HomeMy WebLinkAbout915 W 10th St - BuildingDate
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A HEAT PUMP
Owner
MARK J AND BONNIE SCHMIDT
915 W 10TH ST
PORT ANGELES
(360) 477 4012
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
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 l 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 I. cal law regulating construction or the performance of
cons ucti n. B
IOS
Print Name
14 8000 EA
T:Forms /Building Division /Building Permit
WA 98363
MECHANICAL
INSTALL A HEAT PUMP
183491
64 80
4/11/11
10/08/11
Per
Charged
64 80
00
64 80
11 00000306 Date 4/11/11
002954
915 W 10TH ST
06 30 00 0 3 0078 0000
MARK BONNIE SCHMIDT
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
3550
PERMIT
Contractor
ALPHA BUILDER CORPORATION
105 1/2 E 1ST ST
PORT ANGELES
(360) 452 3154
Plan Check Fee 00
Valuation 0
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80 00
00 00
64 80 00
WA 98362
Due
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of Contractor or Authorized Agent 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
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 1 FAU Ducts (7S, A
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 1 SHORELINE.
IFINAL Date Accepted by
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
Comments
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date
Accented by
Accepted By
0
Applicant
Property Owner A.40,, d- &,_4_:_
Property Owner's Address c i ,c- t j
Contractor
C r `t 3 LW
Contractor's Ad
License
Parcel Number
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
E 1 V E tJIL DING PERMIT
7 2011 Il OF PORT ANGELES
to Building Permit Technician
R ORTA N GELE g 1 E. Fifth St. Port Angeles WA 98362
ING DIVISION (369) 417 -4815 fax (360) 417 -4711
ress
PROJECT ADDRESS
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
House garage other tear off re -roof lay over one layer
$Heat pump wood burning stove gas fireplace pellet stove other
ALPHA BUILDERS
C O R P O R A T I O N
Phone
�AIU 4- Am,
Expires Fs d i 9? E -mail
ql
Weatherization Enercv Efficencv
Ductless Heatpumps
Window Replacement
Metal Roof Sealing
TOTAL VALUATION 3
Total footprint of structures
sq ft. Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including paved driveways, sidewalks patios
and other impervious surfaces (see PAMC 1.7 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
(9 9 Ken Tobias
T:Forms /Building Division /Building permit application
Residential
I have read and completed this, application and know it to be true and correct. I am authorized to apply for this permit a d understand
that it is m responsibility to determine what.pennits are required, and to obtain permits prior to wo 'ng on projects.
Date H /N Print Name_ Signature
M1 664 ;1
Multi- family Commercial
Full Service Contractor
PUD City of PA Certified
Energy Star Contractor
(360) 452 -3154
Commercial Residential
New Remodel Additions
alpha@olypen.com
www.abcpa.biz
Port Angeles, WA 98362
Lic# ALPHABC943LW
APPLI CA
Phone
Phone
Lot
r mN
TION Print in ink
For City Use Only
Date Received —SS- t■
Permit ¶1 -30(o
Date Approved
L17 7 L P 0 1
i5" 3Is -I
Zoning
per sq ft.
of bedrooms
of full baths
of half baths
Industrial
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
MARK J AND BONNIE SCHMIDT
915 W 10TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit Fee Total
Plan Check Total
Grand Total
WA 98363
Qty Unit Charge Per
1 00 73 5000 ECH
Fee summary Charged
183384
73 50
4/07/11
10/04/11
73 50
00
73 50
Signature of owner or Electrical Contractor x
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
11 00000296
082184
915 W 10TH ST
06 30 00 0 3 0078 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452 6424
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
EL BRANCH CIRCUIT WO /FEEDER
Paid Credited Due
73 50
00
73 50
Dvk kik5/1)
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
00
00
00
Date 4/07/11
RESULTS
411'411(
11 14(
WA 98362
00
00
00
00
0
Extension
73 50
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date
^J'
APR _6 -2011 08 35A FROM ELECTRIC SERVICE
4526424
ZULU/MO/ 1 l/nr,L) 11 34 MA Vt uy r tainting >Jnp6. rru
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street —P.O. Box 1150 /Port Angeles Washingt>ku 98362
Ph: (360) 417 -4735 Fax: (360) 4174711
D
2 Sing Family Dwelling. .Multi- FaMlly or Commercial' Commercial Addition 1 Alteration Remodel Repair
Plan Review May De Required, isle
Job Address:
Building Sporn Footage:
Description of above
Owner Infonnatl nn
Name:
Mating Ad
Pions
License 4 Fp
Fax
A
Item
Service/Feeder 200 Amp.
SentIce&Feeder 201 -400 Amp.
6etvlce/Feeder 401 -600 Amp
Service/Feetler 601 -1000 Amp.
.$ecvicelFeeder over 1000 Amp.
Branch Circuit W/ Service Feeder
6randr Circuit WA Service Feeder
Each Additional Branch Circuit
Temp„ Service/ Feeder 200: Amp.
Temp, Service/Feeder 201.400 Amp.
Temp, SetvicvlFeeder401 -600 Amp.
Temp, Service/Feeder 601 -1000 Amp
Portal to Portal Handy
SignlOtrtfine lighting
Signal Circuit/ Umit d Energy First 1500 of Comrnerdai
Note: $5.00 tor each edditianal1500sf'
Signal Circuit/ Lim Energy 1 2 Fondly Dwening
Sigma Circuit/ limited Energy Multi Family Dwelling
Manufactured Home Comedian
Renewable Electrical Energy 6KVA System or Less
Thermostat
NEW CONSTRUCT(O11 ONLY
First 1300 Square Ft.
Each Additional 500 Square k or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Owner as defined by RCW.19.28.261 (1) Ownerwin occupy the structure for v o, years after this electrical permit Is finalized. (2) Owner is required
to /tire an electrical contractor If above sold property Is for sate, rent or lease. limit expires after dnc months of lest inspection.
Alter reading the above statement, I hereby certify that I aryl the owner of the' eve named properly or 8 licensed electrical contractor. t am making
the electrical installation or alteration in compliance with the °ladies, laws L. RCW. Chapter 19.28, WAC. Chapter 29646B, The City of Port
Angeles Municipal Code, and Uh'lity Specifications and PAMC 14.06.050 re ling Electrical Permtt.Applications.
Signatur owner, a cal contractor or electrical administrator 0 Cash 0 Cheek Cjil"— .0 Creditcard
C Electrical Plan RevieK formation Sheet
N>l)L Lt T t
ir
'contractor f 41?-4
i Name:
I
Add 6tate: Ztp �'b T
tN-t zo:
I or-I. mailing_ !P I Ph u U Faux:
Li nse N Exp. 01 S/ 1320
gty Total (City Multiplied by Unit Ching
ft .4o
4
"'Is U Total
U nit Charge
$119.90
$145.50
204.60
25220
372.60
2.60
3 73.50
3 2.60
3 92.70
110.30
148.70
187.90
95.90
8820
95.90
8390
63.90
119.90
102.30
$56.00
110.30
335.20
.3 73.50
$110.30
Dated:
1 4-
''v JUL'
TO 4174711
71) Ii RECE
APR 6
ELECTRI
INSPECT!
;01/01/2010
P 1'1
Application Number 08 00000929
Application pin number 496632
Property Address 915 W 10TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 0078 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp service change
Owner Contractor
Schmitt Mark
915 W 10TH ST
PORT ANGELES
WA 983635729
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
Date 8/04/08
WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 131235
Permit Fee 64 00 Plan Check Fee 00
Issue Date 8/04/08 Valuation 0
Expiration Date 1/31/09
Qty Unit Charge Per Extension
1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR 64 00
Fee summary Charged Paid Credited Due
Permit Fee Total 64 00 64 00 00 00
Plan Check Total 00 00 00 00
Grand Total 64 00 64 00 00 00
0
III
SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMEN TS:
ELECTRICAL
RESULTS IN SPECTOR
gkler5 fri)- 4iff a
/3(0
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
1U
PERMIT NUMBER
.
/ h re-- 1'I~f"'-l y,,-,e H:'~4
TOTAL FEE /.5:2. C
CO NT. Lie. NO. TIMETOCQMPLETE NO. STORIES LEGAL OCCUPANCY
Owner
Owner's Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT
lA....J IOn
t ..s-
\ 0 I "
PERMITS WITH WRONGr\RORESrES ARE CANCELLED
Installation By \' '-...\. \ t'.. ......1\..1 It AJ '~ PJ I"" r _
Installers Address ::? 3 F\ I --.J Q: I "
'-t~7 ,s-t:.. Ff'9
qAt<< A.'( e
Day Phone Installers Phone
Application is hereby ~ade for Permit to install Electrical Equipment as follows: \ J ') i,Q.~
rr, r-l,"1 /..011[(.
Wiring Method ~x.
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER 10 l00R FEE USE OF CIRCUIT CIRCUITS PER 10 l00R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE iL-- MOTOR
APPLIANCE {t" MOTOR
DISHWASHER ~ \ J V FIRE ALARMS
DISPOSAL \ ~J BURGLAR ALARM
RANGE 0 U MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
,
.
,19 $?L
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.
11",9'
By
.
NER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port An el
Date Permit Issued i! I I ~ f, '. . ~0.NS AP ROVED ., ECT F CITY LIGHT
Notify Department of City Light by Street Address and Permit Number when rea y for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
\_..
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt.'
16746
Port Angeles. washlngton...........l..=..~:=................................. 1~.?
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 hereb~anted to do ;~trlcal work as listed below.
d/S W./();zX '" .
Address ...I.........._.........._.___.._...~.___~...___...._..____...._..____.__........_____.. Occupancy.._4__:&i~,,,_.._______.._...___....___
Owner ' if ';-4.J? L::-:2t. ~-n""""<" Tenant.....___....______........___............._.___..............___..........
WIring ~-~~~~~~~~.:at;.:::~~.~~.L~~::_:>:::_.......... By.__...........................__.._____......._.____._______..........
/';;'0/ ;;)r',;.,
Service, volts .............----.....--................
3'
No. wires .______..__......................__n__
r''/' '-" .~. :'j
81 a . e '-" <,.'
Z WIr s..-;;.!;}.~;.~)..~1.....-p.
Main fuse ......'..:--.............--......./l
.$
Enclosure .........______.________....._.........
Light Outlet8---..m____mmmm.._m..____m_.
Receptacle Outlets...............................
Dryer, KW nn............................n........
Range, KW h....h.............
Water Heater:
KW.____.m____________mmmm_____________.
'.7 Ii jj
Heat: KW...'f'..........................__..____.......
Motors: size, volts and phase:
hmm--.J';,-;"-1!:;.m---ID/:J--
~tJ4m--m-.m.mm-..-.'fO::--(QI,2--
".
,;""P'<:.-&"".....=::.:.--.---------..------..
Total Load._....__...mm............
Type of wiring:
Entrance Cable .........".................__
Rigid Conduit ..m....__......._....
Metallic Tubing ........._........
Current transformers:
No. & Size..........__________...................
Ser. No..................__.....______.......__.......
Ser. No. ......._._..................__....__.........
Ser. No.....................____...__.................
Ser. No. ................._.n____.....__............
Type of Wiring:
Armored Cable ..............__..............
Non.Metallic .................................
Knob & Tuba__m.mm_____mm______m__
Rigid C()ndult __m________..__mm__......
Metallic Tubing ..............__...........
Raceway ..............................._.__._
Circuits, Light....................._.................
Utility __mmmm..__.__..______m__._..._.m.
Heat ...__.................................._......
Range .............................................
Water Heater .........__....................
Motor ..........................._.................
Dryer .......__...........__.__.____.........__..._.__
Furnace .........................._..._.._.._. ......
Total .........__............................
~
Remarks: ..m__._________..m__..____m.t;.f.?:2_l!.~.r:~~k!.________mm..._______...mm....m...__.mmmm.m,,"'mm..mmmm
....n.........................................u..._.........u._........................_................._....n................_...............n........_..................
_nUhu_..._.nuuU.n...n..nn.nnnUnUUh.u.U..""hUUnnn.n.nu.__.....hunuun.uuuu..nnnnu.u.u.._.unn...:or.___.._.nuuh........un
Permit Fee Treas. Receipt /:JI(~~ · d! L
f.......m.m......m..m__..m. NO.........mm.........m.. By.L.~..V..~..f(.~.t.4.:.~f..'1'::.,,__.:t.~...,<.~-lC::
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be coo.
ee~!~~ due notice must be given the Inspector so that work may be inspected before concealment.
NOTIF:Y THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16746
Address..................._..................................................._...............................................................Date..._......_.._.._.._.........._......_......_.........
Owner..................................._......_.._......_......___...........................................................Tenant....................................................................
WiringContractor..................................._.....................................................................................By._................._..........................................
''''.... NOTICE-Current must not be turned on until Certificate of Inspection bas been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
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DOwner
Job wired by
Electrical contractor name
License number Date Expi[~s
ANGELES ELECTRIC. INC. ...
524 EAS T FIR~ T .
PORT ANGELES. WA 98362
l.>urchaser's mailing address
City
Stale ZIP
Telephone number
FAX number
prcmi'iif:;2iamc Sl>nm ~"
Addrels of ins~D .
'!ill:> . tr), / /) .s;;:;:
City f If-- . .
Phone number to I,,:bcdule iaspecHoD:
Owner as defined by RCW 19.18.261:(I) 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 for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property 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 Specificatiom:.
Signature of 0 cr, eJcetrical contractor or electrical admiDi.trat r
x
Date:
Elactricalload Addlt
Q NO LOAD CHANGES
u easeboard KW
u Fumace KW
a Heat Pump Ton
Q Fan-Wall KW
. .
ELECTRICAL WORK PERMIT APPLICAtiON"
Installation description
CI Commercial
uNew
esideDtia,l
~~ditiOD
~SVs. (~,
?~
.
- ()l.(.TI.f1,
o
r;J.::;
I
~
N
-Sl
$A"'~ ?LAGL "'!ILl )l1\I-J~
o C~heck#
~dit Card VIsa Mastercard Discover
~d#___~__~-~~~___
Expiration Date
of card
t>D
I ~ \L
/)15'II~1ht. tJl,.~ ~.
~rhead Service
LAR l:I Tamp Service
o Underground Service
Servlee Information
voJrag.~W
Phasa 1 u 3
Service Size: -m-'
Feeder Size: -TP-
SAME DAY INSPECTION, CAU. OF.FORE 7:00 AM 360-417-4735
ROUGH-IN TIlERMOSTAT /' SERVICE
Dllte Approved By Uate ApprovcdBy "- Date AppruVllu By
~ /< FINAL DITCH FEEDER
q <~R k5)
Date
""Approved By ./ Date Approved By ./ Ap)ll'OvcdBy/
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
8-H'J1(, Of< MJ a,</AlFlf ffT RNIEWI:~ I.K /1.V
. 1/
.
1000/1000 ~
~IJl~ala sajaSuv
S966 6S~ 0ge XVd S6:LO 8006/10/80
ELECTRICAL WORK PERMIT APPLICATION
.
\
\,
Job wired by
o Electrical Contractor A Owner
Installation description
o Commercial 0 Residential
'.
Electrical contractor name
License number
Dale Expires
}l:New
o Altered/Addition
.'
Purchaser's mailing address
City
State ZIP
1 '-I y, 2-- '-I
l-~tJ-
M~f_
3D fi /hp C//!d!<<,r,':
,
Telephone number
FAX number
.....~-
Premises owner's name _
d" '^7J/ ~,/a,<, ~
Address of inspectio
?/~ h/ /0 'f-A
Cityg f- ~ j,
/V <?p,. wll
Phone number to sc cdule insp~ction:
C)- {S- h'7..6"
rg-3 ~j>
Owner as defined by RCW.19.28.26I:(J) Owner will occupy rhe structure for (wo
years after lhis electrical permit is finalized. (2) Owner is required /0 hire all electrical
contractor if above said property is for sale. rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. [ am making the electrical instal-
lation or alteration in compliance with the electrical laws. N.E.C.. RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signatur
o Cash 0 Check #
'
!~.
, -;.~_...._'
x
<
woer, electr,.z= el;~;;;~ ad;O;';; ~
Electrical Lo d Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAA
o Fan.Wall KW
Service Information
o Overhead Service
o Temp Service
JiI.' Underground Service
Voltage ,;z;:;.o
Phase.~n D 3
Service Size: 30 /.l#7/,
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
/~~:J ~
FINAL
3- AJ;j
Approved By
THERMOSTAT
Da,lC . Approved By
,,- DITCH
"- Date Approved By .-/
SERVICE
Date Approved By
FEEDER
Date Approved By
/.. -z,.g
"t:1
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
8
Ok.
----
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