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Home My WebLink About1125 W 8th St - BuildingCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001505 Date 12/05/08 Application pin number 183250 Property Address 1125 W 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 4256 0000 Tenant nbr name ADAM J /NICHOLE JOHNSON Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2940 Application desc TEAR OFF RE ROOF Owner Contractor ADAM J /NICHOLE JOHNSON TOPNOTCH ROOFING GUTTER 1125 W 8TH ST 1235 W 9TH PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457 0066 Structure Information 000 000 TEAR OFF RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF r Permit pin number 138727 Permit Fee 109 75 Plan Check Fee 00 Issue Date 12/05/08 Valuation 2940 Expiration Date 6/03/09 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 25 00 00 -c) l c,-a-i Date Print Name Signature of Contractor or Authorized Agent T:FormsBuilding DivisionBuilding Permit Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if Amer is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting ESA. Landscaping SHORELINE. Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 7-21:_o 9 T.Forms /Building Division /Building Permit G..� BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent -7 ,4c.. Property Owner ,Tr, ti N Property Owner's Address ,97,49 e ,00, '2I ID kc Contractor /Engineer ells j,, ,r, a R. obis) Contractor /Engineer's Address )2..11 s' b License #17 plot i 6 (14 y n4.Expires Y 4-„2 PROJECT ADDRESS i v t 'F Parcel Number Floor Areas Existing (sq. ft.) P (sq. ft.) Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 14 4 sq. ft. T Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be- installed? Occupant load Will a fire sprinkler system be installed? Construction type APPLICATION Print in ink Project Type Brief Description. )(Residential Commercial Multi family Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other Heat pump wood- burning stove gas fireplace pellet stove other For City Use Only Date Received 12 -OB Permit O- I-5 Date Approved Phone E-) i-7-41 4 in Phon 3 2 L JA `z 31 Phone t j --add A— ds E -mail Lot Zoning Industrial 0 -'0 ".Ett A .eg V A a.rvr 14--- per sq. ft. TOTAL VALUATION 14e, sq. ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date A% '20 ir Print Name r` I 1.4 t Signature(s OA 12/3/08 Company signature ,7 topnotchroofing@qwestoffice.net TOPNORG994DA EXPIRATION DATE: 5/18/10 Date lZ Bid prices are subject to reasonable increases due to any necessary alterations, additions, increases in material and /or labor to complete work. Homeowner will be notified of any necessary changes, which may affect cost. Property owners are responsible for obtaining any permits required for work and materials described herein. TOPNOTCH is happy to provide permit, but will add the cost to the final bill. Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to. Please feel welcome to call if you have questions concerning this estimate /bid If bid is accepted, please sign one copy and return it to TOPNOTCH ROOFING GUTTER, at the address above Work is scheduled upon receipt of sinned bid. Verbal agreements will not guarantee scheduled work. References are available! ESTIMATE AND BID PROPOSAL CONTRACT TO Adam Johnson, P 0 Box 1521 Forks WA 98331 374 2590 FOR: Re -roof 1125 W 8th St Port Angeles, WA 98363 Kami Reader 457 8581 or. 565 1353 Much of this composition roof is cracked and very brittle The roof is leaking In several areas 9 up' and disposal. j (p ad sec; Tear off-existing 3 tab roofing Clean u included lease abe ndvl First lof the ,year, the City. of PA IS raising the price xat th landfill :which will Increase Fees for any contract work done Iry ;2009) Roof ,with sq 30' year laminated, arch composition over 30# felt Install Elk starter course, 58' of ridge cap, 6 AF50. vents *441N valley 90' Drip edge metal, remove old chimney plug hole, roof over, 1 -4" neo 1 -1'. '5" 'neo ;neo, f Flat roof can be cleaned and torch down application will be applied over the existing�ffat�;roo; ,mate. rial Estimated cost of tear off, Hauling and landfill disposal, re -roof using the, materials specified 'herein, labor to complete work as described, and sales tax Pius City of Port Angeles Building permit required Tenant Kambra Reader will supply materials as stated on attached order, using her employee Discount Topnotch will provide the labor $2940 00 246.96 rN( $3186 96 $5050 23 Total plus building permit Authorized party to accept bid Material estimate $1718 88 144.39 $1863 27 Date MATERIAL WARRANTY BY MANUFACTURER, W RK ANSHIP GUARANTEED BY LICENSED, BONDED, INSURED CONTRACTOR Workmanship warranty does not cover alterations, lack of maintenance, or improper maintenance, etc. PAYMENT TERMS: ONE HALF TO START WORK. BALANCE DUE IN FULL WHEN WORK IS COMPLETED ALTERNATIVE PAYMENT ARRANGEMENTS MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE ]OB fPOA'T~ /O~~~ ha 1!:: -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl~cat~on Number Appl~cat~on pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zon~ng . . . Appl~cat~on valuation 06-00000224 Date 204416 1125 W 8TH ST 06-30-00-0-2-4256-0000- JOHNSON RESIDENCE MECHANICAL PERMIT 3/08/06 Lasered CEO RS7 RESDNTL SINGLE FAMILY 5035 Owner Contractor JOHNSON ADAM / NICHOLE 1125 W. 8TH STREET PORT ANGELES WA 98363 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 72322 Permit Fee 36.40 Plan Check Fee Issue Date 3/08/06 Valuation Expiration Date 9/04/06 .00 o Qty Unit Charge Per 1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extens~on 36.40 pemit MECHANICAL PERMIT Additional desc Permit p~n number 72314 Permit Fee 64.70 Plan Check Fee .00 Issue Date 3/08/06 Valuation 0 Expirat~on Date 9/04/06 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 Fee summary Charged Pa~d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 101.10 101.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 101.10 101.10 .00 .00 ;t, 0;;> ~ ~ /d K:' 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 ordina[ns governing this type of ,vIork will be complied with whether specified herein or not. The granting of a permit does not pres ~ to give uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of co truction. / ,. I . ~ /cJ6 Signature of Owner (if owner is builder) Date T.\Pohcles\1102_15 bulldmgpemllt inspectIOn record05.wpd [1/412005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 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. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL ~.. 7[ll,{{j(p <[~ HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~ '\\' ~ ~ + .,-- --- V\ ( IX1 - P" l ~ \ T:\Poltcles\1102_15 bwldmg peroni mspechon record05 wpd [114/2005] .~ ""~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL OrvlSION ~21 EAST STH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type description Subdivis~on Name Property Use Property Zoning Appl~cation valuation 06-00000224 Date 204416 1125 W 8TH ST 06-30-00-0-2-4256-0000- JOHNSON RESIDENCE MECHANICAL PERMIT 3/10106 RS7 RESDNTL SINGLE FAMILY 5035 Owner Contractor JOHNSON ADAM 1 NICHOLE 1125 W. 8TH STREET PORT ANGELES WA 98363 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 Permit Additional desc Permit p~n number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL EXTRAI FURNACE AND HP 72546 EXTRA MILE 48.10 3/10106 9106/06 TECH & ELECT , LLC Plan Check Fee Valuation .00 o '-... ""'- ~~ ~ V\. ~ t , Qty Unit Charge Per 1 00 48 1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48 10 .00 00 Plan Check Total .00 .00 .00 00 Grand Total 48 10 48 10 .00 00 \ 'it \ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER, 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 I NO IlITCH II II II -rH_IN I COVER ......K v II .... "TN AT 13-IO".n~ hJJI GENERAL COMMENTS: PW.II02.1~ (4'96) PREPARED 3/13/06, 13 53,43 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 8 3/13/06 ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL . . APPL NUMBER 1125 W 8TH ST JOHNSON RESIDENCE DAVE'S HEATING & COOLING JOHNSON ADAM / NICHOLE 06-30-00-0-2-4256-0000- 06-00000224 MECHANICAL PERMIT SUBDIV' PHONE PHONE (360) 452-0939 PERMIT, ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01~/13/ 6 JLL MECHANICAL ROUGH-IN TIME. 13 00 ~ ~~ ~ ~i~~O~~~~~ @1~~~=30~ T~Y~;~~H;~~~~-~~~-~~~~~-~~~~-~;;~ -------- ---- ------------------------ COMMENTS AND NOTES -------------------------------------- f Mar 07 06 09'57a DAVE'S HEATING & COOLING BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for re,,'iew. UyaD have any questions, call PERMITS (360) 417-4815 FAX(360)417-471l Applicant or Agent: .j) C-l. v-e..- t s -K -€.~ -t..' V'\. 't" Phone: 4-f5;;)-OQ3 ery ~ 17 -5L.( d.. () ZIp: q?3~"2> Owner: A d &l. VY\. <f- IV I 'c... h 0 I-e... SO h V\. s 0 \"'\ Phone: Address: / I :2 5 CUe 5-1 S?-tk S-iret:tCity: /bv..f- An ~ ArchitectlEngineer: '. Phone: 'D4-Vc=.~rlcf791 kG . / Contractor Dt?II~,).s l1-e.a.A-r'Y\{j StateLicense #:.DAoe:;;.sKC?, Exp: 5/0'7 1~c.... . Address: p.o. "tox: 7/13 City: ~V+~jQ,l9..s PROJECT ADDRESS: 11;;Z5 CJe5-t ~-!:6. 5+re-e-r- LEGAL DESCRlPTION: Lot: Block: SubdIvisIOn: CLALLA1V1 COUNTY PARCEL NUMBER: Phone: ~5~.o'13'1 Z q J2-6~ Ip. ZONING: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: T\'YE OF WORK: SlZENALUATION: ~Residentia1 0 New Constr. 0 Re-roof 0 Stove SF. @ $ ISF. = $ o Multi-family 0 AdditIon 0 Move 0 Garage SF. @ $ ISF. = $ o Commercial 0 Remodel 0 Demob.tion 0 Deck SF. @ $ ISF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $..5, 03S5U BRIEF DESCRIPTION OF THE PROJECT: -::r I'i. s+=...Ua..:::h '0",- DR- -e..k~l c.., fu cr~o.. <=-~ ~V\ A, ~ pv..--. f -to l""ef> 10. <:..S2.... 0 (' \ .fu lI"'V'Q.. C5L,. ,A/'J .D I 0 <.LJ (/0 I Tel. ~~ +-5+0-* c..u r .....~ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % APPROVALS: PLA...1\J : BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA.lWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other. VALVA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revlSed by the Building Division to comply with current fee schedules Contact the Permit CoordmatoI at 417 -4815 for aSSistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tIme the bUlldmg pemnt application and constructlon plans are submitted. All other penmt fees are due at the time of permit issuance. EXPlRt\.TION OF PLAN REVIEW: Ifno permit is Issued within 180 days oftbe date of application, the application will expire. The Building OffiCial can extend the 11me for action by the apphcant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Bu1.ldinglResidential Code, 2003). No appb.cation can be extended more than once. I hereby certify that I have read and exammed this appfication and know the same to be true and correct. , am a4ihorized to apply for this permit and understand that if IS my responsibility to determine what permits are reqUIred ,not the Cify's, and that J must obtain such permits pnor to work. T.IRVESSIBLDG-f_.b",dwre,\2004-Bm~""'~"wpd Appli,"": ~ D,"': 2/( /Ok, 010 A- CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A~ PERMIT NUMBER FEE RECEIPT NUMBER . ~6. "". , {/?C,)J.j.n, / ( !loMe TOTAL FEE ~ CONT. Lie. NO. TIMETO COMPLETE NO. STORIES LEGAL OCCUPANCY Owner Owner's Address Day Phone Application is he Installation By Installers Address ...... Installers Phone by made for Permit to install Electrical Equipment as . . r- .~~ -'1[.' ,~, -~p I '. W.,iring Method .\;. '~;YJ 1'," USE OF CIRCUIT NUMBER CIRCUITS AMP PER 'CIA /" 120V 10 . 240V 100R 3'0 FEE. , .' , AMP :" ~M'O": " , 'USE OF CIRCUIT NUMBER PER 120V 100R FEE . CIRCUFfS CIR \!Zl '.::a0 .. SIGN , 50 VOLTS OR LESS MOTOR MOTOR ...~ MOTOI' [: '....', ,>' ,1 ,.' :~~ f~;i ",""" .. , ,< , , FIRE ALARMS BURGLAR ALARM LIGHT LIGHT CONVENIENCE CONVENIENCE APPLIANCE DISHWASHER DISPOSAL . . RANGE OVEN WATER HEATER LAUNDRY .. r ", . . . ,'.'" .;., ""H , ," .7 " ~ '_':'K';;"~' ~ ,,,,,' "i t~._.:.~.,<: MISC. "', .;,-,:./-:" .,-,....', "ii'" '. ,-,..,,:: 'tf ,'\',.,-'t,': ,I ,,:,,~~,';"'i'~:' :' ; ~:~ ,,'f 'i !t1~':':' -~ ~!j i '; ',,,. "",.1., '~',.,,' """ "'1. \<;,'fi}', i "',:4,-.... ; .__;' ..~:l ,_I" i:'._ .:'-. -:~. '. ...... ci. ~ ... DRYER FURNACE GAS - 01l FURNACE ELECTRIC ELECTRIC HEAT (,[,:"" '.'.'77 r"p "S,t"" ; ',;.~~,' 11';H":'if 0 AEINStIiLCAflbN,L10AT:f)x1v~E.ji..;,::- "';'"", './<, ; . A.C. UNIT FEEDER "'I!l-~' "._~,_" ...:r::;"----- .;"''''''''/. ,-,," ',' :SUB,}P!i~L:fE~.', ,," ".;, '~~;,. ,,~'1, :"" .' ,ENEiiov,FEC ,j, ',. ", ;' .;'jiJ'(:J,S, BAB1C FEE' '," !,,',:. ,~,:' .' "',';.,,::,,\i''- ,';i.;,;.' <;-. '.' , .,," "",." TOTAL FEE " '.,'.',,,, ;.( ..-,.,....0'-y.,'o-o ~'\J.),,':t..~-,:Jilii.1, ,~'!.:)'.:I,r; SIZE OF SERVICE SWITCft OR CIRCUIT BREAKER ~., .1, ':'01'" '. l~ r.;- .' :' )'i,;:,:, .:;i: " "-. ,I.:': ",;; A, ; ~ t~1 'l.\ t..... ,:,-! .- "; :;,,- 'j',;, '::1:i. '~..... .~; ELECTRIC HEAT SERVICE I " ;60, ::!e:>I:J T SUB,TOTAL " '" "rrH" ;;.t. cO t/ Jo.o<J 1St. O<J,. AMP SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE SIZEOF.;MP\lJo , "", PeW.O; ''- . ,~ - .~':SIZti'~F~E:N~'RA:N'tE'SW1t~H~/ 1j)' ,. I certify that the work to be performed under this permit will be done ~y th~.:i~stall~r an~~.in,conf<?rm~!lce ~it.h th~..'~-:~ft~~lectrical Code. Q-'; 'f;r" ".........,..~-',,:'.::.-;'- "',, Date Application made L I 7 ,19' , By ," ,n .).~ 'i _;':~'- CO~,;~~C~OPl'q~:'~~N.ER}?~.A:~SH,6~,~~~ ~~;~T} Permission is hereby given to do the above described work, according ~o tt:fEfconditions hereo'n 'and'ac;tfdrpin~dd 'h~ea:~prOVed'plans and specifications pertaining thereto, subject to compliance with the Ordinances'of the City'of Port Angel'es. . .," . .11 , ,.,_1.. q ',', ",~'!:l' Eel }J~~,_ IT'.H,G~i~ , t.r,',' , . ,P'?"-'.,;,,\-, " ';~'. Date Permit Issued .' ~lANSAfi OVED ,'"I;', .> '~_'- .,.,;~:","" q - 17"- r S Notify Department of City Light by Stre~t Address and Permit Number whe~ ready fo; inspection. Work must not / be covered or current turned on before inspection and O.K. for covering or service has been given b~ Inspector in I Writing on Perm I! Placar~: ~A: ..Permit~..fh?n€!: 4.5?-O~.11 .E~t 158., ,~. ; t j J It./11r >', \ WARNING - ;' PERMIf PLACAR1J'MUST BE" KEPT pOSTED 6~':fH~;rl"IK'- SEE~ OV~R _ ': ilr~'~;>:, ;i'"<> ;?; WHITE. Original CANARY. Duplicate PINK. Trfpllcaie' . . W;:;ITE CAAO' .ilns~~ctor'S Repo;t ;; f OLYMPIC PRINTERS. INC. .~~~ :. ~, i-j t ~;.; '.:, ... ' ~ -t \ , ~ , ~ \ j 1,._ , .' ". _ _, J DATE OF VISIT MADE BY I/';Z \. rr., ,'71/'-:P . ': 11- /.-r- 1)" AtfJ. ". ~ t ~ Tf . 4; '/:;.}? l:J..holpr- '" -?.Lf , REPORT OF INSPECTOR " ., REMARKS '//01 r lI~u,..tel!(.,Of,-- ,/lfSr-t'e C.~O"NO Ru( I'" !lOt(f€- .1,-,'; ,I/.! e r . O.K. FOR COVERING '. O.K. TO ~~N,NECT SERVICE FINAL O.K. } . IN CAKIJCf' {"AN-n:... . . " ,. ')> ',". , .) , ... . , : \ ' \ \ . .. z Cl a:: c( ::IE ~ J: I- Z W l- .' I- o Z o Q \. , .\ MAR-09-2006 10:00 AM E.JANSSEN 360 452 2982 P. 01 I ~I\. !J. I .. EI~ctrlcal Contractor 5" . '-- .. 'J o Owner ~'t'~o.o:? , I ELECTRICAL WORK PERMIT APPLICATION o Request Inspection o Annuli Permit CJ AllIrm CJ CurniV81J 0 Commercial . Re!lldcltlJal a RCfl;ldcntlal Molnl. I;J Slgnl CJ Thermoltllt 0 Telecom. JUb ",ired by )lI Electrtc,,1 Contructor CJ Owner Instilllurlon description -t--J .e....J h..uJ- ~ lAtl'\p '"F- /A It.- tU A-(I I=- c..~ +- Jo ) J Eh:ClfiClIIl conlraClor l\lIme /LJ; Licen5e numher E if;. f. Tft.( (It '- Purc lIer'lS mailinll 81ldrels 4~ " JJ. "R44-1= STI2l:l=- r c~~ A-w7<..{q ~"';;;A- 9r'?":L. Tl!ll.'l)honc nUmhl.'f FAX number ~"O- Prllnlllt!' O'Nnrr'J nllme A~ "1.t1 To k. ~ S('r-J AIIll~tn or IDI~e,'lIofl II':J.S"" IAJ. Clty~ :."It.,. '2.. rr.-{.. >'..flt~C. r o Cosh D Check ff I hereby certify thlll l:!Im the ownl'r or the above III.llm:d prnpct'ry or <.I Ijccm~'d c1eClr~cnl contraclor (lIr thc firrn's authorizcd agenr) .mcl am. makinf. th\' (:leclrh::al inslllol!Hlion or alteration in cOl'l1plit\lIce with the ckclric.:lllaw. Chaprer 19.28 RCW. U Credit r;urd Visa Mastercard Discover C~ff________________ owner, etoctrlcal enUfraNl)r or electrical :lIllt1inistrator Expiration Date of card x WALLS Insul/Jlion Only n:II.JNG lm\ll~lin1' Only Tllr;:\{MOSTAT D~l~ ^F\I'I"\HII l\y IIITUf , SERVICE '- l)att! "Jll'\ftWcdlly FUDER Ih1.. "P""''''-.I My I)..e ^p/'ltuvo:d K~ DJlt ^ppTV\'~~ By ('nh~r '- l. n'll~ . tll)r"u',,:~ lh r')VCT Lb.le I\II111vvcd lh-- ~e- ~f'I'"wl'\l[)v "- ~81 Load Addlllone_and or sublracllon.~ D NO:LOAD CHANGES a Be.,board KW D Fur~ac. l~lJN IJ HeM Pump ~on __.. LAR D Fan,Wall KW j Service Information r.:J Overhead Smvlce Cl Temp Service CJ Underground Service VOllage Ph... D 1 D 3 Service SIze: _ Feeder Slze: 1!1IlJlCClion . Dote Arc:a, B\!ildinp, or Equipmenllnspccled AClinn Token F.leclriclll InspectOr . n./J~_