HomeMy WebLinkAbout918 W 10th St - Building 5as�i;rl,�,
acsr.�
..................................
CITY OF PORT ANGELES PERMIT.APPLICATION f�1
Building DivisimVE,lertricaI Inspections
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 MAR 6 2014
Ph:(360)417-4735 Flax:(360)417-4711
f ELECTRICAL �..'
bate,._:;!- i' ?!R &2 Single Family Dwelling INSPECTIONS
*Plait Review May Be Required,please,Complete Electrical Plan Review Information Sheet
Job Address:. -_ t .._-
Bulidtng Square Frlage_.--__—. r fp m
Desul0on of above 1 J r t vz _ AX
Owner Information Contractor Information
Name:_-�,i"L e gjr-a.. 5 _ Norge: 41gA t{#
MCiatyi:ingAddress __... �. . MeingAdBrs5a: r g.✓
Zip:—fLLI
city:j� Stata;..S dr Zip: kZ .....
Fax: Phone; Xn-F•'ax:
License01Exp,Y_.._ iicenselixp. . t, 1drT �rti�.
Item U Lit ChLrflga Tat I QWXftlied by intt Char
Service/Feeder 200 Arnp. $120,00 _ $ _ .
Service/Neder 201400 Amp, $145.00 $—
-- _
SoMcePFseder 401. O Amp $205.00 $ ,
Service/Feeder 501-1000 Amp. $202.00 $
Service}Feeder over 9000 Amp, $373.00
Branch Circuit W/8ervice Feeder $ 5.00 $_
Branch CircuitWJ0 Service Feeder $ 53.00 , . $--4L
Each Additional Branch Orcult $ 5.00 $
Branch Circuits 14. $ 75.00 $ _
Temp.Service/Feeder 200 Amp. $ 93.00 $
'temp.8ervicelFeeder 201-400 Amp. $110.00 $�
Temp.Service/Feeder 401-600 Amp. $149.00 $� —
Temp,ServiceiFeeder601-1COO Amp, $158,00
Portal to Portal Hourly $ 86.00 _ $
Signal Circuitf Limited Energy-1&2 Family Dwelling $ 54.00 � $�
Manufactured Home Connection $120.00 g
Renewable Electrical Energy-5KVA System or Less $102,00 $�
'thermostat $ 56,00
Note:$5,00 for each additional T-Stat
NEW d NSTRUCTION 014LY:
First 1300 Square Ft, $120.00
Each Additional 500 Square Ft,or Portfon of $ 40.00 $--Each Outbuilding or DeVched Garage $ 74,00 _ $
Each Svuimming Pool or Hot Tub $110.00 -
$ (d Z' Total
Owner as defined by RCW.19.28,261:(1)Owner will occupy the&uctdre for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection,
After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor,I am making
the electrical lnstailation or alteration in compliance with the electrical laws,N.E,C.,RCW,Chapter 19.25,WAG,Chapter 296-46B,The City of Part
Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: 0 c&sn 0 check
CPediECarnitd
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , , , , 14-00000267 pate 3/06/14 "`+J
Application pin number 815502
.Property Address . , . 918 W 10TH 8T REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-00-0 3-1920-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . , . . . . to the City of Port Angeles
Property Use
Property Zoning , , , , . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation , . . . 0
Application desC
Ductless heat pump
Owner Contractor
HVASS, JEROLD L. EXTRA MILE TECH & ELECT, , LLC
918 W 10TH ST 418 N, RACE ST, h
PORT ANGELES WA 983635730 PORT ANGELES WA 98362 �J
(360) 457-5222 ¢,..
__.- ---- ---------- -________- ------------------------- --
--- �rY1
Permit , . , . , . ELECTRICAL ALTER RESIDENTIAL
Additional �ti
Tonal desc , , �✓�}
Permit Fee 63.00 Plan Check Fee ,00
Issue Date 3/06/14 Valuation 0
Expiration Date 9/02/14
Qty Unit Charge Per Extension
1.00 63,0000 ECH EL-R- BRANCH C1R WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63,00 63,00 .00 .00
Plan Check Total .00 00 .00 ,00
Grand Total 63.00 63,00 .00 00
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
I
DITCH
SERVICE
ROUGH-IN
FINAL 1
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or EIectrical Contra_etor X Date:
G:IEXCHANGEIBUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . , . . . 14-00000267 Date 3/06/14
Application pin number 815502
Property Address . , . . , . 918 w 10TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1920-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City/of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
---------------
Application desc
Ductless heat pump
Owner Cantractor
------------------------ ------------------------
HVASS, JEROLD L. EXTRA MILE TECH & ELECT_ LLC
918 W 10TH ST 418 N. RACE ST.
PORT ANGELES WA 983635730 PORT ANGELES WA 98362
{360} 457-5222
-----------------------------------------------___--- ____-_------------------
Permit , , . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . 63.00 Plan Check Fee 00
Issue Date . . . . 3/06/14 Valuation 0
Expiration Date 9/02/14
Qty unit Charge Per Extension
1.00 63,0000 ECH EL-R- BRANCH CIR WQ/ SER FEED 63.00
---------_°-----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63,00 .00 .00
Plan Check Total .00 ,00 .00 ,00
Grand Total 63.00 63.00 .00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(b)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIB UILDING
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
HVASS JEROLD L
918 W 10TH ST
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 983635730
EL DETACHED GARAGE
OWNER/ DETACHED GARAGE
57125
48 10
9/30/05
4/26/06
Qty Unit Charge Per
1 00 48 1000 ECH EL -R OUTBD /DTCH GAR SEP
Special Notes and Comments
Electrical load calculations and elctrical permits are
required
MAINTAIN CLEARANCES FROM SERVICE WIRES
The Fire Department has reviewed the project application and
has no comments
08/12/2005 09 45 AM SROBERDS The proposal will add a
576 sq ft detached garage in the RS 7 zone for a total 30%
lot coverage
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
Other Fees STATE SURCHARGE
Charged
48 10
00
4 50
52 60
05 00000727
186554
918 W 10TH ST
06 30 00 0 3 1920 0000
RES ACCESSORY BUILDING
RS7 RESDNTL SINGLE FAMILY
6000
Contractor
OWNER
TOTAL LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
Plan Check Fee
Valuation
Paid Credited Due
48 10
00
4 50
52 60
00
00
00
00
Date 11/30/07
21 90
1536 00
7000 00
576 00
2112 00
00
0
Extension
48 10
4 50
00
00
00
00
Ili
SPECTION ELECTRICAL
TYPE DATE. RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
,„:4-4‘2
Of pORT ... ~:
.......A.~~~
<'/'-"'t1!fij<!.
L~
~
~~
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
05-00000727 Date
186554
918 W 10TH ST
06-30-00-0-3-1920-0000-
RES ACCESSORY BUILDING
8/15/05
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
RS7 RESDNTL SINGLE FAMILY
6000
Owner
Contractor
HVASS, JEROLD L.
918 W 10TH ST
PORT ANGELES
OWNER
WA 983635730
Other struct info .
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
21.90
1536.00
7000.00
576.00
2112.00
----------------------------------------------------------------------------
permi t . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
57810
148.75
8/15/05
2/11/06
Plan Check Fee
Valuation
59.50
6000
Qty
Unit Charge Per
Extension
92.75
56.00
F~
4.00
BASE FEE
14.0000 THOU BL-2001-25K (14 PER K)
--------------------------------------------------
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
MAINTAIN CLEARANCES FROM SERVICE WIRES
The Fire Department has reviewed the project application and
has no comments
08/12/2005 09:45 AM SROBERDS -- The proposal will add a
576 sq.ft. detached garage in the RS-7 zone for a total 30%
lot coverage.
Electrical load calculations and
MAINTAIN CLEARANCES FROM SERVICE
MAINTAIN CLEARANCES FROM SERVICE
MAINTAIN CLEARANCES FROM SERVICE
Electrical load calculations and
MAINTAIN CLEARANCES FROM SERVICE
required.
required.
required.
required.
this plan review.
required.
Public works electrical engineering has no
Electrical load calculations and elctrical
Electrical load calculations and elctrical
Electrical load calculations and elctrical
Electrical load calculations and elctrical
elctrical
WIRES
WIRES
WIRES
elctrical
WIRES
permits are
permits are
requirements
permits are
permits are
permits are
permits are
for
.-S)
-
~
~
I'\~
i \~
~
IV!
+
\)
-.......;..
N"
~
~.
1 ~">
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:IPolicieslI102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
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 COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS I I
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOL~O~"
WALLS 1 ROOF 1 CEILINl\. · ~
DR YW ALL (INTERIOR~CE PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\policies\11 02_ I 5 building permit inspection record05. wpd [1/4/2005]
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000727
Application pin number 186554
Page
Date
2
8/15/05
----------------------------------------------------------------------------
Special Notes and Comments
required.
Public Works Utility Engineering has no requirements for
this plan review.
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 148.75 148.75 .00 .00
Plan Check Total 59.50 59.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 212.75 212.75 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nu II 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
Signature of Contractor or Authorized Agent
Date
T:IPolicieslI102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD 06 - 7 a-7
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 UNLA WFUL 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
YES NO
FOUNDATION:
FOOTINGS ~/~/()j~ ~L-L
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING 9-1J./-o.s J ll..
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJR TING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 "tJ-29.-^- c il.l BUILDING
T:\PoJicies\1102_15 building permit inspectIOn record05.wpd (1/4/2005]
~ nl"
o 00l
" 3:10
00 ~~:
-... Ol'"
~ ~~~
oO~i
.p ~~~ i~ ~~
1:""''0 I
0-) ""
~i
HI
:ut1I-:iI.......tIlO~b:I0*ylD
tIjtI:I I OC:\D tJ:jC 00 *t:t:1C:
f./)(f) I...........H..........~H..........*:;dH
c:n I tvt"'l--'~t"'l\.) *::Ct"'
t"'::d I Q)t:Itt:>~t:I~ *1-(0
t-3 H I ..........H.......... H.......... H
{J)'O I NZI\J ZNttj Z
..........1-3 IOG)O QO::O Q
()H 1000HZ
00 I lJ1"ljV1~I1.jlJ1 Oi"tj
~z : z ~C! ~ZO
tz:I 10):>0013:0 c:~
Z 1o+:>ot"'WlJ1HWH:3:t:l
0-) I.... '" Z .. Z tn ;I>
en I tl::>. W\D(j)WC/}tI:lt-3
I-...J .&>-0'\ N"O:;dH
I Ol 0
I noz
1"'0 t-cI 'Ut-3Z
I~ 3: 3:H t'J:j
I 03:0
I ZtJ::IO
Iy Y C...j en.,
I t-t t"' t"I '" en H
IH H H*:J::tZ
ItIj tI:I tI:I*GlGl
1::0::0 :u .. tI:I
It"' t"' t"'
I~""::: t-<:
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
n
o
3:
3:
Ol
Z
0-)
'"
"-lH3:
0l00l
I"-...n
1""':':
><.:::~
"'H
on
0;1>
"'I:""'
~
o
Z
o
0-)
Ol
'"
...
'" '"
-..JOH
I "'Z
'" .. ;I>
"'01:""'
"''''
'"
3: 0-) '"
Ol >< ~
'" '0
'" -...
'" H
o 10 0-)
H
tn
I:""'
'"
'"
o
H
'0
3:
'0
tn
;I>
I"
0-)
:.:
o
I:""'
tn
I:""'
W
o
H
"''''
-...-...
HH
......
-...-...
00
"''''
tn
I:""'
H
0-) '"
~ ~
'" H
10 .;
o
H
0000
-...-...
"''''
"''''
-...-...
00
"''''
tn
'"
nl":O
00l
3:10
~~g
Ol'"
o-)o-)tn
tltl S
S
H
I" Z
~za:l
c:"''''
S;"'O!
H
.;
:001
0l0l
gj~~
I:""':OCll
o-)HH
"''Otl
~j~
oo::l
3:ZH
~ ~
Z
0-)
'"
;I>"-l
'01:""'
I:""'
~:;;i]8E;
'OI"ZZO
I:""'nOlo-)l"
0l1"1"0l
ZI:""' ;1>'"
c: n'"
3:. 0-)
tn 0
tI:I. ::0.
I"
oo:I: \D
UlO'\<: I--'
I I ~ 00
ow",
aoC/) :E
0' '
00 H
DOy 0
...,J I tI:I t-3
1\.)0:;0 ::r:
-..J I 0
WI:""' '"
:;dlt:l t-3
OlH
"''''I:""'
"'.
;1>0
nl
no
010
"'0
"'0
0'
I"
><
tn
c:
H
I:""'
o
H
Z
G)
n'O
HI"
o-)Ol
><'0
01:;
"'Ol
o
'0
OH
1"0
0-)-'"
~~
G)o
Ol'"
1:""'-
Ol
"'H
'"
...
-..J
...
'"
'0'0'"
6651
zzo
OlOlH
<:
zz
"''''
'0'0
0l0l
nn
0-)0-)
OH
1"0
.. Z
"-lo-)
~8
Ol~
"'Ol
0-)
I:""'
I:""'
H
Ol
I"
I:""'
><
0'0
;1>;1>
o-)G)
0l0l
H
o
-...
'"
00
-...
o
"'H
tJj tJj 0-] 'tI' ~~~8Ei n'O
, I;-< I;-< 0< ~ H",
, W H '0 '0 ",ZZt:J 0-]01
, ... I;-< nOlo-]", 0<'0
, [J) H 01",",01 :>'
, 0 0 0 >-l ZI;-< :>'[J) 0",
, H H ~. n[J) ...,01
, 0-] t:J
, III tJj 0 '0
.ll 'tI 01, ",. 0
:~& n",1<l "' ",,,,
roro 001 0-]'"
...... 3:0 H
, ", NN "'CO 00:<: '" ~~
, ... "'''' 1;-<010 "''''< H
, "'- ...... t'l[J) , , )> ro CJo
, 00 0-] 0-] III OW[J) 01'"
i "\ '-. "'''' t'lt'lc:: 00[J) ::E: 1;-<'
t:Jt:JH 0 , ' 01
r; 00 H [J)H
OOC:., 0 N
~ H " , 01 0-]
:>,c:., "' Z NO", :<: N
'01;-< t'lHCJ " , 0 ro
I;-< [J)Z WI;-< [J)
C[J)'tI "' , t:J 0-] N
EitO; t'lH ro
[J)",I;-<
N .
H , :>'0
>-l n,
nO
c:.,tJjo * c:., tJj "'t:J, 010
t'lC'" * 01 C 0101 [J)O
",H'" * "' H gji!i[:l [J)O
",I;-<N * "' I;-< 0'
0<t:J'" * 0< t:J I;-<",CIl "'
H'" Z o-]HH 0<
ZN..., [J)"'O
n G:lo~ (j) "'o-]~ tJj
0 OHZ nH ;:1 H H
3: ......,'" 0..., 00 ZZ
3: l.Jl~ ;t:>' 0 3:ZH I;-< [J)[J)
01 ~~o3:Z~ 3: ~ t:J '0'"
Z 01 H 0101
0-] lJ1HWH~t:l Z Z nn
[J) '" z.. Z tJj:>' 0-] CJ 0-]0-]
\..OG)wC/)tI:l....::l [J) OH
~ '" (\.J'1:l~H "'0
01 0 .. Z
t:J noz
'Oo-]Z c:.,o-]
Z 3:H ..., ~:=;
0 03:0 'O'O[J)
0-] Zt'lO i3i3fiJ t'l~
01 c:., [J)o-] [J)t'l
[J) I;-< *[J)H ZZt:J 0-]
H * )> Z t'lt'lH I;-<
01 *CJCJ <
"' * 01 I;-<
I;-< H
0< 01
"'
I;-<
0<
t:J'O
)>)>
o-]CJ
0101
'"
...
H
...
...
o
"''''
to >-3 '0 ::;:gi;8E; n'O
t"' "" ~ H;o
H '0 '0;0 Z Zt:J >-3 OJ
.... t"'n OJ >-3;0 ",,'0
(f) H OJ;o;oOJ ~
0 .0 >-3 Zt"' ~(f) 0;0
H ~. n(f) "'OJ
>-3 t:J
Il:l to 0 '0
t '0 OJ. ;0. 0
n;Oi<l ;0 ;000
OOJ >-3....
3:.0 to.>
'OC::o 00'" 'D ~~
t"'OJo lJ1m<: H
OJ(f) , ,~ 00 1;)0
>-3>-31l:l OW(f) OJlJ1
OJOJq 00(f) :8 t"'-
t:Jt:JH o , ' OJ
e; 00 H (f)H
00"-< 0 W
l H ", OJ >-3
;0 Z to.>o;O '" H
OJHQ "'0 "
(f)Z Wt"' (f)
C::(f)'O ;o't:J >-3 0
~~~ OJH lJ1
(f)'Dt"'
to.>.
H ~O
>-3 n ,
nO
*,,-<to ;ot:J1 OJO
*OJC:: OJ OJ (f)0
*i<lH gj~~ (f)0
*;Ot"' 0'
* "" t:J t"';o(f) ;0
H >-3HH ""
'" Z (J)'Ot::I
n ;0 I;) ....>-3~ to
0 HZ nH ;:: ZZ
3: 0'" 00
3: ~ 0 3:ZH t"' (J)(f)
OJ 3:Z@ 3: ~ tl '0'0
Z OJ Z OJ OJ
>-3 H~tl Z nn
(f) Zto~ >-3 I;) >-3>-3
(f)OJ>-3 (J) OH
~ 'O;oH ;00
OJ 0 .. Z
tl noz
>-3Z "-<>-3
Z H '" ~8
0 03:0 'O'O(f)
>-3 ZOJO "''''C:: OJ:>:
OJ (f)>-3 OOto (f)OJ
(f) '(f)H ZZtl >-3
* ~ Z OJOJH t"'
*1;)1;) <:
*OJ t"'
H
OJ
i<l
t"'
><
t:J'O
~~
>-31;)
OJ OJ
00
....
to.>
m
....
o
\11m
FOR OFFIC US"' ONLY:
BUILDING PERMIT - APPLICATION /faltRec. 0 ~ of}
(penllil #: <!':Js:, z:-
Fill out COMPLETELY and in LN'K. Your applicatior. and site plan MUST Bi.1 ~ate Approved:
COMPLETE to be accepted for review. If you have any qllestions, call I /
PERMITS (360) 417-4815 FA,.x(360)417-4711 V, Dart Issued:
I
-
Applicant or Agent: cJ e yo /v
Owner: Sa ""'7 f-'
hvass
Phone: 3t::O - ~'::;-7 - ,$ 6'- '? C
Address: 7' /f-
Architect/El1gineer:
Contractor
w
/o,y::.A
City:
Phone:
d/ ,-1V1.7Pkj'
Phone:
Sc<- h7 P
Zip: ?rS-J?6' 5
State License #:
Exp:
Phone:
PROJECT ADDRESS:
9/r 4/
City:
/c/h ) ~~ .17~~.5
Block: .5 /9 Subdivision:
Zip:
ZONING:
Address:
LEGAl DESCRIPTION: Lot: ~-
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name: ;-y;;; VdIJ
Billing Address: ?'/l~ Ie/' ../Q ~
SIZEN ALUATION:
SF. @ $ /SF. = $
3- 7.6 SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAl VAlUATION $ 6/ crt70-
COMMERClAL/RESIDENTIAL: Occupancy Group:
No. of Stories: _ Lot Size: 7.000 Existing Sq. Ft. \?~
Total lot coverage ~. 11 %
Occupant Load: Construction Type:
& Proposed Sq. Ft.?7f.o = TOTAL Sq. Ft. -:211 '2
APPROVALS:
PLAN:
BLDG:
DP\VU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No 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
Section Rl 05.3.2
of the International BuildinglResidential 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 determine t permits are required ,not the City's, and that I must obtain such permits prior to work.
~ ~ate: g-k~s--
Applicant:
T:\Policies\BL-II02_13.wpd
70~
&{
.
926
30
Feet
V.rtical Datum ~ NA VD 88
Horizontaf Datum = NAD 83/9/
N
Area Map
This map is not intended to be used as a legal description,
This map/dra\1.'ing is produced by the Ci~l' of Port Angeles/or its own use and p/{rposes.r:~
Any other use of this map/drawing shall not be the responsibility of the Ci~l'. '~
------.
I - -
il.d- /~ Sca../( }-I/ey
I' I
i
J__ __ __
!
1- --
r-------
- --- e---' 1---1-- -- I !
r== -F1 ~ ---- =--I~- --==,~~~ - ~~if!6- 1=,- -,-
~,I "~"~ .___,.__1" J1 1__,,'--,- f-,,_-t.'t _= -- ~'.-+- () I Tf r-- - c- - 'I! I
+- t, '1 -_U-~--lrJ"- - . Ii
1-_-_L--1I ~1 J --- - I - I . I __ ,- - ,,-- e- r -"
, i ,- -- -- -- '-- - - --
i-l-t, -1-1-- -, -S ,'7~ I - ;It --y~1 ~ ~, 'L.
r r- I-lii-I--'-i - ;. -e- =- ----,- Le- - --=-' - ~'
::,i--~".!-~Jl--i-~~t--I-- __ ----- I- m - I-- --+-- - - - ~I_, T,I 'n - -
+ -- f--- -- 1-- --- - _L___ --- 1--- -- ---- -- -- _ _ _ _ f-- _____ _ ___ __ _
i--r-! -1--- '___ji ---~- \ 'f, < 7 ... ~ I I:. - -- r --L
r-t-T- 1 -- --- --f-- ---- r- I
-1-. __ I - --_ I ---- -'.- r f- I-- - 1-- i-
1,i~__ I -- --1! - l-~--- --- -~- ---
: I
~________. i
__ _ ~ . -. '[ .+ _ , _" ,~_. 1-__ r__ =~~~
---- --- -- t-- i 1-- -- 1-- i-- ~ __1___ ~,- -
v - - I--
I M Te--
H- j I--r-- . --
fIA~~j=-=-,- =t ==-~--
I I I J !
i;I' _._-_-_--,-11,1'_,1 1,,___ ~,-__-,.-_- - i --1 - I
· -I + i-=-f--- ----- -l~- __ - -= 1--- -- -- --
i-~ -+-i- c-l=~
Ltll~ ll-- _ = --1--- - ~ I ' i--~
~J il_u I:-~ j-- ~=l ---:-- 2Fn~ ~&Ifr
'ORM #1]1 Ill. YMPIC PRINTERS INC
f\
-- r- l
I
I
1-_____
-- c---- ----
-- f----
t--
_u
1--
-- no 1-_
-- - --
I- ---
, -- [----
I-
-- f---
l----' --I-
----
=r= ==--- 4-
, ~ '
----f----, ___ - I
~' I \(l ~Ir -++' --r
- L' f-= -- --.-- ---~
'\ . -- r- --r-
, .." i II -I +--~, i J
~+q +-1.. ~--, +1
I ~j I I I
---- ---_our' -~'-., --- f----t.---- ---f.---.f '--~
--- --+--1---- -
, I
_______._i __n_o ,'_ . <, I
t-l-+-~ It~~~-t~: rin!--i--
y
--- --
-- _ ------
Street Lookup
Page 1 of 1
Parcel Number 0630000319200000
Site Address: 918 W TENTH ST PA
I Quit I
Taxpayer:
HVASS JEROLD L/CHERI
Title Owner:
HVASS JEROLD L/CHERI
918 W 10TH ST
PORT ANGELES, WA 98363
918 W 10TH ST
PORT ANGELES, WA 98363
Description:
LOT 5 BL 319
Value Summary:
Note: Listed values do not reflect adjustments made for exemption programs such as
Senior/Disabled or Current Use programs (except Commercial Forestland properties).
Land Value: 24,000
Improvements Value: 116,565
Total Assessed Value: 140,565
Property Characteristics:
Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or
building departments for Zoning and allowable usage of property..
Use Code: 1113 THREE BEDRM
Land Size (acreage): .00
Note: Acreage is not listed for all properties in the
Assessor's records. More information about land size.
Tax Status: Taxable
Tax Code Area:: 0010
Zoning Code: P _RS7
Note: Zoning and zoning codes change constantly. Verify all
zoning with the appropriate planning or building department.
Building Characteristics: (Click on Bldg. # for more details.)
_#Elldg.Iype __ 61djl.$t}'le TotaLS.F. _BDBA
01 House Two Story 1587 3 2
Tax History
Sales History
Other parcels at this address:
[ Quit I
http://65.161.10.164/website/sitis_s.pgm?address=918%20%20%20%20%20&street=TENT... 8/8/2005
cf."ORr~
",~~"IlI__:t<.,
Grca~
1!.. --
~,,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000727 Date
186554
918 W 10TH ST
06-30-00-0-3-1920-0000-
RES ACCESSORY BUILDING
9/30/05
RS7 RESDNTL SINGLE FAMILY
6000
Owner
Contractor
HVASS, JEROLD L.
918 W 10TH ST
PORT ANGELES
OWNER
WA 983635730
Other struct info .
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
21. 90
1536.00
7000.00
576.00
2112.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
WOOD STOVE
61408
50.00 Plan Check Fee
9/30/05 Valuation
3/29/06
.00
o
Qty
1. 00
Unit Charge Per
50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
"'t,
...
~
~
~
..........
o(J
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
MAINTAIN CLEARANCES FROM SERVICE WIRES
The Fire Department has reviewed the project application and
has no comments
08/12/2005 09:45 AM SROBERDS -- The proposal will add a
576 sq. ft. detached garage in the RS-7 zone for a total 30%
lot coverage.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
(
--
Other Fees
STATE SURCHARGE
4.50
C)
-----'\.. "f
,,\ .,:)
~
S.)(h
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 54.50 54.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nu II 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 I a regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\PoliciesllI02_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
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 UNLA WFUL TO COVER, INSULA TE 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
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA nON
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUNWI FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 t 0 -1.~ -tr/.~ BUILDING
T:\Policies\1102_15 building permit mspeclton record05.wpd [1/4/2005]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: q 13 ()/(!)S
Pennit #:
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
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:
Owner:~T; V'7 J-/I/'~S ::::"
Address: 9l g- w /0 II,
Phone:
Phone:
City: /?-r/' /~c7e)., s
./
360- 5/0-7- 5b?'c
Zip: 9'~5C3
Architect/Engineer:
Contractor
Phone:
State License #:
Exp:
Phone:
PROJECT ADDRESS:
7/g--
w
Gty: Z~:
/0//1 . ZONING:
Block: -.S / 7' Subdivision:
O{;-30'-c.,'1Q-O--..? -/?..zC' -60CO
Address:
LEGAL DESCRIPTION: Lot: ~
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition D Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF.~SCRIPTION OF THE PRO~fT:
-th 5).a. /1 WoceL
X Stove
D Garage
D Deck
o Other
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
~~
s- .h-JV(
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No 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 -48 I 5 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: Ifno 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 Rl 05.3.2
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 ff is my responsibiJny to determin/aJ permns a'U:::t the City's, and ~hat I must obtain such permits prior to worl<
2,"""0;,"IBL-1102_13.wpd Apphc""t, Y7 2 . Date, '7' h 0 k.s--
1<.' ,
\F>
c..
~
\
3J
~
f
~
J
3: ' ..,
t>l , ><
10 , '0
10 , ,
'[J)
0'0
....,
,
~!n~
~ioo~
1fl:"' : [:l H ~H
'[J)Z
,C::[J)
'1:"''0
,.., '0
: ~
, H
I~t:'~
't>lt>l
'[J)[J)
,c::n
'I:"'~
,..,H
'[J)'O
"'"
,nH
'00
'3:Z
'3:
't>l
'Z
,..,
,[J)
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
n
o
3:
3:
t>l
Z
..,
[J)
?;;
o
Z
o
..,
t>l
[J)
"'....3:
t>lot>l
~'n
~"';l:
><.:::?;;
"'H
on
0)>
lill:"'
",
lil 'tl
-.]OH
,,,,z
lil .. )>
,,",01:"'
10'"
""'
'0
3:
'0
tJ:l
)>
~
..,
;l:
o
I:"'
'"
~
H
>-l
)>'Oon)>
'0)>::;:00
'O~ZZO
t"I()tIjt-3:;d
tI1::d::dtI1
ZI:"' )>[J)
c:: ()[J)
3: . ..,
tJ:l 0
t>l. ~.
~
oo:I: \,()
L110'0<: I-'
I I ~ 00
OW[J)
aD(/) :8
0' -
00 ....
DOLl 0
....JltIj t-3
t\Jo~ ::r:
-.]'0
wI:"' [J)
:;Olt:l t-3
01....
[J)\DI:"'
'" .
)>0
n'
no
t>lo
[J)O
[J)O
0'
~
><
tJ:l
8
I:"'
o
H
Z
G'l
n'O
H~
..,t>l
><'0
)>
o~
'tlo1
o
'0
0....
~o
.."
IV
?;;~
G'lo
t>llil
1:"'
01
[J)....
'"
lil
10
o
-.]
'O'O[J)
88iii
ZZO
t>lt>lH
<
H H
ZZ
[J)[J)
'0'0
t>lt>l
()n
..,..,
OH
~o
.. Z
"'..,
~~
t>l:>:
[J)t>l
..,
I:"'
I:"'
H
t>l
~
I:"'
><
0'0
>'>'
..,G'l
t>lt>l
....
o
,
'"
ex>
,
o
lil\D
'J.'~.
Sfid~~
De
"I<ii..~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number .
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000727 Date 10/12/05
186554
918 W 10TH ST
06-30-00-0-3-1920-0000-
RES ACCESSORY BUILDING
RS7 RESDNTL SINGLE FAMILY
6000
Owner
Contractor
HVASS, JEROLD L.
918 W 10TH ST
PORT ANGELES
OWNER
WA 983635730
Other struct info .
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
21.90
1536.00
7000.00
576.00
2112.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
EL-DETACHED GARAGE
OWNER/ DETACHED GARAGE
57125
48.10
9/30/05
3/29/06
Plan Check Fee
Valuation
.00
o
~
,
\)t)
C3" t
~
0 '-.....
~.) ~
\~
......
V1
'\
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R-OUTBD/DTCH GAR SEP
(
Extension
48.10
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
MAINTAIN CLEARANCES FROM SERVICE WIRES
The Fire Department has reviewed the project application and
has no comments
08/12/2005 09:45 AM SROBERDS -- The proposal will add a
576 sq. ft. detached garage in the RS-7 zone for a total 30%
lot coverage.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
~---------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 52.60 52.60 .00 .00
COMMENTS/ ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
DITCH
IU lIICTH:}N I CUVER
~~K Y lCh
l/f)/" ~/I> <' I .hf)
7 ,
GENERAL COMMENTS:
PW.ll02.l' (4196]
.'
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E, Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. 3 g 7S-
t/- 17-9'J.--
DATE
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
"ril RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW ~
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
B! NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~OVERHEAD SERVICE
B UNDERGROUND SERVICE
VOLTAGE:
~ SINGLE PHASE
o THREE PHASE
SERVICE SIZE ~OO AMPS
DetailslDescription:
.
WS. No. SERVICE SIZE
CAPACITY:
o OK NOT OK
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
fl Rough-in/cover OK
o O.K. to connect service
o Final OK
r0t.cJ
&vv.ot, Jdd.
c?v-L,
~ -fv,i~ (
Site Address:
Permit/Receipt No.
76"
Date:
/I-/7-r')-
Installer:
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BUi/d'ng Permit. PHONE 457-0411, EXT. 224.
7S ;.t., NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 40. ()t)
llieclr~peClor Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
38'iz-
DATE /0 -,;2/-9' C
ELECTRICAL PERMIT
Site Address:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~IDENTIAL
D COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW _
D HEAT PUMP KW_
D SIGN
iW'fEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
~HEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
D THREE PHASE
SERVICE SIZE AMPS
Details/Description:
I
Vf
,,5.-e-w ~
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
~rp.O.K. to connect service
D Final O.K.
Permit/Receipt No.
3812-
Installer:
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
&><7
~O~
Electrical Inspector
Permit Fee
WH ITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: MeIer Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15238
Port Angeles, Washlngton_________________________________m_______________mm_____, 19__000:__
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.
/> ,(...- I
Address _____1___000______________000_______________::___________________000______________________ Occu pancy ______________________000_____________000_______
Owner __n_u:uu~u._n_n__..~.:._:__:::'n.:_:_.:.uln..!:__._~n:____uu.~..___ Tenantn____n________.hh_~.......____n____u.u.__n____.___uuoo__.___hoo
/ ,
Wiring Contractor ____,_.'__;__:_,_:____,______'_::000000__000_______________________ By______________________________________________________m_____________
Light Outlets____....__...._____._._...._..________...
Service, volts nmmmm_._m____nmnmn___
Receptacle Outlets......___.mm_..._..._______
No. wires ........._.....n..._................n
Dryer, KWjnn._n.n...._n__.n___n.
Range, KW m_un.
Size wiresm.......__..m.__..._._......____n
-,
Main fuse mn____~n::~.:m__~~n..mm.____
Water Heater:
Enclosure _...___.:_:m.____n__...nm__m_n
Type of wiring:
Entrance Cable _mm___.m.........._....
KW_____m_m_ _...................._
/~ :-" /J d
Heat: :RW..__........__..mnnm__'m__':"m_.___
Rigid Conduit m._______m_'__mm..___..
Metallic Tubing ___mm__m__m__....._
Current transformers:
No. & Size___..._.____..._......__......n.__.__.
Motors: size, volts and phase:
Ser. No.,.........____.____________________..........
Ser. NO._..h....n____n._n____________________n.__
Ser. No..________._........._......_.............._..
Total Loadm___m....m..._........
Ser. No. ._.._n.___________________.._____...........
Type of Wiring:
Armored Cable
Non-Metallic mmn____..__mmn_m_.._.
Knob & Tube..
RIgid Conduit ....m....__mm.n.......__
MetallIc Tubing n__ m_....._____m...._
Race,vay n..mm..m._........mm_......_.
Circuits, LighLm__.mm__mm_____.._..__m..
Utility nn_n.nn__.____...._._.nn.nn........_
Heat
Range nn.n......._.__.__n..__.nn.........._..
Water Heater m_mmmm....._.___mn
Motor ...__._______..______._......_.....,________
Dryer __n._nn__'____.n__h_....n__.n___._n_..__..
Furnace nn..._.....nnn_..n.___unm'..____
Total _________._.____________._......._..___
Remarks : __n___h__.....u____~un______.__.J~__-~_._~__.__~:.nn.n~~______.~____::__________.u_.u.__.__.__nh__n_.._______UH__~.__._________________.n.___~
____.____h_'___......_...._.._____________________._U__~._..__._.__.._...____~.._.___.._..._...._.._...______________________________________.__~____._..__..._..._..___.~___.
_____.uu...__n~._______________.u.__________.________~________uu.____u.nn______h_______________Uhhd____U_____..dun..._____unn~_.nnn_n.oon__.n.n.nn
Permit Fee Treas. Receipt - ,;
$____000______________000_____000_____. No..____ooo_______...._______ By __m_____m_L___;ooo:__________::________________________________
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
Date calledlr{n,~~ect{o~m~n:_m..;~....m.mmn~mm.n.-----u......-m..-..-..............mn.m
N?
15238
..__nn__.....u....U_nnn_....n...__......_..___nn_...______nnn.._.......
preIIminaryinSpec~iori-dai~s_._....:.........h~~._._____:-.----.___.~________._.._____..._____._______.___.______-.-...-....---........________....____........'.__h______.h_.._..______..........
Total Load _nnn_nnnnn......nn._.nn_n_..n__.............__.nn._n..n.n_.._n__...n..
Inspectioncompleted...____....._______...____...............____.___.__.h._.........__.~_...__..............__..._...__.__._________'_n_...._n_...........__...._._._________.._____..._.__......._
\
1M 3-72 Olympic Printers, Inc.
-......._____n.__.__._hnnnn.nn_...._n............uu................__...uu_......_
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15235
/ .. -, T ).'"
Port Angeles, Washlngton........~........:~.ooo..oooooo....ooo.ooo.oooooooooooom. 19.L.:'-:
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 .....1/.nr.ooo0.:.~~./!j..d....ooooooooooooooo...ooonn..........ooo..ooo Occupancy..n.d..r....'!L...n..___................n.
~:~::~.~:~~:~~~~.:J~:~:;:;::::=:;.:::e::Q:~::~:::y.~~~~:l~~:::::::::::::..~.....~~~:::::::::::::::::::::::::::::::::::::::::::::::::
Light Outlets.......__n......____.............._.....
Receptacle Outlets.._____......__....____.____...
Drye" K\\1........n...........................
/ -,
Range, KW .'hmh::~m. ___n___moo_
Water Heater:
r'/ ~...,
KW.______..ut_'-..I.__._
Hea', RW "'h:&..'z:~mj3.f3..'hh"hmh
Motors: size, volts and phase:
I:; () / :l- ".,')
Service, volts .............h_.....__~.....___.....__
No. wires ..:?.................______m__......
?j ,
Size wires___:'_.~_~..~...~._............_.
Main fuse ____2:.~~:oo(.?.._...____......_
..$
Enclosure .........___............___...__...____
Type of wiring:
Entrance Cable ....._.u....................
Rigid ConduIt _m....._.....___.........._..
Metallic Tubing ...........................
Current transformers:
No. & Size.n..._______________________________..
Set. NO.__..______.n____..______._n_______.________
Ser. No....____...........................____..._____
Ser. No. .....__...................................._
Type of Wiring:
Armored Cable ..........................__..
Non.Metallic .........__....d............m.
Knob & Tube...............__...____.....__...
Rigid Conduit .__...m__....................
Metallic Tubing ......____........__.._____
Raceway ........m...
Circuits, Light..__.......................__...n__...
UtilIty mm.m.m.h...hmhm"hhm.mh
Heat
Range ..........__......__....______n__.....____..
Water Heater ......_....................___.
Motor h_................__....____.__.._____......
Dryer__..____n.....__.............____....n...._____.
Furnace .......__................._m
Total Load__..____________n_._____.... Ser. No.....__.......__............................__ Total ____________.______._.___..............
;1
Remarks: ......o:.,.."..".....::.oooc::.?~.1....yn"':,"c[L,-!Zn.j::..~,"'2..Y.~___...........n...___.........................ooo........n........n.
Permit Fee
$..............................000.000.
Treas. Receipt
No......oooooo............_...
By n.n...........mn......ooo..ooo.........oooooo..........___...___.
NOTICE-Current must not be turned on until CertIficate ot Inspection has been issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
'- .- //' '/.-'
7//5 li",J 1-'-'
ELECTRICAL PERMIT
N?
15235
i,
"" i 7 ,'AI It' .1'
Date called for inspection....__...__.::........~.................................._...._................_........................._........n...............................__..__...................
Preliminaryinspectiondates............................._.d..__...........__......~__.....__...........h.............................................___........_.........._......._......._
"'Z,/. W <.', ',-
~ c....'l'~.. ......n..i2- ( ... - ~ I .
InspecUoncompleted..._.._..._.........._._d........................................................................................---....................---.....--...........-..........-.......-
Total Load .........n............n..nn.nn.nnn.___.....n.__...___...n.n.nn__..n._un.' ...00__.......__......____.....
"
1M ~3.72 Olympic Printers, Inc.
\