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HomeMy WebLinkAbout1212 W 11th 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 Buried phone wire in R/W CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000399 Date 5/04/09 606398 1212 W 11TH ST 06 30 00 0 3 5510 0000 QWEST PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Owner Contractor BONDY GREGORY R EXCEL UTILITIES CONSTRUCTION 714 W 6TH ST 54 W MISTY LN PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 1110 Permit RIGHT OF WAY Additional desc BURIED PHONE LINE IN R/W Permit pin number 145318 Permit Fee 00 Plan Check Fee 00 Issue Date 5/04/09 Valuation 0 Expiration Date 10/31/09 Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 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 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 T'\Policies\1102 15 [10/08] Date Signature of Owner (if owner is builder) Date 14 F� PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 TYPEI DATE I ACCEPTED I COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE I SITE EROSION CONTROL I` PARKING SIDEWALK CURB & GUTTER r?RIVEWAY APPROACH —wf BACK-FLOW DEVICE RESIDENTIAL CONSTRUCTION R. W / PW/ ENGINEERING FIRE PLANNING DEPT BUILDING T \Policies\1102 15 [10/081 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W 417-4831 PW / ENGINEERING 417-4653 FIRE DEPT 417-4750 PLANNING DEPT 41 -4815 BUILDING DATE ACCEPTED YES NO PREPARED 2/02/09 9 45 22 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/02/09 ADDRESS 1212 W 11TH ST SUBDIV TENANT NBR GREGORY R BONDY CONTRACTOR PHONE OWNER GREGORY R BONDY PHONE (360) 565 8383 PARCEL 06 30 00 0 3 5510 0000 APPL NUMBER 08 00001225 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 11/07/08 JLL BLDG AIR SEAL 11/07/08 AP November 6 2008 4 14 28 PM 1pangrle GREGORY 460 3617 AIRSEAL November 7 2008 3 39 10 PM jlierly BL99 01 1/26/09 JLL BLDG FINAL 1/30/09 DA January 23 2009 1 12 43 PM 1pangrle GREG 460 3617 BLDG FINAL January 30 2009 8 25 34 AM jlierly finish duct at hood/guard rail/hand rails/jll BL99 02 2/02/09BLDG FINAL February 2 2009 9 15 15 AM 1pangrle GREG 775 9779 OR OWNER AT 565 8383 BLDG FINAL PERMIT ME 00 MECHANICAL PERMIT-- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 1/26/09 JLL MECHANICAL FINAL 1/30/09 DA January 23 2009 1 13 12 PM 1pangrle GREG 460 3617 MECHANICAL FINAL January 30 2009 8 25 34 AM jlierly finish duct at hood/guard rail/hand rails/jll ME99 02 2/02/09 J L MECHANICAL FINAL February 2 2009 9 16 13 AM 1pangrle GREG 775 9779 OR OWNER AT 565 8383 MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 10/17/08 JLL PLUMBING ROUGH IN 10/17/08 AP October 17 2008 8 36 34 AM 1pangrle GREG 460 3617 ROUGH IN PLUMBING October 17 2008 4 28 34 PM jlierly PL99 01 1/26/09 JLL PLUMBING FINAL 1/30/09 DA January 23 2009 1 13 33 PM 1pangrle GREG 460 3617 PLUMBING FINAL January 30 2009 8 25 34 AM jlierly finish duct at hood/guard rail/hand rails/jll PL99 02 2/02/09L PLUMBING FINAL AIL February 2 2009 9 16 37 AM 1pangrle GREG 775 9779 OR OWNER AT 565 8383 Fy PLUMBING FINAL - COMMENTS AND NOTES PREPARED 1/26/09 8 40 33 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/26/09 ADDRESS 1212 W 11TH ST SUBDIV TENANT NBR GREGORY R BONDY CONTRACTOR PHONE OWNER GREGORY R BONDY PHONE (360) 565 8383 PARCEL 06 30 00 0 3 5510 0000 APPL NUMBER 08 00001225 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR O1 11/07/08 JLL BLDG AIR SEAL 11/07/08 AP November 6 2008 4 14 28 PM 1pangrle GREGORY 460 3617 AIRSEAL November 7 2008 3 39 10 PM jlierly BL99 01 1/26/09 BLDG FINAL January 23 2009 1 12 43 PM 1pangrle GREG 460 3617 BLDG FINAL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 1/26/09 ,j, MECHANICAL FINAL January 23 2009 1 13 12 PM 1pangrle GREG 460 3617 MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 10/17/08 JLL PLUMBING ROUGH IN 10/17/08 AP October 17 2008 8 36 34 AM 1pangrle GREG 460 3617 ROUGH IN PLUMBING PL99 01 1/26/09 October 17 2008 4 PLUMBING FINAL 28 34 PM jlierly _ January 23 2009 1 13 33 PM 1pangrle L/)/_`(_//��_/J�,/V/✓// GREG 460 3617 PLUMBING FINAL COMMENTS AND NOTES oFp°RT"N ELECTRICAL INSPECTION G WIRING REPORT -,iv417-4735 RKS = A7�/ IIN /\RJ# OVNER/CdVTRACTOR SPECTOJ�� F-�,> ADDRESS APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED• L_prvrdDP 9 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 PREPARED 11/07/08 9 26 47 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/07/08 ADDRESS 1212 W 11TH ST SUBDIV TENANT NBR GREGORY R BONDY CONTRACTOR PHONE OWNER GREGORY R BONDY PHONE (360) 565 8383 PARCEL 06 30 00 0 3 5510 0000 APPL NUMBER 08 00001225 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR O1 11/07/08 J BLDG AIR SEAL November 6 2008 4 14 28 PM 1pangrle GREGORY 460 3617 AIRSEAL COMMENTS AND NOTES PREPARED 10/17/08 9 00 07 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/17/08 ADDRESS 1212 W 11TH ST SUBDIV TENANT NBR GREGORY R BONDY CONTRACTOR PHONE OWNER GREGORY R BONDY PHONE (360) 565 8383 PARCEL 06 30 00 0 3 5510 0000 APPL NUMBER 08 00001225 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 10/17/08 J L PLUMBING ROUGH IN iii October 17 2008 8 36 34 AM 1pangrle � GREG 460 3617 ROUGH IN PLUMBING COMMENTS AND NOTES 05,°°RT4ty, ELECTRICAL INSPECTION WIRING REPORT m`'cwoRKS Z' 417-4735 DATE /Msl'* OWNER/dONTRACTOR yz.-)Ir"� ADDRESS 621 Z— l,J APPROVED PERMIT # 08-115-3 DITCH ROUGH IN/COVER SERVICE FINAL CORRECTIONS NEEDED - ::5 1--,D K.rz—, ) kc INSPECTOR NOT APPROVED A 1����— �c��►��'z5 /4F—,C— --Z,) LJ 7Z -C) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 CITY OF PORT ANGELES C �FF DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001225 Date 9/29/08 Application pin number 856300 Property Address 1212 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5510 0000 Tenant nbr name GREGORY R BONDY Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 9500 Application desc REMODEL KITCHEN TWO BATHROOMS & CLOSET Owner Contractor GREGORY R BONDY OWNER 714 W 6TH ST PORT ANGELES WA 98363 (360) 565 8383 Structure Information 000 000 REMODEL KITCHEN & 2 BATHROOMS Permit BUILDING PERMIT RESIDENTIAL Additional desc KITCHEN & 2 BATHROOMS Permit pin number 135285 Permit Fee 207 75 Plan Check Fee 83 10 Issue Date 9/29/08 Valuation 9500 Expiration Date 3/28/09 Qty Unit Charge Per Extension BASE FEE 95 75 8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 135293 Permit Fee 71 75 Plan Check Fee 00 Issue Date 9/29/08 Valuation 0 Expiration Date 3/28/09 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 2500 ECH ME VENT FAN 21 75 Permit PLUMBING PERMIT Additional desc Permit pin number 135301 Permit Fee 121 00 Plan Check Fee 00 Issue Date 9/29/08 Valuation 0 Expiration Date 3/28/09 Qty Unit Charge Per Extension BASE FEE 50 00 7 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 49 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 All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The ting f a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constru r t performance of construction Q 1-74^e--egDi�JO�- Date Print Name Signature of Contractor or Authorized Agent SignatureAf Owner (if 211ne3is builder) T Forms/Building Division/Building Pennit t BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4807 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 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 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 Date Accepted By - FINAL Date: Comments Accepted by - FINAL Date. Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE RESIDENTIAL DATE Accepted By- Commercial Date Accepted By - Electrical 417-4735 Electrical Construction R.W Construction R.W PW / Engineering 417-4807 PW / Engineering Fire 417-4653 Fire Planning 417-4750 Planning Building 417-4815 Building T.Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION �321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001225 Application pin number 856300 Qty Unit Charge Per 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Permit Fee Total 400 50 400 50 00 Plan Check Total 83 10 83 10 00 Other Fee Total 4 50 4 50 00 Grand Total 488 10 488 10 00 Page 2 Date 9/29/08 Extension 7 00 15 00 4 50 Due 00 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 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms/Building DivisioniBuilding Pennit �� FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE RESIDENTIAL DATE Accepted By- Commercial Date Accepted By - Electrical 417-4735 Electrical V*� Construction R.W Construction R:W PW / Engineering 417-4807 PW / Engineering Fire 417-4653 Fire Planning 417-4750 Planning Building 417-4815 7S LL_ Building T•Forms/Building Division/Building Permit 00 BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4807 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By- Comments FOUNDATION Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor / Slab Rough -In ro -1`1 -v8 Z ILL � Water Line (Meter to Bldg) Gas Line -�- Back Flow/ Water FINAL Date: � Z o9Accepted by TILL N - AIR SEAL. I I-1 a �� -JLL-- Walls N Ceiling FRAMING Joists / Girders I Shear Wall / Hold Downs Walls / Roof / Ceiling I Drywall (Interior Braced Panel Only) I T -Bar INSULATION - r Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / Ducts Gas Line I Wood Stove / Pellet / Chimney I ��� Commercial Hood / Ducts I FINAL Date: Z -Z--0 / Accepted by- MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting I I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE RESIDENTIAL DATE Accepted By- Commercial Date Accepted By - Electrical 417-4735 Electrical V*� Construction R.W Construction R:W PW / Engineering 417-4807 PW / Engineering Fire 417-4653 Fire Planning 417-4750 Planning Building 417-4815 7S LL_ Building T•Forms/Building Division/Building Permit 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 Applicant or Agent Property Owner Property Owner's Address Contractor/Engineer Contractor/Engineer's Address License # Expires For City Use Only Date Received -0_Z Permit # Z Date Approved Ph e Ph ne 34o s4.5'A X66 96®- -5b l--7 Phone E-mail PROJECT ADDRESS IZ t2 Parcel Number Lot Zoning Proiect Tvpe & Brief Descriotion. .Residential ❑ Commercial ❑ Multi -family ❑ Industrial Check all that apply ❑ New. Construction ❑ Addition /Remodel µ repair UtiCc;QtzQ_ 1Gi{- ❑ Re -roof X 1 /% UCiL LT"!G�� ❑ Demolition ❑ Heat System ❑ Heat pump a wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existinq (sq. ft.) Proposed (Sq. ft. Basement Q16C @ $ 1 t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other per sq. ft. = $ TOTAL VALUATION $ 4 0 �v Total footprint of structures 5A%kN2 sq. ft. T Lot size 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 sq. ft. = Lot coverage I have read and completed this application and know it to be true and correct. I am a understand that it is my responsibility to determine what permits are required, and t projects, _ Date 7 Z- ©� Print Name ��i�� �Is�'^ Signature _ # of bedrooms # of full baths Dermit and vorking on 1215 1' ` �Jth I 1 I I ,I 0 oil 7 HTGHEH F-. LIVING i CITY OF FORT ANGELES — Construction € lens The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official •� from thereafter requiring the correction of errors in said V pla.- specifications and other data, or from preventing building operations being carried on thereunder %then in violation of ail codes and ordinances of this jurisdiction t— �� i)pprovai Date ' By "`-� ��5TPt1Rs ; 350 �r CITY OF FORT ANGELES — Construction € lens The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official •� from thereafter requiring the correction of errors in said V pla.- specifications and other data, or from preventing building operations being carried on thereunder %then in violation of ail codes and ordinances of this jurisdiction t— �� i)pprovai Date ' By "`-� �XliTIW& -31W 1) 564 u OA 45 2- - 02,o -7 4+ e�-r FjVfLt AN & 15 L66, WA, 11 zt los uo dr1-Iwed ka14t& iM 4vlva��f31r1_i 'A0193 J-aQ mil oW l�, Marl_ i W-91944 Z;r -�4 01 .LO4 i N:aR:p1.I�I 0 V�iGyOt�Q �� ria NdH Zj, I M 0 o�G ri 1'6 Q xZ i t I ' f✓1'��'L� 10 JN C i +H 1142 Ouoz L Aej,o -ASIA J moo i „0 11 ua ,o1 Application Number 08 00001153 Date 9/15/08 Application pin number 027150 Property Address 1212 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5510 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc EL SVC / REWIRE AND SVC Owner Contractor BONDY GREG ELECTRIC SERVICE 1212 W 11TH ST 62 DRAPER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 6424 Permit ELECTRICAL NEW RESIDENTIAL Additional desc EL SVC / 1400 SQ FT SFR Permit pin number 134346 Permit Fee 91 00 Plan Check Fee 00 Issue Date 9/15/08 Valuation 0 Expiration Date 3/14/09 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00 1 00 22 0000 5C EL R SQFT ADDITIONAL 500 22 00 Fee summary Charged Paid Credited Due Permit Fee Total 91 00 91 00 00 00 Plan Check Total 00 00 00 00 Grand Total 91 00 91 00 00 00 N N E INSPECTION TYPE DITCH SERVICE ROUGH - IN FINAL COMMENTS: DATE Z�zl� RESULTS MIN m ELECTRICAL INSPECTOR ELECTRICAL WORK PERMT APPLICATION Installation description Job wired by ectrical Contractor El Owner Q Commercial esideatial Electrics ntractor name License nyytbcr� _�[ etc E��es ❑ New Q Altered/Addition Purchaser's m Ang address � (rl�e 1(�Ck S to ZI� �aZ !.V�/ ��i 1► Telephone number FAX number y-s",1,_—(o y i Y, -- 16TAL �Premises,�ner's name Address of Ins ecti 1 1 City qtr Z LUub Phone number to schedule Inspection. il/o 03-33 EK Wff Owner as defined by RCW 19 28.261 •(1) Owner will occupy the structure for two years after this electrical permit is finalized. (1) Owner is required to Dire an ciccirieal contractor if above said property is for sale, rent or lease. ❑ Cash ❑ Check# 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- 0 CreditCard Vi tercard Discover lation or alteration in compliance with the electrical laws, N.F..G. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card N _ — — _ _ _ _ _ _ _ _ ^ _ _ _ Utility Specifications. r_11 /Signature o o ner, electritalAntractor or electrical administrator Expiration Date luspecjion fee X Date. of card C$ i Electrical Load Additions and or subtractions, Service Information Q NO LOAD CHANGES /j�f�ryy� ❑ Baseboard _ KW _ Voltage � 1 Q Furnace _ KW Overhead Service Phase Cr 1 Q 3;LW r ❑ Heat Pump _ Ton _ LAR ❑ Temp Service Service Size: Cl Fan -Wall /CL_ KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 1.00 AM 360-417-4735 OUGH IN THEMIOSTM SERVICE '7)�/ Date Appmed By I Dae Approve&lly HNAL DITCH CFIMER Ode Dp Y A r ed B Date Approved By \ Date Approved By \ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector fk Ar I TAT d TTLbLTb 01 t72b92St7 MIOd3S DI&3313 WO2i3 d8T 90 b002-T-OON 111 OF PORT 4HC CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO c� �rY ELECTRICAL PERMIT DATE LION Site Address: ' 2— Z 1 1 .,.� El READY FOR INSPECTION Installed By: ` ^ A r S �. L LL I License Number: Owner/Business Owner/Business Address: Residential Heat KW ❑ Baseboard ❑ Furnace/Boiler ❑ Heatpump ❑ Other ❑ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: Ab ❑ New Construction ❑ Remodel ❑ Service update/alter/repair X Addlalter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) 2 BAS £"9aPI, -D eine k bG A (ZOo+-% ho nq t_Z-T7S- (ft0 W.S. No, Service Si7A Capacity: ❑ O.K. ❑ Not O.K. Comment ❑ Ditch inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service ^ 1:1Final O.K. i..0 r — Overhead ❑ nderground Volta c 010 ❑ 3 0 Service s _ ❑ Tempora /�- /S-60� 2Lcp TI CA tF,f-) X1173 / ILL CALL FOR / INSPECTION Phone: Phone: Sq. Ft. Amps I til 34� Q�s Dato Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address: I Permit/ Receipt No. /Z //Tl1 73 Installer: S (z New Met rs Date. SI►� �v SLL � Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector/'n Writing on the Wiring Report or the Building Permit. PHONE 457.041///1, EXT. 158 or EXT.224. jq J{� NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /6 . Ins///pector '/ Amount paid WHITE —file by address YELLOW —file by number PINK—Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS INC