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1701 E 4th St - Building
PREPARED 11/03/10 8 20 56 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/03/10 ADDRESS 1701 E 4TH ST SUBDIV TENANT NBR REX L.SPRINGER CONTRACTOR PHONE OWNER REX L SPRINGER PHONE (360) 452 3491 PARCEL 06 30 00 5 5 0135 0000 APPL NUMBER 10 00000766 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 10/01/10 JLL BLDG FRAMING TIME O1 00 10/01/10 AP September 30 2010 4 46 28 PM 1pangrle REX 452 3491 FRAMING SMALL DECK AFTERNOON October 1 2010 4 47 56 PM jlierly BL99 01 BLDG FINAL TIME O1 00 November 2 2010 11 47 22 AM 1pangrle REX 452 3491 OR 808 8807 BUILDING FINAL DECK AFTERNOON COMMENTS AND NOTES PREPARED 10/01/10 8 05 09 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/01/10 ADDRESS 1701 E 4TH ST SUBDIV TENANT NBR REX L SPRINGER CONTRACTOR PHONE OWNER REX L SPRINGER PHONE (360) 452 3491 PARCEL 06 30 00 5 5 0135 0000 APPL NUMBER 10 00000766 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 10/01/10 d&L BLDG FRAMING TIME O1 00 IA 0 September 30 2010 4 46 28 PM 1pangrle REX 452 3491 FRAMING SMALL DECK AFTERNOON COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT BUILDING DIVISION = 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 10 00000766 Date 8/12/10 Application pin number 723398 Property Address 1701 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 5 0135 0000 REPORT SALES TAX Tenant nbr name REX L SPRINGER on your state excise tax form Application type description RES ADDITION Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1728 Application desc ADD A 144 SQ FT DECK Owner Contractor REX L SPRINGER OWNER 1701 E 4TH ST PORT ANGELES WA 983624913 (360) 452 3491 Structure Information 000 000 144 SF DECK Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 144 SF DECK Permit pin number 169953 Permit Fee 89 65 Plan Check Fee 58 27 Issue Date 8/12/10 Valuation 1728 Expiration Date 2/08/11 Qty Unit Charge Per Extension BASE FEE 50 00 13 00 3 0500 HND BL-501 2K (3 05 PER C) 39 65 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 2 July 28 2010 5 45 03 PM ds I the proposal will result inn 144 144 sq ft deck over 30 above ground in the RS 7 zone for total lot coverage of 22% No land use issues anticipated Applicant to apply for a Right of Way Construction permit for work in the right of way Needs to execute an Agreement to Remove Encroachment if there are any new improvements placed in right of way Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 89 65 89 65 00 00 Plan Check Total 58 27 58 27 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 152 42 152 42 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 has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. B l� W-014�ce Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit C> BUILDING PERMIT INSPECTION RECORD � — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In _ Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs g Skirting/ PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 1 Construction R W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit (8/6/2010)vLinda Pangrle � 1701 E 4th St#10-766 Page 1; From Roger Vess To• Linda Pangrie Date: 8/6/2010 7 12 AM Subject: 1701 E 4th St #10-766 Permit has been signed off Roger 8/3/2RI)',.Linda Pa grIe 1701 E 4th St#10-766 Page 1 ' From Roger Vess To: Linda PangrIe Date: 8/3/2010 7 10 AM Subject: 1701 E 4th St #10-766 Linda, Applicant will be required to apply for a separate Right of Way construction permit, the following condition is noted as a condition in the application plan tracking comments. Applicant to apply for a Right of Way Construction permit for work in the right of way Needs to execute an Agreement to Remove Encroachment if allowed to place improvements in right of way Thank you, Roger �y QON7 BUILDING PERMIT APPLICATION Print in ink �r!J �-- CITY OF PORT ANGELES _ Attn Building Permit Technician For City Use Only 321 E. Fifth St. Port Angeles WA 98362 Date Received _ 1 1.0 .(360)417-4815 fax (360)417-4711 ete # d— ate Approved Applicant _Ahn B Phon Property Owner Phone °l Property Owner's Addr ss Contractor f611)Alf -) hone Contractor's dA dress License # Expires E-mail PROJECT ADDRESS Q x Parcel Number Lot Zoning --1 Project Type & Brief Description. )(Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction Addition nq 119 Lf 5E Deck, Apove_ ❑ Remodel -F e ❑ Repair 2 p 1 R ❑ Demolition q' " Side Sz+ba,Cj< ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other Other i o Floor Areas Existing (sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 151 Floor it rT- 2nd Floor 3rd Floor Garage—�f�n1 Carport Covered Porch I 1A Deck a l L4 L4 12,bo Shed Other q$ 1351+ + �L524-rqy-r q$ TOTAL VALUATION $ 26 Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage ,7,Z, Site Coverage =the amount of impervious surface on a parcel, inclu ing structures paved driveways sidewalks patios and other impervious surfaces (see P'AMC 17 94 135 for exemptions) -*Site coverage % -YNo i ncrva.Se in so(-_coverage. Max. height of proposed structures 7• 2_5 ft. Occupancy group R ? #of bedrooms yip �h � Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction typed #of half baths, I have read and completed this application and know it to be true and correct. /am authorized to ap or this permit and u stand that it is my responsibility to determine what perMits are required, and to obtain permits prior tow, g on pro' Date 712-1112,/d Print NameL S 1f Signature T Forms/Building Division/Building permit application c ,4W N 98 n Al S 8oH UPS�a. as Ro (CR-4w) 5p .a-- 17 r ► i 1714. .31B S 174'9 ro b 9 0 (� 1707' U PSii 1713 / 1727, +Tl" cou�ir ek4c DLI-�30- oo 550 135 FILE F+s � 0 vm CITY OF PORT NGELES—Construct n Plans y The Issuance of is permit based upon these plans specifi- cations and otl r data shall net prevent the'bui!�ng official ti from therea er requiring the corn)do of fogs in said / plans sp ifications and other data, or preventing � buildin operations being carried th 'der when in v� ` / violati n of all codes and 66 this jurisdiction. DR N o� pproval Date By 31 i K / V� far q u.P / ,� ry , IN o / , SFT ' �N i CZ xI A --- --- - -------- Tl-- 'ZZ 2 PT A � ��, ✓� x S TH'�,-u &�T� 1 < D�j 0u-t - - _ l , 2 �o - it �2x I2 �(5 #2rt4= 12x Iz r--— F z ar c ,�` CA- I L 12 I see DEAL- / M/N/MUM 2 x 4 CAP GUARDRAIL W/INTERMED/A TES LOCA 7ED SO THA T A 4 SPHERE CANNOT PASS THROUGH }1 PROVIDE FLASHING PER CODE DECKING MA 7ERIAL 4 x4 ® W Z X FLOOR JOIST SOL TS SECURING POSTS. W/ WASHERS j JOIST HANGER m� LATERAL RESISTANCE NOTES SAA1,- AS POST SIZE k MATER/AL HEADERX 1 USE HOT DIP ZINC GAL VAN/ZED LEDGER L XA r FAS7ENERS IN 7REA TED WOOD (SEE WITH 3/8 x5 POST CAP MFG SPECIF7CA77ONS) FOR TRE-A7ED WOOD APPLICA T70NS STAGGERED POST MINIMUM 4X4 FLOOR JOIST SPAN 2 X ® �� OC t { f / 7_tlC WOOD TO BE DECAY RESISTANT / ' LZ 1 OR TREATED '12 diameter �gJM ' 1� HOG threaded I"-L` TV rod 'nth nuts and + Continuous flashing CONCRETE FOOTING (per code) not shown C &T71) r Floor foist Deck DTT2Z ISohd 2x joist or foist 2x blocking) 1 I ■ Deck Beam by Weyerha 31/2" x 71/4'" 1.6E Solid Sawn Douglas Fir#2 TJ -SeamV 6.35 Serial Number. User.2 7/21/20108:40:29 AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version:6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED rOverall Dimension:8'6' __I 10-- 1. 6'6"--i' Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member Tributary Load Width:7' Primary Load Group-Residential Living Areas(psf):40.0 Live at 100%duration,12.0 Dead SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/UpIMTotal 1 Stud wall 3.50' 1.50' 1220/383/011602 By Others None 2 Stud wall 3.50' 1.50' 1220/383/0/1602 By Others None -See iLevel®Specifier's/Builder's Guide for detail(s):By Others DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 1178 -901 3045 Passed(30%) Rt.end Span 1 under Floor ADJACENT span loading Moment(Ft-Lbs) 1724 1724 2905 Passed(59%) MID Span 1 under Floor ALTERNATE span loading Live Load Deft(in) 0.053 0.207 Passed(U999+) MID Span 1 under Floor ALTERNATE span loading Total Load Defl(in) 0.067 0.310 Passed(U999+) MID Span 1 under Floor ALTERNATE span loading -Deflection Criteria:STANDARD(LL:U360,TL:U240).Additional checks follow. -Left OVerhang:(LL:0.20V TL:0.200"). -Right Overhang:(LL:0.200' TL:0.200'1. -Bracing(Lu):All compression edges(top and bottom)must be braced at 8'6' o1c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability The allowable shear stress(Fv)has not been increased due to the potential of splits,checks and shakes. See NDS for applicability of increase. -Analysis assumes continuous member Lap joints,splices and finger joints significantly reduce member performance and have not been considered. The load conditions considered in this design analysis include alternate and adjacent member pattern loading. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevelO. iLevelO warrants the sizing of its products by this software will be accomplished in accordance with iLevel®product design criteria and code accepted design values. The spec product application,input design loads,and stated dimensions have been provided by the software user This output has not been reviewed by an iLevel®Associate. -Not all products are readily available. Check with your supplier or iLevel1 technical representative for product availability. THIS ANALYSIS FOR iLevelO PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Solid sawn lumber analysis is in accordance with 2001 NDS methodology -Allowable Stress Design methodology was used for Building Code IBC analyzing the solid sawn lumber material listed above. PROJECT INFORMATION: OPERATOR INFORMATION: Springer Residence Annie O'Rourke 1701 E 4th Street Prudential Drafting Solutions Port Angeles,WA PO Box 1246 Port Angeles,WA 98362-9836 Phone (360)417-5615 draffingsolubons@olyi*n.com Copyright 0 2009 by iLevelO, Federal Way WA. za. � r Y � r r, \ '4 tl r °.- - - - - - - - - - IZIN / � n Clallam County Assessor& Treasurer - Property Details - 61985 REX L SPRINGER for Page 1 of 5 Clallam County Assessor & Treasurer Property Search Results > 61985 REX L SPRINGER for Year 2010 - 2011 Account Property ID- 61985 Legal Description. RICHARDS FG JR SUBD OF SB L14 LT 11&E10'OF VAC ST BL 100 SURVEY V61 P48 Geographic ID- 0630005501350000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space. N DFL N Historic Property, N Remodel Property- N Multi-Family Redevelopment: N Township Section Range Location Address: 1701 E FOURTH ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID- Neighborhood CD- 10955130 _Owner Name: REX L SPRINGER Owner ID- 53860 Mailing Address: 1701 E 4TH ST %Ownership- 100 0000000000% PORT ANGELES WA 98362-4913 Exemptions: Taxes and Assessment Due Property Tax Information as of 07/21/2010 Amount Due if Paid on. r. T- 1 First Half jSecond Half -�-� -- ( -- Year Statement ID Taxing Jurisdiction Base Due Base Due_ Penalty Interest I Base 2010 44666 ST SCH STATE SCHOOL - $26916 $26916 $000 $000 $_5; 2010 44666 CC-GEN COUNTY T J $143.23 $143.24 $000 $000 $2E 2010 44666 PORT_PORT $2013 mm $2013 $000 $000 $4 2010 44666 PORT ANG PORT ANGELES T - $331 65 -$331 64 $000 $000 $6E 2010 44666 SD_#121 SCHOOL DISTRICT#121_ $34863_ $34864 $000 $000 $65 '20 10 44666 NTH OLY LIB NORTH OLYMPIC LIBRARY $41 62- $41 62 m $000 $000 $f 2010 44666 HOSP#2 HOSPITAL#2 $58.76 $5876 $000 $000 -$11 12010 44666 WSMET PK DIST WILLIAM SHORE MET PARK DIST _ $1870 $18 69 $000 $000 $� 2010 44666 CITY_STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $i 2010 44666 WEED CONTROL WEED CONTROL $082 $081 $000 $000 9 2010-44666 TOTAL. $1268.70 -$1_268.69 $0.00 $0.00 $_25�1 !2009 619852008 ST SCH STATE SCHOOL _$30916 $30916 $000 $000 $61 12009 619852008 CC-GEN COUNTY -$15_6 45 $15647 $000 $000 $31 12009 61_9852008 PORT PORT $22.16 $22.16 $000 $000 $4 2009 619852008 PORT ANG PORT ANGELES $34319 $34318 $000 $000 $6E 2009 619852008 SD#121 SCHOOL DISTRICT#121_ $382.33 $382.33 $0_00 $000 $7E 2009 619852008_ NTH OLY LIB NORTH OLYMPIC LIBRARY $4546 _ $4546 $000 $000 $� http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=61 7/21/2010 0*PORrµ� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 07 00000939 Date 8/13/07 Application pin number 505375 Property Address 1701 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 5 0135 0000 Tenant nbr name REX SPRINGER Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 6500 Owner Contractor REX L SPRINGER LARRY S ROOFING 1701 E 4TH ST 352 AVIS ST PORT ANGELES WA 983624913 PORT ANGELES PORT ANGELES WA 98362 (360) 452 2215 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF AND RE ROOF Permit pin number 108803 Permit Fee 165 75 Plan Check Fee 00 Issue Date 8/13/07 Valuation 6500 Expiration Date 2/09/08 Qty Unit Charge Per Extension BASE FEE 95 75 5 00 14 0000 THOU BL-2001 25K (14 PER K) 70 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 165 75 165 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 170 25 170 25 00 00 9 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 gov g this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gi authori to ' late 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[1/4/20051 BUILDING PERMIT INSPECTION RECORD CALL 417-4S15 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEtiL 1NI'"10RKBEFOXE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT.JOB SITE. INSPECTION TN'PE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-DJ WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING Q JOISTS/ GIRDERS SHEAR WALLMOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR (� INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL (� ROUGH-IN V HEATPUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT R'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 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 invA BUILDING T•\Policies\l 102 15 building permit inspection record05 wpd[1/4/2005] BUILDING PERMIT - APPLICATION FOR OFFICIAr.USEFill out COMPLETELY and in IM{. Your application,prescriptive energy Date Rec. form,plans,specs,and a 8%"x 11"site plan MUST BE COMPLETE to be Permit# (`)�accepted for review (360)417-4815 FAX(360)417-4711 Date Approved:0< "V Date rssued: Residential projects:submittwo sets ofplans mmercial projects:submit three sets of plans r� , FApplicant ent Q� 0 Phone L e5C �i'a n Phone ress ngineer a�`� S .3 State Lice se# 0. �- Expiresngineer's Address �S�— IYZS- Phone 4SZDDRESS 1�o I ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK SIZE/VALUATION ❑ Residential ❑ New Constr ❑ Re-roof ❑ Stove SF @$ /SF = $ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF @$ /SF = $ ❑ Commercial 13 Remodel Demolition ❑ Deck SF @S /SF = $ 13 Repair 13Sign ❑ Other �f TOTAL VALUATION Q $ BRIEF DESCRIPTION OF THE PROJECT_ ROJECT i�/� � 1 -., 1I\ r r COMMERCIAL/RESIDENTIAL. Occupancy Group Occupan Load. Construction Type: Existing. Structure(s)basement Sq Ft. & Proposed Structure(s) basement Sq Ft. 1"floor Sq Ft. & I`floor Sq.Ft. 2"d floor Sq Ft. & 2"d floor Sq.Ft. 3`a floor Sq.Ft. & 3'd floor Sq.Ft. Existing Stracture(s)TOTAL Sq Ft. & Proposed Structure(s) TOTAL Sq.Ft. Maximum Height of Proposed Structure(s) Ft. TOTAL Sq.Ft. of existing& proposed structures LOT COVERAGE Lot size Sq. Ft. Existing Structure(s)Sq. Ft. Footprint Proposed Structure(s)Sq.Ft. Footprint TOTAL Structure(s)Sq. Ft. Footprint Total Lot Coverage % (Divide Total Structure(s)Sq.Ft.Footprint by Lot Size Sq.Ft.) 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. The plan check fee must be paid at the time the building permit application is submitted. All other permit Pees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in-good faith or a.permit has been-issued, except that the building, official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects)each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) I hereby certify that I have read and examined this appli tion a knohe same to be true and correct. I am authorized to apply for this permit and understand that it is my respon dity to eter f what permits are required, and that I must obtain such p-ermits prior-to-work. - DateApplicant T'1FORMSTUILDING DIVISIOMBIdgPermitAppl:2006 CODE.wpd 80 cap 4 �oq y � a so ANI a 7 IMi V, V-1- VP v in °``^ CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 r ..J Application Number 06 00000879 Date 2/20/07 `9 Application pin number 603200 Property Address 1701 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 5 0135 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor SPRINGER REX L OWNER 1701 E 4TH ST PORT ANGELES WA 983624913 Permit RIGHT OF WAY Additional desc RUP #06 22 ROCK WALL Permit pin number 84590 Permit Fee 195 00 Plan Check Fee 00 Issue Date 2/20/07 Valuation 0 Expiration Date 8/19/07 Qty Unit Charge Per Extension .� BASE FEE 195 00 Fee summary Charged Paid Credited Due Permit Fee Total 195 00 195 00 00 00 Plan Check Total 00 00 00 00 �\ Grand Total 195 00 195 00 00 00 S 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 I egulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Si nature of Owne own is builder) Date T•\Po1icies\1102.15R[1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCA T ION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE i INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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•\Policies\l 102.15R[1/05] ELECT CAL PEST AAD INSPECTION RECORD CITTOFPORTANGELES 360-417-4735 Application Number 07 00001358 Date 11/20/07 Application pin number 305290 Property Address 1701 E 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 5 5 0135 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor SPRINGER REX L APS ELECTRIC 1701 E 4TH ST 546 BENSON RD PORT ANGELES WA 983624913 PORT ANGELES PORT ANGELES WA 98363 (360) 452 6753 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 115881 Permit Fee 46 00 Plan Check Fee 00 Issue Date 11/20/07 Valuation 1 Expiration Date 5/18/08 Qty Unit Charge Per Extension 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00 Fee summary Charged Paid Credited Due Permit Fee Total 46 00 46 00 00 00 Plan Check Total 00 00 00 00 Grand Total 46 00 46 00 00 00 INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE OUCH - IN 1 l 2b -7 FINAL COMMENTS: \�yOF p�RrgyG�Ci� Official Use Only Assem.# Backflow Assembly Test Report Received G City of Port Angeles R-°mow Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES: SERVICE ADDRESS: 17� LOCATION OF DEVICE: } /N/ y G I-1 (� t j L' ) I C //1/ UN G C A 7t i-'1 f 16 ASSEMBLY: (� �� G G -� G iy H •, S� I Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY? YES QNO❑ IS ASSEMBLY INSTALLED CORRECTLY'? YES&-NO❑ DATE OF INSTALLATION UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP ❑ RPDA ❑ DC �' DCDA ❑ PVB ❑ Air Gap ❑ DOUBLE CHECK VALVE ASSEMBLY SVB ❑ AVB ❑ CHECK VALVE#1 CHECK VALVE#2 RELIEF VALVE PVB%SVB Initial Leaked ❑ Leaked ❑ Did Not Open ❑ AIR INLET Closed Tight ❑ Did Not Open ❑ Test Held at ' psi ll Opened at psi Held at ..0� , psi Opened at psi Repairs Cleaned ❑ Cleaned ❑ Cleaned ❑ CHECK VALVE Leaked ❑ Held at psi Replaced ❑ Replaced ❑ Replaced ❑ REPAIRS Cleaned ❑ Details Replaced ❑ 3 psi Buffer YES ❑ NO ❑ Final Closed Tight ❑. AIR INLET Opened at psi CHECK VALVE Held at psi Test Held at psi Held at * psi Opened at psi BACK PRESSURE NO❑ YES❑ AIR GAP INSPECTION: REQUIRED MINIMUM SEPARATION: YES ❑ NO ❑ TYPE OF HAZARD COMMENTS Line Pressure ,psi -7- X' Held Backpressure YES G-'NO ❑ 42 Shutoff Held YES❑—NO ❑ Relief Valve Exercised YES❑ NO ❑ Date.Time Tester Signature Cert.# Test Kit Passed Failed Initial Test ❑ Repairs ❑ ❑ Final TestJ / ED- 13 WHITE-CUSTOMER COPY YELLOW-PURVEYOR COPY PINK-TESTER COPY OF/ORT,k,O CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION �v 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 07-00001348 Date 11/19/07 Application pin number . . . 631120 Property Address . . . . . 1701 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0135-0000- Tenant nbr, name . . . . . . REX SPRINGER Application type description PLUMBING REPAIR Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 500 Owner Contractor ------------------------ ------------------------ REX L SPRINGER SANFORD IRRIGATION 1701 E 4TH ST PO BOX 2246 PORT ANGELES WA 983624913 SEQUIM WA 98382 (360) 452-3491 (360) 683-9807 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . IRR. DOUBLE-CHECK BACKFLOW Permit pin number . 115659 Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 11/19/07 Valuation . . . . 500 Expiration Date . . 5/17/08 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 ECH PL- EA LAWN BACKFLOW 7.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 lz � r�\o Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and publicimprovements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 0 7 u vd Cawa�1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit(10/01/07).wpd BUILDING PERMIT INSPECTION RECORD Or 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. 1T IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE (� INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. W KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS ,, YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) D GAS LINE FINAL I —I Q U�O� DATE I\ ACCEPTED BY: BACK FLOW/WATER AIR SEAL WALLS _ CEILING FRAMING O JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION , SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT N's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE �vf RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL r' LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. I , ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLAWNG DEPT. BUILDING 417-4815 BUILDING T:Forms/Building Division/Building Permit(10/0 1/07),wpd �O� °N1 �FBUILDING PERMIT APPLICATION Print in ink o1v i�*1,� CITY OF PORT ANGELES For City Use Only: �- .,� Attn: Building Permit Technician Date Received -0 321 E. Fifth St., Port Angeles, WA 98362 Permit# 13LAS (360)417-4815 fax (360)417-4711 Date Approved naV �d COwuH _ Applicant or Agent L k ;c cif 4k n C . Phone 3d^0 6^70 — S Owner Phone -3C42 3 Owner's Address Q JF1 Y44 S . 111 . FIX, it Contractor/Engineer a h fov re C I a4, • (0 1 Phone r;a) 6• Jll'3 a ? Contractor/Engineer's Address 0, v 2 2 ( Sea u License # �A k() Zr g q I L F Expires 0 !�// Z/Z Ops PROJECT ADDRESS Q U, S-f Parcel Number Lot Zoning Project Type & Brief Description: residential ❑ Commercial ❑ Multi-family ❑ Industrial >,Check all that apply 1 I u �/� C C SS 1 �0 New Construction a ❑Addition q f-, an )4Remodel ❑ Repair ❑ Re-roof ❑ Demolition ❑ Sign ❑ wall-mounted ❑ projecting ❑ freestanding ❑ awning ❑ other Total sign area sq. ft. Maximum allowed sign area sq. ft. ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq. ft. _ $ 1 s' Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $b OOr QO Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date rl (q o7 Print Name P a V r d �©wa M Signature T:Forms/Building Division/Bldg Permit Appl. 2006 Code.doc d° CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET. PORT ANGELES.WA 98362 ica ion Number . . . . . 07-00000318 Date 3/29/07 Application pin number . . . 568790 Property Address . . . 1701 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0135-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SPRINGER REX L APS ELECTRIC 1701 E 4TH ST 546 BENSON RD. PORT ANGELES WA 983624913 PORT ANGELES PORT ANGELES WA 98363 (360) 452-6753 -----------------------------—--------------------------------------------- Permit . . . . ELECTRICAL ALTER RESIDENTIAL \ Additional desc . . APS 1-4 CIR `VVV1 Permit pin number . 98228 O Permit Fee . . . . 46.00 Plan Check Fee .00 Issue Date . . . . 3/29/07 Valuation . . . . 0 �. Expiration Date 9/25/07 Qty Unit Charge Per Extension 1.00 -46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS ---- - 46.00 ------------------------------- - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 w Grand Total 46.00 46.00 .00 .00 •�\a vy! • 1 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH SERVICE FINAL GENERAL COMMENTS: PW-1102.1514096) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT / N 16605 (''"'''' Port Angeles, Washington----------. -- !_.-- ___-_-_--_------------ 19_..i " 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 electric work as listed below. lje, Address "----r�,--�-- > ---------------------------- Occupancy------ r' ----------_--------- Owner -----------------------------------------------------�-- Tenant-----•----------•--------------- ------------------------------- Wiring Contractor ft� � �---- -------------- By------- ------------------------------------------------------•--- Light Outlets-----------�_....._.._.._.._--- Service, volts ..... I-.- -._... Type of Wiring: Receptacle Outletg...._ ................... No. wires ...._.. -. �.. Armored Cable ....._......---.---........... }LP Dryer, KW....'.....'_.......---------------- Size wires...... Non-Metallic ....... ....................... _- ._.... Knob Conduit ............................... Water Heater: Tuba_.............................._ Range, KW... ---�-----'-------��- Main fuse ..-G"'.'_`"_.'.. . ............ - ' '--- Rigid C•,✓ Enclosure ...._�..................�. Metallic Tubing KW.__......'..:.�5+'' . _ .._..-...__--- Type of wiring: Raceway ..............................._._... _ j -- ----- ------------- Entrance Cable............_...._......... Circuits, Light..... Heat: KW.......�.......exS ^�*".�.J. - �------...._---------- .-- r Mot s: a volts and phase: Rigid Conduit ............................... Utility ..F..................................... Metallic Tubing ............... ----- Heat ....4.............._................. __ .. . ............. / Current transformers: Range ----a2...... {01 ..... .fr 1'......_e��v / No. Bc Size....................................... Water Heater ........................ rr "/� ....__. . . ,,.......................................� Ser.No............................................... Motor ......_.................................... Ser. No.............................................. Dryer........ ....-------_----------.--_--------- r Furnace............................................ Ser. No.............................................. . TotalLoad----------------------------- Ser. No.................._.......................... Total ... ........ .._......._......_...._ Remarks: --------------r'kL'—e-y ar - e:•- °'1- -- - - - -- -- - - - _ Permit Fee Treas. Receipt$ By 7 .3i �d•3 / NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work 1s 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° 16606 + r Address ------------------................................----.............-------......--------------.........___................... Date.................................................... Owner ..................................._................._........._........................................................... Tenant........_...................---._........._------------------------_ Wiring Contractor._..--`........................... ............................ H NOTICEr 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. ]M Olympic Printers, Inc. i ldVORT4, ELECTRICAL INSPECTION � WIRING REP®RT417-4735 DATE PERMITIX INSPECTOR I � p7 rs� - 3 I ' OWNER/CONN RACTOR ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ I I CORRECTIONS NEEDED:Ll ' w12� e 5c9� l��Z - ILI ��i ��twrL -�j�tG'✓ �O dy1- �Dl� C,13,7- QrLL- e1 syrd� L 15��; I NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1301 I i a r ELIECTRICAL WORK I'E'RMTI'APPLICATION Installation description Job wired by XElectrical Contractor Q Owner ❑ Commercial Residential M:IoxcOgtract Poe , tj Liccn number Date Expires aye--�� L-o*-A-r r number U New Altered/Addition Purchas S ailing ad4�ss /+ 1 Gln City (\ e ^ State ZIP Teleph a umber FAX number a- b��3 Pre 'scs pwner's�tite s n Address of inspection City A Phone number to schedule inspection: Owner as daf. lined by RCW.19.28.261:(1) Owner will occupy the structure for ma ��++ years after this electrical permit is finalized.(2)Owner is rctluired m hire an electrical yA yt �; conlruclor if above said property Ls for sok, rent or lease. Q Cash 11 Check# C•1 I ` Aftcr�reading the above,semmcnt, 1 hereby certify that i ant the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- Q Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.25, WAC. Chapter 296-465, The City of Port Angeles Municipal Code, and Card# - - - Milky Specifications. -------'—-------- Sign re of net, elee al eo tractor or electrical adminis1trator(( I;XpllatloriDatC X / //bd Of card JItSp2 I feC (y Dale. $ Electrical Load A VorA and or subtractions - Service Information Q NO LOAD CHANGES rr ❑ Baseboard _KW Voltag eZ /0 ElFumaca _KW I&Overhead Service phase 1 ❑ 3 ❑ Heat Pump `Ton_LAR Q Temp Service Service Size: .2 OA ❑ Fan-Wall _KW U Underground Service Feeder Size: SAME .DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 )OUCH-IN 'THERMOSTAT SERVICE Da<e ApVrovM Y Dam— nWrovo08Y Dne 1ppmraJ Or FINAL$y}�jF�#io—� DVrCH FEEDER Du,. �� wVp•W ny Uue � .1pp,vvea Hy Dale AyC,peW B Y Inspection Arca,Buildingor Equipment Inspected ElecMcal nnnnn Action Taken Inspector F9 � ° -- - - PII UG'rT L00Z 9T .^oN £SL9 Z27 09£ 'ON XUA 'dOjD0aJN03 OUD)j 175-13 'S'd't-J WOLid a ELECTRICAL WORKPERAHTAPPLICATION � � be. read �- `� ~07 Job wired bylustallal descriptio a lectrlcal Contractor ❑Owner O Commercial t Residential Gle nca contractor name I,ittnse n�anb Date Expires ❑New ItkUteredtAdditioa a Pur asetjs m:ulin d� sa V C� city rt A tig oet,4zs state ZIP LA) tb p ro a 'e r✓ Tea hone n tuber l�a-J.7 7 5 PAX number I yl Pre es owner's name f s IV �r Address or Inspection I-7 Q f1 CLQ City Q` `k 9 �S Phone number to schedule inspection: Owner as defined by RC.'W.IY.:8.:61:(1) Owner will occupy the�-snucrure(ar two year'after this electrical permit i.r finalized. (2) Owner is required i0ore on electrical ,.q contractor IJ'above sold property u'for sale, rent or lease. 0 Cash L) Cbeelr# v Y\_ l After reading the above statement. 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- O Credit Card Visa Mastercard - Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card# ---------------- Utility Specifications, Signat�%ner, ntraetor or electrical adtninisira(or ExpirationDate/ lnspX ��U3tC: 3_a(� '07 of card $ Electri dditio and or subtractions Service Information NO LOAD CHANGES �f (,5t 13 Baseboard _KW VoltageOC`/ y ❑ Furnace _KW ❑ Overhead Service Phasetkl ❑3 El Heat Pump Ton_LAR ❑ Temp Service Service Size: n Fan-Wall _KWkUnderground Service Feeder Size: SAME DAX INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 a 'THERMOSTAT SF.RVTCE DaeDueADDNvaJ Dr Dae gpprovM»y (/ »ER Ont. D v ,,n aY Dam ApDmr d ny Inspection Date Area,Building or Equipment Inspected Action Takeo Electrical Inspector Td WUT£:80 2002 9E 'Uew ES2_9 ZSV 092 'ON XUd NiDiDiJb1NO7 7USIa173_13 'S'd'H WOd3 3604172733 ST OF WA L&I 08:03:58 a.m. 03-29-2007 415 03/26/2007 11:33 3604174729 PORT ANGELES CITY LT PAGE 01 CITY OF PORT ANGELES LIGHT DIVISION FAX TRANSMISSION COVER SHEET Date: 3/26/07 To: Labor& Industries Fax: 417-2733 Re: Inspections Sander: Kathy Trainor Phone: 417-4724 Fax: 417-4729 YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL(380)417-4724. Please inspect for: Sheryl Slack, APS 452-6753 Questions or problems, please call Andy Slack at 460-1937. Customer. Rex Springer /70/ 't 1702 E 4th — Inspect conduit Requested Inspection for Tuesday 3127 after 10am (as soon after as possible as they'll be pouring concrete). Thank you, Kathy `'71 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date �i' 2-7 ,o-) Time /o 30 fl ct Received by--e—K L5 C (phone, person) Location of Work to be inspected / 7 D Name of person requesting inspection .e.•.n 5 Address of person requesting inspection 4 �4 �aj'6 (74E Phone No. `ft 7 -'{8y°I Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Othe INSPECTION NOTES: Inspected: Date 59 - Z9 —o"7 Time 3o f By s I—C - Remarks: 1?2;te-..✓e_J - 3/,f ' Sir ✓t c� (�v`c_ O .. ti �a t o Mn��r� C RESTORATION REQUIRED. .-. . . . YES NO `�_ u y 0 SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # 3303#(6 'Z� ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUP_ERIN.T.ENDENT (DAT.EI CITY OF PORT AINGELES PERMIT APPLICATION RECEI Buildins Division/Electrical InspectiionsVE11. UG 1� 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360)417-4711 ELECTRIC4 Date; 'rg"� )�1 &2 Single Family Dwelling *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Bonding Square Footage; Description of above A61" 141P -- F✓kM Owner Information Contractor Infigm tion Name: J'j'1/I ,-TPAIAM,041f— Name: Mailing Address: 1701 C_Hrl Mailing Address: City: State: Zip: City: State: Zip. Phone: Fax: Phone: Fax: License#/Exp. License#1 Exp. &_4e_K�EC XJ—1f.Q1— Item 1— Item Unit Charge Total(Qtv Multiplied by Unit Char e Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp, $262.00 $� Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional 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 ServicelFeedsr 401-600 Amp. $149.00 $ Temp,ServicelFeeder6C1-1000Arnp, $168,00 $ Portal to Portal Hourly $ 96.00 $ &ignal Circuitl Limited Energy-1&2 Family QweTng $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Addilionaf 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is firlalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection, After reading the above statement,I hereby certify that; am the owner of the above named property or a licensed electrical contractor,I am making the electrical installation or alteration in compliance with the electrical laws, N.E,C.,ROW,Chapter 19.28,WAC,Chapter 296-46B,The City of Port Angeles Municipal Code,and ifity Specifications and PAMC 14.05050 regarding Electrical Permit Applications, Signature of o electri co ctor or electrical administrator: © Cash Check k ❑ Credit Card X Hated: ��`� � �� 0110112012 ELECTRICAL PERMIT [ CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000979 Date 8/18/14 Application pin number . , , 669212 Property Address . . . , , . 1701 E 4T11 ST ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0135-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form SubdProperty Name : to the City of Port Angeles Pra ert Use Property zoning , . , , . , . RS7 RESDNTL SINGLE FAMILY (Location Code 0542) Application valuation ; . . . 0 ------------------------------------------------------------------------ Application desc Heat pump and Furnace _ -----------------_--------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REK L SPRINGER BLACK DIAMOND ELECTRICAL CONTR 1701 E 4TH ST 502 BLACK DIAMOND RD PORT 7iNGELES WA 983624913 PORT ANGELES WA 98363 (360) 452-3491 (360) 565-1035 --------------------------------------------------------------.. - --_ . --- Permit , , . , . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . , 75.00 Plan Check Fee .00 Is8ue Date 6/10/14 Valuation 0 Expiration Date 2/14/15 Qty Unit Charge Per Extension BASE FEE 75,00 ------------------------------------------------------------------------------ Pee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 00 Plan Check Total .00 .00 .00 40 Grand Total 75.00 75,00 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:IEXCHANGE1BIJILDING Black Diamond Electrical Contractor 502 Black Diamond Road Port Angeles, WA 98363 10 DAY NOTICE OF PERMIT EXPIRATION DATE: February 26, 2015 ADDRESS: 1.701 E. 4"' Street PERMIT NUMBER / DESCRIPTION 14-00000979 Electrical - Residential The above referenced permit(s) is/are about to expire. Please call 417-4735 within 10 days from the date of this notice to arrange for one of the following: 1. 1f work has been completed, call to schedule an inspection. 2. Request cancellation of the permit if work was never started. 3. Request an extension if work is not complete. City of Port Angeles Electrical inspections - (360) 417-4735 Thank you for your cooperation Vent Peppard Electrical Inspector RECEIVED CITY OF PORT ANGELES PERMIT APPLICATION c Bailding Division/Electrical Inspections 321 East Fifth Street--P.O. Box 11501 Port Angeles Washington,98362 Ph: (360) 417-4735 Fax: (360) 417-4711 ELECTRICAL Date: " 1 &2 Single Family Dwelling k Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1`7� Building Square Footage Description of above S' Owner Information Contractor Information Name: Pa l;') Name:r ��e Mailing Address: 17b 1 S. TT-1 _______ Mailing Address: City: State: Zip: City: State: Zip: Phone: q52-311.21. Fax: Phone: Fax: License#1 Exp, License#!Exp. 2— Item Unit Charge Total Total q Multiplied by Unit Change) ServicelFeeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp, $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W!Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 _� $ Branch Circuits 14 $ 75.00 $ Temp.Service!Feeder 2C0 Amp. $ 93,00 $ Temp,Service/Feeder 201 400 Amp, $110.00 $ Temp,ServicelFeeder 401.600 Amp, $149.00 $ Temp.ServicelFeeder 601.1000 Amp. .$168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit!Limited Energy-1 &2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120,00 $ Each Additional 500 Square Ft.or Portion of $ 40.0C $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Poo;or Hot TO $110.00 $ $ T tal Owner as defined by RCW.19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if.above said property is for sale,rent or lease.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 or alteration in compliance with the electrical laws, N,E,C.,RCK Chapter 19,28,WAC,Chapter 296-46B,The City of Port Angeles Municipal C an 1 tility Specifications and PAM 14,05,050 regarding Electrical Permit Applications. Signature of owner,a c�.1 al contractor or electrical administrator: ❑ Cash K Check f,o �' ❑ Credit Card# X Dated: !—� _ 01!0112012 ELECTRICAL PERMIT t CITY OF PORT ANGELES 360-417-4735 , y Application Numhar 14-00001019 Date 8/27/14 Application pin number 325138 Property Address . . . . . . 1701 E 4TH ST ASSESSOR PARCEL NUMBER: 06-80 00-5-5-0135-0000= REPORT SALES TAX Application type, description ELECTRICAL ONLY on your excise tax form Subclivision Name . . . . . . Property Use to the City of Port Angeles Property Zoning . . . . . . . R97 RESDNTL SINGLE FAMILY (Location Code 0$02) Application Valuation : . D ---------------------------------------------------------------------------- Application desc Furnace / Heat pump ---------------------------------------------------------------------------- Owner Contractor REX L SPRINGER SLACK DIAMOND ELECTRICAL CONTR 1701 E 4TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 963624913 PORT ANGELES WA 96363 (360) 452-3491 (360) 565-1035 ------_--`--`------•------------------------------------------------------- Y Permit . , . . , . ELECTRICAL ALTER RESIDENTIAL, Additional desc . . Permit Fee 68.00 Plan Check Fee DO Issue Date . , , , 8/27/14 Valuation . . . . 0 .Expiration Date . , 2/23/15 Qty Unit Charge Per Extension 1.00 5.0000 E'CH EL-HCH ADDNT BRANCH CIRCUIT 5,00 1.00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.00 68,00 DO .00 Plan Check Total OD 00 Do 00 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:IEXCHANGEIBUILDING Black Diamond Electrical Contractor 502 Black Diamond Road Port Angeles, WA 98363 10 DAY NOTICE OF PERMIT EXPIRATION DATE: February 26, 2015 ADDRESS: 1701 E. 4th Street_ PERMIT NUMBER / DESCRIPTION 14-00001019 Electrical - Residential The above referenced permit(s) is/are about to expire. Please call 417-4735 within 10 days from the date of this notice to arrange for one of the following: 1. If work has been completed, call to schedule an inspection. 2. Request cancellation of the permit if work was never started. 3. Request an extension if work is not complete. City of Port Angeles Electrical inspections - (3 60) 417-4735 Thank you for your cooperation Trent Peppard Electrical Inspector 4 RECEIVED CITY OF PORT ANGELES PERIVIIT APPLICATION "" '"' Building Division/Electrical Inspections AUG 2 6 201�� 321 East Fifth Street—P.O. Box 11501 Port Angeles Washington,98362 �---�r Ph: (360)417-4735 Fax: (360) 417-4711 FUCTRICAL sv ' 2 1 &2 Single Family Dwelling Iw �Ci� i S Date: *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: (-70 l i Building Square Footage: Description of above ru LoAj^-' Owner Infor�ation Contractor Information Name: 4 P Name: 1d Mailing Address: 17a 1 Mailing Address: City: State: Zip: City: State: Zip: Phone:s45 2-3qq c Fax: Phone: Fax: License#!Exp, License#!Exp. Item Unit Charge Qtv Tota!(Qty-Multiplied b Unit Charge ServicelFeeder 200 Amp. $120.00 $ Service/Feeder 201.400 Amp. $146,00 $ Service/Feeder 401.600 Amp $205.00 $ Service/Feeder 601-1040 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5,00 ^� $ Branch Circuits 1-4 $ 75,00 $ Temp,Service/Feeder 2CC Amp. $ 93,OC $ Temp,ServicelFeeder 201-400 Amp, $110.00 $ Temp.Service/Feeder 401-600 Amp, $149.00 $ Temp.Service/Feeder 601.1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit)Limited Energy•1 &2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56,00 $ Note:$5,00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft,or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized. (2)Owner is required to hire an electrical contractor if above said property is for safe,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 or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC. Chapter 296-46B,The City of Port Angeles Municipal C an{jrVility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner,e c 1 al contractor or electrical administrator: © CashK. check ❑ Credit Card# fr ra J X '� Dated: `� 01!0112012 9 7 J ELECTRICAL PERMIT t CITY OF PORT ANGELES p 360-41.7-4735 1 Application Number 14-00001019 Date 8/27/14 Application pin number . , . 325138 Property Address . . . . . . 1701 .E 4TA 8T p v ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0135-0000- REPORT SALES TA/1 Application type description ELECTRICAL ONLY on your excise tax form Property SubdivisionName , . . . . . to the Cit of Port Angeles Property ��� y 9' Property zoning , . . , , . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application Valuation . . . 0 ---------------------------------------------------------------------------- Application desc Furnace / Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ REX L SPRINGER BLACK DIAMOND ELECTRICAL CONTR 1701 E 4TH ST 502 BLACK DIAMONQ RD PORT ANGELES WA 983624913 PORT ANGELES WA 9e363 (360) 452-3491 (360) 565-1Q35 ----------------------------------------- Permit . , . . , . ELECTRICAL ALTER RESIDENTIAL . Additional desc . Permit Fee . . . . 68.00 Plan Check Fee .00 Issue Date . . . . 8/27/14 Valuation . . . 0 Expiration Date . , 2/23/15 Qty Unit Charge Per Extension 1.00 5.0000 RCH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER 7EED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Rue Permit Fee Total 68.00 68,00 .00 .00 Plan Check Total. .00 00 .00 00 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:IEXCHANGEIBUILDING , ELE CAL PERMIT . ; CITY 0#16RT ANGELES 360*7-4735 Application Number . . . . . 18-00001555 Date 10/05/18 Application pin number 981770 REPORT STATE SALES TAX s -Propexty Address 1701 E 4TH ST Oh our excise tax for ASSESSOR PARCEL. NUMBER: 06-30-00-5-5-0135-0000 m y _.Application type description ELECTRICAL ONLY tO the CO Of PW Angeles Subdivision Name . . . . (Location Code X502) Property Use . . . . _ . Property Zoning . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . 0 ---------------------------------------------------------------------------- ,;Application desc Security system Owner Contractor REX L:SPRINGER SECURITY SERVICES NW 1701 E 4TH ST PO BOX 660 PORT ANGELES WA 983624913 PORT TOWNS-END WA 98368 (360) 452-3491 (800) 859-3463 Permit . . . . EJ,9CTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . 64.00 Plan Check Fee 00 Issue Date . . . . 10/05/18 Valuation . . 0 Expiration Date 4/03/19 v Qty Unita charge Per Extension 1.00 64.0000 ECH EL-SINGLE CIR-LIMITED RES 64.00 ---------------------------------------------------------------------- - Fee summary, Charged Paid Credited Due Permit Fee Total 64.00 64.00 .00 .00 Plan'Check Total .00 .00 .00 00 Grand Total 64.00 64.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN fF FINALLIAR CONMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: Ar, I, 10/03/2018 LVED 15: 01 FAX 360 797 8482 Security Services N If 0001 RECEIVED 1 - 2 SINGL E F6MILY �, ? ELECTRICAL PERMIT APPLICATION ELECTRICA! Public Works and Utilities Department INSPECTIONS p+d f 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalgermirs@cityofPa.us �\ P oject Address.,__I__ I O I P oject.Description: Single-Famity Residentlal ❑ Duplex/ARU Building Square footage- OVVNER INFORMATION N me: Email: . Ufi 4P y #e Iling Address: V7491 -Ute' Phone: 360 'l+fELECTRICAL I OR INFORMA-T N me: oe saryd,tries License: �,•,�Or;10 GS iling Address: mgr rArIL Expiration Date: E ail:=40 V1 Q ►msµ Phone:}afoo--717-ra Zzicy f PROJECT DETAIU3 I , I Unk CNaraa jMil(Ouartky x Unk Charge) ervice/Feeder 200 Amp. $120.00 $ ervlce/Feeder 201-400 Amp, $146.00 $_ ervice/Feeder 401.600 Amp. $205.00 S ervloe/Feeder 601-'r000 Amp. 9292,00 $ ervice/Feeder over 1000 Amp. $373.00 $ ranch Circuit W/Servios Feeder 36.00 9 ranch Circuit W/O Service Feeder $83.00 sch Additional Branch Circuit s5.00 s ranch Circuits 1-4 $75,00 3 p.Sarolce/Feeder 200 Amp, $93.00 s p.Servioe/Feader 201-400 Amp. $110.00 S amp.Servloe/Faeder 401-900 Amp. $149.00 $ mp.Service/Feeder 901-1000 Amp. $168.00 $ octal to Portal Hourly $98.00 $ ignal Clrcult/Llmited Energy-1&2 OU. 984.00 _� $ anufactured Home Connection $120,00 $ enewable Elea Energy:5KVA System or less $102,00 $ Thermostat(Note:35 for each a_ddl Tonal) $38.00 $ ' `.:.�,�;,• ..a; ,;•{��h• 777" :I •,< ;•" I �':a •:a'1'�00 TOTAL $ r as defined by RCW 19.26.261:(1)Owner will occupy the structure for two years after this electrical permit Is ffnallzed.(2)Owner Is ulred to hire an electrical contractor if above said property Is for sale,rent or lease.Permit expires after six months of last Inspection. r reading the above staternent,I hereby certify that I am the owner of the above named property or a licensed electrical contracloc I making the electrical Inetallatlan or alterati milli n Ith a electrical laws,N.E.C.,RCW Chapter 19.26,WAC.Chapter 296- 4 15,The City of Port Angeles Municipal e,an ons and PAMC 14,05.050 regarding Electrical Permit Applications. f Adeh D to Print Name Signature(❑ Owner Electrical Contractor/Administrator) Electrical Permit Applications m y be submitted to City Ball or electrlcalpermits@cityofpa.us or faxed to 380.417.4711]