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Home My WebLink About626 E Lauridsen Blvd - Building CITY OF PORT ANGELES r DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000923 Date 8/24/11 Application pin number 761423 Property Address 626 E LAURIDSEN BLVD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-10-5-2- 9000 -0000- Application type description PLUMBING PERMIT On your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 1200 Application desc water supply line Owner Contractor ROBERT AND KATHERINE CARTER GARY'S PLUMBING INC PO BOX 2786 PO BOX 255 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -8249 Permit PLUMBING PERMIT Additional desc WATER SUPPLY LINE Permit pin number 191635 Permit Fee 57.00 Plan Check Fee .00 Issue Date 8/24/11 Valuation 0 Expiration Date 2/20/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER LINE 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .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 clays 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. 55' 1 A ►'dam CO/0)S Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 1 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 \..r 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. Cr) Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall C Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) I wc I 1d J Gas Line Back Flow Water FINAL Date 1A--• (I Accepted by 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit its SEPA: 1 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 I Planning 417 -4750 Building 417 4815 Q •nrrnc /R, iilrlinn nivisinn /Ruildina Permit BUILDING PERMIT APPLICATION Print in ink `*�.i CITY OF PORT ANGELES For City Use On y: Attn: Building Perm Technician Date Received •y tom= 321 E. Fifth St., Port Angeles, WA 98362 Permit 923 r (360) 417 -4815 fax (360) 417 -4711 Date Approved 3•z1 -/7 Applicant C7 14, S P l ‘l Pt \J Phone 360- -t s1- S aLV1 /yam -o n 7 Property Owner ei)010 Phone LA 11 c (7 s Property Owner's Address 6 a b t A T L e ST- Contractor r-e.rYS Pi uM S; ruGI Phone Contractor's Address License Expires E -mail PROJECT ADDRESS 6Z& E LJA Parcel Number Lot Zoning Project Type Brief Description: Residential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer o vi Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other 1v 5 J /4.4 t✓L Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION ,t 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 Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type 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 responsibility to determine what permits are required, and to obtain permits prior to wirking on projects. Date Print Name 3A1\/ C d I I,`nl Signature T:Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 65293 ROBERT AND KATH... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 65293 ROBERT AND KATHERINE CARTER for Year 2010 2011 i Property Account Property ID: 65293 Legal Description: BROADWAY ADDITION SP 78 -2 -7 V4 P96 LOT A .21A Geographic ID: 0630105290000000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 626 E LAURIDSEN BLVD Mapsco: PORT ANGELES, WA 98362 Neighborhood: Cycle 5 Res Map ID: 2 Neighborhood CD: 10955130 Owner Name: ROBERT AND KATHERINE CARTER Owner ID: 17332 Mailing Address: P 0 BOX 2786 °A) Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement Building Sketch Property Image Land F Roll Value History Deed and Sales History Payout Agreement Website version: 9.0.32.2200 Database last updated on: 8/24/2011 3:48 2011 True Automation, Inc. All Rights AM Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =65293 8/24/2011 Owner Application Number Application pin number Property Address ASSESSOR. PARCEL NUMBER Application. type description Subdivision Name Property Use Property- Zoning Application valuation Application desc DuctlesS pump 1 cirbud,t. Carte 626 E LAURIDSEN-IBLVtli PORT ANGELES WA 98362195 ELECTRICAL PERMIT CITY-OF -PORT-ANGE-LES 360-417-4735 09 00001289 691493 626 E LAURIDSEN 06 30 10 5 2 9000 0 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Permit ELECTRICAL HEATPUMP Additional desc Permit pin number 157958 Permit Fee 57 50 „Issue Date 12/09/09 Expiration 6/16/10 Qty Unit Charge Per 1 00 57 9000 ECH EL BRANCH CIRCUIT WO/FEEDER Fee summary Permit Fe6 Total Plan-Check Total Grand Total -INSPECTION TYPE-- DITCH SERVICE ROUGH IN FINAL COMMENTS rharged 5750 50 00 00 57 50 57 50 Paid _Credited DATE Plan Check Fee Valuation izhto Signature owneror Electrical Contractor X 00 00 od Date 12131/09 Extension 57 50 -Due- 00 00 RESULT Date ANSI5RTOR. APPROVED DATE PERMIT it INSPECTOR OWNER/CONTRACTOR 1Dr& chz ADDRESS 62.4- L gLdp 0 l2_ .771./ v4L CORRECTIONS NEEDED: rVS1E 0 J 'c__QbOQ 1 r AtMP 1 SC- rt e lgc o CT AKfLR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL C H ■R} 116-7 L LN� 4 0 D L L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417.4711 Date. EC a ev 9 2 Single Family Dwelling Mtilti- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete ,Electrical Plan Review Information Sheet c 7 Job Address: (o z3zi/'D Building Square Footage. /4/C t Description of above fist. r/+z— Cr /14 14/ i -$PLI T 15 1 Owner Info ma on Contractor Information Name: ��ciT Gam/ tic Name: v �ZI Mailing Address. /0,e)C a.2 7e6P Mailing Address. City /Me 7-E5 State. B'14 Zip 9c3310 2 City' State Zip: Phone:4 2-99 65' Fax: Phone Fax: License Exp License Exp Unit Charae g Total (Qtv Multiplied by Unit Charge) 93.75 Service /Feeder 200 Amp. $113.75 Service /Feeder 201 -400 Amp. $160.00 Service /Feeder 401 -600 Amp $205.00 Service /Feeder 601 1000 Amp. $291.25 Service /Feeder over 1000 Amp. 2.00 Branch Circuit WI Service Feeder 57.50 Branch Circuit W/O Service Feeder 2.00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service /Feeder 401 -600 Amp. $131.25 Temp. Service /Feeder 601 1000 Amp. 75.00 Portal to Porta) Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50,00 Signal Circuit/ Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat 5 7 5O Total Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, t hereby certify that 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 Cit of Port Angeles Municipal Code, and Utility Specifications. Signature of owner ectrical contractor or electrical adrni.:strator /dAi HCEIVED DEC 8 2009 ELECTRICAL INSPECTIONS Cash �fh ck n Credit C n, Application Number 09 00001172 Date 11/09/09 Application pin number 356088 Property Address 626 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 2 9000 0000 Tenant nbr name ROBERT KATHERINE CARTER Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2950 Application desc INSTALL A DUCTLESS MINI SPLIT HEAT PUMP Owner Contractor ROBERT KATHERINE CARTER PENINSULA HEAT INC 626 E LAURIDSEN BLVD 782 KITCHEN DICK RD PORT ANGELES WA 983627956 SEQUIM (360) 417 9905 (360) 681.3333 Permit MECHANICAL PERMIT Additional desc INSTALL A HEAT PUMP Permit pin number 156380 Permit Fee 64 80 Plan Check Fee 00 Issue Date 11/09/09 Valuation 0 Expiration Date 5/08/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80 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 fora 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 pe 1..t does.not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of cons on. q Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 Print Name T.Forms/Building Division/Building Permit WA 98382 Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 #s Parking Lighting Landscaping Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building 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 /1/d FINAL '7 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type 1 1 C 1336 FINAL Date /4/7/09 Accepted by 1 FINAL Date Accepted by Date Accepted By 3 3 6' SEPA. ESA. SHORELINE. Tfr 11/09/09 09 51 FAX 3808812086 CITY OF PORT ANGELES Attn. Building Permit Technician k 321 E Fifth St, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417..4711 .0 b t Applicant Zit ut- to i Grlfr .Sr, 3 f�c k 0,,'`' Q'� Phone Property Owner Tyr, h �cr r le. r'" 6 Pho e Property Owner's Address h'a 6 Lear y7e/ rn A vci Contractor 1 pi s 41 Jet ct.t Phone Contractor's Address 79 le r {t.. n c k tea/ License ppiJ/po (,)r.,) r Expires E -mail PROJECT ADDRESS C, Lai.A. r-i L Parcel Number Lot Basement 1 ,Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn springier system be installed? WIN a fire sprinkler system be installed? Peninsula Heat X1 02 .BUILDING PERMIT APPLICATION Print in ink ft Occupancy group Occupant load Construction type 1 have read and completed this application and know it tole true and coned. 1 am authorized to that if Is my responsibility ed ponsibility to determine but permits ore requir, end to obtain permits prior Date /1 C112q Print Name AGO' 4/7k 4 e/ 1- ISignaturr T_Famts1Bullding Divisionlsldg PermiLdoc For City Use Only Date Received_ 0 9 -0 q Permit* Oct,- 11 Date Approved g5 1- 7a333 Li/ qD 6 /y rt,fa Zoning project Nap Brief Description- p,R sidential a MuIfi fami/y o Commercial Check an that apply New Construction o Addition p Remodel o Repair o Demolition Re roof o House garage other tear off re a lay over one layer p -H System eat pump wood buming stove o gas fireplace pellet stove o other Other lac' Liu 1v 5 rtif rr7 r soh f- 14g c_ l~ Ipid rh.4 Floor Areas Existing (so. t.) P,Tposed (so, f), per sq. ft. TOTAL VALUA710N 2F 7 5 Q 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 96 of bedrooms it of full baths of half baths pply for this it and understand Al ft a Industrial Application Number 05 00001228 Application pin number 060000 Property Address 626 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 10 5 2 9000 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor CARTER BOB 626 E LAURIDSEN BLVD PORT ANGELES WA 983627956 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 Date 12/19/05 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OLY EL HOT TUB CIRCUITS Permit pin number 67223 Sub Contractor OLYMPIC ELECTRIC Permit Fee 48 10 Plan Check Fee 00 Issue Date 12/19/05 Valuation 0 Expiration Date 6/17/06 Qty Unit Charge Per Extension 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 48 10 Fee summary Charged Paid Credited Due Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 00 00 00 Grand Total 48 10 48 10 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO DITCH ROUGH -IN COVER SIJRVICE FINAL M)a,/i Vii) GENERAL COMMENTS: 1 1 1 1 1 1 1 1 1 1 1 I COMMENTS PW- 1102.15 )496) CITY OF PORT ANGELES PUBLIC WORKS BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~UILL~I~II~ I-'I::I~MII ISSUED: 4/08/2002 PERMIT NO: 13340 OWNER/APPLICANT PROPERTY LOCATION 626 LAURIDSEN BLVD E FRANK DALTON 626 E LAURIDSEN BLVD Lot: A-SP78-2-7 Pod Angeles, WA 98362 Block: [] Long Legal 360/000-0000 Subdivision: BROADWAY ADDNT T: S: Parcel No: 063010529000000 CONTRACTOR ARCHITECT FOXS REMODELING & ROOFING N/A 428 ORCAS PORT ANGELES, WA 00009-8362 , 98360-0000 360/457-4742 360/000-0000 PROJECT INFO Project Value: $3,274.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: j.l~l PROJECT NOTES TEAR OFF, FELT, COMP ~- RECEIPT#8935 FEES ASSESSMENT Building Permit: $97.25 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: $101.75 Plumbing: ;0.00 AMOUNT PAID: $101.75 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 pedod 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 g~v'¥ authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constru~ ~ 0 - 0~- ~' ~-- Signature of Gontractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSUL4TE OR CONCEAL .4NY WORK BEFORE INSPECTED ~4ND.4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I BATE I yEsACCEPTED[ 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 MECHANICAL HEAT PUMP WOOOSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMITO's SEPA: PARKI NG/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. ENGIN~ERENG 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. ~ -'~ -- - - -- ,- - CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 16732 / _ '1 ^./ c:7'- "'" Port Angeles, Washlngtonnm_m_m_mm______m_-m__m____m_m_____h__m_, 190000000_ i 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. J C:, d ~ t:~.-:O :. r-.oL AOW~dnreerss---(/~~;:;~n7:---(J~~~~;::::mC-~::~:~:::m~::~~~_~~~::::::==::::::::::::::=::::::::::::::::::::: . . oommm--oo.oo---m;;pp;-;;...}ic-_.. <e'(i; -r ' f WiTmg . Contractor ___mmmmmm_moo(/-...____.____m_m_oo___oo__oooooo Byoo_oo_mmmoooomm_mmm_oooommn__mm_m__m__oo ,.:).0 j..:jojc5YC. Light Outlets.................._m_........_.._..... Service, volts ...............Y'..-.........._n..... Type of Wiring. . ReQeptacle OUtlet8....f:':~..._.._...__... No. wires .....:l.__._......_......~..._._ Armored Cable .............___n__........_ c;. 81 17'7'&:/ (;11..<-" Non-Metalllc _______.________.......000000..._ ;:~:~::-~~~;:~---::-h-::-------.U--- :::~o::::s::::::;___~~:~:::::::::~:: :;: ~;::I:..:::::::::::::::::::::::::::~:: rl , MetalUc Tubing h..............._......._. Heal~:~:::::_/:~::.R!.i:_::::.:::_:: TYp~::r:~::n~~ble ......u...___u...u clrc:::~::;~;::::~::::::::::::~::::::===:~ ~ ~:~ti ty __~::1:~~::~~~~~~~~:::~::::::~::::~~~:: Q>-. Range .....___h__................................. .::l. Water Heater ............................... MotQrs: size, volts and phase: ::::::i:~:::::::.:::::::::::::: Rigid Conduit ............................... Metallic Tubing ........................... Current transformers: No. & Size....................................... Ser. No.......................--...................... Motor ............................................. Dryer .......~................................__ Furnace . .........................~......_..... ...._ Ser. No.............................................. Ser. No.............................................. Total wad...........m...m......... Sec. No.................._.......................... Total ..~.~........................ Remarks: oomnm_nm.c.l:!...,.?:l.~_;_nnoon_~d.?:::::::~~oommnm_moom_mmmm_mmm_m_mmm__nm_m_nn I ___n___r__m_mm_mm_m___noomm__m_mmmoom_m_n_mnm__nm____n._________h__oo.m_m__mmn_m_m_mmm_..h...OO.oo_....O...OO___ -;~_1~__~~_~~-_n-_-__..~~-h~_~m-mn::~_~_~:~-_~_~_~_~~~_~._~-_____-m--.nn.h--n::.--.~;~r-l~Ji:;;~:~ ~,~ / ~ I ~ NOTICE-Current must not be turned on until Certitlcate of Inspection has been issued. It work Is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER'WHEN READY FOR INSPECTION / ..- -~. .'" , ELECTRICAL PERMIT .~. N? 16732 ._-,.r- Address........................................................................................................................................Date..._......_.._.._.._..:......._......_......_......... Owner..................................._.........._......_.........._...........................................................Tenant.................................................................... Wiring Contractor...................................... ....................._.............................................................By.............................................................. NO~ICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed'~ notice must be given the Inspector so tbat work may be Inspected belore concealment. . 1M Olympic Printers, Inc. 12/09/2005 08:30 /, 3504523498 OLYMPIC ELECTRIC PAGE 01 01 ELECTRICAL WORK PERJ\fiT APPLICA'F.ON .lob J.,ir~'d by o Electrical Contractor" 0 Owner Installati()n descl'iption. ~ (J Commerci.l lD"'Residential Date E.xpirc~ ONew \J Altered! Addition , Pur ailing ILddrcss /f --ZJo l1/MI./A/75Y? C~ StOlte ZIP ~rf~u-~r P./.-7- 7J./V Telel)hone nul'h ..:..! FAX number 110'/ /?/8 . Premises oWller's name l?cJ.P Crll"frr Address of Inspection A 6A::; .;:: I r7dr/. r/7 CliO . ,f, rC/r-r ~r..... r Phnnr: humher t<l 1Otbtdu\t: in!l-pt:ctJon: Lf /7- (? 7e::!'...5 Owner ax dr:jirred by RCw'J9.28.26J:(l) OW"t~r will OCCI4PY Ine MnlcWr'f for IWQ year.t after tllii elr!ctrical permit t., fi""lf;;ed. (2) Owner is n:qu;red '0 hirc ar! dt:"ctrrcuf contmclo,. if abCJve said properfy is'for ullc, renf or kase. After reading 'the above' stalcme"'t~- J hereby certify th,H I 3m the owner of the ~bove named property or a licensed electrical contr:lct(lT. r :l.m making the electrical in!ltal- l;:ltion or alTerAtion in compliance. with the electrical law~. N.E.C.. RCW. Chapter 19_28, WAC. Chapter 296~46n. The City or Port Angeles Municip<ll Codc. 1\nd Utility Specifications. Si~nltun: of o"'nc:t. elcctric:d eontrlllctor or clt'ctricnl S1dml.nistrntor ~7C-- Il~Y IJ Cash IJ Check # Qt"edit Card Visa Card # Mastercard Discover x Date: 1.1/7/tP'F Expiration D3tc of card Inspection fee $'-I/.L1? Service Information Voltage .2 '/ t:? Phase010a Service Si%e~ Feeder Size: Ele rl al Load Additions and or subtractlon~ \J NO LOAD CHANGES o 8aseboard KW o Furnace _ KW \J Heal Pump _ Ton _ LAR \J Fan-Well KW o Overhead Service o T gmp Service Q Underground Servioe SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ,,- ROUGH-IN THERMOSTAT SERVICE Dille Awro"'o:tll.\y nMt:'. ^f'II"l'l..t:'.d I:ly 0~1t:'. ^~/t'I~t:'.(ll;ly ANAL DITCH tc~tLU~K J" L J / kG ''"- / DIl. 7\pp~dBy ./ '- DnlC: Ar""m1t:'.l1 Ry./ :.. :'j.o'D~lc i\DIl",~ed F.ly In!'pcction . Area, Building or Equipment Inspected Action 1'nken Elec.trica.1 Date , rnspcetor . "'~ ?' .. .... .<: .J". . -"~-':"~ ,4tp, :J./ 9/ n<" /