The URL can be used to link to this page

Home My WebLink About1831 W 7th St - Building ~ pORT ~ $~O~~~ r-Gii "- -==- ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property zoning . . . Application valuation 04-00000144 Date .138560 1831 W 7TH ST 06-30-00-0-1-4845-0000- RES REMODEL 3/01/04 RS7 RESDNTL SINGLE FAMILY 1000 Owner Contractor WALTERS, MORRIS/JENNIFER 1825 W 7TH ST PORT ANGELES WA 983635205 (360) 565-0477 OWNER ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 62.25 plan Check Fee 24.90 Issue Date 3/01/04 valuation 1000 Expiration Date 8/28/04 Qty Unit Charge Per Extension BASE FEE 47.00 5.00 3.0500 HND BL-501-2K (3.05 PER C) 15.25 QJ 'v'J Other Fees STATE SURCHARGE 4.50 ~[ <: ~ \'-1 0:1- 5" ---------------------------------------------------------------------------- Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62.25 62.25 .00 .00 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 --~ -~ "...) ~ -------- C"> ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and voidif 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. ?l- Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [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 I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I Jf-lt~J./ ~J. l. I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING J-J-I"- -0"'" J.1- DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING W -J~ -'OJ.t .J. i.... I 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 DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ?-I}.('-01 1-( V BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003J '" >--'I "" ;;;;;~8E; 0'0 t-< ><: ~ H:<l w '0 'O:<lZZtJ >--'I'" , t-<O"'>--'I:<l ><:'0 Ul H "':<l:<l'" ;I> 0 0 >-l Zt-< ;l>Ul O:<l H 2. OUl "'''' >--'I tJ Cl '" 0 '0 "" ",. :<l' 0 O:<l", :<l :<l"" 0'" >--'I' 3:0 H 'OC::o 00::;: H ~~ t-<"'o """';I> CP ~ "'Ul It-< w Qo >--'I>--'ICl ow>--'l H "''''' ~ "''''c:: 00'" t-<- tJtJH o I :<l ::;: '" e; OOUl UlH - 'i~" 00- -J "-' H H I >--'I " I ~ :<l izi ""03: '" w I t-< "'HQ "'" 0 '" I t-< UlZ H:<l Ul if I C::Ul"" :<ll :<l >--'I w ~tfj~ "'''''H W I UlCPUl if' I "'" I H :<lVly L I >-l '" ,''' 3:'" :<ltJl ~~~ OC:: "'''' tJOH H gji!i~ "'0'" Vlt-< t-<,,,, "'tJ t-<:<lCll :<l Vl H >--'IHH 'Z Ul'Ot1 0 oQ '>--'I~ 0 "" OH H 3: -J'" 00 HZ 3: -J:<l 3:ZH ZUl '" ~ 3: ~ Ul'O Z '" '0'" >--'I H Z "'0 Ul Z >--'I 0>--'1 Q' Ul >--'IH ~ 00 :<lZ tJ y>--'l Z ~8 0 'O""Ul >--'I gjgjg "'~ '" Ul'" ~ ~ Ul zZtJ >--'I "''''H t-< < ~ t-< H '" w :<l '" t-< 0 ><: Z Vl '" Vl , 0 "" -J -J tJ'O ;1>;1> >--'IQ "'''' "" , H '" , o ""Vl ~ BUILDING PERMIT - APPLICATION FOR OFF1CIAL USE ONLY: Date Rec. 2... 1'1-a l..L pennit#:~'1- j Date Approve: r..' / I Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 er . Applicant or Agent:~ Owner: /'/l 0 C. Address: I B ::>/ L) Architect/Engineer: <;r. Ll Contractor ~ C{~ ~ !f.{Y'{. fA .Jq /k:y.:> I rt.. City: (Dlf'( A~ Phone: 5 C?C:;- 01)77 Phone: Zip: rq50 z.., Phone: State License #: Exp: Phone: Address: PROJECT ADDRESS: (83/ 0. LEGAL DESCRIPTION: Lot: \ ~ CLALLAM COUNTY PARCEL NUMBER: City: 1--f~ s r Block: It.{ 8 7P(t Subdivision: 00~Oo(j ~ 0111'1 0 Zip: ZONING: (LS 'l ~FO Credit Card Holder Name: Billing Address: Credit CardType VISA__MC # TYPE OF WORK: __Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial &t Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other ~nc/~ SIZEN ALUATION: SF.@$ /SF.=$ /000. SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ pr'lrh...v t" A rPbY t tv I.U-~ .-4. "VI ;....j tOn"", COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage APPROVALS: PLAN: # BLDG: . DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes g No SEPA Checklist required? 0 Yes 0 No Other: 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: 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 WTitten request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read ana' 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 I must obtain such permits prior to work. Applicant: -yIiU,- C. {/.J~ Date: J'I PE(2,6if T:\FO RM S\APPS\Bu i Id ingpenni 1. wpd ,.,. ,y h 0' r ~ (J s:--~ ~. \) '0 <.... t:::J ~ r~, ~ 6 ~I r . I....c:.:.., iUg0 " u,;' ~ '-- ~ 7' \:; ..;- ( .1I'tJ - ,.. ..., r . -J 0' -r: \ ~~ ~ \ 0:\ () '\'-1 D 0 r <J:' ? 50 / S .-L-. ,.. U e ;::l. r, ft.\ N ~ X. I~ Q) ~~ :r:.. ~ fl:>~ ~ ~ ~ ~ ~ ~ N ~ x OJ " <"S ?t) ~ - ~ Cl'\ ~ f))N ~ b\ ::.'X, " ~4>- ~ t1 .... fTi ~ C/I 1- ..., it) ~ ~ , \"...I ~ JS ~ '<. ~0~ t;l- ,? ~ == / %..G) r- r \'\ \" ~ tt\ iI\ ;:\ < G') ~ ~ ~ \fi "\ ;"::"irif)'d"'" i"I':-,'I, :.r'('e~' ""J"';'~"'''':':'''' - ' ~~ (:: _ _. _ L! ~ ._.__....~.- -' ., CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans, speclfi- c3tions and other data shall not prevent the bUilding otiicral 'rOr;! thereafter requiring the correction ot Grrors in sold D!~ns, sppcifiCilticns and mher data, or from preve'itlrig DtJ:\::.\r.1 Gr:H~r2t~ons b(~ing C.3rried on thereunder wrh:n in vl:~h"-r.;I' ?:\ U,Of:S ?:J: ():;~HL;nLes ot lit;:; jUnSdlct~0rl. ~ (J. ~ ~ ~ ~ f"\ ~ {;j ~ v~ --... I' V\ I ;j I I ~ I C0 I I I ~-~ I I I ~ I ~ I (1'\' I Ul I ~ -\ ~ ~ I ....... I V\ '2:.. I ~ (j') 1 It\ I C i't> I (I) 0\ I I & I I ?b I 0\- I J ~ I I b _J "'<.. Q\ /~ "=- ~ A:) 5-1 ~ ~ \ ~ ~ \~ 1'>.. t).) X OJ ~ ~ 0 ~ 61 ~ .. ~ 81 2.11C/ 1010' ~ ~ ~ ~ ~ N C) Cti }(. .t.. <> ~ ~ ~ Jd tS't>-> l; , ~~ N ~ ~ ~ t7 ~ ... .() ~ < ~, ~ '\ 30 Feet V.n;cal Datu", = NA VD 88 Horizontal Datu,., = NAD 83191 / N This map is not intended to be used as a legal description. This mapldruwing is produced by the City of Port Angeles for its own use and purposes. Any other use of this 1IUJfJldrawing shall not be the responsibility of the City. tn tn tn tn >--3 >tI ~;l~8E; n", t' t' t' ::: >< ~ H:U '" W :>: '" "':UZZtJ >--301 '" [fJ :u '- t'n 01 >--3:U ><'" [fJ H Z ~'P S; &l :>> 0 0 0 0 0 >-l O:U H H H H ~ n[fJ "'01 . >--3 tJ tll tn 0 '" >tI 01. :U. 0 n:Ul:\l :u :U--J ~m.m 001 >--3'- .................................................................... :;:0 tv I\JI-'I-'l--'I-'f-'I-' ;S~g 00:>: H ~~ 000'\0'\0'10'\0'\0'\ .."':>> 00 .................................................................. 01[fJ , , t' w G)o 0000000 >--3>--3tll oW>--3 H 01" ~,+:...,...,...,..t:>o.t:>o tltl S 0001 t'- 0' :u :>: 01 b 00[fJ [fJH 00- --J tv H H , >--3 tm,"," :<l ~ ..0:;: '" 111 <:1"d~'1:lt"'''tlt''' O1HG) .. , 0 '" t' t' t' [fJZ H:U [fJ C::[fJ>tI :u , :u >--3 tv ~'1:l; O1"H '" [fJ00[fJ .. '- H :U111'-< >-l 01' 01 ",:;:tn:;:tn tn tn :UtJ I ~~~ t'0C::0C:: c:: 8 0101 tJOH ~ H H H gj~[:l 010'" t'111t' t' t' t' , 01 [fJ tJ"'tJ tJ tJ t':<lCll :u 01 , Hl11H H H >--3HH Z , Z Z Z [fJ"'tJ n n G)0G) G) G) '->--3~ 0 :>> .. nH H :;: t"fUlI-Ij.....]1':I:j Z :>> 00 HZ :;: t"lO'\H...,J~ H :;:ZH Z[fJ 01 l11Z !\: [fJ :u [:j ~ [fJ'" Z "', :>> c:: "'01 >--3 :U0t' H t' [fJ Z O1n [fJ H" Z :>> 01 >--3 n>--3 O--J G) >--3 :>> [fJ >--3H ~ :U--J H t' 00 0 :UZ tJ >--3 Z 0 :U>--3 Z :>: OH 0 Z :>> "''''[fJ G)n >--3 t' ssg 01~ 01 [fJ t' :U01 [fJ '" '- ZZtJ >--3 01 '" O101H <: n t' <: 01 >--3 0 [fJ H 0 [fJ 0 :u Z w '" 0 '" 0 :;: 111 01 '" 111 0 , :>: 0 Z .. 01 --J :u --J H [fJ :>> >--3 tJ'" :>: :>>:>> 0 >--3G) :u 0101 ~ --J '- tv 00 '- 0 ..111 ~pORT "'-\: $~O~~~ r-Gii ~ --- ~,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000144 Date .138560 1831 W 7TH ST 06-30-00-0-1-4845-0000- RES REMODEL 3/01/04 RS7 RESDNTL SINGLE FAMILY 1000 Owner Contractor WALTERS, MORRIS/JENNIFER 1825 W 7TH ST PORT ANGELES WA 983635205 (360) 565-0477 OWNER ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc permi t Fee 46.70 Plan Check Fee Issue Date 3/01/04 Valuation Expiration Date 8/28/04 .00 o Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51. 20 51. 20 .00 .00 '"7.-,.--,.-, '-, ~ ~ '^! ~ "'.. ~t ~ ~ ~ J. ~ ~ 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. '11:1.6 e. lA )i'J'.-L:bl~ Signature of Owner (if owner is builder) Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/\4/20031 01 f.1-,tlLo-j Date 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR 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 #'s: WATERLINE 1 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 13},101 IAeo ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4] 7-4815 BUILDING T:\PLANNING\FORMS\1102.15 [II/I4/2003] CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use property zoning . . . Application valuation 04-00000144 Date .138560 1831 W 7TH ST 06-30-00-0-1-4845-0000- RES REMODEL 5/06/04 RS7 RESDNTL SINGLE FAMILY 1000 Owner Contractor ------------------------ WALTERS, MORRIS/JENNIFER 1825 W 7TH ST PORT ANGELES WA 983635205 (360) 565-0477 OWNER ------------------------------------ ---------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL CHANGE SERVICE ELECTRIC SERVICE 76.30 Plan Check Fee 5/06/04 Valuation 11/02/04 .00 o "-.. ~~ t'. \A ~"". ~ :'\C )~~ ~ \~ Qty Unit Charge Per 1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 76.30 --------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76.30 76.30 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 80.80 80.80 .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 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 [11/14/20031 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 WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I 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 ONL Y) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T 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 ELECTRICAL - LIGHT DEPT. 417-4735 5~ 10 </ /feD ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ / / CONSTRUCTION - R.W. ENGINEERING 4]7-4807 PW / ENGINEERING FIRE 417.-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4]7-4815 BUILDING T:\PLANNING\FORMS\ 1102.15 [11/14/2003 ] .. FROM FRX NO. Ma~. 04 2004 09:20RM Pl ELECTRICAL PERMIT APPLICATION I'OJl OFFlC:1A.L U"~2 ONLY lloo',-;Un:"___ "OI"'\'1lIW Ullt ^Pt>,.:",~..t; Ih.t~1.rJueG,_._,,_.__ The EJec:tric:aJ Permit Apl)lication mlJ!i1 be filled out com~letl!lly, Pl.... typo or r.print in Ink. If you h... .ny q.....tlon.. pl..... c.1I (360) 411-4735 Fax numb.r: (360) 417-4111 tYI- /<1C/ OWner or Elee. Conlraclor Agon" . Phone: I-fS J.(H-i'2L1cax:_ J.f.5 'J--vlf'":itf P,opony 0"",." ~o W....,t Phon.: \)''-S- b '4"7') Address: \~"'3>1 V L +-- Cily: r~oo- ~ _ Zip: "'f n ,j t":L l . ('u' ELec.::r I / Eleetrl"", Conltaclor:J:,!,fddh-Lv ~ VI a. \1 h<_ L1cen.e#: -;S1: .~2....-f'P: q [1'1 05 Phone: li'5."L.. (p4~ Addr...: 8'2- Dr-"-p...t.;.r\Ja~ 'R.c:)Cily:Yb~+ /t:..n-y\~ Wf\- Zip: t1f<']"'""J INSTALLATION WIRED BY: DOWNER o ELECTRICAL CONTRACTOR Silllng Address: Credit Card Number: o III ft~ Credit Card Holder Name: Exp. Date: Zip: VISA: Me: - - pRD.lECT ADDRESS: \ ~,?>l l.A) "1 01- 20RK: Check alllhat apply: 0 New _ esidential 0 Multi-family 0 Commercial o Alleration/Addltion U Mobile Home Sq.Ft CJ Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool I:l Septic Pump o Low Voltage q Telacom. 0 Sign Number of Circulto added or altered: ___ DESCRIPTION OF THE EL.ECTRICAL. PROJECT: C~ ~ ~Dt.., ~(~ j1.....,9. I ~ ?: Oi) ~ o...Il ~'-: cv. Electrical Heat Load Additions and or Subtractions Service Information o Baseboard (] Fumace . o Heat Pump o Fan-Wall _KW KW TON LRA KW--- o Overhead Service D Tamp Service o Underground Service Voltage: ......b(......... Phase: ~ 0 3 Service Size: ;LlDIl::;II Feeder Size: '7/0 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 fa determine what permits are required and to obtain such. . \\ . c"" C... H."",,, """"" ri!.I...t tJ p.,,~ D..., ,,/ , J~) ~~\ """"'..B"C'"""....,,~ D~. 'Iv PERMIT FEE: $ 76.30 ::IELECTRICALPERMIT APPLI CA TI ON ~ 5/;1c~ 'i ~ ELECTRICAL PERMIT APPLICATION FOR O!'FICIAL USE Ot-ltV DaldRe~: I'ClTnilN UalcApproved: Dale Issued ~r The Electrical Permit Application must be filled out completelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 0"(- I..c.VA Fax number: (360) 417-4711 /7 Owner or Elec. Contractor Agent Property Owner: IV7 0 {' /831 bY. '\oL{ Phone: Fax: Address: L )4. It~,~ (+~ sf. Phone: )0,-0'177 Zip 'j' 9 '5 ( .. 3 City: ? ",,..-t ~I'\". & \ Electrical Contractor: license #: Exp: Phone: Address: Cily: Zip: INSTALLATION WIRED BY: ,/oWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA:_ MC: PROJECT ADDRESS: .I fl ~ / U) 7tf .<,r-; TYPE OF WORK: Check all that apply: 0 New o AlterationlAddition r4 Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: .3 DESCRIPTION OF THE ELECTRICAL PROJECT: ~e.Y'\..LoJ.JL Cl~ eliis.X;"j eo.r('ort Cv'l d oS~f\ j. & X I z... ',"-\€1~ n~ ('M'~O(t ~c.... O\"'\'~J -ro<:>"". d. \\0 Dut\ds lov-e..rke..c.J \.'t* o...-J o Low Voltage 0 Telecom. 0 Sign ~~ 'C-e- c.....\G..orll'^ , Electrical Heat Load Additions and or Subtractions Service Information :J Baseboard :J Furnace :J Heat Pump ] Fan-Wall _KW KW TON_ LRA KW o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: . hereby certify that 1 have read and examined this application and know that same to be true and correct, and 1 am wthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits Ire required; it remains the applicants responsibility to determine what permits are required and to obtain such. --\ ~ 'f... \iJ) Credit Card Holder's Signature: II :~ )) ~ \ft 1 \ OW"" m "". Co",. ,;'""",,, Date: 11Jt.n ('__ LJ &2 -A fl/1JSJ Date: IV FEtl,D1 :/ELECTRICALPERMIT APPLICATION PERMIT FEE: $ f~, 70 thf7 ,//~ft)Lv, !..- / rr7 enf /O([\.. ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY DatelRec: Permit II: Date Approved" The Electrical Permit Application must be filled out comDletelv. Please type or reprint in ink. If you hav~ any questions, please call (360) 417- 4735 Fax number: (360) 417-4711 " Owner or Elec. Contractor Agent: ) e Property Owner: Address: n Of) t.v 7tJ1.- Electrical Contractor: Own f / REQUEST INSPECTION 0 Phone' ~ r:;;2r-'!i):!7 Fax: !f<::;;( ~Cj)e;? :iP J P;3,(J City: fa rf /lnl1e !~J (/ Phone: License #: Exp: Phone: Address: City: Zip: INSTAllATION WIRED BY: ~OWNER , f EljTRICAl CONTRACTOR Credit Card Holder Name' 6-5 ~ () Utf)I, '. . , Billing Addr'!ss: J r:; 0 ~ VJ, I City: f'a~#~/k C,+, _ : ," . Zip: 9!3 63 VISA:-- MC~ th J / PROJECT ADDRESS' )906 ~7 . f/;rr1Jf/ge/~ I v Check all that apply: 0 New J-v/J/ TYPE OF WORK~ /SLAlterationl Addition . hY7Jshl)-;c,'{t(!s-h//:J v SOO p+ D.pf((JX- ~Residential 0 Multi-family 0 Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: Q + /rv1e( C Aa1jf :2. aael 111/, DESCRIPTION OF THE ELECTRicAL:ROJECT: rirli.r;hJ'}J vfs-kJcS 1 ;? /lev-' Cr'rcu/:...Jd d-- fo.l1fl ~f7r;mcl(J oJ / o Low Voltage )tTelecom. 0 Sign ') 00 a vYll) I Electrical Heat Load Additions PERMIT FEE: Service Information D Baseboard D Furnace D Heat Pump ~Fan-Wall _KW _KW ~ TON LRA ~KW- pg:Overhead Service o Temp Service D Underground Service Voltage: J;;ioh ~O. Phase:)19:1 D 3 I Service Size: ()..DO 4 t>1 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: Date: 6~))...()~ Date: (; -/7 --ocJ" Owner or Elec. Cont. Signature: C:/ELECTRICALPERMIT APPLICATION