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HomeMy WebLinkAbout3115 City Lights Pl - Building.... CITY OF PORT ANGELES °~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000096 Date 2/18/03 Property Address ...... 3115 CITY LIGHTS PL ASSESSOR PARCEL NI3MBER: 0630157601200000 Application description . . . RES ADDITION Property Zoning ....... Application valuation .... 1000 Owner Contractor LAWRENC~ J/GENELLE A DOYLE TTE OWNER DOYLE FAMILY TRUST PORT ANGELES WA 98362 .......................... Structure Information ......................... Construction Type ..... TYPE V NON-RATED Occupancy Type ...... SINGLE FAM & CONGREGATES Permit ...... BUILDING PERMIT -RESIDENTIAL Additional desc . . ENCLOSE EEISTING PATIO COVER Permit Fee .... 62.25 Plan Check Fee , . .00 Issue Date .... 2/18/03 Valuation .... 1000 Expiration Date . . 8/17/03 Qty Unit Charge Per Extension Gr~d Total 66.75 66.75 .00 .00 Separate Permits are required for electrical w~ork, 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 t80 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 ordiHances 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 S ignatu re of Contra ctor or Au th orized Agent Date S~n atu r~'~ne ~' (if owVn er/b~ Da to T:\PLANNING\¥OP. MS\t t02,]5 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSUL,4TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE WALLS,ROOF,CE,L~G [q-04;-,V':~ ~ ;5 WALLIFI~OOR,CEIL~O ~-3~-o > BUILDING 417-4815 5 - t 3 --03 (4 ~) BUILDING FOR OFFICIAL USE ONLY: c/ Y BUILDING PERMIT- APPLICATION Pe it : Date Approve: Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink If you have any questions, please call 417-4815 Applic~t or Agent: Phone: ~chitecffEngineer: Phone: Contractor License ~: Exp:_ Phone: Address: City:_ Zip: LEGAL DESCRIPTION: Lot~ /~ Block: Subdivision: CtTy ZI~ ~ CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder N~me: Billing Address: City:. Credit Card 8: Exp. Date: VISA MC T~E OF WO~: SIZEN~UATION: ~Residential ~ New Cons~. ~ Re-roof ~ Wood-stove SF. ~ $ /SF. =~g ~ ~ Multi-f~ly U Addition ~ Move ~ Garage SF. ~ $ /SF. = $ ~ Co~ercial ~ Remodel ~ Demolition u Deck SF. ~ $ /SF.- $ ~ R~air D Sign ~ TOTAL VA UA ION $ B~EFDESC~PTIONOFT.EPROJECT: ~~ ~ COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: Construction Type:. No. of Stories: __ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. fi. - TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed reformation on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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: Your plan check fee is due at the time the building permit application and construction plans are submitted. AIl other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section I07.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine wha~q~ermits are required; resp°nsibilityt°determinewhatpermitsarerequiredandt°°btain~~x~ W itremainstheapplicant's Applicant: /~---~~~ ~ Date: / ~'3/' -- 0~__~ T:\FORMSXAPPS\Buildingperma ~'7 ,../'//~ *" ~'/ /' / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST:,---/")..-//~ ~'~,,~ ---,~- (~ph --~n~,~ Date /_~4- .~-- ~ Time / , .~'~- Received by o arson) Location of Work to be inspected ~,//~ ~/ ~IL~ J l C.~ J) 7-' ,~/d.~ ¢~-~_ Name of person requesting inspection .,-/k ~, )." ~.~.,j ,~.~j~ .~,.. Address of person requesting inspection ~__,J ,~J Phone Permit No. Type of Inspections(circle a~riate one): Sewer Foundatio~rami~himney Plumbing Final Sewer Excav, Other INSPECTION NOTES: ~::~/~ Inspected: Date .3,-~_.~-(D~> Time J-~$O /o~/~, By Remarks: ~'-~.~,,~,,~.~/ ~' /~, ~ /~-----'-~ C) RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I-]Asphalt ~IPCC r--[Other [] Repaired by City Work Order # [] Repaired by Permittee L-~ COMPLETE [--J No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at inspection of your work revealed that the following not in accordance with the codes governing the work in this jurisdiction: ;,' ~:',,.* -<'5 These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call for inspection. Date ;. ~:~ u ~ --~': ..~ ~/ Inspect~'.for Building Division DO NOT REMOVE THIS TAG CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date~'~~''-C-3 ~'~ Time Received by ,~ (phone, person) Location of Work to be inspected . ~-'//,~- (~z~c~' ~-~'~_~--~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~ INSPECTION NOTES: ~~/ Inspected: Date ~ '5 ~ -o'~ Time ~-~,'(Jd~'~-'~ By Remarks: ~uc~-.~ ~ ~ ~o~ ~ ~ ~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt ~PCC []Other [] Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date P, ~. '* Time ~/~.' ~ S Received by ~-~: .,~ (phone[~erson) Location of Work to be inspected '.~//~ ('~, ~t~ .~, J~[ Name o, person requesting inspection ?- r~- v~-~ /~-'~_~.~ }.~b~ Address of person requesting inspection ~ Phone No. lype of Inspection {~ir¢le appropriate oriel: Permit No. Sewer Excav Other Sewer Foundation Framing Chimney Plumbing~ . INSPECTION NOTES: Inspected: Date '~--/ ~ '~d_~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt [~PCC []Other [] Repaired by City Work Order # ~--] Repaired by Permittee [-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 12/04/2001 PERMIT NO 7481 OWNER/APPLICANT PROPERTY LOCATION L.J. DOYLE 3115 CITY LIGHTS PLACE 3121 CITY LIGHTS PLACE Lot: 12 Port Angeles, WA 98362 Block: [] Long Legal 360/457-4966 Subdivision: CITY LIGHTS ESTATES T: S: Parcel No: 063000480070000 CONTRACTOR ARCHITECT ELECTRIC SERVICE N/A 924 DRAPER RD. PORT ANGELES, WA 98362 , 98360-0000 360/452-6424 360/000-0000 PROJECT INFO Project Type: RES.NEW Project Value: $0.00 Occupancy Type: Construction Type: Occupancy Group: Zoning Use: RS7 Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 10 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES ~" NEW 2647 SQ. FT HOME WITH HEAT PUMP reciept#8581 FEES ASSESSMENT Service: $135.20 Additional Feeders: $0.00 ~'~ Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $135.20 AMOUNT PAID: $135.20 BALANCE DUE $0.00 (X)MMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINqMUM 24 HOURNOTICE ITISUNLAWFULTOCO}E.R, INSUL.4 TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE /~,/~/o r ,?.,4- GENERAL COMMENTS: CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 6/29/2001 PERMIT NO: 12769 OWNER/APPLICANT PROPERTY LOCATION L.J. DOYLE 3115 CITY LIGHTS PLACE 3121 CITY LIGHTS PLACE Lot: 12 Port Angeles, WA 98362 Block: [] Long Legal 360/457-4966 Subdivision: CITY LIGHTS ESTATES T: S: Parcel No: 063000480070000 CONTRACTOR ARCHITECT PENINSULA HEAT N/A 502 W. 8th Street Port Angeles, WA 98363 , 98360-0000 360/457-2775 360/000-0000 PROJECT INFO Project Value: $7,375.00 SFD Units: 0 Commercial: 0 Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INSTALL HEAT PUMP FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $31.50 Plumbing: $0.00 AMOUNT PAID: $31.50 Mechanical: $31.50 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod of 180 days after the work as commenced, or if raqulrad inspections have not been requested within 180 days fi'om the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All previsions 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. oro Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL4WFUL TO COVER, INSUL4TE OR CONCEAL .4NY WORK BEFORE INSPECTED .4ND/iCCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER i AIR SEAL CEILING JOISIS ! GIRDERS SHEAR WALL WALLS / ROOF ! CEILING DRYWALL T-BAR INSULATION WALL / FLOOR ! CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT 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 ELECTI~ICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R~W. ENGINEERING 417-4807 PW / ENGINEERING BUILDING 417-4815 ~--~'O7~r' ~--~-/~ BUILDING BUILDING PERMIT. PREAPPLICATION The Building Permit - Preapplicatlon m~,~ bt fdltd out com~let~,iy. Please type or print la ~ Ityou have any quotlo~st glea~ call 417-4815 Applicant and/or Agent: dho~l,J-~ ~v~r_<,~,a Phone: Address: ~],~ }JEt ~/~laJe~-b t9/ City:_ Architect/Engineer: Phone: PROJECTADDILE$$: ~//~ ~'{~l-t~ L}/}~'-f iOIO/~ ..ZONINO LEGAL DESCRIPTION: Lot:. Bloc Subdivision: TYPE OF WORIO SIZE/VALUATION: a P~sidontial cl N~w Consu'. a Retool a Wood.st~.¥~ SF. ~ $ /SF. = $ ~' r~ Multi.family o Addition O Mow . r~ Oareg¢ ,. SF. ~ $ .... /SF. "$ ~ a R~air c~ Sign '~ 0 l-'t+C---~_ TOTAL VALUATION $ 5 ?, 37~~ ~ COMMERCIAL/RESIDENTIAL: O~upan~ Group: Occupant Load: Construcaon T~,~: No. d Stofi=: .., Lot $/z~: % Lot Cowr~,.:c: ~ Existing La Cowr~ge: /sq. fi, + Proposed Lo1CoveraS, /sq. i~ = TOTAL LOT COVEKA~E: . PLANNING USE ONLY: APPROVAI~: PLAN P~mits Required: , ,. No~: ~ BLDG $i~ Plan and Use Approv~t by: __ Da~: ESA/Wctland(s): c~ Yes r~ No SEPA Chec, klisl require? 5 Yes r- No Oth~. PREAPPLICATION $UBMITrAI~ · · · ' Your aPt~,~n~n andtitt pl~, m~t b~.fil~l out comldzt~ to ~t a~ceptedfor.ro~'m Th~ Building Division can provide you with mor~ dctaikd information on thc app.. :arian and plan ~ubmittal r~quir~nmt~. BUll .r~ING PEKMIT APPLICATION SUBMI1TAL: Your c~plct~l application, site plan (for ~ ~,-~_!!ionz) ~uildiag c, oa.ntruation plar~ ar~ to b~ lubmittod to the Building Division. Any addition la. ~*r than 500 sq. f~ will n~d · pr~appllca~l~vim~. VALUATION OF CONSTRUC'I~ON: la all caa~, a valuation am~ ..;ti ~ I~ ~ by the epplle~lat figut~will b~ r~wicw~[ and may b~ r~vi~:d by lhe Building Div. to comply with current f~ ~h~. :1~. Contort th~ p~'mit Coordinator at ,~ 17-48.~. for PLAN CHECK FF,,E: Yea- plan c,h~k f~ iz du~ at thc time thc bu~k.,g pcnnJt application and construction planz are~ubmitlt~t. All p~xm f~ ar~ du~ at the tlra¢ of p~'rmt F. XPII~.TION OF PLM'4 REVIXW: II no l:~rmit is i~u~ win:., ~$0 days of th~ date of appticatiea, this apg ~ea will ~q~ia~ ra~fiooa Th~ l~idEmg Offi~al cm ~x~ad ~ Cam foc aafoa by ~ ap ,,acata up to l SO days. on writtm r~qu~t by the 304(d) of thc Uniform Building Cod-., cun'~at edition). No applicatic .. can I~ extended mor~ thru onc, r. ~ hertby certify that[ have read and examined thi~ a~plicati~n ~nd ~`~ ~ ~h~ ~am# t~ b~ ~ru~ and c~rre¢t~ dnd ~ am ~ iori~ed to opp~ for tltl$ permit. I under~tand Il i5 not tire Ci~'$ legal responzibili.tv . determine what permit.~ are required; 11 reJ aim the applicant~$ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 5/29/2001 PERMIT NO: 12639 OWNER/APPLICANT PROPERTY LOCATION L.J. DOYLE 3115 CITY LIGHTS PLACE 3121 CITY LIGHTS PLACE Lot: I1~., Port Angeles, WA 98362 Block: [] Long Legal 360/457-4966 Subdivision: CITY LIGHTS ESTATES T: S: Parcel No: 063000480070000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $159,938.00 SFD Units: 0 Commemiah 0 Project Type: NEW SFD SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES BUILD A NEW 1913 SQ. FT. SFR WITH A 734 SQ. FT. ATTACHED GARAGE PLANS J~10 FEES ASSESSMENT Building Permit: $1,329.75 Misc Fee 1: $0.00 Plan Check: $531.90 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $1,995.15 Plumbing: $91.00 AMOUNT PAID: $1,995.15 Mechanical: $38.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are raq uired for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 mad 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 heroin 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 '- SigD~Ut6'°f Owner ((f'~w.n~'~ builder) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE I YEsACCEPTED[ NO COMMENTS FOUNDATION: FmT GS / --fpOI POWNDATION DRAINAGE ELECTRICAL (LIGHT DEPTI SEP^RATE PERMIT: # PLEMBING UNDER FLOOR / SLAB ROUGH-IN /Z-?t'of WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WAELS /g-Zl-Ot CEILING ERAMING JOISTS / GIRDERS SHEAR WALL WALLS/ROOF/CEILING ,t 2--2/J-~ / DRYWALL T-BAR INSELATION MECIIANICAL tlEAT PUMP WODDS"JO'qE / PEELE I/CHIMNEY /INSERT I ]OODtDUCTS pW ETILITIES / SITE W'ORK (Engineenng Division} SEPARATE PERMIT SEWER ¢ONNE( THIN SANITARY PLANNING DEPT SEPA[LATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING S BORELVNE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGItT DEPT 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R.W. ENGINEERING 4174807 PW / ENGINEEPdNG FIRE 417-4653 FIRE DEPT. FOR OFFICIAL UgE ONLY: Building/Utility/Electric/Fire Permit Application om ~: ~- 7- o I Please fill out completely. Type or print in ink. If you have questions Pr~Ai~I Comple~ $HB1724:__ Y N please call (360) 417-4815 or Fax: (360) 41%4711 Lea~ ofcom~l~. e-mail: www. ei.por t-aagele~.wa.ns ISMs Pm~t At~,l: B.P. l~nmd: Applicant md/or Agcat: Phone:. Architcct/Eflgin~'/D~er: CgL~ ~ ~ ~ A~:. Ci~ ~p: CMt C~ ~ ~. Mte: ~ MC, co~ac~g~: ~ ~: ~ 5 - ~ ~t ~: ~n~ E~hg~< ~ /~.~+~s~t~e: ~ ~ ~7 /~.~=T~L~CO~GE:~7I~.~ P~G USE O~Y: ~PROV~S: P~ ~: N~m: B~G_, ~ H~: Smb~: ~: D~ Site Pi~ ~ Usc ~ ~ D~c: ~l~g ~ ~ pm~dc ~u ~ m~e d~ ~on ~ ~e ~K~fi~ md pin ~ ~d m~ ~ r~ ~ ~ ~g ~. ~ ~ ~ ~t f~ ~. ~ ~e P~t C~r~ P~ C~K ~: Y~ pl~ ~ ~ ~ ~e ~ ~ fling ~ ~l~g ~ ~plic~ion ~d ~n~fion pl~s o~ p~ ~t f~ ~e due at ~e fling ofpu'~t EXP~ON OF P~ ~W: ~no p~t ~ i~ ~h 180 ~ys of~e dine of ~pli~on, ~ ~ffis. ~ ~filding ~ ~ ~d ~ ~ ~ ~fion ~ ~ ~fi~t up to IS0 days, o~ ~R~ r~u~ ~ ~ ~plicmt (s~ S~ion 107.4 of~e Uni~ ~ldmg ~ ~t ~fi~). No ~pli~fi~ c~ ~ ~tmd~ m~c ~ on~ I hereby cf~ th~ ! k~ re~d and ~omined th~ ~p~co~on dnd kno~ the s~mf to be true ~$p~ for ~s pe~ ~ ~nder~d~ R ~ ~r t~ Ci~s ~g~l,~o~bili~ tp ~re~ine ~hat pe~i~ ~re mffu~d; it remaim the a~flcant's respo~bili~ to dete~ine w~t pe~i~ .red. red and to.in suc~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... Date/I- ! ~ ~- ~/ Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. /~-?~'~ Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney~ Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date,//-/~/~ -~/ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~-~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ? Date~ ' ' ? ~"' ~ ~' Time Received by ,,~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. · Sewer Foundation Framing Chimney Plumb~ng~ Final Sewer Excav. Other ~' · / · h,.~ ~ .~'. INSPECTION NOTES: Inspected: Date ,~' / ~? Time By Remarks: ~'), / ~_~ RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [--]Asphalt [~PCC []Other ~1 Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date !2 -~O~ 4~ Time Received by /~ ~/~ (phone, person) Location of Work to be inspected SI I~ Q..i'~! Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation~Chimney P~umbing~ Final SewerExcav. Other INSPECTION NOTES:~'~-~<'~ ~ J Inspected: Date [7.~~'~(~ (~Y'/ Time By Remarks:, RESTORATION REQUIRED ...... YES NO, SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel {~Asphalt [~]PCC [~Other [] Repaired by City Work Order # [-I Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date "~-~L'~I Time--Received by ,~ (~ (phone, person) Location of Work to be inspected ~ P// ~--- C./t~v~ Name of person requesting inspection ./--~ff'"--~, / ~ ' Address of person requesting inspection ~ Phone No. Type of Inspecti_qon (circle appropriate one): Permit No. /~- Sewer/~oun[ J~ Framing Chimney Plumbing Final SewerExcav. Other INSPECTION NOTES: Inspected: Date '~-~-O/ .Time ~;~(~/-~ By ~)~ Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE ~-INo Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Time Received by ~hon~ person) Location of Work to be inspected Name of person requesting inspection ~: U'~__ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. {;Z ~,'~ Sewer(Foundation\ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~:~ ~- /'~'- ~' Time By Remarks: RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt I--]PCC []Other [] Repaired by City Work Order # ~] Repaired by Permittee ~ COMPLETE ~] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 6/25/2001 PERMIT NO: 12752 OWNER/APPLICANT PROPERTY LOCATION L.J. DOYLE 3115 CITY LIGHTS PLACE 3121 CITY LIGHTS PLACE Lot: 12 Port Angeles, WA 98362 Block: [] Long Legal 360/457-4966 Subdivision: CITY LIGHTS ESTATES T: S: Parcel No: 063000480070000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Va~ue: $800.00 SFD Units: 0 Commercial: 0 Project Type: RETAINING WALL SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES CONSTRUCTION OF 87 L F OF 5' HIGH RETAINING WALL FEES ASSESSMENT Building Permit: $32.65 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $37.15 Plumbing: $0.00 AMOUNT PAID: $37.15 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits ara 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 spec fled herein or not. The granting of a permit does not presume to give authority to violate or cancel the previsions of any state or~ulating ~nsJ~uction or tJ3eq~rformance of construction. Signature of Contractor or Authorized Agent Date S'gna~t~ra of.~)~er 0f owner's build~'~ Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL,4WFUL 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 ~PE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: WALLS FOUNDATION DRAINAGE ELECTRICAL fLIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB WATER LINE GAS LINE RACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR [ CEI LING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY ! INSERT HOOD!DUCTS PW UTILITIES / SITE WORK (Englneefing D~vision) SEPARATE PERM1T #'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. 4174735 ELECTRICAL L1GHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 41%4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. C:L~.PPL WPD CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: "-' Date ~- ~i~ - O ( Time ~ ~. ::~4:),z~,., Received by , (phone, person) Location of Work to be inspected "-?/' ' ~ "? '~ /~ ~ Name of person requesting inspection /~,~r f '/ j~,, ~ /, Address of person requesting inspection Phone No. Type of Inspeefior¥-l~circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date"~- ~- "~~-~ f .Time ~'~ ~(~)//~'~ By Remarks:. RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE [~[ No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~'~--/~/" ~ f Time ~~:~ Received by ~ (phone, person) Location of Work to be inspected ~;% [ ~._~~IvJ[''-~ ~ ~:~-~---~ ~---'~ Name of person requesting inspection ~~ / Address of person requesting inspection Phone No, Type of~ti~circle appropriate one): Permit No. ~ ~ ~ Sewe~ Foundation~ Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date ¢-/~- O / Time ~ ~ By Remarks: SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt [~PCC []Other [-I Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) fl-,,"OATAI"'Q $.J.~tl(1,. ~ 'Ie. -=..:II' ~ ~~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000357 3115 CITY LIGHTS PL 0630157601200000 ELECTRICAL ONLY Date 4/02/03 o Owner Contractor LAWRENCE J/GENELLE A DOYLE TTE DOYLE FAMILY TRUST PORT ANGELES WA 98362 OWNER Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 46.70 4/02/03 9/29/03 Plan Check Fee Valuation - .00 o 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 <Jj -- -- ~\ -: (\ - ~ ")- - ~ -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 ruction r the performance of construction. Signature of Contractor or Authorized Agent Date T \PLANNING\FORMSIt 102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR alJILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS l1NLA WFl1L TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUQl)S LoeA TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO - - - FOUNDATION: FOOTINGS WALLS FOUNDATION DR,A.lNAGE ELECTRICAL (LIGHT DEPT) .SEPARATE PERMIT: 1# ROUGH-IN s-/ /~j 0:3 1.A-r..IJ PLUMBING 7' UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL - WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP - - WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering DIvision) SEPARATE PERMIT I#'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM - - . . PLANNING DEPT. SEPARATE PERMIT I#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: - - - FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE - - RESIDENTIA", DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 5/~k:5 AaJ ELECTRICAL - - LIGHT DEPT CONSTRUCTION R. W. / PW/ / / CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [4/2002J ,.' BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec ~ -26- Os Penmt# ~ '1.6 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 Date Approved Date Issued ApplIcant or Agent: LA R R 'I ""f- (; E tV c L LE Owner: ..s rt Y11 E Address: ~3 II __\ e ill LIC/-fT5 PI- CIty: )) oY' Lc { Phone: 3 bO ~ L/ S?- L/9 ~ h ArchItect/Engmeer: Phone: {Jc?,e-rl/ rJ~L-e-..s Phone: Zip: 9 8' 3 b 2- Contractor ..56 L- F State LIcense #: Exp: Phone: City: C L T7 LI c;.N7S Block: ZIp: p t.--.4 e-c- ZONING: R S - 7 SubdIVISIOn: e /,. Y L I~N/:5 E ST/1ie-s Address: PROJECT ADDRESS: 3 / CJ 9 LEGAL DESCRIPTION: Lot: I 3 CLALLAM COUNTY PARCEL NUMBER: 0' 3c:>/5 7 (gt!){ 301 DO , , ~T " ~ \' , ~ ' . , '.J:s.e~~t Car.dTnolder:Name: ;-,.....,' '. ........t.. . . ,,' , .; . . $~' - _ ~. ,. :.~ . ,. Billing Address: City: - ." ; I , Credit CardT~p8 YJS~" H~\.-'. "~ ~..r 'f #.... .. "1 .~ ...\ '. "', ' ~-..' ~ ,:;.... .'. ',. EX)>. Date: .. ~ "Ii..~ ... . - . TYPE OF, WO~~ -. (. ". ~ . . ~ ~., .- . .. ::"';" SI~~lJArJ~~: ~ '." ~ ' )K.ResIdential 'tS(N-et.iCoitstr. ,0 'Re~'~r'H; ;,t q ~~tove ,r;..Y Jtf~3" , SF. @ $ ~C'l 4!)U' '1SF. = $ o Mulh-fanuly 0 AddItion 0 Move 0 Garage iJ :?- q SF. @ $ /SF. = $ o CominercIal 0 Remodel 0 DemohtIOn 0 Deck SF. @ $ /SF. = $ o RepaIr 0 SIgn 0 Other TOTAL V ALUA nON $ I ";>2/ 66 0<:> BRIEF DESCRIPTION OF THE PROJECT: AJ~w R l?SIDelllC,JE 4111'11 A7T;<9c,4c'.i:J a-ARA-Q:o ., , "c.' r' p~~ -f. (.r', :' ..; \ ,~. 'i. (, '7 J 8:8 00 15"5"86 00 COMMERCIAL/RESIDENTlAL: Occupancy Group: Occupant Load: ConstructIOn Type' No. of Stones: -'- Lot SIze: q 2 7 ~ EXIstmg Sq. Ft. (;) & Proposed Sq. Ft. D..~~ = TOTAL Sq Ft 268Z EXlstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage 2 e, "_ % APPROVALS: PLAN:~ BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checkhst reqUIred? 0 Yes 0 No Other BUILDING PERMIT APPLICATION SUBMITTAL: The BUIlding DIviSIOn can provide you WIth informahon on the apphcatIOn and plan subnuttal requrrements If you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. ThIS figure wIll be revIewed and may be revised by the BUIldmg DIviSIOn to comply WIth current fee schedules. Contact the PermIt Coordmator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee IS due it must be submItted at the hme the building permIt applIcatIon and constmctIOn plans are submItted. All other permIt fees are due at the tIme of permIt Issuance. EXPIRATION OF PLAN REVIEW: Ifno permIt IS Issued wlthm 180 days of the date ofapphcation, the application will expire. The BUIldmg OffiCial can extend the time for action by the apphcant up to 180 days upon wrItten request by the apphcant (see SectIon 107 4 of the Uruform BUIldmg Code, current edIhon). No apphcatIon can be extended more than once. I hereby certify that / have read and exammed thiS application and know the same to be true and correct I am authorized to apply for this pennit and understand that it is my responSibility to determme what permits are requir:d ,not the City' I 'at I mus tain such pennits prior to work Date. ~ - .;J. h - (J 3 ?/.(JU r~-hv>-p t-~ .1T_ T \FORMS\APPS\BUlldmgpenmt wpd ~ lc.. 6~ ~k- UZ~ 1\crl~~ , , . .. . f c. 'I ~., , . ~ , . Ii 1::)&t\.i. \~ ~\l',~ 1=""a(\... ~~~.... tl .t A.\t "BD~ 10.....11\ ~I::" I ?e&o 4-. "&r -';'{,,,.~ LePJ.- M~ '4@4PfI;c.,....ls po- #:a=. . ~ ...' . . ~ r", .. ..... it; t#"'~l . , .~1-;jf~J' "if" :3 /0 9 C; 7J-: j./~h " {) J-- J-a, r~:!:.G:::!!~)e qr ~~,=-Wlk'~ rTClf!5 . -- f/ ~ ~ T-.J2r hea."A;r -) :)~.r- ~ I l/led evrl f ~/- i V.a 1/1+5> ::-;;. I fv r Vla.CA- ~ heQ f-~Wlf - I I I ~ I I i FOR omOAL USE 0fI0'L Y Darrnm:: . . PmlWrfl: [hie Apprtlftd: Ihte ISlUN: ELECTRICAL PERMIT APPLICATION The electrical Pennit Application must be filled out comDletelv. P357 Please type or reprint In Ink. "you have any questions, please call (360. 417-4735 Fax number: (360)417-4711 OwnerorElec.ContractorAgentL ,--:5', :L>e>YLc: Phone:1S7~Lj9b b Fax: Properly Owner. L r ~, f 0' ~Ge Phone: <i-.'f ;7 ~ y 7'?, ~ Address: _'":? II ~ C- '"2' L I Q H TS ~ tPL City: PO RTf) 'l/ c;: C t/7 .s Zip: 9.5'.J>,b 2- Electrical Contractor: IE; t- F - 0 lU ;J ~ tl- . ~nse I: A Exp: .- Phone: Address'-~~/S- I~/~ L/C.i/"7-S PLcny: lJt')~T "V(2ELt>.s. Zip: 9,g]t> INSTALLATION WIRED BY: WNER 0 ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: Credit Card Number: City: Zip: PROJECT ADDRESS:S/ / S- (3ITY / Check all that apply. 0 New L-/ ~hI/:S t:J L-/f Gc~ / VISA: MC:_ f]RT HN(;:cLc,.s Exp_ Date- TYPE OF WORK: .xAlterationlAdd~ion ~eSjdental 0 Multi-family o Commercial 0 Mobile Home . Sq. Ft. o Remote Meter 0 Detached garage Number of Circuits added or altered: .t". I o Hot Tub 0 Swim Pool o ~epticP,u.rnPO Low Voltage 0 Telecom. OSi .,<'.-'; :; ,: r",. .' ~: tA .(T Ol1TLFTS -f-, :;t;i, -- . Lrrti s o '\/'. ~fL/CL.t7Se'a . ELECTRICAL PROJECT: . ;' /- <I C./~(r54'-i~, 70 Electrical Heat Load Additions Service Information o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: o Baseboard o Fumace o Heal Pump o Fan-Wall _I'm _I'm _I'm _I'm PAMC 14.05.060(B): For industrial, commencial, & residential projects larger than a duplex, a one. line drawing of the EIec1rica! Service & Feeders. building size (sq. fl.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I a 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: ~ oate;3A :/03 oate:~ Owner or Elec. Cont.. Signature: PW-9019