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Home My WebLink About916 S Cherry St - Building r--- ~ ~ORT ~ ti 'IL~ ~ 'lti:.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000333 Date 946685 916 S CHERRY ST 06-30-00-0-2-9490-0000- ELAINE HERSHELMAN RES REMODEL 4/27/06 RS7 RESDNTL SINGLE FAMILY 30900 PIN4lEO ~/a ~ \ ~ W Owner Contractor HERSCHELMAN, JOHN/ELAINE 916 S. CHERRY ST PORT ANGELES WA 983627613 (360) 457-5120 THE FINISH CREW 1919 E 1ST PORT ANGELES (360) 457-1670 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL BASEMENT REMODEL 74567 478.35 Plan Check Fee Valuation 191.34 30900 10/24/06 Qty Unit Charge Per Extension 417.75 60.60 BASE FEE 6.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Special Notes and Comments 04/24/2006 09:08 AM KDUBUC ----------------------------- If a bedroom is to be added in the remodeled basement, adequate egress must be provided. 04/18/2006 04:57 PM SROBERDS -- The proposal will not result in additional lot area. The basement remodel cannot result in a second living area as the site is zoned RS-7. Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 ~ ~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 478.35 478.35 .00 .00 Plan Check Total 191. 34 191.34 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 674.19 674.19 .00 .00 i Separate Permits are required for electrical work, SEP A, 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. _ -1 .J I o /: );1 fl if;;L 7- c(. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ~ T:IPoliciesll102_15 building penmt Inspection record05.wpd [I/4/2005J \1 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 I 7-4807 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. C) ~ INSPECTION TYPE DATE ACCEPTED COMMENTS . YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDA TJON DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB I ROUGH-IN ISI/).jt4. ~ WATER LINE (METER TO BLOG) II I GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS ,;tel IUL V'- CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING Ij /'1;/0<;,. ,1k/ 'h'/PG -<Tt.- DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING (,/10/06 I ..T... MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING . FIRE DEPT. FIRE 417-4653 PLANNING DEPT. 417-4750 - I / PLANNING DEPT. BUILDING 417-4815 If!!>/'f/t/p VJv BUILDING ~ vJ vJ N (r\, "f', ~ E;'- ~J\ ~ t o .~ @ t \ \'J ~ ~ V'l -I T:IPoliciesIII02_15 building pennit inspection record05.wpd [1/4/2005] g w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~(,2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000333 Date 946685 916 S CHERRY ST 06-30-00-0-2-9490-0000- ELAINE HERSHELMAN RES REMODEL 7/05/06 RS7 RESDNTL SINGLE FAMILY 30900 Owner Contractor HERSCHELMAN, JOHN/ELAINE 916 S. CHERRY ST PORT ANGELES WA 983627613 (360) 457-5120 THE FINISH CREW 1919 E 1ST PORT ANGELES (360) 457-1670 WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OLYMPIC/1-4 CIR. 81620 OLYMPIC ELECTRIC 48.10 Plan Check Fee 7/05/06 Valuation 1/01/07 .00 o ~ -........ ~ Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Special Notes and Comments 04/24/2006 09:08 AM KDUBUC ----------------------------- If a bedroom is to be added in the remodeled basement, adequate egress must be provided. 04/18/2006 04:57 PM SROBERDS -- The proposal will not result in additional lot area. The basement remodel cannot result in a second living area as the site is zoned RS-7. Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. 0\ Other Fees STATE SURCHARGE 4.50 ~ J Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 ~ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECflONRECORD 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 INSPltCTION TYPE DATI COMMENTS NO GENERAL COMMENTS: PW-1I02.J514I96J ,.J mID 0 ...... m 0 ...... 00 riIri1 t!)E-< ..:..: "'Q 00 ~ r-N I ID.-i 00 I .-ill\ ..: I I I >; I '" I >< 00 I ..:I IDID I I>: "'''' r- riI 00 ><0 ~>< 00 H o .. ..:10 ..:I E-< ..:I ""I I>: .. 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II!1 ~b BUILDING PERMIT'~ 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 Applicant or Agent: L e. e. m ~ "l. So.. v- 0 S Owner: E. \ 0. " 1\ e... li ~.r- S ~ €- \ IIV\ (). r'" Address: q/to S, C'h~rr1 S.\-. City: "Po",-\- . ArcbitectJEngineer: . Co~tractor Lee vn e L. So.. .r 0 S . . Address: I q J q. t=:. I ~\. 'S\- City: ?C:d ~ PROJECT ADDRESS: q I l 0 ~. c.. ~e.r r1 ~ LEGAL DESCRIPTION: Lot: Block: Phone: @lo0 Y S I - 110 70 Phone: @(OO) Y 5'7 - 51 dO {J.. ~~ e..\ e. ~ Zip: q ~ '0 '0 ~ Phone: State License #:fI NI'5.....9<D""3/l')3Exp: A.("\~l2- \~ OS Phone:(3~)457-IIo"'D Zip: q ~ 3 Co d ZONING: Subdivision: .CLALLAM COUNTY PARCEL NUMBER.: TYPE OF WORK: }it 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: o Stove o Garage o Deck o Other ~M~~\ SIZEN ALUATION: SF. @$ ISF. =$ SF. @ $ ISF. = $ SF. @ $ ISF. = $ . TOTAL VALUATION $-1Lo q eo -:-:-:- 'bQ.'5c2.N'~-\-' 1- COMMERCIALlRESIDENTIAL: Occupancy Group: No. of Stories:..d... Lot Size: Existing Sq. Ft Total lot coverage % Occupant Load: . Construction Type: & Proposed Sq. Ft = TOTAL Sq. Ft APPROVALS: PLAN: BLDG: DPWU: . FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPACheckIistrequired? 0 Yes 0 No Other: 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 cuirent fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. . PLAN CHECK FEE: IF a plan check fee.is due it most be submitted at the time the building pennit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. . ExrlRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date ofapplication, the application will expo-e. The Building Ofij.cial ca:lr extend the time for action by the applicant up to ,180 days upon written request by the applicant (see Section'R105.3.2 of the InterDational BuildinglResidentia Code, 2003). No application can be extended more 1han once. . I hereby certify that I have read and examined th' understand that it is my responsibility to detefJT1ine 'Pplication and know the same to b~ true and correct. I am authorized to apply for this permit and at permits are required ,not the City's, and that I must obtain such permitS prior to work. Date: Lj~ 1'- -db . T:\Policies\BIA 102 _13.wpd Applicant s ~~ CITY OFPORT ANGELES DEP ARlMENT OF COMMUNITY DEVELOPMlWf - BUll..DING DMSION 321 EASTSTHSTREET, PORT ANGELES; WA 98362 Application Number, pin number . . . . Property Address ASSESSOR P~CEL NUMBER: Application description Subdivision Name Property Use . . . . property Zoning . . . Application valuation 7/22/04 04-00000642 Date .922458 916 S CHERRY ST. 06-30-00-0-2-9490-0000- ELECTRICAL ONLY 'i -. ,...,; RS7 RESDNTL SINGLE FAMILY o Owner Contractor OLYMPIC ELEC'l,'lb;c DUPREE. RE 514W9TH ST. PORT ANGELES' (360) 457-3823 WA 983627613 SEBRING FL .'~~'- - - ---- - - ---- -.... - - - - - - -.-- - - --------- ------ --'- --,---- - - --- - -----.- - --- ---.. ...- Permit . . . . Additional <lesc Sub. Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL CHANGE 200 A PNL. OLYMPIC ELECTRIC 66.90 7/22/04 1/19/05 .00 o plan Check Fee Valuation Qty Unit Charge Per 1.00 66.9000 .ECH EL-R OR RM 0.-200 ALT SRV FOR , Extenlilion 66.i90 Fee sununaiy Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.9/j .00 .00 ~ ~ ~~ N' ~, "~i' ~. f,:~ ,~ ~.~ f""i Separate Permits arere4u!r~dJorelectrical work, SEP", Sh?reIJnetJ;~A;utilities, private an~public improvem~.gts.,."f!l!s,~im'i~e~mes null and vO,ifJifwork orcoo~tnJc:tion authorized is not comm~nce~w.itf1iIl,18p,fJa~, if C<?rlstrtJctionor \y()rkls sOs~MfJd(),: ;I~andon~d for a period of 180 daySJaftertli'Elwork as commenced,or ifreq..drediinspe,~ti(mS have not beenJequestedwithin18b~{layS frQnftn~ last insp8(rtlon.:Ui.ereb~ certify ttlatl have read andexamined'thi~applicati91'1 and know the s~meto be trueandcorrect.~tpl"9viskms of laws and ordinanceS govemintfthiS'typEfofworkwillbe complied\iVithwhether specified herein or not. The granting of a permit ~oes not presume to give authority to violate, or cancel th~. provisions of anY state or local law regulating construction or t!1eperformance of construction. Signature of Contractor or Authorized Agent Signature of OWner (if owner is builder) . I:)I'fANNING\FORMS\1 102.15 [1111412093] . Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECI1ONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST.PERMIT IN A CONSPlCUOU.SLOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: " FOOTINGS WALLS FOUNDA nON DRAlNAGEIDOWN SPOUTS . , ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT.: # . ROUGH-IN .' I PLUMBING . UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE BACK FLOW I WATER AI~ SEAL WALLS I CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CElUNG I I MECHANICAL HEAT PUMP GAS UNE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering DiVision) SEPARATE PERMIT #'5: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING '. -SHO~: "',' FINAL INSPECTIQNS~U1RED PRIOR TO OCCUi'ANCYIUSE " ,," . .., RESIDENTIAL DATE YES NO . GOMMERCIAL ' .' ' DATE, . " . ACCEPTED " '. .' YES NO -,;", I04r ., . . ELECTRICAL - LIGHT DEPT. 417-4735. ELECTRICAL ~ L1GHTDEPT . - "", CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING .' FIRE 417-4653 FlREDEPT. . ., . P~G DEPT. ,. 417-4750 PLANNING DEPT. BUlLDJlIIG . c.,......... .. ." .... 417-4815 BUILDING .' T:\PLANNlNG\FORMS\II02.15 (11/1412003] 'ti ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION nl EAST 5TH STREET. PORT ANGELES. WA 98362 Appl~cation Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cat~on type description Subdivision Name Property Use Property Zoning Appl~cat~on valuation 06-00000333 Date 946685 916 S CHERRY ST 06-30-00-0-2-9490-0000- ELAINE HERSHELMAN RES REMODEL 5/17/06 RS7 RESDNTL SINGLE FAMILY 30900 Owner Contractor HERSCHELMAN, GOHN/ELAINE 916 S CHERRY ST PORT ANGELES WA 983627613 (360) 457-5120 THE FINISH CREW 1919 E 1ST PORT ANGELES (360) 457-1670 WA 98362 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expirat~on Date ELECTRICAL ALTER RESIDENTIAL TERRY'S/ BATHROOM DN STAIRS 77610 TERRY'S ELECTRIC 58.70 5/16/06 11/12/06 Plan Check Fee Valuation 00 o Qty Unit Charge Per 1 00 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 2 00 5 3000 ECH EL-R OR RM ALT ADDNT CIRCUITS Extension 48.10 10.60 ~ ~ Special Notes and Comments 04/24/2006 09 08 AM KDUBUC ----------------------------- If a bedroom ~s to be added in the remodeled basement, adequate egress must be provided. 04/18/2006 04'57 PM SROBERDS -- The proposal will not result in addit~onal lot area The basement remodel cannot result in a second l~ving area as the site is zoned RS-7 Electrical load calculat~ons and elctrical permits are required Publ~c Works Ut~lity Engineering has no requirements for this plan review. \fi ~ Other Fees STATE SURCHARGE 4.50 ~ J Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 58 70 58.70 00 00 Plan Check Total 00 00 .00 00 Other Fee Total. 4 50 4 50 00 .00 Grand Total 63 20 63 20 00 .00 ~ COMMENTSI 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.II02.1' (4196) B ~.~ ..- L.. t:2=..1I~ ~~. -.. ~trical Contractor Cl Owner ELECTRICAL WORK PERMIT APPLICATION. , Installation description o Commercial ~sidential , ical contractor name , 'S .Ft<d//L PU..<>J haser s mailing address f.7c)'I 2.41Q I City iP ~~()/~ Telephone number '.- 2c> ~~ense .!:l!1.!tlber Date Expires o New D Altered/Addition State ZIP W~ FAX number OJ f~ <';-Z-- !3"'!'''mN7?' ~~ d"oob'? If! c/Jod..e / . Premises owner's name E20<;f1~ )leMCd/hC,,? Address of inspection qk ~, CherT>/' sr City ...rJ fl/or7 I4l1J'h'C? Phone number to schedule inspection: /- </ Cltt- ,/t3, /0 ;;. I"hC) 0 /0,,,"0 ';5""8 70 Owner as defined by RCWJ9.28.261:(1) Owner will occupy the structure for two years after this electf'ical 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, J 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. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Cl Cash Cl Check # Cl Credit Card Card # Visa Mastercard Discover x Date: Expiration Date of card Inspection fce $ 5'6. 70 Electrical Load dditions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW 0 Overhead Service o Heat Pump Ton LAR 0 Temp Service o Fan-Wall KW 0 Underground Service '\, SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Service Information Voltage PhaseD 1 D3 Service Size: Feeder Size: ~. ROUGH-IN /' THERMOSTAT SERVICE , 5'/;"~b Jz,r;1 I Oat'" Approved By "- Date Approved By Date Approved By r ~/1 :t2AL /' DITaI FEEDER ~ 1.50& ~ Date Approved By-' Date Approved By Date Approved8y/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date . Inspector ALl') sf V&;h,t:. / ~ / 0b/20/200b 14:40. 3b04523498 OLYMPIC ELECTRIC PAGE 01 ti " !! ~..........~ ELECTRICAL WORKPERMlT APPLICATION I DOwner Installation descn,:ltion . ./ o CommCTcial '#"Residential License number 'Date ExpifC~ ,/p;~qg o New o Alteredl Additlno I? ~r.b? Ci~ _ ~~ StilTe ZlP .JA;if~//]p'~r LV.! ?f f~? Telephone ",umber FAX number tt Premise, owner's 11*'" . L /_ r/;?//7~ n7r~/1,dL2Z;?/l Address of illl!!lpecttnR '" L '7'/6 5, ~/7 :~~:1z~~::petlion: J_LJ ~,rcu;J~'" /?/??~~-/ OWnel" (IS defilJed by RCW.19.28.Z~J :(') Own!'!r will OCCl'py lhe ,~rrucrlJ1'"€ PI' two years after lhi.~ ele.crriClJl per1f1ir i.~ firtalizt.d. (2) O\.4.'1ler 1,<; reqtJlr-ed In hire ll:" eltctrical r;ontrac/Qr if ooove said properly (~lor .talc. rent or lea~e. Aft.er retlding the above ~tatemcT'll. ). "cTcby certify that I 8m the OWTlcr OT the "hove named prnpetty or a licensed electrical contT:lctor. I am 1Tl:\1cing the clecmCOll 111stol- latiof'l or alt'cratioll in compli,u\cc with the electfical l~Wll. N,E.C.. RCW. ChQPtcr \9.2&. WAC. Chol)ter 296-46B. The City of fort Angelc!'I Municipal Code. and Utilit)' Speejfication~. Slgnntue or ~wner, electritnl contTa.ctoT or electrical ndmlnl!QtTAtOT' Q Cash Q Check # ~tCard Visa Card # Mastercard Discover ---------------- x Expiration Dale of card ~ al ad d ltionU!l!!..or .ublrac~. I:J NO LOAD CHANGES C1 easaboard _ KW o Furnace KW o Heat Pump _ Ton _LAR Q Fan-Wall _ KW SAME DAY INSPECTJON CALL BEFORE 7'00 AM 360-417-4735 I:J Ovemoad So"';co o Temp ServIce l:I Underground SElrvlce Service Informlltion Voltage ~f(d Phase Ili1IJ 3 Service Si:te: ~ Fe~der Size: , , { ROUGH-IN "' THERMOSTAT "' f SERVICE 6-u -D' ~ I 1 , [)nIC .AI"P"QVc:d ~y "- O~te "JlPf'(lv~d By "- Dnte ^,pl'ClV1:df.'y / r FJNAL I D1TCII " r FEEDER " '7t.,J..: Lc7h ,- o"itT t"~'EIy:; "- Dnlc N'provo\l By ./ 0'" ^vf!l'OvcdBy-/ Inspection Area, Building or Eq,u;pment inspected Action T:tlccfl Electrical Date 111spcct(lr APi/} ,., ~ I , , ..,... 'I .L..fP to 07/19/2004 10:59 FAX 3604523498 OLYMPIC ELECTRIC \':;1 ~.." '>M",',. ,0." :::.,CAL PERMIT APPUCATION "W' The E ''''''''col Po,",,, Appl""'tion ",usllle flll" 0.' com_Iv. ;':>150..17-+711 I4J 01 M ~, : FOR omCIAL. Uti ONLY """""" .......: n.a.A,fIpra\rlild' 0- _.. P I.... type or Npri"1 in lnk.. tryou havlI any Que.tlane. pi.... call (31O)"17~72B Fax numb.,.: f380)"f1~'1't &'/-6'1'z- ew.-...elec.eon..........Agent Olympic Electric Co. , P",pol1yOwrnr. ;?~ tf'/P/?/,c Add....: _ t;" / '! /1/ 7" U CIIy E~Con\T_ Olympic Electric CD., Inc. _ 4230 Tumwater CIIy. I nc. Phone: 457-5303 Fax; 452-3498 '1-;-7-J'.r..?]' Zip <J.If ?,,::; 2.. "hone: 457-5303 Zip' 98363 PhOne' ~/?/ rf#~//fJ L1conse t: Q\'M'8:2B:DIEkp, Port Angeles 3/31/03 INSTALLAT10N WIRED BY: o OWNER 2(, ELECTRICAL CONTRACTOR C~Cera~N.tne: Charles T. Burkhardt, Olympic Electric Co., Inc. BJIlIne AthltNa: Same City: Credit Cera Number. Exp. D...: Zip: VISA: X Me: PROJECT ADDRE": 7/;{ .5 r.: /IE/( /? Y TYPE OF WORK: Check .l!!! thaI apply: a New P~/?T /fA/b,C/ /' .f" o Alterellon/Addhlon ~88ldenlllll 0 Multi-family o Commercial 0 Mobile Home Sq.Ft. o Remote Meter 0 Detached garage 0 Hol Tub 0 Swim Pool 0 Seplic Pump . 0 Low VoIlage 0 Telecom. 0 S1g Number of CIn;ullJr _ed or altered: OESCRlPTION OF THE ELE~'CAL PROJECT: L II/? A/ ~~ ~,f?-77 ;;'7/7r- / Elecl;rIeIIll ft..... .....ltton. and Dr .ubtractfona Service lnformatian o Baseboenl o FllrnlIce C Haoit P....p CJ Fan-WlIII KW KW =- TON_ LAR KW CJ OverlHNid Ssrvlas o Temp SoMCB o Underground Servlas Vol1age: ,.i fI,i? Phase: 0 3 s..rvice Size: ;2c2?,4 Feeder Slze:__ PAMC 14.05.060(B): Fw induslnaJ. commert:ial. & r9&il.lenlisl projects larger lItan .. duple.. a one - line drawing 01 the Electrical S"",ice & Feed..... building size (SQ. It), Io8CI calcullllJona. end lite l)I pa & 01 ""nduclonl sndIOI raceway Is required and ahalleccom peny lIIe Electllclll Pemllt epp/1clIlIon. I hereby cerllfy thet I have read and examined this appllcstion and know thai same to be true and correct. and I 8/ authorlzad to apply for this permit. I understand it is not the City's legal responsibility to determin8 what permits are required; it remains the applicants responsibility to determine what permits are required ilnd to obtain such. D'V ~~1\Jo~ =:-.:::=. PW.9Q1ll1?lOS D.w: 7//fyf/ 00..: PERMIT FEE: $ 1P6 ,90 j/@ ~/fr7