The URL can be used to link to this page

Home My WebLink About518 E 4th St - Building S PUBUC WORKS CONSTRUCTION and RIGHT-OF-WAY PERMITS ~ City Phone: 206-457-0411, ext. 124 .vl'UCANT/OWNERs.Jeh Y\.'{_~ USC;p~~ ADDRESS OF 10B: SI F) t APPUCANT ADDRESS: PHONE LEGAL OF 10B: WORK IS CJ OUTSIDE or a INSIDE OF TRAVELED ROAD VALUE OF WORK IS:$ (If work is outside roadway and is equal to or less than $2.000, then permit may be issued to other than licensed and bonded contractor.) PLANS REQUIRED a YES a NO CONTRACfOR: bet u.1 a.ceVL DATES FOR START PERFORMANCE BOND REQUIRED a YES CJ NO AMOUNT: $ PROOF OF INSURANCE: a Work $2,000 or leis: $50,000 personal injury, $100,000 per incident. S20.000 property [J Work over $2.000: $200,000 persoaal injury. $500,000 per incident, SI00.000 property [J Right of Way Use: $300,000 persoaal injury, $300,000 per incident, $100,000 property Pemiitteo undent.aJda that DO Itnet may be cloeed to traffic UDleu approved by the City En,meer and Chief of Police in advauce of the closure; that there is a 24 hour minimum notice prior to inspection. and to call 48 hours before digging to: 1-800-424-5555. PERMIT 00461 A.~ / ',I- - / & FINISH 10 .,610....... . to .....__ "'~........ _ a,.,,.. ~... _.,........ ____................... ..... ___..... _......,. ~ f......4-......_...-.. .---~~_......._--~.....-.__._-_.._.- .", ~~.._---.. T . 0. Sipd: );~r/)Wd07~ DATE: / /3/47 ~. a ' ".,. .... .. ."::,,,:.., ... 1lEO"t) I nft FEE lED'D PAID noPE FEE PAID lIOHI'OF WAY EXCAV. S4lIJlD ~ 4/J@.. SAM. lEWD CSFllI (6010 PIL. 60..0 SIlIJlD _I SIIIJlD' IAN. ..".,.. ,...., 0 I" .... 110.00 .wounn SI23.DO SAN S1!WEIl IM"I 0 ADO. UNrr 1.5.00 DUYEWAY 1123.DO SAM IEWEIl O'OIEU 0 ".-17$_ =:SO.lmS .._ 104_-17>> DWY c:u.YDr S4lI.DO IEWI!Il TAP. IY c:rrv 1'10 1123JlD1SJllOJlD marCUf 0__ DID.DO IEWI!Il CAPIW ATEIl MEI'EII. S22SJlD lEMOV AI. 0T1IEI. aJGKI' 0' WAY WORK S4lI.DO ALTEIlATIOI'I' SJOJlD lEPAIR TO SEWEll FIlJ! If\'DItANT DEPOSrr rrOlM oRAll'l TAP SllS.OO lEI. WATD IDVIC1! 1. X SII. SD)JlD CATCH BASII'II IN Lars PEl EACH S40.00 lIS. WATD SErnCE I. X 31.. lS'7S.DO SECOI'IoAAY SEWD ASSESS. 1410.00 In S6U.OO..... i .n W ATn ....."".. ,. X ,. IIDlJlD S~ SYS. oEV. CHAAGE S324.00 /EWItl I COltlMo WATD SEJlVlCE I. - 11,IlCO MILWAUKEE Ol. SEWD ASSESS, II30JlD /EWItl l\t'- 11,jDlI 2"' _ riftD WATD SEJlVlCE 0 0T1ID EJT1MATI! llOHI' OF WAY USE PERMrrS VAAIES s.l . SIOO WATD IYS. OEV. CHAlGE am.DO IEWM TOTALS S sd/-' .;.J~ L TlIIo --..... - _ ___ ..-.....-....... _k __;.... far... _ __ .Il1o ---. Eoca,....... io .- _ 10"" ...... olllto ._ _;....~.... ............. -- 01_ CIly 01... ........... 104...... Codo. N~...- _ ohalI be _ 10 _ lito __.... 01_ opplicablo 10... 01.,.. C;... C_Y. S.... '" F_..I 0-_. COMMENTS/CONDmONS: I o 0":::...2. Ropoir /UA?duJ ~-~~'~. 4-;ih~ k:k.UJ.U) ~ F- CSaitary5ewer r ~ P/'A(? '- V~ 'j/-r:-~-t:'~/Z ~. g==~/&';;;:7~>-e-" V 4~ h JlMITTOfALS $ RECEIPT ,7~.2:1ISSUEDB(i::%~/~ DATE:~)~ INSPEcnON FEES S WORK ORDER No. / lTO 4 61 INSPI!CTOR'S COPY . WHn'E APPLIC~' COPY . PINK OmcE COPY . CAN"~r PW.0209.03 (12J931 ^~-~ PUBUC WORKS CONSTRUCTION r= and RIGHT-OF-WAY PERMITS .~ City Phone: 206-457-0411, ext. 124 ,vtUCANT/oWNERsJehY\\J 'eusc;pJf . ADDRESSOPI0B: S{~ r , APPUCANT ADDRESS: PHONE LEGAL OF JOB: WORK IS 0 OUTSIDE or 0 INSIDE OF TRAVELED ROAD VALUE OF WORK IS:5 (If work is outside roadway and is equal to or less lhan 52,000, thOll permit may be issued 10 other lhan licensed and bonded conlraclOr.1 PUNS REQUIRED 0 YES [] NO CONTRACTOR: Do.. U1 tULVL DATES FOR START PERFORMANCE BOND REQUIRED 0 YES 0 NO AMOUNT: 5 PROOF OF INSURANCE: [] Work 52,000 or leSs: 5S0,OOO personal injury, Sloo,OOO per incident, 520.000 propeny o Work over 52.000: 5200,000 personal injury, 5SOO,OOO pcr incident, $100,000 propeny o Right of Way Use: 5300,000 personal injury, 5300,000 per incident, $ 100,000 propeny Pcmiillell undenlaIdI that DO a_ may be cloacd to traffic unl... approved by the City Enein- and Chief of Police in advlDCC of the closure; that there i. a 24 hour minimum notice prior to inspection, and to call 48 hours before digging to: 1-800-424-5555. PERMIT II 0 t1 ti 1 <t~ &.fINISH k .. . fII. ..-..,,,,...,....6&.... .....................-.... ar,-fIIPwt ~"'..."III"""'.""'-.-u.. __........ eo. ~ "-... .....,.-..-.wer b'.____... _.....10,.... _~. ......-nac........... -.II 01..- -*____...,u. _ ollbl.l_oUc.'" V. ~nail or permiu ~ a.y" ~ ill fWllCII'* u...o..... ...&I.,.... ~_....,.___ '-r_.....-. Sipd: DATE: ,.,. . . .,. FIE ..~ "0'0 I TTPI! ,"'" TY?E FEE 'AID IJOHTOF WAY EXCAY. UUlO ~ d/)~ lAN.IEWD (sn,) 16" WIl P/L. 6..... "".co ......,;,- ~.co. 'AN. .1. -.co oWlJUTTD. ll%lJlO IAN lEWD tUfa' . ADO. UNIT ".co _AT SI15JlO IAN IBWEI. 0T1IBS. W..Sl3i.lD; =:.so.om~_ Ma-'no ~CtJl.yar ...... lEWD TAP. IV an NO 11'ZS.cD4.JCO.co mEEt' an- . ........ _.co lEWD CJtI/WATD MEtD Im.co REMOVAL anIEI.lJCJHT 0' WAY wax ...... ALTD.ATIONI 1JIl.co Il.EPAra TO SEWEI. mJ! HYlllAHT DEI'OSIT STORM DUIN TAP SI1!l.OJ lD. WATEJ.IOYX:"E I. X StW- .....co CATC'H BASINS rH lOTS PEl EACH ...'" lES. WATD.IDVK:'! 1- X )/... "".co SECONDAJl.Y lEWD. ASSESS. SAIO.oo In UU.OO ca&ldI i "",.WAT1'Il . Y 1. -.co ,FWI'II.... O[ I]lU.J~ I COWN. WATEJ.ID.VIC:E ,-. &1- WD..WAU'K.EE OIl. lEWD ASSESS. 1"0.(1) JEWM !.~:-J~ WATnIElYa. 0T1ID ",""An! llOlfT OF WAY USE PEKMrrs YAArES lJ.lloo "ATEl.IYS. DEV. CHAlOE 11Ol.col[Wlo4 TOT..., , I cZ/J t/U NI-ut.......... ~ ~ II................ 11II-*........... for.. ~..... ... ____ Ed,.-.. p..-....,.. lOIN _.... . \hi ~ ___."-'-01 ...........".........,...CIry.,... """""'.........Ced.. ........~,.............VaU III ~..~ """-'_01.", .........11..."- Cil~. c_.... $IaWIIIf r.....lw.._. COMMENTS/CONDmONS: , U lJD~.~"Repar ;t,lfl~/?Z~-~~~~~~--o--/.~ ~ J:' [J Sailuy Sower ;,L--</y ~ JJ"" K'f? ~ 'j/;T ~ <-r /-. r [J Storm DniD r d/~ -:::Z _ - . v??-J . [J UadergrouDd ioi~eclrical )?M/ - . 1/7 / l~ JJ JOOI'TOTALS 5 RECEIPT # ISSUEDB(/%$~, DATE:~ lNSPEcnON FEllS $ WORK ORDER No. / 1rn41IT PW.0209.03 (121931 INSPIlCTOR'S COpy. WIlTI'E APPUCANr'S copy. PINK ornc! COPY. CANAAY PER?dIT ~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt? 17091 // - / s- :> y Port Angeles. Washlngtonm..m.mm.m._.._...m..m.m___m.....______.m. 19___00._.. 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__e~e~lcal work as listed below. !:I-I r E jC~ ~:Es~:~:~~7ii_i;~~~~~~~:.~:.::~~>~~~:~~~.~~~:::::::=::::::::::::::::::=::::::::::::::::::: V .., Light Outlets..._............__m........._.._..... Service, volts /.:;;!J~/...~.{!.?:fL.. , Receptacle OutletS...._n__hn.......h_........ No. wires ..............................._;';'.... Y//J (12...1/ Size wlres......____.....n____nn_____...__. /' c:9~v A- Main fuse ...-:.__.00.....__.......00......_..._00 . S. Enclosure 0000....00__..........._............... Dryer, KW..unn.....n.....n.......___u.._____. Range, KW n__n.________n_________..________ Water Heater: KW._...............n........................... Type of wiring: Entrance Cable .......nn Heat: KW..............._.......:.____...........__.... Motors: size, volts and phase: Rigid Conduit ............................... Metallic Tubing _.nnn.....n............ Current transformers: No. & Size__..._n....___...........___n........ Ser. NO............_.........n_!....__._..._n....__ f Ser. No. ...........______.:;~,,_____...______....__... Ser. No. __0000..00.....00_.__............_........_00 Type of Wlrtng: "'\.._" '- Armored Cable ............................_ . Non-Metallic ___...._____..............._..... Knob & Tube......................n......... Rigid Conduit ................m......_..... Metalllc Tubing .mm.................... Raceway _._.._................._.....____ CIrcuits, Llgbt...............................nn>>.. ""1. UtlUty .........m......nm...................... Heat ___.___.._..._.____...................._...... Range ................................__.._____00.. Water Heater ......................._....... Motor ..._......_.......__._.___.______....._.... . i Dryer.............._...........___.___..__.___.__...... Furnace .. .......................'_......_........... / Total wad_...nnn...._.n_......_... Ser. NO.n_...._,_...n................nn....___. tTotal _....00._....._.._._.............00_... Remarks: ___n._..~:2:"'~"'.!.:::::.n____?:~_1~.~~~""~~~_..__.__.____.___._m.mm.__.nmm..nmmm.mm.m.mmm' _m______.._._.m.mnmnnmm____.mn.._nm_.mnnmnm_mnmm.mmmm.____m----m--m---...__;;._/.~mm--..m.mmm7mnmm.. ;~.=.~~--~~~---.--....__........ ::~.~.~:..~.~.~.~~.~.~........ By _;J!L~;~_1:.~.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 he given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17091 Address....._..........______.___..___..........._.......__.......___...___._...._....................__....__......__.n_.___................Date_______...____~.__._.........._......_......_......... Owner ................__n..............._.........._...._.____..._.._.._............................__n____.....___............ Tenant....__.................~.....__.......n____._____.____._......._.. ...Wiring Contractor.__..__.___._._._..................................................................__....._________._._................... By ._........................_......___....._._..._.............. ) NOTICE-Current must not be turned on untU Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector 80 that work may be inspected before concealment. " 1M, Olympic Printers, Inc.