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Home My WebLink About1015 S Chase St - Building .c CITY OF PORT ANGELES ��1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000880 Date 8/17/11 Application pin number 270800 Property Address 1015 S CHASE ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 3055 -0000- Tenant nbr, name KATHLEEN M JORDAN On your state excise tax form Application type description RE -ROOF to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 9548 Application desc TEAR OFF RE -ROOF THE HOUSE Owner Contractor KATHLEEN M JORDAN HOME DEPOT AT -HOME SRVCS, THE 1021 S CHASE ST 2690 CUMBERLAND PKWY, STE 300 PORT ANGELES WA 98362 ATLANTA GA 30339 (425) 445 -8504 (770) 779 -1300 Structure Information 000 000 RE -ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE Permit pin number 191130 Permit Fee 207.75 Plan Check Fee .00 Issue Date 8/17/11 Valuation 9548 Expiration Date 2/13/12 Qty Unit Charge Per Extension BASE FEE 95.75 8.00 14.0000 THOU BL- 2001 -25K (14 PER K) 112.00 Other Fees STATE SURCHARGE 4.50 iJ� Fee summary Charged Paid Credited Due Y v Permit Fee Total 207.75 207.75 .00 .00 n Plan Check Total .00 .00 .00 .00 v Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.25 212.25 .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. AU 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 constru do /7/( coca, c I' ice►(L /S Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 1 BUILDING PERMIT INSPECTION RECORD y PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 0 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 FINAL Date Accepted by AIR SEAL: Q Walls Ceiling FRAMING: Joists Girders /Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: S Slab Q Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove et Chimney Commercial Hood ood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA. Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 I Construction R.W. PW Engineering 417 -4831 i Fire 417 -4653 Planning 417 4750 `-41 Building 417 -4815 q.- 12 I 3 -1 J •nrrnc /Ri !Minn nivisinn /Ruildina Permit r•1 Hi H N HI W a 0 F 0 0 a 0 o .4 o o 0 lfl Hm v 0 O 1 In 0 0 I"- w Sa 0 r tr a C Vl H m 0 2 o n a 0 0 N H x a r sr w a x 04 H FC H E F 0 22 N W 0 U) W Vl P7 0 0 o w H a U 04 n 44 0 a 0 0 0 H f c H a 0 2 H r] 0 0 x W U 0 0 a 0 0 o a F H 0 V) 0 0 F H H H H N m v) U U 2 H i,4 F a s 0 m< N 2 M crl F4 z ti H H 0 zz a 0700 ,4 w H 0 0 0 °E� z o u 00 0 aa 0 0) H zw v i z0 0> O 0 00 0, O 0 Z00 0 CLH0F04 a 0 0 44 01 0 0 0 cn 0 0a a a aFCH 0 w a y., 1 0 N rC O FC rr, oa H N0 x 0 ela a s /r CV o c O .4 OM O U' H W a If1 rt£F£ 0 a x o m H al Uz az00 Ll Vl 44 44 04 0 0 �l a N a Q a 0 0 H 7 W W 0 00 0x100000 0HH 0 00 H H£H c/) "0 orC01 044,4 0 N H M x 0 0 0 0 a 0 H 44 0 �H 000 m 0 •ma w 0 a Z a w O q H co O W r z 0 z r 0 a W 2 H 0 o (1) 1 0 Z Z Za w RS a m f741 0 x U E, U0 .4 0 H a pORr4.1 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: M=S-111 Attn: Building Permit Technician Date Received 5i- I5-I 321 E. Fifth St., Port Angeles, WA 98362 Permit I;1 15%) (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant The Home Depot At Home Services Phone 800 381 -5699 Property Owner Kathy Jordan Phone 425.445.8504 Property Owner's Address 1015 S Chase St, Port Angeles WA 98362 Contractor The Home Depot At Home Services Phone 800 381 -5699 Contractor's Address 140 County Line Rd, #101, Pacific WA 98047 License HOMED *972RQ Expires 2/1/2013 E -mail naida @nwpermit.com PROJECT ADDRESS 1015 S Chase St Parcel Number 59327 Lot Zoning Project Type Brief Description: 6 Residential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition 6 Re -roof 6 House garage other El tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed er06,l� Other TOTAL VALUATION 1 I D ®Q 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 of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 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 working on projects. (_l1 Digitally signed by Naida Khan Date 8/15/2011 Print Name Naida Khan /Northwest Permit Signature Naida DN cn =Naida Khan, o =Northwest T: Forms /Building Division /Bldg Permit.doc Khan small= naida ®nwpermit.com, o =us Dale: 2011.08.15 18:13:44 07'00' Clallam County Assessor Treasurer Property Details 59327 KATHLEEN M JORD... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 59327 KATHLEEN M JORDAN for Year 2011 2012 Property Account Property ID: 59327 Legal Description: N2 LT 10 &W45 OF N2 LT 11BL330 Geographic ID: 0630000330550000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 1015 S CHASE ST Mapsco: PORT ANGELES, WA Neighborhood: x ref Cycle 5 Res Map ID: 2 ''1 9 Neighborhood CD: 10955130 Owner Owner J� Name: KATHLEEN M JORDAN Owner ID: 33651 Mailing Address: 1015 SO CHASE ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/16/2011 Amount Due if Paid on: EL NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year l Statement ID Base Amt. Base Amt. Penalty 1 Interest Base Paid Amount Due Statement Details 2011 153941 $810.17 $810.11 $0.00 $0.00 $810.17 $810.11 1 Statement Details 2010 42226 $776.31 $776.30 $0.00 $0.00 $1552.61 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image 1 Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 8/16/2011 3:55 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =59327 8/16/2011 Linda Pangrle From: Linda Pangrle Sent: Wednesday, August 17, 2011 4:48 PM To: 'Naida Northwest Permit' Subject: Copies of signed permits for 1015 S hasp St 333 E 9th St Attachments: 333 E 9th St Jacqueline Bleck.pdf; 1015 S Chase St Kathleen M Jordan. df Hi Naida, Lucas Knauss came and signed and picked up these two permits. Please see the attachments for your copies. Thanks for your help in getting these paid for, signed, and picked up. Linda From: nwpnaida@gmail.com fmailto:nwonaida(gmail.coml On Behalf Of Naida Northwest Permit Sent: Tuesday, August 16, 2011 4:33 PM To: Linda Pangrle Subject: Re: Re- roofing application attached for 1015 S Chase St (Home Depot) Thanks Linda. We have sent in payment for the 1015 S Chase St permit fees. It's been sent by overnight delivery, so you will definitely receive tomorrow. I have asked Home Depot to provide an approx. time for their installer's arrival to the city, but haven't heard back yet. Thanks for your help (and patience!) with this! Naida On Tue, Aug 16, 2011 at 9:24 AM, Linda Pangrle <Lpangrle(a,cityofpa.us> wrote: Hi Naida, 1 attached the permit fee sheet for this project. Yes, I'll e -mail copies of both of the signed permits. Linda From: nwpnaida @gmail.com [mailto:nwpnaida a,gmail.com] On Behalf Of Naida Northwest Permit Sent: Monday, August 15, 2011 6:21 PM 1 To: Linda Pangrle Subject: Re- roofing application attached for 1015 S Chase St (Home Depot) Hi Linda, Attached is a residential re -roof application for 1015 S Chase St. Home Depot is the contractor. Job details: Remove and replace 19 sq. comp. roofing and 3 sheets plywood. Value: $9548.00. Please provide permit fee and we will mail a check to you on Tuesday. If you are able to email me the cost on Tuesday before 2 pm, well be able to overnight a check to you in time for the installer to pick up the permits on Wed. According to Home Depot, the installer, Luke, will be coming in on Wed. 8/17 to sign for and pick up the permit, and the permit for 333 E 9th St (finally!). Would it be possible for you to email or fax me a copy of both permits, once issued? We are coordinating Home Depot's inspection process and will need permit copies to confirm expiry dates, etc. Thanks for your help, Linda. Let me know if you need any further information. Naida Naida Khan Northwest Permit Inc. 360 -945 -2787 Naida Khan Northwest Permit Inc. 360- 945 -2787 2 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT ~ BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000146 Date 2/13/03 Property Address ...... 1015 S CHASE ST ASSESSOR PARCEL NUMBER: 0630000330550000 A~plication description . . . RES REMODEL Property Zoning ....... Application valuation .... 600 Owner Contractor GOWDy WILLIAM L OWNER 1015 S C/{ASE ST PORT ANGELES wa 983627843 Permit ...... BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit Fee .... 50.05 Plan Check Fee . . .00 Issue Date .... 2/13/03 Valuation .... 600 Expiration Date . . 8/12/03 Qty Unit Charge Per Extension BA~E FEE 47.00 1.00 3.0500 ~ BL-801~2K (3.05 PER C) 3.05 Permit ...... ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee .... 46.70 Plan Check Fee . . .00 Issue Date .... 2/13/03 Valuation .... 0 Qty Unit Charge Per Extension 1.00 46.7000 ECH EL-R OR EM 1-4 ALT CIRCUITS 46.70 Additional desc . . Permit Fee .... 54.25 Plan Check Fee . . .00 Issue Date . . . ! 2/13/03 Valuation .... 0 Expiration Date . . 8/12/03 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 7.2500 ECH ME-VENT FAN 7.25 Per. it ...... PLUMBING PERMIT Additional desc . . Per~it Fee .... 68.00 Plan Check Fee . . .00 Issue Date .... 2/13/03 Valuation .... 0 Expiration Date . . 8/12/03 Qty Unit Charge Per Extension BASE FEE 47.00 3.00 7.0000 ECH PL- EA.FIXT~TRE ON ONE TRAP 21.00 Other Fees ......... STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 219.00 219.00 .00 .00 Plan Check Total .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes n all 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 wsnk 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 Signature of Contractor or Authorized Agent Date Sig, ha~ure o-ftO~vn~er (if ~wner is bL~' r) ' Date J T:\PLANNING\FORMS~ 1102.15 [4/2002] ~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. ITIS UNLAWFUL TOCOVER, 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 I DATE IyEsACCEFTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DFC~INAGE ELECTRICAL (LIGHT DEPT) SEPARATE PEILMIT: # PLUMBING DERPLOOB/SLAE ROUGH- N I g-2l' WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SWLAAL~L/FLOOR/CEILING I I MECHANICAL HEAT PUMP WOOD SW,'E FELLE / c.i EY PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT, SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTP. dCAL - LIGHT DEFT. 417-4735 ELECTPdCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRL 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~, ~2[/, ~ ~,~ ~V~ BUILDING T:\PLANNING\FORMS\ 1 ] 02.15 [4/2002) CFFY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUiLDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number ..... 03-00000146 Date 2/13/03 Other Pee Total 4.50 4.50 .00 .00 Grand Total 223.50 223.50 .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 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 T:\PLANN]FNG\FORMS\I 102.15 [4/2002} BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 1TIS 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 I DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAFNAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLIJMBING UNDER FLOOR / SLAB I I I CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ ? ~ '~ ~ Time ~ ~ Received by ~ (phone, person) Location of Work to be inspected~.~/ ~ %,~ ~ ,' Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): f.----~ ~.--_.~ Permit No~ ~_~_~ Sewer Foundation Framing Chimne<~Plumbin.~Final'~kwerExcav. et e~r~~-~ Inspected: Date Z - ~. /-- ~ Time By Remarks: ~ ~,, "~ RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [-~Gravel [~Asphalt ~-~PCC ~Other [-I Repaired by City Work Order # ~} Repaired by Permittee [] COMPLETE ~} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ ~ORT ~ 84.0~~~ ~ ...~ ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000146 1015 S CHASE ST 0630000330550000 RES REMODEL Date 2/18/03 600 Owner Contractor GOWDY WILLIAM L 1015 S CHASE ST PORT ANGELES OWNER WA 983627843 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 46.70 2/13/03 8/12/03 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited --- Due ----------------- --------- ---------- ---------- ---------- C) Permit Fee Total 46.70 46.70 .00 Plan Check .00 Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 -- .00 Grand Total 51. 20 51. 20 .00 ~ .00 ~ o ~ rC) ~ ~ 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 orwork 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 Owner (If owner IS builder) Date Signature of Contractor or Authorized Agent Date T \PLANNING\FORMS\1102 15 [4/2002] BIDLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVIsIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA- LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 n/"A/tJ3 /feD ELECTRJCAL LIGHT DEPT CONSTRUCTION R W / PW/ / / CONSTRUCTION - R W. ENGINEERJNG 417-4807 PW / ENGINEERING FIRE ' 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15414 )- ;;;2 . ).5- Port Angeles, Washlngton__________________n__mnnnmn_m_______________mn__, 19__nnn 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 _____/{2..I._?_=mdl)__n~"_~e___m___m.nm__n__ Occupancy_nJ?/~___m___n____mnn__n__ ~7:::i::::::::;~==~t!i:~=Y{~;:nn~~~:~~~::--::::::::::---:_:_~::::::::::::::::::::::::::::::::::::::::::::::::::: Light Outlets........m..mn........................ Service, volts m../!..':?~,1...~.?L. Type of Wiring: ::1 No. wires ...........m..h.nm..nm_"mn SIZ~ Wiresum){(t2_4.!j/um Mam fuse m..m.~(.~r"h_n...... .s Enclosure n__mnnm..mn....m__.m..... Receptacle Outletsmmm....n.........m.m Dryer, KWln.n....nu.nn....n....n..n..__ Range, KW Water Heater: KW___hmummmm__unm_____mmn_ Heat: ItWmu/.--:E+u2~u'-tL8mm Type of wiring: Entrance Cable .___mmmm......m.... :\Iotors: size. volts and phase: Rigid Conduit ""nmhnm.._mn..nm' Metallic Tubing m......m............... Current transformers: No. & Sizennn...n..nnn..nn............n Ser. NO..nh..h.................h....n.......n.. Ser. NO.'n.n.nn..nnnnnn..n......n......... Ser. NO..n...nnn...n....n...........n......... Total Loadm...n...mnm..mm.. Ser. NO...._.....................n.................. Remarks: .____nn._.::..~~~-.:_~~_"'!~~h~\~h.nnnn...__~.nn.n_...nun.nnnn__...U.hn.nn~nnnnnnnnnnnnnnnn.nn.u.nnnU___ Armored Cable hm....m.._......mm... Non-Metallic ........ Knob & Tube Rigid Conduit ..m..m...m............... Metallic Tubing Raceway.... Circuits, Light... Utility .....nnn...nnnnn..................... Heat Range .......................nn...nn.....nnn Water Heater ....m.............m..___m Motor ....__....................................... Dryer.....nnnnnnn...nn........................ Furnace ............nn...nn..'.__ Total nn..nnn.nnn.................... ~~;~;~_;~~mmm_m_nmm_mm;;:~~.n;~~:;;~-m--mmm-----n---mn.ym:7>-m:t:m:nn;;-nnm.n~;;ru 3.mh_uh.um____mnnn'm._.. NO.m~__um__u__u_________ By {:..n.J.)m:.:mm/:.'.1..:__~.~_~~r-::::~~:_~~_~:En ~'-'-' NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. ::ealed due notice muat be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION /:/1 -) Jr;~-813 ELECTRICAL PERMIT N? 15414 Date called fo~f~(yc'tro:mA._..~~;nn__._mu .._n .......m.n nnmnn n "nmnm nn mmmnmn nnu_........m_mn_.. prellminarYinsPJ6<<o'n-:fi..~.__m_C~7.e~___?'D.__...___._________._........._________..__._............___m__....__.....___..___n____...h._................._... ...da-L C .::<,,_,.._~~' ~ j Inspectioncompleted..._\!_n.n..nn..._n...._......_...n......n......n....nnu~n...n.n.........__..n...nn..nun.................n...n....._.......nn......._...__................ Total Load .__...nn__..nnnnnn...n...n...nnn...h........n. 1M 3.72 Olympic Printers, Inc. Phon.: 7t5?~ q~ ~ r-7 Phone: :::;~hJ ho-o Please type or reprint In Ink. "you have any questions, please call (360. 417-4735 Fax number: (360) 4t7-4711 Address: Exp: ElectricaJ Contractor: license #: Address: City: o ELECTRICAL CONTRACTOR INSTALLATION WIRED BY: ~R Credit Card Holder Name: FOR OfACIAL USE ONLY [b~-: Permit.: DaceA$lpru~; O;ueluuN: .;t:- /(1 c:. Phon.: Zip: Billing Address: Credit Card Number: City: Exp. Date. PROJECT ADDRESS: /LJ15 ..5{) ~ ~. Check all that apply: 0 New ~ Alteration/Addition o Mobile Home Sq. Ft. .' o Multi-family . 0 Commercial Zip: VISA: MC:_ o Remote Meter 0 Detached garage 0 HotTub 0 Swim Pool 0 SepticP.u!TIP '0 Low Voltage 0 Telecom. 051 Number of Circuits added or altered: /...' . '.,-', J.:; DESCRIPTION OF THE ELECTRICAL PROJECT: .Mm~n1 ~jl?t>/?y_( . Service Infonnation Electrical Heat Load Additions I'Llb .,70 ~ o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service! Feeders. building size (sq. 11.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electrical Permit application. I herebyeertify that I have read and examined this application and know that same to be true and correct, and I 6 authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: PW-9019 Owner or Elec. Cant.. Signature: tUc~ Oat