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Home My WebLink About1114 Madrona St - Building Nr- 0 '- M M '- N M WW (9E-< ~~ 0.0 "''' M" "'''' "''' , , MN Q) 00'" M "''' '" 01 <:: 00 III "'''' 0. >< MM .-< 0-1 <>: W :;: H :> ~ 0-1 H WW E-< 0 ZZ M Ul WUl gj 00 M W :<:W :I::I: E-< ~~ Ul 0.0. '" 0 M Z E-<'":l 0. 00 0 0 Z .. 0 ~ 0<>: r- <>: HO Ul 0 , E-<E-< E-< 0 W Ul UU Z N <>: E-< WW W '" Z 0.0. :;: _M , W UlUl WZ:;: M'" :;: ZZ WOO Ht"'1O'1H :;: H H tl.HU ~ ,~ 0 E-<'- Zlo-lr<1Z U <>:o.Ul H(l)CDH o.HE-< o.-@"'o. <>:0-1 ~ ~~ OU:> t)Q)~~ ZUlUl ~~~~ E-< E-<o WW W Wo '0<>: OlO'":lOl ~C/)~o~ ;;HJ;z.:. 8 E-< H H 0<>: ~o.~ ~~ f-4rxl:>Wo;;f' I :~ r- Ul~gj~';'~ N o.Ul:> ~HU)HCO ZUl '" zo o , '" t.:lHW N 0 W "'M Z <>: O::~H~ I U1 H '" ~~~~~~ ~ Ul W :;:zoz '0 HOO ~ -0-1 QP:::Oaa ~ww r-W "t':I:O::I:f"10 0lE-<E-< 0(9 .-IE-t~f-l , , UlW ;::;~ ~~~~~~ OWo-1 0:>0. M a:;: '-E-< o.wo N<>: <>: <>: O<>:U MO . Ol <>: ,W ~ 0. zo Ol 0 E-< '~ Wtl. Ul -u M <>:0 UlE-<~ o-1Z E-< a 0 ~ ~~~gj~o-1 H Ul 0.>< ~ '- '" WE-< ozzz<>:o. 0. '" <>:H ~WO;3:~o. >< 0-1 o.u E-<UOo.~ 0. E-< Ol P.01/01 TRANSACTION REPORT DEC/28/2007/FRI 04:19 PM RECEIVER 95829029 TYPE/NOTE OK ~ORTANGELES WAS H I N G T 0 NJ U. S. A. FAX TRANSMITTAL Department of Community Development Building Division 321 East Fifth Street, Port Angeles, Washington 98362 Phone: (360) 417-4815 FAX: (360) 417-4711 TO; a..ne FROM: e Company: Fax: 13 z.. - qO'Z- q Number of pages: 2- (including transmittal page) ." '. ~ ?'f '\ ~-t yOUY' 'y\ [ J~f\€) 'y\ $ J-o::\e frr-- -{. \ \- ? \e-6.Se- 5 \~ Q)\-r0.(\ 8... . t)</\ ,*"e- ~ \(\~'f'{\~ f{\~ ' 40 ~(}.\{\\(~ ) ~ L---\ V\~ 12/28/2007 17:03 3605829029 AFFORDABLE UfM Ltl/ LUU {I HI I U4: 1 ~ fM uJ::rr Ufi CUtt1 m;v FAX N n. 3604174711 . CITY OF POrt'! AN(,)BLm DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST snI STRBBT, PORT ANGELES, W A 983(i2 PAGE P. DOl 01 AppUcilt1cm 1IWnbe.r . . App11c:.aUoa pbll:lWllber Property Adl2ra1l8 . . . A9BBBSOR. PUt!'RL NUIftIlat: TaDant Dhr, Da" . . _ _ . ~1iCllUOD type <le$cripl:iqa. ~"Wi8ian JJama . , , , , . PrQputy lIB. . . . . . ~ty ZOP.1Df . . . . Appl1eatiOD. valuatiOl1 . ov.nu Q7-0000~536 nate 12/28/07 G01l440 1114 tlADiCID. ft b~-30-o'-5-a-1.o.-o0oo- JlII1'JlOIIY &. >>~ :kNi>lITg g-ROOI' RB7 RBBDRrL SI~ FAlll!LY 3200 CPRtAGtgr ---------.-------------- A1Ill'HOIY . DIANE XAl'lITMl APJCJDULI SDVlcas 1114 MArlIOIO. ft 2liUCJ HI - WAY 1.01. l'OIlT ~ IQ, 'Ur;UUg SIlQUIM WA '''82 (360) .52-4944 (3'01 '8~-J51J Structure ,IJ:lfm:Jgtlm 000 000 U-JIOOIr, ~ 0IIIJt 1 ~n:I/. C'OIIl'. ---~-;;;;i;--~-:-:.:-:-:--~~.~-:-;o-~-iii--------~---.-.~----.-. Mdit:iClDlll 441.0 . . U-IOOP, 0VBRL10Y 1 ~YBR Plmlit pin 1IWIlbIr. 118232 P8Z'IUit Pee . . . . 123. '15 Pl.'A =-~ :I'M .OQ I'Blle nata . . .. 12/28/07 Va]:uatiQl1 . . 3300 ~iratlOCl ~t~ " 6/~s/oa Oty tn11t ChArge l'ar Elctenslon gS.'S ~a.oo BA8B PBB 2 _ 00 14 . C1000 7UOI1 m.-ZOOl-2~2t (14 PQ X) -------..---------______._._.____.MM_W_______________________________~______ ~ reel . . . . . . . .. S'1'A'J.'S SURCHUGE 11.50 ----------~----~.~-~~-------------~-~--_._-~--_._~-~.-------~------------_.- ,_ 8111nl11ary C!hargm lSaid CnIcU t.eI! Du." ----~------------ ---------- ---------- ---------- ---------- Pem1t Fee Total. 123 . 75 123.7S .00 .00 P1U) ~ck Total .00 .00 .00 .00 OtJlm" ,.. Total 4.50 ..5Cl .00 .00 GrlU)d 'J'oul. 1211.25 l~..Z!l .00 .00 S~pa"'tfl PermlUi 11111 requIred fcrel8Otl'108f WO/1(. 6I:PA. Shoreline; ESA, UlfIitiM, privatum' publlclmprc'tomem.. This permltboc:amGC null and void lfWDrf< or conattuction aulhbri1=d it noI COInmenoadwtthln 180 dlWSS. If construdlon orwork IS .u.pended or abandoned fer II p6riod of 180 daya aftQr the WQ~ haG pommenced, or if required tMpactlons have not bean raquest9d withIn 180 days from the last In&p8dlon. I Mrnby ~ ltmt r hIVe ~ad and ~ tl111 eppUcetlon and know tblit ~me to bll.tnAe snd corred. All provlsiona of laws and ordfnaooes gov9rnlng ChI, type of work will be complied wlth whether ~ ecified herein or not. Thel granting of 8 permit <100$ n01 presume to gIVe authortty to violate or CliIncel the provisions or any stJte or I law regulating r,;on$lruCllon or the plllrfonnance of construction. 12 -20-0+- .:Tel ~ ~kJuu\A OeM Print Name Slg",,, $f 0wNt Q' owner II !luild8r} T?'~lllldllll OIvlIloIdull<<feg I'emlK {I0l'lllllmwpd f "ORT ~ ~~.J,.O~~~ ~ ~ -- 'l.oii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001536 Date 12/28/07 509440 1114 MADRONA ST 06-30-08-5-8-1404-0000- ANTHONY & DIANE KAPETAN RE-ROOF RS7 RESDNTL SINGLE FAMILY 3200 Owner Contractor ANTHONY & DIANE KAPETAN 1114 MADRONA ST PORT ANGELES (360) 452-4944 Structure Information 000 000 WA 983632329 AFFORDABLE SERVICES 258663 HI - WAY 101 SEQUIM (360) 683-9619 RE-ROOF, OVERLAY OVER 1 LAYER COMPo WA 98382 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE RE-ROOF, OVERLAY 1 LAYER 118232 123.75 Plan Check Fee 12/28/07 Valuation 6/25/08 .00 3200 Qty Unit Charge Per Extension 95.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 128.25 128.25 .00 .00 F;; 12,:Q4; Y'o > 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 orwork 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. on -R\e. (se.~~X\ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) TiForms/Building DivisionIBuilding Permit (1 010 I/07).wpd 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 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. 9 I ~ Ul \)J 6"- INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA nON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLfHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING 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 NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 \ z..--S\-O I fB BUILDING - -+ 3 ~ d :s ~ l!;\ T ~ ~ T:Forms/Building Division/Building Permit (10/0 1/07).wpd ~ BUILDING PERMIT APPLICA TION 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 For City Use Only: ._ Date Received 17 --2..CCS-<J Permit # ~l-I'S~ic Date Approved Applicant or Agent !+!f1JydableASP\' uraS Phone ZhO&PP'FlrP/Cf Owner .&o:J..Iv~ t1 0 fcn,,--e.- /<0 pe+cu',- Phone ~("O[f S2L(c{Lf4 Owner's Address 111'-( Ma rlV71'00 .s-fref'J::. I P[iY+ 1t-n~JJ11S I Lu t4-Ci 0:w< - 2:;2-9 Contractor/Engineer AEEacd&<b/-e 5.eru llaS Phone ,5ft;()(PPl:>Cf (Q 10 Contractor/Engineer's Address 7~0/0{/2) NuJ-y ItJ/UJ1 ~~f-I.r'fY\ !JJA q 6~07-747& License # .ft1f()rZ-S * O(cz5fl-; Expires ?>/Z3/7..Cc:t1 I / I L{ .Mtlc1l7nl~,-S-f-rc~ Parcel Number PROJECT ADDRESS Zoning Proiect Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair ~e-roof o Demolition o Sign o Heat System . 0 Other Lot ~esidential o Commercial o Industrial o Multi-family o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft. Maximum allowed si n area s . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas -. Existinq (sq, ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUA TlON $ ~2.00 I no Total footprint of structures sq. ft. . Lot size sq. ft. = Lot coverage % Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type # 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. -.--. J i/' -4-__ Date 11, -z.~ -rJ+- Print Name ;]o..'{ 1< e-l-LJ'\ 1-' W\ SignatureQCV-fKArl' T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc AFFORDABLE ROOFING 258663 Hwy 10] West Sequirn, W A PROPOSAL FM 5g-Z-- crO?~ , (360) 385-2724 (360) 452-0840 Phone # 1 Phone #2 State u.. J It Zip Code Tarp house perime er to protect landscaping Remove old roofing and haul to landfiIl ~SZ-- LJ9LJlj '7)> 36 ~ InstaII ;J!Install . Install' Lnstal I Install ~ Install Install Install Instal J Install Ins tall Install R-lt- Secure / Locate Septic / Drain Field Locr;ion ~ ~Price Includes Building Permit C 01 ~ Customer to Secure Building PeWut _ Description:, Insta'1110 ye3~ Laminated; High Wind Shingles, at 6 nails per shingle. With Scot~pGuard Algae Block System. Plywood Roofing Felt 'Pipe Flashing '. Exhaust Vents Ridge Veots Attic Vents Sun Tube Skylights OSB 9f. /. Install Ins tal I Install Install Cut In Instal I Install , , Payment in full upon ~mpletion of project, '.111l ess 0 ther arrangements accepted. \1/ e propose hereby to furnish material and labor, L:omplcte in accordance with the above specifications. A]I material is gllllIlUlleed to be as specified. Any altaation or deviation from the above s pcciflcations involving extra costs will be excuted only upon written orders and will t>ecome an extra chJlrge over and above the estimate, All agreements contingent upon 5 rril.:<'S, accilents, or delays beyood our cootroL Ownec to carry fire, tornAdo and other necessary insurance, 1\ ccepulIlce of Proposal - the above prices, specifications and conditions JIe satisfactory and are hereby accepted. You are authorized to do the ,.fork as specified. Payment will be made as outlined above, DEPOSIT: :\ ffordable Roofing's Represent1ltive: Customer's Signature of Acceptance: See attached Warranty Statement Drip Edge Metal Metal W-Valleys Roof to Wall Flashing Roof to Wall Step Flashi ng Chimney Counter Flashing ___ Chimney Step Flashing Skylight Flashing ~ dJ---' SUBTOTAL: ~ SALES TAX _ ? k . _!icr _ _ TOTAL: l3 '-/ 08'.88-.-. Noll:: lhis ~ alaY be withdTaWI1 by us if IlCl acccplCd within 30 days. ()ate: I Dale: /e'-I;{-o7 . . ~ Site Address: Installed By: Owner/Business Address: .l(f Residential, 7 (,- Heat KW (? QJ ~ Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) DetailslDescription: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. :;;u::V c;' DATE c::!//~ /9D " / ELECTRICAL PERMIT o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. ~. New Construction o Remodel o Service update/alter/repair ~ Overhead o Underground Voltage 01.0 03.0 Service size ;:)C) 0 o Temporary Amps o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~ ?JcJcJ ~ d- e'" W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~ Rough-in/cover O.K. 111l O.K. to connect service ~'fP Final O.K. Site Address: Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Permit/Receipt No. ,;2s-Vq New Meters Date: Installer: /.;)./7';; Notify the De rtment of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspect r in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. .y0, tJ 8 I peetor Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO.-.;<y t..~ DATE /27/.;2/ h Site Address: o READY FOR ,~ILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW [J Baseboard D Furnace/Boiler [J Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction D Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 03.0' Service size ~TempOrary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps DetailslDescrlptlon: . /;frI W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. D Rough-in/cover O.K. An O.K. to connect service '71'119' Final O.K. Date Hold for: 0 Easement 0 Letter D Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Permit/Receipt No. Installer: Date: . Notify the Dep rtment of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .-,..,.t"\ t!!2 \ &-vv"- e7V Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15441 ;- - ;2 3 >5 Port Angeles. Washlngton............................................................... 19c.....n 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 do electrical work as listed below. Address ..../I.(~....~A75t~........................... Occupancy....7b~."'-'......................n.... Owner ...j!:t..:f!!-....Jtt::;../~.el;,..u/...<~~fl:;:Q~t:J'enanL....................................................................... Wiring Contractor ..~!.;(t~.'-.~o:~1t.::"'.'::::::..;?.............. By.......n...nn.n........n......................................... Light outletam....!...~.......m_:... Service, volta /~2:.?/..:?.!!...q Type of Wiring: GU . .3 / " Receptacle Outletsm_."__...__.........__m____ No. ,\ ires .....__......__.........__m..___m_ Dryer, KWin......n...~.;Sn..mmmm.m Size wirea.m~!2.q,J!m_n ::::r K;e~;~.~;/~.nnmnn ::~~o:::: ::::..::'!!...~~::::::::: ~'5 Hea,~:~::::::..::)L~.:j;~:.SI Type of wiring: Entrance Cable .m__mm.m___nm...__ Rigid Conduit ...._m..._m_..m_._..m_. Motors: size" volts and pbase: ln~#-~nmnm..nmmmmm... ~ /.mmm..m.:"::-::Z..nm.m..m.mm...m... Metallic Tubing h___mum___mm_____ Current transformers: No. & Size...________________________..____...__. SeT. NO..n.__n__....n.....__...._________...____.. Ser. No.-_________...___________.._________________... Ser. No.._.....__...___..__...._..___............_____ Total Load_...m..m___.._______m.. Ser. No. ......___........_............h____________ Armored Cable. Non-Metallic ................_____.mm...._ Knob & Tube RIgid Conduit ....nn.......nm.mm..n Metallic Tubing C ire:::, e::h ~~~:~~~?:~~~~:~~~~~~~~~~~~~~~~~:~~~~~. Utility .mmn(:;mm.m...mnn.........n. Heat n.m.//!.nn...nn.nnn.mmnn Range mnnci!:nn.m.mnn..nn..n....... :z. Water Heater m_m_.m___.m___..m.... rriotor _______......_....__.........__.....__._.... Ory"nnn~mnnnn....mn.n...nmnm Furnace mn_...~::..---~.--'-..._._........m. Eje; Total ..C<.....m.._.....__....____..___ Remarks: ..n.....n..T~"0.'t...!2_b..Jo:::......C""'6~.c::J.~!....\;,1~-L.................................n......................................... .i~.~ii~.~:..::..:....::::::..::m......~~~.~.~:::~.~.~.~~i.~::::..:....n....nnnnn:~.::.5?Z.l~~~:l~~::g:~~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due noUce must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION I r I~<F . (' /!t4~-c12.e_~ ..Y ELECTRICAL PERMIT N? 15441 Date callectlro6n~e~;n..1Itfl~.~;ln;jm...-..;..~/;j...mm.mm...n....m.........mn.mnnnmmmm...m....................... Preliminary IJIi;t10:J{(;.......c::L..~A!..:.en....nJ!!.":'.~.cd::i?0,_n...n.........mm...n.......... /}j/( c:.. \re-/-"l._-.u~." . m.m........hmn......._.........n....... InspecUoucOIDpleted_.._.....__....._...__..........._______._.......___.............___._..........._.._______________._____......__....___.................__...._..._______.____.h._....__......... Total wad ____n__.__...n____..__............................................___.. {"-- 1M 3.72 Olympic Pr:inters. Inc. .._____n______. ...u__.........______.__.____....__....nn....___....__............_...____.._........___...____..._...._._ . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. j '19 r- 1/10/90 ELECTRICAL PERMIT DATE Site Address: o READY FOR o WILL CALL FOR 1116 Madrona INSPECTION INSPECTION Installed By: I License Number: Phone: '.a;y:h i ~rl ];' 1 .~ Owner/BuSiness: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01003.0 ~er.;'~slz~ Amps oT'\"J Details/Description: o Add/alter circuits o Auxiliary power \j (list below) o Special equipmen (list below) . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough.in/cover O.K. o O.K. to connect service o Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Permit/Receipt No. 1116 Madrona ~ '11 g' Installer: I New Melers I ~7{0/90 Jaybird Electric . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Inspector WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer --1'8 OLYMPIC P'~INTERS. INC. Application Number . . . . . 24-00000791 Date 8/13/24 Application pin number . . . 361991 Property Address . . . . . . 1114 MADRONA ST ASSESSOR PARCEL NUMBER: 06-30-08-5-8-1404-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc T-stat ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ James Cushman DAVE'S HTG & COOLING SRVC INC 1114 MADRONA ST PO BOX 413 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-3526 (360) 452-0939 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 95.10 Plan Check Fee . . .00 Issue Date . . . . 8/13/24 Valuation . . . . 0 Expiration Date . . 2/09/25 Qty Unit Charge Per Extension 1.00 95.1000 ECH EL-LVT-THERMOSTAT 95.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.10 95.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.10 95.10 .00 .00 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN / COVER SERVICE FINAL CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 9/9/2024 24-791 TMC OWNER Contractor Dave’s Heating & Cooling ADDRESS 1114 Madrona St.