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HomeMy WebLinkAbout617 W 9th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner STEINMAN TONY DEAN 617 W 9TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983627303 Charged 48 10 00 4 50 52 60 C OM /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 05 00000408 924960 617 W 9TH ST 06 30 00 0 2 6264 0000 RES DETACHED GARAGE 5260 Contractor OWNER L LOT COVERAGE TRUCTION TYPE ER O F ST ISTING LOT COVERAGE LOT SIZE 1q114 PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS EL DETACHED GARAGE 50 AMP FEEDER TO DETACHED GAR 58552 48 10 8/26/05 Valuation 2/22/06 Qty Unit Charge Per 1 00 48 1000 ECH EL R OUTBD /DTCH GAR SEP Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 06/06/2005 11 42 AM SROBERDS Detached garage in the RS 7 zone for total lot coverage of 29% No land use issues noted Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES relocate wire to house conntact Engineering 05/31/2005 10 03 AM GMCLAIN With new garage check drainage Parking Alley not allowed unless there is an addtional 10 feet Other Fees STATE SURCHARGE Paid Credited Due 48 10 00 4 50 52 60 Plan Check Fee 00 00 00 00 Date 8/26/05 29 30 V N 1 00 2015 00 9520 00 780 00 2795 00 1 00 00 0 Extension 48 10 4 50 00 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS DITCH ROUGH -IN COVER SERVICE FINAL I GENERAL COMMENTS: I I 18 a6 65 I 1,..4 I I YES NO C e O 5 PW- 1102.15 (4196( PREPARED 8/25/05 12 18 31 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/25/05 ADDRESS 617 W 9TH ST SUBDIV CONTRACTOR PHONE OWNER STEINMAN TONY DEAN PHONE PARCEL 06 30 00 0 2 6264 0000 APPL NUMBER 05 00000408 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/18/05 JLL BUILDING FOUNDATION FOOTING 7/18/05 AP 07/18/2005 12 40 PM JLIERLY 07/18/2005 04 00 PM JLIERLY mono slab BL3 01 B 25/ 5 J BUILDING FRAMING 08/24/2005 01 11 PM PBARTHOL FRAMING TONY 683 3396 LATE AFTERNOON IF POSSIBLE SO ELECTRICAL CAN BE INSPECTED FIRST COMMENTS AND NOTES PREPARED 7/18/05 12 40 59 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/18/05 ADDRESS 617 W 9TH ST SUBDIV CONTRACTOR PHONE OWNER STEINMAN TONY DEAN PHONE PARCEL 06 30 00 0 2 6264 0000 APPL NUMBER 05 00000408 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 7/18/05 JLL BUILDING FOUNDATION FOOTING 07/18/2005 12 40 PM JLIERLY COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000408 Application pin number 924960 Property Address 617 W 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6264 0000 Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning Application valuation 5260 Owner Contractor STEINMAN TONY DEAN OWNER 617 W 9TH ST PORT ANGELES WA 983627303 Other struct info Qty Unit Charge Per TOTAL LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BASE FEE 4 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comment s When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 06/06/2005 11 42 AM SROBERDS Detached garage in the RS 7 zone for total lot coverage of 29% No land use issues noted Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES relocate wire to house conntact Engineering 05/31/2005 10 03 AM GMCLAIN With new garage check drainage Parking Alley not allowed unless there is an addtional 10 feet Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Signature of Contractor or Authorized Agent T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Date 6/08/05 29 30 V N 1 00 2015 00 9520 00 780 00 2795 00 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 780 SF DETACHED GARAGE Permit pin number 50005 Permit Fee 148 75 Plan Check Fee 59 50 Issue Date 6/08/05 Valuation 5260 Expiration Date 12/05/05 Extension 92 75 56 00 STATE SURCHARGE 4 50 Charged Paid Credited Due 148 75 148 75 00 00 59 50 59 50 00 00 4 50 4 50 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 st t or II cal law regulating construction or the performance of construction Date SigrJure of Owner (if owner is builder) 6 9 or Date 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 Ws PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD YES ACCEPTED I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I 1 I I I I 1 I I I I I I I I I NO SEPA. ESA. SHORELINE. COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I I I I BUILDING I \Policies \IIO2_15 building permit inspection record05.wpd [1/4/2005] I I I I I I I I I T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000408 Application pin number 924960 Grand Total 212 75 212 75 Page 2 Date 6/08/05 0 0 00 Separate required for electrical work,- S•EPA- 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS 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 BUILDING PERMIT INSPECTION RECORD 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO 7 /ie7 /oS 1Ji,4 l I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 I I I FIRE DEPT I PLANNING DEPT 417 -4750 1 1 1 PLANNING DEPT BUILDING 417 -4815 I I I I BUILDING T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] DATE ACCEPTED YES I NO I I I I 1 1 I I I BUILDING PERMIT APPLICATION www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and site plan MUST BE COMPLETE to be accepted for review Questions? Call. PERMITS (360) 417 -4815 Fax (360) 417 -4711 Applicant or Agent: TbN'( S'1lf-114 MAI- Owner l'ONI'( TE tr./ MA-, J Address 1134 E. Z.. S`r. City Port -T Zip 9V3 6Z- Architect /Engineer Phone: Contractor (ti P State License Exp Phone Address. City Zip PROJECT ADDRESS 401'7 w e) ZONING RS 7 LEGAL DESCRIPTION Lot: AO Block: ZbZ- Subdivision. CLALLAM COUNTY PARCEL NUMBER. O430000 Z62.6,4o ie' O 6 3 ooO0z bZb000oo Credit Card Holder Name TOOL 5 N A AN Billing Address. 113'4 _E. Z.1 Sr City FORT a'UGP.1ALS Credit Card Type VISA, _L_MC i r Exp. Date TYPE OF WORK s SIZE /VALUATION X Residential New Constr Re -roof Stove SF /SF Multi- family Addition Move X Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION S CO BRIEF DESCRIPTION OF THE PROJECT ETP-t- E l7 6144-46e- COMMERCIAL/RESIDENTIAL Occupancy Group No of Stories PLANNING USE ONLY ESA /Wetland(s) Yes No SEPA Checklist required? Yes No Other Occupant Load Construction Type Lot Size rf Existing Sq Ft. 449 /6 Proposed Sq Ft. 7 O TOTAL Sq Ft. 9-7 9 S Total lot coverage 9- q. 3 r BUILDING PERMIT APPLICATION SUBMITTAL The Building Division can provide you with information on the application and plan submittal requirements if you have questions 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 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 If no 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. 1 hereby certify that I have read and examined this application and know the same t.: be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, not the 'ty's, and that 1 must obtain such permits prior to work. r/ www cityofpa.us Applicant: Date Ci c h V v Phone Mc_ bin -33 93 JOR OFFICIAL USE ONLY ate Rec. .5- �-f S /ermit #•©S t j Date Approved: Date Issued: Phone HM 4SZ 73S APPROVALS PLAN BLDG DPWU FIRE OTHER 80 Feet 627 626 620 Vertical Datum =NAVD 88 Horizontal Datum NAD 83/91 6' 608 603 Area Map 602 �3^ This map is of intended to be used legal description. This map /dr ng is produced by the City of Port Angeles its of n use and purpo Ant other use of flu map /di ng shall not be the responsibility of the City L-crr s Pr 2.-0 IC- p- 7W rr Tor 2.79s pr LoT CaA- 29 3(0 0 0 L.4: I Co 3L1- p a 7 71 ISTle-P-4.1 4760 I S2. I pe_oPo Sre_C> p 7_4. X 3 0 K 7e0 FT i A A 16 1 1 i L 1 t-- IA rA rA 3 PLOT pLA-f.i 1 41„'' i —0 t FILE Approval Date flc BY Wr CITY OF PORT ANGELES Plans The Issuance of this perMit based Orin these_plans,.snecifi- cations and other data shall not prevent the building official from thereafter- requiring the correction- of errors- in-- aa!!± plans, specifications and other data, or from preventing building carried when in violation of all codes and ordinances of this jurisdiction. 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CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT b/ b "Z- PERMIT NO. DATE '- ~UL...I S-. I" <;>S- I ' o READY FOR INSPECTION license Number: o WILL CALL FOR - INSPECTION Phone: "'f5z- 8 708 Phone: '\ 5- '3' (j c>CJ1...1 Sq. Ft. Site Address: . / 7 ~ Installed By: a.t: rJ . . 9ft-/- ~ 'AM~ Owner/Business Address:t5A ME- ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o ..NEW CONSTRUCTION KREMODEL ~DD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: I U/ 12-1-0 ~1\l\ D316 SERVICE SIZE~AMPS FEEDER SIZE SO AMPS o TEMPORARY SERVICE DetailslDescription: ADD! tJ~ Su"E5~ p2DM. NlA/,J To ~6 W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE ENGR. DATE o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER -' o Ditch Inspection O.K. ,Rough-in/cover O.K. o O.K. to connect service o Final O.K. Site Address: hl'7 W. 9rrf ~1. .$no, IJM AN Permit/Receipt No. 5"1 (p z... New Meters Date: 1l,,7- ~-"J~ {ow t-l-H( - 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 ESTABLrSHED UNDEA THIS PERMIT $ ~ ~ Electricallnspeclor Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS INC CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'! 16516 Port Angeles, washlngtonmm___!!..._n~__?[n___.m_m_mm.__mm., 19n2.F' In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address -(;;.~~t2rf!"--~---h'h' n__m___.nmm.__.m Occupancy..-;4.R..4.m...__..._nn__mmm. ~::~ ~.~~~~~~-::::------ -~:::::::mak~~~;:::::::::::::-..------.~~:::::::::=::::::::::::::::==::::::::::::::::::: Light Outlet.__..__.__................._...._.._..._. Service, volts ..J;i:!/-P.l':--~ Type of Wiring: Receptacle Outlets_____.__..................._... No. wires --...-3.--....-......--...:1... Armored Cable ........--...---.............. D,y.,. KW.__..h.m_m..__...__________._________ Size wlres....-#2--.Y!..--.-...~.. Non-Metallic ...-.............-..-.--..-...--. 1 so d "" Knoh & Tuhe............_______.._........_ Main luse ...__..................LL...___. Enclosure ........C-r.7..k__.._____ Range, KW.m....unhnm_...mn._ Water Heater: RIgid Conduit ...................____........ Meta11lc TUbing .___..._________..__....... Hea,~:~:::r..;fi~_::13}fE.:. Type of wiring: Entrance Cable m....mm.____m_.. Motors: stze. volts and phase: Rigid Conduit ...__............___..._..___.. MetalUc TubIng .................. Current transformers: Raceway _..._____..____................__..._ Circuits, LIght..............m..hm.....h..__.. Utlllty.__................__............___......... Ser. NO...._n..._............._.....h......_........ I-Ieat _................._.........._.........___ Range ................_..._.._____..__............. Water Heater ...h.................._..._... Motor ..._............___...................._.... No. & Size..........h..h.............. Ser. No. .h_......................_.................. Dryer _.........__.___._u...___.__.................__ Furnace ...............n.........~..._.._..__ ...... SeT. No. .h.......h..................h......h_.... Remark:~ta:__=~~...~..~-....:;~~d2~-t.::;;~~._:_-.t;:~~:_.~:_~l;;_c~__~n"~~::~~:~~: Permit Fee Treas. Receipt NO..n__n.m______________ By vi!!~ile:J:a_,~~ $..________m_mm_mm__hm.... NOTICE:-Current mUst not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notlce'must be gIven the Inspector so that work may be inspected before concealment NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16516 --'~ Address..................._........._........................................................_..._n..........._........................h._..Date..._......__._.._.._.........._......_......_......... Owner..__...____.___..___._....._......._......__._......_......____.._.........................._...____.__.________.......__.Tenant........___.________._.____....._......._.............._..._...... , \ Wiring Contractor.........._....._.........................................._.....................__..____._...._......................... By .._..___....____........__.......__........................... NOTICE-Current must not be turned on untll Certificate of Inspection has been issued. If work i~ to be con- cted'due notice mu.t he given the Inspector so that work may be Inspected before concealment.. -. '- "'_'_l_p" T....._ ~1fD ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor ,AQwner Installation description D Commercial J:!Residential " Electrical contractor name License number Date Expires DNew rrtered/Addition 0- Purchaser's mailing address City State ZIP .50 .lht-1,o II!J1VM to ~lO ~f-. 1ftt!Jrl1 !t€S{-:?l&tV~ g~WvJ /1 .r rd/UJdNO /Ai 2' CbtVtJcJir~ Telephone number FAX number Premises owner's name RJAJY Sr7&tN.MM Addre, /7pection 9TH City aNT M0 i'Z<A!J Phone number to schedule insp 60 - 3'73 ()J'e.. Owner as defined by ReW 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 ahove said property is Jor sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named properly or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signatu f owner, electrical contractor or electrical administrator Sf: t01J .9d30 L- C4"jL -"'Y3cSL- ) / / / 'v o Cash 0 Check # reditCard @ Mastercard Discover Card# _ x Date: g U /0 J Expiration Date of card () ~ , Electr; oad Additions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan-Wall KW o Overhead Service o Temp Service o Underground Service i: () "" SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 "'.Wl / ROUGH-IN THERMOSTAT " / SERVICE 'JLt40\- ~ '- "- '" Approved By Dale Approved By Date Approved By ;' /' / FEEDER FINAL DITCH Date Approved By "- Date ApproyedBy../ "- Date Approved By .-/ . Inspection Area, Building or Equipment Inspected Action Taken Electrical Date ~nspector . f3/Z4/tJeJ n I:: - Ie, II, ,<~'" " IJO/,j/4 "..~_Io,. '(0 "J Lou.) /riJ: u I ,/",<<, Gdla.,ar-oc ? ~ -, ,c,? ,) , I',?; LU iI?6 ,),/-=,;2 ..~ - IEllE(c1rIRl~ (cAl ~ IN!~ !P>!ECn o IN! 'W~ IRl ~ IN! G IRllE!P>O 1Rl1r 417-4735 ~~-/ 0. qrl.- APPROVED NOT APPROVED o ................... DITCH ................... 0 / o .............. ROUGH IN/COVER...... .. ...... ~ o .................. SERVICE .................. 0 o .................... FINAL. . .. . .. .. .. . . . . .. ... 0 CORRECTIONS NEEDED: /) G ro '-'-'" d::J ()t7'11da.-c-..J.-,e..S ./ JC:-;."';r....A h be- 4j...dt!.. <y=.~) <-(- ;~~ 0ro~ ()dM-n u:;t;___ ~"t":/'...L 10 ,,~ ~C-~.s': .6/<:...-- -3) de.-Lt..f-rA.. L L'ft.tS.5 ~_g .!A ,'r t..,,{ h b e. J? Il'Ld eel ~ e.....J (!);f!.. /5-....I.;~ ,<'-rret/> 1L) Lo~J::N(/'--r 1'5' fr/dt.<- ,'I'd "., n d" ;Ode ,'n ;JA.>1 eL.- s-) N a.< .h, k::-r" w ,.L/o....J 1/ c.Jl... <.r-e.- ~ /I E.~ e r j 0 es ~) KiJZe. d -/-0 .5 eL- .w k e ("0 ;<}C1.h e( /5 ~e.d ~/O W\7) tf1.e-'ffu,'r~ fr; Aaue.. 3/ r_lc>o.rc.KCR- for over- heAd.. (I 0 1'^cL""+ors /jSOll€.- 6<\.rasc, > NOTIFY INSPECTOR WHEN CORRECTIONS ,~K ARE COMPLETED WITHIN 15 DAYS iY, ;'1'0 Ii./ ~ - DO NOT REMO.VE - 1 ;/vi ;J ~ 1.;0) ~ OLYMPIC PRINTEAS, INC. (3llOJ ....,.., .~ 0 ~ .