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HomeMy WebLinkAbout1710 W 4th St - Building(4%29/2010) Linda P Re 'Residential Fuei Tank Abandonment Permits #09 -824 09 -478 From Ken Dubuc To Linda Pangrle Date: 4/26/2010 12.31 PM Subject: Re Residential Fuel Tank Abandonment Permits #09 -824 09 -478 Linda Sorry for the delay I've been out sick for the past week or so. 1710 W 4th abandoned on 8.28.09 114 W 10th abandoned on 5.21.09 Thanks, Ken Linda Pangrle 4/20/10 4.38 PM Hi Ken, When did you do your final approval inspection on these two permits? #09 -824 at 1710 W 4th St. #09 -478 at 114 W 10th St. Please let me know as soon as possible. Thanks, Linda Application Number 09 00000824 Application pin number 898736 Property Address 1710 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 41151000 Tenant nbr name JAMES MARIE MORAN Application type description FIRE ABANDON TANK INSPECTION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc SLURRY FILL THE 300 GAL TANK Owner JAMES MARIE MORAN 32235 194TH AVE SE COVINGTON (253) 631 8588 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total Ece4.. /101 WA 98042 UNDERGROUND SLURRY FILL 151761 15 00 8/14/09 2/10/10 15 00 00 15 00 BASE CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Contractor PETTIT OIL CO 638 MARINE DRIVE PORT ANGELES (360) 457 9404 TANK RES 300 GAL TANK FEE Paid Credited 15 00 00 00 00 15 00 00 Plan Check Fee 00 Valuation 0 Date 8/14/09 WA 98362 Extension 15 00 Due 00 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and exammai this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether s cified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provis1oof any state or local law regulating)he work specified in the permit. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Call 360 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice or conceal any work before inspected and accepted. Post permit in a conspicuous KEEP PERMIT CARD AND APPROVED PLANS AT Inspection Type FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Date Passed B—ZS -oi RIND Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated It is unlawful to cover, insulate location. JOB SITE Comments Completed by Contractor 2/15/00 psi psi 0 coc Date Issued. Date Issued. Issued by Additional Comments PORT ANGELES FIRE DEPARTMENT vv<- oct W Abandonment of Residential Fuel Storage Tank 1,100 Gallons or Less Application for Permit o` e',ti e sv ae. Ni lo Please call the Fire Marshal's Office at 417 -4653 for assistance with the processing this permit. Site Address P/0 VeS7 4' S Pori- Ake 1 es. l 6' 3 n I �OWVlelrs h Name of Applicant: g $O Date: I L(/ 20061 Address. 170 b /(s cl I JUY Pte' P Telephone: 2S 332, `f 28 Site Owner 1 Al i Telephone: 25- 431 icT8 eS Gtc∎Je 1 °II Ave SE_ Ke)nk W P* `180 t{Z T730 Permits are issued at the City of Port Angeles Permits Counter located at City Hall, 321 E 5` Port Angeles, WA. Permit fee $15 00 paid to the City of Port Angeles Fire Department. Date paid. I have read and understand the requirements of this application. Applicant's Signature FP 25 A (Revised 12/9/04) Page 1 of 3 Section I Required Information Applicant is required to furnish the following information on the space provided on the next page. 1 A site plan showing the number, size, and location of the underground storage tank with reference to the existing home. s co3e t°yv *mitt 2 Specify the type of liquid which was stored in the tank. Section II Requirements and Limitations Issuance of a permit is subject to compliance with the listed requirements and approval by a field inspection of the Port Angeles Fire Department. Residential underground storage tanks may be abandon in place or removed. 1 There shall be no welding, cutting, or other sources of ignition in the area while abandoning operations are in progress Welding or cutting on tanks require a separate permit from the. Port Angeles Fire Department. 2 Removal of all flammable and combustible liquids from the tank and all connectmg lines shall be pumped out. Please use a hand pump or other means to remove remaining flammable or combustible liquids as far as practical. 3 If the tank is removed and stored on site temporarily, the tank shall be placed in a secure location and blocked to prevent movement. The tank would be required to be merted prior to being transported. The hole created by removing the tank shall be filled with a suitable material (earth, sand, etc 4 There are three options for the abandonment of residential fuel storage tanks. All three options require that the tank is first completely pumped out. Option #1 The tank and all associated fill and vent piping can be removed completely This is generally the best method, however it is also the most expensive. /Option #2 The tank fill and vent pipes are removed; then the tank is filled completely with an inert mixture such as a sand slurry If Option #1 (complete removal) is not chosen, then this method is REQUIRED if the tank is within 5 feet of a property line, driveway, sidewalk, swimming pool, deck or building foundation. Option #3 The tank fill and vent pipes are removed below grade and capped. The tank is left in place. If using this method, the applicant must read, understand and sign the following statement: 0 Applicant Signature o "In using this method, I understand that the void created by the tank may cause a collapse of the adjacent ground if the tank rusts out over time." Date 0 FP 25 A (Revised 12/9/04) Page 2 of 3 t,✓ Lt 4-(-N J A qty befr„ee,,, Site Diagram To be completed by Fire Department Method of abandonment: Tank removed Tank filled with inert mixture Tank vent and fill lines capped below grade Io cs -ed rr r d f CGc iy 40A 14 MOM Lo.,se FP 25 A (Revised 12/9104) Page 3 of 3 PREPARED 3/18/09 8 26 56 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/18/09 ADDRESS 1710 W 4TH ST SUBDIV TENANT NBR JAMES MARIE MORAN CONTRACTOR EVERWARM INC PHONE (360) 452 3366 OWNER JAMES MARIE MORAN PHONE PARCEL 06 30 00 0 1 4115 1000 APPL NUMBER 09 00000207 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 3/18/09 G MECHANICAL GAS LINE TIME 01 00 March 12 2009 8 48 43 AM 1pangrle BRANDON 253 332 4284 GAS LINE AFTERNOON COMMENTS AND NOTES I �l� dl (4 (5 �b Application desc INSTALL A GAS STOVE Owner JAMES MARIE MORAN 1710 W 4TH ST PORT ANGELES Date 1 00 1 00 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation WA 983631704 Permit MECHANICAL PERMIT Additional desc INSTALL GAS STOVE Permit pin number 142521 Permit Fee 121 30 Issue Date 3/04/09 Expiration Date 8/31/09 Qty Unit Charge Per 10 10 50 6500 EA 6500 EA 0000 HR Charged Paid Credited Due 121 30 00 121 30 09 00000207 258866 1710 W 4TH ST 06 30 00 0 1 4115 1000 JAMES MARIE MORAN MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 4000 Contractor EVERWARM INC 257151 HWY101 PORT ANGELES (360) 452 3366 Plan Check Fee Valuation BASE FEE ME STOVE /FIREPLACE /MISC APP ME FUEL GAS PIPING 1 5 OUTLETS ME INSPECTION MIN 1 HR 121 30 00 00 00 121 30 00 Date 3/04/09 WA 98362 00 0 Extension 50 00 10 65 10 65 50 00 00 00 00 03 ?V 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 fora 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. ,lei# Print Name Sign Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 Pump Furnace I FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit 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 Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL Date 3 1E 1 Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Applicant or Agent El ('2c a2 _Ail 4 Owner G z r) iz a ,j Owner's Address 9' .4 j- j ci o-e_ Contractor /Engineer v,,F -;Contractor /Engineer's Address 7)5 a .J v 0 License .4' 0 PS AJ L PROJECT ADDRESS 7 Lk Parcel Number Co Dc o r> Project Type It Brief Descriotion. Check all that apply New Construction Addition O Remodel o Repair o Re- roof, Demolition Sign Floor Areas Basement i Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321.E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Existing (sq. ft.) projects Date �7 Print Name /J' Ci T Forms /Building Division/Bldg Permit Appl. -2006 Code.doc Residential proposed (sq. ft.) a APPLICATION Print in ink Phone Phone 3 c Phone PO. Expires' Commercial Lot o wall- mounted o projecting >Cfreestanding awning other Total sign area sc ft. Maximum allowed sign area sa ft. Heat System Heat pump wood- burning stove regas-thsEpline pellet stove tti,ather q }'Other Total footprint of structures sq ft. Lot size Max. height of proposed structures- ft. Occupancy group Will a lawn sprinkler system be installed? Occupant-load' Will a fire sprinkler system be installed? Construction type 1 have read and completed this application and know it to be true and correct. I am aut understand that it is my responsibility to determine what permits are required, and Sign TOTAL VALUATION `/i 000 For City Use Only Date-Received 03 -04 Permit Date Approved Multi family >�e 4,a ©3/42 c 7,1 7 ,56„,?_ 8 -/'7 09 Zoning per sq. ft. sq ft. Lot, coverage #bf bedrobms of full baths #-of half baths industrial t ized to apply for this permit and tain permits prior t working on Lj Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc driveway Owner MORAN MARIE 1710 W 4TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T \Policies \1102 15 [10 /08] WA 983631704 RIGHT OF WAY INSTALL DRIVEWAY 141887 50 00 2/19/09 8/18/09 Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000164 390028 1710 W 4TH ST 06 30 00 0 1 4115 1000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor Date 2/19/09 ALPHA BUILDER CORPORATION 703 S LINCOLN ST PORT ANGELES (360) 452 3154 Plan Check Fee Valuation Charged Paid Credited 50 00 50 00 00 00 00 00 50 00 50 00 00 WA 98362 Due 00 0 Extension 50 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or 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 /g /0 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W !PW/ ENGINEERING 41 -4831 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T ,Policiez 110' 15 [10/081 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED I YES I NO I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER, Application type description Subdivision Name Property. Use Property Zoning . . . Application valuation 08-00000681 Date 854155 1710 W 4TH ST 06-30-00-0-1-4115-1000- ELECTRICAL ONLY 6/06/08 RS7 RESDNTL SINGLE FAMILY o Application desc GRD Bond Owner Contractor WILEY DON / KAY 1710 W 4TH ST PORT ANGELES WA 983631704 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) '452-1689 ~ ~ Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 127886 Permit Fee 91.00 Plan Check Fee .00 Issue Date 6/06/08 Valuation 0 Expiration Date 12/03/08 ~ o Qty 1. 00 Unit Charge Per 91.0000 ECH EL-R OR RM 201-600 ALT SRV FDR Extension 91.00 [ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 91.00 91.00 .00 .00 --L . .' SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: .., . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E, Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 5705?- DATE 9-4--"'.> <e ELECTRICAL PERMIT Site Address) 7 I 0 +11+ ;n: o READY FOR o WILL CALL FOR W. INSPECTION INSPECTION Installed BY'DoN vJ 1L,-b.1 I License Number: Phone: 2. - 2-, ~') Owner/Business: . Phone: 5M'f\ f., Owner/Business Address: Sq. Ft. ELECTRIC HEAT 11'1 BASEBOARD KW ~ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION %--REMODEL ~DD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: I Z-o / 7A-O 01~ 03~ SERVICE SIZE zpO AMPS FEEDER SIZE AMPS Details/Description: I Ou.:rt..-e I ADD ADD f71 0,,) CHtC<-L,TS) I'D Hvu5f., (/ I ,Co r<-I q 11.(:U.l1;; J H-f::.Il'TF.F J ~ . W.S. No, SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. r~ Rough-in/cover O.K. b O.K. to connect service ~ " ,,1~4 Final O.K. ~ / Site Address: Permit/Receipt No. /7/0 vJ. 4nf Sf. 5fo5'2- Installer: CbJ'J Wlv0L I New M~ I ge~4-~ ~ Notify Port Angeles City Light by treet Address and Permit Number when read for ins ection. Work must not be covered y p before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the~ Permit. PHONE 457-0411, EXT. 224. I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~~ ~~~ . - $ .L':::::::: Electrical Inspector Permit Fee . WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. I ) Site Address: Installed By: Owner/Business: Owner/Business Address: ~ RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ ~ FAN/WALL KW -L.3.- o HEAT PUMP KW_ o SIGN Details/Description: CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 983~ (206) 457-0411 PERMIT NO. .3S0? ~/'/,~ DATE ELECTRICAL PERMIT w. Phone: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Sq. Ft. o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS ')4' SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~ OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: /.;?O/,;:Jt/D I}r"SINGLE PHASE . o THREE PHASE SERVICE SIZE 'f~ DAMPS ;;2- r::?- ",?- . f( -V'M-ov-t (Q ;! h U?- f ,&/d /3~w 4 Ac#r R.wv.r f S lid tA/ ~ ,J)/(I'U~ W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. P O.K. to connect service o Final O.K. Site Address: tv Permit/Receipt No. J.s-o ~ New Meters Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,- /~ I~ $ ~~ ~ectricallnspeClor Permit Fee . ~ WHITE - File by address YELLOW - file by number GREEN - Top: MeIer Dept., Bottom: City Hall OLYMPIC PRINTERS INC PINK - Top: Eng, Bollom, Customer ELECTRiCAL INSPECTION WiRING REPORT . . 417-4735 PERMIT It --... .---------C;S-ObKI- OWNER/CONTRACTOR ~ri"'~ ~~ l:~ID W L( S~ INSPECTOR 5~JIc. ~~ NeD\f2.,p>-<- N1Lr 2C:;O e. 16'-i.... F"WOi>tY I I I I I I I I i I I I I I I I I i I I I I I APPROVED NOT APPROVED o _ . . . . . . . . . . . . . DITCH. . . . . . . . . .-0 . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . D D. . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . ~ D. . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . D CORRECTIONS NEEDED: f'.Q\\\YM1E-",," ;;SDI-lD,,,/c.., .:::s-Dh.?~lL ~}(T-G1:RI,",f::. ~L A.)1E-c. ~7J, IOZ.. I "tlE.1'Z.\O~..'E:EJl-..K.lE-P ~1h.?l'22-- FOfZ-- i'f.JUJ7..P-IO ~ 'fAN ~L N E. <-- /1'0. &"-112 kE.II\.L 'Y1V'INb ID "bO\H IIJ ~=~-M1--\~( N~C' 25Q,3~ C'-'!Z-A;.J '3 '\ '/-I If"? ALl.. t2~\( L~'lZ:. 19>x > )?,j7Jr;" P-< '-<"liE. ... ~ N~{'..... - ~ , I t..1-fI El-i , - NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 IElECTRICAllNSPECTION WiRING REPORT 417-4735 w -2} APPROVED N~APPR~ ~ o ................. . . . DITCH. . . . . . . . . . . . .0::. . . . . 0 O. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: Ll::}',j..lJ!DJ~j:::> (,)..l \ R~k----.:cD_~,;L Q iZ- \S.Q~D t-.\~~.,,-110_OF-. C.,TY RI<7_I-'01JFJS:> 1'1-0<. aD 'P ?""N~c.....~~D CL,"".Pd2.>E-t-.Lc...~ Nb"iEC /(/)0. 20AL :5 'F"'f:.~ "-l~ Il0 , 2 h A -; Z{)" 'P ">-C ~ Co u -...v'2- T2-~ l ~12 /-...(lec- llO NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OlYMPIC PRINTERS, INC. (360) 452-1381 ELECTRiCAL INSPECTiON WIRiNG REPORT 417-4735 1<11- fu) DATF :zc, rv~ PERMIT Ii OWNER/CONTRACTOR ADDRESS ctD w '-i :c APPROVED NOT APp..ROVED - o .. . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . 0 D. . . . . . . .. ...... ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: (,D"li) I'\rETAL 0/>'-TO:'/?- rl?f!ol..(,~~qQJQ'-I G-IW/J N D 1 rJ. ?ilk ~ <-1'b~"'--LF.n i) ~ .,;. ^/If'!.-G '2c;?O. S--Z- \2 ~C>. V I ~C'L D G-o\Y>"\. \) I 1'-1.-( C,J[.12.\Jlc::.~ j>,'-r S~---1.l~c..r<;;" i:>ISC. " 1-,1 ITU- ~O . '2. '1 1'Z.Cl1V\V'M~ G>~O_~lDLNG. c..ot-l 'bu:Q::QJ":- /Z~Q\JLIZ,P'8') N~c 25"<0. ~2... NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 O'f,?_ORT-t>1l0 " "-,,,-~,...:~ G'~~<n, ;'~ -0......... az:::::::....::", C '0....:.- '" ~/C'~-<.."f "'ORKS'&'V ELECTRICAL INSPECTION WiRING REPORT 417-4735 PERMIT'f .I~ OW~IERICONTRACTOR ADDRESS 10 IAJ ~J APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . .. ......... 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . ~ CORRECTIONS NEEDED: ~5.. hYl... J<,.z.QIJLf2.1E.1> - €/.-IUTfZ, l<:.AL 'i?P\ N. E:kS_ ---- ItJS7~1(6N f?"zj~~ tJ I l2, ED - \)0 ", f!i: D c. M.rJ-J.-J --J Q'-IN L. '?<.6l7 'i.E.-I f:"79]> -# 3~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - _I I I I OLYMPIC PRINTERS, INC (360) 452-1381 I 06/05/2008 13:21 FAX G!J001/001 'if/! - Lf7 ( / lAu1cl:::- tJ6-0t}3 \ (i~,. Ii .,,~.~,. ~ w 'I ......' ELECTRICAL WORK PERMIT APPLICATION Jab wired by o Electrical Contractor (J Owner 1001lall:uillll description Cl Commercial Residential Oat" Ell; ires i:J New 1:1 Altered/Addition OJ 00 \ G 8Q ~~aA~ ,-- )C~ OWIII"- Ir.)" cl/jim'lf '1.1' /(('W./"':N JfJJ:(/j 011'//(" will fU'.'''/'I' tI". xlrlll"'U"I' fin" two YI::UI"l' ajl!!J' ,IIi,' cJ~~(d"'11 flC/W;/ ~OII'llli::t'I/. (1) 01'0'11('1' 1.\ n:l/"inll fu hi/'.: WI lfkdl'iwl c;Onlrot,;Wr if aho\l~ saIl} propel-I.I' tifor .tu{e, reJJl Dr Iltf11't!, After r':!lding the above statement, I hereby certify ,h:II , ~I" Ihe ,)wnCr Mill\)' ",bo\l~ ll:.tll1cd prollCd~ Of 01 li":CIlMaJ ('!i.;:clricill conlrat:lor. I am making the elecTrical in.l.tal- latiOIl or olLcrul;on in cnmpli'ullcc .....ith It\t; clCClrlclll laws, N,F.,C" ~("W. ClHllHcr 19 2l:i, W^C Chilpll:r 21)C,-4CiH, 'I'll\.: {';Iy Ill' l'llrl A/Lgdl:!o. MUllidll;.l1 ('odl:, :11101 Ulility Sp~cjficllljon5. 5ig Ire "r Ol"'lle.. D Cash D Check # lJy) ~U a Credit Card Curd /I Visa Mastercard Discover x Expinllion Dale of card Electrical load Additions and or sublractions o NO LOAD CHANGES o Baseboard _ KW a Furnace KW a Heal Pump _ "fon _~ L.AR U Fan-Wall KW Service Information U Overhead Service Cl Tamp Sarvice LJ Undorground Servico VOlrag. PhaseD 1 03 Service Size: _ Feeder Si2:e; SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUCH-IN UJ\~ -';I';;;;:;'~ l)JI~ ^(lllru,"~.J Jl)' Ill/; SERVICE ~ u~.cr.e 'Y:; ~. ,=~=~~:~_,J THERMOSTAT L I /~NAL ql~- fl.l. nITCI~ ----li:;.~".- ~~_ ___~.-^PIU~,~~.,m;-" Inspcl:civn D.o.[c Area, Hujldins or EquiprneiH Irl.,p~t,;tecJ Action T...kc:n Elc"triC:l1 Inspcl;lor .=r-