HomeMy WebLinkAbout629 W 13th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Relocate 6 existing circuits
Owner
ROBERT AND DALLAS BRAUNINGER
629 W THIRTEENTH ST
PORT ANGELES WA 98362
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
173898
86 50
9/22/10
3/21/11
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00001059
940870
629 W 13TH ST
06 30 00 0 3 7450 0000
ELECTRICAL ONLY
0
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
ELECTRICAL ALTER RESIDENTIAL
DATE.
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
5 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
86 50 86 50 00
00 00 00
86 50 86 50 00
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 9/22/10
RESULTS
WA 98362
0 0
0
Extension
73 50
13 00
Due
00
00
00
P5? "TliF
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
x
NOV -11 -2006 06 36A FROM ELECTRIC SERVICE
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph. (380) 417 -4735 Fax: (360) 4174711
Date: -I..
1 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition Alteration I Remodel I Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review Inlormalio:: h eel
Job Address: (c2.9 W 3d--
Building Square Foolage:
Description of above 6 e
Owner Informa
Name: p
Mailin ddre s m Zct
City Y Jam*' Stater Zip. 91362
Phone: Fax:
License Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
8625
27.50
57.50
86.25
43.75
Signature of owner ilectricar contract r electrical administrator
1 CD00
4526424
pr o
O Cash)
O
O Crcd!
Contractor '.l
Name:
Maiiiwe d% ,r
City
Phone:
License
MIE1 F1)
SP 2b2O3
ELECTRICAL
INSPECTIONS
0
TO 4174711
Total (Div Multiplied by Unit Cl e
Service/Feeder ?d
Service /Feeder' j r 00 Amp.
Service /Feeder 1 00 Amp.
ServicelFoeder I i 000 Amp
Service/Feeder t I 1000 Amp.
Iv •c." 0 Branch Circuit N vice Feeder
5 s Branch Circuit V! i arvice Feeder
Each Adrttional ti 1 .,h Circuit
Temp. Service/ ti r br 200 Amp.
Temp. Service/F,! I k 201 -400 Amp.
Temp. Service1Fp; I 401.600 Amp.
Temp. ServicelF a i 1/2. 601 -1000 Amp.
Portal td Portal 14 t fr
SignlOutline Lig I
Signal Circuit/ L �10 't _1 Energy Commercial
Signet Circuit/ L ?q Energy 1 2 Family Dwelling
Signal Circuit/ L Energy Multi- Family Dwelling
Manufactured H '!j Connection
Renewable Elec i i Energy 5KVA System or Less
First 1300 Squa
Each Additional t Ft. or Portion of
Each Outbuildin i 'r etached Garage
Each Swimrning i -if or Hof Tub
Thermostat
$Co Total I
Stater Zip: 4
47 Fax: Sc...—ct
��.tiLT 5 t .rS Z oti.
P 2
C
Owner as defined by RCW.19.28.261. (1) Owner will occupy the structure for two years after :.toctrical permit is finalized. (2) Owner is requited to hire an
electrical contractor fl 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 F r Irty or a licensed electrical contractor I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. RCM Chapter 15.28, .t Chapter 296.488, The Cpl; of Port Angeles Municipal Code, and
Utility Specifications.
PREPARED 5/17/10 8 45 03 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/17/10
ADDRESS 629 W 13TH ST SUBDIV
TENANT NBR ROBERT /DALLAS BRAUNINGER
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER ROBERT /DALLAS BRAUNINGER PHONE (360) 775 5510
PARCEL 06 30 00 0 3 7450 0000
APPL NUMBER 09 00000018 MECHANICAL APPL PERMIT
PERMIT
TYP /SQ
ME99 01
ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
5/17/10
MECHANICAL FINAL TIME 01 00
May 17 2010 8 42 51 AM 1pangrle
JENNY 452 9813
MECHANIAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Application desc
INSTALL HEAT PUMP
Fee summary
T:FormsBuilding Division/Building Pennit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000018 Date 1/13/09
Application pin number 692720
Property Address 629 W 13TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 7450 0000
Tenant nbr name 1 ROBERT /DALLAS BRAUNINGER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation 9125
Owner Contractor
ROBERT /DALLAS BRAUNINGER
629 W 13TH ST
PORT ANGELES WA 98362
(360) 775 5510
Permit MECHANICAL PERMIT
Additional desc INSTALL HEAT PUMP
Permit pin number 139923
Permit Fee 64 80 Plan Check Fee 00
Issue Date 1/13/09 Valuation 9125
Expiration Date 7/12/09
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 8000 ECH ME INSTALL 100- FAU 14 80
Charged Paid Credited
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 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 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.
f C
Pr int Name Lam/ .Signature
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Due
67 e
/71/4
ontractor or Authori eCgent r Signature of Owner (if owner is builder)
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By I Comments
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
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 1 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
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
T Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
FINAL Date Accepted by
N
I
I l
FINAL Date 5-, 1 I Accepted by V LL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date
QQ
Accepted By
Parcel Number
Proiect Tvoe Brief Description:
Check all that apply
o New Constrlction-
o Addition
c Remodel
o Repair
o Re -roof
o Demolition
o Sign
NELHeat System
o Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
B U1L,DI i G PERMIT APPLICATION
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E Fifth St. Pori Angeles, WA 98362
(360) 417 -4815 1 fax (360) 4174711
Applicant or Agent Au i,u ny 4- _���l,jt/�
Owner IYlo i y 1(\k
Owner's Address (p9- -9 j 1
Contractor/Engineer (2 pr
Contractor /Engineer's Address
License ALL,lt*l ,O 4 C. I U
PROJECT ADDRESS CF0-1
Existing (sq. ft.2 &posed (sg. ft.)
sq. ft. Lot size
!ft
per sq. ft.
Print in ink
For City Use Only
Date Received_l 7- (4 1
Permit* CA I
Date Approved
Phone 4-3
Phone
Phone L4. -4:
Expires OA Ot j Q
(3 (p 3 OOOO'A -L! ()hQT) O Lot Zoning
Residential o Commercial o Multi family o Industrial
o wall mounted projecting freestanding o awning
Total sign area sq. ft. Maximum allowed sign area sq. ft.
1&Heat pump o wood- burning stove o gas fireplace o pellet stove o other
I
o other
TOTAL VALUATION Cj
sq. ft. Lot coverage
OA
Occupancy group
Occupant load
Construction type
1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
d
of bedrooms
of full baths
of half baths
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. I 4 r1 N
Date it 01 Print Name ()Oyu tL.rl' 1..r f Sig nature l I LU
TFormslBuilding Division/Bldg Permit Appl —2006 Code.doc
1
eZZ:60 60 LO Uef
Application Number 08 00000951
Application pin number 067120
Property Address 629 W 13TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 7450 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
Application valuation 0
Application desc
200 amp service
Owner Contractor
Whitney Rose
629 w 13th st
PORT ANGELES
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 131656
Permit Fee 64 00 Plan Check Fee 00
Issue Date 8/11/08 Valuation 0
Expiration Date 2/07/09
Qty Unit Charge Per
1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98363
Charged Paid Credited
RW BECKER ELECTRIC
1532 TAYLOR CUTOFF RD
SEQUIN WA 98382
(360) 683 5839
64 00 64 00 00
00 00 00
64 00 64 00 00
Date 8/11/08
Due
Extension
64 00
00
00
00
c)
IN SPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
eliilor) -FP
9/12 le) soW -'9109
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
8 KW Furnace with 1 5 Ton Heat Pump
Owner
Bauninger Bob /Dee
629 west 13 street
PORT ANGELES
(360) 775 5510
Permit
Additional desc
Permit pin number 139980
Permit Fee 43 75
Issue Date 1/08/09
Expiration Date 7/07/09
Qty Unit Charge Per
1 00 43 7500 ECH EL LVT THERMOSTAT
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98363
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
09 00000022
787148
629 W 13TH ST
06 30 00 0 3 7450 0000
ELECTRICAL ONLY
ELECTRICAL ALTER RESIDENTIAL
DATE
0
Contractor
ALL WEATHER HEATING COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 9813
Plan Check Fee
Valuation
Charged Paid Credited
43 75 43 75 00
00 00 00
43 75 43 75 00
JJL
IP Lilo?
Date 1/08/09
Due
RESULTS
00
00
00
00
0
Extension
43 75
Signature of owner or Electrical Contractor X Date
INSPECTOR.
D
Jan 08 09 07:25a
Al4/U i /LUUW/WU Ub L1 PM DEPT OF COMM DEV
City of Port Angeles Permit Application
Building DivisloNElectrlcal Inspections
321 East Fifth Street— PA. Box 1150
Port Angeles Washington, 98362
Ph: (368) 4174735 Fax: (368) 4174711
Date:
1 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review information Sheet
Job Address- L, Z9 1.,J 1 i
Building Square Footage:
Description of above L, .1J T- S P T
Owner information
Name: Bap. EZJf% 11M 4,1E-
Mailing Address: 4+—
City' a State: Je21tr=. Zip:
Phone: 772G'1b
License Exp.
Unit Charoe
93.75
$113.75
$150.00
$205.00
529125
5 2.00
5 57.50
2.00
$72.50
.586.25
5116.25
$131.25
75.00
69.00
75.00
350.00
3 50,00
3.93.75
60.00
6625
27,50
857.50
$86.25
43.75
X C
‘,393i6 z
Signature of owner, electrical contractor or elecrical administrator
UQPrrOEP?
FAX Nu 3604174711
RECEIVED
JAN 7 2009
IEP,T r,17
Total MN Multialied by Unit Cherry
.5 Se/vice/Feeder 200 Amp.
5 Servic&Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Cirwit W/ Service Feeder
Branch Cirwit W/0 Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201 -4D0 Amp.
Temp. ServiicelFeeder 401.600 Amp.
Temp. ServicefFeeder 501 -1000 Amp.
Portal to Polal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Slgnal Circuit/ Umited Energy 1 2 Family Dwelling
Signal Clrcultf Umited Energy Multi -Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
P 002
VIAL
p1
Contractor Information
Name:, Qt;,t_ a P'rt- 4E. J4te.441:1.`IL Cmt -I044.
Mailing Address: 3b2 1Kl e.. P sr
City 494.4.1111.1E State: t4--V. Zip: 'X Z
Phone:_6/4 ¶J ;F"ntx 2 5177
License Exp. Aa.t.,r.DH E 1.1934 el
Owner es defined by RCW 19 28.261: (1) Owner will occupy the structure for Avo years after this electrical permit is finalized. (2) Ownoris required to hire an
electrical contactor if above said property is for sale, rent or lease.
After reading the above statement, 1 hereby artily that t am the owner of the above rained property or a licensed electrical contractor. I em matting the electrical
Installation or nib/ration in compliance with the electrical laws, N.E.C. RCW. Chapter 1938, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
UlNfbt Speclncatlons.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
8 KW Furnace with 1 5 ton 48
Owner
Bauninger Bob /Dee
629 west 13 street
PORT ANGELES
(360) 755 5510
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
1 00
1 00
Unit Charge
57 5000
2 0000
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
'ROUGH IN
FINAL
COMMENTS
WA 98363
09 00000021
705914
629 W 13TH ST
06 30 00 0 3 7450 0000
ELECTRICAL ONLY
0
LAR Heat Pump
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
139972
59 50
1/08/09
7/07/09
Per
ECH
ECH
59 50
00
59 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
EL BRANCH CIRCUIT WO /FEEDER
EL ECH ADDNT BRANCH CIRCUIT
Paid Credited Due
59 50
00
59 50
Plan Check Fee
Valuation
00
00
00
Date 1/08/09
WA 98363
00
00
00
DATE RESULTS
40P
t fly 169 4P
`G
00
0
Extension
57 50
2 00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
1
Signature
01/07/2009 08 51 4579270
JAN /07 /2009/WED 06 23 PM DEPT OF COMM DEV FAX No 3604174711
Owner Information
Name: l D FrAUNtM .T2
Marmyu Address: 62.9 a49 13
City: TAN,h0LState: Zip:,' �NoZ
Phone: 776 feS7 p
License Exp.
unit CharcL
93.75
$113.75
1160.00
$20500
$291.25
S 2.00
2.00
1 72.50
1 8925
3116.25
5131.26
75.00
69.00
75.00
50.00
50.00
$93.75
80.00
86.25
27.50
67.60
Z 86.255
4375
er, electrical confr'3Ctor or electrical administrator
RECEIVED
:JAN 7 2009
SIMPSON ELECTRIC
City of Port Angeles Permit Application
6ualding DhrIslonIEleotrical InopecGone
331 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: M0)4174735 Fax: (360) 4174711
Date: r f O
1&2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition 1 Alteration 1 Remodel Repair"
Plan Review May Be Required, Plow Complete Electrical Plan Review Information Sheet
Job Address: GZ µD
Building Square Footage
Description of above el 14 LJ FO C. MLA C4. 1.4 1 k 173 14 i4iIEAT 'Q t P
Lic truer
Contractor Information
Name; irisagarrALIe
Mailing Address:Z.4*o% a4L O 16l t&
City: $rya' 5'tate: rR_ Zip: JP ,3
Phone; 46"`7_ a :VP
License L-- PD
Total ny Mul6D6ed by, Unit Charge,
Service/Feeder200 Amp.
1 Service/Feeder 201-400 Amp.
S Service/Feeder 4014O0Amp.
SeMoe/Feeder 001 -1000 Amp.
SeMce/Feeder over 1000 Amp.
Bra nch Circuit WI Servlce,Feeder
Branch Mutt WIO Service Feeder
S Each Additional Branch Clradt
Temp, Service/ Feeder 200 Amp,
Temp. Service/Feeder 2014400 Amp.
Ternp. SeMoe/Feeder 401.600 Amp.
Temp. ServicelFeeder601 -100D Arm.
Portal to Portal Hourly
S Slgn/Outllne lighting
3 Signal Circuit/ limited Energy Commercial
Signal Circuit/ Limited Energy -1 2 Family Dwelling
Signal Circuit/ .limited Energy Mufti-Family Dweiiing
Menufacbued Horne Connection
Renewable Electrical Energy 5KVA System or Liss
Flret 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
S Each Swimming Pool or Hot Tub
Thermostat
IP Total
PAGE 01
P.002/00
Owner ore defined by RCW.19,29.21f: (1) Owner will occupy the structure for two years after this electrical pen nit is finalized. (2j Owner to requlrad to biro nn
electrical confrector ?leave sald property ls forsolor. rant or lama.
After reading the Above statement, I hereby =elk that 1 am the owner of the ebovelnamed property or a IICenSed electrical contractor. I am making the elecWcel
Inetellstion or alteration in compliance with the electrfrdl laws, N.E.C.,,RCW, Chapter 1928, VYAC. Chapter 1966409, The CIy of Port Angeles Municipal Code, and
Utility Specifications.
Aug 06 08 07:17a
~E:C[E~VE[o
p.l
"
08 -o9c; )
S.
,"~
~,,~~-,:~,~
~: ~~:i
........
AUG 062008 ELECTRICAL WORK PERMIT APPLICATION
..-
Job wired by
)!S.I:lectricaJ Contractor r:I Owner
Installation description
o Commercial j(Rfsidential
Electrical contra or flame
R u) EC 1L1SL-
Purchaser's mailing address
} C"3 2.- ., A-V L<.>-rL-
Cil~'
<; L::=-QU,..-
Telephone "umber
License t'illmbcr
/2..w {, cC € ~
Date Expires
o New
p(Alteredl Addition
iA.JA-
'7Ks;J'2-
& n &/0/
O/l/C-
/ . 'Z-O /'I'1-77/l
.
C,-V4'pt/ rz:X-
(Y
O~
\
0'
c-J)
V)
C-u-rorp- IL..o
Stale ZIP
/c't.5-f'(,A'u.::- E,KI S r' Il/~
-+ /flllirf?lllliZ- /fJ.::-r
rrembes owner's name
[2.0':.><3 f.-,}J.flrN't!;'--';'
Address of inspection
b.-:?--~ i.-J
A- <-</1, er..~-<!;
C-( /Z-C <I / j- '7Z'
. ,
.Jk;' /?~[-
----'
I "S rJ!.
!(;r
,
Cit:t\
(-'o'lL,
,<..)-4
CJj'3~ Z-
~~.~[~[Q)
Phone number to schedule iaspection:
Owrrer as defined by RCw'J9.28.16/ :(1) Owner will' occupy the Slructure for fwo
year:, aftcr lI,is electrical permit is finalized. (2) Owner ;.1 required to Mr.: dn dee/rical
cQnlraCIQr if above said properlY':" for solc. rent or lease.
After reading th~ above statemenl, I hereby ccnif)' that l am the owner of the above
named properly or a licensed electrical contractor. I am making the elec1rical instal-
lation aT alteration in compliance with the electrical 1<I\....s, N.E.C., RCW. ChapteT
19.28, WAC. Ch:lpler 296-46B, The City of Port Angeles Municipal Code, and
Utility SpccHications.
o Cash 0 Check #
SZlCredit Card
VISa
Mastercard
Discover
Card# _tlIi...-EI.i",c_-____.____
x
Date: ,r-G:, ,-oY'
Expiration Date
of card
Electrical Load Additions and or subtractions
~O LOAD CHANGES
o Baseboard _ KW
o Furnace KW
o Heal Pump _ Ton _ LAR
o Fan-Wall KW
~verhead Service
o Temp Service
o Underground Service
Voltage /'U/ / z... ';10
Phase.JiiC., 0 3 _
Service Size: 7 ~C;.: U
Feeder Size;.
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
.
t' ROUGH.1l'\ THERMOSTAT
O.:alc "'I'provcltlly OKl" Al'p"...c,llIy
/ FIN~ DITCH
8/Jr;,Jog
'-.. Dale Approve" By../ D~le AI'P'I;".~-d By
Inspection Area, Building or Equipment Inspecterl Action l'aken Electrical
Date In:;pcclor
0-7-6'( fu.o~ T..... {:."... Sel't/I~ AP /5,[ It
/
I
I i
SERVICE
8/Cf~ ~.
FEEDER
D~lc
.'1.1'1'10...:<1 By