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Home My WebLink About132 W 4th St - Building . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. q 7 ?b 7/i/P1 DATE Site Address: ;;<l: READY FOR f . INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS ~ SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER 2 OVERHEAD SERVICE o UNDERGROUN.%EBl(ICE VOLTAGE: /2& 2--'/(/ . , ~1l1S D3f1\ SERVICE SIZE ~ AMPS FEEDER SIZE AMPS Details/Description: (2~-i:5 L- vVLt1-5f. . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. --1~ O.K. to connect service o Final O.K. Site Address: I.J~ W, Installer: New Meters -- . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. "q. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ c:>L () ~nspeclo' Perm;1 Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. 582.. FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A t /P!MIT NUMBER . TOTAL FEE Jb~ [s, Q. STORIES LEGAL OCCUPANCY Site Address ELECTRICAL PERMIT ONLY f711 IS RESPONSIBILITY OF APPLICANT NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT Owner '7t Owner's Address PERMITS WITH WRONG ADDRESSES ARE CANCELLED Inst~'lation By ;&: (. (c f-tt, c. S; to It U Ice Installers Address Installers Phone Day Phone , Application is hereby made for Permit to install Electrical Equipment as follows: flU rk{( J/[t../. M -ftAib. 0 i~w 21-0 V, / I 5"Zl AM'" . I:"t. '-A-Ic 1/l...- Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA. 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 ,00R FEE ~IR 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY " '- - DRYER '-10/ jut REINSTALLATION LIGHT FIXTURE # FURNACE / ~ J SUB TOTAL FEE GAS. OIL FURNACE IP;- ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT /2-. '/Z< 0 TOTAL FEE ELECTRIC HEAT " ,. SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT 'If-b v AMP PHASE FEEDER 52 , /J ~ 1!f4[ : ~ SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and In conformance with the N.E.C, Electrical Code. Date Application made ,19 By )( / CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the ity of Port Angeles. ~T OF. I . ~"~'m" "~ro t:!..,::." "" "'" . ",,!~:.:.::. :',m" "om~' ~'" ~'" "","~"" W~ mo" "m be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , I I , 0 0//77f 6 /11/ II- W~, IE d~'I/("-' j,,, .,voPc.lJ e{fc71'IC S f:LU}-CC I I~(/C t:- Iv.. >l.. k. I.!e. )/ 71f pq {,f H.o--d , . . !.d- fvv J ~/Vr(A--//II"'" .A I,. Jh+ ~j; Iv,fe",,+ A- /fll....., to ~,r;O ~c. frJ <II! l \ c> k AwJ.. ~lJ (,........ f" v h ICL A I PtLh-l+ 0 / ;d- /, If'U IV?> It 7')1..1,,, ..c.v it:. R E"- kft,v,.J" Ch -{.{.'T 1/-',1/ In.' . dovbh +f.( 0 AJ~ Nl>1. ,j -J.t~ 0-'. /N/<.C. VI./~ -/-.. rM.../l J.I-r \.4-0] 'hE.. "'-''''... JJ "'-A. ~/.ffJ<. -re> ~ E ~ S;Ee VIC:' C . I . " , .........rvnv_._...I.B. / , .' . . n....T"g~~ICE 5i/tt/,Pi AIr FINAL O.K. / / ' " . z Cl II: <C :E ~ :r I- z W .. I- o Z o c . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17851 / - /61-.. F3 Port Angeles, Washlngtonm..m..m......._........m..mm.m...m....m...., 19..moo. In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to d~ctrical work as listed below. Address ooooL2...;J,oo__~---2'1--.~m--mm.moo.oom---m-m--mhh--. Occupancy__oo__~1.R''"''a___~__m.______hhhm.oo Owner r:';;!:;,.<!.~.m__~~m.m.m__oo____oommm Tenant___m__m.mmm_.m__.m_hmh.h.____oo__._________mm____ Wiring ~ontracto~ .Jif".~~.~""-----tlf~~~dr.--. By_____oommm.moommmmm____m._______mm__oom__.oo Light Outlets___...n_m.m_n..._................... Service, volts ......n.mmn..._n....._.......... Type ot Wiring: Receptacle Outlets_m.__t..Q............... No. wires .....................mm.._..._...._ Armored Cable ..._._..m..m..d_._h____. Dryer, KW __nnnU...h.....Uh..n.___.__n_____ Range, KW m_m_hnm_hn_ Water Heater; SIze wIres...n........n...nnnn.n_..n._.. Main fuse 00___000000._.._....................... Enclosure ................mm_.mm.__ Heat~:~:::::_-_p~:;;;:l;;;y Type of wirIng; Entrance Cable _mm..mmmn. Motors: size, volts and phase: Rigid Conduit , --."'" JZ2f:.JZ~:::::::::::::::::::::::::::: Metallic Tubing nm__...........__....... Current transformers: No. & Size...................nn____.n Ser. NO.....n..n......n_nn............_......... Ser. No. n.._..n_____.................nn...nn... Ser. NO........_._..__...............n..nn..._n... Non.Metallic ..........................._..... Knob & Tubennmmm.m_m.nnmm.. Rigid Conduit n_nn.mnmnn.___mnn Metallic Tubing _mnm__m_mmm.__ Raceway .....................n...............n~ Circuits, Light.m...____mn.m___.m___.__._.h_ Utility ..m_nnmmmnnnnnnnnnnmm Ifeat .._..____._........................._.......... Range ._..___.___________________._____________n__ Water Heater ..m____mm..mm..m.._ Motor .............00.............................. Dryer _________.________........___.___.......__......_ Furnace .........u.......u......~....n._n.._m___ Total Loadnn_..n...._n............. Ser. No. ................._00__0000...__.__.._....... Total .............n_....hn.........n..n Remarks: n_n___n_u_t1!u_tf!._~f.;::Z~:.-::t?::.._':::n______.__nn_.n..nnnu___n____u__._._n_nnnnn_nn.___dh...__n_nnnnuuunnnuu _.____.________n__________...___unnn________._.___n_._______.._____________________._u_.__n_________________._____n_____n_____._____..______________.________._.._____ Permit Fee Treas. Receipt ...UU.h___________nn.uu_un...nhhnn_~n_n_u_nuU_nn_nn_.__nn_n_____UU______n___nnn_u_n..___.....nh__nn.'UU_n_n__n_nnu.unn.n_un $_m__....m____..oo....m.m__m. No.............._____________. By .::.:'~~~::.ll.!:.(..A.1.~?~..~".~ I . NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 785 1 Address.___._..___.____..._...._..............._._...___..____.....___.._..._.............._n.___._...........................____._.___.....Date..._.........._____.___..____.._......_......_.....__._ Owner ........__nnnnnn__.._._._......_........._..u.........._.._.....nnun..............._nn__..n..n_n.__...n...n Tenant......n_nn_nn_...........__....n._n_._._............nn.__.. Wiring Contractor ........................._______..._..............._._...____..___..________.._..__..._._........._._________..__._.___.. By .___................____.__...._._................._.._...__.. NOTICE-Current must not be turned on until Certiflcate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers. Inc. t6) ~;.- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 '""t'.t'-'-..................vu UUJlUJO::.L Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Zoning . . . Application valuation U~-U0000799 Date 132 W 4TH ST 06-30-00-0-0-8825-0000- MECHANICAL PERMIT 8/18/03 6375 Owner Contractor HURD LARRY W 132 W 4TH ST PORT ANGELES WA 983622806 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 35.30 8/18/03 2/15/04 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 35.3000 Ee EL-LOW VOLTAGE Extension 35.30 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT HEAT PUMP 61.70 Plan Check Fee B/18/03 Valuation 2/15/04 .00 o ~ Qty Unit Charge Per Extension 47.00 14.70 oj 'P BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- Permit Fee Total 97.00 97.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.00 97.00 .00 .00 ~ ..::t:: :;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 construction or the performance of construction. OAJ F/[c- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNJNG\FORMS\ 11 02.15 [412002] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 'II ROUGH.JN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATERLINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS I I CEILING I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL I-BAR INSULATION SLAB I I I WALL / FLOOR I CEILING I I I MECHANICAL HEAT PUMP WOOD STOVE I PELLET / CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #',: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARA IE PERMIT N's SEPA: PARKINGfLlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRJOR 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. PLA'\'.TNING DEPT. 417-4750 PLANNING DEPT. BU1LDING 417-4815 Q";"~2~ I.L BUILDING o!"'IRJ~ (i BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY, Da'" Rec., 'd. -/5-03 Penni,", 7QCj- Date Approved: I"; ~ ", ."f". ,. I: !I'I',( I;..:. : X"f y. '" :- .- 1! .- ":;f" 'j;, 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 Issued: ApplicantorAgent: t!.1ar/ofk k?/erSP>-1 Phone: Owner: L1. r r.1J HI/I 10"1 Phone: Address: J '3 a,' hi 4-.) }, City: a rr- A:J P // 5 ArchitectJEngineer: Phone: Contractoryen 'O'\.SlIJ tl W IiL State License ~IJ JJlJhH (IU~ Address: 503-.. fA) 8& City: fbrhcfnaN5 PROJECT ADDRESS: /77""?l, ttl. ':T-i.!!. v - ~"5 7- ,;177<;- 4/7-03h.:J. Zip: q?<3~:A Phone: 'f.57-;;J77.s- Zip: q 2f3h:2. ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA Me 'TYPj: OF WORK: ~esidential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign ~er BRIEf DESCRIPTION OF THE PROJECT: "J"' WI d? 1~/nn4 I COMMERdAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage City: # Exp, Date: ______ SIZENALUATION: SF. @ $ ISF. ~ $ SF. @ $ ISF. ~ $ SF. @ $ ISF. = $ TOTA~ YALU;\TION . ,$ 'trJ G~ m-s-b7~/r1/} / //i/A/ j-_Cf-_ I Construction Type: PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on Ihe applicallu:l edld 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 re\",,, and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at417 -4815 for assislallce. 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 pennit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, the application will expire. The BuildingOfficial can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Seclion 107.4 of the Uuiform 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 an understand that it is my responsibility to determine what permits are requi the City' a th correct I am authorized to apply for this permit an,. I must obtain such perm:;6rior to work. Date: 7, ',;( r ;A / " T:\FORMSIAPPSlBuildingpermil. wpd Applicant: 'i"7 . . . . . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . fl. 4-- REQUEST: Date ~ - 2 t ~ e-::s Time Received by ,0v (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): (37.. YP J") " ., <;.u ta:_ w q-IA ~'T Phone No. /f.?fiq Z TIS- Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other H-eQt YI..(-i'~'\P Time~lt"V< INSPECTION NOTEJf..,..., r .~ Inspected: Date ~ ~ Remarks: . By 5C ~ RESTORATION REQUiRED......... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee D No Damage Found Work Order # D COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) w ... -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 -rrl_--~~_.. ~._._.... Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation V~-UUUUU1~~ Date 8/20/03 132 W 4TH ST 06-30-00-0-0-8825-0000- ELECTRICAL ONLY o Owner Contractor HURD LARRY W 132 W 4TH ST PORT 'ANGELES WA 983622806 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL HEAT PUMP/FURNACE OLYMPIC ELECTRIC 46.70 Plan Check Fee 8/20/03 Valuation 2/17/04 .00 o Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 '- (N ~ ~\ t ~ * t V1 "'\ Fee swnmary 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 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 construction. Signature of Contractor or Authori2ed Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\II02.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITlS UNLA WFUL 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 I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TIQN DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:" ROUGH.IN I I 1 PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW /WATER AIR SEAL WALLS I I I CEILING I I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T -BAll INSULATION SLAB I I WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP WOOD STOVE I PELLET / CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT N's: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT If's SEPk PARKING/l..IGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LlGHT DEPT. 417-4735 8111/ C>'1 I1W ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ --, . CONSTRUCTION. R.W. ENGINEERING 417.4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ti ~;;? CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ...l'J:I.&..&....a....&.vu ~'IIWIWt:::L Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Zoning . . . Application valuation Uj-U0000799 Date 132 W 4TH ST 06-30-00-0-0-8825-0000- MECHANICAL PERMIT 8/18/03 6375 OWner Contractor HURD LARRY W 132 W 4TH ST PORT ANGELES WA 983622806 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 Permit Additional desc Permit .Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 35.30 8/18/03 2/15/04 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 35.3000 Be EL-LQW VOLTAGE Extension 35.30 ....... ~ Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT HEAT PUMP 61. 70 plan Check Fee a/18/03 valuation 2/15/04 .00 o ~ ~ D t Qty Unit Charge Per Extension 47.00 14.70 ~ BASE FEE 1.00 14.7000 EeR ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 97.00 97.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.00 97.00 .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 nol. 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 Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPn SEPARATE PERMIT: II ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATERLINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS I I I CEILING I I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL I-BAR INSULATION SLAB I I I WALL I FLOOR I CEILING I I T MECHANICAL HEAT PUMP WOOD STOVE / PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: W A TERLlNE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SErARA TE PERMIT #'s SErA: 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 I./_l_ Act') ELECTRICAL IrJI LIGHT DEPT CONSTRUCTION R.W. / PW/ II , CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4\7.4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4\7-4815 BUILDING ';'-'<:1-03: fl,~15t3;:'IV,:<::IT( p"nT Aj'Ic:lEL.E~, ; :.FjO~ 1 ,.iT 1 I u fi ~ ~ ELECTRICAL PERMIT APPLICATION TIll' E faeft1O!1I PSliTlIl Applicafion tnU$t tile fnll.d oul com D'flltlllv. IIOIl00000CIALUs.i0N'L'V -, ~.~ llB~Af'IMI~ p.......ai: P l&l!I.8 t)'tte or N!lprfnf In Ink. tfyotJ MWI !Iny qU1!UlltJon8, pl.... cell (3eD) .17....7lS F.. number,' 4.)(50) .17....711 ~~ 7'1~ OWnarorElec.ConlT.,krAQ"'~ 01 ymp i c El ec tr ic Co" I nc , P",portyOwn..-: L{,,/y flv/i Add.....: 1/3 Z. W ~ ,..., Cft;: F~o"": 457-5303 fa.: 452-34;16 Fhon.: '1/ 7 ~()? (.2 ZllT: EIeCl/k:8I(;;""""",,, ,Olympic Electric Co., Inc. L1eM'.#: QY!'+tC2S;QlEKp. 3131/03 F_.: 457-5303 A<'dr-= ,4230 Jumwater CIty: Port Angeles ZIp: 98363 IN5TI'.LLATrON WIRED: BT: DOWNER ~ J;:LECTRICAL CONTRACTOR Cntdlt CarrlHo/der Name: Charles T. Burkhardt, Olympic Electric Co., Inc. SIHlng Addmu; I Same Cretm CIIrrl Num* city: Exp. Da"': ZJp: \l7SA: X Me: PROJECT ADDRESS: /32- W r;rp TYPE OF WORK: Check all that apply: 0 New ~ter"UoolAddillon ?ReslCl9I1tia1 0 ~ult1-family 0 Commercial u Mobile Home Sq. Ft. o Remote Meter 0 De1ached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 2- , Number of Circuits added or altered: I!rt/r IN",!, h/,,~(? I I [J Low Voltaga 0 Teltw:Om. 0 SIg (/Mr.SI1'. lIe..0 DESCRJPTION OF Tl--IE ELECTRICAL PROJECT: EIK'lrIc:IIJ ' "Do;! Addition. 8nd or .ubtractJOI'II -trl.-r?fJ ~ S41rvlce Infonmltion o B""eboartl ~umace ja"Hcat Pump o Fan-Wall KW Ii. _KW ---.:... TUN . KW LAR o OvertIaed Service (J Temp S8Nice o Underground Service Voi1age: Ptlase: 0 1 O:'l Service S12e: Feeder Size: PAMC 14.05.060(8): For Indusll1al, commercilli, & resl~nli8J projects larger than a dupleK, a one -11M !Il'1'1Wlng of tl'lll E_es1 Sefvic& & FHdenl, building size ,("'1, ft.), load calcul81l0l'\9, and lha typa & 01 conductors and/or raceway Is rnqulred end shell a<:compony the Eleclrtcal Permit appll~atlon. I heret)y certify t~t I have read ena examined rtrls appl/caUon and know thai same fo be true aOO corract and I al aulhorized to apply fbr this permit I understand it Is not th& City's legal responsibility to determine what permits aru required,- it remains the applicants responsibility /0 de/ermine what permits ara mqulred and to obtaIn such. AI - 8f 16/0.3 -'- No ~f-{( ,...,.1. OodltCord Holda~.Slllnalunl: D.rla; 8/1'3/0.3 Ot--- A-7 " <, I ' ~ Ow"er or Elee. Cent Sagnlltura: bill": P'W-9019J7![l3 ~ 'It.. 70 ~ CtJ- t1.~,~," R6tr.7.<:tOl:H' YVol' ~~:~n ~nn/j~T/On ./