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HomeMy WebLinkAbout1623 W 8th St - BuildingApplication Number 08 00001374 Application pin number 805672 Property Address 1623 W 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 4760 0000 Tenant nbr name QWEST Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Bore phone cable across alley Owner Contractor LIVENGOOD GARY L 254 TOWNE RD SEQUIM WA 98382 Permit RIGHT OF WAY Additional desc BORE PHONE CABLE ACROSS ALLEY Permit pin number 137133 Permit Fee 00 Plan Check Fee 00 Issue Date 10/30/08 Valuation 0 Expiration Date 4/28/09 Fee summary Charged Paid Credited Due 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 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 \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 10/30/08 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452 1110 PW UTILITIES (Engineering WATERLINE. /.METER I SEWER CONNECTION I SANITARY STORM SITE DRAINAGE CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE ;PR'OVIDE A. MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED ANA ACCE.t TED. POST. PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPRO\ D PLANS.AT JOB SITE SITE EROSION'CONTROL PARKING`: J CURB,& GUTTER DRIV WAY; APP,ROACFI BACK,FL'OW DEVICE` RESIDENTIA1 I W,/.P-Wt `ENGINEERING' sE RE PLANNING iEPT. .BUILDING` •1; INSPECTION TYPE DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD 417 -4807 417 -4653 417 -4750 ,I 417 -4815 FINAL,3lVSP.ECTIONSiREQUIRED PRIOR TO..00GUPANCY/USE'�4 'D'A'TE• YESf `NO� _COMNIERCIAI:.�' CONSTRUCTION RW PW ENGINEERING F IRE DEPT. PLANNING DEPT BUILDING COMMENTS PREPARED 6/05/07 10 14 55 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/05/07 ADDRESS 1623 W 8TH ST SUBDIV TENANT NBR GARY LIVENGOOD CONTRACTOR PHONE OWNER LEATRICE LIVENGOOD FAM TRUST PHONE PARCEL 06 30 00 0 2 4760 0000 APPL NUMBER 07 00000575 RES ADDITION PERMIT DF3 00 BUILD PERMIT RES DBL FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLRI 01 6/05/07 BL3 01 6/05/07 C51; BL9 01 6/05/07 JLL BLDG REBAR INSPECTION 06/05/2007 09 35 AM LPANGRLE GARY 683 2682 FOOTING STEEL BLDG FRAMING 06/05/2007 09 34 AM LPANGRLE GARY 683 2682 CALL FIRST FRAMING BLDG SHEARWALL 06/05/2007 09 35 AM LPANGRLE GARY 683 2682 CALL FIRST SHEARWALL ANCHOR BOLTS STEEL PLATES COMMENTS AND NOTES Crtroa (07.3 W 81Al Si' �n� e ��sP vapp(u9A//r0 ....<Xl 0 ..... M N ..... r- .... .... "n ..... '0 MM Cll elE-< > .0:.0: 0 "'0 I-< 0. 0. '" Cll .0 <: '" u >< ..:I ~ M H ..:I E-< MOO ~'" 8~ E-<..., Z .. 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N .... 0 0 0 0 I>: M a- M H ..:I ..:I ..:I ..; III III III III r-r- 00 " III III 00 " IDID o UJ , 0. :>< E-< .... o H I>: ..:I III UJ ~ E-< o Z o ~ UJ E-< Z ~ :;: :;: o U 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 07-00000575 Date 10/29/07 854575 1623 W 8TH ST 06-30-00-0-2-4760-0000- GARY LIVENGOOD RES ADDITION RS7 RESDNTL SINGLE FAMILY 20000 Owner Contractor LEATRICE LIVENGOOD FAM TRUST PO BOX 993 SEQUIM WA 983820993 OWNER Other struct info . '. 25.50 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE V-N 1. 00 1582.00 7000.00 204.00 1786.00 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EVERGREEN ELI 200A SVC+CIR. 112920 EVERGREEN ELECTRIC 75.00 10/29/07 4/26/08 Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 75.0000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 75.00 Special Notes and Comments Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES -relocate service and meter as required. 05/31/2007 02:44 PM GMCLAIN ---------------------------- Other Fees DOUBLE PERMIT FEE STATE SURCHARGE 347.75 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 352.25 352.25 .00 .00 Grand Total 427.25 427.25 .00 .00 ~ ~ W t ~ \~ ~ [INSPECTION ELECTRICAL TYPE DATE: RESUL TS: INSPECTOR: DITCH /1/1/1) 7 ~ 4tQ SERVICE /~(O7 # bD ; v....,... ROUGH - IN . 5"/9/"8 ~ 4z:O FINAL COI\1MENTS: lflr- 0 ....... 0\ 0 ....... 0 r< rl r< T' ....... '0 MM Q) Clf-< ;> 0<(0<( 0 0.0 '" 0. 0. '" Q) .0 <: '" u Q) E '" '" ..... >< ..:l <>: M H ..:l f-< MCIl "'''' 8~ f-<'" Z .. 0<>: HO f-<f-< UU MM 0.0. CIlCll ZZ H H o '" lfl o 0\ CIl M -..:l r-M oCl ;;,~ o .......f-< 0<>: rlO 0. o Mo. <>:0 0<( 0.>< Mf-< <>:H o.U ;': o g] CIl MM ZZ 00 :X::X: 0.0. o f-<O CIlO Cl :X:Z f-<M "':> H 3:..:l "';.. N<>: \Do<( rlCl f-< CIl ::> <>: f-< Z '0 ~gE:: o.OH 00 gd,~ OlD Clr-CIl Z""M M , <>: :>N H , lfl ..:lor- 'lfl Moo Uoo H , 0 <>:00 f-<"'o 0<( , , M\Dr- ..:loo I>: . . M In . '?5 CIlf-<O<( ..:lZ ~~~&l!:J..:l offi1H~g; ~f-<UOo.o<( I>: .In I>: ZO f-< CIl -U CIl f-< Z M Z~ MOO MHU I>.f-<....... o.CIl' ..:lHf-< Inl>:..:l OU::> CIlCll CIlMM ~O<>: ~lJ- ~ M ..:l I>: Cl ~ 0. ..:l Q) rl '" 01 <: '" 0. r< Q) M '" M ..:l O..:l ;.. 0:: H'+-4 0:: H Cl <>:Q) Cl I>: ~ ~.o ~ CIl~O:>: o..E-l H..r:: 0. 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I>: '" 0\ '" >< ..:l ..:l ..:l ..:l '" f-< In In In In Q) r< '" 01 <: 0'" 00. "r< rl 0 :>: "0. CIl M M :>:0 E-< H '" 0 f-< .. Z rl ..,. 0 Z..,. Cl ~ CIl H Z f-< 'r- H CIl Z :x: 0 In f-< M g~~~ Z :>: M Z:>: 0 \D..:l :>: 00 I>: -N 0. :>: HU "', Z 0 f-<....... Cl "'ZO U o.CIl Z\o...lOOHO Hf-< H W I.D I Z <>:..:l In.o :Ill>: U::> ?50><ClM CIlCll Ht~5&: MM 0<>: o.OCll>:o<( I-< .... ~o.~ ,}t "'CIli:l ZCIl ClHM Z <>: .... ~oo ..:lMM r- "'f-<I-< 0 CIlM ....... OM..:l 0\ 0::>0. 0 0:>: ....... MO 0 <>:U rl ..:l 0. rl I-< 0 0 H CIl ~ ....... 0. N >< ..:l '" f-< 0. ~ pORT ""'" ~J.,O~~~ *.u~~ iif~ "-~ ~ ~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 07-00000575 Date 854575 1623 W 8TH ST 06-30-00-0-2-4760-0000- GARY LIVENGOOD RES ADDITION 6/05/07 RS7 RESDNTL SINGLE FAMILY 20000 Owner Contractor LEATRICE LIVENGOOD FAM TRUST PO BOX 993 SEQUIM WA 983820993 OWNER Other struct info . TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 V-N 1. 00 1582.00 7000.00 204.00 1786.00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL EXTENSIVE REMODEL 103150 347.75 Plan Check Fee 6/05/07 Valuation 12/02/07 139.10 20000 Qty Unit Charge Per Extension 95.75 252.00 BASE FEE 18.00 14.0000 THOU BL-2001-25K (14 PER K) Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date MECHANICAL PERMIT 103176 71.75 Plan Check Fee 6/05/07 Valuation 12/02/07 .00 o Qty Unit Charge Per Extension 50.00 21. 75 BASE FEE 3.00 7.2500 ECH ME-VENT FAN Permit PLUMBING PERMIT ~ Additional desc Permit pin number 103168 Permit Fee 114.00 Plan Check Fee .00 ? ?'?~ Issue Date 6/05/07 Valuation 0 Expiration Date 12/02/07 ~y Qty Unit Charge Per Extension "" BASE FEE 50.00 Cff> 5.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 35.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 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 T:\Policies\l102_15 building pennit inspection record05.wpd [1/412005J BUILDING PERMIT INSPECTION RECORD CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORK BEFORE JiVSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTION TYPE \)ATE ACCEPTE\) COMMENTS YES NO FOUN\)A nON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TJON DRAINAGE/ DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.l PLUMlllNG UNDER FLOOR / SLAB I ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONL V) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FiNAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHlMNEY MANUFACTURED HOMES FOOTiNG / SLAB BLOCKING & HOLD DOWNS SKJRTiNG PLANNING DEPT. SEPARATE PERMlT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUlLDING 417-4815 BUILDING T:IPoliciesll102 15 building pennit inspection record05.wpd [1/4/2005] rf90RT~ $.J..O~~~ "~ iit~ "-~ ~ 't,it",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000575 854575 Page 2 Date 6/05/07 Qty Unit Charge Per 1.00 7.0000 ECH PL- EA.WATER HEATER Extension 7.00 Special Notes and Comments Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES -relocate service and meter as required. 05/31/2007 02:44 PM GMCLAIN ---------------------------- Other Fees DOUBLE PERMIT FEE STATE SURCHARGE 347.75 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 533.50 533.50 .00 .00 Plan Check Total 139.10 139.10 .00 .00 Other Fee Total 352.25 352.25 .00 .00 Grand Total 1024.85 1024.85 .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:IPoliciesII102_15 building pennit inspection rccord05.wpd [1/412005J \ BUILDING PERMIT IJ\'SPECTJON RECORD , 4 \, \t\ '(l ~ CALL 41,-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLE.ASE PROVIDE A MINHvlUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOFJ{ BEFORE llVSPECTED A.Nfl ACCEPTED. POST PERMIT jl\' A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. \jl ~ V> l t'- ~ INSPECTION TYI'E DATE ACCEPTED COMMENTS YES I NO FOUNIlA nON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE I DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMIlING LINDER FLOOR I SLAB ROUGH-IN t () -'1 -tn \1 J--- W A TEll. LINE (METER TO BLDG) GAS LINE FINAL 7-2 3~~ DATE o L 1- ACCEPTED BY: BACK FLOW I WATER AIR SEAL 10 -3o-c-Z -:\1 _L WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR Vi ALlJHOLD DOWNS WALLS I ROOF / CEILING DRYWALL (INTERlOR BRACED PANEL ONI.. Y) T-BAR INSULATION \ 1- 2 -07 :\tL- SLAB W ALL I FLOOR I CEILING I MECHANICAL ROUGH-IN HEAT PUMY/FURNACE I DUCTS GAS LINE FINAC7-23-08 DATE -Sl.A--- 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 OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERlNG 417-4807 PW / ENGINEERlNG FIRE 417-4653 FlRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUlLDING 417-4815 ,-23-02> "':\lJ..-- BUILDING T:\Policies\1102 15 building permit inspection record05.wpd [1/4/2005] "-- ~ ~ ~ ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: 0'5.. 22-D 7 pennit#:~5 ? Date Approved: ~ ate lssued~- Fill out COMPLETELY and in INK. Your application and site plan MUST B · COMPLETE to be accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: ~~ Owner: ..>>~ I'V t.. I '", ~" 'u t?d I ' Address: :l S If To ""'-'If..( I? pf Phone: J~CI tF,J,71tF'2.. Phone: '- y ~-;;.~ rL.- City: S~~"'I ~ Zip: 7F.fJ='~ Phone: Architect/Engineer: Contractor ^IQ~ State License #: Exp: Phone: Address: City: PROJECT ADDRESS: / (,~ 3 t,..(...V. RIA- 57 LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Zip: ZONING: Subdivision: SIZE/V ALUATION: SF. @$ /SF. == $ '1.02 SF. @ $ /SF. == $ SF. @ $ /SF. ~f& TOTAL V ALUA TION ~ ,,",0 $ :< c:J. 0 t::J ~ . ~ GI -f' . X ~t '1"". AI. S ~"-c. ~ A?~~ lit;.-f!.... ~ I~__ 6,"-. . , ., , r ee;-.......I'h~ ,.~h~"5.( ,I, 'k,.,'I?, rI-.NP.L/_ TYPE OF WORK: AResidential D New Constr. D Re-roof 0 Stove o Multi-family J(Addition D MoveD Garage o Commercial ;B. Remodel D Demolition 0 Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: MttI IA,A;>/N '^~ . ,'" J"" 1- 1-,',,, I f,'e1I,'"., l'Ant I, I?" I", Co"':: ~,.~ ,",r I'-<~ COMMER IAL/RESIDENTIAL: Occupancy Group: No. of Stories: ~ Lot Size: 1) 000 Existing Sq. Ft. Total lot coverage J.. F5 < % . ccupant Load: _ Constmction Type: 10~?:' - Proposed Sq. Ft. >01 == TOTAL Sq. Ft. 1)7P2k' APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): DYes 0 No SEPA Checklist required? 0 Yes D No Other: a: . VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. I. 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. 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 written request by the applicant (see Section RJ05.3.2 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. / am authorized to apply for this permit and understand that it /s my responsibility to determine what permits are required ,not the City's, and that I must obtain such perrnfts prior to worK. _ ~ :':_ . "\FORMSlBWgP<=ri~"=wpd APPlic""t~~~./. , ./' Dato: S" /? ,...;1.,,7 .; ----' " I ~11 - l7~ \"' vP "') ~ ~ - ~ ~ 11 01 \ , ~ ~ ~ ~ ~ ~ , 17 9 V- >T ,S - - - I j <- ~' / r;;. X I 0) "f111.1 /-Iol1~ ~"-7 ~ll.' - -=- - - ,,-)( - :1.5";' ~J;,'i..~" ~tf- - ~, ~ / :2.5 ~ ? 1/ ~ ~ ~ " ~. " 017 tt.c/) / /4 J' , 2J --4.. ry"-"--u t;O "" o ~ '- ,~ " ? ~ <6'\-~ ~- .--- -, h '" "'~.--; -I \ 1 -. ----- ~ r'~~- h_ -\ '~-~_._--_.-==-==-- --------- __h._ j " - t- ,- I P-'.. - , 5,.'" , 1 ' _.1___ u . , 'i~1 (f) _~c~ ~ i~\~ .. ~_--_-_-_-.~: 11"--__' 5_ I l~ ""--.. ' \-1' ,_______m________ I Ii l' ' ~ - F,;t1 --, . ",'; 'h"r/-.i.~ J-'-;1--; \ , Iii, -/_;;1), -----11 I __ .1 1----bC.f.,7 C--op"~__ r'\ T~- ~' ! JJj '1:.f~l J ~ ------- -;.: -- ------- <')1 "- ~ --------~ h_______ ---..::._- i- __'h_~ · . . 'J ~;; 1 i c;:.. 1 j---- ~ ~~,::~~~-.,~7 _~__ 1 ~ _ I I . / 1 ') r- ---.r= - _h - J ~ ~ ~I ; ..."'J /).~ __~._~ 1-----.~_ - -- ~;,.-~'---!\- r---------- ..-@- - €2 -- =- - ~ ': -1-~===.~~~F,,~- ...-~J!J'l. =-=~ Lil__ ~7fi~~ j:--- , L Af ~--- -----... .___. j~=~- d------.l.----.--~.-.-. - ... - _.==----;. - -C'~~F PO~GE;~~- C:":;~-;;.;O" ~," ;---- -,--- '--r- T/1e issuanCp.hoTlh~itbased upon-lhesehplans, spec' I - I' c~tions and other d-a6'shall not (lrevent the building ottic a _h ---~-----'----- ___ -------r~. . from-th~Je.after _Ie.QlLiri.Og th~ correction of errors in 5:. i I pl~ns, specifications and _ other data,or-frOrilprevent ,,!; :.~ I ____ _ _ __ _h___b~ilding_~perations being carried on thelell~d:r .wh.en i - -- - - J'i " vIOla lion oT31T~SOmt:--0E'1}l8nCe5--{lI--t~-lurisdlcti ,---..........--f'H"7r. ,,,ION" . ?"" ~~ ~---' d-" I r -~------_-______2~_____ J ------- --.::-- ~ - :5-- 1" '\ '" -~ --" '\ '<l ~ --"'--- -- I 1 , --1'----------------- _h__ ____h__\ __. l:l. " ~ ~~-~ \) \j ~ - ____ _ _ _____ h___ <- / t'f) ~~ _..__S~c-- " ~ -r:-:'; -..c ~~ , " ~1 ,-",",,--- ~\ ---..... -hh~Z-7-~.'-;_ -- ,,' -.. ------_.,..-.~- rr-r--~--- .,-=--~-~- . ~ - , \ " '>< ~ 1- I: I 1 "' 0 -- ./?,t? 3 - ./ , 1-----::- .'__._____________ ph ----..- . - _._-~--_._--_.._.- - ~!:>-;';i--"."~ .. , Alley "! . .~ .' I ", r":": . ~ ",.. ,~~-,.. 'J. .:'~" .' Ii:' .,f'!'.r-r"- J....'-f.. ,.'-.," !f .1.......,. '_... _....".,J>. ~ ( .~.' ... ..' ","", . . ~,r,-. .' . _.' ~'D ... .. '" "~ ~" ~:I'/l ;J ~~~'.-'i~' ,..1; '. "~~r .,1 )/l1 """,,.04"- . ,,' ' - ~~~~ i)" ~ "','/, ..... . -. " ~'.-PJ r' ../"-" ~ J,.j" .~., _ J ,:~~'~ ""' ... " . _ y-4\ ......1 . .4K,: . . ..=-/~ //. .- .. .~... - ~~il 0< / ?tV Job wired by ,j ~ ELECTRICAL WORK PERMIT APPLICATION ~ 0 Request Inspection J, DOwner '-\'1' LOt /f Cdr Wf a Caruival 0 C:;:ommen:illl ~ Residential a Residential Maint. 1:1 Signs CJ Tbermorta.t 0 Telef:om. O \ 0 Electrical Contractor Owner ! G I T:;;;..mbOt4A Installation description D lo..~c?H I/r~ 2.c?DA/hf/ 5eruiG-/~ pf"rf 1P~x: / ~ctrical Contractor a Annual Permit a Alarm Electrical contractor name "",' .r-.J ;:;:L Purchaser '5 mailing address [> 7 2-77- ~St9(q ~ ('I Cit~ .AJ\Yh"~<' Telephone numbc ~, Premises owner's name "' 6AR.Y ~~'7z,=cI Address of inspection 16~ 0::>. 8T1I City 1'-1), I Slate ZIP fl~. I~ FAX number . 'Z- :;:3 '393' \ I / o Cash 0 Check # I hereby certify that I am the owner of the above named property or a licensed [J ~ electrical contractor (or the firm's authorized agent) and am making the electrica.I Credit ~ard \5 installation or alteration m compliance with the electrical law, Chapter 19.28 RCW. Card # Mastercard Discover ---------------- Siguature of Jwner. ele X~~ ' Expiration Date of card ",;':'L _Cover ~ ~pro"cd. '7 It> Cover ;:;;!i 18j1.~ 7 - Appro..'" ./ f TIIERMOSTAT " \. D.l~ AppmycdBy DITCH nile Approved Bf SERVICE .J-V Approved By / WALLS Insulation Only ( CElUNG Insulation Only FEEDER Dale ApprOvcdlly Electrical Load Additions and or subtractions (J NO LOAD CHANGES a Baseboard KW (J Furnace _ KW o Heat Pump Ton LAR (J Fan-Wall b S KW Service Information -:;er Overhead Service [J Temp Service a Underground Servtee Voltage Phase'"'!11 0 3 Service Size: 2-00 t1 Feeder Size: 4/'..-y# / Inspection Dale Area, Building or Equipment Inspected Action Taken Electrical Inspeclor hN [ED TOO~ An~ r7.'V"='l. -+71/ XVii g:60 LO/60/0T l'