HomeMy WebLinkAbout1326 E 6th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 circuit kitchen remodel
Owner
PURVIS RUSSELL A
1326 E 6TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983626604
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00001297
063628
1326 E 6TH ST
06 30 11 5 4 0200 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
EXTRA MILE TECH
418 N RACE ST
PORT ANGELES
(360) 457 0198
ELECTRICAL ALTER RESIDENTIAL
176909
76 10
11/04/10
5/03/11
Charged
76 10
00
76 10
Paid
76 10
00
76 10
INSPECTION TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 73 5000 ECH EL- BRANCH CIRCUIT WO /FEEDER
1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Credited
00
00
00
Date 11/04/10
ELECT LLC
WA 98362
qS 7 Qzs6
Due
RESULTS
111511
air; (c0
Extension
73 50
2 60
00
00
00
0 0
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
NOV -03 -2010 10 35 PM E JANSSEN
City of Port Angeles Permit Application
!Wilding OlvisionlEtectdcel Inspections
321 East Filth Street P.O. Box 1150
Pon Angeles Washington, 98352
Ph: (350)417.4735 Fax:1380) 417-4711
Dale i_
'1 2 Single Family Dwelling
Multi•Famity or Comm:rcrel'
C,ommei ;rill Addition I Aftoralion Remocel Rena
Plan Review May 13e H tire d, Please Complete Cle• :Incol Pi view information S
Job A0tl /e5S L.
Owner Information,
Name, 'Ly`a_ e
Meiling Address 7 i c. i..
Cdy _:1 _,1_0 Slate: Ltid._ lip _,____L____
Phone: Fax:
License /Exp
Signature of owner electrical contractor or electrical administrator
T /l eech
r V Ii..u/►.�y bete
ECEUEB
21;2
ELECTRICAL
INSPECTIONS
Building Square Footage•
Description of above /�P 7
In Credit Card
360 452 2982 P 01
C nlraolur Information
Name. Ex /i- M,LF ec_Jf_s E l er,t- ific44 s L
Mailing Address: 'il tLi ';,.01,C-. 5.1-
City P A- State. iLr LIP �f„Os_ �Ir_Z—
Phone:_ 2_, -5ar- .Fax: 5 Z,_
icenseU Exp. EXTK/�4in _:1 ri_r .tze
Lct� 2 G /J -t' PI
ilnit Charon 1 fa.(Qiy Multiplied by Unit Charoej
119 90 Si, Service/Feeder 200 Amp.
S 145.50 5 Service /Feeder 201 -400 Amp.
5 204.60 5 Service/Feeder 401.500 Amp.
S 267 20 5 Service /Feeder 601.1000 Amp.
S 372.50 S SeNICit /Feeder over 1000 Amp.
5 2 60 5
Branch Circuit W/ SeMce Feeder
S 73 50 F_-
'7 1 i Branch Circuit W/O Service Feeder
6 2.60 _t 5 ,z.. Each Additional Branch Circuit
S 92.70 S Temp Service, Feeder 200 Amp.
5110.30 5 Temp Service /Feeder 201 -400 Amp.
S 108 70 S Temp. Service /Feeder 401.600 Amp.
S 167.00 5 Temp Service /Feeder 501 -1000 Amp
S 95.90 S Portal to Ponel Hourly
88.20 5 Sign /Outline Lighting
5 95.90 3 Signal Circuit, Limited Energy Commercial Additiomi -0 S'■ 00
S 63 90 S Signal Circuit, Limited Energy 1 2 Family Dwelling
S 63.00 5 Signal Circuit/ Limited Energy Multi-Family Dwelling
5 110.90 .5 Manufactured Home Connection
5 102.30 S Renewable Elecuicel Energy 510VA System cr Less
S I IC 30 S First 1:100 Square Ft.
35.20 3 Each Additional 500 Square FL or Portion of
i 73 50 S Earth Outbuilding or Detached Garage
5 110.30 5 Each Swimming Pool or Hot Tub
5 56 00 Therrno;tlel
5 .11e_,.__ lotat
)1 't
Owner as defined by RCW 19.28.261• (1) Owner will occupy the structure for two years niter this electrical permit Is finalized 12 Owner Is required to hire an elecrrrcar contractor it
above said property la for $ale, rent or lease. Permit empires after sfx months o1 last inspection.
After reading the above statement, I hereby certify that lam the owner of the above named property or a liconsod electrical contractor I am making the electrical Installation or
alteration In compliance with the electrical law N,E.0 RCW Chapter 19.25, WAC. Chapter 298.468, The City of Port Angele Municipal Code, and Utility Specifications.
C: Cash
<:!I'ORT~
~~~
.... --
"<;<;iF
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT _ BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
13811
OWNER/APPLICANT
RUSS & SUE PURVIS
1326 E 6TH STREET
Port Angeles, WA 98362
360/457 -8989
T:
PERMIT NO:
S:
ISSUED: 10/28/2002
PROPERTY LOCATION
1326 6TH ST E
Lot: 14
Block: G D Long Legal
Subdivision: CRESTHAVEN
Parcel No: 063011540200000
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
PROJECT INFO
Project Value: $500.00
Project Type: DECK REPAIR
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units:
SFD SO FT:
--
o
o
Commercial:
Industrial:
Garage:
o
o
o
\j\
I"-
~
MFD Units:
MFD SO FT:
o
o
(I
PROJECT NOTES NDING
REPAIR EXISTING DECK ADD NEW STAIRS AND LA
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 locai law regulating construction or the performance of
construction. I)
'V
Signature of Contractor or Authorized Agent Date f Owner (if owner s builder) Date
RECEIPT#9851
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
T;\PLANNTNG\FORMS\II02.15 (4120021
E;"
---l-
..::s
$23.50
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Mise Fee 1:
Mise Fee 2:
Mise Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$28.00
$28.00
$0.00
BUILDING 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
I ?~I)
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT; #
ROUGH.IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I I
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T.BAR
INSULATION
SLAB T I
WALL / FLOOR / CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering 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 11-/1-1- IJIJ_ ).&H BUILDING
T:\PLANNING\FORMS\1102.15 [412002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date /1 II'}...! 0 "--
/ (
Time IS ';}-. s--
,
Received bY~~
(phone, person)
Location of Work to be inspected .1 ~ J- b f'". to rh Sr
Name of person requesting inspection R<.fJ 5' S flY)" ( ) (--S
Address of person requesting inspection ~ ') L'~ 0 Phone No. ? ~ 1':'1 r:'l
Type of Inspection (circle appropriate one): Permit No. /:5 5('/ /
Sewer Foundation Framing Chimney PIUmbing~Wer Excav. Other I~c k
!-/w 1';1./1-- -F re> IY? l' Cl m 70 '9: : 3' D f. m.
INSPECTION NO~E~t C> r Q..11!tfoiU- a f2fey /0 /).111. '- /p)-"c:!~
Inspected: Date .I 14 1- - 0 '-- Time By eA-
Remarks:
o~~-
RESTORATION REQUIRED . . . . .. YES NO
.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
d"ORT~
o~
L -=--
~
"c;<;iF
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET. PORT ANGELES, WA 98362
BUILDING PERMIT
PERMIT NO: 13726
OWNER/APPLICANT
RUSS & SUE PURVIS
1326 E 6TH STREET
Port Angeles, WA 98362
360/457-8989
T:
S:
ISSUED: 9/20/2002
PROPERTY LOCATION
1326 6TH ST E
Lot: 14
Block: G D Long Legal
Subdivision: CRESTHAVEN
Parcel No: 063011540200000
CONTRACTOR
PELLET HEAT CO.
230 "c" E. 1ST STREET
Port Angeles, WA 98362
360/457-1649
PROJECT INFO
Project Value: $2,500.00
Project Type: PROPANE STOVE
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0 Commercial: 0
SFD SO FT: 0 Industrial: 0
Garage: 0
MFD Units: 0
MFD SO FT: 0
\AI
('l
b'
PROJECT NOTES 1>,-of'4"'--
INSTALL ZERO CLEARANCE FIRE PLACE
RECEIPT#9704
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
$0.00
$0.00
III
~
-1
j
Mise Fee 1:
Mise Fee 2:
Mise Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
$35.00
$35.00
$0.00
BALANCE DUE:
Separate Permits are required forelectricai 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
iaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
oAf F / '-- {?
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNrNG\FORMS\1102.15 (412002]
BUILDING 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 LOCA liON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
1""379-0
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I VES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEP ARA IE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE h>-q-oZ /JH
BACK FLOW 1 WATER
AIR SEAL
WALLS I I
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
('W AL~OOF I CEILING I () - Ji.{ - cf2. 1<\/
DRYWALL
T-BAR
INSULATION
SLAB I I
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 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
ELECTRlCAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION. R.W.
ENGINEERING 417.4807 PW 1 ENGINEERING
FIRE 417.4653 FIRE DEPT.
PLANNING DEPT. 417.4750 f PLANNING DEPT.
BUILDING 417.4815 I {) :::JJ.D ( ILI/ BUILDING
T:\PLANN1NG\FORMS\II02.15 [4/2002]
9-19-02;12:25PM
3604520503;#
FROM : SPA SHOP-PELLET HEAT CO
FAX NO.
3604520503
Sep. 19 2002 12: 34PM P!.__._._
S
~iiiii"
BUILDING PERMIT - APPLICATION
roa.~I~ONI.\..
OaIrR-..' - ",o.c
I'eradt f' .::.. :
Dm,,-w.t
0_1--.1.
TMHrUldu.gPf711fi1 -p~_.... tlfIUl6e/lIkdlNlCDmpletdy. .
Pleuo1]'pe llII' prmt Ja IlIk. If)'1IU lIave DY ,lIOStioao, p'- ta1.1417-48IS
Applkant mdtor Agent: P.eJ l<.-f "_ of- eo _ PhOQe; !Irs" 7 _ $0'....."" ,
Owner: f(,........ ~ a...~
.s '" olL
& rt.
Pw,. " l S'
Phoruo;
i?'<r7-rf4''1
Z>p: 'I tf' '1 ~ "L
Address: I ~? C. E.
:;1-_ City:
p";,,J.
.
II. '~./Ir
ArdU~ Phooe:
A peu..t'Hc..<>8~""11
Co~J/,J 1Ju.-f I o. Lic:emefl: Exp: /-.,.._~ Phone; S-S-7-~~~
Address: 2..30 Co I5ur Hr~+- SI- City: 1?rf 11^.7-4-f.,.:r- VA. Zip: 'i'fJ6.L
PltOJECl' AbDRE8S: ZONING:
LBGALD.KSCRIP'I1.ON: I.Dr 1'1 Block: G- SuWivWaa: c...~...~~~
CL..I.T,J .~ OOmnY PJ\RCBLNlIMBn:"''' 5""'>'1'<>2- """ CndIr CArd Holder I't'..e: JIl... J.,..~~ IMK_....... ""-
BIlIIIIcAddrw: 2-30 Co c,.~ ,;erst- "5:1- ClIr- P..rr A",~,..
Cndlt ClonI M: ON ~"I <- Bltp. Dale: - 'YlSA Me
TYPll OF WDllKl
r;11'.....-1 C N_ Coulr. 0 1te-J'ClOt'
o MuIti-fiImiI7 c Additioa 0 ~
o ~....uJ C Rmaodal c Dwmolllloa
[] Repair c Sip
BIUEF nE.-JPTJON OF 1'HE l'B0JElCI':
sqz,v.u.U4T1ON.
c WoCl~ .SF.@S ISF.~S
[] Gaaee SF.@S lBF.~S
c Deck SF.@S /SF.-$
Ill' Lp ~/___f>""""- TOTAL VALUADON S 1.5t::>t:>.",o
..,,-- c./t!..4..t'lII:..A....<.A...,. ;C"r""-. ,J4I::JL - Lp t;.AS _
. -
co~: Oa:apulcyGrwp: Occt.lplDlLad:; Cmwnodbl Type:
No.ofSl8ria:_ Lot!liZei: %1.cIt~ % . ."
IlldotiDg Lot c:-.n.ar. hq. ft. + l'l'oposod Lot Coverage: Isq. ft. -lOTAL 1.0T COVBItAGE: '.. /sqj
PLANNING USE f,)NLY:
N_,
~
'.
APPROVAJ.S:
=--
DPW
, JDIJ:
llSNW-...r(J): c Y.. 0 No SBPA n-r-%;".. reqgired? C Y.. c No 0Gler:. . 0-'_11 .
BVILOlNG APl'LlC.&TION S1lIIMlTrALc 1'_ W'~ lIlUlilteJJlm<_beflll;tt4_ll/Ii "'--1' '" H ~Nftr-r.W. n.
' IluiIdin,c DMoioa em prvvide ~ wilh IIIOIlI d8lalled iDfODlllltiOll .... tbo oppIicatioD IIIld p/m .w",,;ltal roqlliremeDla.
BlIILDING lDMIr APl'LICArlON SUBMrl'tAL: Vow GOIIIplcll:d applicolioo, 01110 pIlm (for addilIOIIJ) and building 00IUlnIdi0t
plans ano 10 b.~ to 1IuIll1IIIdlns: DMsIllIl. . .
VALVAnmrOF CONSTRllC'I1.ON: r.. all....... va1IIatlou___bo_by1heW1r.oon. Thill fipre wID benvicwtd....
maybe reviledby1lle BuIldmgDi... 10 ......pIywitb _tfeell<h.......... ~1hoPen:lll~r at417-481S lbr___
PLAN CHEtU'E!: YOIII' pIlll checIc fee is due B111l111ime lbe bIlI!dllIg pCllllitllpplicaliOlllllld COIlStNt;.tion plans msubmitted. All othe
pcnDil: feeo on due It _ time ofpmmit iosuan....
EXPDlATION OFPLANUVUW: U'1lOpermi1ls IJllIIedwithin lllO ....)'Iofllledateofappli<:lllioa.lIili .ppIk:a&n wtIJ uplrebJ
limitatilios. ne Builclbtg Of&ial czm CIdzIiId 1ho timcfor octioD by 1l1c appll<:aDt up 10 180 days, on wrilll:n Nqlle!lt by the: applicam (SOl
Sec:tlon I rn.4 oflhe UItiIi>"", Building Code, cmretIt edition). No apfllicatiOD _ be ex1l:lIded mare thsa OIIce.
I Jwr.J,y ~tlra# J Iwnw I'eaJ and ~tIr4d tlta app,"tNim and blaw rhe .""'" IQ b<: """ and ~ and I.... rmtI1crlzed ro apply fw
/:his pentit. lltlldtnfanti it i.J 1101 . CiIy:r legrIl rf11IpDlUibflity t", tkl_iM ltI1tat permib at'r: 1't1<pIiNd; it TemaW tile ~~
,.l1/pOIUfbU/ty,. r/s_i>w wIuIt pemtit8 an required and 10 obtalJJ.mch.
PW-UOUJ[...,JoIJ AppUCtAt:~-:;.--:;uk- - Ihle; f"-Ir-c1"'2-
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT . . . . . .
REQUEST:
Date / () ~g '01-
Time
Received by
(phone. person)
Location of Work to be inspected /~ 2- (.. c: t~
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Phone No.
Sewer Foundation Framing Chimney Plumbing Final
Permit No. 13?2-~
Sewer Excav. Other y/lS' V/"../c'
INSPECTION NOTES:
"'-'
Inspected: Date /0 . .~-,/
Remarks:
r2-
Time
..---c
y./
C/ -
By
(/J. L.
'----
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
REQUEST:
Date / 0 ~ / '-1- C)'Z- Time
Received by
RV
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No. J:? 12 s:;;.
Sewer Foundation Framing Chimney PIUmbing~n~ Sewer Excav. Other .. . ,
O ~Jec..~e"" ~ - ,
~ J b ~ ~- /-'--0""'- ''''''3
Tm(Xl",e~f6U€- oV\../y
Time By PI/'
Is Zc;; E
RkSS
~ -I~
Phone No. tI-S-7- g987
INSPECTION NOTES:
Inspected: Date /0 -/7"'-02
Remarks:
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
[] Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. c;( /.:< I
DATE --f/7/.f9
ELECTRICAL PERMIT
Site Address: /3-2.{, F- e, t1-.. o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed By: E / e.c. + Se.- V U , I License Number: Phone:
'. (c..~
rtL
Owner/Business: Phone:
Owner!Business Address: Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
~erground
Voltage
01003.0
Service size
~porary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
W.S. No. Service
Capacity: 0 O.K. 0 Not OK
o Ditch inspection O.K.
~ Rough-in/cover O.K.
. J81 OK to connect service
/0 Final O.K.
Date
Size
Comments
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
Site Address: L'r. ~4- Gee e
/3 --< (,
&'. (;' 0-
Jeru;'c J
Installer: r ~. r
C .C1/, c:.
Notify the Department 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 Inspector 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
-<~
Inspector .
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer
Amount paid
GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTEIlS. INC.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO Q I c.f- 7
~/~~,/g"'l
DATE
Site Address: /..3 ~G.., .~ D READY FOR D WILL CALL FOR
E ~ INSPECTION INSPECTION
Installed By: E Ie.c..-f-,,- C- --S'e-r v; C-.. ./ I License Number: Phone:
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
~esidential
Heat KW 10
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ew Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o qyerhead
[!;HJnderground
Voltage J u,/-z..'?O
1Y'"10 030
Service size 2 <) 0 Amps
o Temporary
DetailslDescription:
..~
/11
-
/~uJ
~ 5~..; ,'c:.-J
~f L..Oc:LoC
/1J.(JA) ,~t/o
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
~itch inspection O.K.
4A Rough-in/cover O.K.
~'"'~ O.K. to connect service
!)f\ ~nal O.K. ~,.I ,."k It&rf. tJf ""At.-
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
Site Address:
./3~
c;-
<;; 1-4.
Permit/Receipt No.
..
Installer: New Meters
E/ ~ r. c:.. S-e...or U;C -e-' -e-
Notify the Department 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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
01-c.-<../
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
rD
~
OLYMPIC PRINTERS. INC.