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HomeMy WebLinkAbout202 N Cedar St - Building Electrical Permit 202 N Cedar St 13 -069 W f ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000069 Date 1/17/13 Application pin number . . . 212191 Property Address . . . . . . 202 N CEDAR ST HS ASSESSOR PARCEL NUMBER: 06-30-99-0-0-3710-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form SubProperty Name . . . . . . to the City of Port Angeles Pro ert Use Property Zoning . . . . . . . INDUSTRIAL HEAVY (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Feeder guard shack and gate control ---------------------------------------------------------------------------- Owner Contractor PORT OF PORT ANGELES STRAITS ELECTRIC PO BOX 1350 PO BOX 2914 PORT ANGELES WA 983620251 PORT ANGELES WA 98362 (360) 452-9104 X52 O.7� ---------------.-------------------- --------- 7 - J----- N Permit . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 142.00 Plan Check Fee .00 ` Issue Date . . . . 1/17/13 Valuation . . . . 0 Expiration Date 7/16/13 Qty Unit Charge Per Extension 2.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 10.00 1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 142.00 142.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 142.00 142.00 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 2 z FINAL 2 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE\BUILDING ,V°°R'A4,,F ELECTRICAL INSPECTION °%' N WIRING REPORT RKS G` r tY �.s�"� 417-4735 6 DATE: PERMIT# INSPECTOR -7 OWAOR CONTRACTOR CTS *-L-& r-v F-L C-- ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . .��'"� ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: !SaA L- VISI L)r7YED {-LCL. 0 11•.t NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — Jan 16 13 09:16a Straits Electric 3604520741 p.1 CITY OF PORT ANGELES PERMIT APPLICATIONJ - BuildingDivision/Electrical Inspections 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362 Ph: (360) 417-4735 Fax: (360) 417-4711 ELECTRICk _ /6'e, INSPECTIONS Date: � �Multi-Family or Commercial* *Plan Review e uirie ��plete Electrical Plan Review Information Sheet Job Address: C:� Building Square Footage: ' Description cf above OwnerInf Information Contractor form tionf� Name:�07'}' G�1� Name:��Tc} Mailing Address: Mailing Address: city: Stale: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#/Exp. License#I Exp. Item UnitChamee Qt Total Q Multiplied b►Unit Charge) Service/Feeder 200 Amp. S 132.00 _ $ Service/Feeder 201 400 Arnp. S 160.00 $ Service/Feeder 401-600 Amp S225.00 $ Service/Feeder 601-1000 Amp. $286.00 $ Service/Feeder over 1000 Amp. $410.00 $�_ Branch Circuit W1 Service Feeder $ 5.00 2 $_�! Branch Circuit WIO Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1.4 $ 86.00 $ Temp.Service!Feeder 200 Amp. $ 102.00 $ Temp.ServicelFeeder 201410 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuil/Limited Energy/First 1500 sf-Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $ 113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat `1 $r= Total 00 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. Permit expires after six mor:ths of last inspection. 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 electric Nnstallation or alteration in compliance with the electrical laws,N.E.C.,RCK Chapter 19.28,WAC.Chapter 296.468,The City of Port Ang e M nrii al ode.and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Si natu of r,electrical contractor or electrical administrator: 0 cash 0 Check Credit Card# X Dated: —��� 0110112012 N ELECTRICAL PERMIT b CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000560 Date 5/11/12 V Application pin number . . . 903120 Property Address . . . . . . 202 N CEDAR ST HS REPORT SALES .TAX ASSESSOR PARCEL NUMBER: 06-30-99-0-0-3710-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . INDUSTRIAL HEAVY Application valuation 0 ---------------------------------------------------------------------------- Application desc Low voltage ---------------------------------------------------------------------------- Owner Contractor PORT OF PORT ANGELES TEKNON CORPORATION PO BOX 1350 15443 NE 95TH PORT ANGELES WA 983620251 REDMOND WA 98052 -------------- --- ----- (425) ------35 Permit . . . . . . ELECTRICAL ALTER COMMERCIAL (� Additional desc J V Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 5/11/12 Valuation . . . . 0 Expiration Date 11/07/12 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 --------------------------------------------------------- --- Fee summary Charged Paid Credited Due ----------------- ---------- --------- Permit Fee Tota]. 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL z COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING i I11-lj L � E t��L t � t jy pb121;t,� CITY OF PORT ANGELES PERMIT APPLICATION t`° 'i ® u Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ELECTRICAL lJ Ph: (360)417-4735 Fax: (360)417-4711 INSPECTIONS I Date: 65—Oe-12 _Multi-Family or ommerci l *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 202 CGQ STS ��T E{/yGi(rL �8 36 Building Square Footage: Description of above CG /4,49zft Owner Informatiq� Contractor Information Name: Vog AAl"T.RM& Name: 7_&X4-44V C0e-0e�745iof/ Mailing Address:_-CC»2— Al e--a6 .1`/ Mailing Address: city: IOC47' e7 SState:kl zip: 0 — '�) City: State: 141olf Zip: _6?495-2 Phone: 3!0-4S7=fis ac: Phone:/P 21'&IFS 412-5"-s29S-6 35" License#/Exp. License#/Exp. "W7 Item Unit Charge Qty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132,00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201400 Amp. $121.00 $ Temp,ServicelFeeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ � Portal to Portal Hourly $ 96.00 Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf i Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $_qe 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.Permit expires after six months of last inspection. i 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,KE,C.,RCW.Chapter 19.28,WAC.Chapter 296-4613,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check 9 CredltCard# _ I i x Dated: 0110112012 I I, 1i i i N ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Uy Application Number . . . . . 12-00000182 Date 2/22/12 Application pin number . . . 709332 Property Address . . . . . . 202 N CEDAR ST HS REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-99-0-0-3710-0000- onour excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . (Location Code 0502) Property Zoning . . . . . . . INDUSTRIAL HEAVY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 2 circuits time clock ---------------------------------------------------------------------------- Owner Contractor PORT OF PORT ANGELES STRAITS ELECTRIC PO BOX 1350 PO BOX 2914 PORT ANGELES WA 983620251 PORT ANGELES WA 98362 (360) 452-9104 4 a-r 1 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 79.00 Plan Check Fee .00 1 �1 Issue Date . . . . 2/22/12 Valuation . . . . 0 Expiration Date 8/20/12 ^ \ Qty Unit Charge Per Extension J �J 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ------------------------------------------------------------------ ------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79.00 79.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79.00 79.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE\BUILDING Feb 1712 08:36a Straits Electric 3604520741 p.1 R E C LF:l El Oily,C,�P OR ri.% CITY OF PORT ANGELES PERMIT APPLICATION FEB 22 264 CQ Building Division/Electrical Inspections �- 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ELECTRICAL Ph: (360)417-4735 Fax. (360)417-4711 INSPECTIONS -'�---� Date: _1 &2 Single Family Dwelling _Multi-Family or Commercial' K Commercial Addition/Alteration/Remodel/Repair' "Plan Review ley Be Reqfired,Please Dtete Electgcal Plan Review Information Sheet Job Address: G-r�7_ �i C'Pad T Bui:ding Square Footage DesaipGeP obgee T'C Ci -2- Ownerinfornotion /r� ;yrn Contra r In rm ion -D-e64 Name: (esv L)T- r 1� Name:�l 10 Y l�C� CitNiay: Address totalling Adc s: City: State Zip: City: State: Zi Phone: Fax: p: License#/Exp, Phone: Fax: License#lExp. < Item Unit Charge (�yt Total(Qty Multiplied by Unit Chame) ServicelFeeder 200 Amp. $119 90 — Service/Feader 201.400 Amp. $145.50 $ $ Service/Feeder 401-600 Amp $204.60 S ServicefFeeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 Branch Circuit�V Service Feeder $ 73.50 = $ Each Additional Branch Circuit $ 2.60 Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.ServiceTeeder201-4OD Amp. $110.30 $ Temp.Service/Feeder 401.800 Amp. $148.70 $ Temp.Service/Feeder 601-1000 Amp. $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting S 88.20 $ Signal Circuit/Limited Energy I First 1500 st—Commercial S 95.90 $ Note: $5.00 for each additional 1500 sf Sgnal Circuit/Limited Energy-1&2 Family Dwelling $ 63.90 $ Signal Circuit/Lanited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft $110.30 $ Each Additional 500 Square FL or Portion of S 35.20 $ Each dutbuildino or Detached Garage S 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ `]L(D 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.Permit expires after six months of last inspection. Aft r`readingthe above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making tgete In install on or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 29646B,The City D1 Port ees M nicipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature jown r,electrical contractor or electrical administrator: ❑ cash ❑ Check i �i `Credit Card p a z Dated: 01141120110 dw"'+ CITY OF>PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST STN STREET PORT ANGELES.WA 98.362 Application Number 06 00001329 Date 12/19/06 Application pin number 764334 Property Address 202 N CEDAR ST HS ASSESSOR PARCEL NUMBER 06 30 99 0 0 3710 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning INDUSTRIAL HEAVY Application valuation 0 Owner Contractor PORT OF PORT ANGELES ACCESS UNLIMITED AND SECURITY PO BOX 1350 2615 N CINCINNATTI PORT ANGELES WA 983620251 SUITE 101 SPOKANE WA 99207 (509) 241 0563 Permit ELECTRICAL ALTER COMMERCIAL Additional desc ACCESS UNLIMTED AND SECURITY. Permit pin number 92304 Sub Contractor ACCESS UNLIMITED AND SECURITY O Permit Fee 42 20 Plan Check Fee 00 Issue Date 12/19/06 Valuation 0 Expiration Date 6/17/07 Qty Unit Charge Per Extension ^ 1 00 42 2000 EL LOW VOLT SYS <=2500 SQFT 42 20 1\J Fee summary Charged Paid Credited Due Permit Fee Total 42 20 42 20 00 00 Plan Check Total 00 00 00 00 Grand Total 42 20 42 20 00 00 G �l ACCESS UNLIM'17ED_A.Mr E:LU 1's ;15 N CINC2N t i t t .n 1'1 .Y.-a+r3n � r COMMENTS/ACTION NEEDED , i ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCBPTBD TS COMMEN YES NO DITCH SOMCE FINAL GENERAL COMMENTS: ELECTRICAL WORK PERMIT APPLICATION .tiae 4 e„4asrros" Installation description Job wired by Electrical Contractor ❑ Owner 9 Commercial ❑ Residential Electrical contractor ame License number Date Expires � �N A ❑ New I] Altered/Addition Purchaser's mailing address 2(0�S /V, �'1:�Gi n na f- sv. /D City State ZIP lam' Saoka-A,e q- !?FZ4 Telcf hone number FAX number D - Z Premises owner's name n 912rihe- TC1_M na.l A aF� P 1�e1�S � aiv koro �- Address of inspection -INS 7— Phone number to schedule inspection • 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. ❑ Cash ❑ Check# After reading the above statement, I hereby certify that I am the owner of the above-- named bovenamed property or a licensed electrical contractor. I am making the electrical instal- fh� Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter- 1 19.28 WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Car Utility Specifications. Signature of owner electrical contractor or electrical administrator Expiration Date Inspection fee Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES ❑ Baseboard _KW Voltage ❑ Furnace _KW ❑ Overhead Service Phase❑ 1 ❑ 3 ❑ Heat Pump _Ton LAR ❑ Temp Service Service Size: ❑ Fan-Wall _KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360-417-4735 ROUGH-IN THERMOSTAT E5;Appr E Date Appr ed By Date Approved By Appr ed By FINAL DTI'CH ate Appr ed By Date Approved By ed By Inspection Area,Buildingor Equipment Ins ected Action Taken Electrical Date Inspector CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST STH STREET PORT ANGELES,WA 98362 Application Number 05 00000551 Date 7/12/05 Application pin number 313961 Property Address 202 N CEDAR ST ASSESSOR PARCEL NUMBER 06 30 00 0 7 9800 1000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning INDUSTRIAL HEAVY Application valuation 0 Owner Contractor PORT OF PORT ANGELES STRAITS ELECTRIC PO BOX 1350 PO BOX 2914 PORT ANGELES WA 983620251 PORT ANGELES WA 98362 (360) 452 9104 Permit ELECTRICAL ALTER COMMERCIAL Additional desc STRAITS/ 201 600 SV FDR Permit pin number 53728 Sub Contractor STRAITS ELECTRIC A _ Permit Fee 184 30 Plan Check Fee 00 Issue Date 7/12/05 Valuation 0 Expiration Date 1/08/06 Qty Unit Charge Per Extension 1 00 184 3000 ECH EL COM ALT 201 600 SRV FDR 184 30 Fee summary Charged Paid Credited Due Permit Fee Total 184 30 184 30 00 00 Plan Check Total 00 00 00 00 Grand Total 184 30 184 30 00 00 r CA COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD r' CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MR45RN 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. i KEEP PERMIT CARD AND APPROVED PLANS AT)OB SITE INSPECTION TYPE DATE ACCEPT® COMMENTS YES NO DITCH SERVICE FINAL GENERAL COMMENTS: PW-1 102.15(4%] ELECTRICAL WORK PERMITAPPLICATION p ❑Request Inspection t Electrical Contractor 13 Owner 4,11*4MO. 0 Annual Permit O Alarm 0 Carnival Commercial O Residential 0 Residential Maint. O Signs O Thermostat ❑ elecotn. Installation description Job wired by ftElectrlcal Contractor ❑Owner Electrical contractor name License number Straits Electric STRAIE*0110S Purchaser's mailing address P.O. Box 2914 r� City State ZIP Port Angeles WA 98362 67406cj2�f Telephone number FAX number / 360-452-9104 360-457-4698 �2c iu�2&4- Prpwlrsero(gwner's me _ U ��� Adss of inspection ` cltr O Cash 0 Check# I hereby certify that I am the owner of the above named property or a licensed ®Credit Card Visa Mastercard Discover electrical contractor(or the fum's authorized agent)and am making the ciccttical installation aht�'ti tion in compliance with the electrical law.Chapter 19.26 RCW Card# si nal ner, electrical contractor or eleetricnl administrator Expiration Date of card $spScti ee WALLS CEHJNG ETHERMOSTAT SERVICE Insulation Only Insulation Only Dale Appmvvd By Dale Appmved By De1C AM�vee By Dare Appmved by Cover Cover D� �'®� Dale Appeved By care Approved By Dae Approved ay Dare Approval 9y Electrical Load Additions and or subtractions Service Information Cl NO LOAD CHANGES -- ❑ Baseboard _KW Voltage ❑ Furnace _KW 0 Overhead Sen6ce Phase❑ 1 ❑3 Cl Heat Pump _Ton_LAR ❑ Temp Service Service Size: ❑ Fan-Wall _KW Underground Service Feeder Size: Inspection Area,Building or Equipment Inspected Action Taken Electrical Date Inspector !. J'✓t1' Si e%.s I> ?I L- TO[n OHIO= S,lIvias 969VLSV09C TV3 vt 90 20OZ/6Z/90 CITYPORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 BAST STH STREET. PORT ANGELES.WA 98362 ELECTRICAL PERMIT ISSUED: 2/21/2002 PERMIT NO 7550 OWNERIAPPLICANT PROPERTY LOCATION PORT OF PORT ANGELES 202 CEDAR N 338 W. 1ST Lot: Port Angeles, WA 98362 Block: 8 ® Long Legal 360/457-8527 Subdivision: TIDELANDS WEST T: S: Parcel No: 063000079800000 CONTRACTOR ARCHITECT STRAITS ELECTRIC N/A P.O. BOX 2914 PORT ANGELES, WA 98362 98360-0000 360/452-9104 360/000-0000 PROJECTINFO Project Type: INDUSTRIAL Project Value: $0.00 Occupancy Type: Construction Type: TEMP. FEEDER N Occupancy Group: Zoning Use: M2 Electrical Heat: t` ❑ Baseboard 0 KW ❑ Riser ® Underground Service Z ❑ Furnace 0 KW ❑ Overhead Service Voltage: 0 0 ❑ Heat Pump 0 KW ❑ Temp Service Phase: ❑ 1 ® 3 ❑ Fan Wall 0 KW Service Size: 0 Feeder Size: 600 PROJECT NOTES rc temp. 600 a. feeder at terminal #1 } FEES ASSESSMENT Service: $92.30 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $92.30 AMOUNT PAID: $92.30 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, ITIS UNLAWFUL TO COTTA INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH-IN C07ETF-- ZU b Z 52, GENERAL.COMMENTS: PW.1102.15[496] r �` ^FN CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 03-00000941 Date 12/02/03 Property Address . . . . . . 202 N CEDAR ST ASSESSOR PARCEL NUMBER: 06-30-00-0-7-9800-1000- Tenant nbr, name . . . . . . PLATYPUS MARINE Application description . . . SIGNS Subdivision Name . . . . . . Property Zoning . . . . . . . INDUSTRIAL HEAVY Application valuation . . . . 200 Owner Contractor ------------------------ ------------------------ PORT OF PORT ANGELES OWNER PO BOX 1350 PORT ANGELES WA 983620251 ---------------------------------------------------------------------------- Permit . . . . . . BL MANUFACTURED HOME Additional desc . . OFFICE TRAILER 10X46 Permit Fee . . . . 230.00 Plan Check Fee .00 Issue Date . . . . 12/02/03 Valuation . . . . 200 Expiration Date . . 5/31/04 (S y Qty Unit Charge Per Extension 4 ---------------------------------BASE-FEE ----------------------------230_00 . 1 Permit . . . . . . SIGN �J Additional desc . . 33 SF WALL MOUNTED SIGN Permit Fee . . . . 85.00 Plan Check Fee .00 Issue Date . . . . 12/02/03 Valuation . . . . 200 Expiration Date . . 5/31/04 Qty Unit Charge Per Extension 1.0085.0000PER S- SIGN WALL 25 85.00 --------------------- -------- ------- - - Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due - ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 315.00 315.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 319.50 319.50 .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 co struction %�1r9'i��r�l�i�aC��✓� I hC /L/243 Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) 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 ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE 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 C, dpcltis - �a�,k� K� v i Z,. IS--0� � I..• WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDERFLOOR/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 ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING 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 R W /PW/ CONSTRUCTION-R W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 S PLANNING DEPT BUILDING 417-4815 BUILDING Gy —I L T\PLANNING\FORMS\1102 15[11/14/20031 PREPARED 12/15/03, 12 17 31 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/15/03 ------------------------------------------------------------------------------------------------ ADDRESS 202 N CEDAR ST SUBDIV TENANT, NBR PLATYPUS MARINE CONTRACTOR PHONE OWNER PORT OF PORT ANGELES PHONE PARCEL 06-30-00-0-7-9800-1000- APPL NUMBER 03-00000941 SIGNS ----- --------- ------------------ - PERMIT: BIM 00 BL MANUFACTURED ROME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------- -------------------------------------------------------------------- BLBT 01 12/15/03 BUILDING BLOCK AND TId May also want final butut I dont think electrical is completed ��� Kevin417-0709 -------------------- COMMENTS AND NOTES _ 0j POArrtr,r FOR OFFICIAL USE ONLY s BUILDING PERMIT e APPLICATION Date Ree -2_ '03 An Permit#Fill out COMPLETELY and in INK.Your application and site plan MUST B Date Approved• tO COMPLETE to be accepted for review. If you have any questions,call (360)417-4815 Date Issued Applicant or Agent: f,�4_ZJF_a5_ 4AAiZ//U £—_ /(/C- Phone: ��'9�'d70 l Owner:1U o 5 0/) &04/+ 66!A a Phone: 360 —1/2-07,02 Address:IC)a OC Ve,114 Cam �—,-QA,17 City: �-on-f—A�U G 4�7_01 Zip: g6-3 6 3 Architect/Engineer. n �— Phone: ✓\ c�- Contractor F(4,tj Dvs AR,PJ Z�-��� State License#42 2 �1Z7 i Exp: i��3'�113 Phone: 36G-q17 o7a j Address: (CL_ (?cF)-jA2- City: Pry- �/�c �1 Zip: 59 S& 3 PROJECT ADDRESS: 1002 IJny T E+ l z ZONING: �pt2tl Jui2? LEGAL DESCRIPTION: Lot: Block: 3 Subdivision: 2 d CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF.@$ /SF._$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF._$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$ ❑ Repair ❑ Sign Other P d&G;r TOTAL VALUATION $ ,1400°d BRIEF DESCRIPTION OF THE PROJECT: 4 X I U VvW O or-wer 7.0 96- i:.Ae,0'6 r-r C_-1tST_ 6h.p r,f- 6Ar1d nes Pj/} /us r tA,,¢2,./C_ OAF (?£ P 4 4y) COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: t Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Existing lot coverage %&Proposed lot coverage %=Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: FIRE. 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: If no permit is issued within 180 days of the date of application,the 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 107.4 of the Uniform Building Code,current edition). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authonzed to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City's, and th -must obtain such permits prior to work. T TORMSWPPS1Buildingpermrt wpd Applicant: Date: er 7'03 • 1--1 r Log Otorage Area > > > 1 > J i r B i 3 • � A • r • O ._. 270 — 1 � �F.F/(� a w ,p e • � � o ►�} y OCD ` a v r \ \ • e • N ( C13 J a i P 5t •. • o • r C ——ter 2♦ � 111 1 p 1 f — at • .. •sat • n a G 0 d K-Ply Lease Area v 'o rn o S w o Z S2 O H O w O .0... -00-.. d D. � 91 fD W d ^ CD 0 — , fD, E- 5 O �/� Scale In 1111 5°. � o. y `za ray D � =w rr N CN O SD d z AREA LOW SCALE► In. 100 11. gr M EXHIBIT A PORT of PORT ANGELES DATE """- sL c ` DRAWN BY Icws Crime Tera e' � ;D ? = o A d m i r a l Marine Lease Map Port Angeles, Washington APP'° BY act. o > > s v m SHEET OF 1 fa -•N lD 7O 9 '11 FIV ti O 9 „��• n G0'' m AGO C�� 0) l� t� A�BEARIN6 PAs SFEiCJIFIGATIOH �+ M . PRDVIOE AIDE;6PZLtO WMACT(PIER PAD W Kk4FACIVRFD7 H lrft FOUVATRAI 5ySM46.INC, a OR EhAL PADS 51i&tL BE RATED FORkOT LE55 THAW IL. 35000C:TT GAPAY/N THE 61VM 501L C WrrION5 ��• tz l STC A5UH 6 M SOIL HA5 A 2000 PSF ALLOVVaE 1u y7 I I- WJYZJN6,PRE:5&JW-SWH A PAD YaW M" s C' A!�a b'`.�+llol FooyMhlf. PAM SNALL BE of:rs wRINTED iNTTH THBR I.0A0 RATIN6 E'ir THE Mk.WACRMt VISSER NO ENGR11NfEInlC i BFMW6 PAD"OW UPAOTY } AS5 SEARING PADS I ' L z I m �—� 0 C 1 C Q o qT � I C1 TtE4DbM3d sTR.ap--. ANCHOR PAD C I ® C VtrWIH 8 OF TIE-DoRi Saw TE oafs CM WSW A ►%X LATULAL JW DIAGONAL, TIIE-DOVN5 L4( '-TE-DOYt<E.ART11 ANCHOR di l i SITE 115TALLED $MlW IPI AGGORUA Z M4 -� HA1iIF•ACURRS GRTTERK TIE-OM STRAP fOR TIE 61VEMWILS WolrkM ' I FOR AN ILTIHATE CAPACITY (•-l;, I 0 NOT LE 95 THAN COO POL". ' T'I'P Y` 4042-bM2, A)V PAP .roe eo:-- --- -_------� KIWW V GF flE-D" KV `iC7fY1 rc po"fix A moo Mr.LATER LOO TIE-DOm5 _' 1 Lease Area Identification, V 3 O ~,siW A Admiral Marine primary Lease Area - 2.16 acres D Travel Lift Dock Area - 20,000 ea 1l c m o $ Admiral Merino Lease Optloa Area - 1.76 acre• • bo z J W 3 c W C AT&T Lease Area - 0.37 acres (Expires 6/21/66) LP < W d i y N O O t N QAcc•ssway Easement - W c J C W M cD c Q to mom � o r �e O to N 7e,Mine% 3 0- 4p�n 0 c CITYtrequiring T ANGELES nstruct6�n Plans �Q a The Iss this permit based upo thesWans,specifi- 6p cationser data shall not p evert building official 1' from trequiring the co rection of errors in said ��pl�ns, tions and other ata, or from preventingbuildinions being carried on thereunder when ini violatiocodes and orer ances of this 'un n. (SECTI )- iform tldmg Code.) Appro 1 a s� �1Q► '� • N � Q w • � J 1 � m Sob X r • a Uj • s b i • e • 0 1 • Z • E J N O 6iUI,_ 6v9�p,n/e 49 p Ma►Ine to .4v 4*MA f A856EAR��SFTUFIGIsT10H PROVIDE W-)6P4M GOMAGT PlOt PAD �nSi'MAai+FACiURF77141f'lI*F06 OATkM STT;T 46.INC. T(, �+:` a' CIL OR 6CiJI+�L PADS 5RkL BE RATED FDR NOT LE5+5 TW4V , �3U)01 CAPAUM WN TIE 61VBN 501L CCtOtT10N5 �y�f SfC��ASTSHN6 T}E SOIL HA$A 20oO P5F AU.0r AME rs^��ya��� C) C) BE.I1RINfr PRL56W,5lY'�H A PAD.t101A1D NSD D►-:cs -H ...-'' � �' A M'`.QWM FGOI piRr. PADS SHALL BE Ihg'121M:D Arm THBR LOAD RATN6 6Y Re MAWJPAGTUMt VISSER ENGUN CERIMC I _ 1 wmm PAD GAPK.Iff S AS:5 BEARING PAD5 1 g } o m Q { 44 I if o , T1E;DM STRAP- r 1 AW1lDR �� �7-P 8A�AND PAD Lp YU + 94aw TE rows 4m ftsw A z as KW LATUtAL L" DIAGONAL TIIE-DOk+ KS LCA c ,T A- E 1 -- Tff-f�f EARTH ANIGHOR, rM7W M ACC.ORDAWZ M4 SITf•-IbSTAI.LED —�' �1A1fIFALN�t�>GRfT 4�' i I l M-OOM51RAP FOR TFf 61VERWIL5 C*Otr%K I FOR AH WlnMTE CAPACITY OF WT LE%799 4700 PaM6 I TYP i � Y+L5MI0�42-bf�------- r— r ''TA)V ANL)PAD JW W. —� ramw 8'CF nE-D" mvv =aTA,:F I 50"TE.DD/m cm asff A mom NkK LAn"b9AD = ! ! TIE-DOHN5 _ - I RrA, FOR OFFICIAL USE ONLY BUILDING PERMIT e APPLICATION Date Rec. 9-23-6 if Permit# q 141 I _0 Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved /Z COMPLETE to be accepted for review. If you have any questions,call (360)417-4815 0 Date Issued Applicant or Agent:_,Io /y/s<1 A)f-, Phone:- Owner: . „o 9li�ti/wv9�AR y Phone:rib 1 4/9-0 70 r-t Address: ,�',�Id>�M City: Par AAJ.,6�g �if Zip: 9,3(v 3 l Architect/Engineer: ,"! , Phone: ;L 1�1 Contractor 1?(ftgt, AAAlz(g/e, _7:�L State License#: 60/-H.27-sdSExp: 2-1311,13 Phone: Address: �Vlu� City: Sc w— Zip: �aw� PROJECT ADDRESS: IG,2 1 ,A-rH- &W9- S t-kat -r ZONING: 6mj; c'/•4c- LEGAL DESCRIPTION: Lot: 1 Block: 7 Subdivision: -2-6 CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC_# Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF._$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF. _$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$ ❑ Repair ;Sign ❑ Other TOTAL VALUATION $ e.2 cc 0 BRIEF DESCRIPTION OF THE PROJECT: A 51 GA) 9z) ::Ay Dov-7-It l J1s i Cope►V t<_ e,}= 1yf_ ISvktu-ir,36 Affgd�t%w%m/ig -20 -561 ikrr Wiry &wz-o c.-Ittf PL✓Lje✓5 COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Existing lot coverage %&Proposed lot coverage %=Total lot coverage % -- APPROVALS: s C P ANNINn�USE ONLY: I " PLAN: _- r -4- BLDG: DPWU: ESA/Wetland(s): Yes o SEPA Checklist required? ❑ es o Other: FIRE' 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 Pernut 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: If no permit is issued within 180 days of the date of application,the 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 107.4 of the Uniform Building Code,current edition). No application can be extended more than once. I hereby certify that 1 have read and 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. T\FORMS\APPS\Buildmgpermit wpd Applicant: *?���� Date: CITY OF PORT ANGELES—Conatme lon plana The Issuance of this permit based upon these plans,specie. cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing FILE budding operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. (SECTION 303(c)•Uniforp Building Code.) Approval Date Y V 41 rrr, T 58" D r 1 r Ir A r� r t r " J 7 ,` )rsd d ,,.ti�.v,.. 1rT t'^yn �"y`aa 1- IF CALL 360-417 - 0709 Sign hardware The sign will be secured to our existing building using '/z" stainless steel awl thread The exterior of the sign will be secured with a stainless steel acorn nut along with a stainless steel washer On the inside of the building there will be 2 X 4's that run across our existing steel structure. The awl thread will go through the wood and be attached with a nylon nut and washer. The bolt pattern will be 4 bolts on the top and bottom of the sign There will also be one bolt in the middle of each edge as well as one bolt in the middle of the sign for a total of 11 bolts holding the sign up The sign is made up of 3/a" plywood with a steel front that is painted white The back of the sign is treated with an epoxy to prevent water damage Less* Area Identification 0 3 O r� A Admiral Marine Primary Lease Area - 2.16 acres D Travel Lift Cook Area - 20.000 sa It ` b B Admiral Marino Less* Option Area - 1.78 acres , w 3 W C AT&T Lease Area - 0.37 acres -91E:►Ites 5/31/90) u 0 N w G S (�T N N CIO t N Aeeessway Easement JC W t C7 c Q H � o Tegmina% C 3 \ 0 o Q a. � ti Or 0 ! n a • � Q • � � m _� Xi ` • i ! 19 W o ! H (3iJILQlfll� i J ° F Marine Drive • eWc _ f- `_ . „• �._� A69) 02/19/2002 16: 34 FAX 3604574698 STRAITS ELECTRIC 1102 ♦onr � FOC OFFICIAL USE 0,%IN ELECTRICAL PERMIT APPLICATION The Electricy Penult Application must be filled out completely. Pledge type or reprint In Ink 11 you have any Questions,please call(360.4174735 Fax number:(360)4174711 REQUEST INSPECTION ❑ Omer or Elec.Contractor Agent Straits lElecttricp roc^ ph n w 452-9104 Fax: 457-4699 Property Owner 'Pot Y+ , ` YI lil`s Phone: Address: tr city. Foy+ imckS W 3&Z Lp:_ Electrical Contractor. Straits Electric License#. STAAIE*OJ;DS 9/03 Phone 452-9104 Address: P.O. Box 2914 city: Port Angles, WA zp: 96362 INSTALLATION WIRED BY: ❑OWNER ]ELECTRICAL CONTRACTOR Credit Card Holder Name.- Straits Electric BIIIIngAddressr P.O. 'lox 2914 City. Port Angeles, WA Z/P_98362 CredltCardNumberr Ex Dare. X P VISA: MC._ PROJECT ADDRESS: ZZ` N -4.11N TYPE OF WORK: Check all that apply: ❑New AAlteration/Addition ❑ Residental ❑Multi-family 7 Commercial ❑ Mobile Home Sq. Ft. ❑ Remote Meter ❑ Detached garage O Hot Tub ❑Swim Pool D Septic Pump ❑ Low Voltage ❑Telecom. E, Sign Number of Circuits added or altered: o� /;J ,rtp _ p y L� r DESCRIPTION OF THE ELECTRICAL PROJECT; s � 't-I�. rL/ V I'CQ�I./1 �it�L1,tQ�(,( OO A Te.rn1� Electrical Neat Load Additions r Service Information ❑Baseboard KW 3 O Voltage: ❑ Furnace _KW ❑Overhead Service Phase: O 1 O 3 ❑Heat Pump _KW ❑Temp Service Service Size: 13 Fan-Wall _KW O Underground Service Feeder Size: f AMC 14.05.060(e): For industrial,commercial. 8 residential projects larger than a duplex, a one- line drawing of the Electrical Service 8 Feeders, building size(sq,ft.), load calculations, and the type ii of conductors and/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that/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 responsitIft to determine what en rmits are required; it remains the applicants responsibility etermine what permits are required and to obtain such. Credit Card Holder's Slgnat re: Jo T cker/Christie Tucker Date PW-901 9 Owner or Elec. Cont. Slgnat re; Date: 1 9 l DZ