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HomeMy WebLinkAbout1513 W 10th St - Building Electrical Permit 1513 W 1 0'x' St 12- 1359 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 W Application Number . . . . . 12-00001359 Date 10/15/12 r� Application pin number . . . 364868 Property Address . . . . 1513 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0678-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use (Location Code 0502) Property Zoning . . .. . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1-4 circuits garage fan ---------------------------------------------------------------------------- Owner Contractor DARROLD S AND LEONA M SANDBERG SIMPSON ELECTRIC 33965 YOUNG RD 243036 W HWY 101 ST HELEN OR 97051 PORT ANGELES WA 98363 (360) 457-9270 ----------- ------------------------------------------------------ ^ Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL c 11 Additional desc . . 1-4 CIRCUITS V 1 Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 10/15/12 Valuation . . . . 0 Expiration Date . . 4/13/13 Qty Unit Charge Per Extension BASE FEE 75.00 ----------- ----------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 c—� INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN J 2. FINAL j Z- COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING �^ »vK)R r.t.` _ CTX OF PORT ANGELES PERMIT APPLICATION Ll Building Division/Electrical inspections : ,:,srr.,•. ;.i, t 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 CC1 1 2 2,3 i e Ph:(360)41.7-4735 Fax: (360)41.7-4711 ELECTRICAL Date: INSPECTIONS X 1 &2 Single Family Dwelling 'Plan Review May Be Required Please Come Electrical Plan Review Information Sheet Job Address: ��� ZD— Building — Building Square Footage: Description of above Owner Info ation Contra r Inforr anon Name: O Name: E tic Mailing dress: Mallin �ddrese: City: State:,14�06-_Zip: City:I State: Zip::o phone: — t�Fax: Phone: F License#/Exp. License l/!Exp. _ .Q- -Item Unit Charge Qty Total ft Multly lied by Unit_Cha_Mel Service/Feeder 200 Amp. $120.00 $ ServicelFeeder 201400 Amp. $146.00 $ _ ServicelFeeder 401.600 Amp $205.00 $ _ ServicelFeeder 601-1000 Amp. $262.00 $ _ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuits 1-4 $ 75.00 $ !� Branch Circuit W/Service Feeder $ 5.00 $ _ Branch Circuit W/O Service Feeder $ 63.00 $ _ Each Additional Branch Circuit $ 5.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ _ Temp.Service/Feeder 201-40D Amp. $110.OD $ _ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ _ Portal to Portal Hourly $ 96.00 $ Signal Circuil/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 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Addillonal 500 Square Ft or Portion of $ 40.00 $ _ Each Outbuilding or Detached Garage $ 74.00 $ _ Each Swimming Pool or Hot Tub $110.00 $ p2 Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(;)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 cor iITactor,I am making the electrical installation or alteration in compliance with the electrfcal taws,N.E.C.,RCW.Chapter 19.28,WAC_Chapter 296-43B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications_ Slgnat o owner,electrical contract or electrical administrator: O Cash 11 Check J PVCredltCard 1�2 � j 9ted, �� , OMM12 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 BAST 5TH STREET, PORT ANGELES.WA 99362 ELECTRICAL PERMITuUz OWNER/APPLICANT PROPERTY LOCATION FUTURE BUILDERS PROJECT 1513 10TH ST W P.O. BOX 748 Lot: 18 Port Angeles, WA 98362 Block: 306 ❑ Long Legal 360/452-8160 Subdivision: TPA T: S: Parcel No: 063000030675000 CONTRACTOR ARCHITECT BOB'S ELECTRIC INC. N/A 2293 DEER PARK PORT ANGELES, WA 98362-0000 98360-0000 360/457-6887 360/000-0000 PROJECTINFO Project Type: RES.NEW Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: RS7 Electrical Heat: ❑ Baseboard 0 KW ❑ Riser ® Underground Service ® Furnace 0 KW ❑ Overhead Service Voltage: 120,240 ® Heat Pump 0 KW ❑ Temp Service Phase: ® 1 ❑ 3 ❑ Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES NEW 1700 SQ. FT. SFR RECEIPT#9112 FEES ASSESSMENT Service: $130.60 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $130.60 AMOUNT PAID: $130.60 BALANCE DUE $0.00 COI IMI--'NITS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 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 7 47 y INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH GENERAL COMMENTS: PW-1102.1514%] ° CITY OF PORT ANGELES PUBLIC WORKS -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 BUILDING PERMIT ISSUED: 10/30/2001 PERMIT NO: 12897 OWNERIAPPLICANT PROPERTY LOCATION FUTURE BUILDERS PROJECT 1513 10TH ST W P.O. BOX 748 Lot: 18 Port Angeles, WA 98362 Block: 306 ❑ Long Legal 360/452-8160 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 98360-0000 206/000-0000 360/000-0000 PROJECTINFO Project Value: $110,000.00 SFD Units: 0 Commercial: 0 Project Type: NEW SFD SFD SQ FT: 0 Industrial: 0 111 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 / Zoning Use: RS7 ?\ PROJECT NOTES VOCATIONAL PROGRAM /OF A 1344 SQ. FT. SFR W/A 576 SQ. FT. DETACHED O GARAGE t Building Permit fees waived by M. Quinn, City Manager S RECEIPT# I� FEES ASSESSMENT Building Permit: $1,049.75 Misc Fee 1: $0.00 Plan Check: $419.90 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $1,645.65 Plumbing: $119.00 AMOUNT PAID: $1,645.65 Mechanical: $52.50 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned fora 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. I l0/30 Signature of Contractor or Authorized Agent Da Signature of Owner(if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-UJZ- WATER LINE GAS LINE BACK FLOW/WATER AIR SEAL WALLS .�-/3'02- CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING ZLE/T DRYWALL T-BAR INSULATION SL (W1 FLOOR/CEILING `Z3'-(� ✓ S 1 y6;>- TPu.SS R'WJ MECHANICAL HEAT PUMP WOODSTOVE/PELLET/CHIMNEY/INSERT HOOD/DUCTS PW UTILITIES/SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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. 4174750 PLANNING DEPT. BUILDING 4174815 BUILDING C:WPPL.WPD10,cLc^'-e c+C'Pcm FOR OFFICIAL.USE ONLY: BUILDING PERMIT - APPLICATION pen nit0 emit p: Daze Approved: The Building Permit -Pre-application must be filled out Completely. Date Issued: ep°�¢ Please type or print in ink If you have any questions,please call 4174815 Applicant and/or Agent: Y-)Q T1-I FE:010 e,L)L P J 11_6(0J i�s��OG, Phone: 4- 2- -6 (( 0 Owner: ffu-ro g� Phone: Address: City: Zip: Architect/Engineer: 6-Hk9L06 SM 1-11(4 6 TLENl rc 72S(---K)Oj LG Phone: Contractor NP�Pt License# P�q�4Exp: I DZ Phone:-A5-0 -0(&0 Address: To. f3o K F!J6 City: Polis ace�c�(3t Zip: 4'bU GZ. PROJECT ADDRESS: /S / UJ LEGAL DESCRIPTION:Lot. 18 Block: ��6 6, Subdivision: 7197 CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card#• Exp.Date VISA MC TYPE OF WORK: SIZE/VALUATION: residential New Constr. ❑ Re-roof ❑ Woodstove SF.Qa ❑ Multi-family ❑ Addition ❑ Move .RrGuage SF.(a3$ (--3 SF.=$ 15�Q 20 ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF.@$ /SF.=$ ❑ Repair ❑ Sign ❑ TOTAL VALUATION $ l l d OCU BRIEF DESCRIPTION OF THE PROJECT: O L _ Lr t COMMERCIA SIDENTIALr Occupancy cup: Occupant Load: Construction Type: F�I�I�E No.of Stories:�_ Lot Size: _7600 %Lot Coverage: Z9 Existing Lot Coverage: /sq.ft.+Proposed Lot Coverage: /sq.ft.=TOTAL LOT COVERAGE: /sq.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wettand(s): ❑Yes,"o SEPA Checklist required?❑ Yes❑X Other: OTHER BUILDING APPLICATION SUBMrITAL: Your application and site plan must be,llRed out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Div,to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days,on written request by the applicant(see Section 107.4 of the Uniform Building Code,current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required,• it remains the applicants responsibility to determine what permits are required and to obtain such. , ���p PW-1102_l3[rev5J011 Applicant: 1 / �- KWA Date: _ T Ll LZ/Q/r CENTERLINE OF ALLEY-�� RIGHT-A-WAY I I o I o I I o I I I j I / i 1 I O I / PROPOSED I O v I j GARAGE I ;,' I I I I 4 i I o ;✓ I I I I 1 o I I o j q I / p Q 1 j PROPOSED I I RESIDENCE 1 / 1 I 1 � I I:o I 1 I j I 1 I j I 1 � I I I I i 1 I 1 I j I I }.-- -- — -- -- — —•--•-- —•--� 101.01. 181-0" 14'-011 9BI-011 81 O" City of Port Angeles Applicant Project Review Sheet Applicant: N��f4 Property address: Owner. « Proposed use: Zoning: Is the proposed use listed as a"permitted use"or an"accessory use"in this zone? IE yes:ok ❑no:requires PD Is this the only use(business,residence,etc.)on this site? review yes:ok ❑no:requires PD review Has there ever been a subdivision,shprtplar or PRD approved for this site,or has one been submitted and is pending approval') ❑yes:requires PD .Pfno:ok Does the proposed use require a new buisness licenser review ❑yes:requires CC Z-no:ok review Does the project extend into any required setbacks or cross any lot lines(interior or exterior)? 11 yes:requires PD no:ok jpenny review , tthheellov�lomat coverage in 'les zone?height allowance or cause the property to exceed ❑yes:requires PD Jar no:ok review Does the project require any additional parking or special design/landscape improvements q. �. in this zone? 1:1 yes:re eines PD no:ok review Does the project eliminate any existing parking spaces? ❑yes:requires PD Ono:ok Is the project located within 200'of the shoreline? review ,Ey. 11yes:requires PD .,E no:ok Are there any envimnss mentally sensitive areas aor within 200'of the property, review including: ❑yes:requires PD ATno:ok • wetlands or areas of standing water(year round or seasonal); review • streams(year round or seasonal? • ereas wiffi a slope of 40%or greater,or • areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? 11 yes:ok El no:mark ❑Site Plan ❑Construction Drawings •Parking/Dreinage Plan O Civil Drawings irequired ❑Energy Calc ❑ Supporting Eng.Calc O Landscape/Lighting Plan O Other If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Liepmtiment permits)is needs!,the PlannuigDep"*nentpermit(s)must be approved prior to the issuance of any other permit. Thefi citytianprnowftebavedtDaramthrbesttfmylawwledgc,I that InO evenEthat by ire City to be irrcarrect this project wilt be aro t+nY of this in.farmratirm is detatminazt subsequently re uired'revtery and a p�until such time drr City determines the trrrrecr information is providpti airdnrry q ppr oW are campteled erred gxantsf pp Permit Category b (see reverse side) Building Permit H Master Tracking H Route to: ❑BD OCC OFD ❑LD OPD ❑PW O File ❑Other Staff Initials Date Completion of this farm is required for all category lb, 1&3 permits. Completion is not required fbr category 1 a permits unless they result in a potential change of use or occupancy. APR5.114].t91 uiW wmm) P02 t�A North Peninsula Building Association PO BOX 740 3430 E HVVY. 101 STE 29 PORT ANGELES, WA 98362-0129 TELEPHONE: 360.452.8160 FAX: 360.452.6197 E-mail: npba@olypen.com October 26, 2000 Lou Hashnlen, Building Inspector City of Port Angeles P.O. Box 1150 Port Angeles, WA 88362 Dear Lou: It has been a year since we started the Future Builders program. The first house was completed and sold in June and we are now looking to begin construction of house #2. The association Is very pleased with the accomplishments of this program and we have the community at large to thank for this success. The City of Port Angeles was a key player in this success and we are grateful for the spirit of cooperation exhibited and assistance given last year, and to date. It is our hope that the City Of Port Angeles will continue their support and consider donating the building fees required for the second house. If you have any questions regarding this request, please feel free to contact me at 452-1110 or contact Clair at the NPBA office at 452-8160. Look forward to hearing from you. ,( Sincerely, ©� /gyp �y.tv PC .O f ri c 7 tJ ✓��.*/O/ Bill Roberds President cc Mike Quinn, Port Angeles City Manager J�� CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: „ Date Time Received by (phone, '�csdn) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. I Z Sewer(Foundation,, Framing Chimney Plumbing Final SewerExcay. Other i 1115 t r INSPECTION NOT Inspected: Date _ 27 _!�Z Time By Remarks: Y RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date y Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing) Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date �I� Time By ✓ , Remarks: f/ ,V RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date -<:�— Time Received by / (phone, person) f Location of Work to be inspected i 5 / 3 C� O Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No' j ZZ a'17 -7 c Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other � L[S 5 INSPECTION NOTES: _ S rsso Zu A Inspected: Date Time By Remarks: o `` RESTORATION REQUIRED . . . . . . YES NO �A SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date` 2 `r�2 Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 1 -2 Sewer Foundation Framing Chimney PlumbingFina I Sewer Excay. Other INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee [] COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date —� � — Time Received by (phone, person) Location of Work to be inspected S (.0 1 411 Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle a ropriate one): Permit No. Z � 1 Sewer Foundation" Framing Chimney Plumbing Final Sewer Excay. Other /1j r 5-c---z INSPECTION ►"-- INSPECTION NOTES: Inspected: Date Time By Remarks: 7 RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC []Other []Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date /`i:Dj Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Insp�ouectioon-(circle appropriate one): Permit No. L � 7 f Sewer ndation) Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date Time By Remarks: e rm RESTORATION REQUIRED . . . . . . YES NO 4� r SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) bW -; vol -ft®� CITY OF PORT ANGELES , DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST Date ) 'i — 3D — a Time Received by (phone, person) Location of Work to be inspected s ( 3 1 J� Name of person requesting inspection CAJ l C Address of person requesting inspection !�L C2 Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other GO LA� INSPECTION NOTES: Inspected Date Time By Remarks �� iY V I- 7 C 7C 1� z �2 17 RESTORATION REQUIRED . . . . . . YES NO n 01 G- 6 � 54- ti SURFACE RESTORATION: SURFACE TYPE ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC CJ IPElOther [:] Repaired by City Work Or er # 1 / I� ❑Repaired by Permittee COMPLETE ❑No Damage Found ❑ INCOMPLETE CITY OF PORT ANGELES • DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST Date 40 62— Time Received by (phone, person) Location of Work to be inspected 1 Name of person requesting inspection . Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No Z Sewer Foundation Framing Chimney Plumbing Final ewer Excav Other INSPECTION NOTES Inspected Date �� Time By _ Remarks RESTORATION REQUIRED YES NO i a 1 sL,) SURFACE RESTORATION SURFACE TYPE ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST Date " Time Received by (phone, person) Location of Work to be inspected l "th Name of person requesting inspection S Address of person requesting inspection x„_ 40 r/l Phone No Type of Inspection (circle appropriate one) T— Permit No Sewer Foundation Framing Chimney Plumbing Fina ewer av Other INSPECTION NOTES /n Inspected Date 7 y 2_ Time /4 By Remarks IP7h;' RESTORATION REQUIRED YES NO__ 2 7-- 4,.:_. SURFACE RESTORATION SURFACE TYPE ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST- Date. [1Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection . T� Phone No Type of Inspection (circle appropriate one) �— Permit No 1 Z- Sewer Foundation Framing Chimney Plumbing Fina ewer av Other INSPECTION NOTES- Inspected Date ( — -7— y '-L-- Time /7 BY Remarks o 12 RESTORATION REQUIRED . . . YES NO__Q� 4 1p r zZ� 3 -- I-r 406b SURFACE RESTORATION SURFACE TYPE ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST Date ,I --- 3z) Time Received by (phone, person) inspected f-5-1 3 jy Location of Work to be p Name of person requesting inspection �— W I C a Address of person requesting inspection 2 Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES Inspected Date Time BY Remarks ti � �z 7 � z � 17.,9 RESTORATION REQUIRED YES NO �J ------ a� G- SURFACE RESTORATION SURFACE TYPE ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC El Other ❑ Repaired by City Work O er # ll E]Repaired Permittee COMPLETE paired b Y ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) FROM BOB'S Electric FAX NO. : 1 360 452 9943 Jan. 04 2002 11:49AN P1 FOR ►�®� ELECTRICAL PERMIT APPLICATION (IALISED\LI' Daw". — mas - Nm.R: D.W App.,-N;_. yie The Electrical Pell Application must be filled out completely, ---- y>��M Please type or reprint In Ink It you have any questions,please call(360.417-4735 Fax number:(360)417-4711- `, Owner or Elac.Contractor Agent ^-� Q �pT a �� E—L_Phone -4S7-(o&7 Fax: T�Z-�7S e/3 Property Owner ��,Tj ��Q4QjL,p Phone: Address: City: Zip: Electrical Contractor:Ank _�,-' JSy'8V `g== Xwe, 1 License rt-UL&& 1'1p: Phon - e E Address: SLa0 Ater city: fn¢T '14Alge%< UJ CA_ --Zip: �( 36Z INSTALLATION WIRED BY; ❑OWNER LECTRICAL CONTRACTOR Credit Card Holder Name: A.1 . O 4 Billing Address: 22ei3 AJi � Zip: g_— VISA:.MC:_ PROJECT ADDRESS: /S/ &) /D L. TYPE OF WORK: Check all that apply. JJ'� ❑Alteration/Addition tial ❑ Multi-family O Commercial ❑ Mobile Home Sq. Ft. A*014— V ❑Remote Meter O Detached garage ❑Hot Tub IJ Swim Pool O Septic Pump O Low Voltage O Telecom. ❑Sigr Number of Circuits added or altered: r DESCRIPTION OF THE ELECTRICAL PROJECT: - Electrical Heat Load Additions go Service Information -� 37- ❑Baseboard KW Voltage: O Fumaee _KN ❑Overhead Service Phase: ❑1 ❑ 3 ❑Heat Pump _KW ❑Temp Service Service Size; O Fan-Wall _KW ❑Underground Service Feeder Size: PAMC 14.05.060(6): For industrial, commercial,&residential projects larger than a duplex, a one-line drawing of the Electrical Service& Feeders, building size(sq. h-),load calculations, and the type&of conductors and/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct and It am authorized to apply for this permit, l understand it is not the City's legal responsibility to determine what permits are required,• it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: �Gsuea-C S�/H� v O Date: PW-9019 Owner or Elee. Cont.Signature: �a'-�/ -i Date: �L / / (��Z,& _FROM BOB'S Electric - FAX 1,10. : 1 360 452 9943 May. 24 2002 08:ub"m P1 ELECTRICAL PFR9AIT APQLICf^T(ON ' aomm�nr.rsco..v— �! The Electrical Permito•'• AppllCatiprl must be tilted out eom�ot_B1y. Please type or reprint In Ink. It you have any qucstions,please call(360.4174735 Fax number:(360)4174711 �- z Owner or Elec.Convector Agent: toT Ir PhonesI2---YSZ"7Fax: Property Owner. _ yr o e. Address: P� P,oy 7 p City: p�py, Zip: Electrical Contractor: n �L?1.or.�xi/L LiCS'n�A; Z yr: Ptwne: �2 Address: l/ City: f- Gs 6d a Zip: INSTALLATION WIRED BY: DOWNER �ELECTAICAL CONTRACTOR Credit Card Holder Name: Billing Address: 'a-3.4 YVee zfCity: ,e-T Avc o to C - Zip:-004 L d�tc VISA:_ yC,-_ PROJECT ADDRESS: TYPE OF WORK., Check all that apply f (New ❑AlteratiotVAddition XResidental O Multi-family ❑ Commercial ❑ Mobile Home Sq. Ft--J'7.00 t,a Remote Meter NrDetached garage ❑ Hot Tub ❑Swim Pool ❑Septic Pump ❑Low Voltage O Telecom. i Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT:' ' y �jO. 6O 114 3 Electrical Heat-Load.Addi s J Service Inform to ion 2 .OBaseboard KW voltage: " �F,umace �-M-KW., ❑Overhead Service Pnass: fJ i ❑ 3 CWHeat.Pump.= :ToV) 9.p ❑Temp Service Service Size:100 O Fan-Wall _KW 5'underground Service Feeder Size: PAMC-14:05:060(8): For industrial,commercial, R residential projects larger than a duplex.a one-line,drawing of the Electrical Service R Feeders,building size(sq. ft.).load calculations, and the type R of conductors and/or raceway is required and shall accompany the Electrical Permit application. l hereby certify that l have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required,-it remains the applicants responsibility to determine what permits are required and to obtain such. KA Credit Card Holder's Signature: v Date:TY�O L Owner or Elec. Cont. Signature: �1,10 -Z zl'd.ri� Date PW-9019 /7