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Home My WebLink About432 E Front St - BuildingPREPARED 9/03/08 13 11 04 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/03/08 ADDRESS 432 E FRONT ST SUBDIV TENANT NBR KATHY LUCK CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER THE LUCK FAMILY TRUST PHONE (360) 457 3134 PARCEL 06 30 00 5 1 1905 0000 APPL NUMBER 07 00000370 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9 03/08 JLL MECHANICAL FINAL TIME 01 00 September 2 2008 4 09 20 PM 1pangrle KATHY 626 590 6997 MECHANICAL FINAL FURNACE AFTERNOON PLEASE CALL HER PARENTS (JOHN NORMA SOMERS) AT 457 3134 30 MINUTES BEFORE YOU GET THERE SO THEY CAN MEET YOU THERE COMMENTS AND NOTES CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 07 00000414 Application pin number 319168 Property Address 432 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1905 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor LUCK KATHY 432 E FRONT ST PORT ANGELES WA 983623114 OWNER Permit ELECTRICAL NEW RESIDENTIAL Additional desc EL SVC 200A SVC Permit pin number 99937 Sub Contractor ELECTRIC SERVICE Permit Fee 75 00 Plan Check Fee 00 Issue Date 5/14/07 Valuation 0 Expiration Date 11/10/07 Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER Fee summary Permit Fee Total Plan Check Total Grand Total COMMENTS /ACTION NEEDED Charged Paid Credited Due 75 00 75 00 00 00 75 00 75 00 00 00 00 Date 5/14/07 Extension 75 00 00 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD INSPECTION TYPE DATE ACCEPTED YES NO v_zo- 0 1 1 COMMENTS F1v: 1103.13 [4,961 of µo5 _1 Application Number 07 00000370 Application pin number 113440 Property Address 432 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1905 0000 Tenant nbr name KATHY LUCK Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 3211 Owner Contractor THE LUCK FAMILY TRUST CHRISTOPHER C /KATHRYN E LUCK 317 OAKLAWN AVE S PASADENA CA 91030 (360) 457 3134 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit pin number 99226 Permit Fee 64 70 Plan Check Fee 00 Issue Date 4/12/07 Valuation 3211 Expiration Date 10/09/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 Fee summary Charged Paid Credited Due Permit Fee Total 64 70 64 70 00 00 Plan Check Total 00 00 00 00 Grand Total 64 70 64 70 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. O C.i 4 /d7 Signature of Contractokar Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102 15 building pennit 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 4/12/07 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 "S INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -1N 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 ROUGH -1N HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT //'s PARKING /L1 GHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -473' FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COFER, INSULATE OR CONCEAL ANI WORE BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT .10B SITE. o DATE ACCEPTED YES NO FINAL FINAL 9 63-0 ATE SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT COMMENTS DATE ACCEPTED BY. ACCEPTED BY DATE I ACCEPTED YES I NO CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 I 1 FIRE DEPT PLANNING DEPT 417 -4750 I 1 I I PLANNING DEPT I BUILDING 417 -4815 I 1 I I BUILDING T\Policies11102 15 building permit inspection record05.wpd 11/4/2005) l..' 1 1 1 I I I I I I I I W m 04/10/2007 00 10 13604525177 TYPE OF WORK. d Residential New Constr Multi- fancily n Addition Commercial Remodel. Repair Sign BRIEF DESCRIPTION OF T No. of Stories: Lot Size: Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETEL'. and in DM. application and site plan MUST BE COMPLETE to be accepted for review I:Fyou have any questions, call PERMITS (360) 417-4R1.5 FAX(3601417 -4711 Applicant or Agent: Q(L R-ea,•hc'r 9 CCX) urN Owner'_6 a Nl� Address:' —k' i Oil. S-4 City 3CJ\k 1.0 Zip: C I t �JC-- Architect/Engineer r• Phone: �cU.+14 r ContractorNl\ att-N -k i U ..e.c nc L State License 41- W14-tCl5oKO Exp q -(-01. Phone 3 2 118? Address ?02 Cit r eNC L Zip i 63 (01_ 0 ZONING PROJECT ADDRESS 2- 5_, -Cr LEGAL DESCRIPTION Lot: Blocic. CLALLAM COUNTY PARCEL NUMBER. Re -roof 0 Stove to Move n Garage Demolition Deck Other LLF PROJECT ov1 (\C COMMIRCTAL/RESIDENTIAL. Occupancy Group: Existing Sq. Pt. ESA/Wetland(s) Yes No SEPA Checcdist required? Yes No Other T• \FORMS\S1dgPa nitfomt.wpd Applican ALL WEATHER HEATING Subdivision. C-Lct c,i2 cnsii Occupant Load: Proposed Sq. Ft. Phone; ?)(ocv -W52 18/3 Phone: q 51 313 LI SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION ?i. Zll Construction Type: TOTAL Sq Pt, VALUATION OF CONSTRUCTION In all cases, a valuation aroma 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 CEECK PEE. V alai= check fee is due it must be submitted at the time the building permit application and construction plans are submitted. Ali other permit fees are due at the time .of permit issuance EITIRATION OF FLAN REVIEW If no permit is issued within 180 days of the 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 tl,c applicant (see Section R.1.05.3.2 of the International Building/.Residential Code, 2003). No application can be exrerided more than once. I hereby csrtffy that I have read and examined this application and know the same to be true and correct. 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 1 must obtain such permits prior to work. PAGE 01/01 FOR OFFICIAL TJSE ONLY Date Rec. O I b 0`7 Permit 9 'Z 'Z Dote Approved: Dote issued: APPROVALS PLAN BLDG. nr�nr- 011-t.tr;R. 04/11/2007 21 34 13604525177 04/12/2007 09 29 FAX 360 452 5480 CLALLAM TITLE ESCROW PA When recorded return to: The Luck Family Tenet Christopher C. Luck, Trustee Kathryn E. Luck, Trustee 317 Ouklown Are y outh Pnsadena, Ca 911130 1 IICd ler Record at Request of i.. tx• r cat' Ci lla Title Company CI. oouhtnc &,13" TRANSACTION EXCISS TAN t:scrow Number ImRZ095N }r DATE PAID APR 0 21107 AMOUNT qV� THE GRANTOR Janet Dockens, r married woman, ns her separate estate for and In consideration of TEN DOLLARS AND OTHER COOD AND vALIIAILE CONSIDERATION in hand paid, conveys and warrants to Cbristopher C. Luck and Kathryn 6 Ludo, RI Trustee, of the Luck Family Trust dated September It 2000 the following desoibcd real estate, situated In the County ofClrttam. Some of Warh1n ten Abbtev Lepnl: 1 t 2 131k 19 Norman R. Smith 1 os Parcel Numbers): 063900 511900, 063000 511905 1.ots I and 2, Block 19 Norman R. Smith s Subdivision of the Townslte of Pon Angeles, Clullsm County, Washington, according to Plst thereof rocotdcd In Volume K of Deeds, Page 1, records of Clallnm County Washington. Situate in the County or Clullsm. State of Washington, subject ta; Zoning Lot Covenant imposed by instrument recorded nn April 21, 2006, under Recording No, 2006 1178846 Dated March ISM 2007 dod a and Dockens Statutory Warranty Deed S1A Washington 1 COI I Y CIF Cleltgm 1 SS: 2007 1198980 11111111C celtIrr that I know or IIIIVC sunsfactnm e.nlolee dmt.lanet A%ckeas the person who appeared helhic me, Ind said pomp acknowledged dim IIN,ht wined this Instrument and acknowledge it to he htsncer free and rolanlnn• act for the oats and purposes menitoned to ilia instrument 00u /t NOT T �B 4 7 Bt IC ^S i.tt^ Ci 312 r� SI LLJ L. BASIS `S Nota u t I,.n i, per the State of Washngton Residing at 7 My appointment esplRS. ALL WEATHER HEATING PAGE 02/03 40001/002 1007 APR -3 PH 1 07 F. CLALLAM T0 r pn Iu.r)S,,.n 04/11/2007 21 34 13604525177 04/12/2007 09 30 FAX 360 462 8480 F crow No 1 0020958 SUBJECT TO: EXHIBIT A" CLALi.Alt TITLE ESCROW 1.`A Ordinance No. 2124 reetassifying property on the South side of Front Street. between Peabody and Vine Streets, from CAD 10 RMF trimmed by instrument recorded on February 6, 1981 and August 1981 under Recording Nos. 516765 end 655850. Sh mn6 ltaa Ot d1p 455 SWIM 'A' Rev 7/42006 11111:00 PM ALL WEATHER HEATING PAGE 03/03 1d1002 /11UZ —A-Cash-Adjustment Application Receipt Fee Type Amount Paid .<,/9/ 3 Adjustment Posted Fee Signature ii/v_p t7'AoC= ILA 2L —L9_ Co l.5 AP Refund Amount New Fee Cashier info Payment Type Check Oral N Application Number 06 00000698 Application pin number 013402 Property Address 432 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1905 0000 Tenant nbr name DOCKENS RES Application type description RES ADDITION Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 19500 Owner Contractor DOCKENS JAMES /JANET 428 E FRONT ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 18 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 07/13/2006 05 13 PM SROBERDS No issues with proposed accessory structures but ZONING LOT COVENANT must be filed prior to building permit issuance MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 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 goveming 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. BUILDING PERMIT RESIDENTIAL 81539 347 75 7/20/06 1/16/07 nature of Contr ctor or Authorized Agent D ate Signature of Owner (if owner is builder) Date i v 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 7/20/06 MILL CREEK CONSTRUCTION 4619 OLD MILL RD WA 983623114 PORT ANGELES WA 98362 (360) 452 8281 TOTAL LOT COVERAGE 19 00 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 2046 00 LOT SIZE 12296 00 TOTAL LOT COVERAGE 2346 00 NUMBER OF UNITS 1 00 Plan Check Fee 139 10 Valuation 19500 STATE SURCHARGE 4 50 Charged Paid Credited Due 347 75 347 75 00 00 139 10 139 10 00 00 4 50 4 50 00 00 491 35 491 35 00 00 Extension 95 75 252 00 �r 0.0 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 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 #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 FINAL DATE ACCEPTED BY. 1 1 1 1 1 1 1 1 1 1 FINAL SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417-4653 1 1 1 1 FIRE DEPT 1 1 1 PLANNING DEPT 417 -4750 1 1 1 1 PLANNING DEPT 1 1 1 BUILDING 417 -4815 1 1 1 1 BUILDING 1 1 1 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Applicant or Agents( &rL S 5 1 t c__�:/L/'�f! Phone. l c2- Owner_ 5 .L -r sz ,t l C. Phone. Address: 4 /3 Z .5 F'2,71-47 37 City 9Oj2. 7.4 J /.i S Architect/Engmeer Contractol1lV, Gj2, i r-,G-A-7 Address: 01-4 M(.I U /I1 1 City -7 J to PROJECT ADDRESS. 1 32 LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. ,7cr Residential DIK1 New Constr. Re -roof Multi- family Addition Move Commercial Remodel Demolition Repair Sign PLANNING USE ONLY BUILDING PERMIT o APPLICATION 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 4 Il u—.c_c-1 State License <„C04/4 Exp /Xi City ESA/Wetland(s): Yes No SEPA Checkhst required? Yes No Other: Subdivision. FOR OFFICIAL Date Rec. _/3o Permit 2 ate Approved: ate Issued: 7 1 7 R4 Zip j.r34 Phone: 1452.- az£fl Phone: ‘tl,n f -ra m Zip ZONING Exp. Date: SIZE/VALUATION Stove —303 SF __CO /SF A OM Garage -ZZ. SF 2C /SF /-ce Deck SF /SF okr Other5 H TOTAL VALUATION di BRIEF DESCRIPTION OF 1Hh PROJECT f 3 )Lt e ja_...SMO9aA r' C. 0 .J 1101 L d 2. C, L Pe COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load: Construction Type: No. of Stories: 11 Lot Size: 2 29(P 1 Existing Sq. Ft. 2F) Itcp 1& Proposed Sq. Ft.3t TOTAL Sq. Ft. 2 -3 't(c Total lot coverage /9 BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the 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 apphcant (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.! 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 1 must obtain uch permits prior to work. T•\RVESS\BLDG- forms- brochures\2003- Buildingpermit.wpd .E' Applicant: g 0 Date: /):12 (p APPROVALS. PLAN BLDG DPWU FIRE. 0 1'HrR 422 30 Feet 4 2 8 428 "9 V rtical Datum NA VD 88 Hork fiat Data NAD 83/91 432 112 s 184 436 5- 51 G Area Map 9 1 This map is not intended to be Ised as legal description. Th map/dr tg rs pro& ed bi th On of Po r Angeles for its t07 use id purpos An oth ise of till ap/di kgshall ot be the respo zsibilitv ofth City ;.1 -4 4 428 415 4/ 429 50 Feet Jr 432 112 Vertical Datum NA I'D 88 Horiz ital Datum NAD 83/91 7 ,418 422 428 4 1 6 if 531 501 Area Map 431 50'4. 508 s 109 "507 Th map not ntended to be used as legal descripu This map/dr kg prods ed be the Cis of Poi Angele fo as ON se id rpo Am other use of this map/drawing shall lot be the responsibilitv of the City. 516 a t C:IWr V s I, "I alt. d.,o-T.. ^~ ;;v-.:!! "~. .. ,..... lL.-. o::=..1l "~,, "'t>~~ "",... ELECTRICAL WORK PERMIT APPLICATION Job wired by flH:lectrical Contractor 0 Owner Electrical contractor name [LiCenSe number Date Expires Ebtrl;/ <:::.Pti-,,,.::vj )-.& ELEC::TS~i.:UOM Purchaser's mailing~dress } g2..- \J,' 3,r Va ' City P Y'\ I Stale IP Or+ n(\j..{,Ic'(S" WA Telcph9nc number FAX number 52- ' L ,S,ti Installation description o Commercial (J Residential DNew 'je Altered! Addition ~~ 3c,., - 2-'DD Q.......n li li.e..pel I. $<L{"1!1 U.J :K~.~rhr's nrcu0l Address of insXiion ~~ '2.. F ~r~t- City p 'A I Or1 t\(fn)_e~ Phone number to schedule nspecllon: Owner as defined by RCW./9.28.26/:(l) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner;s required to hire an electrical contractor if above said property is for sale. rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C.. RCW. Chaptcr 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Spccifications. Signature of owner, electrical contractor or electrical administrator o Cash 0 Check # o Credit Card Card # Visa .f'a$:Lard C) II\... ~'L- 'f(? Discover x Date: Expiration Date of card Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW D Furnace 5 KW D Heat Pump Ton LAR D Fan-Wall KW ~ Overhead Service 1:1 Temp Service D Underground Service Service Information Voltage \.'l....-~/~'-t tJ Phase~tD3 Service Size: 2-904- Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 /' ROUGH-IN ,.- THERMOSTAT '\ /' SERVICE "- Dale Appro\'cd By Dale Approved B)" "- Dale Appro\"cd By ,.- ,.- DITCH /' FEEDER J / FINAL J-I - Ad) 0, . Approvcd By "- DalC Approvcd By ./ '-... Dale Approved By/ Inspection Area, Building or Equipment Inspected Action Takcn Electrical Date Inspector . 1Elll!: ,.. C I\~ Is:n tiB........-. v APR 1 6 20 p7 Ulit\1 ucr I'. / ..