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Home My WebLink About4308 Old Mill Rd - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001374 Date 12/02/11 Application pin number 670636 Property Address 4308 OLD MILL RD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-22-2-2- 9040 -0000- Tenant nbr, name 1000 on your state excise tax form Application type description RES ADDITION to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc SECOND FLOOR BALCONY Owner Contractor EYESTONE PAUL H OWNER 4308 OLD MILL RD PORT ANGELES WA 983621908 Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc BALCONY OFF SECOND FLOOR Permit Fee 50.00 Plan Check Fee 32.50 Issue Date 12/02/11 Valuation 0 Expiration Date 5/30/12 Qty Unit Charge Per Extension BASE FEE 50.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total 32.50 32.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 87.00 87.00 .00 .00 TeVA0V 10 .114 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 =w regulating construction or the performance of construction. g- ,2- 1-44.. v rat.. 1- y7 a)1 1-/-/ 64 r Date Print Name Signature of Contractor Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD vv PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwafl Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceilin. 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 `F" Planning 417 -4750 Building 417 -4815 T- Wane /Ri iilrlinn nivisinn /Ruildina Permit N H 1 H 1 0 o N 1 GI GI C7 aa1 a Q1 0 0 x L .0 a 1 a a w H E 0 z z °i x W, Ox x a F U0 1 [n as 0 H a O z E h o q oa �a H O 1 (n H N U U z o o F w w n m z m 0 1 O H z O 0 H H 1 ,1 ,7., H0 a (0 O W a a co I-1 0 H H H a z Na.] E N 1 O U 0 C> 0 N o ff 0(0(0 0 0 0 o E-1 W W al N o ff wa W as0 o A F 0 a H a 0 0 41 0 a s I lk 0011r a a 1 a a CO 0 O H g 1 d' (7 H W a 0 1 ro r Z 1 r1 H 04 o W N H f] (0 1 a Z 01 1 0 0 1 0 I w q a 1 E o pww .-1 ,1 W 1 CO (0 ri o 0 F F H H 0 1 0 w 1 (nw 1 M r LO w 0 o a 40 LO o I cr W o ff 0 1 0 O 1 0 X Na 1 a ..x 0(0 10 10 0 1 04 0 01 a a 1 z o w a1 Q w m 0 N a0 1cnE4a ■z F a o W N 04 O H w U a H 01 wE 1 nz zzaa a o\ wu a w BUILDING PLUMBING MECHANICAL PERMIT APPLICATION LONG FORM (To be used for projects that require plan review.) Date Received /A- Permit 1/ /3 City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by Aerej 321 E. 5th St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no Americ- xpress) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: 1_41.4).rct. .gYG5farvG Phone: 340 4 ?o fd S Property owner: �ri e n �e TO 'f d6. NA) 1 y GS 5 P hon e: 3[00 Property owner's rrjaiVog address: 4 f3o g Old A t tf Kc1. ?ortATIde5, WA g•36 Contractor's business name: 'p n y cia.) 5 h Phone: (or property owner's name if he /she is dding /overseeing the work) 76 0 77 q 74 7 Contractor's mailing address: Contractor's L &I license number: Expiration date: Project Address: Project Type: Residential Commercial o Industrial o Multi- family Project Business Name: Zoning: (for commercial, industrial, or multi family projects) Parcel Lot Complete only the portions of this permit that are relevant to your project. Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Projects submit: Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Prescriptive Approach Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Paperwork confirming conformance to the Energy Code For large projects, a pre- construction meeting with various City department personnel is highly recommended. To schedule a pre- construction meeting, contact the Planning Manager at (360) 417 -4750. Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing proposed), curbs, sidewalks, storm water plan, etc. For Additions New Structures also submit: (1) Site plan (8 1/2" x 11") showing all structures (existing proposed), setbacks, new driveways If an architect or engineer drew the plans or calculations, include at least one "wet- stamped" set of plans and /or calculations. T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Long Form (Revised 2011) Page 1 of 4 Repair Solar Panels Miscellaneous: (explain the project) Project Valuation Remodel: (explain the project, including how the building space is currently being used and what the new, remodeled use will be) Project Valuation If the space will change from commercial to residential, submit: "Checklist Converting Commercial Space into Residential Space" Addition: (explain the project and complete submit page 3) L •:_T V V U Maximum height of the new addition feet Project Valuation New Structure: (explain the proiect and complete submit page 3) Maximum height of the new structure 3 feet Project Valuation O0 PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check e: No V Yes If yes, complete submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check e: No V Yes If yes, complete submit page 4 "Mechanical Changes" Occupancy group of bedrooms 1 Will a lawn sprinkler system be installed? M,0 Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date b? I I Signatu e24 Print Name La..v ra. /C •2 P,c -G Page 2 of 4 Floor Areas Existing square New square Price per new footage footage square foot Basement x 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck 30" high)* Deck 30" high)* 1 DBO Shed Other Other Remodel project valuation I 00D TOTAL VALUATION Walking surface of the deck above ground For residential building projects the minimum square foot valuation we accept is: Dwelling $85.00 per sq. ft. garage /utility /misc.structure $30.00 per sq. ft. porch /deck /carport $12.00 per sq. ft. LOT COVERAGE SITE COVERAGE Lot coverage is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than 30- inches, uncovered decks or porches having walking surfaces higher than 30- inches off the ground, etc. Total footprint of structures sq. ft. lot size sq.ft. Lot coverage Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions) Does the project include a new driveway? yes no If yes, what will the driveway be made of? cement asphalt gravel other (NOTE: 18 feet is the recommended minimum driveway length for residential projects) Does this project include a new parking pad? yes no If yes, what will the parking pad be made of? cement o asphalt o gravel other a) Total footprint of structures sq. ft. (existing new) b) Total concrete, asphalt, other impervious surfaces sq. ft. (existing new) c) Add lines "a" "b" above to get the total impervious sq. ft. (existing new) Total impervious sq. ft. T lot size sq. ft. Site coverage Page 3 of 4 1 PLUMBING CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Type Plumbing Changes (Moved, Added, Replaced,. or Altered) Sink (hand, mop, floor etc.) No Yes Quantity Toilet 7 No Yes Quantity Bathtub No Yes Quantity Shower No Yes Quantity Washing Machine 7 No Yes Quantity Hot Water Heater No Yes Quantity Water Line (meter to structure) 7 No Yes Quantity Re -plumb the structure No Yes Quantity Sewer Line No Yes Quantity Backflow Prevention Device Types: Beverage Machine No Yes Quantity Landscape Watering System 7 No Yes Quantity Fire Sprinkler System s 2 inch line 7 No Yes Quantity Fire Sprinkler System 2 inch line 7 No Yes Quantity Please list all other planned plumbing changes or additions that aren't listed above. MECHANICAL CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Type Mechanical Changes (Moved, Added, Replaced, Furnace, heat pump, or or Altered) forced air unit 5 5 tons No Yes Quantity Furnace, heat pump, or forced air unit 5 tons No Yes Quantity Ductless heat pump No Yes Quantity Wall (recessed) heater No Yes Quantity Baseboard heater No Yes Quantity Steffes room heater No Yes Quantity Wood- burning stove No Yes Quantity Pellet stove 7 No Yes Quantity Radiant floor heat No Yes Quantity Gas fireplace or freestanding stove No Yes Quantity Gas cooking stove No Yes Quantity Propane tank set -7- No Yes Quantity Gas line 7 No Yes Quantity Boiler No Yes Quantity Clothes Dryer No Yes Quantity Ventilation fan (single duct) No Yes Quantity Hood duct mechanical exhaust f No Yes Quantity Ventilation system (not part of a heating or air, conditioning system) No Yes Quantity Air handler 'No Yes Quantity Evaporative cooler (non portable) 7 No Yes Quantity Please list all other planned mechanical changes or additions that aren't listed above. Page4of4 1 i f( l --..-A icy! --L-- .f./ v A' ✓r` t_E IO'��✓.i� �,J ti' I 1 e F 1 f it ,l y ,r II c .i.„ iii‘5,1 n aa •U p"� S� t 6,0G —v. s d p°p t the b 60 °��c d Of opa �s pe A co tY;ey °E 010cs �t th to stea O L .s tr00 P ea �o "khe s ,6 Ot bel da .0% the +,ta, 0 ��w vih Fe ns ae e l e a°\ d °the, °s' %eteV\ \sa �y c�a0 a s a P"' tc‘1::0 th` e c�t�caf w be,ab at�le sei; °t 10°— �a�pate )1 ‘P° af l'Y 44 6 __L____ i .....e., „4 .c _4••• 7 5, /..4 411\ 1 /./--------------I------------ G c2 Y -2.• 7 -1-4 C j L 49e7-4 I 4 f I i j i f lit i 1 1 I 1 I I l] l• 1 1 q 5 I I 1 1 i 'i 5 .1,• .t-i• ...AI, s...L. 1 t 1 f'• 1 1 1 I 1 1 1 t i 1 1 I -1 4,--&'' A I i d '1. i I 1 1 I i'" 1 I I 1 1 /1 1 1 H PI 1 i I I I i 1 I I I I I I I 1 i I i 1 1 I et,t/C,41,P5151.1 i f i ,4_ I 1 I I I I I i I I I 1 1 I 1 I a ii 6 11 r i'. i l l I: t 'V A i 1 i I II I 4 1 1 I i 1 1 4 I f t 1 1 I 1 1 1 I I 1 I 1 I 1 I i I I P'"/ I -4- 1 C-I i P-- 1•0•01;(' oo I 1 „o— at ,,o-t,(Ave.t/i n 1,•• al r 'r p-F.:ii 1 71 i I I c Il i I j l j r M j 1 i v i j__. I 1 1 r Y '1-Al. j_____________ u,., 11 ----f:j=_____ I w `J 1 E H '1'': H 3 H z `1,, J I ir 1 ii, I Fel ~ ~ORr ~ $~O~~~ ~ 'L ~ ~ 'to>:-;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000069 Date .073466 4308 S OLD MILL RD 06-30-22-2-2-9040-0000- RES DETACHED GARAGE 2/05/04 RS9 RESDNTL SINGLE FAMILY 7000 OWner Contractor EYESTONE PAUL H 4308 OLD MILL RD PORT ANGELES OWNER WA 983621908 Structure Information Construction Type Occupancy Type Other struct info NEW 1344SF DETACHED GARAGE TYPE V NON-RATED GARAGES, CARPORTS, SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 8.90 1.00 2500.00 42970.00 1344.00 3844.00 1. 00 J::. vJ o CO ~r ~ ~D r - ~ V-N ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 162.75 Plan Check Fee 65.10 Issue Date 2/05/04 Valuation 7000 Expiration Date 8/03/04 Qty Unit Charge Per Extension BASE FEE 92.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 ~ ---------~------------------------------------------------------------------ Special Notes and Comments ROOF DRAINS TO DRY WELLS - .,- ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 162.75 162.75 .00 .00 Plan Check Total 65.10 65.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 232.35 232.35 .00 .00 ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection..1 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 T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: .11,,"110 Sl~b 3 -.().O- -0 'I J ".j..../ FOOTINGS WALLS ILL <". () J..) ~). J.. FOUNDATION DRAINAGE/DOWN SPOUTS .r ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING c.,-I)..ej -04 . { L. DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~ -/1/-0,<) ,J J-L BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] to to to to ..., 'tl ;!>>tJon;!> n>tJ to' to' H to' >< ~ >tJ;!>";00 H" '" W '" :s: >tJ >tJ"ZZO ...,OJ '" ---- to'nOJ...," ><>tJ Ul H OJ,,:<1OJ ;!> 0 0 0 0 0 ..., Zto' ;!>Ul 0:<1 H H H H ~. nUl "'OJ ..., 0 tll to 0 >tJ ~om"" 'tl OJ. :<1' 0 n:<1i<l :<1 :<1w OOJ ...,---- ................................................................. :S:O H l--'NNOONN >tJCo OoOJ ". ~~ !f::>.l.Ol"OU1U1NN to'OJo "."'>< w ....................................................................... 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If you have any questions, call (360) 417-4815 Applicant or Agent: 1> A-tA-L. E. 'tE '(;'/0 NC Owner: rA-<..-t L- EY GS'TOt'-16 Address: 4 3:d '6 01 d. rU:( I City: f . A, Architect/Engineer: CY~ns~c: ~LULbl N (1 .b~ lb N Contractor 6V<....i .......a.-r State License #: Phone: ~r<;'" 7 -'54/ C) Phone: /ff;7 - 65-77 Zip: t:t 85 02- Phone: 4,T 7 -3 ..:{ (0 Exp: Phone: Zip: Address: PROJECT ADDRESS: 4-~ <2.:- City: Ol d vU('-ll !<-d . ZONING: R-s. -. 1 LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: 0636 2'2 22 '=t {) YO aoee Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: ~ Residential ~New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove }a.: Garage o Deck o Other D e.. ~'- CA..-.Q c.\ SIZEN ALUATION: /.5 L/c:...( SF. @ $ /SF. = $ ~7 ceo ~ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $"I~ CJC) 6....O'-f~ 'IA / S" L.-t..c::. P rJ . COMMERCIAL/RESIDENTIAL: occul}incy Group: (,{ - ( Occupant Load:- Construction Type: sc.. N No. of Stories: -L Lot Size: 411 ~7r~ Existing Sq. Pt. 2S-G~ & Proposed Sq. Ft. /344 = TOTAL Sq.Ft.S 2:4{. Existing lot coverage ~ % & Proposed lot coverage ~% = Total lot coverage 8'. l' % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. 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 107.4 of the Uniform Building Code, current edition). 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 what permits are required ,not the City's, and that I must obtain such permits prior to work. 'nFoRMSIAPPSUl,;]d;"gp"mj'.wpd Applkm" ~u f~~ Dare, I /1-c3 / uf / I -s (Ie 'P'L;'\-N 4~o8 OLh Mll-L RD. .;. -I~O'- ~>~ 0---. \ I,f = ,30 I .. ' t N' I ... ~ '-' I LoT .2 I'i e1-S0N :5. P. 41-, q7a J:P. NEW G:r ~ E. 1344 tf:! ( fJ riW h,c.., v(; -30'- 10' ~ -' \ ~ > ~ \!1 -'45 I - . j \ '- .lJ.J ~ '- > OV~ \ ~ ... - ~ Q J:>C\N ~ ~ - ~ 4- - ~ 'n ~ t ..:; ~ t. \ ~ - V) ~ x ~ - qS'- OLh M~LL (a I). . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 'I c.s- 7 ~;/~~V DATE Installed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ ~ FAN/WALL KW ~ ~ RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL '5'C ADD/ALTER CIRCUITS /[j' SERVICE UPGRADE/REPAIR o RISER 'rs<r OVERHEAD SERVICE /c::J UNDERGROUN SERVICE VOLTAGE: z,c? ~ D ~q\ 039\ SERVICE SIZE .;;J&D FEEDER SIZE AMPS AMPS Details/Description: o TEMPORARY SERVICE WilLe R~c7ctJl . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~~ROU9h-in/cover O.K. ~ 0 O. K. to connect service 1/fr<r$-Final O.K. ~-k~ SitBAddressf'308 011 /1//;'(/ New Meters Installer: ~. . Notify Port Angeles City Lig by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. or covering has been given by the electrical inspector in writing on either the Wiring Report or on the Builging Permit. PHONE 457-0411, EXT. 224. .R f ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ /J> .;gO erectricallnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OlYLtPIC PAINTERS INC. ,~"" - W.S. No. Service Capacity: 0 O.K. D Not O.K. D Ditch inspection O.K. D Rough-in/cover O.K. '%f O.K. to connect service "p Final O.K. ~ . . . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /..>0 :2- -3 /z /J'fl , ELECTRICAL PERMIT DATE Site Address: o READY FOR INSPECTION License Number: ~ILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ;g Residential Heat KW D Baseboard 0 Furnace/Boiler D Heatpump 0 Other C Commercial/Industrial load Total Connected ioad (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead D Underground ~yrD Voltage /nZq :.2 I)? 10 03.0 Service size ..::? (!J{) Amps D Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (iist below) Detai Is/Description: krJ /JJJ( cJp S~J? C~f dA)f) ~ ell ! '~A/ ( AJO AJC4) , /{ e A J./<.A.. 0 Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for instailation o Fire Department notified of inspection D Plan Review approved/pending Site Address: Nslc;(}fJS 4:JO lnstaller~ J New Meters o Notify the artment 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 I~n Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. / tf/'WI NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;I ;3 0 g:> I Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector. Bottom: City Hall OLY~IC PRINTERS, INC.