 00 Plan Check Total 00 00 00 00 Grand Total 319 75 319 75 00 00 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 11/22/05 \\r ,o (0 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 FOUNDATION: FOOTINGS 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 RW PW/ ENGINEERING 417 -4107 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FINAL FINAL 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 I NO 417 -4'35 ELECTRICAL LIGHT DEPT CONSTRUCTION LW PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY., DATE ACCEPTED BY Applicant or Agent: EX i"E Rio O St D /NG PRcvtt6t2i l a -t. Phone a ,5 3 (fl 9.7_ c:)/ C7 Owner Address v Architect /Engineer Contractor �)(72 -s or Address I PROJECT ADDRESS 34 O N LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT Total lot coverage PLANNING USE ONLY T•\Policies\BL 1102_13.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to he accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Re -roof Move Demolition COMMERCIAL/RESIDENTIAL. Occupancy Group 3 No of Stories. g_ Lot Size. Existing Sq Ft. O A L J 7 —Q 6 City•J2Orf -mss Zip fr 36P,1. Phone State License City /2 meet a Block. Stove Garage Deck Othe ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Date: Exp Subdivision. ZONING SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION P ([d i 7 7n --0 a-e_ FOR OFFICIAL USE ONLY Date Rec. i d.i -oS Permit tl• COS 11 .s 7 Date Approved: Date issued. Phone .5 (47-0/0/ Zip 98410ij -9 Occupant Load. Construction Type 1/- AI Proposed Sq Ft. TOTAL Sq Ft. APPROVALS. PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Buildmg Division to comply with current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Buildmg Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determin what permits are required ,not the City's, and that I must obtain such permits prior to work. o•- Group: R -3 CERTIFIC CUPANCY City of Port Angeles Building Division F This Cytifccati issued pursuant to the requirements of Section,109 of the UniformqluildirigCode certifying-that at the time ofissuance this structure was in compliance with,the various- ordinances the C regul Bu .construction oruse. For the following i 3 Use Classification. Bed+ and: Building Permit No. Business Name: Port Angeles Bed Breakfast Owner of Business/Residence: Joy ingerfelt Building Address: 3604 Galaxy P1ace Type of Construction: Use ion RS -7 Address.. 3.604 _Galaxv_Place Port- Angeles. WA. 98362 October 7. 2003 Date P t o rem s inacons ous place Shal not be reove excel:allay B ilding Official b 8 DATE 12 LA Address of Propoded Business `3&0 6a14:)/(4 Lr vt I ROD SQj 7/z 4/o3 SJZ I31103 �U Applicant Address Phone business WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation Fk w Ih wAy Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other REJECTED op e- fr■ e sBecLeut 2 o3 it)me /S7 930 C, Brief description of proposed business SlKCI -C- (CO +-Br Wi-i'1- Legal Description Lot --S Block Current Use of Property 14 S te(e.t c l Zoning Classification of Property 2s YES NO iC K Y 'X I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. ROUTING SLIP ificate of Occupancy Certificate /Inspection Fee New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use 41) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation X11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other I Z, 2az) 5 Signed Date Comments Conditions (2C Subdivision (Jo/ Fside s THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE v 1) 2) 3) 4) 5) —6) 7) 8) 9) 10) Taxi Peddlers 2nd Hand Dealer Pawn Broker Dance Hotel Motel Fireworks Ambulance Tattoo shop Other Win re.0 re —lo 1 q i n /,.>".5s I, cez R to 7/z A b CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 17407 port Angeles, washlngton________/!..~____t..._:~__________.._........._________, 19_.t.!! In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, 01)., or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address ---?.--~-.-'!---(4~:~I--1/~--~"-~---nn---- Occupancy__________nh__.n____________h____._________ Owner n___.n_n___n____________.._______________n_______________n_nn___ TenanL__._h.___________________________n___n_n____n._________n_______. VI-iring Contractor _________h.____._n___________n_______n._h_.____nn__n_.n__ By_nn_______________________n________nn___h__________________..__ ~O . LIght Outlets....................____m_____.._..... Service, volts ..___mm__m................__..... Type ,of Wiring: Receptacle Out1ets_______J.~t;............... No. wires ....................................... Armored Cable ...--............--........... (;;, 51 i Non-Metallic --------------------------------- Dryer, KW.....n_n'nn..n.____.__.___o._____._._ ze w res__....n__n_nu...__nnn___...._.. R.lnge, KW hnuh.(.Jmmmuhmm non Main fuse ._n..._mm__nn.._________..._____ Knob & Tube.............__................._ Rigid Conduit _______________..______________ Water Heater: ...,. Enclosure __......m_.h..___n.......___h..... M t Iii T bi -' e a c u ng ....._._._...n............ KW.u.._....../fL');,.;.;.__u________.___ Type of wiring: Raceway n.....n._. ... _ Heat: KW.....~q.l::.mn..h...nm..n ...... Entrance Cable .......mm......... ..un Circuits. L1ght......~....m..n......___..._.. Kotors: Bize, v!'lts and pbase: Rigid Conduit _h.____h_..h_.hh__________ utility n_____;;________.______._______________ / J. l/<:t...6. Metallic Tubing Heat ..n.._U....................._.._...__...... '- .::::/:~:~~:::::::::~~~::::~:::::::~~::~:~ Current transformer~~......................... Range .........;t...~....................... I -- ""'- No. & Size............n......................... Water Heater ..........................-.--- ::::-.:::.:::::::::::::::::::::-::::::::::::::::::::::::::: :::: ::::::::::::::::::::::::::::::::::::::::::"'::. ::::~.__:::~-_}2_:::-_-.:::-_:-.-.::::::::::::::::-_~= .......n..._.....................__.........__........._ Furnace _.........................~......_.._....... Ser. No............................................... Total :Load......_...n_.nn._n.__.... Ser. NO.......n..n................n............... Total ...<i!..'~............n...n.___ Remarks: __________n________,,:2:~:u!P.___:____nnC--d~_';-::';!!._'l:.::!___________________________________.n__________________________________. ._.~.____._____n________n_......_..._..._h____._._________n_________.n____n_.______________.._.___...._..__._.___n_.____n_._____.__nn___n___________..._________nn_ :.~~~.:~::::-_:-_::::::-_::-------h.::~_~_~:_-.:~.~.~:~~:-.-::.:::---------------n.:;-~~l~1:.~~:~~~~~ 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 ELECTRICAL PERMIT N? 17407 Address................______..........................................._....._.............................................._.....__.........Date..._......_.._.._.._.........._......_......_........_ O\vner.....................__.....____.........__n_......_......_.._......................_..._................................Tenant............................___........n....._........._......._... "VIi'lring Contractor.............................._............................_............................................n....._....._n. By.__......__............._..................................... I NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con- : c('aled due notice must be given the Inspector so that work may be inspected before concealment. \ , , n..!. Olympic Printers. Inc. , S CITY OF PORT ANGELES o~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 .....~ I:$UILUIIVt:i fJl:HM11 - ISSUED: 11/13/2002 PERMIT NO: 13852 OWNER/APPLICANT PROPERTY LOCATION KERRY MCAFEE 3604 GALAXY PL 3604 GALAXY PLACE Lot: 5 Port Angeles, WA 98362 Block: D Long Legal 360/452-9327 Subdivision: GALAXY ESTATES T: S: Parcel No: 063015750050000 CONTRACTOR ARCHITECT HENNING ROOFING N/A 72 LEVIG RD PORT ANGELES, WA 00009-8362 , 98360-0000 360/457-3151 360/000-0000 PROJECT INFO Project Value: $3,600.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD sa FT: 0 Industrial: 0 \tV Occupancy Type: RESIDENTIAL Garage: 0 f" Occupancy Group: MFD Units: 0 D Construction Type: MFD sa FT: 0 ..t. Zoning Use: PROJECT NOTES (}> TEAR-OFF. SHEET, FELT. COMPo " r - p 'X RECEIPT# 9911 ----t: FEES ASSESSMENT Building Permit: $97.25 Misc Fee 1: $0.00 "i: ., Plan Check: $0.00 Mlsc Fee 2: $0.00 P State Surcharge: $4_50 Mise Fee 3: $0.00 0 House Moving: $0.00 ~ Manufactured Home: ~ $0.00 Sign: $0.00 TOTAL FEE: $101.75 Plumbing: $0.00 AMOUNT PAID: $101.75 Mechanical: $0_00 Radon: $0.00 BALANCE DUE: $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 fora period of 180 days aflerthework 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 vioiate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~~~~ a~~--O"? '!3igna~ntractor or Authorized ~ Date Signature of Owner (if owner is builder) Date I T:\PLANNING\FORMS\t 102.15 [4/2002] c1 pORT ~ 1970 - {, LICl8 FOR OFFICry: USE ONLY. ~ BUILDING PERMIT - APPLICATION Date Rec.. I -I ~-.oZ- Pennit #.--13.. '? '" 7 Date An.~' _.:: Date issued. ~ .. --'/ The Building Permil Application must be Jilled oul completely. ~ Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: H<c,)?l-l f'/\.;t" ROO' -f J '/( 2' Phone: '7 ..>-?- 31S,/ H(I~~_~I(? . , Owner: );euv)" Phone: 9.0 - 9'3.:2.. 7 Address: :5 (,.,0 '-I ha/ra.YV PI City: l0vr !J-nr<:j eS Zip: 9'f?'S02--- '/ ArchitectlEngineer: Phone: Contractor //?H R ,.',v" R "'" ~ I '.fI(b License #:/lv'/.-! , /' 9'Y't7 ~p:"~;Z Yt?t{ Phone: 1'5/- 3/.57 r r- Address: 7;< In/_~ PD City: -f.?,vt' (~t'\qJ,€.\"'-5 '-Lb;. Zip: 99"?G L-. PROJECT ADDRESS: ~ (J 7' 662/<1.. 7Y n c c:.. v ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: ~oof SIZEN ALUATION: 3 b, <00. ,:'YcY o Residential o New Constr. o Wood-stove SP.@$ ISP_ =$ o Multi-family o Addition o Move o Garage SP.@$ ISP.=$ o C~.~u__"jal o Remodel o Demolition o Deck SP_@$ ISP.=$ o Repair o Sign 0 TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: 7~/ oyp CJ/&. \(=4 . \< i2_5J~~-t-- -t-- Pe ~-oc 9- COMMERClALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No_ of Stories: Lot Size: %. Lot _Coverage: % Existing Lot Coverage: Isq_ ft. + Proposed Lot Coverage: Isq. ft. ~ TOTAL LOT COVERAGE: Isq_ ft_ PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESAlWetland(s):OYesONo SEPAChecklistrequired?O Yes 0 No Other: v.lnJ!.-R BUILDING PERMIT APPUCATION SUBMITTAL: Your applkation and sile plan must befiUed Oul completely to be acceptedfor review. The Building Division can provide you with more detailed infonnation on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division, V ALUA nON 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 Cw.J:'_tor at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify IhalI have read and examined this application and know the same 10 be /rue and correcl, and I am aulhorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: ~~~---z::~ Date: //-I'S-u?- T:\FORMS\APPS\Buildingpermit /" ~. ape",,- e"-.d ...:h~\y ROUTING SLIP ~~ ~ificate of Occupancy '-'~~~ IL.~ B ~ ~ I &,1' Rr. J C k.o Certificate/Inspection Fee ~ A~" 'V l'j.l ." <;. '1-. 'Qt, 6. """cwo~f DATE 12 J... l-j '7,;)03 New Business .. _ , , . . . . . . . . . . . . . . . . . . . . . (">l ) Address of Prop.o ed Business Transfer of Business location. . . . , , . . . . . . . . ( ) '~(dN t.;tilayU. . Change of Ownership . . . . . . . . . , . . . . . . . . . . . . ( ) Applicant .'. J/~ (I L-111;;" ~ / I- New Building ... . . , , , , , , , . . . . . , , , , . . , . . . .. ( ) Address 3&)~4- I-A. ax<..l Remodel. . , , . , . . . . . . . . . . . . . . . . . . . . . . . .. ( ) ...jt. \ ?t'i.""~:::... r-,;x' '^- { ~ Temporary Business ,. . . . . . . . . . . . . . . . . . . . . . ( ) Phone: 1usiness \ ~ mtK7- 930i Change of Use, , . . . . . . . . . . . . , . . . , . . . . . . ( ) Brief description of proposed business: <; lI"4 t. ,C{),'V'\ -"&cl'-&--LcWL':i.1- Legal Description: lot S Block Subdivision GcJa.Jly FSh-fe 'S.. \Usltl:~\,vkc \ Current Use of Property' Zoning Classification of Property: \l<., - ;I WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING Will BE REQUIRED: Construction changes. ;( PERMITS BUSINESS LICENSE -- Electrical changes. . . . . . -~ -1) Building 1) Taxi Mechanical (heating, cooling, stoves) . I( 2) Plumbing 2) Peddlers -- Plumbing changes ........ - --"- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. 'X 4) Mechanical 4) Pawn Broker -- New septic tanks. _ 1.... 5) Sewer 5) Dance New sewer service ......... _ ...'L 6) Sidewalk installation - 6) Hotel - Motel Admission charged to patrons. ...... ---X..- _ 7) Driveway installation 7) Fireworks I thO h f ?~ h"f l\ b< l~ "^... ~- B) Curb installation B) Ambulance 5 Isa ome occupa Ion. ~.. ~..'. ~..~.. . .;) .-. Excavation of filling of lots ........ -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-at-way. ..... -~ 10) Water meter installation 10) Other Is there sufficient off-street parking? . x...... _ _11) Fire New driveway openings. .... '>< 12) Occupancy -- A grading plan for site drainage. . . . . . 'X t3) Sign -- (parking lots, downspouts, etc.) ---:;::- - 14) Shoreline Are the existing streets paved? . -- 15) Home occupation Are there existing sidewalks? . . --'iL...... 16) Conditional use Is there curb and gutter? ~- 17) Other Other........... . -- I hereby apply for a Certificate of Occupancy and acknowl- II .llf.. 2u~S edge that I have read this appiication and state that the Date: information I have supplied is correct to the best of my ( ~ knowledge. Signed:~'( ~(\-F ROfJD REJECTED Comments / Conditions 8i ~ Building Section Public Works Department Planning Department (')\;--- F o.IL- (I('J Fire Department City Cierk P.B.lA City of Port Angele Building Division This CI tijication issued pursuant to the requirements of SeC~l 09 of the Unifor"J; uilding Code certifying that at the time of issuance this sl~cture was in cqfrzpliance with the various ordinances of the City regulating ,uilding ,,/ construction or use. For the following: \ U,eCla"ification, Bed'and Breakfast BuildingPennitNo., _ Busine,;sName, Port An.l'eles Bed & Breakfast ~i Use ZoJ Group: R-3 ~l Type of Construction: VN RS-7 ;~ J{~ J''- % $ Owner of BusinesslResidenc:~; J ov Lingerfelt Address 3604 Galaxv Place Port Anl!eles. W A. 98362 Building Address: 2/ :~ ELECTRICAL WORK PERMIT APPLlCATlOl'l ,,- .,\L.~-~'; ~...:".. In, Installation d""iption Job wired by rlectrical Contractor 0 Owner (J Commercia! Mesidentia! . Electrical contractor name License number Date Expires fB"Rl' . 7J/oJtP15S J6sr- 7Jlz;j(J(/K-~S/.cfl 05' (J New /- tered/AddthoO , pu"7;:ailingi?fl/, 71I-M:MiJJhf ' City //;:, State ZIP /'//9- tV#- y,?31{;2--- /.ua-7Zf7<--- //&;:(f-w7'- ' Telephone number 'FAX number j /j ~s-I2-/2--- Y-.>2 - 7JYj?' Premises~ner's namZe --lOll / /~t;&L/~trZ.1 Addres3~2p;?iOn 6~LIJ1aI /2/lC{f City /# I Phone number to schedule inspection: ys7--- 930 0 Owner as defined by RCW.19.28.261:(f) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required 10 hire an electrical canl'ocW if above said pmpaty is fa, sale. cenl 0' lease. 0 Cash 0 Check # After reading the above statement. I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor 1 am making the elect,ical instal- 0 Credit Card Visa Mastercard Discover latian or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28. WAC. Chapter 296-468, The City of port Angeles Municipal Code, and Card # Utility Specifications. - - - - - - - - - - - - - - -- Signature of o~w . e ctric contractor or electrical administrator ( Inspection fee X _..._____L Date: Y Z-<:Jb $ W- /0 flee lea! Leu<< Additions and or subtractions_ ?ervice Information (J NO LOAD CHANGES (J Baseboard _ KW Voltage (J Furnace _ KW (J Overhead Service Phase (J 1 (J 3 (J Heat Pump _ Ton _ LAR (J Temp Service Service Size: (J Fan-Wall _ KW (J Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 C ~,""U='~_", J ,~",nMOO:::""", (,. """~_."' J ~ / -~ - FINAL DITCH FEEDER D'" App'"'' By D'" App'"'" By D'" App,"ee' By . ,., .. ." "'0 ,_,., ., """ _.' " ., ... ". _ .._" " ,. .. ..., .' . "" , ."." """.. ".' ..,. "" ,.r Inspection Arca Building or Equipment Inspected A. T k Elec"ical Date' ctron a en Inspecto< - 1f.'frtJH ~ Ii'" n -. ~S DOl{ t.li - - . - .. - d.';'.'~ CITY OF PORT ANGELES S(i PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98362 - , Application Number 06-00000466 Date 5/12/06 Application pin number 810850 Property Address 3604 GALAXY PL , ASSESSOR PARCEL NUMBER: 06-30-15-7-5-0050-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor ------------------------ ------------------------ LINGERFELT, JOY THORNES REFRIGERATION 3604 GALAXY PL PO BOX 991 PORT ANGELES WA 983623753 PORT ANGELES WA 98362 ." ( 361 457-9306 (360) 461-0158 --------------------.--.---------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc THORNESI T-STAT WTR HT Permit pin number 77057 Sub.Contractor THORNES REFRIGERATION Permit Fee 48.10 Plan Check Fee .00 Issue Date 5/11/06 valuation 0 Expiration Date 11/07/06 Qty Unit Charge Per Extension 1. 00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- --------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 I COMMENTS/ACTION NEEDED -~--