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Home My WebLink About1017 Madrona St - Building 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 07-00001122 Date 10/24/07 333798 1017 MADRONA ST 06-30-08-5-8-1250-0000- BARBARA MARTIN MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 6370 Owner Contractor BARBARA A. MARTIN 1017 MADRONA ST. PORT ANGELES (360) 452-9141 WA 98363 DAVE'S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452-0939 permi t . . . . . Additional desc . Permit pin number Sub Contractor Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL PEN. EL./ FURNACE 112862 NORTH PENINSULA ELECTRIC NORTH PENINSULA ELECTRIC 46.00 Plan Check Fee 10/16/07 Valuation 4/13/08 o - -J .00 o Qty 1. 00 Unit Charge Per 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 3 )> CJ g> z: :t> Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 ~ 1-------- - INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL IO/Js/o" ot... ALD' I . r COMMENTS: 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 07-00001122 Date 10/16/07 333798 1017 MADRONA ST 06-30-08-5-8-1250-0000- BARBARA MARTIN MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 6370 Owner Contractor BARBARA A. MARTIN 1017 MADRONA ST. PORT ANGELES (360) 452-9141 WA 98363 DAVE'S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452-0939 permi t . . . . . Additional desc . Permit pin number Sub Contractor Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL PEN. EL./ FURNACE 112862 NORTH PENINSULA ELECTRIC NORTH PENINSULA ELECTRIC 46.00 Plan Check Fee 10/16/07 Valuation 4/13/08 .00 o " ~ '-- ~ Qty 1. 00 Unit Charge Per 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 ~ ~ ~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 V\ :\ INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL /t?/;!?J107 AfJ /fr:rQ , / COMMENTS: I --- ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 E Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001122 Date 10/16/07 333798 1017 MADRONA ST 06-30-08-5-8-1250-0000- BARBARA MARTIN MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 6370 Owner Contractor BARBARA A. MARTIN 1017 MADRONA ST. PORT ANGELES (360) 452-9141 DAVE'S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452-0939 WA 98363 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL DAVE'S HT & COOL/ T-STAT 112029 DAVE'S HTG 35.00 10/16/07 4/13/08 & COOLING SRVC INC Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 35.0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 . , -......... '=> ---. --..J ~ ~ ~ t ~ ~ , SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: Af/ ..,r- 0 '- l!1 ri '- 0 ri r4r4 t.?E-< <>:<>: 0.0 O'>ri ..,.,. :E O'>ri 0. 00'> , , r4 0 NN ':E 0 l!1l!1 "0 .,..,. .-<;I: ri '" r4 Ol..-i U I 00 <::.,.<>: \0\0 ~~ Z ~ >< ..,.., ..:I OM I ~ I>: 0 Nf<.O r4 l!1 0 H > ~~qo~~ ..:I H r4r4 E-< 0 ZZ I>:ri Ul r4Ul ~ 00 .. 0 E-< r4 :<:r4 ;I:;I: r4N UZ E-< u:o: Ul 0.0. :0: .. "'''' 0 H<>: HN~~W Z E-<..., ~r<')H~~ ., r4 E-< 0 Z .. CDU 'r4 ~ 0'" III HO E-< Ul Hf"'-I.D....::! E-<E-< H E-< ~aco~~ Ul UU :E Z Zo\OZ:E E-< r4r4 I>: r4 Hf\10HO Z 0.0. r4 :E f<. 'f<.;I: r4 UlUl 0. Z:E _ri :E ZZ u 00 HOI..OH>t :E H H ~ HU .,:(.-Io:::t',::(H 0 ..:I E-<'- U UZ U 0. o.Ul HH4;HO U 0. HE-< ~2~~Ul > <>: 1>:..:1 I>: , U::> ;I: 0 III ;I: - ~ Ul 0>'1 UlUl {J.uP=:UW 0<>: r4r4 ~tJ~W::r: t.? oU E-<Ol>: :EOIIl:EUl Z OH H ~~~~ ~ -" ~ 0E-<l!1;I: ~ ~ E-< O~NU i:ll E-< ~ N CJ)~U~~~ 0...:1 .,. 15Ul::> <>:E-<"l CD ZUl ..:I CD Z 0:: . IN Hr4 ..:I .,. ~~~~~~ H I>: ..., 0'> Q ::r: COM ~OO Ul ~~CI)~~g r4 ~ -..:I <>: - <>: 0 0 ~r4r4 r- r-r4 t'1Ilt:ilCIlMO E-<E-< 0 Ot.? 8~~~~~ Ulr4 '- :;,~ Or4>'1 l!1 r-lIIlCllIlOO 0::>0. ri ri O:E '- '-E-< r40 0 01>: I>: I>: I>:U ri riO . III I>: 'r4 ~ 0. ZO III 0 E-< .~ r4f<. Ul -U ri 1>:0 UlE-<<>: ..:IZ E-< 0 0 <>: ~~~&HJ>'I H Ul 0.>< ~ '- 0'> r4E-< OZZZI>:o. 0. 0'> I>:H ~r40~<>:o. >< r4 o.U E-<UOo.<>: i:ll E-< :E ~ ~ORT ~ tO~~~ r. L -=- ~ ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001122 Date 333798 1017 MADRONA ST 06-30-08-5-8-1250-0000- BARBARA MARTIN MECHANICAL APPL. PERMIT 9/28/07 RS7 RESDNTL SINGLE FAMILY 6370 Owner Contractor BARBARA A. MARTIN 1017 MADRONA ST. PORT ANGELES WA 98363 (360) 452-9141 DAVE'S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452-0939 Permit .. . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 15 KW ELEC. FURNACE 111963 64.80 Plan Check Fee 9/28/07 Valuation 3/26/08 .00 o Qty Unit Charge Per Extension 50.00 14.80 BASE FEE 1.00 14.8000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 ~ ""- 7~ O~ ~ ;,s\ , 0,....) 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 pre to giv uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of c stru tion. Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD o ~ I CALL417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL ]NSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' 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 NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDA TJON DRAft,AGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FIN AL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DRYWALL (rNTERJOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL I FLOOR I CEILING MECHANICAL ROUGH-IN HEATP~/FURNACE/DUCTS GAS LINE FINAL io -15,07 DATE :ru....- ACCEPTED BY: WOOD STOVE I PELLET I CHlMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. . BUILDING 417-4815 I BUILDING - o -- -J 3 ~ 9- d :5 r' :t T:IPoliciesl! J02 15 building permit inspection record05.wpd [1/4/2005] ~. '") ~ ~ " ~ Sep 27 07 03:05p Dave's Heating & Cooling 360-452-0939 p,1 BUILDING PERMIT - APPLICATION Residential projects: submit two sets of plans Commercial projects: submit three sets of plans FOR OFFICIAl. USE ONLY: Date Rce,: ~ - "'2...[ -0-' Permilfl: 0'1 - 111-1- Date Approved: q -2..1-0;] Date Issued: 9 /~ 12:. / c.--- I I Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, aDd a 8 W' x 11" site plan MUST BE COMPLETE to be accepted Tor review. (360) 417-4815 FAX (360) 417-4711 Phone 'f s ;;; - ocr 3 e:r t-( 5 ;;;1- -=, ( '-( ( Applicant or Agent Dtive...t.s K..e~ -\-'\' ~~ Owner g 0... r \0 a.. V"" 0... M a. Y" -\-1' t"\ Owner's Address J D II W. /VI a.dv-o^~ S1re.e.. f' '1\ \ (;. _..J_' . .1)AV~SHc.c:::r""tIKc... I ' Contractor/Engineer -J..J a v-<!...::5 e~ Y'\ ~ State License 'if Expires -5 I 0 '9 Contra.ctor/Engineer's Address f 0., k-x Y/3,' ~r-+An~G7~~.$ Phone Y5.;;J-O'Cf.3cr PROJECT ADDRESS: ' { 0 \ -r ~ fVt a d v"on '^- .s~e.+ ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Phone TVPE OF WORK st"Residential 0 New ConstI'. Cl Re-roof 0 Stove Cl Multi-family 0 Addition Cl Move Cl Garage o Commercial Cl Remodel 0 Demolition 0 Deck ~ Repair 0 Sign Cl Other BRIEF DESCRIPTION OF THE PROJECI': -:7 noS +&1... ( t a. ....{-,.::> " c> f IS I( IN e ~ ec.m' c::.... ~ V'I\Cl c..Q.. c::;\..... d: ~ c.-+u-> 0 '~k SIZEfV ALUATION SF.@$ /SF. = $ SF. @ $ /SF. = $ SF.@$ ISF.= $ TOTAL V ALVA nON $ . 4:::> I 3 7 0 g;;. COMMERCIALlRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: Existing StructuTe(s)basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft. 1" floor Sq. Ft & IS! floor Sq. Ft. 2n~ floor Sq. Ft & 2- floor Sq. Ft. 3m floor Sq. Ft & 3'd floor Sq. Ft. Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft Existing StrUcture(s) TOTAL Sq. Ft & Proposed Structure(s) TOTAL Sq. Ft TOTAL of existing & proposed structures Sq. Ft Maximum Height of Proposed Structure(s) Ft. Are you planning to installa lawn sprinkler system? (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) VALUATION OF CONSTRUCTION: In all cases, a valuation amount mllSt be entered by the applicanL 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: The plan check: fee must be paid at the time the building permit application is submitted. All other pennit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed worle sball be deemed to have been abandoned 180 days after the date of filing unless, such application bas beeD pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each, The extension shall be requested in writing and justifiable cause demonstrated. (IRClIBC 2006 1053.2) / hereby 'certify that 1 have read and examined this application and know the same to be true and correct. / am authorized to apply for this permit and understand that it is my responsibility to determine what permfts are required, and that 1 must obtain such permits prior tal work. f ~ Date q _~--r _0, Applicant O~ T,\FDRMS\BUILDING D:V1SION~IdgP""''''PPL-2006 CODE - badw - p~ - - CITY OF PORT ANGELES \ LIGHT DEPARTMENT \ , I ELECTRICAL PERMIT N? l5746 sf -. ,;2 c" 7~ Port Angeles, Washlngton_____..___..__..___._........_.__n.____._________.__mn.... 19__.__.,;; . In aooordance with the City Ordinance to regulate the Installation. .extenslon. 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. ~ddress .njQJ2:.l!t..~_4~_2.'.6?___......n..n.n_____.._______________ Occupancynn..__.-':L__-<1.___n____._..n.________n___ ;7::: ~.~~t~:~~~z:fd:~:~:!.f?~~;.2.--.~::~~~~::..::::::::::...:.....~::::::::::=::::::=::::::::=::::::::::::::::::: Light outlet..........L.e.?...................m.. Service, volts ..Jft..9./.fJ..V.6....... Type of Wiring: " ? "'- . ." Receptacle Outle~........d:'................ No. wIres .......3...................._...... D're" KW __........t__......__................... Size wires..75(;/.1f.&(!......... Ratge, KW....n/.:;i;,.....:.................... Main fu"e ....;:;.;;:~.4.m.m....... Water Heater: /,/ Enclosure ....~...>.......m.__m..___....m... I , " KW......~...)...........m............ He~t, KW........:Z2...~..8...8...m..m... Type of wiring: EntrancE! Cable ...h..'."."___"'" Motors: size, volts and phase: . , 1 /...(.,1::"....=..................................... -- ../..t:P.J_~?................................. Rigid Conduit ........h..h............__... MetalUc TubIng ....m Current tram:tormers: No. & Si2e............................. Ser. NO............................h................. Ser. No. .._......h.............................__... Ser. NO...__......__....h.........h................ Armored Cable ..h.....h................... Non-Metallic .........._...................... Knob & Tube._................_.....__........ RIgid C()ndult ............................... MetalUe Tubing ...................m..... Raceway ..........;;................_..........._ Circuits, Light...:;............................._...... Utility ....~~...........h..h..............___.. lIeat h...t.:._...................................- Range ....i;J,....................m............ Water Heater 2,:--..--................... Motor _..____....h.......................h...... Dryer.......~.....__..........................__ Furnace .........................'_......_........... Total Load.~...__.. Ser. No.................._.......................... Total ...;;;2..2....................... Remarks: .o--.--..o'=---"U2",,-,--<o....--,.;)......--.~.,,:<~~.,rf.!-~--="':-..i2I!i'-C>Q------.----%./~"--------------.----- ::::::::::::::::~=~.::~::::;.;::::~:~::::::::::::::::::~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: Permit fee Treas. Receipt ~11{:f--J(. $.o______....LJ_o~__...__n___.. NO.________m.______.o___.___. By .L.r.r::'o___..__'1..:~._____________________._____________________ / . v r NOTICE-Current must not be turned on until Certlflcate ot Inspection has been Issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ~ ? 5' ~ j3/3 ELECTRICAL PERMIT N? 15746 Address .../-.~........::f1~.i2.."C!:~~? __.....____.....:...........__....m.__.__... Date..._...__...__..........__......__...............______...... Owner ... .....--..C7~.r.--bQ...V....,._..---....---..........-....."'\. ...... ...... ....--...... m' . Tenant.m__......__........m.......__.....____..__..__.............____ Wiring contraetor--.__.__maJbd{a;;".{,.,-.....~G\)P..----m.--.m.m.m __m. ..__.. __m By____..__.........____..........__...........____........______ NOTICE-Current must not be turned on until Certitlcate of Inspection has been issued. It work Is to be con- cealed Aua notice must be given the Inspector so that work may be Inspected betore concealment. Hl Olympic Printer~. Inc. --" ---- Sep 27 07 0321 p Dave's Heating & Cooling 360-452-0939 p.1 ~ ft.) ~'V ~~~:"" - ": -"._~j _.... ELECTRICAL WORK PERMIT APPLICATION Job ..ired by ~ectrical Contractor 0 Owner IlIstallation descriplion I:J Commercial I!l"Residential Electrical COntr3ctOT name j)~tVe. 1;5 HeA-h,,~ PlJr~se.r's m<liling address .0, .Be-X 'T/3 Cit~ ~ r+- hh~.e-~:"" TeJep~ number' ' , 5.9-oq 3 License number Date Expires 1)AV€;5i-{C.cr<=tl.;l c. .5J'O",! ril'New o Allered/Addition Jeu...; V" 1+", 'Y- --ftv:L.r fYl-O 0-ht'+ w/re: State ZIP {..JA q~36d- FAX number " pre'Aes owner's Dame c..{ V- 6 GLI('" ""- Address of inspecli..... I D II ' H a..Y'+iY\.. M <'l. Jre, n "L Street- CHv A A- , . or..l- ~~\.2....s Ph41Df: number 10 schedule inspection: '7"50/- c:r ( '-I- I Owner r./S dr!.fhlCQ by RCW/9.28.26J:(1) Owner will occupy the structure/or two yeaTs :Jfter Ilri.v dee/rical permit is finalizr!d. (2) OI\'ller is required CQ hire an deelrical amtracltJr if above said pmpi.'Yly is for sale, rell! or lease. After re:Jding the abo.'C st:Jlemenl, ) hcrcb}' cerJif)' lhal r am Ihe Owner Df me above named propeny or a licensed electrical =onlraclor, J .am making th~ electrical instal. IJtion or alteration in eompli,.IT1ce wilh the clcctriCOlI laws, N.E..C., RC\\!, Chapter 19.28, WAC, Chapter 296-468, The City of Pori Angeles Municipal Code, and Ulilit}, SpecificutioflS. Si'gn o Cash 0 Check # l3'6edit Card @ Card # Mastercard Discover ---------------- x Date: c::r Expiratlon Date of card Inspection re~ $ 8:5 Service Information EJe t cal Load Additions and :I NO LOAD CHANGES o Baseboard KW IB"'Furnace ~KW o Heal Pump Ton o Fan.WaJt KW LAR o Overhead Service o Temp Service [J Underground Service Voltage Phase :I 1 0 :J Service Size: _ Feeder Size' SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE D~,~ Arpr'H'~~ll3r 0:11' ApprovuJ Dy ~ DITCH I);ll" Aflprov~ By 031" ApprlWC<.! fly FEEDER J~le Appro,ed Uy Inspection. Date Area., Building Dr Equipment Inspected Electrical Inspector . , A 17lm.D I/t;() ~ 8. Action Taken 10-( -()7 ....,. ------- , Job wired by <>,:.~"'... ,ti....:..,..!!!,,,, ",. P"".J. ,= l.\~..; ~+~-J''' _... ELECTRICAL WORK PERMIT APPLICATION Electrical Contractor 0 Owner Installation descriptio~ ~ o Commercial YRcsidcntial Electricul contractor name License number Date Expires t0cr\-\.-. 'fe",(\I'.\\.\1'\ G\P~,~c.. ~)(),,\-\"P..._q~ Purchaser's mailing address '\ l:, 0 IT,.. _ ,,\-. \VA \e,.r :f A'f' \L- State ZIP , ~(:"'<? \~b. ~J"\ q ~0~ 7J Telephone number FAX number ,-\, '\\0 o New 0 Altered/Addition \ lnD . , ;r f\ M 1,0 c... \ '(' <:"li.<.. I \ 7,'0 P\-~f C'. ., r C-\. L' \- , City 'QO,\' Premises owner's name ~f\f'SP\{' PI riA&' ~ yO Address of inspection ~ f'\6-r 0 r\ A ~6e\e-.<;;' \0\1 C;ty~O"'\ \}.. 'If\ ~ '6 oL,,3 '""\ - \1 \..Q '--\ Phone number to schedule inspection: '-\ Owner as defined by.RCW./9.28.26/:(I) Owner will occupy the structurefiJr two years after this electrical permit is finalized. (2) Olmer is required to hire an electrical contractor if abol'e said property i~. fo/' sale, relit 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. Chapler 296-46B, The City of Port Angeles Municipal Code, and Utilit)' Specifications. Signature of owner, electrical contractor or electrical administrator ~n JL ~ Date: \0 -8-01 Electrical Loa dditions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAA o Fan-Wall KW (:) '" ~, \.5z-.- MastercarV Discover Visa Card # Expiration Date of card Service Information o Overhead Service o TempService o Underground Service Voltage PhaseD 10 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN DalC Approvcdlly / THERMOSTAT "- "- Dale Approved By DITCH "- Dale Approved By ./ / SERVICE "- Dale Approved By / FEEDER "- Date Approved By FINAL nfft7 ~ Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector /0- .fh> ONt- '-"'.d"r