HomeMy WebLinkAbout323 S Albert St - Building CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 4/18/2001 PERMIT NO: 12606
OWNER/APPLICANT PROPERTY LOCATION
JOHN VALREIO 323 ALBERT S
323 SO. ALBERT Lot:
Port Angeles, WA 98362 Block: [] Long Legal
360/452-7535 Subdivision:
T: S: Parcel No:
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $2,000.00 SFD Units: 0 Commercial: 0
Project Type: SHED SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
CONSTRUCTION OF ONE 10'X24' SHED
FEES ASSESSMENT
Building Permit: $69.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $73.75
Plumbing: $0.00 AMOUNT PAID: $73.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 goveming 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 construct on or the performance of
construction.
Signature of Contractor or Authorized Agent Date ~/8~gnature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSUL.dTE OR CONCE~4L .4NY WORK BEFORE INSPECTED AND ~4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE [ DATE IYEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECItANICAL
tIEAT PUMP
YES NO
LIGHT DEPT
BUILDING 41%4815 t/~/~'~/~ "~. ~ '~ ~/ BUILDING
~ [ FOI~ omClAL US~ Om.y:
BUILDING PERMIT - APPLICATION
~ ~: ,,~ -i ~-~
~ Bu~g ~ff - ~pli~i~ ~ ~ out cosign,
Plme ~ or print in h~ R~u have any qu~fion~ plu~ uH 417~1S
~c~tec~: Phone:
Con, actor Li~me ~: E~: Phone:
Ad,ss: . gi~: Zip:
C~ CO~ P~L
T~ OF WO~ S~UA~ON:
o Mul~-~ily ~ Ad~fion ~ Mo~ G G~e SF. ~ S ~F.
a Comm~i~ u ~el u ~ol~on a ~ SF. ~ $ ~F. - $
5 R~ U Si~ ~ ~T~ V~UA~QN
B~F D~ON OF ~ PR~: ~ ' ' ·
CO~RC~S~E~L: ~ Gm,p: O~ ~d: Co~on T~: . .
No. of Stofi~: ~ S~: % ~.~e:
Exls~g ~ Cow~g~: /~. ~ + ~ ~ ~e: /~. ~ ~ ~T~ ~T CO~GE: ., /~.~
PLUG USE O~Y: ~PROV~: P~
M~. Hei~c S~: Zoot: D~
Site PI~ ~d U~ A~ed W: D~:
~~s): a Yes ~ No SEPA Ch~t ~7 ~ Y~ ~ No ~
B~G ~PLICA~ON ~~: Your ~11~ ~d ~ ~ ~ be~ed out ~lete~ to be a~t~ for ~.
~e Buildhg Division cn pmvid~ you wi~ mo~ d~iled ~fo~afion on ~e applica~on ~d pl~ ~bmi~ ~.
B~G PE~ ~P~ON ~'rt'~ Yo~ ~mp~ ~p~o~ s~ p~ (for ~)
pl~ ~ to ~ ~bmi~d m ~e B~g Division.
VALUA~ON OF CON~U~ON: h ~ ~ a ~ ~o~ m~ ~ ~ by ~e appli~L ~is fi~ will ~ ~i~ed
P~ ~ ~: Yo~ pin ~ ~ is duc ~ ~a ~c ~c ~ild~g ~it a~li~fion nd ~n~ion pl~
o~cr pe~it fees ~ due ~ ~e ~ of~t
E~ON OF P~ ~W: If no ~it h i~M wi~ 18~ days of ~e da~ of ~pli~fion, ~ appli~tion will ~pi~ by
I~im~. ~ ~ild~S Offici~ ~ ~ ~ ~ f~ ~ ~ ~a ~p~tup ~ 180 da~, ~ ~n
Section 107.4 of~e Unifo~ Butld~g ~e. ~nt edition). No appli~ion c~ ~ ~ mom ~n once.
1 ~by c~t~ t~t 1 ~ ~d ~ ~mi~ thb ~pF~ion ~ ~ tM ~e to be ~ ~ co~t, a~] ~ ~thor~td to app~
for th~s ~m~t. I ~rst~ it ~ not t~ Ci~s legal ~l~lli~ to &t~inf w~ ~miO a~ rt~i~d;
r~po~lbi[iW to ~t~mi~ w~t ~rmi~ ~e ~i~ a~ to obtain
Apple
Pw-~ ~0~13[~]
f P!RT ~
t~O~<?~
-~
"- -=-
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00001100 Date 11/14/03
323 S ALBERT ST
06-30-00-5-2-6460-0000-
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
3500
Owner
Contractor
VALERIO JOHN B
323 S ALBERT ST
PORT ANGELES
WA 983623415
AFFORDABLE SERVICES
258663 HI - WAY 101
SEQUIM
SEQUIM WA 98382
(360) 452-5264
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, FELT, COMP
120.75 Plan Check
11/14/03 Valuation
5/13/04
Fee
.00
3500
w
('J
W
Qty Unit Charge Per
Extension
92.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees STATE SURCHARGE 4.50
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
\j\
\)
D
tr
~
+
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.
ON FILE
Signature of Contractor or AuthOrized Agent
Date
Signature of Owner (if owner is builder)
Date
TlPLANNlNG\FORMS\1l02 15 [4/2002]
BillLDING PERMIT INSPECTION RECORD
~
CALL 417-4815 FOR BUILDING 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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
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 J- ?D-oL/ I~ 111_ BUILDING
T \PLANNING\FORMS\1102 15 [4/2002]
NOV-12-2003 09:48 AM 2D673A53.73784237
~
360 582 9029
P.01
s
"" " "q'-",'N!I!1II1.'
I (oj ''''l~' I ";' ~","'~1,', ~\ij(I'!"~_ ....y... ~ '1' j.,I I
\ \'," . ~" , ,
..
BUILDING PERMIT. APPLICATION
FOR. OFfICIAL lJSB ONLY
Da.~.: t 1- /'I-o~
Pmrdl': //60
Pat, Approved i
0.'- Wucd I
FllI Ollt COMPl.ltTEL Y and In INK. Your appUcatJOl:l aDd sib! plaD MUST BE
COMPLETE to be accepted Cur rnlew. U you bave l.l1y C)UClIt1DIlI, caU
(360) 417-4815
Applicanl or Agent!FR)Y7ftd.J:>/p ~'( tJ f'cCJ~ Phone: 3fef) hBS -C(t:::,ICl
Owner: .:rlJhh 13J.a.k.r:J D . Phone: 452-7535
A~BS: '';7,,2, S,~ Sf _City: Yt)'r+-AY'fj.(ll'r.:> \-1M:-Zlp:i~e3u2.
Archi~ginccr:___ ~hone;
Contractor~"i r;. Ke,khv ~~l State Licen:l~P~OIZ..S<<"~~P13/~ rhone:~~94?4
AdJireS!J: Zs~~:2, l-h:<-'1'()/ ~/-L City, 5~I.Ii M _ JA) If- Zip:qPJ~2 -1~
PROJECI' ADDRESS;_3 S.:J. 4/ tu,,, r.J- I."JT ZO~G:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY P AReEL NUMBER: __ ___
-- . 1<(130{- 11
~= ~~..Z ~~~''t~'11 IS; 'oJ,:U ,City: 5~" ilIA WA, q ~ l<>> ~ -7i.J zr:.
CrKlt Cantryp. VISA.....k:::'MC _ If ()1"\ F, Ie, . -. J;~, ate:
o Raiille~tiJJ C New Clmstr. ~roof Cl Stove' SP, @ S /SF." S
CJ Multl-family CJ Addition 0 Move Cl Gange SF. @ S /SF,.. $
a CoammwJ C ~1 a Demolition Cl Deck SF, @ $ /SP. ... S
o Repair 0 Sjp Q Otlw IQTAL VALUATION $ ?>S01..()/)
BIUEF DESClUPI'ION' OF THE PROJECT: 'I BL1 \,.- /T~ / J:e, 'f- I ' /./J?"'h t/J -
I ' ,
COMMERC'L\.LJaESmENTL\L: O~&ncy Gl'tlup; Occupant Load:
Ne. of Stones: _ LoI S1u: Ex.t.ti!18 Sq. Pt. & Proposod Sq. Ft
Exlstlns lot cO\'enp _ % '" Propo:ied lot cov~gll _% .. Total 101 COVcngll
ConSlNction T~;
- TOTAL Sq.Pt.
%
AlPROV A.l..S:
PLANl
BLI)G:
DPWuI_
Inn.
01'l:llm:_
PLANNING USE ONLY I ___.
ESAlWe~ll): C Yet C No SEPA Chf:clc1lst reliuiJed? 0 Ye~ t:J No Other:
BUILDING PERMIT APPLICATION SUBMn'TAL; The B\lildi~ DiVision can provide you with information on tbe application llnd
plusubmltml tequJsCllDCtlll if you haVCI questions,
VALUATION OF CONSTRUCTION: Ia all ~.Je', a VllluatlDD lUIlOunt mwt be eIlwed by the appliclDt. Th1s figaro wUl bo m'icwe;d
and maybe rcvlIed by tbeBuiJdiDaDlvislOD to comply with cwrenl fee schedulos. Cont3cttU Pormit CaordlDar.out417-481.s toru8ls1anoe.
PLAN CHECK FEE: Jlla plan chcc:k fee Is due it DlWI be submltted ll.l the ti.r:na the building permitepplicanOl1 and llClD!Ouction plans are
wbmittcd. All other pOUDoit feell ~ due ..t the time ofpcrmit wuance.
tXPIRA'I10N OF PLAN BJ.'VlEWI It 00 perrnjt Ii iJrned withm 180 day. of the dale ofapplica!:i.on. tho applkatloa ~II expire. The
BuildJaa Official Clbl extend tb.a tiD:UI for action by tho applicant up to 180 day. upon wrlncu toques, by me applicant (lee Sectiou l07,~ of
rbe Unifann BuUding Code, cummt edition), No appli~atioD ClllJ be ClXtended more than ODee.
I h6fBby ClJIf/fy t'lal , ~i\IfJ fWIi .na examined t/1ia applloatlon end MOW th" ,eme to be true end cOlT8Ct. , 8f1I BUhortz&d to apply 10, viis p.rmif ff1d
~detrfand tnM t /~ my rNpOII3ib/~ to de/ofTTIlne MIst permits 819 rtqU19rJ ,not the Cly', .nd that, must obtukl such penn/f, prk,r 10 work.
HPORMSWI'S\SuHdmJPmTUI.'kpd Appl1cant: 71.~r ttft /- ___-.- DIl~; j 1- / Z-t?~~ _
PREPARED 1/30/04, 10 47 32
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
1/30/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
323 S ALBERT ST
AFFORDABLE SERVICES
VALERIO JOHN B
06-30-00-5-2-6460-0000-
03-00001100 RE-ROOF
SUBDIV
PHONE
PHONE
(360) 452-5264
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 1/30/04 JLL BUILDING FINAL
--------~1t~~-~--------- eo".." ^'" '0'" ----------------------------------_
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
REQUESTq"
Date { - I --tJ (
Time
Location of Work to be inspected 41-"3
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing ChimneY~b~ Final
/ tJ ,J CI-eJ Vr 14-
INSPECTION NOTES:
Received by
(phone, person)
/l-L/i3B:7Z(
te-J ?;) (/(./ :fl/~:;~ r7(~:?
Phone No.
Permit No.
Sewer Excav. Other
rL/~
Inspected: Date
Remarks:
Time
By
"
RESTORATION REQUIRED " " " " ." YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
3CJIJb
/:J-9-fy
DATE
ELECTRICAL PERMIT
In tailed By:
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Si e Address:
Phone:
Sq. Ft.
\ii RESIDENTIAL
.10- COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ADD/ALTER CIRCUITS
/O-SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
DrailslDescriPtion:
~/.S 1<0
.
.
I
WIS. No.
CjPACITY:
o O.K. NOT O.K.
A ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
SERVICE SIZE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
Ditch Inspection O.K.
Rough-in/cover O.K.
d O.K. to connect service
Final O.K.
1'M
Permit/Receipt No.
nstaller:
New Meters
~
.
I
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
b6fore inspection and 0. K. for covering has been given by the electrical inspector in writing on either the Wiring Report
of on the Building Pe it PHONE 457-0411, EXT. 224.
:5
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
:Jt)
Permit Fee
HITE - File by address
1M"C PR'MOERS 'MC
YEllOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
Ins aIled By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. ;{:{ 7 t,
DATE 8/1/R9
3,;(
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Sit Address:
Ow er/Business:
Phone:
Ow erfBusiness Address:
Sq. Ft.
Residential
Heat KW
Baseboard 0 Furnace/Boiler
Heatpump 0 Other
Commercial/lndustrial load
Total Connected load
(attach breakdown)
Totai Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
De ailslDescription:
;}rD
.
=1
W.~. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
,
~ough-in/cover O.K.
~ ErjO. K. to connect service
jinal O.K.
Sit Address:
In' taller:
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Permit/Receipt No.
New Meters
.
o S?
Ndtily the Department of City Li t by treet Address and Permit Number when ready for inspection. Work
m~st not be covered or eiectrically ene gized before inspection and O.K. for covering or service has been given
by the In~ in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ b tJ:2
Inspe Amount paid
W ITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLV PIC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
':l...,
EL~CTRICAL PERMIT
'N~
17578
~
7 r - .
Port Angeles, WashlngtolL....___.:mm.........mm.m......__m__m..m.m.. 19.[::--1
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
Wcal equipment In. on, or about any building or other structure In the City of Port Angeles, per-
,*isslon is hereby granted to do ele4:ltrlcal work as listed below.
A'ddress '?;;! 2m:';brJ__l?.j~b,y{__m':C!!:.____"h...m__m. Occupancyh..__h........m..m..___.....____.__..m..
. ~).n nn ..,' , .
Owner ....:..~~~:!_~:.'::'1:~_mn:__:__b:?~.~_~.nd.n.:.....n Tenant...__hn_hmnmnmmm.n....nu..._.nn........nnmmn..
/I I .
Wiring Contractor ...m.~ft::l'1.~.m.m....__mm...h.h.... By..__hm...m.m____mmm..h....__.hh..___.m..mh...____
I,lgbt OUtl.tB....h................__......._.._.....
Receptacle Outlets......................n.......
Dryer, KW.....................___n..__._.........
Range, KW..._....__nn__._.._...n_____n____.._..
Water Heater:
KW.______...........__...........................
It,a" Kw.../l)l....K......!?13
~Iotors: size, volts and phase:
Service, volts ......0000000000................__.....
No. wires .....000000............_.......__.0000
Size wlres..................nnnn........._..
Main IUBB;2..I.>....1...It...............
Enclosure ...~. .......
Type of wiring:
Entrance Cable _nn.n....._...o.n___...n
Rigid Conduit ....m._........
MetalUc TubIng _",o.mm
Current transformers:
No. & Size.........nn__nn..........
Ser. NO..._............n_.___._.............._nn_..
Ser. No. 00..__.....__..................00............
Ser. No. n....n................_.n............_._..
Typ. 01 Wiring:
Armored Cable ............................_
Non.M.talllc ........................__.....__
Knob & Tub..................................
Rigid Conduit ...............................
M.talllc TUbing ...........................
Raceway .....___....__.._.............._....._
Circuits. Ligbtn............................n..._..
Utility.............................................
Heat _00_................................_.._......
Range ._..__._____._...............................
Water Heater .........m.....mnn._.....
Motor .............n.n......_n_............_....
Dryer n.n.n................................n......_
Furnace ......._.__.__...........'_..........__..._..
Total wad....nn_.................... Ser. No. .n._............_......nn___..........n. Total ..........00_._..00__..................
,
Remarks: ------m.'-~~0...&h..~......mm...____m__m__....mmmm__h...m.______m......mm________m.m.
,"-._._.n.n._du..nn.u_._._.nnnu.nun.u.nn.._..___nnu.n__o..nnnnn..nunnnunnh..._.nnn__unnn.un..n.._..n.uun.n_.unnn.no_....
:Permit Fee
....-...-------nuh_______U...U.h_._.._.nu___.____nuu_h_nU.h...U___-----.nuuuuunun....____n.u.UUhnunuUn.n__.uh_____..n.u..h.h_.n.nn
Treas. Receipt
NO..m_____.___...m....____
$n__.m.m_____m__m.__nmm..
By non____.mmmn.mm.m__n..m__m...m.m.________..on
NOTICE-Current must nl)i be turned on until Certificate of Inspection has been issued. If work is to be con.
Clealed due noUce must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 5 7 8
Address._______._.........___...__._............._....................._._....................................................................Date..._......_.._.._.._.........._._...._......_......_..
Owner ..........................00.._...._......_.._...._._......_.._..................n_.nn_......nn.nn...n....n_..... Tenant_.._...nn__n.n..........nnnnn........n..nn.._...n..n_
WirlngContractor....._...._........................_......_.............._....._._.____.._............._______.......___._____.......__By.....__.._..._...._......_.._______............__._.._._......
NOTICE-Current must nl)i be turned on untn Certlflcate of Inspection has been Issued. If work Is to be con.
cealed due noUce must be given the Inspector so that work may be inspected betore concealment. .
1M Olympic Printers, Inc.
17475
JJ-(. ~
Port Angeles, Washlngtonm.____.._....m.-:._...........m..m.m.......mm, 19umm
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 ele,ical work as listed below.
Adtess u___.??.u?...d~__.__.~~-u.u.-u------..--.hhm Occupancyu_:_u__.d,e.~_04..mmuu.._um.__..
~:r:~~~:~ct:::~~~::~~;;?~~~~~;~:::::::::::-..-.:...~::::::::::=::::::::::::::::~:::::::::::::::::::::
I /' (j /&(J/":J Y"::;
Light Outlet8.............__................_.._..... Service, volts ..........:/....'...--_...............
Re ) ptacle Outlets...._m..n..............___.. No. wires .1................__......:'!"h...
?'/A ",Y
Size wtresur.._.........._.....nn....._..
Main ruse .?:;~:~./'f............
S /
Enclosure ........._......._n_n__.____...__....
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CITY Jr PORT ANGELES
LIGJh DEPARTMENT
ELECTRICAL PERMIT
Dry r, KW nn....._...___...................____.__
Ran 'e, KW.._.__n__._nn_______________..__
W ter Heater:
KW........................................
H, " Kw...t.L..l:1..I3J..............
Type of wiring:
Entrance Cable .._...__nnnmm.........
M tOTS: size. volt~. and phase:
Rigid Conduit ...._..........................
Meta11le Tubing ...........................
Current transformers:
No. & Size.__.........................__...____..
Ser. No.....................................__.......
Ser. No...........--..--.............................
Ser. No. .____........................................
Total wad......__.....................
Ser. ]\'0.____............._........__....__...__.....
>>,
R marks: um___nm___..h~d:..,,~_..Lf2nm_.___n__..m.mmmm__.__.__..m.m..m.mm..nm..u.__mmm.m.._..m_.m..
Total.......................................
N?
Type of WIring:
Armored Cable ............................-
Non-Metallic ........n.......................
Knob & Tube................................_
RIgid Condnlt ......._............._.........
Metallle Tubing ...........................
Raceway ......................._......___._
Circuits, Ligbt..................__n.........___..
Utility ..................__.........................
Heat ......................................._......
Range .............................................
Water Heater ..__...........................
Motor ..._........................................
Dryer ................................................_
Furnace ..........._............'_.m.._..n.......
.. .._.u.---.m..---..--m-----hh---..mm--n---m------m-m-m.-n---mnm.mm..-mmm7Y.'m.m.C---..f7..---m.--:...--......n--.m-;;.m-
:rmit Fee Treas. Receipt ~eJ(/; .~' L.
$ .___......___...___.n..m.__.____.. NO..m.m.............___... By u_O'__m..__:/...m..!!:n~..'.:!.~"-<!..m_~~3::~.,'---:--
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NOTICE-Current must not be turned on until Certificate ot Inspection bas been Jssued. It work is to be con-
cealed due notice must be given the Inspector so that work may be Jnspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17475
ddress..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_.........
I
jwner.................................__......_.._......_......_.._...........................................................Tenant....................................................................
WJrJngContractor..................................._......_.............................................................................By..............................................................
J \ NOTICE-Current must not: be turned on untll Certificate ot Inspection has been issued. It work i~ to be con-
healed" due noUce must be given the Inspector so that work may be inspected before concealment. '.
1M Olympic Printers, Inc.