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Home My WebLink About1530 W 4th St - BuildingSubdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000902 Application pin number 181966 Property Address 1530 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2620 0000 Tenant nbr name MARK THOMPSON Application type description RE ROOF RS7 RESDNTL SINGLE FAMILY 5800 Owner Contractor MARCUS L THOMPSON 1530 W 4TH ST PORT ANGELES (360) 452 6942 WA 98363 Signature of Contractor or Authorized Agent LARRY S ROOFING 352 AVIS ST PORT ANGELES PORT ANGELES (360) 452 2215 Fee summary Charged Paid Credited Due T \Policies \I102_15 building permit inspection record05 wpd [1/4/2005] Date 7/31/07 WA 98362 Permit BUILDING PERMIT NO PR FEE Additional desc TORCHDOWN OVER ROOF Permit pin number 108241 Permit Fee 151 75 Plan Check Fee 00 Issue Date 7/31/07 Valuation 5800 Expiration Date 1/27/08 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Permit Fee Total 151 75 151 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 156 25 156 25 00 00 E>01'4 Io zo �a9 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 ordi nces ning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to •j au ht ri to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD 0, 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 AN) WORK BEFORE 0 INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 1 INSPECTION TYPE DATE I ACCEPTED I COMMENTS I YES NO I I FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY I FINAL FINAL MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I FIRE DEPT PLANNING DEPT 417 -4750 I I JII I PLANNING DEPT A I BUILDING 417 -4815 I I `J t)�l E x ni YZ/A I BUILDING T \Policies11102 15 building permit inspection recordl5 wpd [1/4/2005] DATE ACCEPTED BY. 0 DATE ACCEPTED BY. DATE YES ACCEPTED NO II 7 I I I It I I I I I I I I Applicant or Owner Address. Arcliitect/E Qineer• ContractoNS rC 4 r L r)q r Address: 3Sz..., J PROJECT ADDRESS i al 1 UtZ arC 1om So11 l,) L gen_ LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WO Residential Multi- family Commercial Repair RK. SIZE/VALUATION New Constr Re roof Stove SF /SF Addition Move Garage SF /SF Remodel Demolition Deck SF /SF Sign Other TOTAL VALUATION ._8. BRIEF DESCRIPN F F[F VROJVCW COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Buildmg 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and exa apply for this permit and understand that must obtain such permits prior to work. TAFORMS\B1dgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION 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 ERMITS (360) 417 -4815 FAX(360)417 -4711 n i City State License 14 0t1 ned thi is my r Phone. L itt ai I Phone. b� 61 Zip C v Phone: Exp Subdivision. Occupant Load. Proposed Sq Ft. ZONING Construction Type TOTAL Sq. Ft. lication and know the same to be true and correct. I am authorized to si.4ty to determine what permits are required not the City's, and that I Date: 0 FOR OFFICIAL USE ONIA Date Rec. 7- 31 -07 Permit "16 Date Approved:' 0 7 Date Issued: k Phone: Zip Je3 bL APPROVALS PLAN BLDG DPWU FIRE. OTHER -Vg-947- "IF,T,S.XF-7;1,`7, fl es 155a n o 5- Application Number 07 00000591 Application pin number 184404 Property Address 1530 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2620 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor THOMSEN MARCUS L 1530 W 4TH ST PORT ANGELES WA 98363 Qty Unit Charge Per 1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Date 5/25/07 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc EL SVC /ALTER SVC Permit pin number 102673 Sub Contractor ELECTRIC SERVICE Permit Fee 64 00 Plan Check Fee 00 Issue Date 5/25/07 Valuation 0 Expiration Date 11/21/07 Extension 64 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc EL SVC REMOTE METER Permit pin number 102681 Permit Fee 11 00 Plan Check Fee 00 Issue Date 5/25/07 Valuation 0 Expiration Date 11/21/07 Qty Unit Charge Per Extension 1 00 11 0000 ECH EL- METERS REMOTE INSTALL 11 00 Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A.MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE. FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO E f fr ve- 't_-1Y- 21.44ZP 1 t Pt- o Z s I I N I COMMENTS P1V 4102.15 14/96] Job wired by Electrical Contractor Owner Electrical contractor name License number Date Expires r..) JLFCT Purchaser's mailing address City State I R Y g f4. c9g as Telephone number v FAX number qt) ''Preen owner's name c,rk fvoryvierl Address of nspection 5 City Phone number to schedule inspection I- z )Ss 9244-, Owner as defined by RCW 19 28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- Credit CarC lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter l 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Card Utility Specifications. /Signature of owner, electrical contractor or electrical administrator X 1PP-4111 -j Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE ROUGH -IN Date Inspection Date 5 -24 -o1 MAY 2 3 2007 UGHT DEFtr FINAL Appr ed By ppr ed By vS d3'7 2t r -K Date 5 p7 7 .s Overhead Service Temp Service Underground Service '7 00 AM 360- 417 -4735 THERMOSTAT Date Da Appr ed By DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION �1 /Installation description Commercial New 7 App ed Residential Altered/Addition 9H u /4- 111.4-a.0 )14aer uh, AToo inze ero Cash Check Expiration Date of card 7 sa Maackd Discover SERVICE Da e Appr e y FEEDER Date 0 C Inspection fr/ Appr ed By Action Taken Service Information Voltage _lid --Q ra Phase 1 3 Service Size: .233big- Feeder Size: Electrical Inspector 1 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 11/13/2001 PERMIT NO 7462 OWNER/APPLICANT PROPERTY LOCATION mark thompson 1530 4 TH W 1530 w 4trh Lot: Port Angeles, WA 98360 Block: [] Long Legal 360/452-6942 Subdivision: T:' S: Parcel No: 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. MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE CHANGE Occupancy Group: Zoning Use: ~ Electrical Heat: ~'~ [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 '~ [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 ,~ [] Fan Wall 0 KW Service Size: 200 ~' Feeder Size: 0 J¢ PROJECT NOTES .~ change 200a. service panel. FEES ASSESSMENT Service: $63.20 ~ Additional Feeders: $0.00 "T' Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $63.20 AMOUNT PAID: $63.20 BALANCE DUE $0.00 ('OMMI-SNTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNI~ WFUL TO COVER, INSUL,4TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT .1OB SiTE -'~j~ I DITCH ROUGH-IN / COVER SErVICe. I t,//~, ~ /~ FINAL I ,,V?-,/~ t l ~,r4- I GENERAL COMMENTS: s ~~ CITY OF PORT ANGELES . PUBLIC WORKS - BUILDING DIVISION 321 EAST 51H STREET, PORT ANGELES, W A 98362 BUILDING PERMIT CONTRACTOR ALL WEATHER HEATING & COOLING 302 KEMP STREET PORT ANGELES, W A 00009-8362 360/452-9813 PROJECT INFO Project Value: $3,091.00 . ' Project Type: PROPANE INSERT Occupancy Type: Occupancy Group: Construction Type: Zoning Use: OWNER/APPLICANT MARCUS THOMSEN 1530 W 4TH STREET Port Angeles, WA 98362 360/452-6942 T: S: ISSUED: 11/13/2001 PERMIT NO: 13091 PROPERTY LOCATION 1530 4TH STW Lot: 8 Block: 126 0 Long Legal Subdivision: TPA Parcel No: 063000012620000 ARCHITECT N/A , .98360-0000 360/000-0000 SFD Units: SFD sa FT: Commercial: Industrial: Garage: o o o o o - V\ ~ E MFD Units: MFDSaFT: o o PROJECT NOTES INSTAL PROPANE FIRE PLACE INSERT AND PIPING RECEIPT #8245 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $O~OO $0.00 $0.00 $0.00 $0.00 $0.00 .....t:" f} Mise Fee 1: PROPANE INSERT Mise Fee 2: Misc Fee 3: $35.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $35.00 $35.00 $0.00 Separate Permits are required forelectricalwork, 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 cons ction. Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD lj~o€f / I ~, 0 CALL4174815 FOR BUILDING INSPECfIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE1/T ISUNLAWFUL TOCOYER, - INSULATE OR CONCEAL ANY WORK BEFORE INSP~CTED AND ACCEPTED. POST PERMIT IN ~CONSPICUOUS LOCATION. i KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS ',' I YES I NO r I FOUNDATION: ", I , '" FOOTINGS ' ' WALLS I FOUNDATION DRAINAGE ". ELECTRICAL (UGIIT DEPT) SEPARATE PERMIT: # ! I ROUGH.IN I I I I PLUMBING I " ,', I UNDER FLOOR I SLAB ROUGH.IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL " I WALLS I I \ CEILING I I I I " FRAMING i, I I JOISTS I GIRDERS SHEAR WALL i WALLS' ROOF I CEILING ,. I DRYWALL I; , T.BAR INSULATION SLAB " WALL I FLOOR I CEILING I MECHANICAL I '1 HEAT PUMP WooDSTOVE I PELLET/CHIMNEY I INSERT HOODlDUCTS f PW VTILlTlES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY , '" STORM I PLANNING DEPT. SEPARATE PERMIT #'s SEPA: , PARKlNGILIGHTING ,.' ESA: LANDSCAPING SHORELINE: f , ! FINAL INSPECTiONS REQUIRED PRIOR TO OCCUPANCYIVSE RESIDENTIAL DATE YES NO CO~MEI:lCIAL I DATE ACCEPTED I , ,., " , ! YES NO ELECTRICAL. UGHT DEn. , ELECTRICAL , 417-4735 UGHT DEPT, f "', CONSTRUCTION R. W.I PWI , " " CONSTRUCTION - R.W. I ENGINEERING 417-4807 " PW I ENGINEERING j , FIRE DEPT. I FIRE " 417-4653 I I PLANNING DEPT. 417-4750 P~G DEPT. BUILDING " " 417-4815 J .. ,).':'() ~ UH BUILDING , 1 C:\APPL.WPD I," f -------- -.. -------- ----- , "'(t.;,.",.->,"~""';',' ;'J ';ff .." i~ ."~: ' ~""!\ 'n~\"',:~,/,:,\ FROM : 8LL WE8THER HE8TING & COOLING F8X NO. 360 452 5177 Nov. 13 2001 10:068M P1 .:. . - - , - -,_,,-' -:.'_,__L..:. : .!.$~... 1 ?...7, 1 . 1,' t . .' BDi'dlttl!l1dlitylEl~clFirC PamJtApplication Plcue au 0Ul ~. i)pc or priDl ill ink. If you bave qualiODlil please Q11 (360) 411-4815 or Fu: (360) 411-4111 ......: www.c:t.port....cles.WLUI fOJc.ODICIAl.1J& ONLY: o..~ ......,: J C; (..)'t I .....~~'-- 1IfI11U:_Y~ x.a.gf~' ',.._ Bldto .....,~ BJ>. ,..,-1- App&icaalllldlOl' ~:J1/ltJJ.Q lL.fu r J.}I { 111 c Drcrr~WM -rh1np~ AddrelII: J 5 IV 'I f'k ~ t-. _ ~~cr: =~~~#lflhC ao.tBCT AJQ)MSSR I ~ uJ L{ WI51- . .. ,. lIGAL DUCIUPJ'IONa ~~ Pboal~ Lf? },..-4fl3 lbQu: if ~ 1 -l( q ((2- Oly:-~[/V}"AAfe{~.s r.p~ . ~~ . Li=o#; r;lI!~ q~ tV- I'lo.... <I Sl- -<if13 City. Pc't'r I411qfIJer5 ~ ZONJNG RlnnIt. &!Wi_OIl! COdt CuIlIIaIdcr Name: Qt)'; ., 1:Ip.~ ~ . ~rr.-'\MCOlJNTY '4aC:BLJWl'tIJtEP' JIUU.Da AddrIa! CredIt Calli t. Ztp~ Me TYR OJ'WOBK; SlZIIVALUATIOH: g ,....liI~tltoI a New Qmar. Q ~f ~kMiID8rrt SF. Ci S' ISF. _ S g MuUi. fGaW.y Q ~iot.... 0 Mow c C.~ $1". @ S 'D. _ s c r---a.a Q 'D-9CW C o-oJitioD Q D_ Sl'.8' f1f.-l." Q E1~ 0 lJ'... 1:1 Sip c UST TOl'ALVALUATION s' '!:Y()t/j.b/) , . . 1WU~,QJ'.TUPROJBcT: .ft' pr(]pa~VlP 1I'L)f(f;!lfiD&lUS? ki.,~~ pll<qn~ C:O~.~PlPBNTJAL;Ocarpm~ Qroup: ()Q;upanl Load: CoaIID1ar:IiaA 1)pc No. ofStmiea: Lot Size: % Lot CcMft&e: % P1iltilas Lclr Covcne<< laq. ft. + Ptopoae4 Lot Co~e; "- Isq. A:. "" TOTAL. WI' COVEaAGBL- laqJl AI'nOVA1.S: rLAlOONG t111,~OM,iY:,,, 1'~ RIqiir_" ' ,', . ,. M& 1IIiUl: Site.PIa ID4l11c ~ by: :eSAlW~I~(a);,Q V. Q No SSPAQ.cddi~ucq1lUcd?Q YcaCl No .:,~ ILDG DPW J'IIIIr. . OTHR8 Nocca: ZaIUq: Dale: 0d1cr. I ~1JDNauaMITTAL: YOlU9}11k__ AiI.""'._ blJUW .1It~M 61 ,"","'III"""" the ~.~ llIIIIL pnMdc)OU with JIIDR dctailal iD1i:lrmaDoD OSllbe lIppIi.....tiaa.lKld pbll ,,1hnMt1ClJ 1'Clll1dtcma:d&. BtJJ1.DINGI'EDIIl'-AffUCA.TJON 1UBMllTAL; Ygqr~Hi 8W'.......:" Stc plOD (fur lIIIrlinQQ,) ID4 bWJdiDa t;:oDllU'ucIiQll pI8ai ... 111 belA'.mat 10 WIle Blli.ldiDg DmIiaL VALU4~ o,~: lD. aU eass, a ~~ IIIICNDl Inlllt be CDtnIlJytheappiGMt. 1lWI ipRwiJl be reviewal IlIId IIII)'bDr,MIal by dao .....I~l Div. [g camply'Witb. CIUJ'CDl tb:I5d1edulei. CmtaI:l the Pc:nIa11 Coordiaatar It 417-48105 mr IliliHtu..:c. PlAN.l"II1lrJ(' n:B: Yuur ilia dacckile is d1ae 11 tb~~ tho tNil~ pcrmlt appW:alioD and ~ pIaDa, ~ f\lbqjjUGd. All olb.. ~ a. an due ll1be time afpem&it issuuce.. Setbacka= ~110" 0' ,LAN UVIEW: liDo permit is is_ withia 110 _ ofCbe d8lCof'~OIl,1hia appHeaU.. ri1 apirc by linri~J 'T.bI IDth 0IIcial QIl C1daad the lime 10r aon by tbc appli_t Ill' to 180 _.. on,writlQJ'aIIS b)'tbe applicaQt (Bee Ser:&iu 101~ otClac: UIUDm BWIdiDg Code. wrrad cdi\icm). No ~ QlID be c:xtc:Ddcd D\Ql'C tbIIl CIKC. l...,,:,wdb *' 1.-. letullllfll GllllJlw4 tIIb .9pl/atilJ1J IUI4 bow IIN .... III ". ft'IIf _""",, _I.. ~ IQ '.,Iy /B ,. ~""t. /anal7lllntl It G .t tJ. Ot)'.r kpl rapl)1ISIbiIlq ,. tI6ruJnIIw wUI 1'1Wllll1I'I "f..... it ,.,., tlte tIIPIk... ,.""ut!i1l1Jl III .'UIIIW 1I11u1t ~'-'IS ~~ NfllircJ .1t4 III tlblilin IIMC& . . ",;!~Il_l^"'~95Jr/l;(t5' _II/t/(f/ . '," I.',.", ~ . . :, :': i,.,,':.":.. ':".'..,..:,.~,:,..:~.:~:".:/:~,..:.,...::::...,..::"""',.',~:~"::",::~,:;,,::~,~:,,~,,,:,:: ""',::,:.:.:,:',:..,,l....,...:....'.:,,'.... '.. . '<;f.f~~~!'~:'- '.' . ELECTRICAL I:>ERMIT APPLICATION ."OR (J~TICI..\"- l!Sf n~L ~ [)":ci~..... Perrnill1___._______ _ [)"l~ Appr''<cJ: __~ D"'eJ":.>eoJ.__mH.___ The Electrical Permit ApplicatJon must be tilled out comDletelv. Please type or reprint in Ink. 11 you have any questions, please call (360. 417-4735 Fax number: (360) 417-471 1 REQUEST INSPECTION 0 Owner or Etec. contra;:r Agent:_S [<2 (. t n; ~ \,,, ,"V\.".. ; 't..-t. Phone:i~ J.-(.,'-J) LJ Fax: '-f -:j 1 - <.0'-1 'J if Property Owner: tack 'TJ1\)()')sP'tA Phone'-iS)- 1,9y'2 Address_l S "'of) \AJ 1-(-4" Gity-Pflrl ~A a11. 1" Zip 9 g"3(,3 ElectricatContractor:t::lof i....;,/ \orf"C.l ,1->1<"- Llcense.:c,L;.'1\)nf Exp: 4/i'-lJO'2..- Phone4"5-:J-f..,"I:J'-j Address: ,5j'-:t Or"i""- \!c., Ilr r2A citypor4 Itr\J....L.,. Zip 9~::-=? to.2... _ INSTALLATION WIRED BY: 'J OWNER )lElECTllICAl CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA:_MC:._ PROJECT ADDRESS; /7'30 t<J I L/6 .5/ TYPE OF WORK: Check all that apply: [J New o Alteration/Addition CJ Residental [J Multi-family CJ Commerciel [J Mobile Home Sq. FI. [J Remote Meter [J Detached garage = Hot Tub = Swim Pool [J Septic Pump [J Low Voltage [] Telecom, [J Sign Number of Circuit" added or altered: DESCRIPTION OF THE !:lECrICAL PROJECT: p ('1' i'..l' (Y1LJU\gr L ~Cl u,,,,,-o I S,12('1/(.'-.. Electrical Heat Load Additions c?t:.),Z_D Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _ f<:N _KW _ f<:N (t1 C'.'erhEiad Service :J TerrI,:' Service o Underg;:>und Service Voltage: -:l- '-i. \l Phase: E'f, 0 3 Service Size: ~ Feeder Size: PAMC 14.05.060(8): For industrial, commercial, & residential projects lar~~r than a duplex, a one -line drawing of the Electrical Service & Feeders, building size (sq. ft.), load calculations, and the type & of conductor. ~nd/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that i have read and examined this application and know thaI 2.'lme to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsiu.'!itv to determine what permits are required; it remains the applicants responsibility to determine what permits are relj!l/red and to obtain such. Credit Card Holder's Signature: {/~Aj /1 ~'1 Date: r }/lrJ/o/ Owner or Elec. Cont. Signature: Date: PW-9019 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Greenhouse feeder and circuits NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/5/2022 22-297 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 1530 W 4th St