Loading...
HomeMy WebLinkAbout2106 W 10th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A WOOD BURNING STOVE INSERT LINER Owner GLENN A /LORI J WOOD 2106 W 10TH ST PORT ANGELES (360) 452 3945 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 10 6500 EA T:FormsBuilding Division/Building Permit WA 983635006 MECHANICAL PERMIT WOOD BURNING STOVE 157172 60 65 Plan Check Fee 00 11/24/09 Valuation 0 5/23/10 Per BASE FEE ME STOVE /FIREPLACE /MISC APP Charged Paid 60 65 00 60 65 09 00001226 895378 2106 W 10TH ST 06 30 00 1 0 5300 0000 GLENN A /LORI J WOOD MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 4100 Contractor EVERWARM INC 257151 HWY101 PORT ANGELES (360) 452 3366 60 65 00 60 65 Credited 00 00 00 Date 11/24/09 WA 98362 Extension 50 00 10 65 Due 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 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. ,?L (J+ e i 4411.. (,l) 0i Date Print Name Signal of)ontractor or Authorized Agent A`" g Signature of Owner (if owner is builder) 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 I 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 FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Expii2941 8 -I6 Accepted By Applicant or Agent VES.11,) i?NM Owner 6 hoc .f Owner's Address 2 i a c„, C ontractor /Engineer ,F' p-72 ►a, .a. Qh Contractor /Engineer's Address s'7i 5 i License uityk- 0 g AjG PROJECT ADDRESS 647 f, ,4 3 Parcel Number Project Type Brief Des Check all that apply o New Construction a Addition o Remodel o Repair o Re -roof o Demolition o Sign o Heat System ,Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 CMG 3 oon iQ5 30oono crintion. o wall- mounted Total sign area o Heat pump Existing (sq. ft.) proposed (sq. ft.) Total footprint of structures sq ft. Lot size Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. T.Forms /Building Division/Bldg Permit Appl. 2006 Code.doc a d L9EC2St /0 Pa v fO/ Occupancy group Occupant load. Construction type Phone Phone R:36.73 Phone h/y 3 6.6 pa•, uj cL c'-c g 43 2_ Expires TS /7 o For-City Use Onlx: Date Received I 1 -2 `tYl Permit Ca -122(0 Date Approved 452- 336( 3..a3 bat ct'i4362 Lot Zoning 1(Residential Commercial a Multi family o Industrial o projecting a freestanding a awning other sq. ft. Maximum allowed sign area sq ft. I r, Sct r f ood- buming stove a gas fireplace o pellet stove a other per sq. ft. TOTAL VALUATION prD sq. ft. Lot coverage of bedrooms of full baths of half baths I 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 t obtain permits prior to working on projects. L,„-myet �,c. 1 Date ,,7"f9 Print Name bu O t. t Signe i wJemJaA3 eas to 60 t'a Aow PREPARED 9/23/08 11 21 00 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/23/08 ADDRESS 2106 W 10TH ST SUBDIV TENANT NBR GLEN LAURIE WOOD CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER GLENN A WOOD LORI J WOOD PHONE (360) 452 3945 PARCEL 06 30 00 1 0 5300 0000 APPL NUMBER 07 00001137 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/23/08 �I MECHANICAL FINAL TIME 01 00 September 23 2008 8 54 37 AM 1pangrle LORI 452 3945 MECHANICAL FINAL FURNACE AFTERNOON INSPECTION (SHE HAS TO LEAVE THE HOME AT 4 20 PM COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner GLENN A WOOD LORI J WOOD 2106 W 10TH ST PORT ANGELES (360) 452 3945 Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983635006 Per 14 8000 ECH Charged 64 80 00 64 80 T.FormsBuilding Division/Building Permit I 0/0 I /07).wpd 07 00001137 526599 2106 W 10TH ST 06 30 00 1 0 5300 0000 GLEN LAURIE WOOD MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 3141 Contractor Permit MECHANICAL PERMIT Additional desc INSTALL ELECTRIC FURNACE Permit pin number 112276 Permit Fee 64 80 Issue Date 10/09/07 Expiration Date 4/06/08 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee Valuation BASE FEE ME INSTALL 100- FAU Paid Credited 64 80 00 64 80 00 00 00 Date 10/09/07 Due Extension 50 00 14 80 00 00 00 00 0 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. tc,A, 7 �R. d,...∎ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE I INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 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 COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES NO FINAL DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I BUILDING 417 -4815 19 -2:2,-Q 8 I -To-- I I BUILDING T Forms /Building Division /Building Permit (10 /01 /07).wpd 0 6 10/02/2007 08 11 13604525177 ALL WEATHER HEATING Applicant or Agent Owner (iir 111M e_WOOt9t. Owner's Address 710 co L1101 sfi Contractor /Engineer [�i71_I/�Ot7ht?ir�� PGlT7N)dl (OOft tate License #/1LLf LJWC Lif Expires c1 -1-02 Contractor/Engineer's Address 7)Z. Leine/ .p Phone CZ. PROJECT ADDRESS: 'Z) 0 (p CAL /0 St ZONING LEGAL DESCRIPTION Lot Block: CLALLAM COUNTY PARCEL NUMBER. f pt esidentlal hh Multi- family Commercial O Repair 2ICP11 fi, WOU o Now Constr 0 Re -roof Steve to Addition G Move G Garage C Remodel 0 Demolition Det:k Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT' COMMERCIALJRESIDENTIAL: Occupancy Group: Existing Structures) basement Sq. Ft. I" floor Sq. Ft. 2" floor Sq. Ft. J" floor Sq. Ft. Existing Sttucntce(s) TOTAL Sq. Ft. Maximum Height of Proposed Structures) Ft. 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 4174815 for assistance. PLAN CHECI< FEE. The p lati check fee trust be paid at 'the time the building permit application is submitted. All other permit fees arc 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.atter the date. of filing unlesl such application has been. pursued,in good.faith orr a.permithas been issued;, except that the.buildiog official is authorized to grant one or more extensions of tittle for additional periods not exceeding 180 days (90 days for commercial projects) each. The;extension shall be requested in writing end justifiable cause demonstrated, (IRC/IBC 2006 1105,3 ..2) I hereby certify that have read and examined this application and Know the same to be true and correct. 1 am authorized t4 apply for this permit an understand that'll' is my responsibill to determine what permits are required and that must obtain such• armies• r to. nk Date le 2∎ 7 Applicant BUILDING PERMIT APPLICATION Fill out COMPLETELY and in TIM Your application, prescriptive energy form, plans, specs, and a 8 !r." >i: 11" site plan MUST BE COMPLETE to be aCeepted for review (360) 417i.4815 FAX (360) 417 -4711 Residential projects: submit two sets of plans Commercial projects: subtait three sets of plans /I l Si di ate t it TVORMSIBUILQN4G OIVISION1eIdgPermitAppl, -2006 COOE.wpd LOT COVERAGE Phone 4 67 -C1 r .:a Phone 'i iZ Z 1 Subdivision: pIZVVALUATION SF (c}� /SF e SF(a;S /SF =S SF (41 S /SF TOTAL VALUATION S la.04J Occupant Load. Construction Type: Proposed Structure(s) basement 1" floor 2"d floor 3' floor Proposed Structures) TOTAL TOTAL Sq. Ft. of existing proposed structures PAGE 02/02 FOR OFFICIAL USE ONLY• Data[tea.. I('1 ^n7- -077 Permit iI; I U Dam Approved; Date issued: Sq. Ft. Sq. Ft Sq, Ft, Sq. Ft. Sq. Ft. ,o,T CITY OF PORT ANGELES  % PUBLIC WORKS - BU1LDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~-.~';~..~'m'~'~'~-~ ~-~.,~-~'~'~- ISSUED: 4/08/2002 I-'lZr(M~ NU: OWNER/APPLICANT PROPERTY LOCATION 2106 10TH ST W GLENN WOOD 2107 w. 10th street Lot: Port Angeles, WA 98362 Block: [] Long Legal 360/452-9518 Subdivision: PORTION OF SL 53 T: S: Parcel No: 0630001053000 CONTRACTOR ARCHITECT ALLEN HUNT CONSTRUCTION N/A 489 CAMERON DR. PORT ANGELES, WA 98362-0000 , 98360-0000 360/417-2939 360/000-0000 PROJECT INFO Project Value: $15,000.00 SFD Units: 0 Commercial: 0 Project Type: ROOF REPAIR SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 ~-, Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES Repair wind damaged roof over Master bedroom FEES ASSESSMENT Building Permit: $251.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $255.75 Plumbing: $0.00 AMOUNT PAID: $255.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a pedod 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 previsions of laws and ordinances governing this type of work wilt 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 cens~ction or t.~e performance of construction. , /'~--~) .. 2 ~ Signature of Contractor or Authorized Agent Date 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. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS ?LANNING DEPT. 417-4750 ,,¢~/~ ~/ PLA~G DEPT. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT REQUEST' Date~' Time Received by (phone, person) Location of Work to be inspected k~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ,/'?~ Sewer Foundatio~'~raF~mi~', Chimney Plumbing Final Sewer Excav. 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) $~ W CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98:162 Application Number Application pin number _ Property Address ASSESSOR PARCEL NUMBER, Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001079 Date 11/05/05 333586 2106 W 10TH ST 06-30-00-1-0-5300-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Owner Contractor HOLMAN JAY 2106 W 10TH ST PORT ANGELES WA 983635006 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL SIMPSONI 200A SVC. 64535 SIMPSON ELECTRIC 66.90 Plan Check Fee 11/05/05 valuation 5/04/06 .00 o ~ "- C) ~ Qty 1. 00 Unit Charge Per 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 ----------------- ---------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 c: .. "- '0 I).. VI ~\ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPECTION TYPE DATI!: ACCEPTED COMMENTS I YES I NO Ul1\;t1 IUlll~H::rn CUV-h.K '...KVIl.t.... "IN A I 111'1/:1 -D$ I ~'Tl GENERAL COMMENTS: PW-Il02.J.5 (4196] 10/01/2007 22:46 'I:~ , I' 1 , , 4579270 SIMPSON ELECTRIC PAGE 01 . ELECTRICAL WORK PERMIT APPLICATION C,ty P I 11 OI'tif1~e Telephane numhC!c I . _ c,' Job wilwl by .pleetrital Co.trod"r 0 OWn.. Blee:p;e,,1 ~f'ltrt\tl~f~~~t l..iCCNenuMbcr p,< ~~reI J.[I' /25-1.;']'1 c.. .:s T/17 u ~ 1- m. P'urc:~d"majlib ZJd 1.1 . . /6/ ~ W~ZIPq~3 b3 d: In~1.IIJUi(\n dcl.1l:nption o C.m.......... ~l...tbl ! !i I: i t. j: ~ ~~ ~ ~u,~ /s KuJ /-/.-j Ci/l.w/f.> 'If,;. QR o A1tereolJAJ:IdllIoo .. 4. , \ !~ I 7(,) Prelllllel Qw...er~ lutme / I c:;. ~ n.D..-JA., n Q I?L- Atldrau of Inapedloft 1_ .1" ~) () /P '1,(). ) 0 I.!J.- ell A I. y . Ol~ ~> . i; I 11 , i, Owl'llll:r 1J~ d:djinf!tl by R.CW.19.28. 61:(1) Owner wlU occupy tll~ .,tr,~ctu~ ftJl' two J'tll'r.! a/'I/;- lhis electrlctfll1t!f'IHiJ it jiMliP!d. (2) Owrter' i4 t'tttf/l.i,-cJ If) ftf,-" "n eJ~t:lrtcal eQ!1troclor t abol'" .laUf fH'OP"''fY is In' .ale. rent or fUle, After reading the aboYe 3tftteft'lent, I hereby certifY thlt lAm the ~ of the above nI'IbCd property or III I;~en~ct electrical eonltactor. f ll1t'I tbfl.kirtt tbe -eleetnCllI insCal. lation or .Itcratiq,n il'l ~l)ftlf:Jli.MO with the electrical laws., N.H.C.. RCW. Chapter 19.28, WAC. Chapt~r 19~B. The, Chy 01 ~brt Aflge1C\',$ MUR1el",.1 Cot!lI), *"d Utility Sp<<ificadons. SIe..fUr r' OWRrf. el~etr X c 1 . etG~1 Load AddltlQll'- ;0 NO LOAD CHANGES , 0 Baoel)osrd ' _ KW ~umoc:e 15.1<W Q Ovorne.d SOrvIoo . 0 H.., Pump __. Ton _I.AR Q Temp SeMee : 0 Fan.w"" , _ KW 0 Underground Servioa 'SAME DAY INSPECTION. CALL BEFORJ: 7:00 AM 360-417....7~5 -JDate: [J Cash Q Cheek # ;s.Cre(lItCIlI:d Vms MoSlercar(l OI""over CIlI:d# -__"-6:1~~___'____ Expi",tiOll Dote .. of card $" Q52 liiIllJdCllJIIfAmllI1IQo t i I \ I ~ I! tJ I, i: t VOltIlg. .____ PhMeOHJ3 ServIce Site: _ FOQ~f Site: Ii It I: I I I I; . ,r ROUGII-1N 'IlmRMOSfAT SERVICE t~1e ^pl"'llIIo!<l ~)' f,l~,~ - A(ltmJ\IM8y .... ;;;;;;;;;;;nr;- ( .Il1NAL r nrrcn 'I J!~ " vd~ "'" A [Jllt~ ^Pr'"'YQl8:V ,/ "- Ihl$ AppfVll'llll B, : Inspeetion ElcctriM1 Date Area, Building or Equipment Jnspecred Aelion 'taken lfl~pectOr - - Ut;;3..::. 0 7 /J " 7 ,/</: fl I , .- ~ , . . , , to ~U'fJ I!=>I!>lY -" - - '^T n t) ?nl 17 , uv. V" , I " J , I , ~. , .1 I, \: " , UBHTDEPf. I I' I i I I 10/02/2007 08:11 13604525177 ; , . Job wired by ~Elcctrl..1 ContrllCtor 0 Owner I' I I Owner 4'< dafi"(Jd by !CCW./9.28.26J:(J) Owner wifJ OCCUPJI th~ .<rtruC(lIre!Qr two ytMr.' qfttr fhfs e/(!ctrical permit L.. finalized. (2) Owner i, requimJ to hfl"e an e!t:ctrlcal con/mclor If o.hOWl said prof1<<1TJI fJ for Jail!:. renl or ll!a.ft:. A ftcr rending tho nbove statement. I hereby certify lh~ , :\n1 the owner of the above no.med property or n licensed deetrlef'1 eonlmclor. I am TTUlking tho clectrienl in:Jtal- b.tion ar nJttTation in co'mpll:\ncc with the electrical Jaws. N.e.C., RCW. Chapter 19.28, WAC, Chnl'tcr 296.465, The City or Port Angeles Municipal Code. and U\ilit)' Spccificetions. SI2nR~ :,or nwn or, elecCr I I , I ! I I , Date: /() d o.uubtractlol!.~ o NO L AD CHANGE o ea:>ebosrd T1'" 'r'NV J5. FUm:lCQ 19- 't/YII o Hsst pump _ Ton _ LAR o Pen.Wall _ KW ALL WEATHER HEATING PAGE 01/02., , I ELECTRICAL WORK PERMIT APPLICATION , ~ tnAl3113tlon description Q Commercial "';(Re!idCfttlal o New Q ^lte.odlAdcUdon ~~ " o Cllsh 0 Cheek # ~ Credit Card Vi"" Mastercnrd o;SOOVCl' Card # ____"____"____ ____ Expirat;on Date ofC3Td ~rvlce Inl.o~ tJ OvertU3Iad Servlcg IJ Temp Servlee [J Undtarground SeMel Voltage Phs.eO 1 0 3 Servlcg Size:_ Feeder Site; SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 . . ~ ROUGH-IN r THERMOSTAT ( SERVICE '"" '- """ ....~.,.mvcd lily ".,~ ^wrovCldlly "- Dftl.. AflPTO"odD)' FIN^T" DITCH /" FEEDER "Oftlt' , ~Bl'/ O.,e ~B.L/ Oftle Aflpnn-od D)" 1 n:;pcctign' Date Moo, Building or Equipment In.pcctcd Action Tak.en Eh:ctrieal Inspector Ii? -"",...~ = .' II:. n " Il: IUI nr.r 0 2 ?nn7 I I I UGHT DEPT. ~ t 1];1<) ~f\ ~ ~ -.;;",,' ELECTRICAL WORK PERMIT APPLICATIOt. Job wired by " Electrical Contractor 0 Owner Electdcal contractor n~I\lQ License nu.mber Oute Expires , , JnsUaHation d'lOs..::ription o Commercia" )ill ResidtDth:tl o New )tl Altorudl Addition e Purchas. '5 mailing address ~ .t)..<'(3C73~ 1__: 10( W City , Stat~ ZIP Pnd- ~~/ /.()'l-. qr.~~2. 1\:lcphonc nl.lmbcr FAX nUOlbel' .5 ~ premi5e~w7~a:IUJoool Addn:SS of Inspection ;)../ () low. ) o-i6 s{. City P&rt '~ fl~Jeg, }thoae bumber 10 5d~ed\lle intipuction: U-f~ Serw /'C e..... , -,' - I Owner Qt, d(!fifj~" by Rl::.:W.J9.28.261 :(1) Ownc:r will occupy lh.~ .\'/rUl:1UI'f! fur two yell,.,:,' after lhis dr:drica';permit is jillalbed. (]) Owm:r is r-t:(fllirt'd lu hire t41l i,!./~~t,.jcal L,'unlruc/Qr if ~bO\le said ~p'Dpe,.ty i~ fur ,mil:, ref/tvr leus(!. After re;Jdin~ rhe 3bov~ Ist3tcnlel\t, 1 hereby certify that 1 am th~ owner of the ll.bovc llam~d property or a lie~nscd clt:drical comractor. I am muking the eleclr!l.:al instal. ladon or alleratioll ill c~mpliBllcC with the electrical lawS. N.E.C., Rf:W. Chllpter 19.28, WAC. Chuplcr 296-468. The Cit)l of Port Allgeles Municipal Code, and. Utility Spec:ificalions. ~ Signat dWOe .::t'eCr19, "I nlradul" or r:Icctrical admlnIstratQr X r, ""'" Date://-o;z.-OS- traction o Cash 0 Check # o Credit Card @ Mastercard Discover Cardtl --Jts;-.~"Th-k---------- EXPirationDateV '- tJ -' , ' ' . d Inspe5[1on fec"dJ olear $ P6. ~ Service Information Ir; I La d A dl D NO WAD CHANGES a Baseboard KW Q Fumaca KW o Heat Pump Ton __ LAR Cl Fan.Wall - KiN ')( Overhead Service o Tamp Service Q Underground Service Voltage Phase Cl 1 Cl 3 Service Size: ~ ~ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 r ROUGH-IN THERMOSTAT J, SERVICE , ; AJ;) /// f( /1K' "- OllIe AI",rQV~-d fly D"t~ ApprovuliBy / Dljfu Appnm.\l By I' , /' FEEDER FINAL DITCH , /- I~~ ~t;?- l', ^PfllOv~ lh/ "- O~lu Atlm'M.;,Jlty Pllie: Appro\lu.i By inspecLion , Area, Building or Equipmell.t inspected Action Taken Elcctricu1 Dale Inspector Il/8/00 AIL.. 4(J(J~J\1C:;n A-Y I~ , , , , At'/J it/ ~ In <" / , 1:8 39\1d 8I~183l3 NOSdWIS 0LZ5Lgt> t>~:hL ~~~~/~~/TT