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Home My WebLink About1011 E Front St - BuildingPREPARED 9/08/05 13 08 56 CITY OF PORT ANGELES ADDRESS 1011 E FRONT ST CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL6 01 LITTLEJOHN LINDSAY D 06 30 00 6 1 0340 0000 05 00000779 SIGNS SIGN 00 SIGN REQUESTED INSP COMPLETED RESULT JLL DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE BUILDING POST /COLUMN FTG 07/2005 04 45 PM DYASUMUR 683 6790 COMMENTS AND NOTES VAMO g PAGE 13 DATE 9/08/05 Owner Contractor LITTLEJOHN LINDSAY D OWNER 601 HENDRICKSON SEQUIM WA 98382 Qty Unit Charge Per 1 00 47 0000 PER S SIGN LES THAN 25 SF CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000779 Application pin number 029500 Property Address 1011 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 6 1 0340 0000 Application type description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 2375 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Date 9/01/05 Permit SIGN Additional desc Permit pin number 58461 Permit Fee 47 00 Plan Check Fee 00 Issue Date 9/01/05 Valuation 2375 Expiration Date 2/28/06 Extension 47 00 Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Grand Total 47 00 47 00 00 00 \\fel 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. (e' Sfture of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS ,I6RAINAGE 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 T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD 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 I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING I I Exn1 r I I(- 7 -lo I I Applicant or Agent Owner 1 Address Architect /Engineer Contractor VA- Address (c 4 C a a Ls rre, City S nczo PROJECT ADDRESS U f- -'cD i .S c ZONING LEGAL DESCRIPTION Lot: k Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr. Re roof Multi family Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF TEE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No of. Stories: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY rvl` 1JrriL. U t 1' J U 1' BUILDING PERMIT APPLICATION Datt Rec. 'U g,✓�rf Fill out COMPLETELY and in I N K Four application and site plan MUST B Pen f 5 r 7f_ Date Approved COMPLETE to be accepted for review If you have any questions. call PERMITS (360) 417 -4815 F X.(360)417 -4711 Date Issued: ■A. c c 42. s c e Phone L S G N-(-N_ Phone. City /4„ State License M I (i S aaS E1p City ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other T•\Policies\BL IIO2_13.wpd Applicant: SIZE/V UATION Stove t "OF SF /SF Garage SF /SF Deck. SF /SF Other TOTAL VALUATION �t q.2- 31 s-� t7EV S( S(' r I c-j7" Fk E a sr.gcvtom.vVS VALUATION OF CONSTRUCTION In aII 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 apphcation 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 RI 05.3.2 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 if is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. 4° Phone: 2" G o ‹5'S `C 9 r Zip Phone 60 55 (p °l C Zip Exp. Date: Occupant Load. Construction Type: 8 Proposed Sq Ft. TOTAL Sq Ft, APPROVALS. I PLAN/AS BLDG' DPWU FIRE. OTHER. I 99 Pressi. re treated 6" x 6" posts with concrete 44° 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 ordinances of this sdictio n. ripprovai Date N B jLC.. 3/8" x 3" lag bolts 72" Double -sided 2" thick Cedar Sign green bkd. with 23k gold leaf lettering /71 1 F tr cr, .('IRt~ cf~"~~~ ha 1b. .-- 'l.tiU;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVF:LOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address. ASSESSOR PARCEL NUMBER: Application type description SUbdi vis'ion Name Property Use Property'Zoning . . . Application valuation 05-00000711 D~te 284774 1011 E FRONT ST 06-30-00-6-1-0340-0000- PLUMBING REPAIR 9/13/05 COMMERCIAL ARTERIAL 1500 Owner Contractor LITTLEJOHN LINDSAY D 601 HENDRICKSON SEQUIM WA 98382 SANFORD IRRIGATJ.ON PO BOX 2246 SEQUIM WA 98382 (360) 683-9807 permi t . . . . . Additional desc . Permit pin number' Permit Fee Issue Date Expiration Date . PLUMBING PERMIT 56630 54.00 8/03/05 1/30/06 plan Check Fee Valuation .00 o ~ql. 113 eq US- "'"' ~ "'- .......... '"'\ ...Jo__o.. .- " cl "- ...) 'i- ~ Qty Unit Charge Per Extension 47.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA LAWN BACKFLOW Fee filummary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, E~~A, utilities, private and public improvements. This permit becomes nu II and void if work or construction authorized is not commenced wi~.hin 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 wittl whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of an'! state or local law regulating con0truction or the performance of construction. Signature of Owner (if owner is b:Jilder) Date Signature of Contmctor or Authorized Agent Date T:\Policics\1102_15 building pennit inspection rcc'Jrd05.wpd [1/4/2005J L... BUILDING PER1V:UT INSPECTION RECORD CALL417-4815 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 UNLA WFUL TO COVER, INSULA TE 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION' DRAINAGe 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LfNE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER I Cf - '.5 -v ~ 1"0{ P- AIR SEAL WALLS .,. CEIL:ING -, " L FRAMING JOISTS 1 GIRDERS ,. SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W AI::CI.F.LOOR 1 CEILING MECHANICAL HEATP~/FURNACE/DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOM.~. FOOTING 1 SLAB ~ BLOCKING & HOLD DOWNS I SKIRTING PLANNING DEPT. SEPARATE PERMIT #'. SEPA: PARKlNG/LIGHTING ESA: LANDSCAPII'IG'" , SHORELINE: ~,' _., 'b. -" ,', FINAL,INSPECTIONS REQUlI,tE.D',pRIORTO OCCUPANCYIUSE - . "'~RESf6ENTIAC" _. . -'- DATE' YES.. . COMMERCIAL . DATE ACCEI'TEP NO YES NO I ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTlON - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING I FIRE 4\7,4(,53 FIRE DEPT. I PLANN",G OEPT 417-4750 I I PLANNING DEPT. 417-4815 BUILDING BUILDING .:! , T:\Policies\1102 15 buildin~ pennil inspection record05.wpd [1/4/2005J ~....'"~j-n'''~''~~'',~o.;''"",,, .....~~f~~"'~~>if'\~...............~.......r"~. '\1\''("i'.\,,~~'''.{;t';,''t~''''''''~~'''"'''''~''~'''''''C''~'''''''-'''OC-' .. '.~,.c - NAME OF PREMISES: SERVICE ADDRESS: / I) II ). I A LOCATION OF DEVICE: 'I ASSEMBLY: r t If ( t Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department WaterlWastewater Collection Division )/1"'1 ,f/, C - l I,. ~ _ Official Use Only AssCIll.# ~ y / RL'Ccivcd 4. L/IVP)/U' LI-~t..c J";fy~1 t . I I t tv i 1< i H j { I .5 j'"Etl. ,/1/ ,/ .I C I( ;11 f. It K f )p -, ,l/f /, rJ A ""' (/ 5 (/ ? Manufacturer Model IS THIS AN APPROVED ASSEMBLY? YES 0...00 0 Size Serial No. IS ASSEMBLY INSTALLED CORRECTL Y? YES [!J-1"tO 0 DATE OF INSTALLATION It':> UNKNOWNO REDUCED PRESSURE PRINCIPLE ASSEMBLY RP 0 RPDA 0 DC [I........ DCDA 0 DOUBLE CHECK VALVE ASSEMBLY PVB 0 Air Gap 0 SVB 0 AVB 0 CHECK VALVE#I CHECK VALVE #2 RELIEF VALVE PVB/SVB Initial Leaked 0 Leaked 0 Did Not Open 0 AIR INLET Held at ~Si Closed Tight 0 Did Not Open 0 Test Held at ~ psi Opened at _ psi Opcned at _ psi Repairs Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE Leaked 0 Held at _pSI Replaced 0 Replaced 0 Replaced 0 REPAIRS Cleaned 0 Details Replaced 0 3 psi Buffer YES 0 NO 0 Final Closed Tight 0 AIR INLET Opened at _ psi Held atU psi Held at ~ psi CHECK VALVE Held at _pSI Test Opened at _ psi BACK PRESSURE NO 0 YES 0 . AIR GAP INSPECTION: REQUIRED MINIMUM SEPARATION: YES 0 NO 0 TYPE OF HAZARD It' ,( I. COMMENTS Line Pressure} ( psi - 1/ >j?E/" "lC// 7t!-..J -7c-/) -I '/1 Ift.- //. I Held Backpressure YES 13"'" NO 0 - , #2 Shutoff Held YES D-"NO 0 Relief Valve Exercised YESO NO 0 Daterrime Tester Signature Cert.# Test Kit Passed Failed Initial ., ( . . ~ Test > 'v ./~t(). iff ~-e... / .) /1 7' ft ;,1 ;",cfT 0 I, Repairs D- O Final ~ " .t 5 f. . [3/' 0 Test / . I I), l (' 1(' t )-1 . ..,4"z, ) -I b~ "',?} ~ :"")...... ..-' o - -- m f t ~ _'7 <) :J~ WHITE - CUSTOMER COPY YELLOW. PURVEYOR COPY PINK - TESTER COpy CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000711 Date 284774 1011 E FRONT ST 06-30-00-5-0-0090-0000- PLUMBING REPAIR 8/03/05 CENTRAL BUSINESS DISTRICT 1500 ..-- ~ Owner Contractor -- ~- FLORENCE M CHAMBERLAIN ET AL 1607 E BEACH RD PORT ANGELES WA 983637161 OWNER \\\ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . PLUMBING PERMIT 56630 54.00 8/03/05 1/30/06 Plan Check Fee Valuation .00 o ~ Z -4 Qty Unit Charge Per Extension 47.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .00 .00 \J) :-i 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. ~~~C~ZedAge"t~h~ Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS I _. V:' AiLS / ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEATPU~WIFURNACE/DUCTS GAS LINE WOOD STOVE I PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING o \tl ~ '5 4- T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] .}- . BUILDING PERMIT - APPLICATION Date Approved. Date Issued: Fill out COMPLETELY and in INK. Your applicatior. and site plan MUST BE COMPLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: -5~ It f= y cI T yo V ,-:; t< 1-,-(> VI /' h ( Owner: 01 1/1'/1;::1;' c A 11/1 bu(at'[C -e ~ I Phone: Address: lor I 'E. FViJr-t f S f City: (, A. I W A I Zip: Architect/Engineer: Phone: Contractor \a ~f(Y(/cI :r(/y~~t(,f;~~j.,(State License #SG.l1.fbIJ'fr/LFExp: ovG'0OC(Phone:Qo0>6;r3-frfO? Address: f. O. #()X 22. cf ( City: S e f VI.; Vl'i / W A Zip: q cf"3?"2 PROJECT ADDRESS: I 0 I { . t . Ft/oVj, f s f. ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNIY PARCEL NUMBER: db .?a 0 c (5 ( C ~ '10 ~C\ Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: BAC-k Plow OBVlL.G City: o Stove o Garage o Deck o Other Lhsfatl SIZENALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ lSF. = $ TOTAL VALUATION $ lA..l1.cl-€.rt:;r,,?untl ; ry "0 A-f,'On ,,/ ;/ Exp. Date: l {" o-v .$ v.} 'i-.(?h1 / COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: 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'besubmitted 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 RI05.3.2 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 permits prior to work. T:\Policies\BL-ll02_13.wpd Applicant: Date: CITY OF PORT ANGELEs LIGHT DEPARTMENT ELECTRICAL PERMIT --- N~ 1690<< Port Angeles, Washlngton..ooo,,,),,,,=,_,,~,,,..........ooo..............., 19.1.5 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 J.O'....L.I...hooo~..--;;~.n..n.n..h.h.. OccuPanCy__h__h.n..hnn.n__.h.h.h_.__nhooo__. ~::;~:S;:::t.~::.~.h.~~::.n~;~::::::::::::::::~.~~:::::::=::::.~::::::::::==::::::::~:::::=:: Llgbt Outlet.._.___..__...._____n___..___.____.~_ ServIce. volt. 1;J__o..~____?::.'::::L~___.. Type ot WIring: R pta Ie Outlet. No. Wire. ..--.....-2.....__..._............ Armored Cable ..._...__..................._ ece c .........._........_........... Dryer, KW n.nh__.hn_____n.h_n___h.hn____. Size wire.____'t./O____,M",_______ Main tu.e ---~.Y.P.____&____ Enclo.ure n-L{)_I.___B,n___n___..__.. Range, KW h"h_hh_____._______.._._ Water Heater: KW._h_h.. n-nhnh_hnhh___hnnhnhn He~t: KWh------7..jS___~___B.8 Type of wiring: Entrance Cable _..._m..........__......... Motors: size. volts and phase: RigId Conduit ----__m______n__n___m__.. Metallic Tubing ""-""'-_'''''U''_''m .........-..-......--..-....-..-..............----...---... .-...--..-...--.--...-...--....--...--..--..--...-..-..'" Current trans!orDlers: --..---..-.-.-..-..-.-....-..-.---...-...-.--...-...-..... No. & Size..................._..._............._. ......-...-..--....-.-...-......--...-.......--........... Ser. No........__....._......___.....__...._......._.. -..--..--.---......--.......-..-...-...---......-........- Ser. J\To. _.._..__n_.._......._...._............_.._.. Total Load..._..n.............___..... Ser. No.__._.......__........_...._.................. Ser. J\T O. ...._................._......._.............. Non.Metallic ........._..................._... Knob & Tnbe____________.____________._______ RIgid Conduit .------_____.____.___n___.____ Metal1Ic Tubing __h__..________________h. Raceway .......__...__........._.....__..._ Circuits, Llght.........._.............._............. UtilIty ------..hn______________.____hn_________ Heat __.._............._...._......._....._.._ , Range ._...._..___..._.........._..___..._......... Water Heater ......................._....... Motor ._._..........._........._...._......._..._ Dryer .___..__....._..._..._...__....__..._...__....__ Furnace ._..._...................,_.....__.__....... Remarks: n.nhn.nnQ.L~.mnhooo.ooo.n..hn..n.ooo.hooo__h.hoooooo__..ooo.ooonn..n...nnnoooooo.......00..000.00..... Total ......_..___.._...__............._...._ .......................--.....-.--.--...-...---......--...--........-..-...-......-.--......................-....-....--.-....................-....-.....-.......-.-...-......- Permit Fee $:.........--......000...00....000..... Treas. Receipt No..........................._ h""hnnh.u.u...n...uu-n.'h.nn.....unuuh_."hun.....u.n..u.u..--n.n.n..h.nn........nnun_....u_....U.hh.._u.un.nu..n..nh.nn_... By 00..00......................000................00000..00000.000..__00. NOTICE-Current mu.t not be turned on untll Certlftcate ot Inspection bas been I.sned. It work Is to be con. cealed due notice must be given the Inspector so that "'ork may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16904 Addre...__..___._...__...._....._...______n_..___.._.......___....._------..-..---..--...-..---..---.--.---n-..-.......---.----_..______..__Date.._____..___........._...___....___....___...._....__.__ Owner -..-......-----....-..-....----.....-..-....--.....-------.....---..--....-.........-----...---_____h_..__....____.._....___ TenanL....________.n...___n______.._..___......______..___........... / Wiring Contractor..___..__..______.._.._........___.._......____..__.___..______.......___..___......_________.._..___......______........ By......____......m____.......___.._...___....._..___....__. NOTICE-Current must not be tnrned on Until Certltlcate ot In.pection bas been 1..ned..It work Is to be con. cealed due notice must be given the Inspector so that work may be inspected betore concealment. 1M Olympic Printers, Inc. d'~'~ ~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT Issued: 8/25/98 Permit No: 6413 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ OLY AMBULANCE (LITTLEJOHN) 1011 FRONT E 1011 E. FRONT Lot: 12 Port Angeles, WA 98362 Block: 4 Long Legal: 360/452-3266 Sub: DYKE LAND T: S: Pare No: 063000610340DOO CONTRACTOR-----------------------------DESIGNER---------------~----------------- EVERGREEN ELECTRIC 402 JAMESTOWN RD. SEQUIM, WA 98382 360/683-4193 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- Prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: FEEDER Occ Grp: Occ Load: Land Use: CA Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-l -3 200 AMPS 100 AMPS PROJECT NOTES------------------------------------------------------------------- 100 amp feeder and circuits to new parking garage PROJECT FEES ASSESSMENT--------------------------------------------------------- .Service: $69.50 Additional Feeders: $0.00 Circuit wiring: $0.00 Temp Service: $0.00 $0.00 Mise TOTAL FEE: Amount Paid: $69.50 $69.50 --------------------------------- ------------~-------------------- TOTAL FEE: $69.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELEcrRICAL PERMIT INSPEcrlON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS r YES , NO -IN / SFRVlf'P I / l<Th1 A T 1(1(/__' I"'V'T fl:l"1--1 . , , GENERAL COMMENTS: PW.II02.ISI4'96l