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HomeMy WebLinkAbout837 W 16th St - BuildingApplication Number 08 00300338 Application pin number 111352 Property Address 837 W 16TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 2857 0000 Tenant nbr name QWEST Application type description PUBLI2 WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RISDNTL SINGLE FAMILY Application valuation 0 Application desc Burried phone cable in alley R/W Owner Contractor CAUDILL MICHAEL R 1329 W 10TH PORT ANGELES PORT ANGELES T•\Policies \1102.15R [1/05] WA 98363 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 32 EAST 5TH STREET PORT ANGELES, WA 98362 Fee summary Charged Paid Credited Due Date 3/13/08 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452 1110 Permit RIGHT OF WAY Additional desc BURRIED PHONE CUBLE IN ALLEY Permit pin number 122978 Permit Fee 00 Plan Check Fee 00 Issue Date 3/13/08 Valuation 0 Expiration Date 9/09/08 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 wi I 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 CALL 417 -4807 FOR UTILITY INSPECTIONS. 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL, PARKING, SIDEWALK CURB GUTTER DRIVEWAY APPROACH :SOCK -FLOW DEVICE T•\Policies \11 [1 /05) INSPECTION TYPE DATE ACCEPTED COMMENTS RESIDENTIAL CONSTRUCTION R.W PW ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT. I PLANNING DEPT BUILDING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE `DATE YES' NO -COMMERCIAI DATE (ACCEPTED YES' I.. NO PREPARED 12/08/08 10 14 47 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/08/08 ADDRESS 837 W 16TH ST SUBDIV TENANT NBR MIKE CAUDILL CONTRACTOR ACE MICHAELS INC PHONE (360) 460 6172 OWNER MICHAEL R CAUDILL PHONE (360) 460 6172 PARCEL 06 30 00 0 4 2857 0000 APPL NUMBER 08 00001142 SIDING PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 12/08/08 JL BLDG FINAL December 8 2008 8 36 32 AM 1pangrle MIKE 460 6172 BLDG FINAL SIDING ROOFING 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 Application desc NEW SIDING TEAR OFF RE ROOF HOUSE Owner MICHAEL R CAUDILL 1329 W 10TH PORT ANGELES WA 98363 (360) 460 6172 Structure Information 000 000 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001142 054744 837 W 16TH ST 06 30 00 0 4 2857 0000' MIKE CAUDILL SIDING RS7 RESDNTL SINGLE FAMILY 5000 Contractor Date 9/10/08 ACE MICHAELS INC 1329 W 10TH ST PORT ANGELES WA 98363 (360) 460 6172 SIDING TEAR OFF RE ROOF HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc SIDING RE ROOF HOUSE Permit pin number 134213 Permit Fee 137 75 Plan Check Fee 00 Issue Date 9/10/08 Valuation 5000 Expiration Date 3/09/09 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 142 25 142 25 00 00 15:: a cf\ 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. l b (I"` l \Le arM L L date Print Name Signature of Contractor or Authorized Agent T Forms /Building Division/Building Permit (05 /l3 /08).wpd Signature of Owner (if ovdner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS. 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 ..0 KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 it's PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T r ,Jr z1 ❑,ii Tl,v, /Ri IIrli Permit (05/13/081.wnd BUILDING PERMIT INSPECTION RECORD I I I I I I 117-6% -OS I "Sw I YES I NO I FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL I FINAL DATE ACCEPTED BY. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED YES I NO 0 aQ Applicant or Agent kk. lee k Property Owner's Address 13dc Contractor /Engineer 4 k S vt C Contractor /Engineer's Address /3 a q k,J,25 -o- License C., 4 k i lSli r c `74l IAA p Property Owner PROJECT ADDRESS R? t Parcel Number Project Type Brief De Check all that apply New Construction Addition Remodel Repair /Re -roof Demolition Heat System •dbther Floor Areas Basement 1St Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures scription. Heat pump l itA L r) Existing (sq. ft.) Max height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 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 t 4 (Si d 9_ 14 Mg I 1 I ffl A i n ro e a 'Residential Commercial Multi family Industrial wood burning stove gas fireplace pellet stove other Proposed (sq. ft.) 57 ft. Occupancy group Occupant load Construction type For City Use Only Date Received 4 -1.0 0$ Permit C Q- 11. `fi,?Z Date Approved Phone Phone UCH G17a LQS� fnS Phone ///-7 —5'_57 9 3+ Lot Expires '7 O 9 Zoning per sq ft. TOTAL VALUATION .r000 00 r sq ft. Lot size sq ft. Lot coverage 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. Date 9 0 -0e Print Name irk, r1 CA. 111 I L 1 Signature o T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc of bedrooms of full baths of half baths OA r-- ~ ~ORT ~ i...-4.0~~(\' ~".w "-~ ~ '\i,,~ 6/13/07 a -1 , <J' VV -.J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 06/12/2007 10:57 AM SROBERDS --The proposal will result in a detached garage in the RS-7 zone for total lot coverage of 22~. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000637 Date 028692 837 W 16TH ST O~-OOOO- MIKE CAUDILL RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 7500 Owner Contractor MICHAEL R. CAUDILL ACE MICHAELS INC. 1329 W. 10TH ST. 431 VASHON AVE. PORT ANGELES WA 98363 PORT ANGELES (360) 460-6172 (360) 417-9579 Structure Information 000 000 DETACHED GARAGE Other struct info . . . . . HARD SURFACE AREA Permit BUILDING PERMIT -RESIDENTIAL Additional desc DETACHED GARAGE Permit pin number 103564 Permit Fee 179.75 Plan Check Fee Issue Date 6/13/07 Valuation Expiration Date 12/10/07 Qty Unit Charge Per BASE FEE 6.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 179.75 179.75 .00 Plan Check Total 71.90 71.90 .00 Other Fee Total 4.50 4.50 .00 Grand Total 256.15 256.15 .00 g/'O/07 New Pd.rce.-{ ~lJrM>e..r OOOlt 2 c(?;57 WA 98362 71.90 7500 Extension 95.75 84.00 w VJ -l Z- " - 4.50 (5'""" s-: Due ~ ? 7'/ ~ V1 -:T' .00 .00 .00 .00 ~ ~ o \;? 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 T:IPoliciesllI02_15 building pennit inspection record05.wpd [1/412005J ~, ~ Signature of Owner (if owner is builder) 0-l3-.()! Date BillLDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL4J7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINHvlU!vl 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOFJ, BEFORE I.NSPECTED AND ACCEPTED. POST PERMIT IJ\' A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o ..J \ G"'> vJ -.l INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA nON: FOOTINGS (1'1-2-1-01 -:r L1- SHEAR WALLS 1 WALLS FOLlNDA TION DRAINAGE 1 DOWN SPOUTS PIERS I J POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BAC!: FLOW I WATER AIR SEAL WALLS CEILING FRAMING -~ ..- II .A 0- :rLL l'" JOISTS 1 GIRDERS SHEAR W ALIJHOLD DOWNS WALLS 1 ROOF 1 CElLING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCYJNG & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/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 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUTLDING 417-4815 Ll- II-(,)f? ;.r / L- BUTLDING Q9 V'-J -J E ---- 6"- ~ U'I ~ G\ ~ 1 f> '-. T:\Policies\ll02 15 building permit inspection record05.wpd [1/4/2005] ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000637 Date 10/23/07 028692 837 W 16TH ST 06-30-00-0-4-2857-0000- MIKE CAUDILL RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 7500 Owner Contractor MICHAEL R. CAUDILL ACE MICHAELS INC. 1329 W. 10TH ST. 431 VASHON AVE. PORT ANGELES WA 98363 PORT ANGELES (360) 460-6172 (360) 417-9579 Structure Information 000 000 DETACHED GARAGE Other struct info . . . . . HARD SURFACE AREA . WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL JEDI/ GARAGE W/ FEEDER 109900 JEDI ELECTRIC 75.00 10/23/07 4/20/08 Plan Check Fee Valuation .00 o ~ ~ -....j Qty 1. 00 Unit Charge Per 75.0000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 75.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 06/12/2007 10:57 AM SROBERDS --The proposal will result in a detached garage in the RS-7 zone for total lot coverage of 22%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. t. '" ~ ,~ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 79.50 79.50 .00 .00 ~ :1 INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: e, ~ ~ ,.1./)07 H~;e,VJFO Ad) DITCH . . SERVICE ~OUGH - IN q,/).-JOO7 AI' P/Zov'4:J Ac9 FINAL COMMENTS: .... co , 0 , --- , .... , .... , --- , '" , , , , , 0101 , C-'E-< , ..;..; , 0.0 , , , , , , , , "'N , r-r- , "'.... , "'''' , , , QJ QJ , r-O r< r< , ....'" >< >< , .,..,. 01 01 , <:: <:: , <1l <1l , 00 0. 0. , "'''' r< r< >< , ..,.., 01 ..:l , ..:l >< 0: , 0: ..:l ~ ~ 01 , .. C-' 0: H , ;': ~ 01 ..:l , 0101 H N co E-< , 0 ZZ 0. ..:l .., 0 Ul WUl , !!J 00 ..:l .., 01 :<:01 , ;X:;X: C-' co '" 01 E-< ~~ , Ul "'''' Z .., .., " 0 , H:E :E ..; Z E-<'" , E-<'" '" co 0: , 0 ..; 0 Z .. , 0 co co C-' ~ 00: , "".... .., 0 0 HO , Ul '" .,. 0 01 0 E-<E-< , E-< Z .. 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If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 f " I I Date Issued; BUILDING PERMIT - APPLICATION , Applicant or Agent: C. l c..... ~;;::s ~~~ 17~~~- City ArChitect/Ejf~eeT9 q vJ es -\- I 6 ~ S"\ Phone: Contractor A~~ eM. ~ Q.l~< TAC State License #: A ~ ~KI ~T~ 7'r'~x~: ~ Address: I ~~;) 'f l~+ (() .s T PROJECT ADDRESS: ($>37 u..\es.-\- LEGAL DESCRIPTION: Lot:~ Block: CLALLAM COUNTY PARCEL NUMBER: 0 Co 30 Phone: 1rco GJ t/d 160 Zip: ~17 ~ ~R3 C..C} pt\ Phone: City: / '-- -1L ST Phone: 1(.6 C:. t I~ Zip: ZONING: Subdivision: ooo<i 22'SF:" TYPE OF WORK: o Residential dNew Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move~Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: I I r ~\.h \~ 0>4 ,)('~).f "\3 ~~ Q SIZEN ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 7, ~-cC> , COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: ~ Lot Size: 700 C Existing Sq. Ft. Total lot coverage () J, 3 % Occupant Load: Construction Type: ?~<O & Proposed Sq. Ft. 5'? h = TOTAL Sq. Ft. / 5 Co ~ ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: PROVALS: 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 application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days ofthe date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I 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 itJs my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. , T:\FORMS\BldgPermitform.wpd Applicant: ~" ~ f! Date: 6~(-('j( J ti~::,:;:: ~ ..~. ~ ~' ~~-"J ~.....,..;S- ELECfRICAL WORKPEAAUT APPLICATION , Job wired by _Eledrical Contractor 0 Owner Installation description o Commercial )t Residential Elc.:trical contractor name \ec3. \ E,I ecTr'l 'c... Pur~cr 's, mailing address V,C. \'3,O)i' 3St' Cily ;-;",r-'I LV AVljeleS Telephone number License number Date E'lpires ::'\;:ole~ ~c,S7C z. D New o Altered/Addjtion State ZiP l.,),,~ QR3b,;J.. OuTbLl Ilc:l,"lS ~Q G~ ruder FAX number I//r/ ! '=;0/ Premises owner?s name m\~ Cc-.lAd,( I Address of inspection -, h g:::" ~sT /h City Yor T Af'\ se.JeS Phone number to schedule inspeclion: ~#~ Owner ar defined by RCW.J9.18.261:(1) Owner will occ!.JPJ' the strucru.rc for (wo yooTS after this eleccrical f'ennil i.'> filUllized. (2) Qll'ller fs required ro hire 47/ e/ccMcai contraclor if above ~aid praperty is for sale, rer.( or lelise. After reading the above slatement, I hereby certify lhat I am tile owner or the above named property or a licensed electrical ~ontractor. I am making the electrical inslal- ]ation or alteration in' compliance with the cleclrical laws, :-':.E.C., RCW. Chapter 19,28, WAC. Chapter 296-46B, The Ci.ty of Pott Angeles Municipal Code, and Utility Specifications. Signature or ow ~ cl<:ctrical contractor or electrical administrator o Cash o Check # o Credit Card Card # Visa Mastercard Discover x Date:g~ .50-07 Ex.piration Date of card Inspection fee $ . ao Service Information Electri al Load Additions and or subtractions o NO LOAD CHANGES r:J Baseboard KW r:J Furnace KW o Heat Pump Ton [J Fan-Wall KW LAR o Overhead Service o Temp Service o UndergrouncJ Service Voltage PhaseD 1 03 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 R '. ROUGH-IN "\ TIIERMOSTAT ;' SERHCE D~IC" ^ppr~'-cd Or D~lC ,\pp,ovrd By '- Oat" ApprowdBy /' FlNAL /' FEEDER ,1~CH fj~/~-/)7 ~ aL~ .JdJ '- D~t" P ~VC(j 8y ../ D~tr 7 ~PProHd By D~h; Al'pmvw By lnspection Area. Building or Equipment fnspected Action Taken Electrical Date Inspeclor _...'1 1"11 level., · ,- I\IH~ 2. 9 200 . UnHT DEP" . , ~d 8H ~-S9S (09~) '\aZWI)i par d ~O: ~o La 62: Bnlt