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Home My WebLink About1818 W 6th St - BuildingPREPARED 2/16/11 8 13 26 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/16/11 ADDRESS 1818 W 6TH ST SUBDIV TENANT NBR JERRY MAUREEN REYNOLDS CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER JERRY D MAUREEN L REYNOLDS PHONE (360) 461 4858 PARCEL 06 30 00 0 1 4820 0000 APPL NUMBER 11 00000065 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 2/16 JLL MECHANICAL FINAL TIME 01 00 February 9 2011 3 55 06 PM 1pangrle 1175eY— JERRY 461 4858 OR 452 4484 MECHANICAL FINAL PELLET STOVE AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE ppt441 COMMENTS AND NOTES C Owner Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 11 00000065 Application pin number 765510 Property Address 1818 W 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 4820 0000 Tenant nbr name JERRY MAUREEN REYNOLDS Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1050 Application desc INSTALL A PELLET STOVE JERRY D MAUREEN L REYNOLDS 1818 W 6TH ST PORT ANGELES (360) 461 4858 Qty Unit Charge 1 00 Fee summary 10 6500 EA WA 983631722 Permit MECHANICAL PERMIT Additional desc INSTALL A PELLET STOVE Permit pin number 180570 Permit Fee 60 65 Issue Date 1/18/11 Expiration Date 7/17/11 Per Charged 60 65 00 60 65 1 g. ,91%J& i Contractor PELLET HEAT CO 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457 4406 Plan Check Fee 00 Valuation 0 BASE FEE ME STOVE /FIREPLACE /MISC APP Paid Credited 60 65 00 00 00 60 65 00 Due Date Print Name Signature of C ntractor or Authd ized Agent Date 1/18/11 Extension 50 00 10 65 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) oil 02 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 Signature of Owner (if owner is builder) 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 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 T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD 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 Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping I 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 FINAL Date Accepted by C9 00 (FINAL Date Accepted 13\ 1 (n 1 Date Accepted By 01/18/2011 09 53 13604520503 SPA SHOP PELLET HEAT PAGE 01 Parcel Number O 3 D 141 Z t7 ne a a ra Heat System cq Other Floor Areas Basement 111 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? CITY OF PORT ANGELES Attn Building Permit Technician 321 E, Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 1 „5 -Lail Existing (sq. ftj Posed (sa. ft.) sq ft. Lot size ft. Occupancy group Occupant load Construction type BUILDING PERMIT APPLICATION Print in Ink Applicant or Agent net f C. Owner Xe.r Rey IV -O Owners Address /t w G 7i& S d�•�r Contractor /Engineer Pe.//44- /44.. Co Contractor /Engineer's Address 2 3 o c E S License PE IA. EI) $0M Phone 3L0 9r7-vgegq, Phone ja. y$/..Lr 8s8 (h.( 3LA SZ Phone 6 7- '4' L Expires i J i PROJECT ADDRESS g i w w`s t rt. se e. A Proiect Tvoe Brief Description. p Residential o Commercial Check all that apply New Construction o Addition o Remodel c Repair c Re -roof Demolition o Sign r ,•a s f see have read and completed this application and know it to be true and correct. understand that it is my responsibility to determine what permits are required projects. Date 1 ii Print Name J Signature T Forms /Building oivislon /Bldg Permit AppL 2006 Code doc For City Use Only Date Received I S Permit 11— Co 5 Date Approved Lot c Zoning lZ o Mu/tl- family c Industrial N o wall mounted o projecting o freestanding awning o other Total sign area sq ft. Maximum allowed sign area so ft. o Heat pump o wood- burning stove o gas fireplace 60 pellet stove o other per sq ft. TOTAL VALUATION /d 5-" of bedrooms of full baths of half baths sq ft. Lot coverage I am authorized to apply for this permit ano and to obtain permits prio r working on Clallam County Assessor Treasurer Property Details 57019 JERRY D AND MAUR. Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 57019 JERRY D AND MAUREEN L REYNOLDS for Year 2011 2012 Property Account Property ID: 57019 Legal Description: LOTS 5 BL 148 Geographic ID: 0630000148200000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property' N Multi Family Redevelopment: N Township' Section: Range Location Address' 1818 W SIXTH ST Mapsco: PORT ANGELES, WA Neighborhood Cycle 5 Res Map ID' 3 Neighborhood CD: 10955130 Owner Name: JERRY D AND MAUREEN L REYNOLDS Owner ID: 48389 Mailing Address: 1818 W 6TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -1722 Taxes and Assessment Details Property Tax Information as of 01/18/2011 Amount Due if Paid on:. Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2010 40032 ST SCH STATE SCHOOL $201 10 $201 09 $0.00 $0.00 $402 19 $0 00 2010 40032 CC -GEN COUNTY CLALLAM $107.03 $107.01 $0 00 $0.00 $214 04 $0.00 2010 40032 PORT PORT OF PORT ANGELES $15 04 $15.04 $0.00 $0.00 $30.08 $0 00 2010 40032 PORT ANG CITY OF PORT ANGELES $247 78 $247 78 $0 00 $0.00 $495.56 $0.00 2010 40032 SD #121 SCHOOL DISTRICT #121 $260.48 $260.47 $0.00 $0 00 $520.95 $0.00 2010 40032 NTH OLY LIB NORTH OLYMPIC LIBRARY $31 10 $31.09 $0 00 $0.00 $62 19 $0.00 2010 40032 HOSP #2 HOSPITAL #2 843.90 $43.90 $0.00 $0.00 $87.80 $0 00 2010 40032 WSMET PK DIST WILLIAM SHORE MET PARK DIST $13.97 $13 97 $0.00 $0.00 $27 94 $0.00 2010 40032 CITYSTORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2010 40032 WEED_CONTROL WEED CONTROL $0.82 $0 81 $0.00 $0 00 $1.63 $0 00 2010 40032 TOTAL. 8957.22 $957 16 $0.00 80.00 51914.38 80.00 2009 570192008 ST SCH .STATE SCHOOL $230 79 $230.78 $0.00 $0.00 $461.57 $0.00 2009 570192008 CC -GEN COUNTY CLALLAM $116.79 $116 80 $0.00 $0.00 $233 59 $0 00 2009 570192008 PORT PORT OF PORT ANGELES $16.54 $16 55 $0.00 $0.00 $33 09 $0 00 CI 2009 570192008 PORT ANG CITY OF PORT ANGELES $256.18 $256.20 $0.00 $0.00 $512.38 $0 00 2009 570192008 SD #121 SCHOOL DISTRICT #121 $285.41 $285 40 $0.00 $0 00 $570.81 $0 00 2009 570192008 NTH OLY LIB NORTH OLYMPIC LIBRARY $33 94 $33 93 $0.00 $0 00 867 87 $0.00 2009 570192008 HOSP #2 HOSPITAL #2 $47.90 $47 90 $0.00 $0 00 $95.80 $0.00 2009 570192008 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2009 570192008 WEED_CONTROL WEED CONTROL $0.81 $0.82 $000 $0.00 81.63 $0.00 2009 670192008 TOTAL. $1024.36 $1024.38 $0.00 $0.00 $2048.74 50.00 Values Improvement Homesite Value' N/A Improvement Non Homesite Value: N/A Land Homesite Value. N/A Land Non Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A Curt Use (NHS)' N/A N/A Market Value: Productivity Loss. N/A N/A Subtotal N/A Senior Appraised Value: N/A Non Senior Appraised Value: N/A Total Appraised Value' N/A Senior Exemption Loss: N/A Exemption Loss N/A Exemptions: NOTE. If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second Half Half Base Base http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =57019 1/18/2011 I j ~ VORT ~ l"O~~~. ~ .... -=-- -=- ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 . Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000744 Date 8/04/03 1818 W 6TH ST 06-30-00-0-1-4820-0000- ELECTRICAL ONLY o Owner -'d' . Contractor JERRY D/MAUREEN L REYNOLDS 1818 W 6TH ST PORT ANGELES WA 983631722 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit Additional desc Sub .Contractor Permit Fee Issue Date Expi'ration Date ELECTRICAL ALTER RESIDENTIAL HEAT PUMP FURNACE HOOK-UP ELECTRIC SERVICE 46.70 Plan Check Fee 8/04/03 Valuation 2/01/04 .00 o " \}3 "- ~ Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee summary , Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .00 I t ~ ~ ~:l ~ I , I't 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 T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUND A TION DRAINAGE ELECTRICAL; (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN , WATER LINE GAS LINE BACK FLOW / WATER, AIR SEAL , WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB , WALL / FLOOR / CEILING I , .-- MECHANICAL HEAT PUMP " WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER I 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 DA:TE ACCEPTED I YES NO ELECTRICAL - LIGHT DEPT. 417-4735 7 Jg I In';! fJl) ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ I I CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING , I T:\PLANNING\FORMS\II02.15 [4/2002] / ,"" ~>.?J .f;.~.-'-~'..... ..... ~., ~~'.; CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 'J I 1 Applic:fl~ic:m~er; . . PiOpertyAddress . I. . . ASS.BSSOR .P,ARCBL NUMBER: Tenan~ nl);r" paille . . . Application description Subdivision Name . " , . , I Property Zoning . '. . Application valuation . 03-00000761 Date 8/08/03 1818 W 6TH ST 06-30-00-0-1-4820-0000- HEAT PUMP /T-STAT MECHANICAL PERMIT 4500 Owner Contractor JERRY D/MAUREBN L REmOLDS .1818 .W6TH ST I PORT ANGELES KA 983631722 DAVE'S HEATING & COOLING 991 FRESHWATER PARK RD. PORT 'ANGELES KA 98363 (360).928-0245 ~~~-~~~----------------I~--------------------------------------------------- Permit . . . . MECHANICAL PBRMIT Additional desc Permit Fee Issue Date Expiration Date. 47.00 8/08/03 2/05/04 Plan Check Fee Valuation .00 o . Qty Unit Charge Per BASB FEB Extension 47.00 Fee swmnary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan .. Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 -- ~ -- ~ I ~_\ ' (7................." C' t\ 3"", .' ~ (S\ ~.. ~..;.;.; '.:,'..1,:" '<. Date Signature of Owner (if owner I!) builder) Separate Permits are requir~d for electrical work SEPA, Shoreline, ESA, utilities, private and public impl"Ovements.,l"ttispeOTlI(I),~,qrO's rlWkandvold,ifworkor construction authorized is not commenced within 180 days, if construction or work Is suspend,!d'or,a~andoned fora'p~ri?clpf180 days after the work as commenced, or ifrequlred Inspe~tions have not been requested \\lith in 180 days from the last Inspe~tlon,. I h~reby c~rtity; that I have read and examined this application and know thE{same to be true and co'Tect"f'll.pr<?\,I~i()risof. law~ and ordinances governing this type of work will be complied with whether specified herein or not. The granting of apehnlt does not pre' ~ to give authority to v'olate or cancel the provisions of any state or local law regulating construction or the performance of cnst ction . . T;\PLANNING\FORMS\1102.15 [412002] I I' I i,:~ BUILDING PERMIT ~PEeTION RECORD '. 'CALL 417-4& 15 FOR BUILDING 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 ~, ". L,,'1'" INSPECTION TYPE DATE ACCEPTED COMMENTS '" YES NO " FOUNDATION: , FOOTINGS WALLS , FOUNDA nON DRAINAGE . , ELECTRICAL (LIGHT DEPT) SEPARATE ~ERMIT: II ROUGH-IN " I , j " PLUMBING , UNDER FLOOR I SLAB , , , ROUGH-IN WATER LINE GAS LINE BACK FLOW IWATER '" ", AIR SEAL Cc WALLS , CEILING I I ':,- FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL '~) T-BAR INSULATION SLAB ) WALL / FLOOR / CEILING I MECHANICAL , <{!r~/P3 VA- .J, J-. HEAT PUMP ~ ""S"I--IM Cf-IS-05 R'P WOOD STOVE / PELLET / CHIMNEY .. HOOD I. DUCTS PW UTILlTIESJ SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT II's SEP A: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: , , ....IN~iINSPE<:rIONS REQUIRED PRIOR TO OCCUP,ANCY(f.J~If" .;....i. ..,' ',' , . ' JRESIDENTIAL DATE :.,YES NO C9MME;RCIj\L \f,1': ;.1;.PATE .~. ,Ac;..qEP1EP" I - ' . " 1 :~,r;{f!' " ..., ',., lVEs\' ,'NO' ", , ~, h ' 1;:,'" . ' ,".-~ --'-';" : ',: ..: , ',. " I'",','':. ELECT!UCAL - LIGHT I?EPT. 417-4735 ELEcTIuCAL'; , ~_.I . LIGHT,DE"'" , '.. CONSTRUCTION R. W./ PW/ . '. .~ ,-,' t...:h:.J:."., .,',' . CONSTRUCTION -RoW.-, I ENGINEERING 417-4807 PW / ENGINEERING \ I. " FIRE 417-4653 FIRE DEPT. \ . " I, .:, . , , 'f1'... ',-. - ',t:ll/ PLANNINdDEPT. ,. i". 1'''--.:;)'''' ." PLA~~G DEPT. .. 417-4750,. ....n i./J'L . ',.:i: , It...." :,' ' ':~ ,', BUILDING 417-4815 1"'- ..... ./ ft/~ , BUILDING Ci:'-", T:\PLANNING\FORMS\1 102.15 [412002] CITY OF PORTiANGElES DEPARTMENTO~PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date <9'( fi.,/o~ Time Received bV~ ~person) Location of Work to be inspected ~;: ~ fA ~~ HI ..,-t---r · . . Name of person requesting inspection 11 t -e. O~'> . ~f Address of person requesting inspection Phone No. f.!SJ ~ Cfif<( Type of Inspection (circle appropriate one): Permit No. . 761 f Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other /i V1 INSPECTION NOTES: ~~D Inspected: Date . .'7 Remarks: Time~1IlI\ f7'f By RESTORATION REQUIRED . ..... YES NO ~ ~ \ ~ ~"' ~ ~ t o-cJj", ~if .~ (" V\ ~~~ G ~~~ .. . ... SURFACERESTORA TION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC 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 (DA TEl CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N<! 17416 Port Angeles, washlngton____.__/L._=..L.Z__________._______.._._.____., 19_~ 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 .u../___'(.l_r..__u~__,$-u_______u______________ Occupancy___,4.e~~uuu--.-------------- Owner u_L~__.r..P~-----d------n-----u-u-------------- TenanL.______n______........_________u___nnn_.uun..n______.......___ Wiring C;ntra&or ~ff.-~~-~n.~~--n------- By._uu_______________n___....nuu___nnn________u__________.... Light out1et.........._..~..~._.._.._..... Service, volts L..:l.-._I2-/-..~__tt!... Type at Wiring: Receptacle out1ets___~~.........__.... No. wires .....3--....--........7J.------ Armored Cable .............---....----...--. ~ Si I ~ / ~ Non-Metallic .........-.-..-..---...---.-..... Dryer, KW.-------7n -"'in.-------n--------.-..-.--.,,-. ze w res...__~.:!~-..............-.. ..,L. .. C1I"'QIO I!I::. Knob & Tube......._......._................_ ~:::~ K:~~~~.;~___..___;________m: :::~o::::.:::S::::::::~::_:.:::::::.:::: RIgid Conduit ....----.............--....--- ~.:> ... Metallic Tubing ......__._._____.........:.. Kw.----.--I----3--iF'-J7..-t\i.~. Type of wiring: Raceway ...........~.-.................-_...- Heat: KW.__m _._.....tfl!.,,~__f...m..... Entrance Cable ......._......m..... Circuits, Light.m._..~.............__........_.. t; - Utlllty .___...............___.......___....____..... Heat .._._....~.......................-...... ;2 Range ....._...___._..__.__........................ Water Heater ....~..._....m.._....... Motor ________..f:!"........___.._____..__....... ..- Dry" .......-..-,f5/..--....................--.---..- Motors: size, }jts and phase: f.rW;;.;t::.I!-,,;r.::~Y.I'(-1d'~ Rigid Conduit __mmm_ Metallic Tubing h__m Current transformers: ___IL.L_____________._______...____.... /___r.Rk.4j.l............................. INo. & Size......._....__~.____._....... { ~ Ser. No......--........;..:-.............-........... Ser. No._____..______.....____..._.........._____.... Furnace ..........._.........._.._.___.____._._...... #-;/ Total Load_______...._____.._......_... Ser. No. ____.__.__.______________..________.h______ Total .....-..---..--------.---............... Remarks: .._._._..a.g~"'_._~d._.._.~~,....__.~-&,L~JY......i!:.-'t._.._~~__d!!.."'=~:J:~~.- 'V - (j /' ''1''- . ___.__._______.____.._.____._.__u____.__._________._____....___._..___...___.__________.___._._______....___.-.--..---.-----..----.----.--.---.-----------.-.--.--------------- Ser. No..._....____________.______.____._._____..____. -;~_~~~~-.~__-._-_-.-_____-n-_~.-mmn::~_~_~:_~~~.~_~~.~_~__~.~.-..----u-m.-m---:~-ygl:;;.L2:.~~ NOTICE-:--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due not,lce 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<! 17416 Address._.:____________..._._.___.._...................................................................._................_._._.._..._..___....Date..._......_.._.._.._..........-.-....-......-.--...-.. Owner.______............................__....._.._.............._....._.._........................_.______________._________..__Tenant...__............................................................... WlrlngContractor._______._____._..______...._...._....................._..._............................_.............._..........___.___By____........._...._..............-............................ NOTICE-Current must not be turned on untll Certificate ot Inspection has been issued. If work 1~ to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. / 1M Olympic Printers, Inc. ,. P~perty Owr.er: \.~ h': Jul. 31 2003 02: 15PM Pi . "-\;_ FRX NO. : 4525424 "OR OFFIC"AJ 'JSP. (11'>1.\ ELECTRICAL PERMIT APPLICATION ".t'''''n_ l'';(ITIII1/:___ _. 1Jo.t<: ~Prro".:;d: _ ,.__..~ OII(ISllt.tJ:_._.._ The EI.eetrical Perm;' t..pplieation must be fill,d om comDI6telv PI....!)'pe or ....rtnlln Ink. ~ yO" 11."" ""1 q"oatlOft., pl..... coil (36D) 417-4135 ;IfL:# 7W ~... number: (3IlIl1417-471 1 '\ REQUEST INSPECTiON ( Pilon.: 4n-u\l'2V Fo" l.\r~-G.~.L/.I FRIDM Electric7S -"c.' ~ '2k :# (@' . Owner or Elec. Contractor Agent. Add,.s.: ~ I X" ~V - (i? City: ZI : EJoetrlcaIContractor;; \Z1.e,-"",-,,,- ~ .....L_ liC8f1,.jj:~rr/11'r.;' O//~/,~ Address <t?J"IL.., l). '!",. v:~ ~& I City; 'K...... ~ ,vJ__ I INSTALLATION WIRED BY: 0 OWNER ~L CONTR;l.CTOR Cr9dlt Cllrd HOI~e5'...." 0' L nil.,,-fJi. 8'B ~ Ai:} :: " "rf B/lling Address:: . U S '\..oh.t> ~ Kif" City: n,~ V' ca 0 ~ Zip: Crsd;t Card Numb9/': J e I g \ A), ~) 'r "" .\1 ..LL~ P~one: '-15 2.-~4 ?! 'R -~ h .-; Phon.; 4 r 4.--( Zip: "11''1...... 'j&-2 V/SA:_~ , P~OJECT ADDRESS: ~'. TYPE"OF WORK: , Check all that apply: CNew o Altara~on/Addition ~eSJdental O. MultJ-famlly 0 Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool c:) Septic Pump. 0 Low Voltage 0 Telecom. [ Number of Circuits added or altered: ::::z .',",","ON 1',;"~"~C;;:";' ""me> ~ I ~: ~ p d p- v "1", ( (J in" iAj(l,r{ _.__-.e, 1.:.... '.:1.....1) rv"(\ ) Electricel Heat load Addition! PERMIT FEE::f1t, 70 Service Infonnatlon o Baseboard CJ Fumece C} Heat Pump o Fan-Wall KW KW :;lZ-o.:rON KW LRA [J Ovemead SelVice :::J Temp Sel'\llce Ll Underground Service Vonaga: I '-::L ;;/CJ..,q. Pheae: 0 1 0 3 Service Slze:__ Feeder Size: PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex, a ona-Iine drawing of the Electrical Service Feed.."" b"ilding .iz. (oq. fi.), load calculations, and the type & of conductors and/or raceW8Y is required end shall Bccompa~y lha Elec Perm~ appllca~on. . I hereby certify that I have read and examined this application and know tl1afsame to be true and correct, and I It is not the City's legal responsibility to determine what P6rmjt~ required; it remains the applicants responsibility to determine whet permits are required and to obtain such. 50K.\J A. '{FMf.-.- o/C it _ /7 /JCvJ/ sA I~? Credit Cerd Holder's Slgnatl.lre' Owner or Elec. Cont. Signature: C:/ELECTRICALPERMIT APPLiCA TJON & C~ ?-3vo-;s W~(iLA.,,,~ Data: 7,12 I ~ I l./& ,70