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Home My WebLink About505 E 6th St - BuildingPREPARED 12/13/10 8 46 52 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/13/10 ADDRESS 505 E 6TH ST TENANT NBR JACK R LUND CONTRACTOR ALL WEATHER HTG COOLING INC OWNER JACK R LUND PARCEL 06 30 00 0 1 9750 0000 APPL NUMBER 10 00001304 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUL71 RESULTS /COMMENTS ME99 01 12/ 3 SUBDIV PHONE (360) 452 9813 PHONE (360) 457 4678 MECHANICAL FINAL TIME 01 00 December 13 2010 8 42 09 AM 1pangrle JENNY (ALL WEATHER HTG 452 9813) MECHANICAL FINAL HEAT PUMP AFTERNOON 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 Application desc INSTALL A DUCTLESS HEAT PUMP Owner JACK R LUND 505 E 6TH ST PORT ANGELES (360) 457 4678 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 14 8000 Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983626207 MECHANICAL PERMIT DUCTLESS HEAT PUMP 176982 64 80 11/05/10 5/04/11 BASE FEE EA ME FURN /HP /FAU OR 5 Per Charged 64 80 00 64 80 10 00001304 282768 505 E 6TH ST 06 30 00 0 1 9750 0000 JACK R LUND MECHANICAL APPL PERMIT RESIDENTIAL HIGH DENSITY 5856 Paid 164 80 00 164 80 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 Inot 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Contractor Plan Check Fee Valuation Credited TON 00 00 00 Date 11 /05 /10 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Due 00 00 00 00 0 Extension 50 00 14 80 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 0,0 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 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. T:Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date 1 7 5 Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By BUILDINg PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 x (3360) 417 -4815 fax (360) 417 -4711 Applicant k QO 1C vvc CCG Property Owner k \d Property Owner's Address F. Ct Contractor 1 Ct 11; Contractor's Address License Expires WI 1 111 PROJECT ADDRESS Parcel Number erect Tripe Brief Descriotion; 1Residential a Multi- family a Commercial a Industrial Check all that apply o New Construction ,o Addition *Remodel a Repair u Demolition o Re -roof a House a garage a other a tear off re -roof a la x over one layer Heat System Heat pump a wood- burning stove a gas fireplace a pellet stove Xother du( a Other Floor Areas Basement 1' Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Z0 /Z0 39t'd Existing (sa. fL) Pn osed (sa. ft.) SNI1v3H i'13H1■3t 11d Lot For City Use Only Date Received 1A-5.- i0 Permit 1O -.130 Date Approved Phone Phone t -�o IZS c Phone ad) LZ GiF�l3 E -mail G CC per sq. ft. TOTAL VALUATION Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage 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 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 to obtain permits prior to w on rojects. Date \\41rD Print Name n\ Signature 1':Forms/Bullding Division /Bldg Permit.doc Zoning of bedrooms of full baths of half baths LLISZSb0' EI 8E 80 0i02 /90 /ti Clallam County Assessor Treasurer Property Details 57645 JACK R LUND for Yea. Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 57645 JACK R LUND for Year 2010 2011 Property Account Property ID 57645 Legal Description LOT 11 BL 197 TPA Geographic ID 06300001975 )0000 Agent Code Type Real Tax Area: 0010 PA 12' 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: 505 EAST SI) ;TH ST Mapsco PORT ANGE .ES WA 98362 Neighborhood: Cycle 5 Res Map ID 2 Neighborhood CD 10955130 Owner Name. JACK R LUND Owner ID 38003 Mailing Address: 505 E 6TH ST Ownership. 100 0000000000% PORT ANGELES WA 98362 -6207 Taxes and Assessment Details Property Tax Information as of 11/05/2)10 Amount Due if Paid on. M. Exemptions. Year Statement ID Taxing Jurisdiction 2010 40630 ST SCH STATE SCHOOL 2010 40630 CC -GEN COUNTY 2010 40630 PORT PORT 2010 40630 PORT ANG PORT ANGELES 2010 40630 SD #121 SCHOOL DISTRICT #121 2010 40630 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 40630 HOSP #2 HOSPITAL #2 2010 40630 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 40630 CITY STORMWATER CITY STORMWATER 2010 40630 WEED_CONTROL WEED CONTROL 2010 40630 TOTAL: 2009 576452008 ST SCH STATE SC 2009 576452008 CC -GEN COUNTY 2009 576452008 PORT PORT ANGELES 2009 576452008 PORT ANG PORT ANGELES 77- 2009 576452008 SD #121 SCHOOL DISTRICT #121 2009 576452008 NTH OLY LIB NORTH OLYMPIC LIBRARY NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second I Half Half Base Base Amt. Amt. Penalty Interest Base Paid p $170 88 $170 88 $0 00 $0 00 $341 76 $90 94 $90 93 $0 00 $0 00 $181 $12.78 $12.78 $0 00 $0 00 $25 56 $210 55 $210 55 $0 00 $0 00 $421 10 $221 32 $221 34 $0 00 $0 00 $442.66 $26 42 $26 43 $0 00 $0 00 $52.85 $37 30 $37 31 $0 00 $0 00 $74 61 $11 87 $11 87 $0 00 $0 00 $23 74 $36 00 $36 00 $0 00 $0 00 $72.00 $0 82 $0 81 $0 00 $0 00 $1 63 $818.88 $818.90 $0.00 $0.00 $1637 78 $195 52 $195 52 $0 00 $0 00 $391 04 $98 95 $98.95 $0 00 $0 00 $197 90 $14 02 $14 01 $0 00 $0 00 $28.03 $217 05 $217 03 $000 $0 00 $434 08 $241 79 $241.81 $0 00 $0 00 $483 60 $28 75 $28 75 $0 00 $0 00 $57 50 http. /vpn. clallam. net: 8084 /propertyaccess/Property. aspx ?cid =0 &year= 2010 &prop_id =5 7 11/5/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Ductless heat pump Owner LUND JACK R 505 E 6TH ST PORT ANGELES WA 983626207 Permit ELECTRICAL HEATPUMP Additional desc Permit pin number 176479 Permit Fee 78 70 Issue Date 11 /01 /10 Expiration Date 4/30/11 Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 10 00001266 242860 505 E 6TH ST 06 30 00 0 1 9750 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited Permit Fee Total 78 70 78 70 00 Plan Check Total 00 00 00 Grand Total 78 70 78 70 00 1 DATE. 61t5iti NSPECTION Date 11 /01 /10 RESULTS WA 98363 00 00 00 00 0 Extension 73 50 5 20 Due c°14) REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date. CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1 Angeles Washington, 98362 Ph (360) 417 -4735 Fax: (360) 417 -4711 Date: 9 1 2 Single Family Dwelling Multi- Family or Commercial* Plan Review May Be Required, Please Complete Electrical Elan Review Information Sheet i Job Address; »'GK� L(M CO_ g Building Square Footage; Description of above 410 1.ijri :r o i ie 7 Owner Information Name: Luvlr Mailing Ad ss: O S City. Pig State: A„ ZIP: 1 fB.3,k� Phone:J m i o Fax: License Exp, Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp Seance /Feeder 601-1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201-400 Amp. Temp, Service /Feeder 401 -600 Amp Temp, Service/Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5,00 for each additional 1500 sf Signal Circuit/ Limited Energy 18 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft, Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub of wner electrical contra or electrlcil administrator' Unit Charge $119.90 $145.50 204.60 262.20 372.50 2.60 73,50 2.60 92.70 $110.30 148.70 167.90 95.90 88.20 95,90 63.90 63.90 $119.90 $102.30 56.00 $110.30 35,20 73.50 $110,30 Dated: f e 2 Commercial Addition Alteratior Remodel Repair* Contracto Info a Name: Mailing A City' Phone; License 2- Ceeh Check p NCred t Card 0 6 1' 1 ^ter j 0 OCT 2 r(g, Er-- -'V ELECTRICAL 1 ""r INSPECTIONS i 'dAd f lee ie. 14,e State: _A: Total Multi oiled by Unit Charge) s3 74 1 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 ror 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 cant actor I am making the electrical installation or-alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC, Chapter 296-485, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. 0110112010 I I ti ,. 11::. -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 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 07-00000118 Date 323566 505 E 6TH ST 06-30-00-0-1-9750-0000- JACK LUND RE-ROOF 2/02/07 ~ -.....J t - ~ RESIDENTIAL HIGH DENSITY 6780 Owner Contractor LUND JACK R 505 E 6TH ST PORT ANGELES WA 983626207 RAINMASTER ROOFING 1205 S. 0 ST. PORT ANGELES WA 98362 (360) 452-3213 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR-OFF, COMP, FELT 94573 165.75 Plan Check Fee 2/02/07 Valuation 8/01/07 .00 6780 Qty Unit Charge Per Extension 95.75 70.00 BASE FEE 5.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 er, \:> '1 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 \C( ~ } I ~+ ~ ,,<J ~ ;.;; '77 ~ 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 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 taws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. __ 2-2....-0 Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] '---- BUll..DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-47~5 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS liTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDA nON DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) . PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDGl GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (rNTERJOR BRACED PANEL ONL Yl T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL ROUGH-IN HEATP~/FURNACE/DUCTS I GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W./PWI CONSTRUCTION - R. W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPoliciesl 1102 15 building pennit inspection record05.wpd [1/412005] ,----- ~. (,. (Jot. fI /... S COI.I ~37 BdJ, (4s. - 8S~3) //1.... '-I. SO 2.2..."1 8 a-:> I.cr .-tP '71..'lq":~J I '-'j )t..~ I~- ~$tJ. PrcMi~r30jrra!6-::'- s;t/# 3 ~ /' ac (I sy. +car::rFf@ ~5:So.- cfiAl'tI\ rl he;. ~ 1odJ. '-, ~ ~o~ 1 ...., -e+c) <:: h,iMM'C'Y @ ..;I :., I 1>0- I c. hi 11.1","t' 'I + J clslJ! ., rv->{E I.( rt'd @ "" ........ s ..-1t:SOS~ 15rfl9 Z -1'/~'lllaNJ'C . aO'; ..., 2 I'll y:>'i- "- - d tV, J'€ @J cf> Ov~rJ,aN ~ cl&.r-@ ~oo- (fOc;() pl..,~ ~~J.~...........I. J-/e.cH-h~-,", C-irc./e ('-/5;#';'" 8772.) .. .~/ 6 sz. P re-Y'tl~.,(& I 70 C!2 LI,tf i-rJ12 l:.ocfE ..., 3lfO!B I '1.{ 0 ~ .3 30 '290 I 00 r:!- .ri? . ^ aD ~1"#'Irt ~ pl...s+o.x \.::r i ~ ,~ [JOU5 S h GvJ 10 r 1<:J.o4t ~. I~ 7. t, 3}<. 2.. IOx-'ff3,.,z:1- ~...d0p f.:e'S 'J-bSQ' -te'l yofl (;J /, d- 1'12 .. fl aW3'-tS@ ,. II A f. 50s @ I oS a"f-a I i+~ d'-slll? 1-/ r I 'cJ c;-e- @ '-w-._':"-., ~ II S. Ivt'd 71low, 50^, /3f1W.l./+!1 (Y57- 080' Jcl c.k Ll.fN d 50S ~. ,+I, ("167 - '1' 7 e) 1860 'Z..~o (S'>( '2)( 2.., 't 1( n ,.'..e:-f ;;"'151' l?-<=~jc" 30yrQ. ;)... (s1: tl!:d refF@ cI...o"VIp+<::.es~ p DreW;;; Cfo" r:jk~t"vte+c)/@ 3 rictcp:...0' 3 A 1= s Os @ , <:.,.hi"YIN<'j e p~r""/1 ::fI37S~ p(w~-I :,L ft1iNr PI' 5+ . Ff ,J~ re.-L-iS"'- c:'l' 'J ~1.f-65~ II 8<ro~ ,o::/S~ 300c;!' 13S-r;?!? ISD~ ,.o~ I ~()-Q!l 67 fE f'/~5~P""'rl ~3l/ 8 -tecuoFF '/ dv h1 P " ~Oco ~C> I 3" 8 gc:,m _ f/~!) rtJ'j., pcr,." i+ . , .,'~' '..~ ,,-~....,"i ....tm1I\'<~,.~h~~",~ ...."'" BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4 711 Applicant or AgentP..,,,..,-J1IItkk,. ~J Owner: ~c_k LlVd Address: bOS &. Six.J.. Architect/Engineer: Contractor "R41A1-MdS..,...,. r ) Address: /205' SO<l~./"O PROJECT ADDRESS: ~OS E. b #. LEGAL DESCRIPTION: Lot CLALLAM COUNTY PARCEL NUMBER: City: 7? ,4. Phone: liS;;' -32.13 Phone: 'I:I7-<f~78 Zip: <1B3~2- Phone: State License #: ~IAlMIl~O ~CJ-lV1k Exp: 10-28-08 Phone: <tSZ-3"l../3 City: 7? A. Zip: 9BJ€ 3 ZONING: Block: Subdivision: TYPE OF WORK: ~ Residential D New Constr. _, Re-roof D Stove D Multi-family D Addition D MoveD Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: SIZEN ALUATlON: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ '780~ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the 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: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. . Date: ;2-;1.-07 T:\FORMS\BldgPennitform.wpd Applic \. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. 30 rP c:..... .,s--/& ~'?/ DATE Installed By: SD.s f'. ~A " o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Site Address: OwnerfBusiness: Phone: OwnerfBusiness Address: Sq. Ft. 'J(]) Residential r Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/lndustriai load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction 1sl Remodel o Service update/alter/repair k(Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage 010 03.0 Service size o Temporary Amps . ;Jo ~ rt"tf ~ !k.J-M , Detai I s/Descri pt ion: .IVI W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~ Rough-in/cover O.K. o O.K. to connect service o Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for instaliation o Fire Department notified of inspection o Plan Review approved/pending Site Address; S&.s (. {; ~ Permit/Receipt No. ;] og c. Installer: New Meters Date: S- -If)-r . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electricaliy energized before inspection and O.K. for covering or service has been given by the Inspeg1o/:-ifl Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. ~ ! ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall \