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Home My WebLink About1123 E 1st St - BuildingPREPARED 6/04/09 9 10 02 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/04/09 ADDRESS 1123 E 1ST ST SUBDIV TENANT NBR GORDY S PIZZA PASTA CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER SEXTONS PIZZA INC PHONE (360) 457 5056 PARCEL 06 30 00 6 2 0360 0000 APPL NUMBER 09- 00000178 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 4/22/09 JLL MECHANICAL FINAL TIME 01 00 4/22/09 DA April 20 2009 8 43 09 AM 1pangrle RANDY 457 5056 MECHANICAL FINAL ROOFTOP HEAT PUMP AFTERNOON THEY WILL HAVE A LADDER AVAILABLE ON SITE FOR YOUR USE April 22 2009 4 01 24 PM jlierly electrical final reqd /jll ME99 02 6/04/09 MECHANICAL FINAL June 4 2009 9 00 37 AM 1pangrle RANDY 457 5056 MECHANICAL FINAL HEAT PUMP COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Heat pump Owner SEXTON GORDON K 1623 W 5TH 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 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983631707 ELECTRICAL ALTER COMMERCIAL 147033 57 50 6/02/09 11/29/09 Charged 57 50 00 57 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000512 847808 1123 E 1ST ST 06 30 00 6 2 0360 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES (360) 452 1689 Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL- BRANCH CIRCUIT WO /FEEDER Paid Credited 57 50 00 57 50 DATE RESULTS 00 00 00 Date 6/02/09 WA 98362 00 0 Extension 57 50 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 05/27/2009 13 24 FAX City of Port Angeles Permit Application Budding Division /Electrical Inspections 321 East Fifth Street P.0 Sox 1150 Pon Angeles Washington, 98352 Ph. (360) 417.4735 Fax (360J 417.4711 Date not 1 2 Single Family Dwelling Mtah•Farni'y or Commercial' Commercial Addition Alteration Remodel Repair Plan Review May 3 e ire Pte Com let ectricar F'I Reyie lormaligri S! e et Job Address 1 Z�7 �1 1 Building Square Footage Desci lotion of above Owner Information Name Mali n Addr City None t License %f Exp Unit Charoe $113'5 $16C 00 3205 0G £25' 25 00 3 57 5 3 2 00 7' .50 3 8625 3115 25 313 25 3 7500 3 60 00 7; OC 3 5 00 3 50 00 3 9375 3 8000 be 25 3 2'50 3 57 50 86 25 41 r6 fly 44 IVA A State* Zip. _1M L Fax: TALI (Qtv Mulbglied by Unit Charlie) 3 Service /Feeder 200 Amp 3, Service/Feeder 201-400 Amp Service/Feeder 401 -600 Amp Service/Feeder 601 1000 Amp 3 Service/Feeder ever 1000 Amp S Breech Circuit WI Service eedErr Branch Circuit W10 Service Feeder 3 Each Additional Branch Circud 3 Terrp Service. Feeder 200 Amp Temp Service /Feeder 201.400 Amp Temp Service/Feeder 401.6J0 An:( Temp Service /Feeder 601 1000 Arno Portal to Portal -Iouriy Signialhr,e _ighling Signal Circuit L miteo Energy Commercial Signal Circuit/ L'mited Energy 1 2 Family Dwe,l ng Signal Circuit/ L mrled Energy Mulb -Famuy Dwelling 3 Manufactured Home Connection 3 Renewaole Electrical Energy 5KvA System c...ess Firsi 1300 Squere Fi Each Additional 500 Square Fl. or Portion or Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 3_, Thermcsral Total Owner as defined by RCW 19,28.261 (1) Owner will occupy the structure for two year efter this electrical permit is finalized, (2) Owner is required ro /We ari electrical contractor said property is for sale, rent er lease, After reading the above statement, I hereby certify that 1 am the owner of the abova named property or a licensed electrical contractor lam making the eiecir ci,l installation or alteration in compliance with the electrical laws, N.E C. RCW Chapter 19 28, WAC, Chapter 296.468, The City of Port Angeles Mu ^papal Goae ano Utility Specifications Signature of•owner electrical contractor or electrical administrator r Dale; RECEIVED MAY 2 8 2009 LIGHT DEPT Contractorkaformatron Name' Marlin A dr City f 1 Phon _Icense Exp. Stale W Zip qt dt Fax f1 Cash 73 Check r �j Cr edit Card >x _.W U Cryk3,�c? V t Car el l a 001/002 e 'WSW Owner SEXTONS PIZZA INC 1123 E 1ST ST PORT ANGELES (360) 457 5056 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total T:FormsiBuilding D tsium'Building Penn;t CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc CARBONATED BEVERAGE DISPENSER Print Name WA 98362 PLUMBING PERMIT REDUCED PRESSURE 144451 57 00 4/17/09 10/14/09 Per BASE FEE 7 0000 EA PL- BACKFLOW Charged 57 00 00 57 00 09 00000345 852865 1123 E 1ST ST 06 30 00 6 2 0360 0000 SEXTONS PIZZA INC PLUMBING REPAIR COMMERCIAL ARTERIAL 600 BACKFLOW DEVICE Contractor GARY S PLUMBING INC PO BOX 255 PORT ANGELES (360) 457 8249 BACKFLOW Plan Check Fee 00 Valuation 0 PROTECTION FOR =2 Paid Credited 57 00 00 00 00 57 00 00 Date WA 98362 Due 4/17/09 Extension 50 00 7 00 00 00 00 to R BecXer Dale 6cfero Re*ur blivia Panyk_ 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 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 grantin a permit does not presume to give authority to violate or cancel the provisions of any state or cal aw re lating construction or the performan construction. S.grature of Cor( actor or Author ed Agent Signature of Owner i_ owner is builder) v 0 Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES 6 1/ R 0 j'� 1 2 2 4 SERVICE ADDRESS t 3 6 I S/ �S ei t t �J LOCATION OF DEVICE. 5' f G fl f' 1 f/ G �'I 10 57,6 <f 6 f r6 'v t fl S 1/1/4 ASSEMBLY W A 7 i S I r/ /f A y 7 5' Manufacturer Model Size Serial No il bRic3 ANA IS THIS AN APPROVED ASSEMBLY? YES NO IS ASSEMBLY INSTALLED CORRECTLY' YES NO DATE OF INSTALLATION U'' UNKNOWNO REDUCED PRESSURE PRINCIPLE ASSEMBLY Initial Test Repairs Details Test COMMENTS Initial Test Repairs Final Test DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I 1 CHECK VALVE #2 1 RELIEF VALVE Leaked Leaked Did Not Open 9 Closed Tight 1�, Held atg l psi Held at si Opened at J psi P Cleaned Cleaned Replaced Replaced Cleaned Replaced Final Closed Tight 43'' Held at psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION• YES NO SPer A t 7-1% P4 c I Date Time Tester 1 J 7 iu'` gAe 7 A, a 3 psi Butler YES NO Held at psi Opened at d/ psi WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY 1 RP t r RPDA DC DCDA PVB Air Gap SVB AVB AIR INLET Did Not Open Opened at psi Leaked Held at psi REPAIRS Cleaned Replaced TYPE OF HAZARD. G re/z i p/rot Line Pressure psi Official Use Only Assem 7 7 2 Received PVB /SVB CHECK VALVE AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES Held Backpressure YES C."NO #2 Shutoff Held YESQ NO Relief Valve Exercised YES NO Signature Cert. Test Kit Passed Failed L 1 5` 6 le Q- fl'I ll2t4,iz> 7 PUigp ay 44 V i S P(. VMb(M( Po 2.S5 .57 -C H PREPARED 4/22/09 8 26 38 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/09 ADDRESS 1123 E 1ST ST TENANT NBR GORDY S PIZZA PASTA CONTRACTOR ALL WEATHER HTG COOLING INC OWNER SEXTONS PIZZA INC PARCEL 06 30 00 6 2 0360 0000 APPL NUMBER 09 00000178 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 452 9813 PHONE (360) 457 5056 ME99 01 4/22/09 L.1 L MECHANICAL FINAL TIME 01 00 April 20 2009 8 43 09 AM 1pangrle rRANDY 457 5056 'MECHANICAL FINAL ROOFTOP HEAT PUMP AFTERNOON THEY WILL HAVE A LADDER AVAILABLE ON SITE FOR YOUR USE COMMENTS AND NOTES C x t i\e DATE APPROVED Li 20 c OWNER/CONTRACTOR Mme ADDRESS 1 1Z� ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTOR d� -0183 °gyp NOT APPROVED DITCH ROUGH IN/COVER 1 SERVICE FINAL CORRECTIONS NEEDED' 61E-GA) S L 71,I? M 1 AC. 1 2bef1"- AkC 55 5C) 8 1 moo ?t.1 6 go_ J fi r( c s o4 Pot T n1LG _o1A Q tVJ.(. 47c/ 550- .C:) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000345 Date 4/17/09 Application pin number 852865 Property Address 1123 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 6 2 0360 0000 Tenant nbr name SEXTONS PIZZA INC Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 600 Application desc CARBONATED BEVERAGE DISPENSER BACKFLOW DEVICE Owner Contractor SEXTONS PIZZA INC 1123 E 1ST ST PORT ANGELES (360) 457 5056 WA 98362 GARY S PLUMBING INC PO BOX 255 PORT ANGELES (360) 457 8249 WA 98362 Permit PLUMBING PERMIT Additional desc REDUCED PRESSURE BACKFLOW Permit pin number 144451 Permit Fee 57 00 Plan Check Fee 00 Issue Date 4/17/09 Valuation 0 Expiration Date 10/14/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL- BACKFLOW PROTECTION <OR =2 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 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection 1 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 grantin a permit does not presume to give authority to violate or cancel the provisions of any state o ;Jocal aw relating construction or the performan construction. 09 Date Pr Name Signature of Co>ctotlr Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 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 SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750. Building 417 -4815 FINAL Date I, 2 2 G by R FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Q r 0 E ioWn ?er Cou n'ij i,4 Sexton Pt z ne I123 E Isf S j Pfl tJA gcsC,z 0; yogi q,y BUILDING PERMIT APPLICATION Print in ink Applicant 4 5 '70. Phone 4 S Property Owne,r Phone Property Owner's Address /60 zrr, S `Al 5"7 4 626 G'1 7 C563 Contractor 6 4 VS P/'3/,V6 Contractor's Address License PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System ,Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Residential Multi- family YCommercial Industrial .r/C /l 7 3 f fl 0.4f /1-c670/54v 1)61/ 6-A/ 7 4. C 213U4/07"C9? )3 "7/67Z r House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sg. ft.) Total footprint of structures Site Coverage the am nt of impervious and other impervious su es (see P Date/ t Name T Forms /Building Division /Bldg Permit.doc Max. height of proposed struc Will a lawn sprinkler syste. .e installe Will a fire sprinkler system be nstalled? 1/23 /�7�5� 5l^ 4(G 7 14/b4- 9 8362 Expires 2 q ft. T Lot size s. ace on a parcel including struc C 17 94 135 for exemptions) ft. Occupancy group Occupant load Construction ty 1 have read and completed this application and know it to be true and correct. am authorized to that it As my espo sibility to determine at permits are regpired, and to obtain permits prior to ,rte .1./ ±S 7'r Signat Phone E -mail For City Use Only Date Received 6y -11—N Permit 345 Date Approved Lot Zoning per sq ft. TOTAL VALUATION sq ft. Lo coverage s paved driv ays sidewalks patios Site coverage of bedrooms II baths of half baths for this permit yam. unders .n mg on pro ts. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000178 Date 2/27/09 Application pin number 357362 Property Address 1123 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 6 2 0360 0000 Tenant nbr name GORDY S PIZZA PASTA Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 10554 Application desc INSTALL HEAT PUMP ON ROOF Owner Contractor SEXTONS PIZZA INC 1123 E 1ST ST PORT ANGELES (360) 457 5056 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP ON ROOF Permit pin number 142109 Permit Fee 64 80 Plan Check Fee 00 Issue Date 2/27/09 Valuation 0 Expiration Date 8/26/09 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 T:FormsBuilding Division/Building Permit WA 98362 Charged Paid Credited ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 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 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. r-7A 7/& n L o/4 JA( }EU bUit/ 1 4 2.0c,1.4 4.— Date r Print Name Signature of Contractor or Authorized Agri( Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD 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 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 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 Date Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping 1 1 SHORELINE. FINAL Date Accepted by FINAL Date Cry `7 4U 1 Accepted by a1.. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Ef T.Forms /Building Division /Building Permit Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New roof top AC unit Owner SEXTON GORDON K 1623 W 5TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Special Notes and Comments February 24 2009 3 45 00 PM banders Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL Y�x COMMENTS WA 983631707 142166 43 75 2/25/09 8/24/09 Charged Paid COMMERCIAL ARTERIAL 0 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000183 843313 1123 E 1ST ST 06 30 00 6 2 0360 0000 ELECTRICAL ONLY 43 75 43 75 00 00 43 75 43 75 Contractor ELECTRICAL ALTER COMMERCIAL Qty Unit Charge Per 1 00 43 7500 ECH EL LVT THERMOSTAT ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee Valuation DATE RESULTS Brian 417 4708 OK Credited Due 00 00 00 Date 2/25/09 00 0 Extension 43 75 00 00 00 Ax7 "T4sf Signature of owner or Electrical Contractor X Date INSPECTOR. Feb 24 09 12'54p Owner Iniopnation Name: 3 4 c Pt A Dr4 1 iss Mailing Address: I I 23 44- 1st City PA s State: IN H Zip: 93e2- Phone: 300 tr5 Fax: License (Exp. Unit Charge 93.75 $113.75 $160.00 $205.00 $29125 S 2.00 57.50 2.00 7250 86.25 16.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Signature of owner, electrical contractor or electrical administrator RECEIVED FEB 2 4 2009 City of Port Angeles Permit Application Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 ,'A Port Angeles Washington, 98362 DEPT Ph: (360) 417. 47735 Fax: (360) 417.4711 Date: )4" #214101 1& 2 Single Family Dwelling Multi-Family or Commercial' Comniercial Addition ;Alteration Remodel Repair Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /j 7-3 /,fit PRfi Building Square Footage: 4 1 I H 2 !.r L Description of above 6/111/4 P1cr5 1/7u /bE: F/� {tl'Ct pi�fal p S/S pvt Gia pJ!J/, Q W(+ ii exc-c- f orludt/i r ra pl11 e¢ ,r14.D. Contractor Information Name: fill Pet r /14," r (401/07.7 1YI Mailing Address:,30.2. Ke t rvP-r City: c te: WA Zip: Cl F302 Phone: _152.- L3 Fax: L452 .541 License I Exp. A- 11 kJ c dL' It r 1. L$ Total (Qty Multiplied by Unit Charm ServiceiFeeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp. Service/Feeder 601 1000 Amp. Service/Feeder over 1000 Amp, Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuity Limited Energy Multi-Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 13.15 Thermostat $53. '7'j Total Cash Check )91 /141414 Date: T Credit Card p Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that l 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.C, RCW. Chapter 19.28, WAC. Chapter296-46B, The City of Port Angeles Municipal Code, and Utdiiy Specifications, Feb 23 09 03:39p Applicant or Agent Owner Parcel Number Protect Tvne Brief Descrintion. Check all that apply o New Constrain:i o Addition o Remodel o Repair Re -roof Demolition o Sign *Heat System b Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 tkettder ye 6 bic a l oc. t &or Is P1 astai Owner's Address j// 3 67.0 L37tr'i Contractor /Engineer Contractor /Engineer's Address ,3M )(eynip S- {dot+ ltp" License c 4J M /.SUKU PROJECT ADDRESS 1 f 9, /S'f Wee Residential Commercial &O o wall- mounted o projecting freestanding o awning Total sign area sq ft. Maximum allowed sign area sq. ft. Ni Heat pump o wood burning stove o gas fireplace pellet stove other Existina (sq. ft.) Pposed (sq. ft.) Total footprint of structures sq ft. Lot size ft. I have read and completed this application and know it to be true and correct. understand that it ;s my responsibility to determine what permits are required, and to obtain permits projects Dat Print Marne iiii, Nt•. Signatur T F Division /131dg Permit Appl. -2006 Code.doc Occupancy group Occupant Toad Construction type For City Use Onlx Date Received Permit pq liset Date Approved Phone 452_-Q Phone y5* -75419 Phone tftd'I _ga, 3!f 2- Expires q/ Lot Zoning o Multi- family o Industrial per sq. ft. TOTAL VALUATION I C), 5.5', '11 sq ft. Lot coverage of bedrooms of full baths of half baths am authorized to apply for this rior to p1 other Ok ermit and orking on PREPARED 6/02/06 9 54 28 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/02/06 ADDRESS 1123 E 1ST ST SUBDIV TENANT NBR RANDALL SEXTON CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249 OWNER SEXTON GORDON K PHONE PARCEL 06 30 00 6 2 0360 0000 APPL NUMBER 06 00000261 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 -414164451012S PLUMBING ROUGH IN TIME 13 00 BRIAN 457 8249 06/01/2006 02 41 PM DYASUMUR COMMENTS AND NOTES t( t• e 1 -1rt.► trrk., PREPARED 4/22/09 8 26 38 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/09 ADDRESS 1123 E 1ST ST SUBDIV TENANT NBA RANDALL SEXTON CONTRACTOR GARY S PLUMBING INC PHONE (360) 457 8249 OWNER SEXTON GORDON K PHONE PARCEL 06 30 00 6 2 0360 0000 APPL NUMBER 06 00000261 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 6/02/06 JLL 6/02/06 DA PL99 01 4/22/09 PLUMBING ROUGH IN TIME 13 00 BRIAN 457 8249 06/01/2006 02 41 PM DYASUMUR 06/02/2006 03 19 PM JLIERLY 3/4 t &p line to exterior no flex or coil tubing /copper or cpvc only /j11 PLUMBING FINAL TIME 01 00 April 20 2009 8 46 21 AM 1pangrle RANDY 457 5056 PLUMBING FINAL REPLUMB WATER FEED FOR LARGER DISHWASHING MACHINE AFTERNOON COMMENTS AND NOTES OF 'ORTA SEXTON GORDON K 1623 W 5TH ST PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000261 Application pin number 222584 Property Address 1123 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 6 2 0360 0000 Tenant nbr name RANDALL SEXTON Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 5254 Owner Contractor WA 983631707 GARY S PLUMBING INC PO BOX 255 PORT ANGELES (360) 457 8249 Permit PLUMBING PERMIT Additional desc Permit pin number 73189 Permit Fee 64 00 Plan Check Fee 00 Issue Date 3/21/06 Valuation 0 Expiration Date 9/17/06 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 7 0000 ECH PL- EA REPAIR/ DRAIN VENT 7 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Date 3/21/06 WA 98362 Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 68 50 68 50 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 spec' d herein or not. The ranting of a permit does not presume to give authority to violate or cancel the provisions of any state or lI aw regulating cons ction .r the performance of construction. Signature of Contractor or Authorized Agent T•\Policies \1102_15 building permit inspection record05.wpd (1/4/2005] Date Signature of Owner (if owneris builder) orb 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 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 CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT. 417 -4750 1 BUILDING 417 -4815 1 T\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES 1 NO I I I I 1 1 1 1 I I I I FINAL l 2 el l DATE 31/ ACCEPTED BY. I I 1 1 I 1 1 I I I 1 1 1 1 I I I I I I FINAL DATE ACCEPTED BY. 1 I I 1 1 I I I I SEPA. ESA. SHORELINE: FINAL, INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW ENGINEERING I FIRE DEPT 1 PLANNING DEPT 1 BUILDING 1 I I 1 I I 1 1 1 f' Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 ra Pk Z 24 Applicant or Agent: �/5. n *L ..56 !/N Phone: 06 5 6 Owner Address: 1/23 City R,-- f #MMZ Zip FO 36 2- Architect/Engmeer Contractor 614srzY6 Pal wt, Address. PROJECT ADDRESS 644 LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. BUILDING PERMIT APPLICATION State License City Block: Subdivision. TYPE OF WORK. SIZE/VALUATION Residential New Constr Re -roof Stove SF /SF Multi- family Addition Move Garage SF /SF 7' Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION ',43....2--..4 BRIEF DESCRIPTION OF THE PROJECT /efi A€1 B /4J6 /ZE`i7mtU /e-At/ T (Nib Fzz99,cGJ2 L fGEn /)/s /Gv� /NG Ir2 /71i COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. TOTAL Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes 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 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 withm 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 y responsibility determine what permits are required not the City's, and that I must obtain such permits prior to work. T•\FORMS\B1dgPermitform.wpd Applic Phone: Phone: Exp Phone: Zip ZONING Date: -3 4//d 6 FOR OFFICIAL USE ONLY Date Rec. ✓aI /06 Permit Date Approved: V Date Issued. 06.7 •1•4 APPROVALS PLAN BLDG DPWU FIRE. OTHER. Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning Application valuation' 08-00000821 Date 245757 1123 E 1ST ST 06-30-00-6-2~0360-0000- ELECTRICAL ONLY 7/11/08 COMMERCIAL ARTERIAL o Application desc 1-5 cir. Owner Contractor SEXTON GORDON K 1623 W 5TH ST PORT ANGELES WA 983631707 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 Permit Jl.dditional clesc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL SHAMP/ 1-5 CIRCUITS 129841 SHAMP ELECTRICAL CONTRACTING 58.00 Plan Check Fee 7/11/08 Valuation 1/07/09 ..---' .00 o ~ Qty 1. 00 Unit Charge Per 58.0000 ECH EL~COMM ALT <5 CIRCUITS Extension 58.00 Permit Fee Total Plan Check Total , Grand Total . , 58.00 .00 58.00 58.00 .00 58.00 .00 .00 .00 .00 .00 .00 "" Fee summary Charged Paid Credited Due " \~ \fI "\ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: t c;. w ELECfRlCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 COMMENTS " 1 , YES NO . , IlITf:H III II II..I-I_IN / COVER ~hK V lCh JiTN AT 15'-j.,-~~ IbJ' )1 .>-' < GENERAL COMMENTS: PW-\I02.I5(4'96J CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 7/27/2001 PERMIT NO: 12825 OWNER/APPLICANT PROPERTY LOCATION GORDON SEXTON 1123 1ST ST E 1123 E. 1ST STREET Lot: 11 THRU 14 Pod Angeles, WA 98362 Block: 129 [] Long Legal 360/457-5056 Subdivision: D.W. MORSE T: S: Parcel No: CONTRACTOR ARCHITECT FERRELLGAS N/A 704 MARINE DR Port Angeles, WA 98362 , 98360-0000 360/457-1151 360/000-0000 PROJECT INFO Project Value: $0.00 SFD Units: 0 Commercial: 0 Project Type: LP-GAS/STOVE SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES GAS PIPING/TANK SET FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $25.00 Plumbing: $25.00 AMOUNT PAID: $25.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 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 ,~live authority to vio?te or cancel the provisions of any state or local law regulating construction or the performance of constructigP{.- Sl~natu re of Conirac~t~r~:)r/~ut~odz~d ,~,~ent ' Date' / Signatura of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering D~vision) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/UIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 41%4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 41%4807 PW / ENGFNEERING FIRE 41%4653 FIRE DEPT. ' PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING C:Ln. PPL WPD CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 A~plication Number ..... 03-00000432 Date 5/01/03 Property Address ...... 1123 E 1ST ST ASSESSOR PARCEL NUMBER: 0630006203600000 Application description . . . RE-ROOF Property Zoning ....... Application valuation .... 9974 Owner Contractor SEXTON GOP. DON K RAIN~L~STER ROOFING 1623 W 5TH ST 1205 S. O ST. Mo FiN L Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of '180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certif~ 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 Contra~or or Authorized Agent Date Signature of Owner (if owner is builder) Date T:~PLANNING\FOKMS\ 1102.I5 [4~2002] '~ w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m 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 5/02/06 06-00000398 Date 516600 1123 E 1ST ST 06-30-00-6-2-0360-0000- ELECTRICAL ONLY ~ COMMERCIAL ARTERIAL o Owner Contractor SEXTON GORDON K 1623 W 5TH ST PORT ANGELES WA 983631707 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 Permit Additional desc Permlt pln number Sub Contractor Permit Fee Issue Date Explratlon Date . ELECTRICAL ALTER COMMERCIAL SHAMP/ DW & BOOSTER HT 75788 SHAMP ELECTRICAL 61. 30 CONTRACTING Plan Check Fee Valuation 00 o 10/29/06 Qty Unit Charge Per 1 00 61 3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61. 30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 61 30 61 30 00 00 Plan Check Total 00 .00 00 .00 Grand Total 61 30 61 30 .00 00 COMMENTS/ACTION NEEDED "- ):;- U ~ "- \'" "\ CA '\ \ \ r; -BUH:9fH6 DIVISION [L fC TlI.. 1(41.- CITY OF PORT ANGELES * * AV1 + IF Correction Notice Job Located at GO((~S O/7?A 1\ Z 3 S \~ f Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: f. $ul'/'ilL--r ao-.J/J//lr 77:J Ie.... MM!.#lfJt A-r ;tee .., 1>-~1f11Vf..- y.' &>>-0"..... .2 2..nD......_... or-",(!rt..'11"", O"'--"""IIiL NE.~or ~MS '8L~......i:S :3: IY<{" Co':l)u,T ,.,. 1"J."'/L'';'5.,. 1-1110 .s<JI'~"-r c:f. J e.~ 1- ,'t+<<- fJ'iw;- B(.\.L,t: 'cl.Jt.~ S-. 61\ tJ R. '-J~ IVU. ^T ^",E (.. 5'-'/"'''.....r ~/Vt>u.T /llr<>u'i. fju,^,S (00 (,,'-'I)",r Yz" 7. ">" 130(< .1I-'1'f1,' 1./4" r,rPf.~ Age,,'!:.''- ",I{If;.._ l.UA-\.I'LS JJHP;- CJ/>v'iJL.J, (Cs,q...,-vf'. . 8. Ct>/"Ov, r gf #,1- P /<.11M. 1~1 .."'~..... Nfl' ,., ~'i. S~~(). (p<..~. c......p"'r) (j) <Jrd.-.4-p f) 'll.." U, ~,1 r.v (. t....r- c:r: C A-N 70 P""'H. ([i) 5vl/....., t tJf~ yz'l "M""" ~~r ..1- ~)")d7J''-i P4Juf..L. These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call "fr; 7 - 0 4- If fIT /~;, for inspection. Date 1~7,La1 KttfJ DY ~ DO NOT REMOVE THIS TAG /il- I Inspectbr for Building Division F./R~E,[T IBER .CITY OF PORT ANGELES. DEFJARTMENT OF LIGHT APPLICATION Af.lD.ELECTRICAL PERMIT 05~ . '?1~ll1J I ~ A 7 !.Z'T NUMBER . TOTAl: FEE 6e~' Co/l1/1 CONT. LIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY .. ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UND~R THIS PERMIT t: . Sr. ODAESS IS RESPONSIBILITY OF APPLICANT PERMITS W~TH WRO~I?DAfSSES ARE C'YfCEl::'f ~ I 2.. 7..:A. Installation By --4:0 tJ r [L~~ C. -- - I nstallers Address Day Phone, ~ -. Installers. Phone I Appli~ation is hereby made for P~r,!,it to install Electrical Equipment as follows: ;1 f)/)I'17b,.} f R.F /J1-O D r L: tHOlli /I1ftriZ- /p"v c,KlS7}AJ!:, <{-CO A~I' 31 SU.UJei I tJ c.Jl'lA-Q SU.u 1('(. 10 hoo ,,""/ X/;fI, A^'~vt. ~O A/>It" sri SELlllet C6vd.u(.i,~. Wiring Method - , / Owner USE OF'CIRCUIT NUMBER CIRCUITS AMP PER CIR . 120V '" 240V 100R 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 100R 30 FEE LIGHT SIGN ff. ,.11\1 CONVENIENCE (2 I) JdJ t CONVENIENCE (f # , APPLIANCE t;i.-I G/ s (~I/~'i,~~'fCu~j, /:.S- ,-(Iw "f II VJ.1) o/lt </ MOTOR ::Ub,s....tlp 3Jfi ~. / ..k Iv /J1 U..s v- 1M9f'lr I p' . &:.. I. ~j. <f. . 1:: [,J ifJ:.. t-"'l' MOTOR ( , (f; tl.l'-: '7'" ~ -E-Il..L ILl:...- FIQ~-F:lLc~' (c. ~ ~"' L - II' G. !vhll.. .; T7. F( <7..:a ((" lo,J: J' , LIGHT v::,,- DISHWASHER DISPOSAL -:RA~4- Cite ./" . RANGE MISC. OVEN WATER HEATER LAUNDRY ,.rf j . t 7~JI A J 'rIA) t)ji)V A- '1fJ. REIN lALLATION LIGHT FlXTURE #(cn II I~' r SUB TOTAL FEE, ~ . ~ ENERGY FEE BASIC FEE TOTAL FEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .~ DRYER FURNACE GAS. OIL FURNACE ELECTRIC ELECTRIC HEAT . 0- . I t ~ \f)' ~ ,. A) l\ v /,/. ELECTRIC HEAT A.C. UNIT FEEDER AMP SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE SERVICE AW.G. '1 SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH - . . I certify that !he w-ork to' be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ,19 By C?,NTRACTOR OR OWNER (OR AUTHORIZED AGENT) .-. Permission \s hereby given to do th~ above described work, according to tl}e conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angel I~TO r(;1(1'. . Date Permit Issued By PLANS WARNING . .. . ~ Notify Department of City Light by Street Address and Permit Number when reaay for inspection. Work must not be covered or current turned on before inspection and O.K. for covering.or service has been given by Inspector in Writing on Permit Plac.ard. A. . Permits Phone: 457.0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report QI,.Y~P~RIN~ER~~ INC. REPORT OF INSPECTOR ,< DATE OF VISIT MADE BY REMARKS " ... S'i:/WL({. I2t~vuT 1 '1.,1 q'r Mr , O.K. FOR COVERING " lA, O.K. TO CONNECT SERVICE !fAt- FINAL O.K. " I . z <:) a: <( :E ~ J: I- Z W ~. l- e z e c . ,~-:-. !(] ~ j t f ~ (fr;,r CITY OF PORT ANGELES . FEE ECEIPT UMBER~ '-i' J 1}ot DEPARTMENT OF LIGHT ~~' APPLICATION AND ELECTRICAL PERMIT A CJ@/;l PERMIT NUMBER 000013 TOTAL FEE Ja~~~ J, -' CONT. Lie. NO. TIME TO CpMPLETE NO. STORIES UPANCY Site Address ELECTRICAL PERM'IT ONLY ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT , IS E PO SlBILlTY OF APPLICANT ., Owner Installation By Installers Address Installers Phone Day Phone Application is hereby made for P.ermit to Install Electrical Equi , 1< Wiring Met.hod e. NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PEA 10"OR FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT I I 'f.... SIGN 1- .~6 :J..... LIGHT , 50 VOLTS OR lESS CONVENIENCE . MOTOR / CONVENIENCE I 1.1) /. MOTOR APPLlANCE MOTOA .. DISHWASHER FIAE ALAAMS . - . DISPOSAL BURGLAR ALARM RANGE MISC. OVEN - .- WATER HEATER / /'" \ LAUNDRY , \ DRYER REINSTALLATION LIGHT FIXTURE # \ < FURNACE SUB TOTAL FEE i \\ 'II GAS - OIL 'I '" FURNACE ENERGY FEE I ELECTRIC BASIC FEE , ~. \ / \ elECTRIC HEAT \ "\ / TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH'O~BREAKER' A.C. UNIT PHASE AMP. FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Application made _4,---- - .3 / ,1L~ By I certify that the work to be performed under this permit will be done by the installer and i C D AGENT) Permission is hereby giv~n to do the above described work, according to the conditio ereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of, the City of Port Angeles. DIRECTOR OF CITY LIGHT . Date Permit Issued Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be cover.ed or current turned on before inspection and O.K. for covering or service has been given by Inspector in . Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Original CANARY - Duplicate PINK, Triplicate WHITE CARD _ Inspector's Report OLYMPIC PRINTERS. INC. f.... " .... ....- 'REPORTOF INSPECTOR f " DATE OF VISIT V f " ~'. MADE BY REMARKS 7;; 5'.0t u, P. A, () / , 11, / 'I.I,~ ," n f~ j/ r'. <71,.1 ~ t.A~'~ '. 7' T 1,1":' 12." Jf _ ~,-J.., /. '1, . ':" L'n. a,'! -A. -:;n~ly,J vi - -;;:;[" ." /P b. (p /fdU!..)-I .- . ~ , - . .' , . , . 0- - . . . , J I , , . . - >. , . , - , " , , " . ,\ , , , " . " . , , , .. .. , I t , . - , , , . , . ": . " , , - . " , , . .. .. , " , , ,. . , O.K: FOR COVERING O.K. TO CONNECT SERVICE 17i1J?Cl. '. Ii7% A 1 7:ii / FINAL O.K. . . ..~I " f.. 7 T 7 " , . c z Cl a: c( :::E ~ ::I: I- Z W l- . l- e z e c . ~ ?JTY or PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 18304 Port Angeles, washlngton.....m.m....m&2:::~.L....___..._.....________., 19-eS--~1 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 ____jj';_J,..m_If.:_m_L~!......~r:..___....f?.~_~_:....______ OccupancYnj?J;;_$._ry>._y'.~~_rY._~________.. Owner ____G_O'~.f2ioom!!$_Lf.X':.r:fi_rJm..oooooommoom Tenant____dB:D.1.l:...___A:itoomt?::W._tY.Iif............oo Wiring Contractor ___t2b:-::lm_f?J_~_mm!ih:_lfk:!:'O:_"-___n_____ By__oooo~t:W.___oo___J____i,lC_~_!::Je.oooooo______.._. Light Outlets..................................._..... Receptacle Outlets......n___m................. Service, volts ..........nn_......h_h____......... No. wires h..._____............................. Dryer, KW nn......nU........____...________.____ Size wlres..___n...__nmn......nn......_.. Range, KW,_n__n_________._______n______.... Main fuse .h__n_h__nn...._____.__........... Water Heater: Enclosure __.__..._n..__......__................ KW.____m____uh_u_h_mmm__mu Type of wirIng: Entrance Cable _nmm..nnm__......... Heat: KW................................................... Motors: size. volts and phase: Rigid Conduit .mm.___.m................ Metall1c Tubing ..............m.......... Current transformers: No. & Size....................................... Ser. No.............................................. Ser. No.............................................. Ser. No.............................................. Type ot Wiring: Armored Cable .............................. Non.MetalUc ................................. Knob & Tub"---_______u_____________________ Rigid Conduit _h_____U.____u____u_____u Metallic TUbing ........................... Raceway ......................._......_.__._ CIrcuIts. Llghlh__h______u_________h______________ UWIly hU_________h.UU_______________________u Heat ............................................... Range ............................................. Water Heater ............................... Motor ..._........................................ Dryer................................................_ Furnace ........................_~................... Total I..oad............................. Ser. No. ................._.......................... Total....................................... R rk' /4/)0 (I.() I~DvJ (-+PS FJ..{rOO t.-,.:rI:S o-rJ (z.) POl-itS e~ ' s. -~-..--;';J-Gmoo---ff/foo=..ooT;:lS:.rA-~j;--..7iJooooNiivrm5i6N--me.-;Ye:v-i.Fm--14:r;)r,- ---...________m..8..m.J~_..mmmmmm___m_m_m..___.._m.____~m.________oo_h_m__m..m..moo_...mm..m___.oo__.m_m___m_m..oo_....m . tV c",) V,.} o,)j.!'f(;l"N/'JO CerN Oil \"r"'. ..nnn.u...uu..n..._.nnnnn.n__nhn_n.nn.nnhn._.nnuuuu..u..nhnunnn..n...n.nuu.__..nnnuuuh..nnnn.hn_unnn...nn....nu.. Permit Fee L.~ rJO $__._....._ _m_m::':_m_mm... Treas. Receipt ()P 7 ~~-. NO._____..___m_..._.......... By -f!1~~1.-m--&.mmmm.oo... . NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that 'work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 8304 Address ___h__lu~u_______E.'u_uj_~___:'ii.:r.______h_____uu____uu___h_____u__________u_________ Daleu_.$..~-rf,.L=_1::t~Lu_________u___ Owner ----G_a.t.j)_-J__h___u~J:i._'75-7O:!J.__:h___U___U______h___U_______U___Uh_UUh________h TenanL__;;FAill.\:.___hAs.___Ltw_N..Ii:C. WIrIng Conlraclor_u_&b:~_M_P.J.'r:UUUUhEJ",Jf_~;:rr._/_~h________________h____hUUUU00__________ ByUh-...!___Cl_Hnlu____TVe._~_J:_~u NOTICE-Current must not. be turned on until Certificate of Inspection has been issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olvmoic Printers. Inc. CITY OF PORT ANGELES LIGHT DEPARn.n:NT N~ 1 8 1 54 ELECTRICAL PERMIT Port Angeles, wasbJngton.___n___.___..~.___.I._....~....____._.., 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 ..__LL_Z-..9__._.{E~-..Lf!E...--..-....-.h....n.hh-.---~occ~pancyi:.s:1.G&j..h_______.nn.hn Owner .G.~O..~.----....:t:---.~Z--:f\-;.-h-n.---.--- Tenant_.G.~~.~.~......~~~/---n..------n..n Wiring Contractor ..l~_N.&QI..J.._...___Nf.~.~_....._______ Byh..ff;iR..fI.---..~.--....__--..----..-. Light Outlets...................___........._.._..... Service, volts __..................................... Type of Wiring: Receptacle Outlets.....................__........ No. wIres .........mu......-m..mm....... Armored Cable ..u...-...................... Dryer. KW nn............u........................ Range, KW.......................................... Water Heater: Size wires..................................._.. Main fuse ....................................... Enclosure ....................................... KW.m.________m__mmm______m. Type of Wiring: Entrance Cable ..........m......m....... Heal: KW.......................................... Motors: size, volts and phase: Rigid Conduit ................ Metallic Tubing m....n Current transformers: No. & Size....................................... Ser. No.............................................. Ser. No. ............................................. ~. '1<4 A- Total Load..............___........~... Ser. No.............................................. Non.MetallIc ................___..mm...... Knob & Tube__..............m.............. RIgid Conduit ..___~__................. Metallic Tubing mm..m................ Raceway ..............................._._..._ Circuits, Light....................................... Utility.......m......___......................m I-J eat ............................--.........-..-.. Range ............................................. Water Heater .............m....m........ Motor ............................................. Dryer ..............................................___ Furnace .........................'_................... See. NO...n......................................... Total.....m::-!...\...",t.o......... Remarks: _..~_~:.~.~~n.5.!.('l:tJ...___~.!_~-;.!y..!:r.:5____"J::"Q______~!.?"T!n~..G.___n~yn!.~_..;J-<>-. Permit Fee.:;:f!-- Treas. ceiP~-- .._....________.____n_..h.._......___.___..___.______n______nnn.n.--;:;;__....~..:.n. $.___nI.o..___._________.______. No..~.7..I'1'__h"'_ By n.%-L---t6.___B..n~-f!:{/!P NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. "'-- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION In aooordance 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 ..4f7t-dj.2m--~~~~-----oommmmoooo--oom ocCUpancyu_ub.m_mu.u_m________u ~::~~~.:~~:~~~-:::::~:~6.::;.:;Sioo~~~;::::::::::::::........~::::::::::=::::::::::::::::::=::::::::::::::::::: .9 Light OutletS.n.hhm_h____________.__________n_n , Receptacle Outlets_m..e........................ Motors: size, volts and Jthase: '7/.-.~/t/.f!~:~::::::;:~:~:::::::: ~ mmnh_.hn....m_mLl.~~.___n___. No. & Size.mm_n______n.______n___nnh.n It' <!-> c... / / XI!. Ser. NO..n..............__..__....________........__. . '- _mhnnmm_____________nle.___ ..'j;n___nn /Jj/ L.3 ;; I}w Ser. NO.....n.............__.______..________....... , ='ur-w"'''.''''______nnnnnnhnn_____Lhh_.._:.:o_n.___.__ - r Ser. No. ..........................................--- Total Loadm:f....Z"~___.. Ser. NO.................._mm.........m........ Total ............m.............__.__m.n ~~:~~~~:m:::::::::::::~=::~::::::~~:::~::~~~~:~:~:~:~~~~~::::~::-:::~:::::::::::::::::: CITY OF PORT ANGELES LIGHT DEPARTMENT Dryer, KW.................__.hn__n____nn.__n_ Range, KW.__....___u___n_______.___..._____...__. Water Heater: KW.._nn_n.n.hmoooooomooomnnn_mm Heat: KW............................................. N~ .1 77 0 9 ELECTRICAL PERMIT 3 - 3 5:2 Port Angeles, WashIngtonoo................___.._....______.__....__m....__....m., 1900___000 Service, volts ..................._.................. Type of Wiring: No. wires ....................................... Armored Cable .............................. Size wires.............m..................._.. Non-Metallic ................................_ Knob & Tube.................................. RIgid Conduit _____.___nn.___.mmm__n MetalUc TUbing ........................... Raceway ..............................._._..._ Circuits, Light....................................... Main fuse ....................................... Enclosure ........................ Type of wIring: Entrance Cable ............................. Rigid Conduit hnmmm.m Utility _______m___n__n.n.__.n________m__nn MetalHc Tubing ........................... Heat ......................................._...... CUrrent transformers: Range ............................................. Water Heater ............................... Motor ..._........................................ Dryer ..............................................__ Furnace .........................__.........._......, -:.~.=.~~oo~~~.:.~.____oo-.~...~..~.oo.----ooo--::~.~.~:~..~.~.~:~~.~..__~__--oooooo----ooo---:~.__..:;tZ.K~.;;:;:=:Z:.:::~ NOTICE-Current must not be turned on unUI CertIficate ot Inspection has been issued. It 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 N~ 1 77 09 ELECTRICAL PERMIT Address........................................................................................................................................Date..._......_.._......_.........._......_......_......... Owner ..................................._......_.._......_......_._........................................................... Tenant........................................n.............._.......... WiringContractor..................................._......................_.............................................................By.............................................................. NOTICE-Current must not; be turned on untU Certificate at InspecUon has been issued. It work is to be COD- cealed due noUce must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ., 17373 /CJ ..::; ?o Port Angeles, Washlngton..__.......____._......_________..____.______......___...... 19___..___ 'I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nl.' 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 d6 electrical work as listed below. Address __.!f!~___d___._____e:__?~.--..-------...----.n-------------..-- occupancy.___.7.~,h~.::_~._________.______.______ ~::~ ~.~f~~::1!.:::::~::::~~:~~~~~~:~::::::::::.---~e-~~~~;::..::::::::::...:::.~::::::::::~::::::::::::::::::~::::::::::::::::::: Light Outlets_______mn________._.n._________n... Receptacle Outlets..........__.............._____ Dryer, KW un....n.................._____________. Range, KW.._u___.___nn.......... Water Heater: KW.mhnhhmn.hhhn.__.nmmmnm Heat: KW..............n...................n_nm.....n. Motors: size. volts and phase: ~~f~__nmn.m___mnnmnnnhmn C. 6#-~"-r".---.d..Jt.()mk-mn.'3 Total Load__.......___...____.....___.. Service, volts ......n......................__....... No. wires ....._.................___._.hh..... SIze wlres..........__.nh.._.............._.. !\-Ialn fuse ..n._..............,........__........ Enclosure .........._.....____................... Type of wiring: {... Entrance Cable ......._....___0..____....... Rigid Conduit __________nm..h......n.._. MetalUc Tubing 0._____.............___.... Current transformers: No. & Size..................nn.._n............ Ser. NO..._h........_......._.n..___..h...._...___ Ser. NO._.....nn................_.........nn_.... Ser. NO...n....__nnnn.nn_..................... Ser. No. ..00000......_........___..0._000000........ Type 01 Wiring: Armored Cable ...------..........-........- Non.Metalllc ___n___n.___.______mnn_____ Knob & Tube__._____._____.________________._ RIgid Conduit __..___________________________ Metallic Tubing .._............_n......... Raceway .....___..............._......___._ Circuits, LighL__............._____.................. Utillty nn.nn____n____m_____________.n.___. Heat .__.........__...__...................._.._ Range .__._..............___..........n___........ Water Heater ....0.......................... Motor .._.....__..............___..._.............. Dryer ......._.___..............__............__._..__ Furnace .........................._........._.__...... Remarks: __n.______n.n__n______m__m_n___n_n.m..____n._.__________n__mmm__.__.mm__mm.m._______m__m_____..__mn__m___.__________ Total .............._________..........___... .___........___......................__........______......................................................._............_......._h__......................__................. Permit Fee ___.nnuu..nnnnn________________unnnu.nnnnnnn.nn______h.u.nnnnnnn.nn.._Uh.u.nnnnnnnnn____.d_nU.h.un.nnnnn._n_..unnn $:.__m.mm__m.m___.n_______.. By .__<Irt....~L:..<!.~-.-.--~ /' . NOTICE-Current must not; be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. Treas. Receipt NO...______....__.____m.m__ NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17373 Address______..._____....._....................................................................................._____._.._.._.________......___Date..._.........._..____..........-......-................. Owner . _.._0000.._.0000___0000__......................_...._.__._..._.._.......00_00_.......00....._.............__..........._.... Tenant.............................n_.....n..............._.___.nnn. I ( ... --. Wiring Contractor............................__..............._......_...____................_..........______________.____................ By .................._._._.._.................................... NOTICE-:-(Jurrent must not be turned on untU Cert1fJcate of Inspection has been issued. If work is to be con. cealed due'noUce must be given the Inspector so that work may be inspected before concealment. .. . _.n , 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT .....,'''"' f" ELECTRICAL PERMIT N? 17336 Port Angeles, washlngtonnmnLom:::o2o{..oo__n.oomommoo_n_m., 19o;r.~P 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 d6 electrical work as listed below. Address om.! i..:2m:Jnm_iZn.L4:Y.oo..o.m..n.nmn_n_____.n...__.m occupancY_~<.>iifC~~..e&!.4o_m.m Owner j:fl-a&o<j.n~',zmCZ:27~~--.~p!:nLmnmmm.m__nmnn_mmom.o-nom.omnmOOoomm Wiring Contractor v:l.J':.~m_:f{?i!!5!J.~"mm.:m_.o.___..m.nmmn Byn.n___o_mnmmmmo______n__.mn.om__onnmm.m__n .., v Light Outlets........_._.n................._..__.... Service, vOlts/?~.oA.fr..<i............ ~ No. wires ......;;..............._.............. Receptacle Outlets............................... Dryer, KW 0000...................................... Size wlres..................._.............._.. Range, KW.............................. Main fuse ....................................... Water Heater: Enclosure ....................................... KW..mn..nnmn..hnn.h.mnn. . Type of wiring: Entrance Cable ............................. Heat: KW................................................... Motors: sIze. volts and phase: cf). cJ 1!t.r:l~e:.Y.-.,;:t~?y. RigId Conduit nn.............___n___nn.. .,...."<-:1~etalllc Tubing ........___....___n___.... o1{rrent transformers: No. & Size....................................... Ser. No............................................... Ser. No. ............................................. Ser. No. ............................................. Total Load............................. Ser. No. ................._.......................... Remarks: m.m.nnnmmnmmonmmnn.nnm__nnmm._n._oO_.m._h_o_mn__o_.o__._momoomommmmommmmommom_.no_onn Total....................................... Type of Wiring: Armored Cable ............................- ., Non-Metallic ................................. Knob & Tub................................... RIgid Conduit ............................... MetalUc Tubing ......................--... Raceway ..............................._.__._ Circuits, Ltght..................................._.. Utility .....n.....n".__,"___'."""''''.'''__'. Heat .......................-..............-..- Range ............................................. Water Heater ............................... Motor ..._........................................ Dryer ....................._.......................__ Furnace . ........................-~......_.._....... _____onno.___o_o___m.omn_moomnnmmomnmnnommno__mnmmnmommmmm~ommomommmommomnom__nm-;mmm :~o=o~~o.~::o.nonomo...oo... ::~o~o~:oo~_~o~o~~~_~__o_____ B~..o:__~f{;~~~,~oo NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con- cealed due notice 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? 17336 Address.....................................................................................................n.................................Date..._......_.._.._.._.........._.._.._......_......._ Owner ..................................._......_.._......_......_.._........................................................... Tenant.................................................................... Wiring Contractor....................................... ...................._.............................................................By.............................................................. NOTICE-Current must not be turned on until Certificate or Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ELECTRICAL INSPECTION WIRING REPORT 417-4735 OAT PERMIT # 7 17 02> 68 OWNE~CONTRACTOR . A-L- APPROVED NOT APPROVED o . . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . .. . : . . . . ROUGH IN/COVER . . .. . . . . . . . . . . . ~ D. . . . " . . .. . . . . .;. . . . SERVICE. . . . . . . . . . . . . " . . . . 0 D..................AN~...................D CORRECTIONS NEEDED: l<.~c~<sc:;. fllIlllfZ..E.,z;, "'110 ~l=' SrRYo~~\;> ~(lZ..C.. L-/l0 ./ h ("' . Me.. bJ2.l'D ::, Hf'lU N1l1: tz.,'E.- ~)V?D12..\ Nl€.c >30 < 3() ~ ON NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PRINTERS, INC. (360) 452-1381 07/09/2008 13:34 FAX Ocg~ CJ62 \ ~001/001 L\CI-417 1(( h ELECTRICAL WORK PERMIT APPLICATION. 'fOJ-2f)5~ , '- 1i1~lllll:'lit)1l J~scripijo" c{ Commercial [J Resldentlal o New ~hered/Additl.n _OOWM/~. CJ Cl'Q \ G OC (\ --- Ad".1'Z3'Pi='iD Clly ~... 11011; JUL 1 0 2008 OW/WI' (/.\' dt'/if/t'd I~I' NCIJ!./Y ],\' _11>1.(1) ()W}ll'J" 11'11/ Vf'f'J/pl' 1111' I"In/t"Ir'"I'JIIJ' 111'II yeao elfier lJJjv dl!(.''''/clll ~1'rmilIS ji"ula(.'d (J) ()ll'jl~" is t'(jl/~/r(lcl ICJ hire (III ~J..:t.:lrku' cun/rat:for if ahove saM properly is fo,- ~'aJI!. rem 01' Jen.w~, Ant::r reading Ih~ abl,)ve stsh:mcnL, I herr;:by certify lhul I am the owner o( the o\bove mimed prorcrl)' or <l licl:nlit'u d~c'ricElI CQ,'[!'.llC10I'. I lun m~king Iht c1~c[rtc:l1 jn~t~l- l:llion Of ..lterntion in compli;lllce will1lhc dcclricul I;lWS, N.E.Cn RC'W. (,huplcr 11J,2H, WAC. Cllapll:r 2')u-46H, 'I he City \)1' (lOt'! AllgL:lc:!> MUllicipll1 (,odl.:, .llld Utility Specil1calion~. Sign e or Owncr 'Iecll'iul r.onlrO'ctor or c1ccfrical :.Iuminh:Ir:&'OI' o Cash o Check # LIGHT DEPT. o Credit Card Visa Mastercard Discover Car(111 x Dille: Expiration Date OfCll,,1 ~!aiOO"'- Service Informatlon Ell!kltlcal Load Additions Boll or sublracllons o NO LOAD CHANGES Cl Baseboard _ KW CI Furnace __ KW a Heal Pump Ton U Fan-Wall KW L.AA lJ Qvethaad Service LJ Temp Service U UndQlglounLl SelV1CfJ Voltage Phase Cl 1 0 3 ServlCI:l Sl:/e: __.____ Feedet Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ~JGII-I~ r TUEllMOSTAT SERVICE ----O:;,i;;~~- l\"prn,,~-.llll' . ';:--D~ .\PllrU""Illh j '\. 1).II~ ^llJlrlw~d lly r . r lllTCII l'EEDER ~INAL '-- ~, . --.yR", / ~"-.iiJ~ - ^"I"""I.T'!i_./ 11.1'" ---XPP~,,"cll uD '"- . InspCClioJl Area, Building Or Equipment Inspecled Aclion TakCIl Elcctrieal Date: InspeclOr - .. - .. -...- ------- . ~ ~-----_. . -.------------- .. -------_._~ ._. . -- .....--..-----. .. -- --- --- .---- ---- -- -. .... ...----- ..- .. - --- -. .~~-- - --"--~ '- ...... ~ .- .---. .- . .. ._~-. .. J~ '.'- - . -. -. ... 04/27/2006 12: 16 FAX ~OOl/001 . -f i'd~ '1/7- '-/1/1 -- UY -. o Job wired by o Eleclrical Conlractor CJ Owner Date F.ll:'P.ires e:, PhOOLr if\.., OWn(!r Cl! defi"~d by RCW.J9.28.26/:(I) Owner- will "ccupy the .rrrucrlm: jrJr tW(J Yf!{/r-~ after rhis electrical pumiJ is finafj.F:d. (1) OWner' Is requ.ired rn hire an eleclricaJ COl1rr-tlcror if obo\!(! said propC!I't)' is for sale, "em or ieau. After readins lhe above statement, J hereby certify that I am the owner of Ihe above named property or a licensed electrical contructor. I am makins the electrical instal- lation or aheralion in complianc~ with the eleclricallaws. N.E.e.. RCW. Chapt~r lCJ.28, WAC. Chapter 296-468, The City of Port AnsclcE Municipal Code, Ilnd Utility Specifications. SIgn ture of oWDer, eleecricnl contnctor or eleurlc:al ad X Da~:~ Electrical Load AdcJitions and or subtractions Cl NO LOAD CHANGES o Baseboard KW o Furnace _ KW IJ Hea, Pump _ Ton _ l.AA o Fan-Wall _ KW ELECTRICAL WORK PERMIT APPLICATION InSla.!J,1rlOn dc.;.criplion lafCommen:.ial D. ReSiidentinl o New o Altered/Addition o Cash 0 Check # ~tCard VISa Card # Mastercard Discover Expiration Date of card Service. InformatIon a Overhead Service Q Temp Service Q Underground Service Voltage Phase 0 1 0 3 Service Size: F'eeder Size: SAME DAY INSPECTlON. CALL BEFORE 7:00 AM 360-417-4735 / ROUGH-IN " THERMOSTAT / SERVICE \- D"I~ 1\l:IPI"Vo;! Oy D:lto Apprllvcd 8y O~IC I'\.PD",ved IIy ~41v~rb / FEEDER DITCH ." AllProvC{'l BY Ollolt Apprllvcd 5y "- Dah; Appl1lv~\J B)' Inspection Area, Building or Equipmem Inspected Action Taken 81eClricl'l1 Datt Inspector , Y1r1?7;t 01.~ "7 "7 - ~