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Home My WebLink About134 Vashon Ave - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORt ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/31/2002 PERMit NO: 13934 OWNER/APPLICANT PROPERTY LOCATION 134 VASHON MOLLY MATTHEWS 134 VASHON Lot: 2 Port Angeles, WA 98362 Block:, 5 [] Long Legal 360/417-8925 "Subdivision:' PSCC 2ND ADDITION T: S: Parcel No: 063010500040000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO ~-' $500.00 SFD Units: 0 Commerci~ah 0 Project Value: Project Type: GARAGE/CONVER. SFD SQ FT: 0 Industrial: 0 , ~-.~ Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES REMOVE GARAGE DOOR AND INFILL / REPLACE WITH A MAN DOOR RECEIPT#10031 FEES ASSESSMENT Building Permit: $23.50 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandone¢ for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the las~ inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:~PLANNING~FORMS~1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATEYEsACCEiTEDNo COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS/ROOF/CEILING ~t~.. ~O 3 .j. ~ ~ DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOOD STOVE / PELLET / C HI iVlNE Y HOOD / DUCTS PWUTILITIES/ SITEWORK (Englnce~ingDivision) SEPARATE PERMIT #'$: 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 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. 41%4750 PLANNING DEPT. T:~PLANNING\FORMS\I 102.15 [4/2002] ~,oq ~ FOR OFFICIAL USE ONLY: BUILDING PERMIT- APPLICATION The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 4174815 Applic~t or Agent: ~i~e ~ Phone: ~O-2 - O~er: /'~/l~j ~~oX Phone: ~/7' Address: City: t Zip: ~c~tecffEngineer: ~w-e C)~ ~,. /~ E Phone: Contractor -/ License ~: / Exp:. / Phone: Address: CiW: Zip: LEGAL DESC~PTION: Lot: Block: Subdivision: CL~L~ CO~TY P~CEL N~BER: Credit Card Holder Name: Billing Addre~: City: Credit Card g: Exp. Date: ~SA MC ~E OF WO~: SIZEm~UATION: Resid~tial ~ New Cons~. ~ Re-roof o Wood-stove ~ SF. ~ $ /SF. =$ · o Mul~-fa~ly ~ Addition ~ Move ~G~age ~ SF. ~ $ /SF. = $ ~ Co~ercial ~ R~odel ~ D~olition ~ Deck SF. $ /sr. = m Repak ~ Sign ~ TOTAL VALUATION $ BmEFDESC~TION OFT~ PROJECT: ,'~/~/a~c c~c%~ C 4~q ~,,~ ~Cr~,~;~ b/.- COM~RCI~SIDEN~: Occupancy Group: ~ ] Occupant ~ad: O Cons~ction T~e: No. of Stories: A&&~O Lot S~e: ~, t20 % Lot Coverage: /'~'~ % Existing Lot Coverage: /~- /sq. fl. + Proposed Lot Coverage: /sq. fl. = TOTAL LOT COVE~GE: PLANING USE O~Y: ~PROV~S: PL~. Notes: BLDG. DPW ES~etland(s): ~ Yes ~ No SEPA Checklist requ~ed? D Yes ~ No Other: O~ER B~DINGPE~T~PLICA~ONS~: Your application and site plan must be f~led out completely to be accepted for r~iew. The Building Division can provide you wi~ more de~iled ~fo~tion on ~e applicahon and pl~ sub~l requffements. Yo~ co~leted application, site pl~ (for additions) and building cons~ction plans are to be sub,Red to ~e Building Di~sion. V~UATION OF CONSTRUC~ON: In all cases, a valuation amount must be entered by the applic~t. T~s figme will be reviewed and ~y be revised by ~e Bulldog Division to c~ly with c~ent fee schedules. Contact ~e Pe~t Coordinator at 417-4815 for assistance. PL~ CHECK ~E: Yo~ plan check fee is due at ~e time ~e building pe~t application and cons~ction plato are sub,Red, All other pe~t fees are due at the time ofpe~t issuance. EXPIATION OF PL~ ~W: If no pe~t is issued ~ 180 days of~e date of application, t~s application will expire. ~e Building Official can extend ~e t~e for action by the applicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 · e Unifo~ Building Code, c~ent edition). No application can be extended more than once. I hereby cert~ that [ have read and examined this application and ~ow the same to be ~e and co~ect, and [ am authorized to apply for this permit. I understand it is not the Ci~'s legal respo~ibili~ to determine what pe~its are required; it remains the applicant's responsibili~ to determine what permits are required and to obtain such. Applicant: :~ Date: ~ T:WO~ S~PS~uildin~e~it CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date _~/07~'*'~ Time ~'Y~' ~;3'-JT/Receivedby ~,~-~-~-~- Location of Work to be inspected / Name of person requesting inspection Address of person requesting inspection Phone No. Type of inspection (circle a~pl:m~riate one): Permit No. Sewer Foundatio~~Chimney Plumbing Final SewerExcav. Other INSPECTION NOTES. L Remarks: ~"l ~ ~/~ R£STOR~TION REQUIRFD ...... YFS NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [-]Asphalt I--]PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee L~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary} STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ~./' ........... INSPECTION REPORT ........... REQUEST: Date (~ ch~//~J/O~"~ Time ~/'. ~'~-~ Received by ~-~,~-~-- arson) Location of Work to be inspected / '~ ~ ~, ~/'/~- $ ~ o r~ of person requesting inspection _~/]~ Name Address of person requesting inspection ~ Phone No. ~ Type of Inspection (circle appropriate one): Permit No.l Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~u INSPECTION NOTES: ' Inspected: Date Remarks: RESTORATION REQUIRED ...... YES NO. ~URFACE RESTORATION: SURFACE TYPE: [] Unimproved I--}Gravel []Asphalt I--IPCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~"~ ~//~ ,~///~ '~ Time ~>~ ~ ~_-~) Received by ~(~/ ~ person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Permit No'. Sewer Foundation Framing Chimney Plumbing~ewer Excav. Other INSPECTION NOTES;/C~l IRn;mP:~se~: Date ~"~/~/~b Time (~J~ By~'~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~IPCC []Other ~_] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TN STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 10/31/2001 PERMIT NO: 13067 OWNER/APPLICANT PROPERTY LOCATION JACK CLARK 134 VASHON 53 OLYMPIC LANE Lot: 2 Port Angeles, WA 98362 Block: 5 [] Long Legal 360/452-5255 Subdivision: PSCC 2ADDNT. T: S: Parcel No: 063010500040000 CONTRACTOR ARCHITECT RAINMASTER ROOFING N/A 311 COLUMBUS Port Angeles, WA 98362 , 98360-0000 360/452-3213 360~000-0000 PROJECT INFO Project Value: $2,800.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 _.__D Zoning Use: PROJECT NOTES TEAR-OFF, FELT,COMP RECEIPT#8216 FEES ASSESSMENT Building Permit: $83.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc 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, pdvate 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 pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days fi.om 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 ol laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does no1 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ol construction. Signa'~re~f ~:ontrac~r or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSUL,4TE OR CONCEAL ..4NY WORK BEFORE INSPECTED .4ND .4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE ] DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOLrNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PEKMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK PLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING I}EPT SEPAIL~TE 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 - K.W. ENGINEERING 417-4507 PW / ENGINEERING FIRE 4 ] 7-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 °[-I/-o% J ,/-., BUILDING C:LAPPL.WPD CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 OWNER/APPLICANT PROPERTY LOCATION 134 VASHON MOLLY MATTHEWS 134 VASHON Lot: 2 Port Angeles, WA 98362 Block: 5 E~ Long Legal 360/417-8925 Subdivision: PSCC 2ND ADDITION T: S: Parcel No: 063010500040000 CONTRACTOR ARCHITECT ALL WEATHER HEATING & COOLING N/A 302 KEMP STREET PORT ANGELES, WA 00009-8362 , 98360-0000 360/452-9813 360/000-0000 PROJECT INFO Project Value: $8,211.00 SFD Units: 0 Commercial: 0 Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL HEATPUMP RECEIPT#10010 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign; $0.00 TOTAL FEE: $34.15 Plumbing: $0.00 AMOUNT PAID: $34.15 Mechanical: $34.15 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 Js 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 reguJatJng construction or the pedormance of construction. Sigdature of Contra'~'or o~:A~/ut~orized Agent Signature of Owner (if owner is builder) Date T:\PLANNrNG\FORMS\ I 102.15 [4/2002 ] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 t DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LiNE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS/ROOF/CEILING ~_ ~ --0'~ J.J., DRYWALL FROM : ALL ~EATHER HEATING & COOLING FAX NO. : 36B 452 Sl?? Dec. 17 2002 05:45PM P1 BUILDING PERMIT - APPLICATION ~ ' Ple~ ~ or p~t ia ~ If you ~ve any q~ ple~e c~ 417~15 ~G U~ o~Y~ ~PROV~; .... DtW ~c U~ Bu~d~ ~, ~t ~). No appllcati~ c~ ~ ~nded more thsn ~c~. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Location of Work ,o be inspected / _'~ ~ VC~- $ ~ o ~) ..~. I/~. Name of person requesting inspection /.~C1 ./'f~ ~,_ Address of person requesting inspection Phone No. /'~/ Type of Inspection (ci~.~ll~riate one): Permit No. Sewer Foundatior~Fra~himney Plumbing Final Sewer Excav. Othe INSPECTION NOTES~ ! - / Remarks:' I /t /~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt [] PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) .... CITY OF PORT ANGELES ~.~ WORKS - ELECTRICAL PUBLIC DIVISION 321F. AST 5TH STREET, PORT ANGELES. WA 99362 ELECTRICAL PERMIT ISSUED: 12/19/2002 PERMIT NO 7938 OWNER/APPLICANT ] PRopERTY ~OcATION ' 134 VASHON MOLLY MATTHEWS Lot: 2 134 VASHON Port Angeles, WA 98362 Block: 5 Long Legal 360/417-8925 Subdivision: PSCC 2ND ADDITION T: S: : Parcel No: 063010500040000 C-ONTRAC-TOR .... I ~"CHITEC'r OLYMPIC ELECTRIC N/A 4230 TUMWATER PORT ANGELES, WA 98362 , 98360-0000 360/457-5303 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: H. P./FURNACE Occupancy Group: Zoning Use: Electrical Heat: - ~ Baseboard 0 KW Riser ] ~ Underground Service ~ Furnace 10 KW [_ Overhead Service Voltage: 0 ~ Heat Pump 4 KW i_ ~ Temp Service Phase: ~ 1 3 ~ Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES INSTALL HP / FURNACE RECEIPT # 9956 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $46.70 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $46.70 AMOUNT PAID: $46.70 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE~ ITIS UNLA ~VFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE FINAL I/~//~',~l t'~.,) I GENERAL COMMENTS: Site Ptcn r O~e'~' Molt y Me, thews 134 Vciso~ 1401 ~. 7th (360)45~-~098 Port Amc etes, WA 98368 Port Ange(es, WA. 98363 Con.su[tin9 North Etevo, tio~ U F--,i 9 ~::> F..,. E ng,ne e r :tien't:Mo((y Mo.l;hews ].34 Vason '140]. V/. 7th (360)45B-,E098 Pop-t; Angetes, ~/A 9836~E Pon't; Angetes' V/A. 98363 ~ ?r1 ~ ~-- 0 Consulting ct~,Motty Mathews 134 Vason 1401 W. 7th (360)452-2098 Port An~e[es, WA 98362 Port Angeles, ~A. 98363 12/18~2002 13:47 FAX 3604575303 ,~ 0-'1'-0.. ,"._"..~""T. 'OOT ~N"E\ e,., & OLYMPIC ELECTRIC ; .,EiO.J. I ,..", 11 Iili 01 . I'" &,_ r::;1J . ELECTRICAL PERMIT APPLICATION Foa.~U:S!..Ql/oI\''' !l&It/Jl4:,.' Pomw#: ~t~, O"'..l--cl: The Eleelri:aJ PlilfTT111. AppllCiillu:tl must be flU~ out ~DMJ.CaN. P'laa8& typo at rwprlnlln Ink.. If J'Du ha'lnI!l en)' q~tlClnlf,. plea.. call (360. 4\7.A73S Fa'l nurna.r~ (360) 417--4711 #7'138 QwnororE~,CcnbBC1OrAQ."" Olympic Electric Co., Inc. p,oponycJL Ill/Iv ~lifl/(w? A""",,",: II /31/ 1/65A/1,. EIO(:trio.al~c Olympic Electric Co., Inc. .--"".: ':1'4230 Tumwater I INSTAl.LATION WIRED BY, 0 OWNER CnIdIt ClJ~ Holder tG"..: Charles T. Billing AJan.-: Same Credlr cJu Number: I P Ro.IECT ADORESS, [ TYPE OF WORK: Check ~ that apply, 0 New 0 MaraliQnlAddltion j1' A8&i+ 0 Muhl-famlly 0 Cornmenoial 0 Mobile Home Sq. Fl. o Remota Meter 0 Detaehed garage 0 Hot Tub 0 Swim Pool 0 Septic PlJmp 0 low Voltaga 0 Telecom. 0 Slg, Number 01 lCil1:\Jits 8dded or allOf8Cl: Z. DESCRIPTlON OF THE EUi.CTRlCA\. PRO.JECT: f!tl{ J'W~/ . (Z,,1?4te . L L.. I { . ( Ilf,r(/p [ -- II II t..' (..111,&/ 11/'#/'1"" r CI?()/":) - I ,{''lb. 70 tUc ff-'1'7S(! EIec1rIc1l11 Heal Load Addltioln. ~ & -rr)( SeNlee Intonnatlon o Baseboard _KW ~~ \/0118.9'" ,.<:'TFu!TlaC6[ .J/2...KW ~~ ...;~ _ Ovemead Serv;oe F'h<loe; 0' 0 3 ~IPutnP _KW zf'A 7Z.sLfl..A TampSarvice s"rvlcI> Size, o Fan-wa.1' --C'1..Yva rJ /. UndergfQund Service Feeder Size: , PAMC '4.05,060(8): For';nduWial, com"!."",;.I, & r....ld.ntlal prole"'" Iargar1l'1sn. duple.. . M" .lIna drawing 01 the Elecl~cal Senile<> & F-... bj;il6ing sIze (oq, IL). 1000000000Ciilatlone, arn:11he type e. of condUCl<>T:i llnGlgr TDCeWily " roqULroQ <lnd .hail ''''';(lmpony l\lo EIec1Mcal 19lTT1lt application, . I hereby certify that I have read and examined rhls appliCiltion and know thaT same 10 be True af/t1 C'Ofroct. and I an autno~ To apply for thrs permit. I understand it is not the City's JegaJ responsibil 0 determine wtlar perm/rs are required; ft remains the appficante responsibility To detennine what permits ar~ TfKluired and to obtain SlJch. /t; ~Jl.. CI1ldI1 Cllrd Holder's Signature; Phgn.: 457-5303 Fu:: 452-3498 (j 17 -81 zs- Phon.: City: hI'/' Art/~ Lice"'''': 0 YMPEC28~: Port Angeles, WA 21p: 3/31/03 PtG1e; 457-5303 Zip: 98363 City: I2l ELECTRICAl. CONTRACTOR Burkhardt, Olympic Electric Co., lnc, Exp. Date: ZIp: VlSA:2-MC:_ city: /3 Lj tIi$lIlIr[ J't,I/tJtts bltJeJ,1d . (z{/~ L- - 0 /=. *<7 PW.901S: OWner Of ElK. Cant. Slgnllture: Date: I Z./t8/0z,. . , Data; t:U,cD- /.2.flsfz.- Wt~~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16145 .. 1''' Port Angeles, Washlngton.h..___..Z......I..'..e..___...._......___.___....______., 19<.::.00. 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 grant~\l'~' 0 e~~rical work as listed below, Address oo___/___.-;:oo~oo_.J.(~:!:~:~~~?~:.::::.~=_:,'.___.___.nn__n_____n_oo Occupancy____oo___.oo_:___~:-____'C____oon____.________n '. ' < ','.,1 I! ~::: ~.~:tZ~~~.:::::::::::~~::::~:::::~:::~:;:.t;:~;~::::::f:~::~~:~~~;::::::::::::::..:.:.~::::::::::=::::::::::::::::::::::::::::::::::::::: 06- Ii Light Outlets._____.:-?:______m._m__:___n______ </ "'- /-'-' Receptacle Outletsmn___....:".............._... ~ Dryer, KW __unnh._.___....U....h..__.____ bge, KWn___./;::______n Vlater Heater: ,... H.at~:~:::/..~~_~~).Zl/? l\:!otors: size, volts and phase: .'. .n/;t';.:n.:Y'-n.__m____.m..hmn____.___ .' / l!:-{fs....':::,:..-~~;~.......-.........--.---.-------... Total Load_....m. Service. volts n.;-!-j!..}!.:.::'..!..~::... No. wires ....~m~.................7..:;.7 y.') .1:.../ Size wires...........(...L......:::......~..-.. Main fuse ..!.~.~m.:.~...;.:~._.__:I""::..... ,- Enclosure n..d._..~.2h.___......_.___ Type of wiring: Entrance Cable nm___nm.m Rigid Conduit mnmm.__n. Metallic Tubing m_mmn' Current transformers: No. & Size........h...._...nnmn. Ser. NO.nnnn___nn_...nnu..nn.._.nu..n_. Ser. No. 00....00.0000_00._.._....00_......_..00.00... Ser. N 0._00_...__._00000000.._._.._00................. Type of Wiring: Armored Cable ..._hm___................. Non.Metallic ................................. Knob & Tube......._.u.mn___n______...... RIgid Conduit ____nn.__._______________m_ Metallic Tubing ...........____m___m._. Raceway _____..._....___..._............_....._ ,., C lrC~:~'i t~i~~.~C~~~~~~~~~~~~~:~~:~~~~:~~~~~~::: \ Ifeat .---.6.:.....,;.:................................. Range m~~.:~.:;......mm..m_.__......___m_ Water Heater .~.;2mm..mm..mm. Motor ..._................_...__..._.....__....... ~/ Dryer _n~__:n......h.....h......................_ Furnace nun....._..............w.____u......n.... Ie, Total __._:_'nn__nnn_u____nn.n..n__ Ser. No. _.0000...........__..........__00_00.00_..__ ./ Remarks: oonoo______n___.nn___m.'.___.'oomoo_noo'__'_~__~n.n'.n:.m.'___oooo_____.___oonoo_____..___mn_mmm.mmmmm__mmmm__m . -.. . - /' F ermit Fee $___~;:.___:~..~oo_____oon__mm__. Treas. Receipt ~ N 0.____________________________ By .;-!I.-----~'~--7"-.~u---'>-.;~--~-.;-hn-----:~--'\--.---~~~-.-';....-.~- NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cc aled due notice must be given the Inspector so that work may be inspected before concealment. . _7___ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16145 Address._____.___..__...........................__...._..___.__....._..___.._______00_._.._________.__.._.....___..................._._..._....Date..._.....__..____..___...._______....___..._____...... O\vner hnnnnu_.._u..._.............___...._.._......_......__._...nn....n.......00......__...000000_00..0000......__... Tenantnn.un._.u......._..............._nnnnnuu_..nn......_.. '\\~lring Contractor n_.___u.nn__.._._..............__n_n..n_nu...nn__....nhn..n_._nn...nnnnu__................h._..n Byn.__..n_..._.n.......n..................................h NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work fs to be con- ce a.led due notice must be given the Inspector so that work may be inspected before concealment. 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