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HomeMy WebLinkAbout510 E 9th St - Building e.. ELECTRICAL PERMIT i CITY OF PORT ANGELES 0 360 -417 -4735 V1 Application Number 11- 00000325 Date 4/14/11 c N Application pin number 275300 Property Address 510 E 9TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00- 0- 2- 8730 -0000- on our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc T -stat Like and Kind Owner Contractor CATHERINE A ROWLAND AIR FLO HEATING CO INC 510 E 9TH ST 221 W. CEDAR PORT ANGELES WA 983627920 SEQUIM WA 98382 (360) 457 -3754 (360) 683 -3901 Gs.-5 343 7 (S) Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 183756 Permit Fee 56.00 Plan Check Fee .00 Issue Date 4/14/11 Valuation 0 Expiration Date 10/11/11 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 s 1 Grand Total 56.00 56.00 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN D '4 FINAL /b )21 )2/ 1_ COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE \BUILDING 04/13/2011 WED 9:38 FAX 360 683 3971 Air Flo Heating Co. 0002/003 1 d I City of Port Angeles Permit Application o� Qaxr �'1 l Building Divisio&Electrical Inspections s 321 East Fifth Street P.O. Box 1150 (A\ Port Angeles Washington, 98362 E i a Ph: (360)417-4735 Fax: (360) 417-4711 N Date: i >1 1 c APR 13 2I�� Nwor T t 1 2 Single Family Dwelling ELECTRICAL Multi Family or Commercial' INSPECTIONS Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Please Corn ete Electrical Plan Review Information Sheet Job Address: 61 6 �a Building Square Footage: 1 t 6 Lk Description of above Owner Information Contractor formatiupua Name: e_Ac irMal f 1( e ti LkNI D Name: ai R. i-Lb Or G kl l Al es- Mailin Address: 56 0 E Mailing Address: �oZ l VJ C_. e- V #r 3 i Cit rbITTt'cr4 tL5 State: tiAV Zip: f kg No' City: EQOt State: Zip: eK3`%? Phone: q(S1 3 Sq Fax: Phone: ®1 Fax: License Exp. License Exp. A r FL Unit Charge Q_lt rr Total (Qty Multiplied by Unit Charge) II 93.75 Service /Feeder 200 Amp. I $113.75 Service /Feeder 201 -400 Amp. $160.00 Service/Feeder 401 -600 Amp. $205.00 Service/Feeder 601 -1000 Amp. $291.25 Service /Feeder over 1000 Amp. 2.00 Branch Circuit W/ Service Feeder 57.50 Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service /Feeder 401 -600 Amp. $131.25 Temp. Service/Feeder 601 -1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 43 'IS „Thermostat '4-3•'i'-) Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is 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 installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and I Utility Specifications. Signature of owner, electrical contractor or electrical administrator Cash 4 i II Check X `7 Date: t E7) 11 k. Credit Card l 1 CITY OF PORT ANGELES c DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000321 Date 4/13/11 Application pin number 163020 Property Address 510 E 9TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06°30-00-0-2- 8730 -0000- Tenant nbr, name CATHERINE A ROWLAND on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2947 Application desc INSTALL AN ELECTRIC FURNACE Owner Contractor CATHERINE A ROWLAND AIR FLO HEATING CO INC 510 E 9TH ST 221 W. CEDAR PORT ANGELES WA 983627920 SEQUIM WA 98382 (360) 457 -3754 (360) 683 -3901 Permit MECHANICAL PERMIT Additional desc INSTALL AN ELECTRIC FURNACE Permit pin number 183707 Permit Fee 64.80 Plan Check Fee .00 Issue Date 4/13/11 Valuation 0 Expiration Date 10/10/11 Qty Unit Charge Per Extension /l BASE FEE 50.00 0 1..00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due I� Permit Fee Total 64.80 64.80 .00 .00 1C\/ Plan Check Total .00 .00 .00 .00 ,p V 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 1 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 wi whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance e provisions e state or local law regulating construction or the performance of construction. y/*• .)4,619 elopu. I Date Print Name nature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 1 i BUILDING PERMIT INSPECTION RECORD CTS 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 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 FINAL Date Accepted by AIR SEAL: Walls Ceiling CR 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 l I Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 "T Construction R.W. PW Engineering 417 -4831 5 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit o e as aQ In Hg ou m r M M r r v mm m v cm N C tr■ 0o as C mm a Mm■ H a a N OH W H o .7 H W W P W O< W H Q Z Z N U O U m xw Cr-) x o x o w� z -w� z H H a m a s H Kt D H H 0 z H r] F w a H N w o W Q Z H �r F m H O H m 4 H r 4,4 4H 4 FC HE H H aHMa KCH a m U U "z Z O i z H Z O M z F GI W a W H N r H U H N H H Z WW W X w MwWw ,Ow W m m a Z a zz Oo aW amao a 1 H U fC H W FC Z,C N m r.0 Z O a H• u zuHu oU0 u a WV) sa H 7 H z H La m Z H o 64a Z A W Z m X AF Z a U4 x ox <x OZxw u o 4 m m u A F U w U✓ w U F p o o u E-0 a O U F, a X O H Z< Q q o H H lik MX WI N 020.014 a a a N W H a E 8 m0 N m!j FC FC NH H 4 W N W ON H a h h o HZ m m H O H O O w aaa o inn i-7 w w w w O O gww H H H x xmo xpp H H O OE m W H mU <Uo 00N H N N OX �H wo o 0 `.4 OW a a a U H H HO zo w w W m .0 H N a0 CJ E- 42 f+ 0 0 0 wH Q g a 0 0 au <H a F Z S )CIP C� c.....c\ H F p H O H W w I aQ 1 I w I o In 1 m r 1 M M 1 ro in 1 H O 0 I <6 0 1 .0 I P1 1 M M I H a 1 V a 1 I H H 1 I M a a 1 H W W I O w W to 1 W 00 1 H g4 o W H w a x x I w z H u£ u7 as I XN tx ri O H i 1 1 w o Z Hh H a.x I o w a Hw ,E, 2, O In w 04 HO 1 F I V] aHra4 U U E I 2 Z o 2 E• E MN I a I w H N h H u z c a i z w awa w Z21 1 00 11 ,�ayQ'm X H H--... U ZZUH u a I au) H S w H H Lu a I HE z2222 ck 0 0 a I u a O x Z FC a 1 u) V1 (J H u w 2 O /.0 I w w w u 4 w a H o u ■Hac4 Z O U£ a Qa o z H �C 1 E a Ou a M 0. 3 c0N I Pa H N 0 2 0 m41 1 as o w H a' I X u) a 1 cn ,4 a,4 N HI H W a cr 1 W O N I H a' h X Z x Z 47 0 0 1 I M I co D H 2 z (1) 1 M H O H O O I G1 1 a a a I o 1 ZZ H W 1 w x w x o o 1 Z H E H -1 Ho 1 O E•H H 1 cow 0 \2 l I 0u K4 Uo1H 1 O0 O H H 1 a a I w O o o a I a P: I a. U' H H O I Pa a' w I x IN 0 a 1 2 O w I H a 1 K i W H Z a W 2 I H a o wH Q Z ZZlla1M a m au F UUOa 0 1 4 1 W H co 04/13/2011 WED 9.:38 FAX 360 683 3971 Air Flo Heating Co. 1;21001/003 T rmrik BUILDING. PERMIT APPLICATION Print in ink 0.1.,,,„,4.— CITY OF PORT ANGELES For City Use Only: v A ttn: Building Permit Technician Date Received t }--i 3 11 321 E. Fifth St., Port Angeles, WA 98362 Permit 11 Niiiiir (360) 417 -4815 fax (360) 4174711 Date Approved Applicant or Agent P t Ft_o eM G- Phone (EAC 3 3 a 6 Owner C I H ect Jr 10 u1 L -W b Phone 4 S1 51 SL4 Owner's Address 6'10 .Ttee Contractor /Engineer Ptt -i.,o, IA- Ef -T\ tJ (r Phone (0 3 -39_ 6 1 Contractor /Engineer's Address 2•`) -t ,J Ct✓f S f 1 S ea 01 t ti 0 3� License ik P\ k�LRir t too Re_ s Expires PROJECT ADDRESS 5I U g 1 t f teC Parcel Number Lot Zoning Project Type Brief Description: K Residential Commercial p Multi- family o Industrial Check all that apply o New Construction Addition o Remodel Repair o Re -roof o Demolition o Sign o wall- mounted projecting o freestanding o awning o other Total sign area sq. ft. Maximum allowed sign area sq. ft. t Heat System o Heat pump 0 wood burning stove gas fireplace o pellet stove A other FuRNf o Oth e e -ec° it V-- Floor Areas Existing (sq. ft.) Proposed (sq. ft.) per sq. ft. Basement P q 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION .1 4i Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction.type of half baths l have read and completed this application and know it 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, an obt permits prior to working on Date ct l 111 R Print Name et-LC-4 1\ c. Signature tc Atilt T:Forms /Building Division /Bldg Permil.Appl. -2006. Code.doc.. Clallam County Assessor Treasurer Property Details 58724 CATHERINE A ROWL... Page 1 of 2 ClaHam County Assessor Treasurer Property Search Results 58724 CATHERINE A ROWLAND for Year 2011 2012 Property Account Property ID: 58724 Legal Description: LOT 7 BL 287 Geographic ID: 0630000287300000 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 1 Township: Section: "1 Range: 1 Location Address: 510 E NINTH ST Mapsco: �le PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 2 Neighborhood CD: 10955130 t Owner Name: CATHERINE A ROWLAND Owner ID: 49665 Mailing Address: 510 E 9TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 -7920 Exemptions: Taxes and Assessment Details Property Tax Information as of 04/13/2011 Amount Due if Paid on: i° 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 I Half !Half :Base :Base Year Statement ID Taxing Jurisdiction I Amt. Amt. Penalty Interest Base Paid Amount Due i 2011 153354 ST SCH STATE SCHOOL $153.01 $153.00 $0.00 $0.00 $306.01 $0.00 2011 153354 CC -GEN COUNTY CLALLAM $84.47 $84.45 $0.00 $0.00 $168.92 $0.00 2011 153354 SD #121 SCHOOL DISTRICT #121 $200.01 $200.00 $0.00 $0.00 $400.01 $0.00' 2011 x 153354 CITY PORT ANG CITY OF PORT ANGELES $194.99 $194.99 $0.00 $0.00 $389.98 $0.00 2011 153354 PORT PORT OF PORT ANGELES $11.89 $11.89 $0.00 $0.00 $23.78 $0.00 2011 153354 NTH OLY LIB NORTH OLYMPIC LIBRARY $35.43 $35.42 $0.00 $0.00 $70.85 $0.00 2011 153354 HOSP #2 HOSPITAL #2 $34.68 $34.67 $0.00 $0.00 $69.35 $0.00 2011 153354 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10.54 $10.54 $0.00 $0.00 $21.08 $0.00 2011 153354 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2011 153354 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2011 153354 TOTAL: $761.84 $761.77 $0.00 $0.00 $1523.61 $0.00 2010 41643 ST SCH STATE SCHOOL $151.48 $151.47 $0.00 $0.00 $302.95 $0.00 2010 41643 CC -GEN COUNTY CLALLAM $80.61 $80.60 $0.00 $0.00 $161.21 $0.00 2010 41643 SD #121 SCHOOL DISTRICT #121 $196.20 $196.19 $0.00 $0.00 $392.39 $0.00 2010 41643 CITY PORT ANG CITY OF PORT ANGELES $186.62 $186.65 $0.00 $0.00 $373.27 $0.00 2010 41643 PORT PORT OF PORT ANGELES $11.33 $11.33 $0.00 $0.00 $22.66 $0.00 2010 41643 NTH OLY LIB NORTH OLYMPIC LIBRARY $23.42 $23.43 $0.00 $0.00 $46.85 $0.00 2010 41643 HOSP #2 HOSPITAL #2 $33.07 $33.07 $0.00 $0.00 $66.14 $0.00 2010 41643 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10.52 $10.52 $0.00 $0.00 $21.04 $0.00 2010 41643 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2010 41643 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010 41643 TOTAL: $730.07 $730.07 $0.00 $0.00 $1460.14 $0.00 http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =58724 4/13/2011 Application Number 08 00000263 Date 3/04/08 Application pin number 298282 Property Address 510 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 8730 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Kitchen remodel Owner Contractor ROWLAND CATHERINE A 510 E 9TH ST PORT ANGELES Permit ELECTRICAL ALTER RESIDENTIAL Additional desc KITCHEN REMODEL Permit pin number 121939 Permit Fee 46 00 Plan Check Fee 00 Issue Date 3/04/08 Valuation 0 Expiration Date 8/31/08 Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Fee summary Permit Fee Total Plan Check Total Grand Total WA 983627920 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Charged Paid Credited 46 00 46 00 00 00 00 00 46 00 46 00 00 WA 98363 Due Extension 46 00 00 00 00 INSPECTION ELECTRICAL TYPE DATE RESULTS IN DITCH SERVICE ROUGH IN FINAL 'COMMENTS: ii/q/oe 44) eiv‘is '(i ""'r~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number . Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001004 Date 10/20/05 277784 510 E 9TH ST 06-30-00-0-2-8730-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor ROWLAND CATHERINE A 510 E 9TH ST PORT ANGELES WA 983627920 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL SIMPSONI 200A PNL + MAST 62356 SIMPSON ELECTRIC 66.90 Plan Check Fee 10/20/05 Valuation 4/18/06 .00 o Qty 1. 00 Unit Charge Per 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 ~ L\\) ~ ~~ ~ r& (\\lI\ , '1 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.II02J~ 14196] 03/02/2008 22:30 4579270 SIMPSON ELECTRIC PAGE 01 '(:/8-6'2,63> " ELECl'RICAL WOlUC. PERMIT Al"l"LICATION J_ ,./NfI &.r j4 Electrllllll Calltra_ a 0wlJ"" at c.ical contrac_ aatlle Lif:lcmD numhlf Dl\tf: bJIiraa . e .5 Sf- en. J'; 1'--09 ., mltllna t4dra. .-J<+3D3la /-/W!j IOJ L.....J Chy ,SIa'lf: z,p PO~t An~es 11)11. Qe.3"-3.. TlI1aphoM QII""r :FAX till.... ~ 4-5'1- "t ::2.10 f'<'- ......ca,'fl~~ ..~ I ~ Add:rll!..~-;itlo. 9 -Ii C I 5)0 e. _ ...:)7. CII, :rO~+- A"-ge.-Ie.s "bo.. ....blOt t6 .1:. dale a ,IG: .::S 0_,.., "VI- by RCw'/P.1I.26/:(I) _..III _, ,h. """...ro.IlI' ,.... ".,. q/tJr .'-1" '*errltJtJl,.,.n 1I./int11bal ()) Owl..". II: ~ llr.I him fIR fllmr1"., 'f>>A""'" If ab01i'lt _NI praJI"'" U /or ~.. "", or t..,e. IIn" _Ill II.. abo.. -.... IlloNby .anJ~ llIoll '"' 11\I ......, of Ibe abov. oemod properly or " HtcnJOd. ~ .......U~IOiI. 111m muiq tift! clc:ctriall in"l~ 'I.'an or altmat:_ In cftft\PliAftce ",Ub Itu: e'Cldricnl 11M, N. B.C., RCW, Ch<<pter ".28. WAC. ChaFa' 296>469. Ill' ., Pan 11.,.1<. "llUli,ipU C..... .nd Udl S ..11)<......, I'.. Aft" QWQet'. etet. rID_ ....11.11.. ........ a Co_rdlll >,,, ."1". Q I'I~ ;(AJt&r..,AdiJlJtaD c:~ ~~rLU'f.s . _. ;J~?rfL- l-<f' /n,c::::F.wr- ~ &t ~ u~ .-i&:.fcILe", rc~()d~ L) . L/G,.~ .I~f:t... At .'cctrle.. ....nl.tr...:,; D..e0'-.3 ,t)15 o Cash 0 Cbec:k# Credit CaId ~ Mastercard OIocovor cw~~~_~~_~____ &pirllliCln 0Ide of ClInt J $ 8JnrIH InfonnllSllllll ~ o NO ~OI\D CliANGE$ o !la, b"",n! Kw o Furno.e - I<W 0 OworIIead _.e Q - Pump = ran _ ~I\R tJ Temp S9rvlce o Fen-Well _I(W 0 Um:leIground SomAce SA~E DAY INSI'ICTlON. C.4J..L BEFORE 7'l1O AM 3611-417-4135 r-- 'I1U:llMOSTAT VOIIlJgo _a,os Sorvtce!lbro: _ __rill..: r 217 L~ Jl()OOU,lN l1-R FJNAL .~ InlpettioQ DlIlte / SII:KVIOi: -i~. ..., ~./ .... ....WIlI D~ / r~ "- PIIIl A D AetlMI T.kfm EloClI'loll faapo<<llQ, ^,~fb' 0001 A..... Bw1llinS or EqwiJllll<l'lI.8ptI<1Dd ~'f e, -.;;:... I ELECTRICAL WORK PERMIT APPLICATION Job wired by ~Electrjcal Contractor 0 Owner Bleclriclll ctJnlnu::{ul' nllme Licellse nwnbcr Dale: Expires S-"".t1~ ~/",-c.lt<<-;c s.-rnp<;e.l qn~ f29 Purchascls mil.lIJJl~ addl'C'ss ;2'f3o?,b ~IOI t,J Ci~ ~ Slat" ZIP t"'cnc:-t-- A-~.e_I~ ~ GHL, bE' Telephone number 4S7-'7d-?O Inli~lIl1\iQn d"::i..riplian Q Cow.mel'Cial ;)II Residential Q New }II Altered! AdditiOD Uf~ ~ ~ - ~! I FAX llumber Premisu 9WD!!I"'/i Dame t. owl~ Address inlipcdion JD IS CI,y ^ 1'\ r.l~t- u,....~.eles. WA-. '1 r3b::z. Phone Dumber t05'C:he~Ule rySytiUU: Owner liS di::j;~~d by RCW.19.28.26"j :(1) QWlIC:r wit/ occupy the .r/"",,'lure for JwO years after this dc:c:tn'c;u/ pf:f'mit is ftl1uli:u:d. (2) Owner is rr;quir~a to hire l1/l electrical contr(J(,lur if abOli(: ,yaid property i~' for sale. fl.'nt 0'. leUitl, After reading the above slatclUl:nt, I l1ercby certify lh.,l I ;:1111 th~ ownl;:f of the l1bove named ptup~rt)' or II licensed electrical ~olltr3~tor, I am nlaking lhe dc:~tci~ill illstal. lation or alterillion in" c:omplianco with the c1cl:LriciJ.1 laws. N.S.C.. ~CW" Chapler 19.2S. WAC, Chapter 296.46D. Th.;, Cit)' of \)ort Angdes Municipal Code, and Utility SpecificaLion.s" Slgn3t e or OWDer, elec[l"ic~1 c mL I>t::;i-J?$" o Cash o Check II ,JDate: /0- !;;l-oS ~a~::ditCa~ ~t~:~_~_lliCOYe~_ Expiration Date of card Inspection r~e- $ ~. ~ Service InfQllI1a1ism Inu:tor ur ch:c(riclll adminisCI'lItor I,ic I load Ad I o NO LOAD CHANGES [J Baseboard KW o Furnace KW [J Haat Pump _ Ton _ LAR Q Fan-Wall _ KW , blra II n Q Overhead Service o Temp Service o Underground Service VOItaga Phase [J 1 [J 3 Sarvica Slza: ~- 4hf Feeljer Size: ~ p o \' ~ "0 SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 / ROUGH-IN / THERMOSTAT SERVlCE \. Dille "'llpril...~dO)l ./ \. all.l~ A~~l\Iv~Il:l)' L>w~~ Apllrovuu By / / FEEDER FINAL DHCH " D;al~ Apllro\l~d[jJl / '-.: UII.L" A~I'",~~J lIy / D'~ AppronliBJI/ Inspection At'rl3, Building or Tiquipment lm;pcclcd AcLion Taken EIlJctrical Date Insp~ctor , , \\)\ ,,-\ J- Ov.- 1lIt) U(/ cr~ \' '\-- - - 1tJ/; ?it'S A/V~ 4P' /flD , . A!o //)//~/o~ ./ 10 39\1d 8I~183l3 NOSdWIS 0LG6LSP SP:60 S006/6I/01