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Home My WebLink About608 Vashon Ave - Building CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 1111111// 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000657 Date 6/27/11 Application pin number 313283 Property Address 608 VASHON AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-10-4-3- 0660 -0000- Tenant nbr, name GEORGIA E FRAKER on your state excise tax form Application type description PLUMBING PERMIT to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 820 Application desc REMOVE /REPLACE ELECTRIC WATER HEATER Owner Contractor GEORGIA E FRAKER OLYMPIC PENINSULA PLUMBING PO BOX 1275 61 E ROBERT PL PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 452 -1219 (360) 477 -7408 Permit PLUMBING PERMIT Additional desc Permit pin number 188334 Permit Fee 57.00 Plan Check Fee .00 Issue Date 6/27/11 Valuation 0 Expiration Date 12/24/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 finti IX 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 exami -d this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of o k will be co plied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or can el e provis .ns of any state or local law regulating construction or the performance of construction. 03• 11 �OE S 1� 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 (5" 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 P Drywall (Interior Braced Panel Only) V) T -Bar INSULATION: 0 Slab S Wall Floor Ceiling 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 Lighting ESA: Landscaping _SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 1 C Fire 417 -4653 3 Planning 417 -4750 Building 417 -4815 1 C l-- T:Forms /Building Division /Building Permit CITY OF pORTANGELES hale. W A S H I N G T O N U. S. A w vr- ‘1111Pr COMMUNITY ECONOMIC DEVELOPMENT April 2, 2012 Georgia Fraker 608 Vashon Ave Port Angeles, WA 98362 RE: Expired Building Permit #11-657 Dear Ms. Fraker: I am writing this letter to inform you of the status of the above permit. The permit expired on December 24, 2011. We have attempted to contact Fast Water Heater Company 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 will expire the permit. Thank you for your prompt attention to this matter. Sincerely, l inc n er ry p l'Is /�.N` Ct"vv Heather Catuzo Building Permit Technician 321 E 5th Street Port Angeles, WA 98362 hcatuzo @cityofpa.us 360 417 -4817 cc Fast Water Heater PROJECT STATUS UPDATE Permit# t k' U�6' LiO� VO�� on e Date: 11' 17 I phoned the: Applicant fot, \NO4- f Nec f -err at 1 2 i4VIDSLF Property Owner at Contractor at (left a phone message, or discussed): The permit (has expired, 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 1 /vn Jt4116 Ctv0V9 T:Forms /Building Division/Project Status Update 542731 0 pokr t4- BUILDING PERMIT APPLICATION Print in ink 0- CITY OF PO ANGELES For City Use Only: w� 7 Attn: Building Permit Technician Date Received G,- I w a 321 E. Fifth St., Port Angeles, WA 98362 Permit* II— (p 5- T'. (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant f C/St 14/C74er Peaier L- Phone 425- 636 70$'' Property Owner FRAKER, GEORGIA `J Phone (360)452 -1219 Property Owner's Address 608 VASHON AVE PORT ANGELES, WA 9836: Contractor Olympic Peninsula Plumbing Phone 425-636-70W Contractor's Address 12601 132ND AVE NE KIRKLAND. WA 98034 License OLYMPPP900B7 Expires 01 /27/12 E -mail 1ulieCAfastwaterheater.com PROJECT ADDRESS 608 VASHON AVE Parcel Number Lot Zonin Project Type Brief Description: XResidential o Multi- family Commercial industrial Check all that apply New Construction o Addition o Remodel o Repair o Demolition Re -roof House garage other tear off re -roof a lay over one layer Heat System ❑Heat pump wood buming stove gas fireplace pellet stove other IR Other Replace Remove /Replace Electric Water Heater Floor Areas Existing (sq. ft.) Proposed (so. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $V' Total footprint of structures sq. ft. 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 1 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 pro'ects. Date (1)( 2`t Print Name d C s Signature T:Forms /Building Division /Bldg Permit.doc MECHANICAL SUBMITTAL FORM Fill in the specific quantity of each item that will be installed or relocated at your building project. Submit this form with the Building Permit Application. QUANTITY DESCRIPTION Furnace 5 Ton, 100,000 Btu/h (29.3 kW) Furnace 5 Ton, 100,000 Btu/h (29.3 kW) Floor Furnace Heater (suspended, recessed wall, floor- mounted) Boiler, compressor, absorption system: 3 hp, 100,000 Btu/h (29.3kW) 3 hp 15 hp (2.24 11.19 kW) 100,000 500,000 Btu/h (29.3 146.48 kW) 15 hp 30 hp (11.19 22.37 kW) 500,000 1,000,000 Btu/h (146.48 292.95 kW) 30 hp 50 hp (22.37 37.3 kW) 1,000,000 1,750,000 Btu/h (292.95 512.66 kW) >50 hp (37.3 kW) 1,750,000 Btu/h (512.66 kW) Air handler 10,000 cfm (4.72m Air handler 10,000 cfm (4.72m 3 /S) Evaporative. cooler (attached, not portable) Ventilation fan connected to a single duct Ventilation system (not part of a heating or air conditioning system) Hood served by mechanical exhaust, including ducts Incinerator commercial or industrial Incinerator domestic -type Solid -fuel burning appliance Fuel gas piping, one to five outlets Fuel gas piping, each additional outlet over five Hazardous process piping system., one to four outlets Hazardous process piping system, each additional outlet over four Nonhazardous process piping system, one to four outlets Nonhazardous process piping system, each additional outlet over four 1 Miscellaneous appliance vent or equipment (not otherwise listed on this form) Specify how many repairs, alterations, or additions (not otherwise listed on this form) will be done regarding heating appliances, refrigeration units, cooling units, evaporative cooling systems, absorption units, or other mechanical appliances, including installation of controls, at this building project. 2 1-- 3 k ri\-0- 6 -1-4) 06 e c CA/1,‘ spisE) CITY OF PORT ANGELES i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION l 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00001305 Date 11 /05 /10 Application pin number 878860 Property Address 608 VASHON AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-10-4-3- 0660 -0000- Tenant nbr, name GEORGIA E FRAKER on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to te City Of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3995 Application desc INSTALL A MINI -SPLIT HEAT PUMP SYSTEM Owner Contractor GEORGIA E FRAKER PENINSULA HEAT INC PO BOX 1275 782 KITCHEN -DICK RD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 452 -1219 (360) 681 -3333 Permit MECHANICAL PERMIT Additional desc MINI -SPLIT HEAT PUMP Permit pin number 177006 Permit Fee 64.80 Plan Check Fee .00 Issue Date 11/05/10 Valuation 0 Expiration Date 5/04/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 f.,) Plan Check Total .00 .00 .00 .00 06\ Grand Total 64.80 64.80 .00 .00 \AO 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 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 th o isions of an -tate or local law regulating construction or the performance of construction. 00 .,tea r/ 4 /u 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 0 Building Inspections 417 4815 Electrical Inspections 417 4735 JZ\ 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 Bidgs.) 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 Wall Floor Ceiling MECHANICAL: 5 Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney p y Commercial Hood /Ducts FINAL Date I�KCCe —Accepted by Id MANUFACTURED HOMES: Nkj 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 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 C D 3 T:Forms /Building Division /Building Permit Linda Pangrle From: Robert Kajfasz Sent: Wednesday, June 15, 2011 11:54 AM To: Linda Pangrle Subject: RE: Ductless Heat Pump Inspections Yes, See dates below From: Linda Pangrle Sent: Wednesday, June 15, 2011 10:59 AM To: Robert Kajfasz. Subject: Ductless Heat Pump Inspections Hi Bob, Did you already inspect and approved the ductless heat pumps at the addresses below? If so, please specify the inspection dates. 3711 Crabapple Place for Frank IVlarvelle, permit #10 -1341 (12/13/10) 518 W Lauridsen Blvd for Sissi Bruch Robert Welch, permit #10 -1342 (12/2/10) 608 Vashon Ave for Georgia Fraker, permit #10 -1305 (12/1/10) Thanks, Linda 1 PREPARED 7/22/11 9 59 30 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/22/11 ADDRESS 608 VASHON AVE SUBDIV TENANT NBR GEORGIA E FRAKER CONTRACTOR OLYMPIC PENINSULA PLUMBING PHONE (360) 477 7408 OWNER GEORGIA E FRAKER PHONE (360) 452 1219 PARCEL 06 30 10 4 3 0660 0000 APPL NUMBER 11 00000657 PLUMBING PERMIT PERMIT TYP /SQ PL99 01 PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 7/22/11 di PLUMBING FINAL TIME 01 00 July 21 2011 9 06 39 AM 1pangrle GEORGIA 452 1219 PLUMBING FINAL WATER HEATER AFTERNOON COMMENTS AND NOTES 11/05/10 08:47 FAX 3606812086 Peninsula Heat a 01 ,L BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: n Attn: Building Permit Technician Date Received 11-9- t 321 E. Fifth St, Port Angeles, WA 98362 Pernik t# 1 C) 005 (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant eh a r/a J de roa Phone 3 Property Owner GPcy pa Phone c 4 g _4a-) 9 Property Owner's Address✓ G Sl I/,r 4 him rd 04, Contractor e Phone 3 3 Contractor's Address License Expires E-mail PROJECT ADDRESS 640S' VeiS%an Awn 1.44; Parcel Number Lot Zoning Prxdftf Ivp j grief Description; Residential Mulfdamlly o Commercial o Industrial Chad( aU that apply o New Construction a Addition o Remodel Repair a Demolition o Re -roof a House o garage o other o tear off re-roof lay over one layer 4leat System o Heat pump o wood buming stove o gas fireplace o pellet stove ether o Other Mi rr ti J o b,L Al 'air «/14 V SLtm Fl o r Existing f$a. #L) Proposed fsa..f) `l Basement per sq. R S 1 Floor 2 ns Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION S 3, 9 S Total footprint of structures sq. R 4 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 WII a lawn sprinkler system be installed? Occupant load 11 of full baths 0,41I a fire sprinkler system be installed? Construction type of half baths l have read and completed this application and icnow it to be true and oatr6ot I am auth. apply for th It understand that It is my responsibility to determine what permits we required, and to obtain permits pri r -n Date PA Print Name CAGc /V1 %4/e T:ForradBulding Division/Bldg Permit_doc Clallam County Assessor Treasurer Property Details 64833 GEORGIA E FRAKER Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 64833 GEORGIA E FRAKER for Year 2010 2011 Property Account Property ID: 64833 Legal Description: TX #1838 EXC EASE LT2 .14A SURVEY V13 P22 Geographic ID: 0630104306600000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi- Family Redevelopment: N I Township: Section: Range: i Location Address: 608 E VASHON AVE Mapsco: 5/ PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 2 P 1 Neighborhood CD: 10955130 Owner Name: GEORGIA E FRAKER Owner ID: 25259 Mailing Address: PO BOX 1275 Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: SNR /DSBL Taxes and Assessment Details Property Tax Information as of 11/05/2010 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the click RECALCULATE to obtain the correct total amount due. First Second Half Half i :Base ;Base Years Statement ID i Taxing Jurisdiction Amt. Amt. Penalty Interest 1 Base Paid 1 2010 47116 ST SCI-1- STATE SCHOOL $139.89 $139.89 $000 $0.00 $279.78 2010 47116 CC -GEN COUNTY $74.46 $74.43 $0.00 $0.00 $148.89 j 2010 47116 PORT PORT $10.46 $10.47 $0.00 $0.00 $20.93 2010 47116 PORT ANG PORT ANGELES $149.96 $149.95 $0.00 $0.00 $299.91 2010 47116 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.00 $0.00 $0.00 2010 47116 NTH OLY LIB NORTH OLYMPIC LIBRARY $21.63 $21.63 $0.00 $0.00 $43.26 2010 47116 HOSP #2 HOSPITAL #2 $30.54 $30.54 $0.00 $0.00 $61.08 1 2 010 47116 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9.72 $9.71 $0.00 $0.00 $19.43 2 471. 16 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 1 2010 47116 WEED _CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 2010 47116 TOTAL: $473.48 $473.43 $0.00 $0.00 $946.91 12009 648332008 ST SCH STATE SCHOOL $246.07 $246.06 $0.00 $0.00 $492.13 2009 648332008 CC -GEN COUNTY $124.54 $124.52 $0.00 $0.00 $249.06 2009 648332008 PORT PORT $17.64 $17.64 $0.00 $0.00 $35.28 12009 648332008 PORT ANG PORT ANGELES $273.16 $273.13 $0.00 $0.00 $546.29 2009 648332008 SD #121 SCHOOL DISTRICT #121 $304.29 $304.33 $0.00 $0.00 $608.62 http: /vpn.clallam. net :8084 /propertyaccess /Property. aspx ?cid =0 &year= 2010 &prop_id =64... 11/5/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Ductless heat pump Owner FRAKER GEORGIA E PO BOX 1275 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary ZtW B WAV aS WA 98362 ELECTRICAL HEATPUMP 176941 76 10 11/05/10 5/04/11 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00001301 257919 608 VASHON AVE 06 30 10 4 3 0660 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES WA 98363 (360) 457 5303 Lt Plan Check Fee 00 Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited Permit Fee Total 76 10 76 10 00 Plan Check Total 00 00 00 Grand Total 76 10 76 10 00 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION DATE RESULTS 21-71t1 ciq 2!7!I1 Date 11/05/10 00 00 00 0 Extension 73 50 2 60 Due INSPECTOR. -TAA=. Date. I. 4- REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 11/05/2010 06 27 FAX 360 452 3498 City of Port Angeles Permit Application Building DIvlslonlEleetrlcal Inspections 321 Ent Fifth Strout —P.O. Box 1150 Port Angeles Washington, 98382 Ph: (360) 417-4735 Fax (380) 4174711 Date: .4 1/1 2 Single Family Dwelling Multl•Famlly or Commercial' Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 14 Building Square Footage: Description of above ar�fICSS 9 1,361g ef/ r' Owner Information Name: r Mailin 4.7, 4/ Abta,5 City: S a t e 7 Zip: 7Ji 2 Phone: vilirr 44i Fax: License f Exp. kit Charq 119.90 $145,50 204.60 262.20 372,50 2.60 73.50 5 2.80 92.70 110.30 148.70 187,90 5 95.90 88.20 95.90 83.90 83.90 119.90 5 102.30 S 110.30 35.20 73,50 110.30 58.00 �lY Check ars: /1, //J Olympic Electric Co PA CITY INSPECT Ij001 /001 Gs EC E NOV 5 200J ELECTRICAL INSPECTIONS Contractor Informa Name: c74 4' f' &le U Mellin Ad City State: 1 Zip: •tfe1 Phone: Fax: S/4 Y?". License Exp, /3,�ypr o Total (Qtv Multiplied by Unit Chero@j 5 Service /Feeder 200 Amp. S SeMeelFeader 201-400 Amp. 5 Service/Feeder 401.800 Amp, Service /Feeder 601.1000 Amp, Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder 4,--- Branch Circuit W/O Service Feeder 2 411-e— Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp, Temp, Service /Feeder 201400 Amp. Temp. Service/Feeder 401-800 Amp- Temp, Service /Feeder 601.1000 Amp. S Portal lo Portal Hourly 5 Sign /Outline lighting Signal Circuit/ Limited Energy Commercial. Additional 1600 56.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 5 Signal Clrcult/ Limited Energy Multi Family Dwelling 5 Manufactured Home Connection 5 Renewable Electrical Energy 5KVA System or Less First 1300 Square FL 5 Each Additional 500 Square Ft, or Portion or Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat i Total Owner ea defined by RCW.19.29.251 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor /f above said property Is ferrule, rent or leese, Permit expires Etter elx months of last Inspection. After reading the above eteloment, I hereby certify that I em the owner of the above named property or E Ilceneed 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 296-408, The City of Port Angeles Municipal Code, end Udlly Specification.. Signature of owner, electrical convector or electrical adminletrator Cosh Crodlt Card/ . Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. /c5 () f? . DATE I If' / !?l Ow~er/Business: 51"1'1 Installed By -:fA '/ 13 Inb Ji. j, /t.t. ,I{I c.... ~ AN{)~ $tJd Owner/Business Address: f". tJ, l3 Cl 'I. (.; fD I ~ 1, '" ~sident~lA1 f( V ~ Construction Heat KW v D Remodel D Baseboard D Furnace/Boiler D Service update/alter/repair D Heatpump IlI""Other fAil ptA(,~O B"S'" sMl\b D Commercialllndustrial load D Add/alter circuits Total Connected load D Auxiliary power (attach breakdown) (list below) Totai Motor load D Special equipment (attach breakdown) (I ist below) ~head D Undergrou'1d Voltage ,7 'L 0 1M"'10 D 30 Service size ~~t) Amps D Temporary Details/Description: ;f)l~' /h;~ , I' . W.S. No. Service Size Capacity: D O.K. D Not O.K. Comments D Ditch inspection O.K. 1;li{ Rough-in/cover OK . )i O.K. to connect service f1rJlf Final O.K. Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of Inspection D Plan Review approved/pending Site Address: Permit/Receipt No. 1c30 ~ New Meters I tll the Department of City Light by Street Address and Permit Number when ready for inspection. Work mu not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT <2' q /? ~()" r:9V Inspector 1} Amount paid WHITE - file by address YELLOW - fjle by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . OLYMP'IC PI'IINTEI'IS, INC. ~ -ijidMBER CITY OF PORT ANGELES. DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT. A 1272------ PERMIT NUMBER . I . TOTAL FEE II OJ () ._~ CO ,5 7}( /I- '7 , C f _---- ,. LEGAL OCCUPANCY CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES . ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT (, () 'V iL i t/ A.5, lIl'! AI CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT l' "",- "'fj"'''' " '" II <, V -' ",AlC, ;,- Owner's Address (/1 (') 1; F.. /) A::; 1M i/J Site Address !?O/fr 4;v't. j E:.- ;; PERMITS WITH WRONG ADDRESSES ARE CANCELLED Installation By :1AfJ B fll:~ ..' 5,1 6:::- ~~! :- . Installers Address r /.J,"./)'} X v/,-, . ,,;1'1;.;1', t,M.?'//. """/L - :> 7' 1- lft:,., _;. ~o(:;" Owner Day Phone .~~~. - J / Installers Phone. Application i~ hereby made for Permit,to install Electrical Equipment as follows: Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 24QV USE OF CIRCUIT CIRCUITS PEA 10 10'OA FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE CIA . 30 CIA 30 LIGHT SIGN LIGHT -c-. 50 VOLTS OR lESS CONVENIENCE . MOTOA CONVENIENCE - . -MOTOR APPLIANCE MOTOR .. DISHWASHER ---- V "'" FIAE ALAAMS DISPOSAL ~ / ~ / J BURGLAR ALARM RANGE / ~ L.. /J y MISC. OVEN A .// ( , , WATER HEATER I LAUNDRY . I . DAYEft REINSTALLATION LIGHT FIXTURE # FURNACE . SUB TOTAl.f.EE GAS - Oil FURNACE ENERGY FEE ELECTRIC . .- BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I SUB.tOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I'certify that the work to be performed under this permit will be done by t~;faller and in&pnformance ~h the N.E.C. ~ctrical Code. Date Application made (]?~ ,19~ By" ...."., lJ. ~,A - . . -<. -. ~/ /".. CrJACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described~OJ~, ac<;:o~ding to the conditions hef60n and according to the approved plans and' specifications pertaining thereto, subject to compliance \vito the Ordinances of he Cit of Port Angeles. ' <-.- 01 C OF CITY LIGHT . Date Permit Issued ~/ (0/ n " Notify Department of City Light by Street Address and Permit Number when re y for inspection. Work.must not be covered or current turned on before inspection and O.K. forcovering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD . Inspector's Report 1'"\1 VUPIf"o PRII\ITI=R"l. Il\1r REPORT OF INSPECTOR ',. DATE OF VISIT MADE BY REMARKS , , , , , . . . . I " . , - . . I - . i I , , . , . I i . , i . . . : , I n' - . O.K. FOR COVERING ! O.K. TO CONNECT SERVICE BIIt/x1 T~ FINAL O.K. '. . , . z CJ II: <C ::E ~ J: t- Z W - t- O Z o C .