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Home My WebLink About1134 E Front St - BuildingPREPARED 3/07/07 9 04 31 CITY OF PORT ANGELES ADDRESS 1134 E FRONT ST TENANT NSR JOHN L SCOTT CONTRACTOR OWNER WILCOX LINDA A PARCEL 06 30 00 7 1 0200 0000 APPL NUMBER 07 00000172 SIGNS PERMIT SIGN 00 SIGN INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 3/07/07 JLL BUILDING FINAL 03/06/2007 02 00 PM PERMITS MIKE MILLER 452 7785 COMMENTS AND NOTES PAGE 5 DATE 3/07107 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 4 321 EAST 5TH STREET PORT ANGELES, WA 98362 �t Application Number 07 00000172 Date 2/21/07 J Application pin number 596860 Property Address 1134 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 7 1 0200 0000 Tenant nbr name JOHN L SCOTT Application type description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 750 Owner Contractor WILCOX LINDA A OWNER 82 ISLAND VIEW RD PORT ANGELES WA 98362 Permit SIGN Additional desc Permit pin number 95729 Permit Fee 94 00 Plan Check Fee 00 Issue Date 2/21/07 Valuation 750 Expiration Date 8/20/07 Qty Unit Charge Per Extension 2 00 47 0000 PER S SIGN LES THAN 25 SF 94 00 Fee summary Charged Paid Credited Due Permit Fee Total 94 00 94 00 1,00 00 Plan Check Total 00 00 00 00 Grand Total 94 00 94 00 00 00 n _r VVV�Iw C� d 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 2 . 2— t o'� Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T-\Policies\1102_15 building permit inspection record05 wpd [1/4/2005] 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. ITIS UNLA N FUL TO COVER, INSULATE OR CONCEAL ANI' WORN BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED I COMMENTS t I I YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB !j ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE I BACK FLOW / WATER AIR SEAL WALLS I CEILING I FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING I( MECHANICAL ROUGH -IN I HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING IRESIDENTIAL FINAL FINAL I I I SEPA. I ESA. I I J l SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES I NO COMMERCIAL ELECTRICAL LIGHT DEPT 417-4735 CONSTRUCTION R.W /PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT 417-4750 BUILDING 417-4815.._�� T \Policies\l 102 15 building permit inspection Tecord05.wpd [ 1/4/20051 DATE ACCEPTED BY. DATE ACCEPTED BY. DATE I ACCEPTED YES NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW / ENGINEERING FIRE DEPT I PLANNING DEPT I I C`0, FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION pt. Rec. -/3""p% Temlito. " *Qhw� or Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved:� COMPLETE to be accepted for review If you have any questions, call Date Issued.. PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: C rot � VG ri Owner- 11 CIA1 N -7 -7 rr Address. City- Architect/Engineer- PvQ L e, -j - Contractors S L G >J State License Address: \ 3. 2-a c!!F (Z S 7 City. (119al PROJECT ADDRESS 14 c -r Phone: *75'2 S_ Phone: Zip Phone: r/ C_ to Exp Phone: ,0-"4 C' -'d L.-} zip g P.? (. P LEGAL DESCRIPTION Lot: \ 6- Z-- Block: -&— Subdivision. CLALLAM COUNTY PARCEL NUMBER. 0 (_ 0 e:N C>_1 k0 -Z- c> cl ZONING TYPE OF WORK. SIZE/VALUATION • Residential n New Constr 13 Re -roof 11 Stove SF @ $ 2_4 /SF = $ '7 U -r,, • Multi -family 0 Addition 0 Move 11 Garage SF @ $ /SF = $ El Commercial El Remodel n Demolition 11 Deck SF @$ /SF = $ 0 Repair 0 Other TOTAL VALUATION $ 7S o IC BRIEF C L G -,,j v. DESCRIPTION OF THE PROJECT 4= �22 COMMERCIAL/RESIDE-NTIAL.-6cc'upancy G+p- Occupant Load. Construction Type: No. of Stones. Lot Size: Vxistmg Sq Ft. & Proposed Sq. Ft. = TOTAL Sq Ft. Total lot coverage % RECEIVED PANN�r USE ONLY6;:0,11,��.IW_ W1 APPROVALS FEB 13 2007 PLAN:-,-, ��72' BLDG CITY OF PORT ANGELES DPWU [3U)1L3iNG-9+V1S1W;J FIRE. ESA/Wetland(s) El Yes 0 No SEPA Checklist required? 0 Yes C1 No CIL- OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 4174815 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 / have read and examined this application and know the same to be true and correct / am authorized to apply for this permit and understand that it * is ility to determine what permits are required not the City's, and that must obtain such permits prior to work. TAF0RMS\I31dgPermitfbrm.wpd Applicant: Vl' Date: 21 il 0—? r 4 C4 03 0".-1 c.q.>w T da, 'o " a/4m 4 i *some Ldt W 1,0 4 tf42&,Cj AAW JL PROPOSEO SIGN 32"X 71- C9 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner WILCOX LINDA A 82 ISLAND VIEW RD PORT ANGELES WA 98362 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION ;21 FAST 5TH STREET PORT ANGELES, WA 98.362 07 00000172 Date 3/09/07 596860 1134 E FRONT ST 06 30 00 7 1 0200 0000 JOHN L SCOTT SIGNS COMMERCIAL ARTERIAL 750 Contractor OWNER Permit ELECTRICAL SIGN PERMITS Additional desc ANGELES/ SIGN CIRCUIT Permit pin number 96727 Sub Contractor ANGELES ELECTRIC Permit Fee 35 00 Plan Check Fee Issue Date 3/09/07 Valuation Expiration Date 9/05/07 Qty Unit Charge Per 1 00 35 0000 ECH EL COMM 1ST SIGN Fee summary Charged Paid Credited Permit Fee Total 35 00 35 00 00 Plan Check Total 00 00 00 Grand Total 35 00 35 00 00 COMMENTS/ACTION NEEDED 00 750 Extension 35 00 Due 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M QMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INS MM014 TYPE I DATE IACCZVM � COMMEMS YSS ! m DITCH ROUGH -IN J COVER SERVICE FINAL l I GENERAL COMMENTS: 7W -11021514%j PREPARED 3/05/07 10 00 33 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/05/07 ADDRESS 1134 E FRONT ST SUBDIV TENANT NBR LINDA FRENCH CONTRACTOR DAN SMITH CONSTRUCTION PHONE (360) 683 6040 OWNER WILCOX LINDA A PHONE PARCEL 06 30 00 7 1 0200 0000 APPL NUMBER 06 00001200 COMM REMODEL PERMIT HPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 1/03/07 JLL BUILDING FRAMING 1/03/07 AP 01/02/2007 10 09 AM PBARTHOL PARTIAL FRAMING REQUEST ON COMMERCIAL REMODEL 01/03/2007 04 18 PM JLIERLY BAIR 01 1/08/07 JLL BUILDING AIR SEAL 1/08/07 AP 01/05/2007 04 56 PM PBARTHOL DOUG 461 9090 01/08/2007 03 23 PM JLIERLY BLWS O1 1/09/07 JLL BUILDING INSULATION WALL/FLOOR 1/09/07 DA 01/08/2007 01 24 PM PBARTHOL DOUG 461 9090 01/09/2007 03 12 PM JLIERLY door locked no inspection/jll BLWS 02 1/11/07 JLL BUILDING INSULATION WALL/FLOOR 1/11/07 AP 01/10/2007 09 57 AM PBARTHOL DOUG 461 9090 01/11/2007 03 19 PM JLIERLY BL99 01 3/05/07LL BUILDING FINAL 03/02/2007 01 31 PM PERMITS xt DOUG SMITH 461 9090 03/05/200 09 59 AM JLIERLY COMMENTS AND NOTES CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION �i 321 EAST 5TH STREET PORT ANGELES. WA 98362 ^rrii�aL1Ull nuuwer 06 0000120U Date 2/01/07 Application pin number 702800 Property Address 1134 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 7 1 0200 0000 Tenant nbr name LINDA FRENCH Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 25000 Owner Contractor WILCOX LINDA A DAN SMITH CONSTRUCTION 82 ISLAND VIEW RD 1482 HOOKER ROAD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 683 6040 Structure Information 000 000 Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF/PRO/MED/REST Permit ELECTRICAL ALTER COMMERCIAL Additional desc KIRSCH/8 CIR + 100A SUB Permit pin number 92965 Sub Contractor KIRSCH ELECTRIC INC Permit Fee 148 00 Plan Check Fee 00 Issue Date 2/01/07 Valuation 0 Expiration Date 7/31/07 Qty Unit Charge Per Extension 1 00 75 0000 ECH EL COM ALT 0 200 SRV FDR 75 00 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00 3 00 5 0000 ECH EL COMM ALT ADDTNL CIRCUITS 15 00 Special Notes and Comments Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 148 00 148 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 152 50 152 50 00 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MQdlMIN.24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IACCM10 COMNTS ME YES I m DITCH ROUGH -IN / COVER SERVICE FINAL I 'V 3o 0-7 1-,41,641 n GENERAL COMMENTS: FW -1102.1314" PREPARED 1/11/07 10 42 23 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/11/07 ADDRESS 1134 E FRONT ST SUBDIV TENANT NBR LINDA FRENCH CONTRACTOR DAN SMITH CONSTRUCTION PHONE (360) 683 6040 OWNER WILCOX LINDA A PHONE PARCEL 06 30 00 7 1 0200 0000 APPL NUMBER 06 00001200 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 1/03/07 JLL BUILDING FRAMING 1/03/07 AP 01/02/2007 10 09 AM PBARTHOL PARTIAL FRAMING REQUEST ON COMMERCIAL REMODEL 01/03/2007 04 18 PM JLIERLY BAIR O1 1/08/07 JLL BUILDING AIR SEAL 1/08/07 AP 01/05/2007 04 56 PM PBARTHOL DOUG 461 9090 01/08/2007 03 23 PM JLIERLY BLWS O1 1/09/07 JLL BUILDING INSULATION WALL/FLOOR 1/09/07 DA 01/08/2007 01 24 PM PBARTHOL DOUG 461 9090 01/09/2007 03 12 PM JLIERLY door locked no inspection/jll BLWS 02 1/11/07 JLL BUILDING INSULATION WALL/FLOOR k DOUG 2007 09 57 AM PBARTHOL DOUG 461 9090 COMMENTS AND NOTES PREPARED 1/09/07 12 52 17 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/09/07 ADDRESS 1134 E FRONT ST SUBDIV TENANT NBR LINDA FRENCH CONTRACTOR DAN SMITH CONSTRUCTION PHONE (360) 683 6040 OWNER WILCOX LINDA A PHONE PARCEL 06 30 00 7 1 0200 0000 APPL NUMBER 06 00001200 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 1/03/07 JLL BUILDING FRAMING 1/03/07 AP 01/02/2007 10 09 AM PBARTHOL PARTIAL FRAMING REQUEST ON COMMERCIAL REMODEL 01/03/2007 04 18 PM JLIERLY BAIR 01 1/08/07 JLL BUILDING AIR SEAL 1/08/07 AP 01/05/2007 04 56 PM PBARTHOL DOUG 461 9090 01/08/2007 03 23 PM JLIERLY BLWS 01 1/0 9,/07 yj�,L _ BUILDING INSULATION WALL/FLOOR t (/\�,/� 01/08/2007 01 24 PM PBARTHOL DOUG 461 9090 COMMENTS AND NOTES PREPARED 1/08/07 8 22 06 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/08/07 ADDRESS 1134 E FRONT ST SUBDIV TENANT NBR LINDA FRENCH CONTRACTOR DAN SMITH CONSTRUCTION PHONE (360) 683 6040 OWNER WILCOX LINDA A PHONE PARCEL 06 30 00 7 1 0200 0000 APPL NUMBER 06 00001200 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 1/03/07 JLL BUILDING FRAMING 1/03/07 AP 01/02/2007 10 09 AM PBARTHOL PARTIAL FRAMING REQUEST ON COMMERCIAL REMODEL 01/03/2007 04 18 PM JLIERLY BAIR 01 1/08/07 L 1 BUILDING AIR SEAL ap 01/05/2007 04 56 PM PBARTHOL i DOUG 461 9090 COMMENTS AND NOTES PREPARED 1/03/07 9 21 42 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/03/07 ADDRESS 1134 E FRONT ST SUBDIV TENANT NBR LINDA FRENCH CONTRACTOR DAN SMITH CONSTRUCTION PHONE (360) 683 6040 OWNER WILCOX LINDA A PHONE PARCEL 06 30 00 7 1 0200 0000 APPL NUMBER 06 00001200 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 1/a0 /07BUILDING FRAMING J l v 01/02/2007 10 09 AM PBARTHOL fVT PARTIAL FRAMING REQUEST ON COMMERCIAL REMODEL COMMENTS AND NOTES LUUr/ll�W llIMUN 11 1J AM (1-1-Y Ur FA BLDG DEFT PAX No 360 417 4711 P 001/001 E SO BUILDING PERMIT - APPLICATION D�.,�. Fill out COAVLETELY and in E%C Your application and site plan MT S_T BE. pane Approved: ` COMPLETE to be accepted for review If you have any questions, call IFERMUS-(360)417-4815 FAX(360)417-4711 Issued Applicant or Agent: Li i� t� Phone: -- _-- / ----_-- �{-owner:• �' "--- - •---- ---� ho Address• - - -- - - ziP_t`3 - - - -- Phone Contractor State'License 4- Exp:Phone. - _ _- -- : Address: -City' /� P onezip: PROJECTAbDRESS:.04 ZONING: . dVC5T 6 fA LEGAL b1iSCRiPTION: Lot:Bloch. Subdivislo CLALLAM.COUNTY PARCEL NUNMER. ;l/Z "P_61) TYPE OF WORK. SIZE/VALUATION- 13 Residential ❑'New Constr. o Re -roof a Stove SF @-S /SF =S ❑ Multi-familyAddition ❑ Move ❑ Garage. SF @$ /SF = $ ❑ -Commercial -Remodel ❑ Demolition 0 Deck SF @t •/SF .❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIP'T'ION OF THE PROJECT ` u ��Aw oh Pr COMiv/ MCIAIAZFSEDENTLAL. Occupancy Group: Occupant Load: No. of Stories: i Lot Size: Existing Sq_ Ft & Proposed Sq. Ft Total lot coverage PLANNING USE ONLY ESA/Wetland(s): d Yes o No SF -PA Checldist.required? ❑ Yes ❑ 14. Other: Construction Type: = TOTAL Sq_ Ft. APPROVALS: PLAN. BLDG: ,DPWU: FIRE: OTHER: VALUATION OF CONSTRUCTION- In all cases, a valuation ammount must be entered by the applicant. This figure will be reviewed and may be revised'by the Building Divis:icku to comply with current fee schedules. Contact the permit Coordinator at 41711815 for assistance_ PLAN CHECK FEE. IF a plan -check fee is due it must be submitted -at the time the building permit application and contor=tion platys are .submitted. All other permit fives are due at the time of permit issuance - EXPIRATION OF PLAN REVIEW If no permit is issued wiihin•180 days of the date of application, the appneation 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_ ! hereby certify that 1 have read and ex&mi d this application and know the same to.be true and correct_ I am authorized to apply for this permit and understand th it my responsibility to determine what permits are required, not the City's, and that / must obtain such permits prior to work / T.\FORMS\BldsPcrw!/ -wpd Applicant: U Date. '-9- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 32! EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00001200 Date 11/30/06 Application pin number 702800 Property Address 1134 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 7 1 0200 0000 Tenant nbr name LINDA FRENCH e Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 25000 Owner Contractor WILCOX LINDA A DAN SMITH CONSTRUCTION 82 ISLAND VIEW RD 1482 HOOKER ROAD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 683 6040 Structure Information 000 000 Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc Permit pin number 90191 Permit Fee 417 75 Plan Check Fee 271 54 Issue Date 11/30/06 Valuation 25000 Expiration Date 5/29/07 Qty Unit Charge Per Extension BASE FEE 95 75 23 00 14 0000 THOU BL 2001 25K (14 PER K) 322 00 Special Notes and Comments Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 417 75 417 75 00 00 Plan Check Total 271 54 271 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 693 79 693 79 00 00 Separate Permits are required forelectrical 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-\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4847 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK EEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE{ DATE ACCEPTED COMMENTS YES ' NO FOUNDATION: SEPA. PARKING/LIGHTING FOOTINGS ESA. LANDSCAPING SHEAR WALLS / WALLS ( SHORELINE. FOUNDATION DRAINAGE / DOWN SPOUTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USL PIERS POST HOLES (POLE BLDGS.) YES PLUMBING COMMERCIAL UNDER FLOOR / SLAB 417-4735 ROUGH -IN WATER LINE (METER TO BLDG) ELECTRICAL SHOWER PAN 'KEMCA S LINE LIGHT DEPT LWRSEAMA yl�7 (FRAMIN%fiRCEDERS } ENGINEERING 417-4807 I SHEAR WALLMOLD DOWNS FIRE 417-4653 WALLS I ROOF/ CEILINGI! fid IO 7 DRYWALL (INTERIOR BRACED PANEL ONLY) , f 417-4750 LATION BUILDING _ CL LSLAB---� f WALL / FLOOR / CEILING i MECHANICAL, HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS `I SKIRTING 1 I I FINAL DATE ACCEPTED BY. L)�� FINAL PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING ( SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USL RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT �CONSTRUCTIONR.W /PW/ i( CONSTRUCTION R.W ENGINEERING 417-4807 I PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING _ 4174815 1 BUILDING TAPolicies11102_15 building permit inspection record05.wpd (1/4/20051 DATE ACCEPTED BY. DATE ( ACCEPTED I YES ( NO I/1- 1 Gtrs FOR OFFIC }4 US LY' °� BUILDING PERMIT - APPLICATION 1 Date Rec. /1,/�n -� opt Permit Fill out COMPLETELY and in INK. Your application and site plan MUST B /Date Approved: COMPLETE to be accepted for review If you have any questions, call 6 PERMITS (360) 417-4815 FAX(360)417-4711 j Date Issued. Applicant or--Prgea . / � � � ��fC %�i Phone: �- j X[ D l- �— ��.711' - -- - — Phone: ` p Owner- Address k �a t'ld&/ GdCity U Zip Architect/Engmeer• Phone: Contractor J i94/ �>'A elbd_-%')State License #• pd Y5�W93iN `1Exp. Phone:_,&,e3 %OCID Address: ,` City / Zip - PROJECT ADDRESS 113 Y" E- r—kf /lt ST /Ot - /�x rk ZONING 'p-- LEGAL DESCRIl'TION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. lO 7/V c2 GD TYPE OF WORK. SIZE/VALUATION ❑ Residential ❑ New Constr ❑ Re -roof ❑ Stove SF @$ /SF = $ ❑ Multi -family ❑ Addition ❑ Move ❑ Garage SF @ $ /SF = $ - ❑ Commercial /Remodel ❑ Demolition ❑ Deck SF @$ /SF = $ ?_5. 000 5eRepair 1"ign ❑ Other > �-t o TOTAL V !,r/�w UATION $ ; J�oG� ' ' /zLX BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group // /` Occupant Load. onstruction Type - Lot of Stories: Lot Size: Existing Sq. Ft.�k� 7' &Proposed Sq Ft.� = TOTAL Sq. Ft.� Total lot coverage % PLANNING USE ONLY APPROVALS. PLAN BLDG DPWU ESA/Wetland(s)- 1:1Yes ❑ No SEPA Checklist required? E:1Yes ElNo Other- FIRE. 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 Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the tune 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. 1 hereby certify that l have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it i my respon 'bility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. / TAFORMS\BIdgPermitform.wpd Applicant: L(lf i //U� �`� Date: -J/ 711k, 07 tt t 9XK 7" -4 to 0�e Aro fix OF POT ANES CGEL— onVnueti Plans 'LoLr?ETY The Issuance of this permit based upon these pia s, specifi- Cal oil', allU U L' Idl g official. from thereafter requiring the correction of errors in said plans, specifications and other data, o - r from preventing thereunder -n' being carried on t nder when in A.. nQ 60�, and ordinances of this jurisdiction. Approval Date /; wlo'(e, B, 01 A-1 r lit we- '�EJ� CITY OF PORT ANGELES — Constructit-n Plans The Issuance of this permit based upon these plays, specifi- uellvi'a ai,d V"Im, Ja«, :,'JI .. 1.4 g official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing 1� �1 ,✓�� $ r� bu' ng ��rn wing carried thereunder when in rco and ordinances s of this jurisdiction. Approval Date�� 2 DY J,_._S 1 II .,.S..Y p1.... '.:'•eke d9Sc�'v$:.�� 14k, CE RTI IC, ATE -0 -`# O�C2C:U RA IU CY City of Port Angel;;es="Buildrng'kDi�„ision •R; ,x This certificate is issued pursuant-to..the requirements of Section 116'6fthe 2003 International Building.Code '. i� Y... �,�':' « . certifying that at the tithe ,Of issuance. thas,•strueture was in compl ance.,j4;iih the V&ious ordinances of the City ?ale Y Y,y • k regulating building cpnstrufio"`n:<<oi :use for,tlie fo'llowIng .F ' fpr4..a Business name ,JL.Scoft, Real yEstate: 11134E St: Business address Front Owner of business, iP11-Anda' Lape French, n, Owner s address 1•;62`appy Valley'R "S''00b"'W'A'48'382: Use & occupancy clasfcation Business'-'fi=_M z' Building permit nunlbdr'-,; 06-11;31 Type of construction V-I.;-x� . ,+.. 5d T ` 11/01/06 Sue Roberds, eningManse �n; �� Date Post on the premises in a conspicuous place,�his `e ` �fica'tE sl►all,notie removed except by the Building Official. 1 � Q� —Q, �Q r ROUTING'SUP E IFN Certificate. of Occupancy O $50 00 Certificate/Inspection Fee DATE N ® ® New Business ( ) Addreof Proposed Business Transfer of Business Location �q C , P-" Kt S_I Change of Ownership ( ) Applicant. L I tnla L d f7to P" rP /1(A New Building ( ) Address b n4 Vo d? 12d Remodel ( ) 73t —ccyy Temporary Business ( ) Phone businessO�' -_ .543 home 6,q"; " �� f 7 Change of Use ( ) Brief description of proposed business. P (-/, / �_: S i -e, Legal Description Lot Block Current Use of Property- V a tYA_r'l- Zoning Classification of Property* WILL THERE BE ANY OF THE FOLLOWING? YES NO S Construction changes L4j l� 1) Electrical changes Mechanical UU (heating, cooling, stoves) 2) Plumbing changes 2) New or relocated signs 3) New septic tanks 3) New sewer service 4) Admission charged to patrons 4) Is this a home occupation? 5) Excavation of filling of lots 5) Work done in City right-of-way Is there sufficient off-street parking? 6) New driveway openings 6) A grading plan for site drainage 7) (parking lots, downspouts, etc.) 7) Are the existing streets paved? 8) Are there existing sidewalks? 8) Is there curb and gutter? 9) Other 9) I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge APPROVED REJECTED Building Section Public Works Department Planning Department k Fire Department City Clerk PB I.A. Subdivision THE FOLLOWING WILL BE REQUIRED - PERMITS BUSINESS_ LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) .Driveway installation 7) Fireworks 8) Curb_ installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date Signed Ja Comments / Conditions r.y 5TILC fEl l%INCA qtr I'- �1 J ROUTING SLIP <m Certificate of Occupancy $50 00 Certificate/Inspection Fee t , DATE �� . 0 \ New Business Address of Proposed Business Transfer of Business Location ( ) ®, 1 ! ?31+ a - F:16 / I -t -S Change of Ownership ( ) Applicant L t viii to LQrt7e New Building ( ) Address 1 Lo *A h y VA `% lv� Remodel ( ) � r U If t -A € 1,(1 `� 73 Temporary Business ( ) Phone business457 75-23 homeC4�/ ! ' / Change of Use ( ) Brief description of proposed business !fit It / A ':�:477 t C, Legal Description Lot Block Subdivision Current Use of Property- V 4 (7 k /-1 Zoning Classification of Property- /4 CA WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes t l) t �� 60,- 0 -Electrical 1) Taxi Electricalchanges <� i Mtn 2) Mechanical (heating, cooling, stoves) L Electrical Plumbing changes 2nd Hand Dealer 4) New or relocated signs 4) Pawn Broker New septic tanks Sewer 5) New sewer service 6) Sidewalk installation Admission charged to patrons Hotel Motel 7) Is this a home occupation? 7) Fireworks Excavation of filling of lots Curb installation 8) Work done in City right-of-way x Sidewalk obstruction 9) Is there sufficient off-street parking? 10) Water meter installation New driveway openings. Other 11) A grading plan for site drainage (parking lots, downspouts, etc.) Occupancy Are the existing streets paved? X Sign Are there existing sidewalks? 14) Is there curb and gutter? x Other Home occupation I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge APPROVED REJECTED 1%42a Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other A -"' I7j Date P ,/ Signed �� )Lt flu X11 Comments / Conditions �� t V77 7' S Cn �,p�')k1' !r ��' �� 2 1 1 o -:rL Sa - RQ_&k E 5-4nt� DATE 10 I _.� D 50 -#c;&-1131 ROUTING SLIP ificate of Occupancy (250 00 ertificate/Inspection Fee Addres of Proposed Business /- Applicant � rAd a �-Gi��il Lli Address - T3 z Phone business 3 home New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Brief description of proposed business Rn / Vis- - >✓ Legal Description Lot j �y Block Current Use of Property- `/ Zoning Classification of Property - WILL THERE BE ANY OF THE FOLLOWING(? . S YES NO I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Construction changes � BUSINESS LICENSE Electrical changes Mechanical U (heating, cooling, stoves) Taxi Plumbing changes Plumbing New or relocated signs Peddlers New septic tanks Electrical New sewer service 2nd Hand Dealer Admission charged to patrons Mechanical Is this a home occupation? Pawn Broker Excavation of filling of lots Sewer Work done in City right-of-way Is there sufficient off-street parking? Dance New driveway openings Sidewalk installation A grading plan for site drainage Hotel Motel (parking lots, downspouts, etc.) Driveway installation Are the existing streets paved? Fireworks Are there existing sidewalks? Curb installation Is there curb and gutter? x Other Sidewalk obstruction %PP ED REJECTED Building Section Public Works Department Planning Department Fire Department d-1�_06 DU City Clerk PB I.A. Subdivision �� THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date I l y 0 SignedA4Ct Gf of n a" Comments / Conditions ,�) et'o u4" / f/ es- rryj -1f <<5jr-e 4 a-_/4 lS 11 • Op pORT 9NC A' �� ''�S� CITY OF PORT ANGELES /�� / � LIGHT DEPARTMENT PERMIT NO ay`9 �e< TY ELECTRICAL PERMIT DATE /a aaI� LION Site Address: / ss 1 17 C, �� q = El READY FOR )(!WILL CALL FOR INSPECTION /` INSPECTION Installed By: 1806's TJ7 ,4"e .r, License Number: Phone: Owner/Business. 1 46 _ / /�� / Phone: Owner/Business Address: Sq. Ft. ❑ Residential Heat KW ❑ Baseboard ❑ Furnace/Boiler ❑ Heatpump ❑ Other Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: ❑ New Construction XRemodel ❑ Service update/alter/repair XAdd/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) Aa /.P cels yo ,)T.c' I XOverhead ❑ Underground Voltage ❑ 10 ❑3^-�Z�!1 Service sizep�C9,0 Amps ❑ Temporary (q Ku)) ,al4. C10 Kuk�) W.S. No. Service SizA Capacity: ❑ O.K. ❑ Not O.K. Commentq ❑ Ditch inspection O.K. PRough-in/cover O.K. ❑ O.K. to connect service i/e 41 � Final O.K. Date 1.4 P Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address: Permit/Receipt No. Installerp New Meters Date: • Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given I by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / / 1 Inspector Amount paid I WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom. Customer GREEN —Top: Inspector, Bottom: City Hall OLYMPIC PgINTE RS. INC A CITY OF PORT ANGELES LIGHT DEPAMTENT N° 17572 ELECTRICAL PERMIT Port Angeles, Washington----•-•- 19L ----- 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 do electrical work as listed below. Address �� +s - y . • Y ----------------- Occ"upacy-----�.•,aa-------- __------ =-•-•,` -Owner ----- =---'-'-=...... -.... •. Tenant.---- ----------------- --- -•------- "7� WiringContractor_,",:�_---------- ------------- By - - ------------------- Light Outlets ................................ ... .... , Receptacle Outlets ............................... Dryer. KW. .......... 5 .............................. Range. KW Water Heater: KW_ ---------------------------------------� �- .^.."..-• Heat: KW..:� e" io �-� ., �'e....°:CC, /g Motors: size, volts and phase: r ,r.• •yy� --- ..........._... ..y.. ---- ................................. .......J _.................... Total Load ............................. Service, volts l U No. wires -------- 4i................. Size wires ..... i'. ..... :r: _`r.. ":...._.. rl Main fuse......................... Enclosure .. ............................. Type of wiring: Entrance Cable Rigid Conduit ------. Metallic Tubing ......._................. Current transformers: No. & Size -----------------------------------_.. Ser. No ..................................'--....... Ser. No .............................................. Ser. No .............................................. Ser. Type of Wiring: Armored Cable Non -Metallic ... Knob & Tube .................................. Rigid Conduit ... Metallic Tubing Raceway ....-----`--------- ------ ---------_ Circuits, Light ...... ............................... Utility .-'s Heat Rane----------------- i.... ---------- *.......... Water Heater ............................... Motor---- ----------------------- ................ Furnace ............ ........................ Total Remarks:------------- c.c4 n J-----------_--------- -- .... ----------------- ------------- ------------------- $ 3 < .rf. !_,.rte ,.. Permit Fee Tress. Receipt _.rt-rr' No. By --;-t------------ ----------------- ---------------------- 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 I- N° -' 17572 ELECTRICAL PERMIT Address---............_-------`----....................---.................--`-`--............---`---.............................. Date ........................... .... _...... _..... ........... Owner.................................... ... ............................ ..................................................... Tenant. --- .....-----------......-'---------------------------------- WiringContractor......................................................................................................................... By.............................................................. NOTICE_�.-Current must not be turnedron 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. iM Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 17050 Port Angeles, Washington -------./ -0 ~.'e4 -----------------------•-------- 19e�F 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 granteedod to doelectrical work as listed below.�,- Address ../13 E - -' Occupancy ,'"---~--- - Owner---- -------------------- ----- - Tenant------------------------- ----- ------------------ ---------- -- ...... WiringContractor ------- ----------------------------- By ------------------------------------------------ ------- Light Outlets..... /.._ � r .. Service, volts ....................................... Type of Wiring: Receptacle Outlets----- ................. No. wires ....................................... Armored Cable .............................. Dryer. KW ............. ............... .------------ Size wires ............---------------------.._.. Non -Metallic ............................. Knob & Tube ................................. Range. KW ----------------------------- --------- Main fuse ....................................... Rigid Conduit ............................... Water Heater: Enclosure --------------------------------------- Metallic Tubing KW -------------------- ---------------- ------ Type of wiring: Raceway .............. ................... _._ Heat: KW............................................. ..... Entrance Cable ----------------------------- Circuits, Light ....................................... Motors: size, volts and phase: Rigid Conduit ............................... Utility ...................-----------------------.-. z.^..r.'C:............._...........----------.... Metallic Tubing ........................._ Meat ------- `-'---......._"_......... ... Current tranelormers: Range ............................................. ----------------------------------------------------------- No. & Size ....................................... Water Heater ............................... Ser. No.-......" -------------------------------- - Motor ............................................. Dryer---------------------------------------------- __ ........................................................... Furnace ......................... ................... TotalLoad ............................. Ser. No. .................. ............ .------------- Total ...................................... - Permit Fee Treas. Receipt /,f)/ /J { 11 0 $ -------------------------------------- No ------------------_--------- By -- 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° 17050 Address Owner WiringContractor..................... ................................... .............. .................................... .--------------- By .............................................................. NOTICirCurrent 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. the n6......:.. n....,..-_ I.... 01/03/2007 12:47 3606830869 KIRSCH ELECTRIC INC PAGE 01 ELECTRICALWORKPERN Tx'APPLSCATION '-/ia tallation description ✓oh suited by Eleetticsl Contractor QOwner Commcrclal U Residential Electrical contractor name Licence number Dam Capires ❑ New ,f,. k j R sc. -k �.LeC I C i4ascE IOC St J e1AlteretUAddldoe Purchaser's mailing address tt __ city9E&\1LIM �N� znr Tele one number PAX num r "Premises owner's name t . _ Address t�6ot.,'✓1Rtmpcetion b - City C 'iE T- Phone number to schedule inspection: 3 t ,.l -_ Owner ac defined by RCW. Owner will oocccopry the sttmcteurle fivr two ,utas after this electrical permit is fitudL•ed, (2) Owner is required to hire on electrical enetractor if above, said property Lr for sole. rens or lease. 13 Cash # Atter reading the above statement, I hereby certify that I am the owner or the above named property or a liconscd electrical contractor. I am making the electrical intent- Q Cte ' Card VMa Ma-Mma Discover lotion as- attention in compliance With the electrical laws. N.E.C., RCW. Chapter 19.28. WAC. Chapter 296-4613, The City of Port Angeles Municipal Cada, and Card Utility specifications. /Siena r owner, electrical c mater or elaotrlcal administrator �' Exp ire nDatC In tion fcc Date: �'21�� ofcard -SAF CTL? Eiectrica'i"totW+9 ioftsa L%s4nions a�6Lt'icsirtiormtgion ❑ NO LOAD CHANGES O Baseboard _--_ KW Voltage O Furnace —KW ❑ Overhead Service Phase O t ❑ 3 ❑ Heat Pump Ton LAA Q Temp Service Service Size: U Fan -Wall KW ❑ unnarground Service Feeder Size: SANM DAY INSPECTION, CALL BEFORE 7:00 AM 360-4174735 ROiIGIN-IN Ti ERMOSi`AT 1 SERVICE 1 ` Pnto nao'� owe naarovm as J ane nWgmce 9y J e� Eil•IALi IiIICIi )rID>eTit 7 `O V per nenrav v av perm npomvcn �r Dvm npamvm eY inspection Date AV �� Area. Building or Equipment Inspected Action Takeo Electrical Inspector i 3—OG-207 4:19PM FROM ANGELES ELECTRIC INC 3GO 4S2 92GS P.11 �1, ELECTRICAL WORK PERMITAPPLICAVON 'N/lnstallati description Electrical Contractor ❑Owner ommercial L)Residential Job wired by i7 Electrical contractor name License number Date Expires ANGELES ELECTRIC, INC. Purchaser's mailing address JL4 CAJI "KJI PORT ANGELES, WA 93362 City State ZIP Telephone number FAX number Yrcmisca uwn� nq/ Address of iq.(/�/�tI/� ; e �r ��— City �� / Phone number to schedule Inspection: Owner as defined by KCW.19.28.261:(I) Owner will occupy the rimcrure fur two years alier rhia electrical ptmii( is f+nalced. (1) Owner is required iu hire an elettrical canuactor if above .said property afar sale, rent or Icune. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I ant making the electrical labial- latinn or alteration in campltance with the electrical laws, N.E.C., RC'W. Chapter 19.25, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. O New O Altered/Addition -- /7;N�� U CI Cash O Check tt reditCard Visa Mastercard Discover C:ard# ---. —� —40/LL ---- r Signature of own clectri on actor electrical administrator Expiration Date - hap c X _ Date: of card $ Electrical Load Additions am or sTSbtractionsrytpe Information O NO LOAD CHANGES �r O Baseboard —KW `� l� �� Voltage O Furnace _ KW Cl Overhead Service Phase 1� O Heat Pump _ Ton _ LAR Cl T )p -Service Service Size: O Fan -Wall _ KW nderground Service Feeder Size: SAME DAY INSPECTION. CALI. BEFORE 7:00 AM 360417-4735 CROUGH -IN -- 1 THERMOSTAT 1 Date 1rPro�cU ay J De+e AporovcJ ny J DITCH 1 D,ta O � nvr+vw ey Uam nnoro•aJ Dr J Inspection Arca, Ruilding or Equipment Inspected Date --T�'�E P Z°(s� MAR 0 7 107 CSERVICE, 1 Dmc nvnro+sn Dy J CFEEDER Dmc nvvwsJ Pv Action Taken ... 'I '. Electrical Inspector i