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HomeMy WebLinkAbout729 E Lauridsen Blvd - BuildingPREPARED 11/13/07 10 48 16 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/13/07 ADDRESS 729 E LAURIDSEN BLVD SUBDIV TENANT NBA SHELLE FOX CONTRACTOR PHONE OWNER FOX SHELLE PHONE PARCEL 06 30 00 0 3 3700 0000 APPL NUMBER 07 00000031 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/02/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 5/02/07 AP 05/01/2007 03 41 PM LPANGRLE JESSE 775 6070 FOOTING REQUESTS AM INSPECTION WILL POUR IN THE AFTERNOON 05/02/2007 04 51 PM JLIERLY BLEW 01 5/03/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 5/03/07 AP 05/03/2007 09 16 AM LPANGRLE JESSE 775 6070 WALL INSPECTION REQUESTED AM INSP WILL POUR IN AFTERNOON 05/03/2007 04 35 PM JLIERLY BL9 01 7/26/07 PB BLDG SHEARWALL 7/26/07 AP 07/26/2007 04 49 PM PBARTHOL 07/26/2007 04 50 PM PBARTHOL BL8 01 7/26/07 PB BLDG ROOF SHEETING TIME 01 00 7/26/07 AP 07/26/2007 08 23 AM LPANGRLE SHELLE 461 2432 ROOF SHEETING AFTERNOON INSPECTION CALL FIRST 07/26/2007 04 49 PM PBARTHOL 07/26/2007 04 51 PM PBARTHOL BLI O1 11/13/07 L BLDG INSULATION TIME 01 00 November 13 2007 9 23 13 AM 1pangrle SHELLY 461 2432 INSULATION AFTERNOON COMMENTS AND NOTES PREPARED 9/10/07 10 44 48 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/10/07 ADDRESS 729 E LAURIDSEN BLVD SUBDIV TENANT NBR SHELLE FOX CONTRACTOR PHONE OWNER FOX SHELLE PHONE PARCEL 06 30 00 0 3 3700 0000 APPL NUMBER 07 00000031 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/10/07 PLUMBING ROUGH IN OVERRIDE TAKEN BY LPANGRLE DATE 09/10/07 TIME 09 11 07 09/10/2007 09 10 AM LPANGRLE JOEL 461 1863 ROUGH IN PLUMBING COMMENTS AND NOTES PREPARED 7/26/07 12 09 32 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/26/07 ADDRESS 729 E LAURIDSEN BLVD SUBDIV TENANT NBR SHELLE FOX CONTRACTOR PHONE OWNER FOX SHELLE PHONE PARCEL 06 30 00 0 3 3700 0000 APPL NUMBER 07 00000031 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/02/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 5/02/07 AP 05/01/2007 03 41 PM LPANGRLE JESSE 775 6070 FOOTING REQUESTS AM INSPECTION WILL POUR IN THE AFTERNOON 05/02/2007 04 51 PM JLIERLY BLFW 01 5/03/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 5/03/07 AP 05/03/2007 09 16 AM LPANGRLE JESSE 775 6070 WALL INSPECTION UESTED AM INSP WILL POUR IN AFTERNOON 05/.' 2007 04. JLIERLY BL3 0 7/26/07 BLDG F• TIME .00 07/26/2007 08 22 AM L SHELLE 461 2432 FRAMING AFTERNOON INSPECTION CALL FIRST BL8 01 7/26/07 JLL BLDG ROOF SHEETING TIME 01 00 07/26/2007 08 23 AM LPANGR SHELLE 461 2432 ROOF SHEETING AFTERNOON INSPECTIO CALL FIRST &7 COMMENTS I'D NOTES PREPARED 5/03/07 9 42 21 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/03/07 ADDRESS 729 E LAURIDSEN BLVD SUBDIV TENANT NBR SHELLE FOX CONTRACTOR PHONE OWNER FOX SHELLE PHONE PARCEL 06 30 00 0 3 3700 0000 APPL NUMBER 07 00000031 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/02/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 5/02/07 AP 05/01/2007 03 41 PM LPANGRLE JESSE 775 6070 FOOTING REQUESTS AM INSPECTION WILL POUR IN THE AFTERNOON 05/02/2007 04 51 PM JLIERLY BLDG FOUND FTG /STEM WALL TIME 09 00 05/03/2007 09 16 AM LPANGRLE BLEW 01 5/03/07 J_L JESSE 775 6070 WALL INSPECTION REQUESTED AM INSP WILL POUR IN AFTERNOON COMMENTS AND NOTES PREPARED 5/02/07 8 20 37 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/02/07 ADDRESS 729 E LAURIDSEN BLVD SUBDIV TENANT NBR SHELLE FOX CONTRACTOR PHONE OWNER FOX SHELLE PHONE PARCEL 06 30 00 0 3 3700 0000 APPL NUMBER 07 00000031 RES ADDITION PE RMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/02/07 BLDG FOUNDATION FOOTING TIME 09 00 05/01/2007 03 41 PM LPANGRLE JESSE 775 6070 FOOTING REQUESTS AM INSPECTION WILL POUR IN THE AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation RS7 RESDNTL SINGLE FAMILY 26000 Owner Contractor FOX SHELLE OWNER 729 E LAURIDSEN BLVD PORT ANGELES WA 983628007 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000031 181900 729 E LAURIDSEN BLVD 06 30 00 0 3 3700 0000 SHELLE FOX RES ADDITION BUILDING PERMIT RESIDENTIAL 520 SF ADDITION 93252 427 85 2/15/07 Valuation 8/14/07 Plan Check Fee Qty Unit Charge Per BASE FEE 1 00 10 1000 THOU BL -25 001 50K (10 10 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 02/07/2007 04 35 PM SROBERDS The proposal will result in the remodel and expansion of a sfr in the RS 7 VAR 06 03 was approved allowing a front setback of 5 for the proposal No land use issues anticipated Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense If a driveway is installed the access will be off llth Street Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete 01/29/2007 12 56 PM RVESS Other Fees STATE SURCHARGE Fee summary Charged Signature of Contractor or Authorized Agent Date T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Paid Credited Due Date 2/15/07 TOTAL LOT COVERAGE 18 00 CONSTRUCTION TYPE V N HARD SURFACE AREA 1 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 626 00 LOT SIZE 6512 00 PROPOSED LOT COVERAGE 520 00 TOTAL LOT COVERAGE 1146 00 NUMBER OF UNITS 1 00 Extension 417 75 10 10 4 50 171 14 26000 0\1 010'1 _,t�2 V i cp OL c d o WV) s ue ex 1 S 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 O n owner is build Date 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 FUL 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 FOUNDATION: FOOTINGS SHEAR WALLS 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 I INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT YES NO FINAL FINAL DATE ACCEP1EDBY. SEPA. ESA. SHORELINE: DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE I ACCEPTED 1 YES I NO I 41 7 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 1 PW ENGINEERING FIRE 417 -4653 I 1 I FIRE DEPT 1 PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT 1 BUILDING 417 -4815 I 1 1 I BUILDING T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] I I I I 1 I 1 I I I 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION Page 2 07 00000031 Date 2/15/07 181900 427 85 427 85 00 00 171 14 171 14 00 00 4 50 4 50 00 00 603 49 603 49 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 \Policies\ 1102_15 building permit inspection record05.wpd [1/4/2005] FOUNDATION: FOOTINGS SHEAR WALLS 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 I 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 I MECHANICAL 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, IA'SULATE 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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD T• \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] lo 'Io 2401 1 I oi I Ler I9 -In -c1 I L 11-13 -c57 "SO 'YES YES 1 NO 50/0-7 3/0-i Fouo d FIVs w all 7 26fc1 RooF shy; +15 r8 FINAL FINAL SEPA. ESA. I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING pt- DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES I NO E ti BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other FOR OFFICIAL USE ONLY Date Rec. 1' P it O T ate Approved: n Date Issued: 1 Phone: L kf Phone: ��J.1' cr Pho S Zip 'LD 3toa Applicant or Agent: S h Owner 51 J e Pt Address: `I a s L, r ,aye v FAJ CityRc nne y5 Ocl S 1 Architect/Engmeer• l� E n r, vac ��w �f 1C p S Phone: Contractor N Pt- State License Exp Phone: Address: City Zip td E tawc-i,(15en %ON �1 t� 5 PROJECT ADDRESS �.ni 1 \n\ocK ��i� c*, F.4,� gwnsi e �c,c LEGAL DESCRIPTION Lot: k-vq Block: 331 Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION ,Residential New Constr Re -roof Stove SF /SF Multi- family addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION la, /)i7? i BRIEF DESCRIPTION OF THE PROJECT Z t,r. on, i-© exc.r,.yv, L k, c 4 S P e't v COMMERCIAL/RESIDENTIAL. Occupancy Group R Occupant Load. Construction Type U- /1 No of Stories. Lot Size: Existing Sq. Ft. 109,Cq Proposed Sq. Ft. 5an TOTAL Sq. Ft. I L tto APPROVALS. PLAN BLDG DPWU FIRE. 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 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit apphcation 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 wntten 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 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 ,not the City's, and that I must obtain such permits prior to work. TAFORMS\B1dgPermitform.wpd Applicant: 574 Date: /Q -67 �F Cfl Eunice-St. Francis St zSC�oV` o o, S, a t4 ..or 1: PART NGELES W A S H I N G T O N U S A. Community Economic Development Department November 17, 2006 Ms Shelle Fox 729 East Lauridsen Boulevard Port Angeles, WA 98362 RE Variance VAR 06 -03 729 East Laundsen Boulevard Dear Ms Fox At the Board of Adjustment s special meeting of November 13, 2006, the Board approved your application for a reduction of the rear yard setback at 729 East Laundsen Boulevard to 5' The decision of the Board is final unless appealed to Superior Court. The action will remain vand for one year from the date of approval. If a building permit has not been issued within one year from the date of approval (November 13, 2007), the vanance will become invalid and you will need to begin the process once again. If you have any questions, or if we can be of further assistance, please don't hesitate to contact this department. Sincerely, Sue Roberds Planning Manager L...et/ Buildmg files Phone 360- 417 -4750 Fax: 360- 417 -4711 Website www cityofpa us Email smartgrowth @cityofpa us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217 DATED this (Owner) a 1 Ae (Owner) I STATE OF WASHINGTON COUNTY OF CLALLAM SS GIVEN UNDER MY HAND AND OFFICIAL SEAL this ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property (Insert legal description here) L04-s kl accK 331 0C4e. wnske do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 'Z' of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. day of By t':0c J 20M. (Owner) (Owner) I, Notary Public in and for the State of Washington, do hereby certify that on this day of 20_, personally appeared before me and to me known to be the individual(s) desribed in and who executed the within instrument and acknowledged that signed and sealed the same as free and voluntary act and deed for the purposes herein mentioned. day of 20_ NOTARY PUBLIC in and for the State of Washington residing at Port Angeles: AUDITOR'S CERTIFICATE Filed for record at the request of this day of 20 CLALLAM COUNTY AUDITOR CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 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 RS7 RESDNTL SINGLE FAMILY Application valuation 0 Contractor FOX OWNER 729 E LAURIDSEN BLVD PORT ANGELES WA 983628007 Owner 07 00000993 004393 729 E LAURIDSEN BLVD 06 30 00 0 3 3700 0000 ELECTRICAL ONLY Date 8/29/07 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ ADDITION Permit pin number 109801 Permit Fee 75 00 Plan Check Fee 00 Issue Date 8/29/07 Valuation 0 Expiration Date 2/25/08 Qty Unit Charge Per Extension 1 00 75 0000,ECH 'EL -RM 0 200 1ST SRV FEEDER 75 00 j .Fee summary x Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 ;00 Grand Total 75 00 75 00 00 00 COMMENTS /ACTION NEEDED 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. DITCH ROUGH -IN COVER SERVIC$ FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS PW- 1102,011 CITY OF PORT ANGELES LIG)iT DEPARTMENT ELECTRICAL PERMIT N? 15544 Port Angeles. Washlngton___......:__________....__.......___...................___..... 19_____". 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. ___7.Z5:.____________..___._____...:.__________________.....__n..__...__n..___ Light Outlets.......................................... Reqeptac1e Outlets.___..n....................... Dry'." KW.......................................... Service, volts ........n......n..................... No. wires nn.......................h.......... Size wlres....n...n..n...n......h.....h_.. Raqge, KW.....__...nnm__.........__...... Main fuse nn.h................................ WQ.ter Heater: Enclosure n.....n....h........................ KW.................................. Type of wiring: Entrance Cable ...... He kt: KW.........................h.................. Mrytors: size. volts and phase: Rigid Conduit ............................... Metalllc Tubing ....... Current transtormers: No. & Size..n.......................n Ser. NO....................................n......... Ser. NO....h...................................n... Ser. NO......nh..................................... Total Load............................. Ser. No.............................................. Remarks: __..___.._____.___.______,__________________________________................___....___..___............_____________...___________.________._________....... Total h..........................__......... Type of Wtrtng: Armored Cable ..n.......................... Non-Metallic ................................. Knob & Tube...............n..h............. RIgid Conduit ............................... Metallic TUbing ........................... Raceway ...............................___..~ Circuits, Llght...........................h.......... UtiUty............................................. Heat .......................-..............-.-... Range .....n......n..........................__.. Water Heater ................n............. Motor ..._.............n..h................n... DTfer .....................-........................... Furnace nn.....n..............._......_.._....... .........-..------------------------------------------------------------------.-----.--..-.----------.-----..--------------.---.--.---..----....-.....-.......-----.-----.----- Permit Fee .u._n_n_uu_nnu.h......_......._n_n___nnun_un_u___u__u___..uuu._nu_____n___unu__...__n.n__.nnuun__UUnU...UU....u____..uu....._n____ $~--.----..-.._-.-_._--_..--.-.__._.... Treas. Receipt No.....................__...... By.__...__n..__..:..............___..:__........:...___........______. NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. It work is to be con- cEllated due notice 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 Address N? 15544 Qwner..................................._......_.._.............._.._.............._...........................................Tenant.................................................................... Date..._......_.._.._.._......................._...._........ Wiring Contractor __........................................................................................................................ By __...................................................._...... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con- ~ealed due notice must be given the Inspector so that work may be inspected before concealment. ,..,1..".,,..,;,., PrintAr>L Inc. ,.; G--31 "..<t~, "~' ..-- :L. .-,,;;:;:;;;.J:~'.. \~J ....... ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor )s( Owner Installation description ../' o Commercial e:('" Residential Electrical contractor name License number Date Expires Q New o Altered! Addition City State ZIP ~~~/ 14/d't:>t- /,J;~1'7~ '_ 4./JR;-/.'o&-- Purchaser's mailing address Telephone number FAX number Premi~s owner's name ',_ On.tL\\e ~)( ~C'I;'U f"'ox Add ress of inspection \ "\ aq E: t (h) ~ Ict Se..r\ tl\ld. C'''"r.J ~ I \Clc.1:.e\f<, Phone number 0 sche ule inspection: Owner as defined by. RCfYJ9.28.261:(1) Owner will occupy rhe structure for two years ufler th"is 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 Specifications. Signature o!. owner, electrical contractor or electrical administrator i:r'Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Date: ,3- -07 Expiration Date of card Electrical Load Additions and or subtractions Q.JiJO LOAD CHANGES C!'13aseboard KW o Furnace - KW \ E( Overhead Service o Heat Pump ,.Aon ~ LAR\ 0 Temp Service 1a"'Fan-Wall .l"j'ff'/lw \~ Q Underground SeNice SAME DAY INSPECTION, GALL BEFORE 7:00 AM 360-417-4735 \ Voltage /'2-0/'-'(0 Phase rz( 1 Q 3 Service Size: ~ '- Feeder Size: -, Dale Approved By OUGH~" Approved Fly ~ " ". '. THERMOSTAT Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector I I ! I I I I ( \ FINAL DITCH FEEDER 2f(OR Dale ~BY Dale Approved By Date APl'rol'cd By g ':SO-07 Nero~ M. ScRVIc.t c<'Aib",'IOR. ? >1("11<. C/lAIJ(;L'U-O", N() raF WS IO:'~'l WF 72:2..D'} ;'P !3.i-Z OrE O~;R/COS~TOA ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # IN~ 17- ADDRESS ,Z'1 'f(.. L APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D.. . . . .. . . .. . . . .. ROUGH IN/COVER. . ... . . . . .. . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D..................... FINAL.................... ~ CORRECTIONS NEEDED: 51i"I'\12.K . (}.) 1",..{ 5rtI'Ll L'D I DtE-lnc.~'7 cWi' .lbIJS IL -g <--f; Fl.~S.H . NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381