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HomeMy WebLinkAbout829 W 16th St - Building f ~ORt ~~ $~O~~~ hiii 'L ~ ~ "tt\~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 <0 -::J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000325 Date 520500 829 W 16TH ST 06-30-00-0-4-2865-0000- MECHANICAL APPL. PERMIT 3/29/07 \N ~ RS7 RESDNTL SINGLE FAMILY 5700 Owner Contractor SHAW WILLIAM J 829 W 16TH ST PORT ANGELES WA 983637417 EVERWARM 257151 HWYl01 PORT ANGELES (360) 452-3366 WA 98362 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT ZERO CLEARANCE FIREPLACE INSER 98350 50.00 Plan Check Fee 3/29/07 Valuation 9/25/07 .00 o Qty Unit Charge Per 1.00 50.0000 ECH ME-WOOD BURNING APPL. Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 ~ ~ ~ t - ~ "2 o ~~ J/:'r ~ /6 ~ G' -t ...:s- C/) --,..... 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. J- ;<. 9 ~07 Date Signature of Owner (if owner is builder) Date T:\Policies\ II 02 _15 building pennil inspcction rccord05. wpd [1/4/2005] " BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 17-4807 FOR PUBLIC WORK.S UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COJER. INSULATE OR CONCEAL ANI' J-flORK BEFORE IlVSPECTED AND ACCEPTED. POST PERMIT Il\' A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INsr'ECTION TYPE OATE ACCEPTEO COMMENTS YES NO FOUNLlATlON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE/ DOWN SPOUTS I PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS UNE FINAL DATE ACCEPTED BY: BACK FLOW /WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF I CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEATPUMP/FURNACE/DUCTS GAS LINE FINAL Y /30107 DATE :fLL ACCEPTED BY: WOOD STOVE / PELLET / CillMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMlT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. / PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. 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Job Located at * * ....:.... 2'rJ9 IJ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~,h (L{ Not k pr:>f\.- C 0 'Oc o +0/ I f/{ll @ J ftf)jJ b- / Ilj~l/ ;'~ t)x pj CJf ''-' 'r I J..:.I:JL.- '1 ")j( r:t.-}('''~e1-(O :;J-t) {JC; TJ(J(,J-il R :;:r,~~ 0~ (!h-W~DJ nIL L_~ _:?~ # flMLJ-y l ,_t . I>.s: -J/ ----tf _ I AI, ~ i. / It II ~ (l f: f:t. '!:,. ,--7f( _.11 vu-J J{)~{I So/ e 11//9 J0~ 09I!g-rlf-r() These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call L// J - L-/ f 15 for inspection. f r t r Date DO NOT REMOVE THIS TAG .. rlr-. rlO , 0 N ,., N , ,., N ... ... rl WW ~E-> 0<(0<( W 0.0 :E H E-> r- '" 0 '" , ,., '" ,., N , , N ,., lI"l 0 ... W >< 0 E-> 0 ..< '" 0<( 0 ~ ,., 0 W NCIl H E-> rlE-> ..< H H ;> CIl:E .. :E ..< HWW E->~ W~ :I: E-> OZZ HW :EW E-> CIl WCIl [gOO :Eo. 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S:12AMiCI.TY PORT ANGEl.ES ;36041.74711 - ~~. ":::~~~#.:" :. ,:., ....~. (S.. . BUILDING PERMIT. APPLICATION " ~ "". Filla.. COMPulTEL Y aod In INK. Y~.r applieaUo. a.d sit. pia. MUST COMPLETE to be accepted Cor review. If you bave any questions, caU (360) 417-4815 .. 1/ FOR OFFICIAL US~NLY. Dale: Rc:c.: )I~ 0 J Pom'" , 0 -, c- ~ Dale Approved: 3! [) ""7 Date IlIued: Appli~or ,Agent: E\; ~Y< u.J A ~ O\Qner:-n i l t S hQLO Address: ~ 2 q' uJ, \ to -tk- City: P Q Archit~tlEngineer: . ------ 'Phone: -r-:-: I r.:::- 1 , \ /] A J E u c[_r2... (I .... I Contractor r:=-v c....- rz.. L.U 0 I<'../VL State License #: UJ I ;It-o'8~(\..L.l:.XP: 1$-/7-0 Address: c2S7 IS-I c4uJV /0; City: /JO PROJECf ADDRESS: 802 9 uJ. I [p '+t-. Phone: tf 52 :) S ~ 0 Phone: AfS d. ~ lc> 57 3 Zip:' '-q is .3 ~ ::::) Phone:152..' "3 ~ b~ Zip: q R 3t/;cZ- LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: ". () to 3 COoc> (3 Lf z '8 CoS- ZONING: " . . Credit Card Holder Name: BiWDC Address: Credit CardType VISA MC # TYPE OF WORK: ~ Re.idcntiaJ C New Constr. [] Rc-roof CJ Multi-family [J AdditioD [J Move o Commercial" 0 Remodel 0 DemolitioD [J Repair . 0 Sign BRIEF DESCRIPTION OF THE PROJECT: , , , City: Exp. Dat~: o Stove P Garage o Deck o Other "'-I OC) h SIZEN ALUATION: SF. @ $ ..J/SF. ... S SF. @ S /SF. ... S SF, @ $ /SF. .. .$ . TOTAL VALUATION S 57 0 (!:) , g)Q "1=1 rc e=; PLA-C. ~ COMMERClALlRESIDENTlAL: Occupancy Group: Occupant Load: No. ofStorics: ~ Lot Size: Existing Sq. Ft. & Proposed Sq, Ft. Exist:iDg lot coverage --:- % & Proposed lot coverage _% _ Total lot coverage I ' COmstruCtiOD Type: .. TOTAL Sq.Ft. ~ ESAlWetland(a): 0 YCI 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS:.. PLAN: BLD'G: DPWU: FrRE: . OTHER..:_ PLANNING USE ONLY: Bun..DING PERMIT APPLICATION SUBMIITAL: The Building Division can provide you with information on the application and plan submittal requir=cnb if you have questions. , V ALVA nON OF CONSTRUC'IlON: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewed' . and may be rewed by the Building Division to comply with current fee schedules. Contact the Pemiit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plB.J1 check fee is due it muat be submitted at thc time the building permit application and construction plans ar~ submitted. All other permit feCI are due at tho time of pemii~ ~suance,' ,. ..' ' EXPIRATION OF p~ REVIEW: Ifno pcnnit is issued within 180 days of the date of application,.the application will. expire. The . Blli1niTli.Dfficial..can.~ theJime..fou.ction.hy..the..appUcant ~ to l8(}.daYf-l1pe~'writteB'request'by. the-applicant (see Section '\ 07'.4 0 f the Uniform Building Codc, current edition), No application can b,e cxtended more than once. oc I hersby certify that I have read and',examlned thIs application and know the same to be troe and correct. I am authorizG.d to apply for this permit and understand that lIs my responsibility to determine what permIts are requIred 0 the City's, Wld that I mu obtain such permits prior to work, . d Applicant: . Date: :3 ';2 ~-07 T:\FORMS\APPS\Buildintpermil. Wpd '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]2\ EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000897 Date 010428 829 W 16TH ST 06-30-00-0-4-2865-0000- MECHANICAL PERMIT 9/26/05 RS7 RESDNTL SINGLE FAMILY 8000 Owner Contractor rl SHAW WILLIAM J 829 W 16TH ST PORT ANGELES WA 983637417 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL SIMPSONI FURN. HP 60756 SIMPSON ELECTRIC 48.10 Plan Check Fee 9/26/05 Valuation 3/25/06 .00 o ~ '() Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 l .......... ~ \~ ~ COMMENTS/ACTION NEEDED r ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO I II "I'H &Ill! If ~I-I-IN I CUVbK :ShK V lCb FINAL #-.<J-tr1 L+I: ?u tf-,J..I~ 7 II P ~ GENERAL COMMENTS: PW-II02.1514'96) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 05-00000897 Date 010428 829 W 16TH ST 06-30-00-0-4-2865-0000- MECHANICAL PERMIT 9/21/05 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 8000 Owner Contractor SHAW WILLIAM J 829 W 16TH ST PORT ANGELES WA 983637417 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 60624 Permit Fee 36.40 Plan Check Fee Issue Date 9/21/05 Valuation Expiration Date 3/20/06 .00 o Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extension 36.40 Permit MECHANICAL PERMIT Additional desc Permit pin number 60616 permi t Fee 61.70 Plan Check Fee .00 Issue Date 9/21/05 Valuation 0 Expiration Date 3/20/06 Qty unit Charge Per Extension BASE FEE 47.00 1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ,---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.10 98.10 .00 .00 ~?f~ 03 -2/ '"06 \S:) ~ <:'~ ~ , ~ ~ ~ ~ .3 .- t <S' ,j- ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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. / '" ~~ J- ~ rl>-~~ Signature of Contractor or uthonzed Agent Date Signature of Owner (if owner is builder) Date <-... T:IPolicieslI102_15 building permit inspection record05.wpd [1/4/2005] 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS l?7/~11 P '? tz-r::'l"- - GAS LINE I WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4]7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\lJ02_J5 building penmt mspeclton record05.wpd [1/4/2005] SEP-21-2005 11:23 AM ALL WEATHER H/C Inc 360 452 5177 P.02 "S BUILDING PERMIT. APPLICATION Fut out COMPLETELY and in INK. Your appUcatfon and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, clllI PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: ,411 (1) €1H1I ~R- Owner:. 131 II ~1)J,J:lU J Address: f) 2. q /)J r I {g -I-'h If/~ , ArchitectlEnginecr: ContractorA1.1 .u..:GATrte2.. 10 Adclress:3D'2- kGmp ~ PROJECT ADDRESS: . ~z.q LEGAL DESCRIP'nON: Lot: CLALLAM COUNTY PARCEL NUMBER: City: P, A. Phone: 3t.4 0- 45"2 - Q $'/3 Phone: :{lRO - 'is?.. - ~5"73 Zip: 9f!S~3 Phone: State License #,4I1l.UcUil~1> ~L\ ltxp; "/1 /OVi Phone:..1S"2 - (1 CS i.3 , , City; !1,ILr ,.q#..)(~eIE'5 Zip: q83~3 ( lR 'H:, P. A, l() Ft . ZONING: w. Block: Subdivision; Credit Card Holder Name: Billing Addrel5: Credit Card Type VISA Me # ~E OF WORK: Residential r::J New Constr. 0 Re-roof Multi-family r::J Addition 0 Move C Commercial CJ Remodel C Demolition r::J Repair C Sign BRIEF DESCRIPTION OF THE PROJECT: Clty: Exp. Date: C Stove o Garage C Deck r::J Other Lv T- SfA.,.. SIZE/V ALUATlON: SF, @ $ /SF. = S SF. @$ /SF. = $ SF. @ $ /SF. = S TOTAL V ALT T A 1'TnN (. 1tOOo , .... I:> I.)GW Iflp "" . COMMERCIALIRESIDEN'rIAL: Occupancy Group: No. of Stories: l.... Lot Size: Existing Sq. Ft. /100 Tota11ot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: . ESA/Wetland(s): CI Yes CI No SEPA Checklist required? 0 Yes 0 No Other: 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 417.4 B 15 for assistance. PLAN CIlECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit 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 ~plre. The Building Official can extend the time for action by the applicant up to 180 days Upon written request by the applicant (see Section RI05.3.2 of the International Building/Rcsidentiat Code, 2003). No application can be extended more than once. I hereby certify that I have reed and examined this application and know the same to be true and correct. I am suthorlzed to apply for this permit and understand that It Is my responsIbility to determine what permits are require ot the City's and that J must obtain such perm; s prior to work. ... Date: 9. ,1.1 (jS- Applicant: T:\RVESS\BLDO-fonn,.brochurc,\2004-Buildlngpcnnit. wpd 'I CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17788 ELECTRICAL PERMIT Port Angeles, WashlngtOn__ooo~__:_._!.:t.:.__..__.._ooooooooo__....___oooooo, 19.1.::.-? 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 hereby granted to d6 electrical work as listed below. ? ;;1 ,p {;.o-/6 !;{ ~:~::s__::::::~~::~~:;;:;;:;~:;,f.:::::~::::::::::::::::::::::::::ooo.~::~:~:::___~:::~:.~~_~:::::::~::::::::::::::::::::::::::::::::::::::: Wiring Contractor __.._,jk,d:~f_:~"""'l__r::::.._m_n______ooo By.___________ooooooooo___nnn..__ooom__m__ooo_____n__..__n___n /v -- /';'O/.;;.yo Light OutletB............___n.............._.._..... serv;oe., ;:::8. ........i.:~~::~~~::::::::::::::._....:.-_:::::: Receptacle Outlets....____....................... %0 tP-f./ SIze wIre.7(;!iiib-7J.......... Muln fuse ...............__._n,.__....___....... ..--' . - Enclosure ______~~.........._mn.____...n. Type of Wiring: Armored Cable ...___..___.h...........____. Dryer, KW ~..uu..____un...________.___....______ Non-MetalUc ............___._....._........._ Knob & Tube._....m..............___......_ Range, KW _...____.__n_nnn_.__n_.___uu_ Water Heater: RIgid Cc>ndult __..00.................._...... Metallic Tubing .........___.__.........._. KW......n......................n...... . Type of wiring: Entrance Cable ......___ Motors: size, volts and phase: ~ /} O~~t!:~~~=~~~::::::-: RigJd Conduit .mm.......... Metallic TubIng m.m Raceway .........._.___................_......_ CIrcuits, Ligbt.........__.......................__... UtilIty ..................._........................_ Heat: KW..................._......._................. Ser. No.............................___.__........... Heat ............_______..........._....._.......... Range .____...............______.............______ Water Heater .............______............ Motor ............___.........___..__.............. CUrrent transformers: No. & Size....__..__.................... Ser. No........______................................. Dryer n.._nn_......._..,_.__.__............__..__.... Furnace ............__...........__.............._n.. Ser. NO........__...__n_n.nn_nn._h_............ Remark:~t.:__:~:~:;_~_:~::~:~;Jd__-"~~::_:!=____.:.;.=~_~_~:;.:~&~~___dP::~~:.::::.::_~___.___-:: . . d' , f .__..__........................._....__.....__...........~.........___.__.._._...._.._._................_......_.._.____0____.._.______.__.________._____._.._...__.________.___ Permit Fee Treas. Receipt No.._..._....._________.___.... By ,_~il:fl~ci..'!:__~rf!:::::~_~__m_ r . $___..____._______000_000_000_________. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected belore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 7788 ELECTRICAL PERMIT Address....____________.___.._.....................____...__....n..........__..._______..___.........................._...._._.___.._......_._Date..._.........._.._.._...._._..._......_......____..._.. Owner nnn...n_n.nn_n___.........._n___.__.._......_......_.._h.....__.n.._........_..._......n.....nn.nnn_n_.._ Tenant.h.nn.n..h.h..............__.nn_n.nn.._.................. WirlngContractor._........_.___.___..__.._______......__._________........._....__...................._._._....___._._.___._..._...__.._.By......_.................___..___..______.__................_.. NOTICE-Current must not be turned on unt11 Certificate of Inspection has been issued. If work is to be con~ cealed due notice must be given the Inspector so that work may be inspected belore concealment. . \ '. 1M Olympic: Printers, Inc. "'~/26/2665 22:28 1!c7Uf'/! eP. 0/ M"" 1c-1" Ji Eleclr;ca' Contraclor CI AnnualPermU I:J Alarm 4579276 SIMPSON ELECTRIC PAGE 61 ~ DOwner 'W ELECTRICALVVORKPERMJTAPPLICATION o Request Inspection Cl Carnlvnl lJ Commercial Residential Cl Re5identlal Maint 0 Si~ns 0 ThermoAtat CJ Telecom. Joh wired by i4 Electrical Contraclor 0 Owncr ~ lnstt\llation descriptian J~~ I~J . r~'~'~ . tI Electrical contractor nnmc . C = 'C ,.' Purchns .!\ m;\i1inS address ~ _'J <{3o.~ t,-_ 10/ . Citz? Stntc 7.IP ~ 1M-!f--L-/-P-5/ WI/. Telephone number FAX number 95-3'" 3 rr<mt1,7i'~ 'l1;~~~ S 11/1 wi Address or in!fpectio~ ~ I '/ ~ U <!;L9 -/4/. /tp'4- City 4=S.:l Z1 cC'trical admini!'ltrator o Cash 0 Cheek # o Credit Cord ~ Mastercard Discover Cardi; __~#'_________ Expiration Date f d Tnspcctinn fee o car $ 'F. ,?O I hereby certify that T am the OWTlCT of the above named properly or a licen!:cd clccuical contractor (or the firm's authorized agent) Rnd am making the electrical installation ('Ir alteration in compliance with the electrical law, Chapter 19.28 RCW. x /' WALLS 111sUlBtion Only I)~t~ Approved By Cover \ OlllQ ^rr.....ved By /' CEILING humllllion Only DlIe ^1'r'('lvW By Cover 1J~le IIpprovtd By \. ./ ,r TlIERMOSTAT "- DDtQ ^rl,,'(\ved 0)' DlTOI '\ I DAle "mtroV1:dBy/ / SERVICE l'Ale ^~vcdBy FErnER I "- Datil Apflrrwtt! Br.../ ~.ctrlcal Load AddJllons and or subtractions o NO LOAD CHANGES o Baseboard KW E Fumace ~ KW Heat Pump ...:2.. Ton _ LAA Fan-Wall KW ~ Informatton In.l:pcction Arca, BUilding or Equipment In&-pccted Action To1k:en Electrical , O.He In:>pcelor .-yhh "7 ~"JJ A-/' L~r / / Cl Overhead Service o Temp Service o Underground Service Voltage Phas.010a Service SIz;e:_ Feeder Size: ;!co ClP'/oS- r: 3604172733 :fit it!l ' 134/.6;1/21307 :~;" \ "\;: " 5T OF WA l&1 08:23:07 a.m. 04-04-2007 B /9 1:;1:57 3604174729 PffiT ANGELES CITY LT PAGE 131 '; l~ .CITY OF PORT ANGELES _ LIGHT DIVISION ,:-f.3; ! ~ ~:; 1 i ~.;: t i;~j:J.' . i; ~Lf"{,l ~'.: ~ .11.,( [j ,1<.;'::( ~. FAX TRANSMISSION COVER SHEET ~ ' Fax: :Re: . Sender: A17.2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 417.4729 "', -.. . 'I YOU SHOULD RECENE 1 PAGE. INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (380) 417-4724. " ..~.. ., Please inspect for: L:J "7 -- . ""D::F - -;/3 S :BIII Shaw,' customer .452.6573: _ tJ-j- 8f7 Work done 6LAn~eles Ele6~ 829 W 18th Flreplace'- Extended circuit for blower, Instal/ed thermostat l f! Jr'.".1:-" 'h,' . ~, : ~ I PLEASE CALL FIRST TO MAKE SURE SOMEONE WILL BE THERE. Thank you, +f7 ~F81ft$(, Kathy :H;:. :~ ~