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HomeMy WebLinkAbout113 Lopez Ave - BuildingPREPARED 4/12/05 13 29 52 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/12/05 ADDRESS 113 LOPEZ AVE SUBDIV CONTRACTOR KEVIN GROFF CONSTRUCTION PHONE (360) 460 1514 OWNER GROFF KEVIN PHONE (360) 452 9892 PARCEL 06 30 10 5 0 2044 0000 APPL NUMBER 05 00000025 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 4/07/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 4/07/05 AP Kevin 460 8891 As close to 1 OOp m as possible BI2 01 4/12/05 14 BUILDING FOUNDATION WALL (-I' 11 Kevin 460 8891 1 COMMENTS AND NOTES Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner GROFF KEVIN 113 LOPEZ AVE PORT ANGELES 36) 452 -9892 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge 10 00 3 0500 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 05 00000255 449835 113 LOPEZ AVE 06 30 10 5 0 2044 0000 SIDING BUILDING PERMIT PARTCIAL RE ROOF 77 50 4/11/05 10/08/05 Per Signature 6f bonttictol of Authorized Agent T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] RS7 RESDNTL SINGLE FAMILY 1500 Contractor Date KEVIN GROFF CONSTRUCTION PO BOX 957 PORT ANGELES (360) 460 1514 NO PR FEE NEW SIDING Plan Check Fee Valuation BASE FEE HND BL -501 2K (3 05 PER C) STATE SURCHARGE Charged Paid Credited 77 50 77 50 00 00 00 00 4 50 4 50 00 82 00 82 00 00 4/11/05 WA 98362 Due 4 50 00 00 00 00 00 1500 Extension 47 00 30 50 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 fora 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 pres e to give authority lat -or cancel the provis)ons of any state or local law regulating construction or the performance of co :tr ction 4 Dqfe Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS WALLS FOUNDATION 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 FRAMING JOISTS GIRDERS SHEAR. WALL/HOLD DOWNS WALLS /ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR 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 PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 I Co*" T \Policies \1102_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 I NO I I I I I I I I 1 I I I I I I I 1 I I I I 1 I I I I I I I I I I 1 I I I I I .1 I I I I I I I I I I I I I I I I I 1 a I I I I I I 1 I I I I I I I I I I J I I 1 1 I 110 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED YES I NO PREPARED 4/07/05 12 56 11 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/07/05 ADDRESS 113 LOPEZ AVE SUBDIV CONTRACTOR KEVIN GROFF CONSTRUCTION PHONE (360) 460 1514 OWNER GROFF KEVIN PHONE (360) 452 9892 PARCEL 06 30 10 5 0 2044 0000 APPL NUMBER 05 00000025 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 467/05(' JLL.� BUILDING60O FOUNDATION FOOTING TIME 17 00 As close to 1 OOp m as possible COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000025 Pin number 015200 Property Address 113 LOPEZ AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 2044 0000 Application description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 10000 Owner Other Fees Signature of? ontract& or Authorized Agent T\Policies \l 102_15 building permit inspection record05.wpd [1/4/2005] Contractor CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit BUILDING PERMIT RESIDENTIAL Additional desc 480SF DETACHED GARAGE Permit Fee 204 75 Plan Check Fee Issue Date 1/24/05 Valuation Expiration Date 7/23/05 Qty Unit Charge Per BASE FEE 8 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The proposal will result in a detached garage in the RS 7 zone for a total lot coverage of 251 Setbacks are good No land use issues are noted MAINTAIN CLEARANCES FROM SERVICE WIRES 1) Any modifications to the electrical facilities will be at the customer s expense 2) Consider Reloctaing the Meter to the Garage When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations Proposal is to add a detached garage and carport in the RS 7 zone for a total lot coverage of 30% Setbacks are good No land use issues are noted MAINTAIN CLEARANCES FROM SERVICE WIRES 1) Any modifications to the electrical facilities will be at the customer s expense 2) Consider Meter Relocate to the Garage 24-05 Date Date 1/24/05 GROFF KEVIN KEVIN GROFF CONSTRUCTION 113 LOPEZ AVE PO BOX 957 PORT ANGELES WA 98362 PORT ANGELES (360) 452 9892 (360) 460 1514 Structure Information 480SF DETACHED GARAGE Construction Type TYPE V NON RATED Occupancy Type GARAGES CARPORTS SHEDS Other struct info TOTAL I LOT COVERAGE WA 98362 24 00 V N 1 00 1200 00 7000 00 480 00 1680 00 1 00 STATE SURCHARGE 4 50 81 90 10000 Extension 92 75 112 00 A\ 0 ,6 O Fee summary Charged Paid Credited Due 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 constwction. Signature of Owner (if owner is builder) Date 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 FOUNDATION: FOOTINGS WALLS FOUNDATION 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 FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR 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 PARIUNG/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I IAPolicies \1102_15 building permit inspection record05.wpd [1/4/2005] ACCEPTED COMMENTS YES I NO 1 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 I I I I I I I I I I -I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT. I BUILDING I I I I I I I I I VORr W MGM T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000025 Pin number 015200 Page 2 Date 1/24/05 Permit Fee Total 204 75 204 75 00 00 Plan Check Total 81 90 81 90 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 291 15 291 15 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. 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 Signature of Owner (if owner is builder) Date 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 FOUNDATION: FOOTINGS WALLS FOUNDATION 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 FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR 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 PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT W- I ,1 I YES I NO FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I.\Policies \1102_15 building permit inspection record05.wpd [1/4/2005) SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING I FIRE DEPT I PLANNING DEPT 6 I BUILDING I I I I I I I I Applicant or Agent: lec() i- F Owner �v✓_ Address (3 &Z 44JJ City Architect/Engineer Contractor State License Address PROJECT ADDRESS LEGAL DESCRIPTION Lot: I 5 Block: CLALLAM COUNTY PARCEL NUMBER. PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 City. PC Credit Card Holder Name: Billing Address: City Credit Card Type VISA MC Exp. Date: TYPE OF WORK. SIZE/VALUATION Residential New Constr Re -roof Stove SF /SF Multi- family Addition Move la- Garage SF /SF Commercial Remodel Demolition Deck 4 -/A0 SF /SF Repair Sign Other TOTAL VALUATION ./die.- BRIEF DESCRIPTION OF THE PROJECT p_ L c/ 7zo ,a— c--- COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. 41 LF ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other. Phone 499 /6 4 2 7 Phone Zip Phone. Exp Subdivision. f 3Cc „km No of Stories: Lot Size 7 Y't) Existing Sq Ft. /ZCiV Proposed Sq. Ft._L. 'e TOTAL Sq Ft. l& ere) Total lot coverage 2_C f 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 If no 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 R105.3.2 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 it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such per its prior to work. T•\RVESS\BLDG- forms brochures 12003- Buildingpermit.wpd Applicant: Date: I b �S FOR OFFICIAL USE ONLY Date Rec. t 65 Permit Date Approved: I Date Issued. Phone Zip ZONING S' 7 Construction Type- Werrit, 1e-- APPROVALS. PLAN BLDG DPWU FIRE. OTHER. i cr-6- -poky.) 1 7- 0° I 146 i per IS O L el-- E L° S a y 2 z CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building .operations being carried on thereunder when in violation of all codes and ordinance of this jurisdiction. (SECTION 303(c) U dorm i!ding Code.) Approval Date BY .i 1- w \i) i- gl 2 -.1 er \---w-- c-- y 0 ALE A Q 4-4 t Lie) 3° u N�L •FR�►'rKED ►^s/ 1/ 1r L D. F 2 DR- 3 rrE ,2- (2! x dvE E'A-7) D4304- wi te!' 26 L 4.164 D6-A__ c is L V V r ,rl I? W S Q A 1_ t i Afl9 v3 QZ I 0 7/ 1 x13 ,hl �I S zo fp s ?Nr4c.T co mp 3 T A 16 2 X BLocx 'NJ 7 �E T w EE iJ rk t F�►7r SOvE, wA-L 6 14- r2 =-3 k Z. v 1 0.523 i-IuRR c6ov. T lE S ehcsi Exkt o• P e,4CJ( 1 R.usS ZEE= STt-i zy 0.c 2_1K (v. T LA 4 ►5 ES o2.i 7 N °c.rK gtv Z' v C t~%. ...... CITY OF PORT ANGELES °{~'~ PUBLIC WOP, KS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~.~;~,.~-~i~ ~'~'-~'~IVII F ISSUED: 4/15/2002 pI-I~MII NO: 13352 OWNER/APPLICANT PROPERTY LOCATION 113 LOPEZ WAYNE GROFF 3607 CANYON EDGE Lot: 15 Port Angeles, WA 98362 Block: 20 [] Long Legal 360/452-6962 Subdivision: PSCC 2ND ADD T: S: Parcel No: CONTRACTOR ARCHITECT K B T CONSTRUCTION N/A 130 SHAWNE LN. SEQUIM, WA 00009-8382 , 98360-0000 681/500-9000 360/000-0000 PROJECT INFO ~ Project Value: $2,500.00 SFD Units: 0 Commercial: 0 - Project Type: REROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 ~' Construction Type: MFD SQ FT: 0 ~ Zoning Use: RS7 -'~ PROJECT NOTES ~ TEAR OFF, SHEET, FELT, COMP RECEIPT~8952 FEES ASSESSMENT Building Permit: $83.25 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: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits am 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 tree and correct. All provisions of laws and ordinances governing this type of work will be complied with ~/nether specified heroin 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. .4/~/.~4~ ~~~ j~ Signature of Gontractor or Authorized Agent Date ~gnature O~'Owner 0~owner ,~a, fl'der) Date BUILDING PERMIT INSPECTION RECORD CALL 41 ?-4515 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS IdNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTEB COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT} SEPARATE PERMIT: # PLEMBING 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 MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD~DUCTS PW UTILITIES 1 SITE WORK (Eng~ nearing Division) SEPARATE PERMIT #'s: WATEKLINB / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERM1T#'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. ENG II~IEERJNG 417-4807 PW / ENGINEERING FIRE 417-46S3 FIRE DEPT, BUILDING 417-48,5 ~/'~'~ t/O~L' ;~-W BUILDING C3APPL.WPD CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT . . REQUEST:.z~ 2 ~/' ~ ~c_ Date~- __i_ Time Received b phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one}: Permit No. Sewer Foundation Framing Chimney Plumbi~l ~ewer Excav. Other Inspected: Date . ~ ~. .~ Time By Remarks: ~ SURFACE RESTORATION: SURFACE TYPE: ~ Unimproved ~Gravei ~Asphalt ~PCC ~Other ~ Repaired by City Work Order ~ Repaired b~ Permittee ~ COMPLETE ~ No Damage Found ~ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEI CIty OF PORT ANGELES 1.IGHT DEPARTMENT ELECTRICAL PERMIT Nt? 17259 Port Angeles, washlngton__________f__::-_.__~..________.__.______m.__._____._., 19_j?':!:; 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 ___l_l_?..f~ta,&~--mh--m--m---------------mhmm- OccupancY___7'!7t!'."~:m____hh___n__h_m.___ Owner h____m____mm___mm__n__mm____m_m_..n___m__m__C_ ~nant..--m---m-----m-....-nm-m..---mm------m....--..m--m Wiring Contractor -7g,,-t;!'!fee;?---fi];l(1<,?t<c~-- >B;___:__~--------mm--n----m------------..---mm----m------- LIght Outlets______________________________________.. Service, volts --l'-,--___~-~-..---9.::..q Type of Wiring: R t 1 0 tl t No. wires .....3..........m.mm......... Armored Cable ..........mm............_ ecep ac e u e S..m____...........m...m.. Dryer, KW.....n................__n............... Size wires..................................._.. R~nge, KW.......................................__. Water Heater: Main fuse ....................................... Enclosure m............m..............___.... KW --m<;Y--?---- - mmm - - Heat: KW ....r-.........~ ..t.,4,J.. .BE. .. , Type of wiring: Entrance Cable ........m.................. Motors: size, volts and phase: Rigid Couduit ________________ Metallic Tubing ..........___..... Current transformers: No. & Size........n.................... Ser. No..............................~............... Ser. No......__......._.._....__..................... Ser. No............................................... Non-Metallic .............._................._ Knob & Tube________________________________.. RIgid Conduit _______________________________ Metallle Tubing ________________________.__ Raceway ...h............._...._....._.__._ CIrcuits, Light.........._......................._.... Utllity _____________________________________________ Heat ..............__............................_._ Range ............................................. Water Heater ....._.................._.... Motor ...................._........................ Dryer................................................_ Furnace .........................._................... Total Load............................. Ser. No......_....................................... Total ._..................___..............._ ~ k a ' :~:~~~~:.._=~:::::::::::::::::::::~~:Z~:::~~t~=__:~=::::=:::::::::==~::~~:::~::~:::::::::::::::::: :~_=.~~__~~_~m_mm__m__m ::~~_~:__:~.~:~_~~m___. By -(f;:"/{,~~~~:~~:!&:'r-'-~ NOTICE-Current must not be turned on until Certificate of Inspeetion 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17259 Address.................................................___...............u...................................................................Date..._.....__.._......_........_._......_..._..__........ Owner..................................._......_.._.............._.._...........................................................Tenant........_..................................__....................... Wiring Contractor......................................... ..._.............._.........................................._..................By..............................................__.............. NOTIC~urrent must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due Totice must be given the Inspector so that work may be inspected betore concealment. I 1M Olympic Printers, Inc. - . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date :;-/0-0 b Time t; JV Jll'h. Received by 717 (PhOne~rso~ Location of Work to be inspected J / "3 /oiJe .7- Name of person requesting inspection U Jt!':- /Jt t/ ~ Address of person requesting inspection .I 7,,) 3 <; 0 /S 5T Phone No. Cjif 7 - '1'iI'19 Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ 0/?L T e r- INSPECTION NOTES: ("- -ltJ-'''''. Inspected: Date 2 V" c> Remarks: "'3/'1 5e:-l'"vlc elope> k Time /O;t/V dfr1. By 7/7 f"el4t?--v;;J milllVl Iv df'e.-Ie.r ""~ RESTORATION REQUiRED...... YES V NO . '. $ .' q -........... ~ J-" CJ; ;)36' ~ <D< ~ ~ ~ ~ ~ Lop-e.z. - 0 '\S ~ 5' . \J ~ ~ "" ;;.'~~ ""'" "' ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC ~Other .T 0;- 501"1 o Repaired by City Work Order # 303 ~6 -Ioy o Repaired by Permittee 0 COMPLETE o No Damage Found ~ INCOMPLETE (Continue on reverse side if necessary) c.:r:n"".,.......-...