HomeMy WebLinkAbout109 N Vine St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 04 00000302
Pin number 878252
Property Address 109 N VINE ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 2025 0000
Application description RES REMODEL
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 25000
Owner Contractor
Qty Unit Charge Per
1 00 76 3000 ECH EL -RM 0 200 1ST SRV FEEDER
Fee summary
T• \PLANNING \FORMS \1102.15 11/14/2003]
Date 4/13/04
KATHOL FRANK J KATHOL CONSTRUCTION
312 BIGELOW RD 312 BIGLOW RD
PORT ANGELES WA 983628907 PORT ANGELES
PORT ANGELES WA 98362
(360) 417 5594
Permit ELECTRICAL NEW RESIDENTIAL O
Additional desc ALTERED SERVICE 200 A/ REWIRE
Sub Contractor ELECTRIC SERVICE s f1
Permit Fee 76 30 Plan Check Fee 00 J
Issue Date 4/13/04 Valuation 0
Expiration Date 10/10/04
Charged Paid Credited Due
Permit Fee Total 76 30 76 30 00 00
Plan Check Total 00 00 00 00
Grand Total 76 30 76 30 00 00
Extension
76 30
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
(N\
V 1
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 1 NO
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
FOUNDATION
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS I
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN 1 0471
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
GAS LINE
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
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 1
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815 I
T\PLANNING FORMS \1102.15 11/14/2003]
BUILDING PERMIT INSPECTION RECORD
J
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
1 BUILDING
DATE ACCEPTED
YES 1 NO
~ ~ORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000302 Date
.878252
109 N VINE ST
06-30-00-5-1-2025-0000-
RES REMODEL
4/14/04
COMMERCIAL ARTERIAL
25000
Owner
Contractor
KATHOL FRANK J
312 BIGELOW RD
PORT ANGELES
WA 983628907
KATHOL CONSTRUCTION
312 BIGLOW RD
PORT ANGELES
PORT ANGELES WA 98362
(360) 417-5594
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 68.75 Plan Check Fee .00
Issue Date 4/14/04 Valuation 0
Expiration Date 10/11/04 -
Qty Unit Charge Per Extension <2>
BASE FEE 47.00 -0
3.00 7.2500 ECH ME-VENT FAN 21.75
Permi t . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
61.00
4/14/04
10/11/04
Plan Check Fee
Valuation
.00
o
\\ ~
~ -
Z ~
~
~ " ~
_.
..".
-..
r
(;)
~
Qty
Unit Charge Per
1. 00
1. 00
BASE FEE
7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
7.0000 ECH PL- EA.WATER HEATER
Extension
47.00
7.00
7.00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 414.75 Plan Check Fee 165.90
Issue Date 4/14/04 Valuation 25000
Expiration Date 10/11/04
Qty Unit Charge Per Extension
BASE FEE 92.75
23.00 14.0000 THOU BL-2001-25K (14 PER K) 322.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 544.50 544.50 .00 .00
Plan Check Total 165.90 165.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 714.90 714.90 .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.
~;'AJ {:('4-~
Signature of Contractor or uthorized Agent
1ft{ kif
Dale
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\I 102.15 [11114/2003]
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING ~'I"li.'-'l 11-3-0rt J I L.,
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING Itl -1..1-0 J.f I .1,1.-'-
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL ~ VI-~~ J /1- -; -o'f J, L-,
HEAT PUMP
GAS LINE
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 NO
ELECTRJCAL - LIGHT DEPT. 417.4735 ELECTRJCAL
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 11-1 -Of-! I. l--, BUILDING
T:\PLANNING\FORMS\I 102.15 [11114/2003]
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BUILDING PERMIT - APPLICATION
FOR OFFICL-\L USE ONLY:
'Date Rec. 4-~"" ~
jPermit#: 64-. 4tlt~J
Date Approved: ~ (
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
---- .
Applicant or Agent: ;-;..~ u/:: ~~) I
Owner: ;:;"a)L k ~ fk.CJ /
Add,es" 5/2-.8 je,/t7W ~.
Architect/Engineer:
Contractor f:::,fAtJ! ~J1~~f;
Address: 312- B,.'qe Is u..l /(c1,
PROJECT ADDills: / tf1 AI Y; /tf'?
Lj17- s-.s-r i
Phone: -.SC{.M-~
City: 1]/;- A- r1;;t~je. '7 Mil Zip:
Phone:
'4(
State License #:J(Arf/{X)O/Exp:
City: for r A~p /('"S (
.Sf'
Phone:
Phone:
klA.. Zip: Iff S h 2-
ZONING: I(e~/ ~#2frtl
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYJ?E OF WORK:
~Residential 0 New Constr. ~-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
/
City:
Exp. Date:
SIZENALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION
~
No. of Stories:
Lot Size:
Existing Sq. Ft.
Total lot coverage
& Proposed Sq. Ft.
= TOTAL Sq. Ft.
%
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUATION 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 cunent 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.
EXPIRATION OF PLAN REVIEW: Ifno 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 107.4 of
the Uniform Building Code, CUlTent edition). No application can be extended more than once.
I hereby cerlify 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 it is my responsibility to determine what permits are required ,not the City's, and that lust tain such permits prior to work.
TIFORMS\AO'PSlO,Bd"gp,md.wpd Appli"nO ~ n't" ~~'(
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
04-00000033 Date
109 N VINE ST
06-30-00-5-1-2025-0000-
RES FOUNDATION REPAIR
1/16/04
COMMERCIAL ARTERIAL
1000
Owner
Contractor
KATHOL FRANK J
312 BIGELOW RD
PORT ANGELES
WA 983628907
KATHOL CONSTRUCTION
835 W. 6TH STREET
PORT ANGELES
PORT ANGELES WA 98362
(360) 417-5594
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 62.25 Plan Check Fee 24.90
Issue Date 1/16/04 Valuation 1000
Expiration Date 7/14/04
Qty Unit Charge Per Extension
BASE FEE 47.00
5.00 3.0500 HND BL-501-2K (3.05 PER C) 15.25
o
.J)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
.permit Fee Total 62.25 62.25 .00 .00
.p,Plan Check Total 24.90 24.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 91. 65 91. 65 .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
inspecti()f1. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws andordinances 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. -' / If ()
--r-~1A-f--4:;~ / //6/0'-/
Signature of Contractor or Authorized Agent { Dale Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\I 102.15 [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 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
FOUNDATION:
FOOTINGS , - '!.C-D4 .JLL-
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT Ws:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARK1NG/L1GHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 I PLANNING DEPT.
BUILDING 417-4815 r - 2 ~--/) i/ 1~ V BUILDING
T:\PLANNING\FORMS\I 102.15 [11114/2003]
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FOUNDATION DETAILS
See Section 1806 UBC, 1997
.. % ANCHOR BOLTS @72" O. C. i-STORY, 12" FROM ECH SILL END
~ @48" O. C. 2-STORY W/2" SQUARE WASHERS
PRESSER TREATED SILL PLATES
# 4 REBAR (SEE REBAR SCHEDULE)
FINISH GRADE REINFORCEMENT SCHEDULE
18" 2-
STORY
HEIGHT VERTICAL HORIZONTAL
IN FEET REINFORCEMENT REIN FORCEM ENT
2' #4 @ 48" O. C. (1) #4 TOP BAR
2'T04' #4 @ 24" O. C. #4 @ 24" O. C.
4'TO 6' #4 @ 18" O. C. #4 @ 18" O. C.
6'TO 8' #4 @16" O. C. #4 @ 10" O. C.
>8' ENGINEERS ANALYSIS WITH
STAMPED & SIGNED PLAN REQUIRED
7" MIN. EMBEDMENT
12" 1-
STORY
12" 1-STORY
15" 2-STORY
~..,
II. .
.~ #4 REBAR 2-PIECES CONTINUOUS
CONCRETE FOUNDATION WALL & FOOTING DETAIL
NO SCALE
%" ANCHOR BOLTS(SAME AS ABOVE)
PRESSURE TREATED SILL PLATES
:,------#4 REBAR 1-PIECE CONTINUOUS
. .
" . e.. .
T~ MIN: EM~DMEN
oJ,~, ... "
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MONOLITHIC CONCRETE FOUNDATION DETAIL
NO SCALE
BL-1102_0BaWPD
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . .
REQUEST:
Date I - ~ 8 - 6 V
Time
Received by
RV
(phone, personl
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
)D9
N
,
Vt-k~
F tl'Ct "''- \< c
INSPECTION NOTES:
Inspected: Date j - ;;te .-o~3 Time
Remarks: p, ""1.. .......: \ I: - n ^g 0'(- h <2- ~
u..Jj II be. doc-ccc. + #1' J -;f;,_a.
Permit No.
~ Sewer Excav. Other
Fou..~
\
R€.~l ..r-
By P2 \./
Re~q; 1'<... .~ iC'loor :SV$:k;,zA
f { ~\
Phone No. 8s08--/6/"2-
.:$3,
Sewer Foundation Framing
Chimney Plumbing
RESTORATION REQUIRED . . . . .. YES NO
q ~'DO A ()/\
d8 'f-lt
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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17467
j-c?j?' y/
Port Angeles. Washlngtonm..............m.....__m.._m...._.........____.... 19m..m
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
tri~tl equipment in, on. or about any building or other structure In the City of Port Angeles. per-
mission Is hereby granted to dO" ele,ctrlcal work as listed below.
Address .m/.t?.__t:.m1f4.....t::t.~.~m__m.____.m__mmm__m OccupancY__m.-;_"r,__e."'~m________mm____
o~er --------~------.~,~~qf~~Q;JlP.d:y>;---------mm.m--.------.~.-.m---m--.---.".-m.__"m"__
WIrIng Contractor m__.2?:.C__v____.bl..~m_m_.____m.__.._m By._________m__mm__mm.__..__._________m_._____mm____.__
Light Outletsm_________m__.m___.m__.________. ServIce, voits ./_?_~.P.m?1r-- Type of WIring:
Receptacle Outletsm...___...m............_... No. wIres .......~..._.___.n..__n.._...!:_'J.. Armored Cable ....---.....................-
SI i Y k t'r Non-Metallic .........___m..................
ze w resm____.______!:;:':____.m:__m______
Main fuse __.~/!....!:1:.:_mm
- :5 '
Enclosure ........._...n........__....____......
r
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Dryer, KW _.unn....................____._____._._
Range, KW mnnuu.___nm____u
Wa.ter Heater: ~
Heal~:~~.:::zz:~~_jJ..t.l.::~~-~~---
Type of wiring:
Entrance Cable __...........".".......__....
Motors: sIze, volts and phase:
Rigid Conduit m_m____m___......m..m
Metallic Tubing .........._...........,....
Current transformers:
No. & Size.......................................
Ser. No..............................................
Ser. No. .............................................
Ser. No. .....................................__.n...
Nt!
Knob & Tube....................__.........._
Rigid Conduit ____m....._.__m__....._..
Metallic Tubing mmn.m....mm.....
Raceway ......___......................_._..._
Circuits, Ligbt..____.....__mm_______..__.....___
Utility .mm.m_....'__n.._m..m_....__.m.
Heat _....._........................................
Range .............__................_........__..
Water Heater .................n..._........
Motor _.........................................._
Dryer ....................................--............
Furnace .........................'_...................
Remark:~ta:__~~:.;:~;.:.~:~,::=:."m___m_m~::;~____r::~:_:=~;.;~~~______m__m.~~~::.__:::.::::.:::~:::.:::.:.:.:::~.::.::
'" _ _ .
.;~:;~-;~~----nm--nn--mnnm--;~~~~.--~~~~;~~.mnmn---.mm-..----m-----ll;--(#I~.lm.m-2n--
$_.__m__.m___mmmmm.m.. No..__________________....___. By .L:___~__.~__(__._ ____l~__.':?_'ed___!],.m."''!'!!__,:..,
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con-
cealed 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
.'
N?
17467
i
"
Address.._____n___.____.._._.__...._........_....................._........_.................................................................Date...______________....:.................._......_......._
Owner___................................_.........._......_......_.._...........__._....___.......______.....____.....__._....Tenant.__.........__.......____.......___________________.._______._____..
WiringContractor..........................._........................__........_......__.........._........___........_____........_._..._.By._...._........____._....__.......___......_.._...............,,_
\:-. N~;~~E-CUrrent must not be. turned on until Certificate of Inspection has been issued. If work is to be con-
~ cealed due noUce must be given the Inspector so that work may be inspected before concealment.
. J
1M
Olympic Printers, In;.
OF pORT '1/20
AZ' �r:j: FC FQB nFph USE cc ONLY ELECTRICAL PERMIT APPLICATION °c
it
Date Approved
V Date Issued:
c F The Electrical Permit Application must be filled out completely.
mks At
Please type or reprint in ink. If you have any questions, please call (360) 417 -4735 ®7 3QZ
Fax number: (360) 417 -4711
Owner or Elec. Contractor ent: F �L1 i V 1 c-� h Phone: 9 5 2- (a`IFaax _S o FL
Property Owner: N7Av1 Ctll� 1 Phone:
r 1
Address: N1� V i r City: f Zip: k3 l') 2:
l r l '.l C- -r
Electrical Contractor:
t s' 'Ft( -.i SQicv eA, i in L icense t> Exp: Phone: t
Address: I C CL(1.6 1/ C4 t i.,,, 0 X City: 0' Zip: 9'- �'1 Co 2
9
INSTALLATION WIRED BY: OWNER ELECTRICAL CONTRACTOR
Credit Card Holder Name: n
Billing Address: o fn c.,,,:, Zip:
Credit Card Number: Exp. Date: VISA: MC:
PROJECT ADDRESS: /Q 9 N. t///V( .s
TYPE OF WORK: Check all that apply: New Alteration /Addition
\Lh'Residential Multi- family Commercial Mobile Home Sq. Ft
t v
Remote Meter Detached garage Hot Tub Swim Pool Septic Pump Low Voltage Cl Telecom. El Sign
Number of Circuits added or altered: 'j
DESCRIPTION OF THE ELECTRICAL PROJECT: r e w i r k V 1
c{ 6 SQ.. V t C,; 2 ct vv. I Q
Electrical Heat Load Additions and or Subtractions 4 Service Information
Baseboard KW Voltage: i Q o 12 LI 0
Furnace KW `I7 Overhead Service Phase: 0-1 3
Heat Pump TON LRA Temp Service Service S ze: 0 rt
Fan -Wall KW Underground Service Feeder Size:
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: f RA I Date: L ill v
o�
a 1, I 1
M Owne r or Elec. C nt. Signature: 1 1 Date: Lf I 1...1...2_1,4 1- /,i,:c- 4?"4 7
1 a‘. 7 (S PERMIT FEE: 9(0,30
C /ELECTRICALPERMITAPPLICATION I ,C 4( L
1 1/Z-4 4 i he
k ..i •-rw
ELECTRICAL PERMIT SUBMITTAL REQUIREIVI[ENTS
INSPECTOR OFFICE HOURS 8 9am AND 1 2pm
NO INSPECTIONS WILL BE MADE UNTIL PLANS HAVE BEEN
PROVED AND A PERMIT HAS BEEN ISSUED!
EN IS AN ELECTRICAL PERMIT REQUIRED?
BEFORE ANY ELECTRICAL ADDITIONS OR ALTERATIONS HAVE BEEN STARTED
WII0 MAY APPLY FOR AN ELECTRICAL PERMIT?
1.) ELECTRICAL CONTRACTORS OR THEIR REPRESENTATIVES
2.) OWNER OF A BUILDING; UNLESS THE BUILDING IS NEW AND FOR RENT OR SALE
LIEN ARE PLANS REQUIRED?
1.) ALL NEW SINGLE AND MULTI FAMILY RESIDENTIAL PROJECTS.
2.) ADDITIONS AND REMODELS WITH ANY NEW ELECTRICAL WIRING, REQUIRING MORE
THAN FOUR BRANCH CIRCUITS
3.) ALL COMMERCIAL AND INDUSTRIAL PROJECTS.
4.) PROPERTY OWNERS PERFORMING THEIR OWN WIRING
WIIAT IS REQUIRED FOR A COMPLETE ELECTRICAL PERMIT SUBMITTAL?
1.) AN APPLICATION FILLED OUT IN ITS ENTIRETY
2.) FEE PAYMENT IN FULL
3.) PLANS MUST CONTAIN THE FOLLOWING:
a.) WIRING PLAN (SHOWING THE LIGHTING, RECEPTACLES, PANEL
DISCONNECT LOCATIONS, SERVICE LOCATION SIZE)
b.) PHASE(S), VOLTAGE, AMPERAGE
c.) LOAD CALCULATIONS PANEL SCHEDULES (COMMERCIAL, INDUSTRIAL
RESIDENTIAL REMODEL AND ADDITIONS)
d.) DETAILED RISER DIAGRAM (COMMERCIAL INDUSTRIAL) SHOWING
BREAKER, CONDUIT WIRE SIZE AND TYPE
WHEN ARE PLANS REQUIRED TO BE PREPARED BY AN ELECTRICAL ENGINEER?
1.) EDUCATIONAL, INSTITUTIONAL, OR HEALTH CARE FACILITIES AND OTHER
BUILDINGS PER WAC 296 -46A -140
2.) COMPLEX INSTALLATIONS AND /OR LARGE FACILITIES, AS REQUIRED BY INSPECTOR
iQW MUCH DOES AN ELECTRICAL PERMIT COST?
REFER TO THE ELECTRICAL PERMIT FEE SCHEDULE FOR APPROPRIATE FEES FOR YOUR
PROJECT. COSTS FOR PERMITS VARY DEPENDING ON THE SCOPE OF WORK.
ffQW LONG DOES IT TAKE TO GET AN ELECTRICAL PERMIT?
IF PLANS ARE REQUIRED, PERMIT ISSUANCE FOR MOST RESIDENTIAL PROJECTS WILL
NORMALLY TAKE LESS THAN THREE WORKING DAYS. COMMERCIAL PROJECTS MAy
TAKE LONGER DEPENDING ON THE COMPLEXITY OF THE PROPOSED INSTALLATION.
J'HEN AND HOW ARE ELECTRICAL INSPECTION SCHEDULED?
1.) BEFORE COVER AND AGAIN WHEN ALL DEVICES AND EQUIPMENT ARE INSTALLED.
2.) INSPECTIONS ARE SCHEDULED BY CALLING 360 417 4735 BY 7:OOam