HomeMy WebLinkAbout837 W 16th St - BuildingApplication Number 08 00300338
Application pin number 111352
Property Address 837 W 16TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 2857 0000
Tenant nbr name QWEST
Application type description PUBLI2 WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS7 RISDNTL SINGLE FAMILY
Application valuation 0
Application desc
Burried phone cable in alley R/W
Owner Contractor
CAUDILL MICHAEL R
1329 W 10TH
PORT ANGELES
PORT ANGELES
T•\Policies \1102.15R [1/05]
WA 98363
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
32 EAST 5TH STREET PORT ANGELES, WA 98362
Fee summary Charged Paid Credited Due
Date 3/13/08
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES WA 98362
(360) 452 1110
Permit RIGHT OF WAY
Additional desc BURRIED PHONE CUBLE IN ALLEY
Permit pin number 122978
Permit Fee 00 Plan Check Fee 00
Issue Date 3/13/08 Valuation 0
Expiration Date 9/09/08
Permit Fee Total 00 00 00 00
Plan Check Total 00 00 00 00
Grand Total 00 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 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 wi I 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
CALL 417 -4807 FOR UTILITY 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
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL,
PARKING,
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
:SOCK -FLOW DEVICE
T•\Policies \11 [1 /05)
INSPECTION TYPE DATE ACCEPTED COMMENTS
RESIDENTIAL
CONSTRUCTION R.W PW
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
PERMIT INSPECTION RECORD
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
BUILDING
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
`DATE YES' NO -COMMERCIAI DATE (ACCEPTED
YES' I.. NO
PREPARED 12/08/08 10 14 47 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/08/08
ADDRESS 837 W 16TH ST SUBDIV
TENANT NBR MIKE CAUDILL
CONTRACTOR ACE MICHAELS INC PHONE (360) 460 6172
OWNER MICHAEL R CAUDILL PHONE (360) 460 6172
PARCEL 06 30 00 0 4 2857 0000
APPL NUMBER 08 00001142 SIDING
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 12/08/08 JL BLDG FINAL
December 8 2008 8 36 32 AM 1pangrle
MIKE 460 6172
BLDG FINAL SIDING ROOFING
COMMENTS AND NOTES
Application 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
NEW SIDING TEAR OFF RE ROOF HOUSE
Owner
MICHAEL R CAUDILL
1329 W 10TH
PORT ANGELES WA 98363
(360) 460 6172
Structure Information 000 000
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00001142
054744
837 W 16TH ST
06 30 00 0 4 2857 0000'
MIKE CAUDILL
SIDING
RS7 RESDNTL SINGLE FAMILY
5000
Contractor
Date 9/10/08
ACE MICHAELS INC
1329 W 10TH ST
PORT ANGELES WA 98363
(360) 460 6172
SIDING TEAR OFF RE ROOF HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc SIDING RE ROOF HOUSE
Permit pin number 134213
Permit Fee 137 75 Plan Check Fee 00
Issue Date 9/10/08 Valuation 5000
Expiration Date 3/09/09
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 137 75 137 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 142 25 142 25 00 00
15::
a cf\
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
l b (I"` l \Le arM L L
date Print Name Signature of Contractor or Authorized Agent
T Forms /Building Division/Building Permit (05 /l3 /08).wpd
Signature of Owner (if ovdner is builder)
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 ..0
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT it's
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
I PLANNING DEPT 417 -4750
I BUILDING 417 -4815
T r ,Jr z1 ❑,ii Tl,v, /Ri IIrli Permit (05/13/081.wnd
BUILDING PERMIT INSPECTION RECORD
I I I
I I I
117-6% -OS I "Sw I
YES I NO
I
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
I FINAL DATE ACCEPTED BY.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE ACCEPTED BY.
DATE
ACCEPTED
YES I NO
0
aQ
Applicant or Agent
kk. lee k
Property Owner's Address 13dc
Contractor /Engineer 4 k S vt C
Contractor /Engineer's Address /3 a q k,J,25 -o-
License C., 4 k i lSli r c `74l IAA p
Property Owner
PROJECT ADDRESS R? t
Parcel Number
Project Type Brief De
Check all that apply
New Construction
Addition
Remodel
Repair
/Re -roof
Demolition
Heat System
•dbther
Floor Areas
Basement
1St Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
scription.
Heat pump
l itA L
r)
Existing (sq. ft.)
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
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
t 4 (Si d 9_ 14 Mg
I 1 I
ffl A i n ro e
a
'Residential Commercial Multi family Industrial
wood burning stove gas fireplace pellet stove other
Proposed (sq. ft.)
57
ft. Occupancy group
Occupant load
Construction type
For City Use Only
Date Received 4 -1.0 0$
Permit C Q- 11. `fi,?Z
Date Approved
Phone
Phone UCH G17a
LQS� fnS
Phone ///-7 —5'_57 9
3+
Lot
Expires
'7 O 9
Zoning
per sq ft.
TOTAL VALUATION .r000 00
r
sq ft. Lot size sq ft. Lot coverage
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 9 0 -0e Print Name irk, r1 CA. 111 I L 1 Signature o
T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc
of bedrooms
of full baths
of half baths
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
06/12/2007 10:57 AM SROBERDS --The proposal will result
in a detached garage in the RS-7 zone for total lot
coverage of 22~. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000637 Date
028692
837 W 16TH ST
O~-OOOO-
MIKE CAUDILL
RES DETACHED GARAGE
RS7 RESDNTL SINGLE FAMILY
7500
Owner
Contractor
MICHAEL R. CAUDILL ACE MICHAELS INC.
1329 W. 10TH ST. 431 VASHON AVE.
PORT ANGELES WA 98363 PORT ANGELES
(360) 460-6172 (360) 417-9579
Structure Information 000 000 DETACHED GARAGE
Other struct info . . . . . HARD SURFACE AREA
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc DETACHED GARAGE
Permit pin number 103564
Permit Fee 179.75 Plan Check Fee
Issue Date 6/13/07 Valuation
Expiration Date 12/10/07
Qty Unit Charge Per
BASE FEE
6.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
Fee summary Charged Paid Credited
----------------- ---------- ---------- ----------
Permit Fee Total 179.75 179.75 .00
Plan Check Total 71.90 71.90 .00
Other Fee Total 4.50 4.50 .00
Grand Total 256.15 256.15 .00
g/'O/07
New Pd.rce.-{ ~lJrM>e..r
OOOlt 2 c(?;57
WA 98362
71.90
7500
Extension
95.75
84.00
w
VJ
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Z-
"
-
4.50
(5'"""
s-:
Due
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-:T'
.00
.00
.00
.00
~
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction 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
T:IPoliciesllI02_15 building pennit inspection record05.wpd [1/412005J
~, ~
Signature of Owner (if owner is builder)
0-l3-.()!
Date
BillLDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL4J7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINHvlU!vl 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOFJ, BEFORE
I.NSPECTED AND ACCEPTED. POST PERMIT IJ\' A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
o
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA nON:
FOOTINGS (1'1-2-1-01 -:r L1-
SHEAR WALLS 1 WALLS
FOLlNDA TION DRAINAGE 1 DOWN SPOUTS
PIERS I J
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BAC!: FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING -~ ..- II .A 0- :rLL
l'"
JOISTS 1 GIRDERS
SHEAR W ALIJHOLD DOWNS
WALLS 1 ROOF 1 CElLING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULA nON
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CHIMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCYJNG & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUTLDING 417-4815 Ll- II-(,)f? ;.r / L- BUTLDING
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T:\Policies\ll02 15 building permit inspection record05.wpd [1/4/2005]
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000637 Date 10/23/07
028692
837 W 16TH ST
06-30-00-0-4-2857-0000-
MIKE CAUDILL
RES DETACHED GARAGE
RS7 RESDNTL SINGLE FAMILY
7500
Owner
Contractor
MICHAEL R. CAUDILL ACE MICHAELS INC.
1329 W. 10TH ST. 431 VASHON AVE.
PORT ANGELES WA 98363 PORT ANGELES
(360) 460-6172 (360) 417-9579
Structure Information 000 000 DETACHED GARAGE
Other struct info . . . . . HARD SURFACE AREA
. WA 98362
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
JEDI/ GARAGE W/ FEEDER
109900
JEDI ELECTRIC
75.00
10/23/07
4/20/08
Plan Check Fee
Valuation
.00
o
~
~
-....j
Qty
1. 00
Unit Charge Per
75.0000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
75.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
06/12/2007 10:57 AM SROBERDS --The proposal will result
in a detached garage in the RS-7 zone for total lot
coverage of 22%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
t.
'"
~
,~
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 79.50 79.50 .00 .00
~
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INSPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
e, ~ ~ ,.1./)07 H~;e,VJFO Ad)
DITCH
. .
SERVICE
~OUGH - IN
q,/).-JOO7 AI' P/Zov'4:J Ac9
FINAL
COMMENTS:
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Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
f
"
I I Date Issued;
BUILDING PERMIT - APPLICATION
,
Applicant or Agent: C. l c.....
~;;::s ~~~ 17~~~- City
ArChitect/Ejf~eeT9 q vJ es -\- I 6 ~ S"\ Phone:
Contractor A~~ eM. ~ Q.l~< TAC State License #: A ~ ~KI ~T~ 7'r'~x~:
~
Address: I ~~;) 'f l~+ (() .s T
PROJECT ADDRESS: ($>37 u..\es.-\-
LEGAL DESCRIPTION: Lot:~ Block:
CLALLAM COUNTY PARCEL NUMBER: 0 Co 30
Phone:
1rco GJ t/d
160
Zip:
~17 ~
~R3 C..C}
pt\
Phone:
City:
/ '-- -1L
ST
Phone: 1(.6 C:. t I~
Zip:
ZONING:
Subdivision:
ooo<i
22'SF:"
TYPE OF WORK:
o Residential dNew Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move~Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
I I r
~\.h \~ 0>4 ,)('~).f "\3 ~~ Q
SIZEN ALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
7, ~-cC>
,
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: ~ Lot Size: 700 C Existing Sq. Ft.
Total lot coverage () J, 3 %
Occupant Load: Construction Type:
?~<O & Proposed Sq. Ft. 5'? h = TOTAL Sq. Ft. / 5 Co ~
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
PROVALS:
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 Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is 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.
EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days ofthe date of application, the 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
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. I am authorized to
apply for this permit and understand that itJs my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work. ,
T:\FORMS\BldgPermitform.wpd Applicant: ~" ~ f!
Date:
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ELECfRICAL WORKPEAAUT APPLICATION
,
Job wired by
_Eledrical Contractor 0 Owner
Installation description
o Commercial )t Residential
Elc.:trical contractor name
\ec3. \ E,I ecTr'l 'c...
Pur~cr 's, mailing address
V,C. \'3,O)i' 3St'
Cily ;-;",r-'I
LV AVljeleS
Telephone number
License number Date E'lpires
::'\;:ole~ ~c,S7C z.
D New
o Altered/Addjtion
State ZiP
l.,),,~ QR3b,;J..
OuTbLl Ilc:l,"lS
~Q G~ ruder
FAX number
I//r/
! '=;0/
Premises owner?s name
m\~ Cc-.lAd,( I
Address of inspection -, h
g:::" ~sT /h
City Yor T Af'\ se.JeS
Phone number to schedule inspeclion:
~#~
Owner ar defined by RCW.J9.18.261:(1) Owner will occ!.JPJ' the strucru.rc for (wo
yooTS after this eleccrical f'ennil i.'> filUllized. (2) Qll'ller fs required ro hire 47/ e/ccMcai
contraclor if above ~aid praperty is for sale, rer.( or lelise.
After reading the above slatement, I hereby certify lhat I am tile owner or the above
named property or a licensed electrical ~ontractor. I am making the electrical inslal-
]ation or alteration in' compliance with the cleclrical laws, :-':.E.C., RCW. Chapter
19,28, WAC. Chapter 296-46B, The Ci.ty of Pott Angeles Municipal Code, and
Utility Specifications.
Signature or ow ~ cl<:ctrical contractor or electrical administrator
o Cash
o Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Date:g~ .50-07
Ex.piration Date
of card
Inspection fee
$ . ao
Service Information
Electri al Load Additions and or subtractions
o NO LOAD CHANGES
r:J Baseboard KW
r:J Furnace KW
o Heat Pump Ton
[J Fan-Wall KW
LAR
o Overhead Service
o Temp Service
o UndergrouncJ Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
R
'. ROUGH-IN "\ TIIERMOSTAT ;' SERHCE
D~IC" ^ppr~'-cd Or D~lC ,\pp,ovrd By '- Oat" ApprowdBy
/' FlNAL /' FEEDER
,1~CH
fj~/~-/)7 ~ aL~ .JdJ
'- D~t" P ~VC(j 8y ../ D~tr 7 ~PProHd By D~h; Al'pmvw By
lnspection Area. Building or Equipment fnspected Action Taken Electrical
Date Inspeclor
_...'1 1"11
level., · ,-
I\IH~ 2. 9 200
. UnHT DEP" .
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