HomeMy WebLinkAbout1327 W 12th St - BuildingPREPARED 7/25/11 9 05 22 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/25/11
ADDRESS 1327 W 12TH ST SUBDIV
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER ADA M SAAR PHONE
PARCEL 06 30 00 0 3 5670 0000
APPL NUMBER 11 00000730 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01
7/25/11
i(
MECHANICAL FINAL TIME 01 00
July 25 2011 8 54 45 AM 1pangrle
JENNY (452 9813 ALL WEATHER HTG)
MECHANICAL FINAL HEAT PUMP
SHE REQUESTED THAT THE INSPECTION BE BETWEEN 1 00 2 00 PM
COMMENTS AND NOTES
Application Number 11 00000748
Application pin number 752560
Property Address 1327 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5670 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
2 circuits heat pump and furnace
Owner
ADA M BAAR
55 GERBER RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98363
189464
76 10
7/22/11
1/18/12
7 t I
INSPECTION TYPE
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL ALTER RESIDENTIAL
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Contractor
BLACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAMOND RD
PORT ANGELES WA 98363
(360) 565 1035
DATE.
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
76 10 76 10 00
00 00 00
76 10 76 10 00
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Due
RESULTS
rl�g M
71*n AC?
Date 7/22/11
00
0
Extension
73 50
2 60
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
-sow
-ckir
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington,
Ph (360) 417 -4735 Fax. (360) 417 -4711
Date
1,(1 2 Single Family Dwelling
Plan Review Ma Be Required, Please
Job Address: k3 IL) t 1_
Building Square Footage:
Description of above 0-1)1>c...4) 4.4 P
Owner Information
Name: A-tu .'emu
Mailing Address:
City State: Zip:
Phone: g2Q5 -305 Fax:
License Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional 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 Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note. $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited,Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
x
Unit
$119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
$148.70
$167.90
95.90
88.20
95.90
63.90
63.90
$119.90
102.30
56.00
110.30
35.20
73.50
$110.30
Dated:
7- 6-11
RECEIVED
JUL 21 2111
98362
Qty
ELECTRICAL
INSPECTIONS
0110112010
Multi- Family or Commercial* Commercial Addition I Alteration Remodel Repair*
Complete Electrical Plan Review Information Sheet
Contractor Information.
Name: Kt_ lL {s4��✓� �[LG�+�csrL
Mailing Address: c2:»_ LAG/c-- 7c
City: PA State: A Zip: 9&1'3
Phone. yti f- S Fax:
License Exp. 'RLAc__ set f a L
Total (Qty Multiplied by Unit Charge)
S
S
Total
Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized (2) Owner is required
to hire an electrical contractor if above said property is for 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 installation or alteration in compliance with the electrical laws, N E.0 ROW Chapter 19.28 WAC Chapter 296 -46B The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator Cash (Check
Credit Card
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
T stat 2 ton heat pump
Owner
ADA M SAAR
55 GERBER RD
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98363
ELECTRICAL ALTER RESIDENTIAL
189191
56 00
7/20/11
1/16/12
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
11 00000727
462432
1327 W 12TH ST
06 30 00 0 3 5670 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT THERMOSTAT
Charged Paid Credited
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 7/20/11
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813 L5;. 51ZC1
Plan Check Fee
Valuation
56 00 56 00 00
00 00 00
56 00 56 00 00
Due
RESULTS
'alzaltr
71z,211i 4ik'
00
0
Extension
56 00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date.
City of Port Angeles Permit Application
Building Div isionlEloctrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph. (360) 417.4735 Fax: (360) 417-4711
Date:A
X1 2 Single Family Dwelling
Multi Family or Commercial'
Commercial Addition Alteration I Remodel I Repair
Owner Iifor ation.
Name. it
Malt Addres
City :t
Phone: r '►iE'i
License #1 Exp
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
66.25
$116.25
$131.25
75,00
69.00
75.00
50.00
50.00
93.75
60.00
86.25
27.50
57.50
86.25
43,75
Plan Review. Requi (e' P a Col -te Ele I Plan eview Information Sheet
Job Address: V�
Building Square Footage: ��m.�— p�
Description of above ac t9 \VIC DO.L D
Q
State:
Fax:
Zip:
Contra •r Infor a 'a
Name:.
Mailing
City
Phone:
License Exp,
RECEVE
JUL 13 201
ELECTRICAL
INSPECTIONS
Total (Qtv Muitiglied by Unit Chanel
Service /Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service /Feeder401 -600 Amp,
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Servlee /Feeder 201.400 Amp.
Temp. Service /Feeder 401 -600 Amp,
Temp. Service /Feeder 601 1000 Amp.
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft, or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
NanimallEINY
N Ninitr r
State:
_Fax:
Ube Uri 100
Owner as defined by RCW.10.28.261• (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is required to hire an
electrical contractor If above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above named property or a llcensed. contractor. I am making the electrical
installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAG: Chapter 296.468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator Cash
bO /D0 3E d ONI1C3H i?t3H1C3M 1 1C
Cl Chock
L`J Credit Cat
4WD
LLTSZ9b09ET 8T 91 TTOZ /ST /L0
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 11 00000730
Application pin number 518600
Property Address 1327 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5670 0000
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 11711
Application desc
HEAT PUMP
Owner
ADA M SAAR
55 GERBER RD
PORT ANGELES
WA 98363
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total 64 80
Plan Check Total 00
Grand Total 64 80
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 189233
Permit Fee 64 80 Plan Check Fee 00
Issue Date 7/18/11 Valuation 0
Expiration Date 1/14/12
BASE FEE
1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80
00
64 80
00
00
00
Date 7/18/11
Extension
50 00
14 80
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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. /1/(911‘
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
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
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit Its SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T.Cnr /pi ilrlinn n, isinn /Ruildino 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
FINAL Date Accepted by
FINAL Date
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type
1 26 ,2 A cc 1pted by TEA_
Date Accepted By
L�
Parcel Number
Pro ect Type Brief Description:
Check all That apply
a New Construction
a Addition
a Remodel
a Repair
a Demolition
a Re roof
}g Heat System
Other
Floor Areas
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant
Property Own er
Property Own er's
Contractor
Contractor's Add
License
1
Witt: .L r
Address t,111
Li 1 ',at
jar& War
ess
Existing (sq. ft.) loosed (sq. ft)
Max. height of proposed structures. ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will afire sprinkler system be installed? Construction type
Expires
flesidentlal
b0 /Z0 39Vd 9NIJVBH el3H1V3M 11V
Phone
Phone
Phone
For City Use Only
Date Received 7 -1 to.-
Permit# I I 2 ?tY
Date Approved C7 rfi s-f/
cb7 Q
G
E -mail CtAtiTt k
PROJECT ADDRESS 1J l b1Si
a Multi- family
Lot
Zoning
a Commercial a Industrial
House a garage o other o tear off re roof a lay over one layer
)Heat pump a wood- burning stove o gas fireplace a pellet stove a other
Basement per sq. ft.
1 Floor
2nd Floor
3` Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION V1 1 1
Total footprint of structures sq, ft. T• Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17 94.135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
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 res onsibility to determin what P
permits a required, and to obtain permits prior to king on io_ ects.
i� ik
Date 11 Print Name f�J Signature
7:Fonns/Building IN/Won/Bldg Permits/as
LLISZ9b09£t 81 9t 110Z /S1'L9
If ?ORT -'I~
$4,O~~~
"'i~
II "EiilI
'L &;;;;.;10
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING 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
05-00000623 Date
184151
1327 W 12TH ST
06-30-00-0-3-5670-0000-
RE-ROOF
7/18/05
RS7 RESDNTL SINGLE FAMILY
3800
Owner
Contractor
C & C ASSOCIATES
PO BOX 2381
PORT ANGELES
WA 983620307
MEYERS CONST. MAINT.
391 BROWN RD
PORT ANGELES WA 98362
(360) 452-5457
~
~
!
!
~
~
~
Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAROFFFELTCOMP
Permit pin number 54585
Permit Fee 120.75 plan Check Fee .00
Issue Date 7/18/05 Valuation 3800
Expiration Date 1/14/06
Qty Unit Charge Per Extension
BASE FEE 92.75
2.00 14.0000 THOU BL-2001-25K {14 PER K} 28.00
<""
C.
~
\1
if)
-t-
Other Fees
STATE SURCHARGE
4.50
\
!\\
'-
:'"
,
r
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.75 120.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 125.25 125.25 .00 .00
"0l
~
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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 0 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construe z:n"( j./ / )
(, j J 1:/ -, \- .-- '
/fJ 9.:/ I vI >{' t v v-.,
Signa ure of Contractor or Authorized Agent / Signature of Owner (if owner is builder) Date
T:\Policies\ II 02 _15 building pennit 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
FOUNDA TlON 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 I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF I CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR 1 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 SEPA:
PARKING/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 PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT. 4 J 7-4750 PLANNING DEPT
BUILDING 417-4815 . !/iCZ'lt/0 -}I-G BUILDING I
T:\Pol icies\11 02_15 building permit inspection record05. wpd [1/4/2005 )
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START WORK DATE
YOUR INQUIRY NO.
PROPOSAL NO.
PAGE ~O. OF PAGES
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MATERIAL AND LABOR AS REOUIRED IN ACCORDANC~WITH THE ABO.. VE.
SPECIFICATIONS. ..,Pf 00
FOR THE . ;t. B{)D -
SUM OF DOLLA~
PAYMENT TO BE
MADE AS FOLLOWS
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFAC-
TORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO COMPLETE
THIS CONTRACT AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED
TO THE LEFT.
AI! material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be execuled only upon written orders, and will become an extra
charge over and above the estimale. All agreements conlingenl upon strikes, accidents or
delays beyond our control. Owner to ca"ry fire, tornado and other necessary in~uSftlllce. Our
workers are fully co vere;;d by o.rkm;.r's ompensation Insurance. C;;0'o/':/
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NOTE: THIS ~~OJlOSA" ,,/Y. E ~~h N BY US IF NOT ACCEPTED WITHIN DAYS.
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AUTHORIZED SIGNATURE
DATE OF ACCEPTANCE
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Site Address:
/3 ~ 7
-lee
Installed By:
Owner/Business:
Owner/Business Address:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Description:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
uJ
+-\....
DATE
'-~ ~ 19'
~ // 9/t'7
;" ,
o New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
PERMIT NO.
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Sq. Ft.
o Overhead
o Underground . oL
Voltage I '2-<>/ L 0
~0 D3/i1
Service size a 6 0 Amps
o Temporary
} \
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~t
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/ eal,
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/;;n~0
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11.'-1
.-/
) L
/-- i) c... O\'"
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ G-Rough-in/cover O.K.
~-rp. O.K. to connect service
j!l Final O.K.
~
Size
Comments
Date
Site Address:
Installer:
w
(J,)"",
c- /e.-e-.
.
OLYMPIC PRINTERS. INC.
Hoid for: 0 Easement D Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
l::t +1.-
Permit/Receipt No.
dd...
a.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
4 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -., 0 Ct.)
'~ ...2 -
nspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, BoUom: Customer GREEN - Top: Inspector, BoUom: City Hall
New Meters
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO -.:2/ /?lS'
DATE ~/I /l?~
7{r
READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
Phone:
Installed By:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
D Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
D Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
D New Construction
D Remodel
D Service update/alter/repair
D Overhead
D Underground
Voltage
D 10 D 30
~vice size
f\ Temporary
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
Amps
Details/Description:
.
W.S. No. Service
Capacity: D O.K. D Not O.K.
D Ditch inspection O.K.
D Rough-in/cover O.K.
AuJd;J O.K. to connect service
I..-.-Jb Final O.K.
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
o Plan Review approved/pending
Installer:
/ ~ --v.
Site Address:
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
TS jp ()
/ Imfpector
WHITE - fife by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/6,00
Amount paid
GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.