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HomeMy WebLinkAbout1931 W 6th St - Building CITY OF Powr ANGELES PERMIT APPLICATION Building Division/Electrical Inspections R F I V 32.1 East Fifth Street—P.O.Box 1150/Port Angeles Washington,9&362 Ph:(360)417-4735 F=(360)417-4711 MAR 19 201 Date: 21&2 Single Family Dwell Ing ELECTRICk MSPECTns Plan Review May Be Required,Please Complete Electrical Plan Review Information She!ej Job Address:—4!Z-3 ftilding Square Footage: Description of above 9 i7d 'iz r- Owner Information Contractor Information Name: 9x � 4j" Malliflg Address: State. At�-?jp-._4'j uio 7 CRY; clty:'EnL- 44j z state: Phone: --q ax: Licanse 4 1 Up.— 2 �' — U00nas#I Exp— /44 item Unit.charge 2ty Total 10ty 1Vfuitinv44d by tinu rh2mni Serviceffieccler 200 Amp, $1120100 Service/Feeder 201-400 Amp. $146.00 ServicelFeeder 401.600 Amp $205,00 Servico/Feeder 6011000 Amp. $262.00 Service/Feeder over 1000 Amp. $373.00 Branch Circuit W1 Sarvirs Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 63,00 Each AddWonal Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 Temp.Service/Feeder 200 Amp, $ 93.00 Temp,Service/Feeder 201.400 Amp. $110.00 Temp,Sarvireffeeder 401-600 Amp, $149.00 Temp.ServIceifteder 601-1000 Amp. $168,00 Portal to Portal Hourly $ 90,00 Signal Circuill 1-imited Energy-1&2 Family Dwelling $ 64,00 Manufactured Home Connection $120,00 Renewable Mectrlral Enefgy-5KVA System or Less $102,00 $—.— Thermostat $ %Q0 $-- $ We:$5.00 for each additional T-Slat — NEW CONSTRUCTION ONLY- First 1300 Square Ft, $120.00 Each Additional 500 Square FL or POND"of $ 40.00 Each Culbuitding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110-00 Owner as defined by RCW.19,28.261:(1)Owner will O=py 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 1br sale,rent Or lease,Permit expires after six months 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 electrical installation oralteraktj in compliance with the electrical laws,KE-C.,RCW.Chapter 19,28,WAC.Chapter 296-46B,The City of Port Angeles Municipal Code,and Iffility Spedficallorts and PAMC 14.05.050 regarding ElWrical Permit Applications, Signature of owner,electrical contractor or electrical administrator-, 0 Cash 0 Check CredftCard#—___ ELECTRICAL PERMIT { CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 14-00000339 Date 3/19/14 Application pin number 679878 Property Address , , . 1931 w 6TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30--00-9-0-0245-0000- Application type description ELECTRICAL ONLY on your excise.tax form Subdivision Name . . . . . . Property Use to the City of Port Angeles Property Zoning , , , . , , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . , , , 0 Application desc Ductless heat pump -----------------------------------._ __-__-__----------------------------- Owner Contractor PERRY MICHAEL S EXTRA MILE TECH & ELECT. , LLC 329 W 14TH ST 418 N, RACE ST, PORT ANGELES WA 983627608. PORT ANGELES WA 98362 (360) 457-5222 -__ ________________________.-_______----- Permit . , , . , . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee . . . 68.00 Plan Check Fee 00 Issue Date 3/19/14 Valuation . . , . 0 Expiration Date 9/15/14 Qty Unit Charge Per Extension 1.00 5.0000 ECH K -ECH ADDNT BRANCH CIRCUIT 5.00 1.00 6.3.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00 Fee summary Charged Paid Credited Due -----------_ ------- ---------- ---------- -------- -- Permit Fee Total 68.00 68,00 .00 ,00 Plan Cheek Total 00 .00 ,00 00 Grand Total 68,00 68.00 00 .00 INSPECTION TYPE DATE: RESULTS: .INSPECTOR: DITCH SERVICE ROUGH-IN FINAL wI COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , . , , 14-00000339 Date 3/19/14 Application pin number . . . 679878 Property Address . . . 1931 W 6TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-9-0-0245-0000- Application type description ELECTRICAL ONLY on your excise tax farm Subdivision Name , . . , . , to the City of Port Angeles Property Use Property Zoning . . , . , , . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc Ductless heat pump ____------- ------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PERRY MICHAEL S EXTRA MILE TECH & ELECT. , LLC 329 W 14TH ST 418 N. RACE ST. PORT ANGELES WA 983627508 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee 68.00 Plan Check Fee .00 Issue Date 3/19/14 Valuation . , . . 0 Expiration Date 9/15/14 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1,00 63.0000 ECH EL-R- BRANCH CSR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----------- Permit Fee Total 68,00 68.00 .O0 00 Plan Check Total .00 .00 .00 OD Grand Total 68.00 68.00 .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:IEXC ffAN GLIB UI LJ)ING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000905 Date 10/16/03 ..,.-;- 1931 W 6TH ST 06-30-00-9-0-0245-0000- RES REMODEL 20000 Owner Contractor PERRY MICHAEL S 329 W 14TH ST PORT ANGELES OWNER WA 983627608 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 57.10 10/16/03 4/14/04 Plan Check Fee Valuation .00 o '- ~ ~ Qty 1.00 2.00 Unit Charge Per 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS 5.2000 ECH EL-R OR RM ALT ADDNT CIRCUITS Extension 46.70 10.40 ""- Other Fees DOUBLE PERMIT FEE STATE SURCHARGE 344.75 4.50 t Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.10 57.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 349.25 349.25 .00 .00 Grand Total 406.35 406.35 .00 .00 ~ Il.. ~ . \ 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 , 80 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 Authorized Agent Date /O/lb/tJ3 Date T:\PLANNING\FORMS\1102.15 [4/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 ACCEPTED COMMENTS YES I NO FOUNDA TION: FOOTINGS WALLS FOUNDA TION DRAINAGE - ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING - UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL - . HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: 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 1:1/;J-Io.3 kG ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ / / CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. - BUILDING 4 I 7-48 I 5 BUILDING T:\PLANNING\FORMS\ II 02.15 [4/2002] of ~OAT ~Q ~...~~"" G,.'EIi~ 1!::. -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000480 1931 W 6TH ST 0630009002450000 ELECTRICAL ONLY Date 6/02/03 o Owner Contractor PERRY MICHAEL S 329 W 14TH ST PORT ANGELES WA 983627608 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ELECTRIC SERVICE 99.00 Plan Check Fee 5/20/03 Valuation 11/16/03 .00 o Qty Unit Charge Per 1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER 1.00 22.7000 ECH EL-RM-0-200 ADD SRV FEEDER Extension 76.30 22.70 '- ~ ~ "'- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 99.00 99.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 99.00 99.00 .00 .00 l ~ ,~ ~ 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 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 UNLA WFUL TO COVER, INSULA TE 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 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. 4]7-4735 5/;7/oQ .M ) ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ / , CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417.4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] .~ .,*r.. CITY OF PORT ANGELES ~"'~'~' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~...L~.,~,~ /-r~,~V. I ISSUED: 9/30/2002 PERMIT NO: 13748 OWNER/APPLICANT PROPERTY LOCATION MIKE PERRY 1931 6TH ST W 1931 W. 6TH STREET Lot: 13 Port Angeles, WA 98363 Block: 2 [] Long Legal 360/457-3151 Subdivision: SUB LOT 35 T: S: Parcel No: 063000900245000 CONTRACTOR ARCHITECT HENNING ROOFING N/A 72 LEVIG RD PORT ANGELES, WA 00009-8362 , 98360-0000 360/457-3151 360/000-0000 PROJECT INFO Project Value: $2,900.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 "~ Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAR OFF / RESHEET / 3TAB RECEIPT#9742 FEES ASSESSMENT Building Permit: $112.05 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $116.55 Plumbing: $0.00 AMOUNT PAID: $116.55 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 certifl/that I have read and examined this application and knowthe 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 Cont¢C~or 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. IT1S UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING DERFLOOR/SL^E ]/L4 ROUGH-IN WATER LINE GAS LINE RACK FLOW / WATER AIR SEAL WALLS I I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS ! ROOF / CEILING DRYWALL T-BAR INSIJLATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHI MNEY HOOD / DUCTS PWUTILITIES/ SITEWORK (Engin¢¢ringDivision) 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/ljSE 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 PLANNING DEPT. BUILDING 417-4815 ! ~/~'~--/~)~ , ~ ~.-..~ BUILDING T:\PLANNING\FOKMS~ I 102,15 [4/2002] o~ ~ °R r ~4-vc~ FOR OFFICIAL USE ONLY: ~-~, Date Rec.: ~ ' BUILDING PERMIT - APPLICATION Permit.: Date Approved: Date Issued: ~ TheBuildingPermitApplication mustbefilledoutComplete[y. Please type or print in in~ If you have any questions, please call 4174815 Applic~t or Agent: ~{~['~.l)~t~.~ ~ DG¢I~ Phone: ~-~ Owner: ~C~ '~~ ~ 'D Phone: ~chitecffEngineer: ,~ Phone: Co~ff~6(Yh~C{~ D ~ ~ ~ License ~: Exp:. Phone: Ad&ess: ~ _'~~ -~ City}~Ok'~ ~[~ ~ Zip:~' LEG~ DESC~PTION: Lot: ] ~ Block: ~ Subdivision: ~'C'~ ~ ~ CL~L~ COUNTY P~CEL N~BER~ Z~5~redit Card Holder Name: Billing Address: City: Credit Card ~: Exp. Date: VISA MC U Residential ~ New Com~. ~ Re-roof ~ Wood-stove SF. ~ $. /SF. =~ ' I ~ MuM-f~ly ~ Addition ~ Move ~ G~age SF. ~ $. /SF. = $. ~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $_ /SF. = [ ~ Repair ~ Sign ~ TOTAL VALUATION $ COMMERCIAL/RESIDENTIAL: Occupancy Group:. ~ Occupant Load: __ Construction Type:. No. of Stories: __ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes rn No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and siteplan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 4174815 for assistance. PLAN CHECK FEE: Your plan check fee is due 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, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that [ have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permit~ are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: '~]c~.[~i Date: _DC~/2~ j~)~-~ T:WOKMSXAPPS~ uildingpermit ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date / Z-/.~--~-P~> Time_ Received by /~ ~ {phone, person] Location of Work to be inspected Name of person requesting inspection. Address of person requesting inspection Phone No. Type of Inspection {circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing//Final ~ewerExcav. Other INSPECTION NOTES: . Inspected: Date / ~// ~/% __~ Time ~-/!×, By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [--IGravel [-]Asphalt [-IPCC {--IOther [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE }Continue on reverse side if necessary} STREET SUPERINTENDENT IDATE) Permit . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT "'RESIDENTIAL INTERIOR BASEMENT ALTERATIONS 344.75 Plan Check Fee 9/15/03 Valuation 3/14/04 BASE . FEE BL~2001-25K (14 PER K) Extension 92.75 252.00 MECHANICAL" PERMIT 54; zs- 9/15/03 3/14/04 Plan "Check Fee Valuation. . . Per BASE FEE 7.2500 ECH ME-:VENT FAN Permit . . . . Additional desc Permit Fee Issue Qate Expiration Date " PLUMBING PERMIT 75.00 9/15/03 3/14/04 Plan Check Fee Valuation r' '''; ,~:,:.:t?h:.-; Ii}~'f ?,,~)) -:t<" I J :' ,i: -', . ; ';/'...' <;,:--.: - .. i>~''f~'~ ~ BUlLDIN~PERMITINSPECTIONRECORD . ,. ; ','r"". .. .' . .... .......,../',Jf,'!p.(' ..... ... ......, . . .....,.i., CALL 417-4815 FpRBtnLDING INS~EctIbNS..., PLEA'SE PROVIDE A MINIM{jj.JJ 24ROUR NOTICK{T 1S,l/lf.4 WFPLTi)c"o'JrER, . INSULJ,71i.J!jl.. €PNC:6flLANY.,,1J"ORJ+!lI!!:;g~.!NS!EqE.g#t!JAffEPJ.#D. . Pc:>>S'f.~~E"lAiS2~~~~~(,)(J~'~~!!gl'l' . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ',:,,\~, ';:-4_t).-"- ? INSPECTION TYPE DATE I .. A.,CCEPTED, I YES NO'" .co~, . ',i .:..u;;,' '.,/>: ,,"'. ", FOUNDA.TION: FOOTINGS WALLS FOUNDATION DRAINAGE '.' . .. " . . .' .' . - . .' .. .. ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II,. ROUGH-IN PLUMBING . '. I .. I uNDER FLOOR 1 SLAB ROUGH-IN WATERLINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING ' FRAMING JOISTS 1 GIRDERS SHEAR WALL ., WALLS 1 ROOf 1 CEILING DRYWALL T-BAR .. J .. ...., e?.f:3./03 :.1 L L-- i'~ ./ 'VC' ' .' ':c '.' . . ... - .' '. , 'i' .' .' ',h ". ,; .' ,~. ,a., .>:A - -.r J.J- .. , ~ . >: .' .'" ; , .: . . . c . .' - . . " ,', - '. .. - - . ,. ~' .' " I . .., SEPA: ESA: . INSULATION SLAB WALL 1 FLOOR I CEILING MECHANICAL . . . ".' ';l/n .-42--0; I f. L ,,' " . . HEAT PUMP WOOD STOVE I PELLET I CHIMNEY HOOD I' DUCTS " , .. I. , " PW UTILITIES' I. SITE WORK' (EngineCring Division) SEPARA T~hiRMrr "'s: . WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT, . SEPARATE, PERMIT,#!' . I P A.RKlNGlLIGHTING . ELECTRICAL. LIGHT DEPT. ,:.;,' , '/, ,~ ' L~l)~A.t:I~_q__,ji' ,..,,,,. ", .', '." _'.w.,,,_,~_ SHORELINE:, . .'." '\.' "t' '. ,.X ";:,J' ',J "l~Vf ,,:;. !Jl1Il\IAU.INSPEC;[lOl\IS1U;QDlREi)PRIOR;Y() 9CaUl~CitYIU!lS:'~'JcC'.:Fftk~~i:i,M~!; . ,'. " . iT~,; ;t31" "Wi! I. . ,i,x :"i'REsIDENTIAL' " "" '.' /'D'AT&' ; I!" <'VU' CC' I "NO "'f I ." DATI!; .. .... F \ AcCiri'rmk' ..", ." '. IC", .... I I "'rith,:,)t ..' \.. itYi$V"';NO ; ,..-- ''''', 417473S, <; ELEcnu€N.~,~" l1.i ....., ," .i"i' ;"T;','. ; .'0 .,~QllTJ2!m!,,';C", .'. , "~~J1~~~' ;, CONSTRUCTION It. W.IPWI ENGINEBRING 'F~., \':~: PLA.~G DEPT. "BUIl=DINO,:;j."" .... ..,--,,,, " , L ' ,;,\ ;-, , '-'-:-", . :- 417-480,7 417-4653: \'1> ,.' p . }'4t'7-4750' TNe .:; "./, "417.48IS' Il.tlS/D"!; ',' .J,LI FIRE DEPT. . ,. ' I ,i "J'" _ , , ,'. " - PLANNIN(JiD,~PT., ,,,.,;'; BUlLDlNG::"',~"--",,,,,, .". '. " " T:\PLANNIJIIG\FOlWS\1102.IS [412002] , ~l ~ ~~__U~~:~ 'jBUILDING PERMIT - APPLICATION .. FOR OFFICIAL ljSE ONLY: Date Rec.: to /.' "3 Lo~ Permit #: Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent-.!1IClfltEL Pe-r?1< '/ . Owner: 5A-1I1 iF Address: "3;)... 9' fA) / L/ TH Phone: 360 - 15"1 - 9776 Phone: 3fa 0 ..... tf 52 - 23 7/ WG~.c: City: PofL T A.AJG€L.€""s Zip: 9 g 362- Architect/Engineer: Phone: Contractor f(A-AJIJ fj (!)tuEAJ.s StateLicen~~~^,PI Og5D~xp: 3//05 Phone:Vn-t/7'1~ Address: faro ( Mt Plea~...f fl-1 City: Pb/LTjJ;)JG/:'-€$ Zip: t:JS!,{,2- PROJECT ADDRESS: /93/ W" -I-h PA . 98363. ZONING: -R S7 / -3 Block: ~ Subdivision: AJdw.e.//s g'a bO/fJ 17t . CLALLAM COUNTY PARCEL NUMBER: 0 b =3 0 e5C> 900 .;l t.f 5 g t.L/, La"7 . 35 LEGAL DESCRIPTION: Lot: Credit Card Holder Name: ^" ICt.+A-E: L S . Billing Address: 32 q lue57 ft.I -rH- Credit CardType VISA MC # TYPE OF WORK: SIZEN ALUATION: J( Residential.: 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $ · 0 Midti-famrry > 0' Addition 0 Move 0 Garage SF. @$ /SF. = $ o Conunercial ;( Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $. ciRepair 0 Sign MOther .. TOTAL VALUATION $ ~OJoo'o BRIEFDEscmr'iioN OF THE PROJECT: APJ5 OtLTS/DIE" If/NT/Zj:fAJe.G TO .f3ItSl2MENT ANt? .. t:I/VISt4- 8Ifs~eN'T. A-bJ> ~/I1A-/,.L. DE:C'::"'OFFb-y.lS7/JJ$ KI,C/H7:}J, COMMERCIAL~ENT~ Occupancy Group:' Occupant Load: Construction Type: If G: .NI 0 DeL No. of Stories:.-L Lot Size: 50 "/..1i/OE~sting Sq. Ft. /1>65 & Proposed Sq. Ft.! 93 = TOTAL Sq.Ft, I g58 Existing lot coverage ~ % & Proposed lot coverage 3-% = Total lot coverage. ...'27 % 'Pe-e.R<j City: P6ILT AfVG~$ 9'8361- Exp. Date: , APPROVALS: PLAN: BLDG: DPWU: FIRE: .....bTImR:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: ' " " BUILDING PERMIT APPLICA TION SUBMITTAL: The Building Division can provide you with infonnation on the application and plan submittal requirements if you haveques~ons. 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 Perinit 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 llt the time of permit issuance. EXPIRATION OF PLAN REVIEW: :Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official-Clan extend the time for action by the applicant up to 180 days upon written request by the applicant (see SectionJ07.4 of the Uniform Building Code, current edition). No application can be extended more than mice. ..:;.- I hereby certify that I hav~ read and examined this application and know the same to be true and correct. I am authorizedto"apply for this pe~mit 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 wof/{. i' BFORMSIAPPSlB,Hd;,gp=;twpd APPli,ant~ ~ Date" b/t~;:" L ;;i'I""~ .. " t', APPLICANT: JV1 fcJ.lItE 4-. 'PE R./L~ PROJECT/DEVELOPMENT ADDRE~S: ,1'13/ DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION "5'1- 77b 1-1 PHONE: tJS'Z- 2~71 ~ lA.JEST ~ Tff Pit- CfF3l:,3 See Page 4 for instructions on completing the sfte plan. For more information, call 417-4815. ~ A II '" L, G 2? kZ' 1 \ Ie, E-I./51,,{Jf;. HjuSG "- b.' -~ r/ - f6 LlA G IS ..... - /!; '+5 E: ~e. ~I A~ ... ...~" - t\ \ , \ I I ",f. lIt: I" / ,,' " .I -, ./ J I~- '/ if' ...- "'., , , 'DE. 'CJ 'Fi ~ ~ ~ I ;...,. IIv 6 .~ "r" ~ #1 E,N -- ~ ..f} ~ <";' / . -1v /I jJ- V .:)/ l'IJ1br ~ , -c- - , :, .. ,:';1,- ... / 3~' ", --~ ') -' I \ ~ \\ ^ ~'I~~ II 1\ .,..( ;-(L ~t7\ . ~l'>:=:' / ~ '2d - \ .-..- -. '. . - ... - 5'f' ~ ~/" S " N ~l. t.J !J:",: ~ ,1"le:,.J_'" ~N TA~AI..!C. F: 1= ~t:: A1 ()"~ I S Ilt:>t::' , 1,-, .. .' ", ,_' .. ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST' Date $10.3. ~/ Received by ,,--- J "'-. Time Y*IV\ ~erson) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~ Sewer Foundation Framing Chimney ~ Final INSPECTION NOTES: L I VU~ 1Mb Inspected: Date g~nJ Time-f(\1 Remarks: I b~;J~ \.J Lt-+i1 Phone No. 4 ~a. ~ .fSd~ Permit No. ~ Sewer Excav. Other q b~ BY~ ~ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT IDA TE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date. ~ -q-63 y/ Time Received by ~ (phone. personl Location of Work to be inspected /9(){) 8/()(1k W€Si-b+i] Name of person requesting inspection AVJY) McJ.-h~so~ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Phone No. Permit No. INSPECTION NOTE~ Inspected: Date 'D 7 Remarks: ~ """"'- -Q ~ '""'--:. RESTORATION REQUIRED . . . . .. YES NO \ WoJ'k b~~ d.\A.e.. c..t Pro iY 19z<=i oJ 'G"'L-t 0 r- ,S 6e.1w€e,r. ,C(Z7 a,V\d'192.5 ~ ~ ~~ w~ ~~~ (S..I-N i-k.... %lJ'-'utf,,6 ~~4t~ ~ u-M '" ()l~ ~/..P ~~ ';t ~ J SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel o Asphalt DP,CC o Other D Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) PREPARED 12/15/03, 12:17:31 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1931 W 6TH ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE PERRY MICHAEL S 06-30-00-9-0-0245-0000- 03-00000905 RES REMODEL PERMIT: DF3 00 BUILD PERMIT - RES DBL FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 BLI 01 10/17/03 10/17/03 JLL AP SUBDIV: PHONE PHONE : JLL BUILDING FRAMING TIME: 17:00 Framing inspection in Basement remodel Ph# 452-2371 BUILDING INSULATION BL99 01 ~v ---------------------~--------- COMMENTS AND BUILDING FINAL Mike Perry 452-2371 NOTES -------------------------------------- 01 10/22/03 10/22/03 12/15/03 1 12/15/03 PREPARED 10/22/03, 12:48:07 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1931 W 6TH ST PERRY MICHAEL S 06-30-00-9-0-0245-0000- 03-00000905 RES REMODEL INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE SUBDIV: PHONE PHONE : PERMIT: DF3 00 BUILD PERMIT - RES DBL FBB REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 10/17/03 10/17/03 JLL AP 01 BUILDING FRAMING TIME: 17:00 Framing inspection in Basement remodel Ph# 452-2371 BUILDING INSULATION BLI 01 10/22/03 ~ -------------------I-~-~------------ 2 10/22/03 COMMENTS AND NOTES -------------------------------------- ~ORTANGELES WAS H I N G TON, U. S. A. DEPARTMENT OF COMMUNITY DEVELOPMENT July 24, 2003 Michael Perry 329 W 14th Street Port Angeles, Washington, 98362 Dear Mr. Perry, As you know, following a public hearing conducted on July 23,2003, the City's Planning Commission denied your request for a Conditional Use Permit at 1931 W. 6th Street. The decision of the Commission is final unless appealed within 21 days to the Port Angeles City Council. If you have any questions, please don't hesitate to contact this department~ 'cQBuilOffig~1f~'fun';i~ i " .lMlJt It,~ Lo. ' !p,;:-~ 1Z'-1, r . 4 LJ 5 ~~- 91,"/:,' .... .1""'1','.,. D'. ,".",' . "~r:J J! - !1. "l./ " V\;." ",' ""';", , , tJ q...> 1,.'),' ~ J. ") ==<' .,' 'I. ",I' ;.;1! . .. , /'),,,.. '" _ _L... '" ^... _ _ '; '/0 (J J f' ;~-r ... ...., , ,\ l~~ :3// Ii.. ~~' (, m ,<.:. . ;1-._ .i' ''... . " 'J '<.: "I, ,k.,' ",. ~iT'~),;".~"/ \"\: !:'J~ \ '.',' ", ", .,../' Itt' 7'0; ". s: /12 rl ~V;ii' ,1(;;J ~, 0 I."",' ':1'); .;~y I"'; .,'. .;.... 19 BbF ~Ip- . .'>\, K. 1 a"9," 5:.~ "t~i70 ~;:f~j b,;,5 ; ,..,,;',;'.;.:l.} .j fJr6' :~~ (' t' / ,,' 't;~;;:':" ,,~Y f"'i. I..., <(,....1 r-':'ll 3 Vi'" !...!;;.~(j}i 3' '. " ..,'. s. ,... m., ~'-.,.... . ~... .... ... ,:,:~\'~; 1',.. 'l' f.ci i ....!) rJJ.~ ,~.A~l!-l 2;;, S, e;. " ' I~,';:-:;i:, ii')2tl . iF, -;' ""',. y.,,-... p;., ,;,". '1::";" ., "t> ,,,,.,, '; .... f.', '!,," ,', "'. '" "'" ,. 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'1 J 7. ....... f!J? ~l~ ~4 ~j r ; !j~,J' . " : ...;'; I....'" 'ti'i/i' = bi..'; I:~ii.:. 1':(':, :YCtij;.. ":;-; b-;;,,:, :2:) :~ii;~ .:/!L :'},,~_:" t~~l~~\\ ,~ C'" 8, ~\ :::> '<- , ". .' ir ; "';." .. I '.;,' ~il)/'';D U /IJ 'J I.l1) Ai .'" . .'I,"'. . ....' "-,.,..A ( un <: U P :P.,'J~ .'7- I, ,,,, 'i .,. ..L /~ ~.~ ",':,..a ..... -~..., .... .... J t A'.I J:J . 70 .} .-..;;:.... l./(' 1 . . ."e. '..' P,~A A)i);';'J~JI U~~. ct.,. .. .:.:": .' '. !;" ",.' i........ " .f FF- I I ~ ~ -~. -~!~ . - , c. :- - 'I II VJ '. " :i - .....rIl Q- _ ')L .... ..0 -'" ~ ) ~ en, . 0- ~" -~ l~ .... -" Gd) ~~ ..II 3 Pl.. '('1J "" - ,. 12 b I I I I I 1 I I I I ~f-~ _. - ~I )4 ~ 01 01 ~h J.~,so" i) -- , ;.. l I . ",:V cT. ~ € ,":.;1 ~W~" ,~ I: ~ ,lL..- -.-- r"'~ PORT' NGEl.eS - Pia 8 Th ISSUI nee ~ tills I8rmit base<< Upol thllSl plans SpilL n" -ca ons-a dilt ef-da -$hall.nol mel ! tile uildin off<< al fro n tltE eafte req ring ~ of error in slid pI: os. S ecin tlon -and- other- data. ~r-{ ~ eJLell~l[ hU ldina ODel1 ions Ileing earri on tIlere nder whe~.l in vi lation of a cod s an llflil &nCE -oH is-ju isdictlO.. ~S~TlO U03 !Ii\ . U ifom Build g Cc e.) r It A'nrova Date I q I~"'D ~ B 1IA... 1/ ('1 y.., ~/-c. .,., '_I' -;;:'-~ JI .~ ... , ~ ~ - ~ !1 ~ ~ ~ ~~ ~11 I ~ ~~ ~ lb $ o - - Is! 1II . ..-- , \-1:1 Co 1::1 .... ..fa 0 II- ~ ~ '" I k-ili " ~> 8 Q II '<:f. 11~ ~ ~ ..Q I~ ~ ~ 7- c.... ~- ~ ~ , ~ ""'! ,,~~ ~~ J;~U1 1.41 --- - ",.~ .-- 0<-- f- ""..,. fVll7 ,,';1......,~ J';3 ;I~: 17' C~.jll ri ~ ~ nl-41"]js In :, Hj..~ 9 ... - .....v c: ~ y.. .~ ..3 ~-+1?J 0.1 S / =~~ 0,1 ,3 71' ~ S ....,= J~ 0 ~G' ... -F-~--- ..- , \i _ ~L~ ~ Z 1_~ 91/1 ~ ~ t \. - 'L - ~" ( \. --f- I 4 \ '. ~ .. - ,.,., p- , *I~ ~~ ~, l- I - .... - I..... ,.... _ '" ""':"J .", .:~ ~ c -'U -at/"-i:) I W i- , ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY .._-: DatelRcc; Pcnnit#; D...teApproved: Datels.sue& The Electrical Permit Application must be filled out comDletelv. Please type or reprint in ink. If you have any questions, please call (360) 4174735 ~ (()CS Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: Property Owner: M I K ~ I "'3 Address:_ ' ~1 M,KE PEfa-j fPE f?./~-'j Wesl -/4/ ~ Phone1S7-177b Fax: Y52-'i179g Phone: tj 5 7- q7/ b _City POf!-T AIJ6GLES Zip CJY36.Z- Electrical Contractor: License #: Exp: Phone: Address: City: Zip: INSTALLATION WiRED BY: ~WNER Credit Card Holder Name: o ELECTRICAL CONTRACTOR Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA:_"MC: TYPE OF WORK: /93/ WEST 6TH PoP-I AN6nES 9f3b3 PROJECT ADDRESS: Check all that apply: 0 New ,Pi( Alterationl Addition ){ReSidential 0 Multi-family o Commercial 0 Mobile Home Sq, Ft o Remote Meter " n Detached garage 0 Hot Tub ,'0 Swim Pool, : NU~ber of Circuit~ added or altered: 0' , .'; DESCRIPTIO~ OF THE ELECTRICAL PROJECT:, " 1ft!:/nt?tJ-tL- ~. .. ~ ~, . o Septic Pump o Low Voltage 0 Telecom, o Sig ;f/')LJI-TlON. .~ Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump '~Fan-Wall ~KW KW TON 7,'KW LRA o Overhead Service o Temp Service o Underground Service Voltage: :2. 'I 0 Phase: ):[1 0 3 Service Size: 200 Feeder Siz!" 90 I hereby certify that I have read and examined this application and know that same to be true and correct, and I a authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: Owner or Elec. Cont. Signature: Date: . , 1",. NI'!t- C:/ELECTRi CAlPERMIT APPlICA nON 1;J.)s;J~ .JcQ PERMIT FEE: $ FROM' :_ E 1 ectr i c-:-S ~; FRX NO. : 4526424 May. 16 2003 07:39RM P1 6 Zb ELECTRICAL PERMIT APPLICATION fl)[I Oi :'ICIAL :";:i;j.'. u~L y DKIIII!l.(c: .__.. .u._., ... I'mn..l~: '_._' ._, r.:"k A"P1"~<4: _.__ _._ [)&lC~l.ogJ.___ _.__ Tn9 Eleef1ica1 Permit ~p)icatjon mUlt be flllad out com~18h,11I l.f8o Pltu. ~ or reprint In Ink. If iDU hive any qUNl!onl, plaU& .IU (3601 417..735 Fa nu",ber: (3llO1417..71, /. REQUEST INSPECTION [ OWno' Or Elee. Contr'ctOr Agent: _f7.-lCZL'n? ,,'_ >.:.~... ",'. ;..!.L,- Phone: 4 n-(Pli~" Fax: l\ "~._"~..' /J ProPOnyOv",or.. b11~Cr. ~e.r'T ~. PC-one: 1-{'~-:<231/ Addro.s:~ '7 I s-+ Cit<: f Od A~~< l' z~ Cf 8'3Co'b Electrical Contracto'. \2:\.<1 <.',;L'''- ~ J.,_ liOONOti:__, ' fx;' ql,'</... Phone; 4' '--i.., Ad"rass 1.h.... 'l1'I"L.. '<~ ~& I City: ~~I'/.I Avr ,uJ:...' Zip: '1T~,.,- INSTALLATION WIRED BY: 0 OWNER ~L CONTRACTOR Credit Card Holder Name: (fr 9%/0/: 811ting Address: Credit Card NumbQf': Exp_ Date: Zip:. VISA: Me lC)..3 l LA ). Co M PROJECT ACCRES$: TYPE OF WORK: Check ~ that apply: C New ~esldental 0 Multi-family Remote Meter 0 Detached garage Number of Circuits added or altered: o Commercial )XAlteratlonfAddition o Mobile Home Sq. Ft o Hot Tub 0 Swim Pool () o Septic Pump o Low Voltage 0 Telecom. 0 PERMIT FEEt qq ov 767.30 t- 22 n 0 ~. J Sr t'c,w )(flvemeed Service a Temp Service eJ Underground Service Service Information Electrical Heat Load Additions o Baseboard o Furnace o HMI Pump o Fan-Wall KW KW TON -KW LRA VOltage: i') J) ~~-'1D Phese: 1 3 Servles Size: 'l.c.t Pi Feeder Size: .L.i'J () A PAMC 14.05.060(8): For industrial, commercial, & residentlel projects lerger than e duplex. a one -line drawing of the Eiectrical Service Feeders. building size (sq. ft.), load calculations, and the type & of conductors and/or raceway I. required and shall accompany the Elect. Permit appiicatfon. I hereby certify that I have read and examined this epplica/ion and kni)w that same to be tflJe and correct, and I , authorized to apply for this permit. I understand It Is not the City's legal ~sponsiblllty to df}termlne what permits required; It remains the applicants responsibility to determine whet permits are required and to obtain such. Credit Card Holder's Signature: Owner or Elee. Cant. Signature: C:IELECTRICALPERM IT APPLICATION ~~ C;,te: Date: ftl.j!t~P ~ C ~ 5"/17/03 of-' Ji J 6\1'\ (i1;