HomeMy WebLinkAbout119 W 5th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 circuits Bath fan and kitchen lights
Owner
LOPRESTI STEPHEN
374 RIFE RD
PORT ANGELES
36) 457 4005
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98363
154757
59 50
10/09/09
4/07/10
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
09 00001036
469212
119 W 5TH ST
06 30 00 0 0 8860 0000
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 0000 ECH EL -ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
59 50 59 50 00
00 00 00
59 50 59 50 00
DATE
Plan Check Fee
Valuation
Date 10/09/09
WA 98363
Due
RESULTS
Extension
57 50
2 00
00
00
00
0 0
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
i4' 1(o
CxoVrla V� -+9`f i trt t..lEaP �o� 1�i�1HL�
09/23/2009 14 36 4579270
City of Port Angeles Pei tilt Application
Building DlvietanlElectricat f e pectiont,
321 East Fifth Street P.J. I ix 1150
Port Angeles Washington, 9 362
Ph: (360) 417.4735 Fax: (.?EO L IT -4711
Date: a 4 1
)c7 1 2 Single Family D
Multi- Family or Coma
Commercial Addition
Plan Review May Be Rey
Job Address: .._,4
Building Square Footage:
Description of above
Owner Information
Name:
Mailing Tess:
City:
Phone:
License Exp
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72,50
86.25
$116.25
$131.25
75.00
69,00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
57,50
86,25
43.75
ti ellinq
e ciar
Alteration I'r:emedel I Repair
itiir d, PI4 tromp a ere el Electrical Plan Review Informs lion Sheet
c �s
Q r 0 t. fic9 L-1
-fi 9' �-r-
State
TILL
Slgnatu owner, electrical G n r a electrical administrator
b
OCT 7 2009
ELECTRICAL
INSPECTIONS
C ontrac tor. In /Y f�o 1aeon f
Name: 7 C— ii-C,
Making 4 4'3 L(
City State: Zip_&
Phone: 5l F ax: _r1-
License it Exp._,S. r &-L V f
2 .0 q'
Total igtla Molted tn/ l ijn' Charge.
Sei* &Feedi r 200 Amp.
Service/Feed( r 201 Amp.
Service/Feedt r 401-600 Amp,
Service /Feeds r 601 1000 Amp.
Service/Feede r over 1000 Amp,
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Addition' d Branch Circuit
Temp. Service Feeder 200 Amp.
Temp. Service 'Feeder 201-400 Amp.
Temp. Service' Feeder 401-600 Amp,
Temp. Service Feeder 601 -1000 Amp.
Portal to Porte Hourly
Sign/Outline Li ihting
Signal Circuit/ .imited Energy Commercial
Signal Circuit/ .imited Energy 1' 2 Family Dwelling
Signal Circuit/ I Milted Energy Multi Family Dwelling
Manufactured I tome Connection
Renewable Ele :Irical Energy 5KVA System or Less
Ftrst.1300 Squ+ ire Ft.
Each Addition 500 Square Ft. or Portion or
Each Outbuildit g or Detached Garage
Each Swimmini l Pool or Hot Tub
Thermostat
Cash
Check
Credit Card p
PAGE 01
Owner as defined try ROW 1 L!61: (1)C Diver will occupy the structure fortwo j'eats eel elactricolpetrnft rs ttnallreo arms ris alarm, to hire an
electrical contrairtorifallow Si te property Is t'orsale, rent or lease.
After reading the above stift:m. n t, I 'nimbi' v ortity that I am the owner of the above named p.operty or a licensed electrical contr'a'actor..I am making the electrical
installation or alteration in nom tl ance wit h. tins electrical Issas, N.E.C. ItCW. Chapter 19.28,1 /AC. Chapter 290.468, The City of Port Angeles Municipal Code, and
Utility Specifications.
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W'
. CITYOFPORTANGBLES
DEPARTMENT OF COMMUNITY DEVELOpMENT -BUILDINGDIVISION
321 EAST 5TH STREET, PORT ANGELES.WA 98362
~!'.~.,.~,':-.&.UL1 rtWlWt:r
Property Address
. ASSESSOR PARCEL NUMBER:
Applicat~~ description
SubdivisioilName . .
'property.ZOning .... . .
Application valuation .
U3-00000804 Date 8/18/03
119 WSTHST
'06-30-00-0~0~8860-0000-
RES' FouNDA'TrON'"REPAIR
8760
Contractor
~PRESTI. .STEPHEN
3 7,4, ~Ip'.RD.
PO~T ANGELES
(360).4577'4005
OWNER
WA 98363
., ------1----------------------------------------------------
- -- c~;~;~;tr-::.: -.~ : BuILDING' PERMIT -RESIDENTIAL
Additional" desc REPAIR POST/BEAMS. REROOF. GARG
Pi:!J:'mif'FE;le... 98.00 Pian check Fee '. 39.20
IS8ueDate. . . 8/18/03 Valuation 8760
Expiration Date 2/15/04
'Qty UnitCliarge Per
7.00 14.0000 THOU BL:"2001-25K (14 PER K)
Extension
98.00
. .' - '- '.: >,
-- ~ - - - - -,-,__:~ .-:-,:~:~ ;",7,,:,,;"",,: ~,_-:" ~ - - ': - - ~ - - - - -.- - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - ~ - - - - --
Other Pees..... ..... STATE suRCHARGE 4..50
Fee sWlllliarY Charged Paid Credited Due
----------------- ---,------- . .---------- ..._--------- ----------
>~ermitFeeTotal 98.00 98.00 .00 .00
Plan check Total 39.20 39.20 .00 .00
Other Fee'. Total 4.50 4.50 .00. .00
Grand Total 141.70 141.70 .00 .00
. - ~'7' .
T:\PLANNING\fORMS\1 102.15 (412002]
, ~'...
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.~
.:.:~,.~,
1
BUD..DINGPERMIT INSPECTION RECORD
03-8o~
CALL 417-4815 FOR BUILDING INSPECDONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER..
INSULA TE OR CONCEAL ANY WORK BEFORE INSfE.CTED AND ACCEPTED. POST PERMIT IN A C()NSPICUOUS LOCATIbN:'
KEEP PERMIT CARD AND APPROVED PLANS. AT JOB SITE
.~~,::",
.... .... .'
I INSPECTION TYPE DATE ACCEPTED COMMENTS -
r YES I NO
-,.
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON ~eMBIA<< , r 4!;. 11'2-"7' j..? , \ LL... , ., ..
ELECTRICAL (LIGHT DEp"o SEPARATE PEIl.MIT: " -"
I - I ,.
ROUGH-IN
-,- .. ~: .'
PLUMBING . ;, ..
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE ,
. BACK FLOW / WATER
.. AIR SEAL .
." WALLS ,
',. ..- CEILING ' -I I ,.
c
FRAMING
JOISTS / GIRDERS
/ SHEAR WALL .
wALLS/ ROOF / CEILING
DRYWALL
T-BAR
".
INSULATION
SLAB
WALL / FLOOR I CEILING I I
MECHANICAL
HEAT PUMP
\
.~ WOOD STeVE I PELLET I CHIMNEY
HOOD I DUCTS
PWUTILlTIES I SITE WORK (Engineering Division) SEPARATE PERMIT "'s:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT "'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING ,......."".,.....,.... SHORELINE:
FINALINSPECTIONS REQUIRED PRIOR TO OCCUPANCYIU~ .. .'
.. . ,
RESIDENTIAL 'DATE YES NO COMMERCIAL DA~ ACCE~
,"" .. YES NO
ELECTRI'cAL - LiGHT DEPT. ' ~ I~: ' ELECnuCAL .. "
'417-4735
LIGHT DUT
CONSTR~~OJ'll- W./ PWI' \ CONSTRUCTION - R. w. -,
~~G~J;E~. G!. \ ' 417-480'1, . PW / ENGINEERJNG
~ ; ) , /'
FIRE . 417-4653 ' , "'" FIRE DEPT.
PLANNING DEPT. 417-47S0 . PLANNING DEPT. .
BUILDING 417-4815" Ia.,-:oU-tD:~ ,.IlL- BUILDING
..,
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION
Date Rec.:
Permit #: <E:30c..;
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
~
Applicant or Agent:
Owner: SJJe;JIt~~ /.-o~/fe6'r;'
~ t;,,-/ R.'Fe RJ
Address:
City:
Phone:
Phone:
Poll ;9-/1r;?S
Phone:
'Is' '/ L/ 0:0 s ...--
Zip: Cf 'i?3 &~
Architect/Engineer:
Contractor
.~
State License #:
Exp:
Phone:
.
~
Address:
City:
1;9 0 6:t:!t-
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit C.ardType VISA Me . #
TYPE OF WORK: ~ a ""~<j -e,
~Residential . 13 New Constr. 2, Re7rQoY, 13 ~tove '
D,Multi~fanrily 13 Addition h Move' 13 Garage'
G;:Co~ercial . 13 Remodel 13 Demolition ffDeck
, EFDESC~~epa~F'Tim ~R~~CT: (j D'~jth~r.
\ S~'I ' . " .' " .
MMERCIALtRESIDENTIAL: Occupancy Group:'Occupant LOlid: ConstructionType:
No. of Stories: _ Lot Size: ?OOO Existing Sq. Ft. J If 7 t? & Proposed Sq. Ft. 16 == TOTAL Sq:Ft. J If 9 -3
Existing lot coverage ~ % & Proposed lot coverage...L.L% = Total lot coverage 0../.:3 f).. %
..':;...
City:
.;'.' ,
"
Exp. Date:
'.'wJ
/0
/SF. = $
/SF. = $
ESAlWetland(s): 13 Yes 13 No SEPA Checklist required? 13 Yes 13 No Other:
AP~RO~ :
PLAN:
BLD .
DP
FIRE:
OTHER:_
PLANNING USE ONLY:
~ .. -.t
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide. you with information on the application and
plan s~bmittahequiTements if you have q~estions. . :"., . j ,
. !. .,.. -" '. -'. I .;
V ALUATl(i)N~OF CONSTRUCTION: In all cases, a valuation amount must be e~tered by the applif,ant.This,fi8':U"eWill be reviewed
and ~y'b\:: re"fsed pythe Building Division to comply with current fee schedules. Contact the PermitCo(udinator at 411)48', 5 for assistance.
PLAN CImCK FEE: IF a plan check fee is due it must be submitted at tlie,time the building permit application and construction plans are
submitted. All other pemiit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date ofapplication, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upqn:wri~eI\ r~quest by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended mort than qnqe.
~. :,
I hereby certify that I have read and examined this application and know the same to be troe and correct. I am authorized to apply for .this permit and
understand that it is my responsibility to determine what permits are requi . ,not the ify's, n that I must obtain such permits prior to work.
· Date. a, ?( ,;J. &g
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T:\FORMS\APPS\Buildirigpermit, wild
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DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
I
APPLICANT: 57 It:: v-e. j.,otrc 5Ti
II ,to tu .r--#-
PROJECT/DEVELOPMENT ADDRESS: r :L
See Page 4 for instructions on completing the site plan. For more information, call 417-4815.
PHONE:
Z/5 J !/()/lS
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PREPARED 11/17/03, 12:46:41
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
119 W 5TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
11/17/03
LOPRESTI, STEPHEN
06-30-00-0-0-8860-0000-
03-00000804 RES FOUNDATION REPAIR
SUBDIV:
PHONE
PHONE : (360) 457-4005
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFR 01 11/17/03 JLL BUILDING FOUNDATION REPAIR TIME: 17:00
post replacement & anchors
___________________~~----:::~:-4:::::::S0~6:~:::6----__________________________________
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~~or
I
PREPARED 12/26/03, 13:27:23
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
12/26/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
119 W 5TH ST
SUEDIV:
PHONE
PHONE : (360) 457-4005
LOPRESTI, STEPHEN
06-30-00-0-0-8860-0000-
03-00000804 RES FOUNDATION REPAIR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFR 01
11/17/03
11/17/03
JLL
DA
TIME: 17:00
BUILDING FOUNDATION REPAIR
post replacement & anchors
Steve 457-4005 or 460-8756
2x2x3/16th washers on sill plates/jim
'""_"'___"I"I"'___~-----'U'LO'N:,::,~:'::: :::::'______________________________________
I
PREPARED 2/20/04, 12:01:25
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
2/20/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
119 W 5TH ST
SUBDIV:
PHONE
PHONE : (360) 457-4005
LOPRESTI, STEPHEN
06-30-00-0-0-8860-0000-
03-00000804 RES FOUNDATION REPAIR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFR 01
11/17/03
11/17/03
JLL
DA
BUILDING FOUNDATION REPAIR
post replacement & anchors
Steve 457-4005 or 460-8756
2x2x3/16th washers on sill
BUILDING FOUNDATION REPAIR
TIME: 17: 00
plates/jim
12/26/03 JLL
12/26/03 AP
12/26/03 JLL
12/26/03 AP
~:::_:~___~~~~\__~:~_____~~::::N:o:::::s AND NOTES ______________________________________
BLFR 02
BL99 01
BUILDING FINAL
~1(
1
.'. ,''-'' '.:'o.~':" .'.:...., . ~,.
j
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET; PORT ANGELES, WA 98362
p.pplicationNumber
Px?Ptm:yAddress.
AsSBSSOR PARCEL NUMBER:
. ......APplication description
. . 'SUbdivision 'Name
Property Zoning ..' '. .
Application.valuation .
03~00001101 Date 11/14/03
119 W 5TH .ST
06-30~00~0~0-8860-0000-
ELBCTRlCAL .,.. ONLY
RESIDENTIAL HIGH DENSITY
o
contractor
WA 98363
JAYBIRD BLECTRIC
PO BOX 66 JOYCB
JOYCE
.(360)928-3769
WA 98343
- ~'-"':",';" - - - - --- ~ -.- -,- - - - ~ - - -;.. -, - - - - - - - - - - - -.- - -,,- "7:- -,-,- - - - - ~- --.- - - - --- - - - - - - - - - - - - ~ --
. Permit . . . .
Additional desc
Permit Fee
IsSUe Date
Expiration'Date
ELECTRICAL ALTER RESIDENT:[.!Ua
64.90
11/14/03
5/13/04
Plan Check Fee
Valuation
.00
o
Qty UnitCbarge Per
1 ~.OO 64.9000 BCH BL-R OR RM 0-200 ALT SRV FOR
Extension
6.4.90
Fee summary Charged Paid Credited Due
---- - -'--- - --- - - -- ---------- ---------- ---------- ...---------
permit .Fee Total 64.90 64.90 .00 .00
Plan CheCk T9tal .00 .00 .00 .00
Grand Total' . 64.90 64.90 .00 .00
-<i.
separate~ermitS;~n~requiredfor electrical work, SEPA,~hbreline, ESA, lltilities, private and public improvements."fhi~J?8~.lt~ec:9I11es
l'1ull~ndyoidif""8rkor cons~ction authorized isnotcommenced.within 180 days, ifcanstruction or work iss~spend~'br;~lilih~()l'1ed
fQ,.~p~.~od9f:180da~.aftert~e work as comme"ced~(),. ifr~quiredlnspecti~ns have not be.en request~dwitnin.1~~.tf.~~.f(Pri1;1/1e.last
Inspec:t1CJn;i;!'ll~reby(;ertifythat I have' read. and exetminedthisapplicatiOn and know the same to be true'an~'c9i:reC:t:WtprOVl~Jonsof
li3ws~nqo,.dinan~~goy~mingthistype of work will be compli~(j withwhethers~ified herein or not. Thegrantil1gbfap~l1Jllt~tx:l$not
preSlirn~togiveauthority to violate or cancel the provisions of .any state or local law regulating constructipnorthe;pert9fOOCitl,Ceo,t
(Xjnstrctiorl. '. . . .' ". ". ...... ......"."'.~Xl);.
';;:""~':'<: ,. ":/
. BUILDING PERMIT INSPECTION RECORD
O~-IJol
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 1;0 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
T INSPECTION TYPE DATE ACCEPTED COMMENTS ......
., I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION ~
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CIDMNEY ,
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE: .
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT. 417-473S 13t /pq ~/J ELECTRICAL.
, ,., &.' LIGHT DEPT
CONSTRUCTION R. W.I PWI ' , CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417.46S3 \FIRE D~PT. \
. /
PLANNING DEPT. 417-47S0 .
PLANNING DEPT.
BUILDING 417-481S BUILDING
T:\PLANNING\FORMS\1102.IS [412002]
.-
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
17093
Port Angeles, wasblngton..miL.=__L..'!!..=....m.__....m...m____., 19_2Z"
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, On, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address ..,11. r.nm~'.~t;(----m----:()-.----..-------.m-.-.-- Occupancy____A.,,_q."'~__n_____n_m____m___
Owner ..~h.:xete.Jt,~---~L;1/:;?!;m.yTenant..m.------mmm---..---m---m------m.m_m_mm....mm
Wiring Contractor -:;;-A!.l!,.J:e"<l--n.--"2--:f:?LC''''---.-.-----n---- By_.m__._.__.m.mm._________m______m.m_________m__m____
Light OutletB....m.___m....___......_____.._.___. Service, VOltB m//?.:.o..I!P.J!..t!..___ Type of Wiring:
Receptacle Outlets...._m____.............___... No. wires ........~.__._.__......_./..,....__ Armored Cable m........_.............____.
Si i };/.;I ~ Non-Metallic ...............---.............-.
Dryer, KW.....__.__n.___.............___.___n____ ze w res....,___...._...........:.___.......
:.:,tc;>O';4
Main fuse _nn..............._____...__.........
Enclosure ._.__~_..........u__nmn__.__.
Knob & Tuben.___n.........__n...___....._
Range.. KW _,_._u__uumnn____nn___u___
Rlgld Ccmdult ___.______.......______......__
Water Heater:
Metall1e Tubing __n.'......._____.........
KW.m__.mmmmm.n ~nnnn ... .
Ilea' KW __JJ.I..f..__.:..8.i3.m~m
',/TYp~::r:~::n~~ble ___._.___....______..........
Motors~: size, volts and phase:
Rigid Conduit ......h___.
Metallic Tubing .h.....
Current transformers:
No. & Size_._____________..;..........___..
Raceway .........._.._._._.............__...._
Circuits, Light...________..__...._....______........_
Utiiitj' h_........_________h_........__.__._.......
Heat .____.........._____................_.._......
Ser. NO....._...__.....____................n_..___...
Range .........._.._..__........_...._n_._........
Water Heater ....h......___................
Motor ..._....____...____....._._.__._____......_..
Ser. No. _.....____n.__....._....._...........______.
Dryern..______...._.._..__.____.............__.__.....
Furnace -.................-.......w__...._.._....__.
Ser. NO.n______._...............___._..___..__...__.
Remark:~ta:__~:.~_~,~~~:~~_____u:~__".:~::~~..:::~::~~~~__m______.__:::::__~::~:::~::~::...:_~:::.:::~::~:.
_;~~;~_;~~_______u________m.m.m.;~~~~:_;~~~;~~____umm__m_________m___n_U9!.;jfT(71!.;'j2---.---mm.,,!!
$__________m.____mm.mmmm. NO.__mm_______m__........ By u__,__,.::__~.--.r:----,/J--{..,-'!..Jde<::!.,:.'!:~,(."'/.!...-;;t,~v
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before cOncealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17093
Address............:;...............................__........_...._______._______._____....____.__............................................Date...____.___n_____.._.........._._...______...__._..
Owner..........__........._........................._...._.___...._.._......................._................._...____...._____.Tenant.....__________._______..................._........_...._______.._..
WiringContractor................_................___......_..................__.___.._............._..._._................__._____________By_______________n._____........................_....___.._..._
I-NOTICE-Current must not. be turned On until Certiflcate of Inspection has been issued. It work ~ to be COD-
c~aled due notice must be given the Inspector SO that work may be inspected before concealment.
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
NI?
17065
Port Angeles, washJngton__.......L!?.......~.!.::__...__........m.m, 19?.Y
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted .to d~cal work as listed below.
Address ..{j~..m m..m__~..--mnn.nmn--nm... Occupancy..~,m.m.--m.m......
~::~ ~~:~ct~~'::~ ... ~~:~::::::::::..n~~:~~~;:..:::::::::::...:.....~::::::::::~::::::::::::::::~:::::::::::::::::::::
Service. voils i<~~q?t!/?
No. wires u~__l''lm m ..mun.Lh.n
Size wlresu;;f4:;,(:j.~._u
Main fuse.. .h................__.........__
5 .
Enclosure .....................h..._________.___
Light Outlets..._..____...._..............._..____..
Receptacle Outlets__............._.......__......
Dryer, KW..n............._...__n___.___.____.____
Range, K\V _n.______n__n______n____.
~ wa:~~.":J~r:;;.~nmm..nmn
~ Heat KW//u/lW::mm.:mm,uh
Motors: size, volts d-phalfe:
::::Zl;Jl:r~;;;:;::::
Total Load._____.__...._.._._.._.......
Type of wiring:
Entrance Cable ........m____________m___
RIgid Conduit ..m.._____m..
MetalUc Tubing ....___.h.........__...._.
Current transformers:
No. & Slze_.........._........................._.
Ser. No...........................___......__......._
Ser. No..........___........._...__...___.......__...
Ser. No. .._..__...h_................................
Ser. No. ....._..........'"::'~......_..._...._._.....
Type of Wiring:
Armored Cable ....m.....____..............
Non-Metallic ..........._.................__._
Knob & Tube.................................
Rigid Conduit uum.m.mhmnm._m
MetalUc Tubing h'.hm....___m...._"
Raceway ............._...._............___
Circuits, Light___."_"'h'.''''''''.''___'_''''.''''
Utility .n.m.mummummm..hhuuum
Heat .._........._______...................._.._...
Range h...................__......................
Water Heater ..__...___._..............n.._
Motor __._........_..........._._._...__._........
Dryer __......__...................._.__................
Furnace .........................._......_............
Total __..........._..................._...._
Remarks: __.m.__..m__......____nn....n.__~n...hn--.....m.....m.m.mn....mm.mm..000.000.000.______
.
Permit Fee
Treas. Receipt
No..____.....__...........__...
By ..;lLK;~m....m.m..m
$__..............______...........000..
...nuu y-'
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
\
ELECTRICAL PERMIT
N?
17065
Address....._......................._____..._._....__........__....____.._.___......._......................................................_..Date..._......___~.._.._....._...._......_......_.........
Ow_ner.---.--....----.----...-...........--.....--.-......____..___.____..............__.........._______.____._._...._.______..Tenant.__...._......................._....___._____._____..___._____._____
W~ing Contractor....h...h.........h........._h........................._.......';.............................................h_..... By.._..._.................._....................................
. \
NOTICE--Current; must not be turned on until Ce'rtlflcate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment. .
. {.
\
1M
Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N<?
14939
"\
po~' Angeles. WashlngtonmL::.u._:1:u.'::f.u______m______uuumum_m. 19__.1n.</
In accordance with the City Ordinance to regulate the Installation. extension, or repair of elec-
trical equipment in, on, or about any building or other structure In the City of Port Angeles, per-
mission Is hereby granted to do electrical work as listed below.
Address _.I_/mq_o.oook.(luou.___o.{L~o.____ooouo_oooooo__o.o. OccupanCy__no._n__::'l,:!?::.;.:",,_oooooo_ooo___u___..
Owner __L':i:.!.do.r:_o.!2ooolr!oooo.o.oooLA..!L~1_:f.f>.I(STenant..uomuoooooo_o.o.__m__oooo._muo_mn__mo.______m_ooo_m__
. .' (r)).L." F /4' '
Wmng Contractor oooooo__.m___uo___n_____oooooo_3;'mL.o.ooo__o.___mo._ By_n_n_n_m_u_n_m__nm_n____n________ooo__ooo_____no.__o.o.
I
Light OutletB...._...___......h............_......... Service, voltB ..l...~.h~;;/~...~1.-Q- Type of Wiring:
R t 1 0 t1 t No. wires .....~.~.,.:_:3......._.._.____.. Armored Cable .__..__...__........h......_.
ecep ac e u e B.......____.___.......__.......
Size wires.n__!.~:.;.....:....~:~~~.:~.1::
. . <
Main fuse ___.:~:_tr..._.JO Q
Dryer, K\Vl_.......h..........__.........n__.......
Range, KW __.nn.........__........................
. \
, Enclosure ........._..__.........................
Water Heater:
KW..................................____......__.
Ileat: RW ._____-!i.,_..__E___KtL'/.....(J t.
Type of wiring:
Entrance Cable ......__.....................
~-
Rigid Conduit ....___..................___...
Metalllc TUbtng ___:::::::::::::____....._
Motors: size, volts and phase:
Current transformers:
No. & Size.__.................__....______.____..
Ser. No...__.......________.......__.................
Ser. No~....._......................................
Ser. No.,..____.____....._._...__..___._...____.__._
Non.Metallic _...........__...__..............
Knob & Tube....__........h.............._..
RIgid Conduit .__________.___.___.___..____..
MetaUic Tubing ....h...............__.___
Raceway ........__.............._._...._......._
Circuits, LighL....___m.....__...__h.............
Utility.h.............................______.......
Heat .__...................._......................
Range ........................_..............._..._
\'i,1ater Heater ___............................
Motor .._......._.................___..............
Dryer..______._....................................__
Furnace .........................'_...............
Total Load.....__.........___._____.... Ser. NO.......h.............................____.... Total ......................__.............__
:::::~~_u::::==~~~:~~__'::::::::::~:::::~~~~!~~:~~::::::::~:~=::z-::::::::::::~::::-:::::::::
Permit Fee Treas_ Receipt
$oooooo_____________oooooomo.ooo___. N O.__m_______ooo____________ By oooo.m_umo._u_____ooo_L-di!-.....""'--<::.mooo______oooo.__m_
NOTICE--Current must not; be turned on until Certificate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
'/1 r (-{ vJ 21?
Uf-\STClI(S onll
ELECTRICAL PERMIT
N?
14939
Date call.~ Jr fJspectfoi!..___:_____.s...t;:l.;;;_________m.._____________m_.________...__.m___..____________..Jm:=..___~.__'i_~___J....Y____
Preliminary Inspection da"i..--?L-.C-D-1-----.--.-.--;?'1~.~'-.~~...---.---......---------..----------Z:-U--;---;;,---------.---..--.------
InSpeCtiOncomPleted..._.._.._.._......___........,..._.....~......__........................................h..................___......._............_.................._..__.n.._....~._
Total Load ...................................._......._.....___......._..................._......._ .............................
1M 3.72 Olympic Printers, Inc.
: .
ELECTRICAL PERMIT APPLICATION
FOR OFF!CI.....L USE ONLY
DatdRec
Permit #
Date Approved:
DalcL'iSued
The Electrical Permit Application must be filled out completelv.
jI-
'j:
r!j 'u
{/I.
V
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
3?{
ft,J, f?t.T/i I (.
L- OPR.E:",,'r I
V),4,
License#: IS?/( Jt Exp
City: \i?fc L.. w4?iI.
Phone: 9A'f1/5"1u "t
Fax:
Address:
Owner or Elec. Contractor Agent: :fAy &11. b
Property Owner: <~~{)IL J,t1P'It.-~11
Il (foIL t{m Ill:::".
:mYl3Mb. [J.~...,.-r;2 It'
A ct.,/-. &( "
Phone:
City:
Electrical Contractor:
Address: p, e\
'2(/0.5
Zip:
Phone: q ~g - 3 '";r",
Zip ]1,,:?; 'S t:./ '>
INSTAllATION WIRED BY:
~WNER
~CTRICAl CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
V/SA.~ MC:
PROJECT ADDRESS:
111
W/'I:-':Jf
.5' /j+
TYPE OF WORK:
~eSidential
Check ail that apply:
ONew
Ilf"Alteration/Addition
o Multi-family
o Remote Meter []'[3etached garage
o Commercial
o Mobile Home
Sq. Ft
/ 5t!!O Gf" f-UT -f -
o Hot Tub 0 Swim Pool
o Septic Pump
o Low Voltage 0 Telecom.
OSI
Number of Circuits added or altered: rIfj
DESCRIPTION OF THE ELECTRICAL PROJECT:
2.co
PO f ~If.II(P 3;;;>'> APt!' -='41,7
~fi-W14'i--
If:'t. J<;/t/l/{P
t-{.<fcft5'L
:I- G~!..'
,NC~~I\. &W
c."#(~t> 'L.
;:I/i-<b Udt:r~6Addl{b::, 7"iJ
blccJ,,~
Electrical Heat Load Additions and or Subtractions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
- KW ~lJl.,.{
KW
TON_LRA
KW
o Overhead Service
o Temp Service
o Underground Service
Voltage:)1~/I,z"
Phase: 0"1' 0 3
Service Size: ;;lRO " ,liO
Feeder Size: ~>0~t,40
I hereby certify that I have read and examined this application and know that same to be true and correct, and I a
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
00~J
Credit Card Holder's Signature:
Ow"~", ,,"'. CO",. s;'""'mp.
~
Date:
Date: IJ/}J 3.A'tl'.;
. /
6i./,CJO
PERMIT FEE: $ 1/"". eo
C:lElECTRI CALPERMIT APPLICATION