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HomeMy WebLinkAbout1425 S N St - Building L CITY OF PORT ANGELES c,... f DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000790 Date 8/15/11 Application pin number 053070 Property Address 1425 N ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-4-3- 0040 -0000- Tenant nbr, name LINDA G BUSCH on your state excise tax form Application type description RES ADDITION to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 14334 Application desc CONVERT PORCH TO DINING ROOM ADD PORCH Owner Contractor LINDA G BUSCH ACCENT CONST OF SEQUIM INC. 1425 S N ST 1201 FOREST TRAIL PORT ANGELES WA 983631513 PORT ANGELES WA 98362 (360) 417 -0494 (360) 452 -9585 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 190025 Permit Fee 277.75 Plan Check Fee 180.54 Issue Date 8/15/11 Valuation 14334 Expiration Date 2/11/12 Qty Unit Charge Per Extension BASE FEE 95.75 13.00 14.0000 THOU BL- 2001 -25K (14 PER K) 182.00 Permit MECHANICAL PERMIT Additional desc Permit pin number 190033 Permit Fee 79.60 Plan Check Fee .00 Issue Date 8/15/11 Valuation 0 Expiration Date 2/11/12 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 29.60 Special Notes and Comments The Fire Department has reviewed the project application and has no comments August 3, 2011 12:03:23 PM sroberds. ,n a1( The proposal will result in enclosure and conversion of a UI covered porch into living space and a new porch in the RMD zone for total lot coverage of 23% and site coverage of 35 4.2-1. 0 k No land use issues anticipated. August 3, 2011 2:34:44 PM banders. Electric meter to remain accessible, not enclosed, with proper clearances provided around it. 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 com lied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pm' n of any state or local law regulating construction or the performance of constructi n. f 1 r 4c- it J- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab 1 Wall Floor Ceiling l MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing /Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit. #s SEPA: Parking I Lighting I ESA. Landscaping f SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T•nrrnc /Ri iiiriinn nivisinn /Ruildina Permit L_. CITY OF PORT ANGELES oftlgit f 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000790 Date 8/15/11 Application pin number 053070 REPORT SALES TAX Special Notes and Comments 017 your state excise tax form Public Works Utility Engineering has no requirements for to the City of Port Angeles this plan review. ,r �f Other Fees STATE SURCHARGE 4.50 1 LOCc7t/O// Code 0502) Fee summary Charged Paid Credited Due Permit Fee Total 357.35 357.35 .00 .00 Plan Check Total 180.54 180.54 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 542.39 542.39 .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. 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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 I Date Accepted By Comments FOUNDATION: 5'''1 TL C 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: 9 -30 -I I -SLC. Walls I Ceiling FRAMING: A l L V Joists Girders Under Floor v t Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: )O .Lt1- Z. Slab I Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney U r 1 AAccepted by Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting I I ESA: Landscaping SHORELINE: 0 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By t Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 G Planning 417 -4750 Building 417 -4815 _3 1 n T-i ,,,c/P1 Iilriinn rlivisinn /Ruildina Permit N N t, H r N Cal Cal a a Q I J co m N a PI O a N r u) HH a) a) 11 Hi H as a) H H to N O Hi }a la C a) ,C H Sa Hi to to ra .N al t+ O 0 0 tP 1a C C a N Sa a) N G a) t ad HI 1 a) •Ha M M N a a a .4 ,r HH a a a .0 m H a Q CO z a, La o a m w cn W O O M m 41 x al n x ,x rn H M O to rn HH al cn H H Kt O t!) a s vl O r ro H E N N l0 Z H ti all all Hn CO a a O •i N C O a m n z m m H HH m a) a o z rat H 0 [n H 0 0 H Q H CI) H rn a m 1D H H H z HI H HH HH N N z H C HH F KC a crl U U ,Z O HH HH O O 0 0 0 k O O z z N H 41 41 W HO. 01-1N N l0 H N 0 U a) N W H HH F z a s X F N. N a U O. 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S. A COMMUNITY ECONOMIC DEVELOPMENT April 2, 2012 Linda Busch 1425 South N Street Port Angeles, WA 98362 RE: Expired Permit #11-790 Dear Ms. Busch: I am writing this letter to inform you of the status of the above permit. The permit expired February 2, 2012. We have attempted to contact Accent Construction but did not receive a return call. This will be our final attempt to resolve the status of the permit. If we do not receive a response from you regarding the above permit by April 20, 2012, we will consider the permit abandoned and expire the permit. Thank you for your prompt attention to this matter. Sincerely, -WOuefitivin Heather Catuzo Building Permit Technician 321 E 5th Street Port Angeles, WA 98362 hcatuzoncityofpa.us 360 417 -4817 cc Accent Construction PROJECT STATUS UPDATE Permit# 1,1'110 I 4'2L/ 2 "14 j Date: I l'Y 1 phoned the: Applicant To de( at t (jI 6 L Property Owner at tractor at I eft a phone mess,ge, or discussed): The per (has expire., or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. Lnn T:Forms /Building Division/Project Status Update r+1 H H o 1 1 O 1 H O H w w 0 F 4 4 a w 10 1 co W O1 1 N 0 1 1 A o W N O I r-1 7. N 0 1-I ri ri T a) of Sa O l i s., r-1 1121 a) a a r 0 0 0 1 01 S1 1 1 1-I l0 1.0 1 a) 0 n ro a) N 1 1 ro .a A .0 04 1 a H a a 1 H n E E w g a 0 H i 0 a 1 41 41 E fn 0 4. 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Fifth St., Port Angeles, WA 98362 Date_ 2-3-"It (360) 417 -4815 fax (360) 417 -4711 Permit �Oq Date Approved Applicant A1(6-611 J L jS/Yfrcke Pho e Property Owner L i f, ds bvsd Pho a 4) 7- 64 ci4 Property Owner's Address 75 -.5 u-N; lU c 4-- Contractor C C ek ,,5rs'irvc-- kuvi Phone 4 6 s Contractor's Address jZc.)\ 0v -PS r r License ICS 6AIC S v 4 Expires- /fr E -mail T crs y,3 eo. u 1, coti? PROJECT ADDRESS 4+Z5 look 10 S# Parcel Number Lot Zoning I 1 AD Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply L New Construction 0 Jed Pv� e S rn .f (feel s� y r^rih j -t5�( Xi �f,` �+`e� i p o/,n� /Addition L,), aii a. eiver 0 deck C111410) y s Remodel n Repair Demolition Re -roof House garage other tear off re -roof lay over one layer M eat System Heat pump o wood burning stove gas fireplace pellet stove other Other I fi c ii-tciif heecier 'o r (u m h i n Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1; Floor 1Z6 4- 's 135,00 12 2nd Floor 3 Floor Garage irallr Carport ,caos Covered Porch �5Jc:. (1 /3L Ne-Lo i 2- 0 15 M 'a Deck 1500. ZI. 3 Shed l96 Other TOTAL VALUATION 4, 3. 34 Total footprint of structures 7o4, sq. ft. Lot size S 997 sq. ft. Lot coverage 2 7 7 7 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, atios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 35.4 CW -ve4e k f 4-2 ©k{6 3 t 69 Max. height of proposed structures 1L; ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant Toad of full baths Will a fire sprinkler system be installed? Construction type of half baths t 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 m responsibility to determine what permits are required, and to obtain permits prior to wo on .Lts. Date 7 28/ 11 Print Name �(�C� Signature T:Form Division/Building permit application t 4 1 ilit, 'N''' N. ';i"'"6i;i"c4— N.„. 4, vr.,,,„,10.00,.„,..„„::„4„„.„...:„:„. .........„,.riitstio.„..:7,..t.,,,.....„„_. i _.:,_:41,10,0:,_,1,„„..,„:„.„„___ ep:401,,,,----.---,„./ ..,0,...„ ,„1,0„,,,,44_1..:„,,,,,,..„..,/,....„....,/„,„„ .....5.,.:1449.„,„.:,.. tt,, :„,:„./;„:„:„:„.,„,„:„.„/„.„,„.410,,,,,,.. 4.44,4,,,,,,,,,,„,.„:„_,_/„„..7„.„2.4„„, ,../„,.,.....,/,/-0,41 1 0 ;.i..1,,,,tit,,,,v,...,,,„,.„.c.„:,.„.:,,,„:„.,.,!„.„:„1„,,,z..,,,, 41.„,,. 1-7-v. „,,,,,,,I,..:„., .1 c) .._:,-/-:,,,,,,,,,,,,i2,-,/.1„,11,iitit t A...:.,_2 if .,„..,„:„:::_...4,;:,,, ',,/,„:„:„..t.,...,,,,,,,„:„. Ji.„.. ,iii-.0,„.„,„,:„,./=....„/_„:„:,,,,, ,..3.,:: QL.._ 4.10154,..i.iti,.;iiiv.k.. ...,1„.4.,;,,,,,,.70„ ..„......100.00:10,.:4., 0 tk. co -N.,„,, .'4j: :.:f.i.ff, 1 ';'!';'fii:erIA-7-7-` I 1 .0 0, -....7 .-c. tn t -363 a LIA 0 i I C3 i 1 T r. 2..,. ;.1 1 0 Ae i I I I t 1 4 f Li I 1 C1K r 4' 4, I i 1 1 0 1\ t i g i '.1-1. 1: •VI c)e3 4 ..srarr.•• 33 X 1 11111 I 1 40 s i i \S E ------7s..N I i./ 1 I I 4' 4a 1 4 0 Le MVAI-C ,T 1 ...i 1 1 N 5 4 4 1 ',t•-.15:' 3 I :I 1. 1 9-QE• N t hk 1 ih, 1,-, f4 i --..5555. 1:555v I ai 55 'I s, ,V9? fl z ---9t i e:3 i s t j 2 1 4_,/ i N Clallam County Assessor Treasurer Property Details 61188 LINDA G BUSCH for Page 1 of 1 Ciallam County Assessor Treasurer Property Search Results 61188 LINDA G BUSCH for Year 2011 2012 Property Account Property ID: 61188 Legal Description: WESTVIEW HEIGHTS SUBD LOT 4 Geographic ID: 0630004300400000 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: 1425 S N ST Mapsco: PORT ANGELES, WA 98363 Neighborhood: Cycle 5 Res Map ID: 3 n, Neighborhood CD: 10955130 g v Owner ame Name: LINDA G BUSCH Owner ID: 16433 Mailing Address: 1425 S N ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -1513 Exemptions: V b).%t- Taxes and Assessment Details Property Tax Information as of 07/28/2011 NOTE: If you plan to submit payment on a future date, make sure you enter the date and Amount Due if Paid on: 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 Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 155644 $970.13 $970.03 $0.00 $0.00 $970.13 $970:03 Statement Details 2010 43921 $929.22 $929.24 $0.00 $0.00 $1858.46 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image 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: 7/28/2011 3:49 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =61188 7/28/2011 d 7 2.- 1 4 In iJ- a ,,'.......1 r. o I t 1 I I ..i.t' I ekki 1 I 1 0 1) g ,i v") 11 i 1 J.9)11 4 :...,...a Z., X ,•'t ,,,,,k S 7, 11 ‘11 1 -,-,4 Ti l't" i 1 .146= 7 I I li 0 1 1 .e:' *4' f i Ir 1 I 1 .t. 1 J 7. 1 —....e.-- 9 QE f li O LE i 1 1 N ...4 I .`:1 1 1 finlet ri i V t I ki, I F i 21-19?r) (g 9 7 I I 4; Obi. 'd 1 411 .-7-- i I I:3 i CITY OF PORT ANGELES Construction Plans 2 The Issuance of this permit based upon these plans, specifi cations and other data sheN not prevent the building official] from thereafter requiring the correction of errors in said! plans, specifications and other data or from preventing building operations being carried on thereunder when in violation of all codes and ordination of this jurisdiction.] Approval Date I i By i WC- tg(2,1.1__ soo. 4 .,•,,,--r___. ..x-z.. 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T_;: r- ---,-.::::.,--.1-----,4--Afp.!--giti, F 6� r„ .�`.ry i3 r H tl E v ELECTRICAL PERMIT i r CITY OF PORT ANGELES 360 -417 -4735 p Application Number 11- 00001025 Date 9/21/11 V Application pin number 659075 REPORT SALES TAX 1 Property Address 1425 N ST our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-4-3-0040-0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc 4 circuits dining kitchen remodel Owner Contractor LINDA G BUSCH BLACK DIAMOND ELECTRICAL CONTR 1425 S N ST 502 BLACK DIAMOND RD PORT ANGELES WA 983631513 PORT ANGELES WA 98363 (360) 417 -0494 (360) 565 -1035 Permit ELECTRICAL ALTER RESIDENTIAL cG Additional desc l Permit pin number 192823 `J Permit Fee 81.30 'Plan Check Fee .00 Issue Date 9/21/11 Valuation 0 Expiration Date 3/19/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 3.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 7.80 Fee summary Charged Paid Credited Due Permit Fee Total 81.30 81.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 81.30 81.30 .00 .00 G+'t t S) 1 7+/2'9,( INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN RJSt1 A W fi t'e1�� 9"�f ,s FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING °*p°R7a4, ELECTRICAL INSPECTION -.me 13 Z- N WIRING REPORT 417 -4735 DATE PERMIT INSPECTOR )Z1 10/i) OWNER /CONTRACTOR I a LAC K V1 4 ADDRESS ry,z APPROVED NOT APPROVE DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: 4 Z374 OM< CAhA JEL-r v, t4 sic* tIAT t U 4 6 T�sZYS� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 k� �M K ti'c�Kr CITY OF PORT ANGELES PERMIT APPLICATION 2011 N 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Q\ Date: /q (1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 142-S" N .57 Building Square Footage: Description of above Abb i nnp-) ADD d q c_ Ike_ (Dlnll n16 ktT 6blicki) Owner Information 4 7 Contracto Informati4 Name: L //N/0/k- .6vsc 4 Name: l� GRe I /J/ –'d i Lfc i Mailing Address: Mailing Address: 5Z Z G. IlA City: State: Zip: City: PA` State: /AA Zip: q8 Phone: 4 0– ©494' Fax: Phone: r/( 39.T' Fax: License Exp. License Exp. 2 3 G A r j R99" b Z Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 7 Each Additional Branch Circuit 2.60 .3 7 80 Temp. Service /Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148:70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting .88.20 Signal Circuit/ Limited Energy First 1500 sf– Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119:90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW:CONSTRUCTION ONLY: First 1300 Square.Ft. 110.30 Each Additional 500 Square Ft. -or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 8 .2_ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. 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 installation 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner le trical contractor or electrical administrator: Cash K Check X I Credit Card Dated: V( 9 7 01/01/2010 r\~, CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. ~~0 ZO RIt/tl0 . DATE ELECTRICAL PERMIT Site Address: o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Inst tiled By: Ow ar/Business: Phone: Ow' ar/Business Address: Sq. Ft. EL CTRIC HEAT o IBASEBOARD KW _ o fURNACE KW _ o !'iEAT PUMP KW_ AN/WALL KW ~ ~ RESIDENTIAL o COMMERCIAL & NEW CONSTRUCTION b' REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE ~ UNDERGROkD SERVICE IiOLTAGE:/?J./ 2fID '1 r/J D3'r/J SERVICE SIZE ..;260 FEEDER SIZE AMPS AMPS D ails/Description: ~ =1 W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. A ION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER . ;:;! Ditch Inspection O.K. Rough-in/cover O.K. O.K. to connect service ~ Final O.K. t ite Address: lIdS ~. AI nstaller ;:r"/l5'cJl. !/e~ Permit/Receipt No. 5020 New Meters ( t ~ otily Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered fore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report r on the Building Permit. PHONE 457-0411, EXT. 224. .j)' /7';:; NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I~ ~ . I r2:rf-11 $ ,~ U Electrical Inspector Permit Fee HITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept.. Bottom: Cil: '~ " C YMPIC PAINTERS INC