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HomeMy WebLinkAbout336 Lopez Ave - Building CITY OF PORT ANGELES 't �1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001162 Date 10/17/11 Application pin number 091392 Property Address 336 LOPEZ AVE q/ ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 1308 -0000- REPORT SALES TAX Tenant nbr, name ERIC LORAINE EVANS your state excise tax form Application type description RE -ROOF on Y Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 9045 Application desc TEAR OFF RE -ROOF THE HOUSE GARAGE Owner Contractor ERIC A LORAINE EVANS S -N -S ROOFING LLC '336 LOPEZ AVE 372 BLUE GROUSE RUN PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 461 -3101 (360) 681 -2333 Structure Information 000 000 RE -ROOF THE HOUSE GARAGE Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE GARAGE Permit pin number 194696 Permit Fee 207.75 Plan Check Fee .00 Issue Date 10/17/11 Valuation 9045 Expiration Date 4/14/12 Qty Unit Charge Per Extension N1 \2).- BASE FEE 95.75 I 8.00 14.0000 THOU BL- 2001 -25K (14 PER K) 112.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due \°41)\-) v Permit Fee Total 207.75 207.75 .00 00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.25 212.25 .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. 10 I I SBAn3MAR.SNALu. Z- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsfBullding 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: Ceiling f Ceiling V" FRAMING: Joists Girders Under Floor Shear WaII Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar c INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts 1 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 Fire 417 -4653 Planning 417-4750 Building 417-4815 0'2-0'11 C H •e �7 robEOl 0 G H ro b r n m H v Z ro 0 0 H •d zr oz 0 0 0 0 ro H n ro 0 V 0 01 o N N 0 C H O M VI 1 W 0 t H m M H H I H z H 01 1 H H 0 0 0 o W n I n 1 M H 0 0 o0 Vl 0 l 0 d d o y R O 1 6 o ff O ro t fn A� H H O 0 0 0 7 C M H 0 N y 0 J H f g 1 O r c010 (lj (1zM I N C ro M H H M J y Wzr H 0 0 M n j 0 0 tr10O b1 :00 0 N a x n r M M o z H yrt 0 [.n Z 0 In r£0 0 C 0 zv rz1 H (D 'T1 1-j H 1 1y z -K H rn ro '10 O J H n H O I H H X 0 000 '0101 H -1 01 01 0 1 1) to Z 'l M (.1 (.1 y r z Inn n H H H O r H V H Z 01 O Z x1 W z O M W 4 Z H 0 N H O 0 roro ml an 01 0 t.) xx 0 1 Mx M M N 0 0 W I (i) M (n M z z 0 I I-3 0 ro MM HI 3 C 1 H y M x 1x M H 1 r x A 0 0 O p o 0 C W M H cn m (D m m R' H H G1 W N H W O W M 0 ro h DI y Ll M M H 0 1 N O H H BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received O T 7 Permit# i(- 1\(oZ City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5th St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: Phone: 3100- (o$I- 2333 SF ry A4sNA .L Y77 73sq Property owner: Lo o, Jo E v A-,-) s Phone: L-I Col 310 t Property owner's maili addre s: 33 ce 1-o e 2 Ave Po.r-A AN) el e s w A 9 3 3 (0 z LLC- Contractor' business name: 5 -0-5 200 (or property owner's name if he /she is doing /overseeing NO Phone: g77 work) 3 (90 (D8 f 2333 Contractor's mailing address: 37.2 (CIA G(LOJSE (2_Jri SEOoknn taA q$3 Contractor's L &I license number: Expiration date: ■)S 20/Z L 9 I LL (0- 3- 2 ©t3 Project Address: LoP C Avr poc4 A►.� s A- 3 P Project Type: Residential t� Commercial D Industrial D Multi- family Project Business ame: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: house garage o other tear of re -roof o lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation el,o�{S 9 (labor materials, not including sales tax) Re -side: o house o garage o other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project.Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit.Application Short Form (Revised 2011) Page 1of Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and rnay take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure,(s) to_ be demolished. Submit the map with this application. 0 i (1) Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency ORCAA) Demolition Permit Application. f Contact ORCAA at.360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no WillI,the debris be going to the Regional Transfer, Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) I Project Valuation Mechanical Permit: (explain the project) Project Valuation I 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 prof cts. Date 10 17 1 Signature Z. t/ Print Name SEAN) MARSHA- LA__ Page 2 of 2 S -N -S Roofing LLC Estimate 372 Blue Grouse Run Sequim, WA 98382 Date Estimate 9/29/2011 171 Name Address Loraine Lovejoy -Evans 336 Lopez Ave. Port Angeles, WA 98362 'Project Description Qty U/M Rate Total 30yr Pabco Premier w /algae block 21.75 sq 7100 1,587.75 2 bundles of shadow cap ridge shingles, 2 bundles of starter 888.00 888.00 shingles, 14 pcs of cora- vent(ridge- venting), 11 rolls of 30# felt underlayment, all new pipe flashings, 1x 8" exhaust vent, lx 4" exhaust vent and all fasteners 6 rolls of granulated torch down, 2 rolls of base sheet 926.00 926.00 underlayment, metal cap nails for base sheet, 9 pcs of cap metal for perimeter edges, 1 sheet of deck sheathing(for soft spot in south -east corner) tear off and disposal of 2 layers 28.5 sq 91.84211 2,617.50 labor for install 28.5 sq 92.50877 2,636.50 City of Port Angeles Permit 198.25 198.25 tax 743.74 743.74 estimate for a 40yr Pabco Premier w /algae block with all materials described above w /tax and permit will be $10,755.99 2J t' NA Le all shingles installed to manufacturer's wind warranty of 110mph S -N -S Roofing has a 10yr craftsmanship warranty Please call to discuss any questions about your estimate. Total $9'5147(745- l Phone Fax E mail 7 9 to 1 (360)681 -2333 (360)681 -2333 sns_roofing31@hughes.net Clallam County Assessor Treasurer Property Details 65012 ERIC A AND LORAIN... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 65012 ERIC A AND LORAINE EVANS for Year 2011 2012 Property Account Property ID: 65012 Legal Description: PUGET SOUND CO- OP COLONY 2 ADD LOT 3 BL 13 Geographic ID'. 0630105013080000 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 b Township: Section: 4 Range: Location Address: 336 E LOPEZ AVE Mapsco: PORT ANGELES, WA Neighborhood: PA East Res Map ID: 2 X\C-5 Nei ghborhood CD: 5001000 Owner Name: ERIC A AND LORAINE EVANS Owner ID: 23709 Mailing Address: 336 LOPEZ AVE Ownership: 100.0000000000 PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 10/17/2011 Amount Due if Paid on: t NOTE: If you plan to submit payment on a future date, make sure you enter the date and 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 158983 $1039.96 $1039.90 $0.00 $0.00 $1039.96 $1039.90 Statement Details 2010 47281 $996.05 $996.02 $0.00 $0.00 $1992.07 $0.00 Values Taxing Jurisdiction Improvement Property Image Land Roll Value History Deed and S 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: 10/17/2011 3:48 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice hap ://websrv8.clallam.net/propertyaccess/Property. aspx ?cid =0 &year =2011 &prop_id =65 10/17/2011 Owner EVANS ERIC A LORAINE 1315 W 6TH ST Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation PORT ANGELES WA 983626530 Charged 48 10 00 48 10 ('OMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 05 00001001 915755 336 LOPEZ AVE 06 30 10 5 0 1308 0000 MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 5265 Contractor AIRFLOW HEATING 221 W CEDAR SEQUIM SEQUIM (360) 683 3901 ELECTRICAL ALTER RESIDENTIAL OLYMPIC/ FURNACE HP 62786 OLYMPIC ELECTRIC 48 10 10/20/05 Valuation 4/18/06 Paid 48 10 00 48 10 Plan Check Fee Qty Unit Charge Per 1 00 48 1000 ECH EL R OR EM 1 4 ALT CIRCUITS Credited 00 00 00 Date 10/20/05 WA 98382 Due Extension 48 10 00 00 00 00 0 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH M N ROUGH -IN COV k 2 I SERVICE FINAL 1 6 -12--0 1 VA> 1 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO N I I M I 1 I 1 COMMENTS PW- 1102.15 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner EVANS ERIC A LORAINE 1315 W 6TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 14 7000 ECH 7/4/6 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Fee summary Charged WA 983626530 MECHANICAL PERMIT 62281 61 70 10/12/05 4/10/06 Permit Fee Total 61 70 Plan Check Total 00 Grand Total 61 70 Signature of Contractor or Authorized Agent T \Policies \1102_15 building permit inspection record05.wpd [1/412005] 05 00001001 915755 336 LOPEZ AVE 06 30 10 5 0 1308 0000 MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 5265 Contractor 61 70 00 61 70 /n Date AIRFLOW HEATING 221 W CEDAR SEQUIM SEQUIM (360) 683 3901 Plan Check Fee Valuation BASE FEE ME INSTALL 100- FAU Paid Credited 00 00 00 Date 10/12/05 WA 98382 Due Extension 47 00 14 70 00 00 00 00 0 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not 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 Owner (if owner is builder) Date \3 s 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. 17 18 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 COMMENTS 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 LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD cS'/OO/ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 YES NO 4-/ l R k 1 1 t SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 1 1 1 FIRE DEPT 1 PLANNING DEPT 417 -4750 1 1 1 1 PLANNING DEPT 1 BUILDING 417 -4815 I /Q -2y —o 51 0j f+ L, 1 1 BUILDING 1 T kn..:; .1.1 i 1 5 hm ildino nermrt inspection record05.wpd 11/4/2005) PREPARED 10/24/05 14 14 44 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/24/05 ADDRESS 336 LOPEZ AVE SUBDIV CONTRACTOR AIRFLOW HEATING PHONE (360) 683 3901 OWNER EVANS ERIC A LORAINE PHONE PARCEL 06 30 10 5 0 1308 0000 APPL NUMBER 05 00001001 MECHANICAL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/4/ JLL MECHANICAL FINAL TIME 17 00 COMMENTS AND NOTES 10/11/05 TUE 14 49 FAX 360 683 3971 AIR FLO HEATING -iiii=l /;U /iii /FIR 11 I}f CITY 4 F'A BLDG DEFT FAX N iii 41' 4'11 US$ Y �;�•"�J BUILDING PERMIT APPLICATION neck._ .ex_ 1 0 g i efmiT 3l -40191 Fill out. COMPLETELY and in INK. Your application mu site plan MUST LBF; Dam Apr ov LOJi t /QGf COMPLETE to be accepted ior-revreW Ii. you •ti1ine any= questinnszzll Date Issued. (t7t'/ PERMITS 41.7 -4ti1S FATi(36.0)41.7 -4 -7.11. �PPli c�it ar Agent: FL��� Owner �;p in'� I I4 0 ./I/Q.YUG Phone. Lt p Address �7� Architect/Engineer: Phone. ContractorA Ut? W 1. I State License 10 1 34 11018Exp Phone 3 ()1 Address ZZ1.. L41 City' T l l yY1 Zip.9R PROJECT ADDRESS. 6 LEGAT- DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. COMMERCIAL/RESIDENTIAL Occupancy Group. No. of Stories: Lot Size PLANNING USE ONI. Y Existing Sq. Ft. Total lot coverage TARVBCS\BLUG forme-0rocha tsL6D3- $mildillecrmit.wpd ESA/Wetland(s): Yes O No SEPA Checklist required? 0 Yes No Other: 1 hereby eeltily that 1 have read and examined this application and know the seine to be understand that if is my responsibility to determine what permits are required not the CI Subdivision. Credit Card Holder Name. A k If) 14el Billing Address: '22-i IA) at t( t1f G' city Credit. Card Type VISA MC .-.-1 L.T Rap Date: TYPE OF WORK. SIZE/VALUATION 14 Residential New C.nustr Re roof Stove SF /SF Multi-family t}Z7 Addition Move Garage SF t /SF S Compel Remodel Demolition Deck SF A /SF t7Repair Sign .Otte TOTAL V U 'PION 5`. BRIEFDESCRIF ON OF THE PROJECT we. i ho--ottt n-1- pu Occupant Load: 8: Proposed Sq Pt. d coned. 1 am a must o ZONING Construcuon Type: TOTAL Sq. Ft. BUILDING PERMIT AI'1PLICATION SUBMITTAL. The Btuldivg Division can provide you with. information on the apphcation and plan submittal requirement. if you have questions. VALUATION OF CONSTRUCTION In all cases, a valuation aniottnt must be entered by the applicant. This figure will be reviewed and may be revisc.d by the B g Dnision to comply with curreut fer schedules. Contact the Permit Coordtua tor at41.7 -481.5 for assistance. PLAN CHEC :KFEI.. JF a plan T.beck fcc is due it must be submitted at the tune tie. building hermit application and consttuction plans are suhutitted All other permit few are due at the tour. of pennit issuance EXPrRATION OF PLAN REVIEW If no peiinit is issuea wilMnTR0 days 0111w appiic.atiorroiic Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R.1053? of the International Building/kesidcntial Code, 2003). No application can he exteuded more than once. Appli •.�l I .G� tc Cj001 I roil /iii! APPROVALS. PLAN BLI)C. DP W1.1 FIRE. 0T13]1 R ed to apply for this permit and mils prior to work. 10/18/2005 10:08 3504523498 OLYMPIC ELECTRIC . PAGE 01 01}> tS . EL.ECTRICAL WORK PERMIT APPLICATION Job wired by D Electrical Contractor DOwner .Jnstallalion dC!;criplion. o CommeTcial ~c,,"identi..1 CJ New IIl1i'tercdlAdditioo ElectTical contraetoT name Uccnse number l)"t~ E.,.;piTC9 I. ~",<#,;: /7/ f//I/t5:~7// Purt:h ~~ illn@. address ~L? !:f.:b7/? ,T}/A'/v#T&/t Ci~~4 . Slate ZIP rcr~...k/ t./.1' 7,.r7~r Tele hone number' FAX number ,h/lZl:7t'- c- r ,(r? . I'remhes owner's nam'e err/- w;;k/ ~~o,pcel;.n . /lvt: :;,f,~r41.::':,,,,, OWi'f(!" os drtfineJ by kCW19.28.261:(J) Ow/ler will "r.r.FlPY 'lie strlJclllre for lwn 'yMn- tljler thi.~ electric'" pJf7tlU M finalized. (2) Ownrt,. 1,\' r(.'qllirecl ro Mre an electrl.r.tJ{ crmtracfor if "bow: SQid prppe"ry h for salt-, rrn( Dr lease. After reading the above !'itBtcmcl1t. I hereby t:ertify that I am tl1c OWTIer or the above named property Of " licens'ed electrical c/)ntr;lCIOf. ( nm making the clectricit' instal. l1'llion or alteralion in cOml'Hance with tbc electrical laws, N.E.C., RCW. Chapler 19.28. WAC. Chll.1'ter :29~-4tlB, The City or Port Allgclc~ Mllnicipal Code. and Utility Specifications. S'glU re or ownf:r. I!Iec:trlcal contraetar or ~1l!etrlclll administrator ,--F o Casb D Cbeck # B'Oedit Card Visa Card # Mastercard Discover ---- ----~ ---- ---- Date: h Ie rl al Load Adl\l1l.011s and or subtractions o NO LOAD CHANGES: CJ e...board ~ ir1=urnace /L2Kw Cl Overhead Service lirHeet Pump j.Ji"Ton _ LAR Cl Temp Service CJ Fan.Wall _ ~ , CJ Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Ex.piration Date of card fnSpcc\ion ree~ $ . L- ll.!!rvlce Information AV Voltage Ph..eO,03 Servlce Size: Feeder Size: ~ () ~ ~ ~ / : ROUGH"lN '\ tf,-12.;Q<6 ~ \... 011<<: : Ap"I'O~~d By / FINAL ' I~Z.l)~ ~ ~ DAl~ I ~l'OO'I;dBY::; TIlERMOSTAT DITCR 'I SERVTCE l)ftle Appro...ed Ny / FEliDER '- Dn1C ^pJJl'V'l~d lJy Adion Taken Electrical Jnsl'cctor 1(0 c..-~ ~ - '- l)nle Appro\ICd13y " I:>MC J A"pl'tw~d By ,/ rnspcccion D:llf I /0/1.4/6"> , I Area. Ruildiltg or Equipment Inspected tJ(~ ~n )D~9h~ ,/ /