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Home My WebLink About126 W 11th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc House inspection circuits Owner WILLIAMS MARK 126 W 11TH ST PORT ANGELES 36) 457 2916 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 57 5000 ECH Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983627710 148718 57 50 6/19/09 12/16/09 Charged 57 50 00 57 50 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000596 424492 126 W 11TH ST 06 30 00 0 3 4440 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor STRAITS ELECTRIC PO BOX 2914 PORT ANGELES (360) 452 9104 ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER Paid Credited Due 57 50 00 57 50 00 00 00 V-YKIre -1 DR.. .-;-1.2-1\ L use- 0-07 ,Jr .I7 Oiz Z g t%3,gL IrlSI��"Y"11O/..i Date 6/19/09 WA 98362 457 Voit DATE RESULTS Extension 57 50 00 00 00 911116 if-x?tiZis_1) 00 0 Date INSPECTOR. FROM STRAITS ELECTRIC City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street- P.O. Box 1150 Port Angeles Washington, 98362 Ph :(360)417.4 35 Fax: (360) 417 -4711 Date: a 7-' /0 9 X I 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Signat to of owner electrical contractor or electrical administrator Date- F Q� all E D JUN 1 8 2009 LIGHT DEPT Plan Review May Required�P�ease C qI Ele cr r T n a iew Information Sheet Job Address: II �l(a ltd 7 Building Square Footage; Description of above 1.10j Jun. 17 2009 03 26PM P1 Owner Information Contractor In rmation Name: lac 6 t 01�y� A,, Name: IS I C •IT 1 G Mailing Address: per, i _c__43.2-__4,±7:_., Mailing A ddress: r1 6(2)C dl/ City' si gar 06° State; L Zip: (Q. D(p S9 City or e State: J Zip: `18'3 41,- Phone: Phone: 3L c} )D 1/ ,��U License Exp._ License 1 Exp._ 57j.}/ L 7 /�'_J Unit Charge Total (Qty Multiplied by Unit Charge). 93.75 ServlcelFeedor 200 Amp. $11315 Service/Feedor 201 -400 Amp. $160.00 Service/Feedor 401 -600 Amp. $205.00 Service/Feeder 601 -1000 Amp. $291,25 Service /Feeder over 1000 Amp. 2,00 Branch Circuit W/ Service Feeder I 57 50 570 5� Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86,25 Temp, Service/Feeder 201 -400 Amp. $116,25 Temp. Service/Feeder 401 -600 Amp. $131.25 Temp. Service/Feeder 601 1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50,00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi-Family Dwelling 93.75 Manufactured Home Connection 80.00 L. Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square FL 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43,75 Thermostat $D_ Total Owner as defined by RCW49.28.261 (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 safe, rent or lease. After reading the above statement, I hereby certify that lam 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 298.468, The City of Port Angeles Municipal Code, and Utility Specifications. PREPARED 9/02/08 10 53 05 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 126 W 11TH ST CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BUR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/08/06 2/08/06 BL2 01 2/09/06 2/09/06 BL3 01 5/02/06 5/03/06 BL3 02 5/04/06 5/04/06 BL3 03 9/02/08 i.r BL99 01 9/02/08 tiL WILLIAMS MARK 06 30 00 0 3 4440 0000 05 00000749 RES DETACHED GARAGE JLL AP JLL AP JLL DA JLL DA PAGE 1 DATE 9/02/08 COMMENTS AND NOTES SUBDIV PHONE PHONE 36) 457 2916 BLDG FOUNDATION FOOTING TIME 08 00 02/07/2006 03 45 PM DYASUMUR MARK 461 9651 02/08/2006 02 19 PM DYASUMUR BLDG FOUNDATION STEM WALL TIME 08 00 02/08/2006 02 07 PM DYASUMUR MARK 461 9651 02/09/2006 04 51 PM JLIERLY BLDG FRAMING TIME 13 00 MARK 461 9651 05/01/2006 10 22 AM DYASUMUR 05/03/2006 08 33 AM JLIERLY 3x3x1/4 washers on ab block panel splice 4 from corners BLDG FRAMING TIME 13 00 05/04/2006 07 49 AM DYASUMUR mark 05/04/2006 04 43 PM PBARTHOL Need letter from engineer witn ok for gable end truss s cut and windows installed BLDG FRAMING August 29 2008 2 18 50 PM 1pangrle MARK 461 9651 FRAMING BLDG FINAL August 29 2008 2 19 21 PM 1pangrle MARK 461 9651 BLDG FINAL Application Number 08 00001084 Application pin number 003216 Property Address 126 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4440 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp service w/ 200 amp feeder Service on SE c Owner Contractor WILLIAMS MARK 126 W 11TH ST PORT ANGELES 36) 457 2916 WA 983627710 OWNER Date 8/29/08 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ 200A SVC 200A FEEDER Permit pin number 133389 Permit Fee 97 00 Plan Check Fee 00 Issue Date 8/29/08 Valuation 0 Expiration Date 2/25/09 Qty Unit Charge Per Extension 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER 75 00 1 00 22 0000 ECH EL RM 0 200 ADD SRV FEEDER 22 00 Fee summary Charged Paid Credited Due Permit Fee Total 97 00 97 00 00 00 Plan Check Total 00 00 00 00 Grand Total 97 00 97 00 00 00 SPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH Il�T FINAL ICOMMEN TS A 13 OOPORI s CI 131.111.01NO' R 7 1 rt.Mc f r tit nee k 5 kt-ii due -e/CiNCA.- eNf-- v 1 �(/i'( bur ((t a Nt S 3 -4t4 10 PREPARED 5/04/06 13 09 34 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 126 W 11TH ST CONTRACTOR OWNER WILLIAMS MARK PARCEL 06 30 00 0 3 4440 0000 APPL NUMBER 05 00000749 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/08/06 JLL 2/08/06 AP BL2 01 2/09/06 JLL 2/09/06 AP BL3 01 5/02/06 JLL 5/03/06 DA BL3 02 5/04/06 JLL INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE 36) 457 2916 PAGE 3 DATE 5/04/06 BUILDING FOUNDATION FOOTING TIME 08 00 02/07/2006 03 45 PM DYASUMUR MARK 461 9651 02/08/2006 02 19 PM DYASUMUR BUILDING FOUNDATION WALL TIME 08 00 02/08/2006 02 07 PM DYASUMUR MARK 461 9651 02/09/2006 04 51 PM JLIERLY BUILDING FRAMING TIME 13 00 MARK 461 9651 05/01/2006 10 22 AM DYASUMUR 05/03/2006 08 33 AM JLIERLY 3x3x1/4 washers on ab block panel splice 4 from corners BUILDING FRAMING TIME 13 00 05/04/2006 07 49 AM DYASUMUR mark COMMENTS AND NOTES 64) /tae e7_� l /9 X 03 M/ /17794.- eS PREPARED 5/02/06 13 15 25 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/02/06 ADDRESS 126 W 11TH ST SUBDIV CONTRACTOR PHONE OWNER WILLIAMS MARK PHONE 36) 457 2916 PARCEL 06 30 00 0 3 4440 0000 APPL NUMBER 05 00000749 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/08/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/08/06 AP 02/07/2006 03 45 PM DYASUMUR MARK 461 9651 02/08/2006 02 19 PM DYASUMUR BL2 01 2/09/06 JLL BUILDING FOUNDATION WALL TIME 08 00 2/09/06 AP 02/08/2006 02 07 PM DYASUMUR MARK 461 9651 02/09/2006 04 51 PM JLIERLY )BL3 01 5/ MUIKDIN1 965MING TIME 13 00 MARK 461 9651 05/01/2006 10 22 AM DYASUMUR COMMENTS AND NOTES L.,4. PREPARED 2/09/06 13 10 05 INSPECTION TICKET PAGE CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/09/06 ADDRESS 126 W 11TH ST SUBDIV CONTRACTOR PHONE OWNER WILLIAMS MARK PHONE 36) 457 2916 PARCEL 06 30 00 0 3 4440 0000 APPL NUMBER 05 00000749 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/08/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/08/06 AP 02/07/2006 03 45 PM DYASUMUR MARK 461 9651 02/08/2006 02 19 PM DYASUMUR BL2 01 09'06 LL BUILDING FOUNDATION WALL TIME 08 00 02/08/2006 02 07 PM DYASUMUR 7[ MARK 461 9651 COMMENTS AND NOTES PREPARED 2/08/06 13 16 48 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/08/06 ADDRESS 126 W 11TH ST SUBDIV CONTRACTOR PHONE OWNER WILLIAMS MARK PHONE 36) 457 2916 PARCEL 06 30 00 0 3 444y 0000 APPL NUMBER 05 00000749 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 /0 NL inhill 0UI07ING 6OUN3A4ION MOOTING TIME 08 00 02/07/2006 03 45 PM DYASUMUR MARK 461 9651 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner WILLIAMS MARK 126 W 11TH ST PORT ANGELES 36) 457 2916 Other struct info Permit Additional Permit pin Permit Fee Issue Date Expiration Date Qty Unit Charge Other Fees Fee summary Permit ,,$0. Total Plan Check .Total Ot Vies T eci .Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983627710 Se partite= P ermit are,requlred for electrieaI.wo'r nuiiandvoidifwork Qr'-construction a' oriz fora per od of 1,80: days- after,the =work,as -wrnma insp I ection*herety,ce�rtif'that 1 Lave read a;, 'claws ,,4 dins to oing° vernthls type of wor presQ me to give;a tho_r;Ity to ui la te o caincel`. nature of Contractor or Authorized Aaent u 1 ?izii�r \I t n2 -:r5 r, iici� ,g Permiiii ecii 50400 05 00000749 200466 126 W 11TH ST 06 30 00 0 3 -4440 0000 RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 9500 TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL desc number 58909 204 75 1/27/06 7/26/06 Per BASE FEE 8 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Cd)nments TWA:4., a tment has reviewed the project' application and haev. no co�nment•s 08.%29/.20x5. 11 .4.9 AM, .SROBERDS Proposal will require a demo permit The. garage must be 10 from rear not 7 as 23` shown, lot ooverage No land' use issue's ar E�l ,ctrl ca;1: =load- �calcu]rations �and a;.cal- ,permits .are requi:re'd MAINTAIN CLEARANCES FROM SERVICE WIRES Public Works Utility Engineering has no requirements for this-plan review Charged 204 75 81 90 50 2°91' 5" $.TATE:. SU1tCIiF►t2G:E ilor =ESA Utilities r t o a i is p beGprmt i b ec t s: }L ate an p u bl i c. i m prave tints l s p is tnot s encedd. hl 1 f conslruction°orswo r�k tis uspende i o a b i d oned d e ed rac or if regiiir o h nbeen requested;withih•180 ay rom1the last a nxamined: this app and:ow�th kne same to be ;trueeand co rr e ct: ":,Ali.proui"s ons_ k willI be corrmpiiedwwit�,� whether specified: r >ein9or no t. The. grantin of a permit aoes not ,i r �!`r° ting cor struction.o pith e5performancewgf f ff Contractor OWNER Plan Check Fee Valuation Date 1/27/06 15 1 00 1044 00 7000 00 576 00 1620 00 1 00 81 90 9500 EXtension 92 75 112 00 00 v 00._r 0.0• hie provisions °oVany`:stare or=loc CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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. INSPECTION TYPE DATE ACCEPTED FOUNDATION: FOOTINGS 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 WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD,PDUCTS„ MANUFACTURED HOMES FOOTING /,SLAB, BLOCKING HOLD%DOWNS SKIRTING :PLANNING'DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING JECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING E PLANNING DEPT f BUILDING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD •FINAL'INSPECTIONSREOUIRED PRIOR.TO "OCCUPANCY,'"` -1 DATE YES NO `COMMERCIAL, DATE ACCEPTED 417 -4735 ELECTRICAL LIGHT DEPT 417.4807 417 -4653 I -9750 417.4015 I 7 —f7g 1 L1� 1 u,., 1 f 1 /4/70(151 NO SEPA. .ESA. t 'SHORELINE. CONSTRUCTION R.W PW ENGINEERING FIRE DEPT sI PLANNING DEPT BUILDING f O COMMENTS YES..1; 0 N BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417-4711 FOR Date Rec. OFFICIAL 'ONLY 'Z/ Permit e%5 1 f Date Approved: Date Issued: Applicant or Agent:____MARY, \,cl L LL[ A M5 Phone 457 q_uo Owner SAM E 44A. ,p Phone Address LZ(O (/J it City• r OkT ANGELES Zip 8836.1 Architect/Engineer Phone Contractor State License Exp Phone. Address: City Zip PROJECT- ADDRESS Z-(p W 1 t-kk ZONING R.S' 7 LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: tatiimAm S Billing Address: kZ(o W City 1Pbk -T ANGc LAS Credit Card Type VISA MC Exp. Date: TYPE OF WORK. SIZE/VALUATION Residential New Constr Re -roof Stove 574 SF /SF Multi- family Addition Move X Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION GISoo BRIEF DESCRIPTION OF TAT', PROJECT 2'+ Z4 GAR-014E f SITE 6't,(LT COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: PLANNING USE ONLY ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other No of Stories: 1 Lot Size: /Po Q Existing Sq Ft. t04j Proposed Sq Ft. 576, TOTAL Sq Ft. 1 40 ZO Total lot coverage 2 3s 4 APPROVALS. 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. EXTIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wntten 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 it is my responsibility to determin what permits are required ,not the City's, and that t must obtain such permits prior to work. T\Policies\BL 1102_13.wpd Applicant: Date: k V 0 t 'Nk.s2(13 50 Feet 0 125 Vertical Dation N4 VD 88 Ho tzontal Datum NAD 83/91 Area Map 122. 121 ‘'s N 11 This map is not intended to be used as legal description This map/drawing is produced by the City of Port Angeles its use nd p rposes. Any other use of this map/drawing shall not be the esponsibility of the Cat r czo 25.. 4 <e 3(0' Co OVINE?. Vitu-tPt0.5 lob PLAN t o L V 6 `o SETF�� 1 oq ••.)e 414`" r We 3 i rci pOXT 1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 03 00000925 Date 10/13/03 Property Address 126 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 -4440 0000 Application description ELECTRICAL ONLY Subdivision Name Property Zoning Application valuation 0 Owner Contractor WILLIAMS MARK OWNER 126 W 11TH ST PORT ANGELES WA 983627710 (360) 457 2916 Permit ELECTRICAL NEW RESID ENTIAL Additional desc Permit Fee 76 30 Plan Check Fee 00 Issue Date 10/13/03 Valuation 0 Expiration Date 4/11/04 Qty Unit Charge Per 1 00 76 3000 ECH EL -RM -0 200 1ST SRV FEEDER Fee summary Charged Paid Credited Due Permit Fee Total 76 30 76 30 00 00 Plan Check Total 00 00 00 00 Grand Total 76 30 76 30 00 00 Extension 76 30 Separate Permits are required forelectrical 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 fora 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. 1 1/ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\PLANNING \FORMS \1102.15 [4/2002] FOUNDATION. FOOTINGS WALLS FOUNDATION DRAINAGE BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 INSPECTION TYPE DATE 1 ACCEPTED COMMENTS YES 1 NO ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL a /1 /D8 f&0 LIGHT DEPT i CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 T \PLANNING \FORMS \1102.15 [4/2002] CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING .6 0/ 0 )(e-4 6 7 /05 ELECTRICAL PERMIT APPLICATION .... . '" FOROFFICL"J. USEOl"~~ Y . ~=: ,-r- Date Approvcd; ~ Date Issued The Electrical Permit Application must be filled out completelv. Please type or reprint in ink. If you have any Questions, please call (360) 417-4735 Fax number: (360) 417-4711 fiT€- -/I- ?.7S Owner or Elec. Contractor Agent: Properly Owner: {'fI ft1< J< Address: l 2. (.. W Phone: Fax: II<i I Ll--i 1h11 S ~ stred Phone: <t57-ZCflh Zip 9 83 ~2- City: Pot:r MjeJe5 License #: Exp: Electrical Contractor: Phone: Address: City: Zip: INSTALLATION WIRED BY: I(OWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA:_ MC: j~ C:- C0 114 s-r-" PROJECT ADDRESS: TYPE OF WORK: Check all that apply: 0 New ~ Alteration/Addition f)l:Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: TO vv'~f Dv&{LHfiI') <;iD~ .oF L-j ('/;5. HoM~ f\'l1)vi; 8.bC7iAtt1..- Pf+iVEL ~O 1YI~Tl51L c;,ff\l p fI. OV I ()i to) G (t;-- (\A. o/. { .1/ t;; Gr- !2o V IE POlL- DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o )-leat Pump rn'Fan-Wall _KW KW TON KW LRA ~verhead Service o Temp Service o Underground Service ^- Voltage: . Phase: 1:1"1 0 3 Service Size: 2.00 r4+1P Feeder Size: <t iB , Jj t" '"". I hereby certify that I have read and examined this application and know that same to be true and correct, and / am authorized to apply for this permit. I understand it is not the City's legal resp6hsibi/;ty to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: -<- <-j1(~M!l4{ Date: Ol'-l1~\v'" \OJ Owner or Elec. Cant. Signature: Date: C:/ELECTRfCALPERMIT APPLlCA nON PERMIT FEE: $ .$ FJCo . "30 IJl?t._ c D-- '{It? jo~ S"\b~\\:\'f\ T\JJJ\V :J'O'J\Y\Q I 1~~~1o \;j [V\ "ap~~'it --l()Q J \\l ' .l33j-\-S 11\ \ ~ 1"Z \ "Y'J", "HOI\) iv~l(]~o f ~f '~ -\ ')d ("\ ~ "q, ~JO ,\ \J "J) n td\Aj ~ \0\1'0 ~ d~Q \~ ,,)?J. '. ClJ 0 I J \;JdJt-s rt II \T\I'O~ ~ )0 \-o'N -+ F)IJ~ClJ~ I I I L <;~\\'.l 4- )I!'=! \" I V Q\\-lJ11> 1 l"<JN I I ./ / ./ / / >'" "" , ~//" // ~ ~}0 \::-\'.1"0 \"\I'O~ .~ )J~Q\\J)7\1\-t\Y.3. /' / ./ /' /' /' /' / ./ ./ ~'lilV~) -\-"OlJ1\J ./ \ ./ " ~?J\\'\j ELECTRICAL WORK PERMIT APPLiCATioN o 0/ Job wired by 0 Electrical Contf'actor Owner lnstallation description o Commercial 0 Residential -f"evJ f ()( d~{~ , ^.l~+o-~e J ~jX~~-, A~J, 7/00 a~ RC~ ((of O-.~ ~ loo Ultrvp {-f e J ~ r- Electrical COntract OJ name License number Date Expires o New Purchaser's mailing address City State ZIP Telephone number FAX number I"emi'm'fr?/J.~mc Wr ~L rfuvt ~ Addrel tr;ection vJ City 0\G1 M Phone number to schedule inspe tion: Owner as defined hy RCWJ9.28.26J:(1) Owner will occupy the structure for two years afier this electrical permit is finalized. (2) Owner I,',' required to hire an electrical contractor if-'}Q9_1!.I!..",~BftlJ!E9PEp:.kfg.r s(J~." rent QCjf}El1f:.:.. _ ~__.:-:'~.~".;-___.__ After reading the ab"ove '~t;t~~e-~t:-rh~~~b;:~;;-~ifY ili-~tT~ -th~ o_~ner ~f the above named property or a licensed electrical contractor. I am making' 'the electrical instal- lation or alter~tion in compliance with tile electrical laws, N.E.C., RCW. Chapter ] 9.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. ,.. ~g~;1tI(MteJeetrieUJJC ~r ~~:;;: ~m;s~ato 8 Electrical Load Additions and or subtractions o ND LOAD CHANGES o Baseboard KW o Furnace KW" o Heat Pump Ton o Fan-Wall KW O.Cash o Credit Card Card # Expiration Date of card LAR o Overhead Service o Temp Service o Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN Da.le THERMOSTAT Date Approved By DITCH i/:,tif6 ~'d By / Approved By FINAL ~/Z;,;(t(j '!f By Inspection Dale Area, Building or Equipment Inspected t-;)1-Oi) st: U.rV Sl . t -~a" ,H, S/tL oZ-- ~V-ErD AUG 2 ~ 2008 , WHTOEPT;- --- --.._._-~_.! .-.', , o Altered/Addition - o 00 o Check # Visa Mastercard Discover feeO() "-- Service Information Voltage Phase 0 1 0 3 Service Size: Feeder Size: /' SERVICE '1/z~ba 1af "- Date Approved By ./ FEEDER "- Dale ApprovedBYJ Action Taken Electrical Inspector f f)j,.f I -1--- - I I I , -~ ! ELECTRICAL INSPECTION WIRING REPORT 417-4735 OWNER/CONTRACTOR h"'-RK Il.-L\ AI'" S ADDRESS 10 w t I -:,1""'" APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . .. . . . ... . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . .~ D. . . . .. . . . . . . . .. . . . . . . FINAL. . . . . .. . . ... . . . . .. . . 0 CORRECTIONS NEEDED: C.uv ",JIIZ.~.-s .,c, \&~ 1~5-"T'A.LLiL'\) ~ISI\~ ~ crF ~f!.:J I~ 7uu..... WAC. 27'- 'I(,f3-Z3?'l .' UIi3oL..I MIl--!. Slz..~ o/Jto 6JAc. 29/'-'-It:B-2~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 Jan 02 08 02:30p p.4 ~<'~"'3-' ~'-J 1 ~t"~..l'''' -~ ELECTRICAL WORK PERMIT APPLICATION Job wi,.ed hy AElectrical Contractor 0 Owner EkClrical conlraClor IHlmc License number Dale El<pires A\\lk~nr\'Ilev t-rnt ()li1~ [o:d jilt/) IUJAlElAI tI"l~ wI "1-1-06 Purch:J.scr's mailing ilddress '~',()L tp Wl (J 6tvl?€ t frtt _ S"I:' m !fUV'\ fwlqf \{<:, iJJrj 0PJ~~Z. Telep'nDne number FAX numtlcr 2--0 1 ~'Z-sn lnsl.allatioll description ~'2:;.,'~.":;-:)]I ~ Commercial 0 Residential o New o Altered;A.ddition I~\J fstV\t UJi~ 0101<:!' (l.l: dI.:flnctl hy RCW.llJ.28.261:(/) OWller will occupy tile slrllcCUnc for {W(J .rean' afreT ,II;::; dr!ctdcw' permil is finalized. (2) 011'11('1' is reqllin'd Jo Iii"e /VI declriC~1J CO/Hrar/or if ahUl'c Jaid property i~- for sa!i:, relit or lease. After rc<!ding the above statement I hereby cenify tllal I am tile owner of the above named property or a licl.>Jlscd electrical comractor. [ am making th.e eleClrical instal. (a lion or altcntion in com?li~nce with. the electrical laws, N.E.C.. RC'/!l, C11:Jptcr 19.28. WAC, Chapter 296-468. The City of Porl Artgclc-s Municipal Code. and Utility Sp~c:ificaliolls. er el ir'.a contracco o Cash 0 Check # ~CredjtCard Card I' Visa Mastercard Discover Expiration Date of card 00 Electrical Load Additions and or subtractions Cl NO LOAD CHANGES o Baseboard KW D Fumace KW tJ Overhead Service I:::J Hea: Pump Ton LAR 0 Temp Sp.Nice I:::J Fc:n.Wall KW Cl Underground Service SAME DAY INSPECTION, CALL BEFORE i:OO AM 360-417-4735 r"- THERMOSTAT " i,c!~/$ ~ Service Information Voltage Ph>se Cl 1 Cl 3 Service Size: Feeder Size: I ROUGH-IN J ~D)Zf5 ~ D~l~ ArrfO\'coJ By / FINAL 3PDk y)P D.,lc App,nw<lfly/ '\ SER\'lCE --.r~~ Appro'-.:d O,!' DITCH / fEEDER '- DMc A]1proycd By Dalc Appm~aj Bj' inspeclinn D.lJ1C Area, Building or Equipment Inspected Action Taken Electrical Inspector .