HomeMy WebLinkAbout124 W 1st St - Building Electrical Permit
124 W 1St st
13 - 353
Vv
ELECTRICAL PERMIT 4
CITY OF PORT ANGELES (�
360-417-4735 W
Application Number . . . . . 13-00000353 Date 4/08/13
Application pin number . . . 317307 `
Property Address . . . . . . 124 W 1ST ST A W
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3215-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
6 circuits
----------------------------------------------------------------------------
Owner Contractor
CATHERINE & THOMAS HARPER TRST ELECTRIC SERVICE
122 W 1ST ST 82 DRAPER RD
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-6424
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 99.00 Plan Check Fee .00
Issue Date . . . . 4/08/13 Valuation . . . . 0 N
Expiration Date . . 10/05/13
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00
5.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 25.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 99.00 99.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 99.00 99.00 .00 .00
V '
Y
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE '
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
APR-5-2013 04:04P FROM:ELECTRIC SERVICE 4526424 TO:4174711 P. 1
RECEIVED _
�
CITY OF PORT ANGELES PERMIT APPLICATION I':. APR 1013` f
.Building Division/Electrical InspectionsELECTRICAL
321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,19I.8362 FE oNS
I S CTIONS
Ph:(360)417-4735 Fax:(360)417-4711.
Date: -%IS _Multi-Family or Comr{)ercial'
1
I
Plan Review May Be RequiRd,Please Ctamplete Electrical Plan Review In rmation Sheet
Job Address: %2`i '''. ¢t'
Building Square Footage: 'sao S10, 1,
Description of above
Owner Inform I n ontractor Info Ion
Name:
Mallingddresa Y r ailing re4s: 10 lei
Chy Oy 7 - Stale: Zip: 3 c_ ity: VT State: 't Zip::
Phone' Fax: hone: Fax: `-
License#I ExpI Exp. << c l 2
ROM Unit Charge G1ty Total MY Muhlolled by Unit Chanel
Service/Feeder 200 Amp. $132.00 $
Servlce/Feeder 201 X100 Amp. $160.00 $
ServlcelFeeder 40100 Amp $225.00 S
Service/Feeder 601-1000 Amp. $288.00 S
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit WI Sendca:Feeder $ 5.00 S
Branch Circuit WIO Service Feeder $ 74.00
Each Additional Branch Circuit $ 5.00
Branch Circuits 14 $ 86.00 S
Temp.Service/Feeder 200 Amp. $102.00 S
Temp.Service/Feeder 201 400 Amp. $121.00 S
Temp.Service/Feeder 40i-6W Amp. $164.00 S
Temp.Service/Feeder 601-1000 Amp. $185.00
Portal to Portal Hourly S 96.00
Sign10ulline Lighting $ 88.00
Signal Clrcull/Limited Energy—Mulll-Family $ 64.00 _ S
Signal Circuit/Limited Energy I First 1500 sf—Commercial $ 96.00 S
Note: $5.00 for each additional 1500 sf $
Renewable Electrical Energy-5KVA System or Less $113.00
Thermostat $ 56.00 I S
Note:$5.00 for each additional T-Stat
I : Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two y4ars 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.Permiti expires after six months of last inspection.
After reading the above statement,I hereby certify that I 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.Chapter 29646B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding!ElecWcal Permit Applications.
Signature of owner,electdAal contractor or electdcal administrator: 1 ❑ Cali 0 CW
❑ Creda card a P)--
� Dtrtrad: T 1 Ijl' 01101012
I
I
i
I
I
I'
Building Permit
124 W Ist St
13 -242
\ CITY OF PORT ANGELES
r��►.` 1 DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000242 Date 3/26/13
Application pin number . . . 172356
Property Address . . . . . . 124 W 1ST ST
ASSESSOR. PARCEL, NUMBER: 06-30-00-0-0-3215-0000- REPORT SALES TAX
Appl-ication type description COMM REMODEL
Subdivision Name . . . . .I . on your state excise tax form
Property Use . . . . to the Cit of Port Angeles
Property 'Coning CENTRAL BUSINESS DISTRICT Y 9
Application valuation 3000 (Location Code 0502)
Application desc
REMODEL BATHROOM TO ADA/SAW CUT CONCRETE WALL
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CATHERINE & THOMAS HARPER TRST KANDU ENTERPRISE
1.22 W 1ST ST 714 WEST 6TH
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-8383
-----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc ADA BATHROOM/SAW CUT CONCRETE
Permit Fee 109.75 Plan Check Fee 71.34
Issue Date 3/26/13 _Valuation . . . . 3000
Expiration Date 9/22/13
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL-2001-25K (1.4 PER K) 14.00
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . BATHROOM VENT FAN
Permit Fee . . . . 57.25 Plan Check Fee .00
Issue Date . . . . 3/26/13 Valuation . . . . 0
Expiration Date . . 9/22/13
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.2500 EA ME-VENT FAN (.SINGLE DUCT) 7.25
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . ADD 1. SINK / MOVE 1 SINK
Permit Fee . . . . 92.00 Plan Check Fee .00
:Issue Date . . . . 3/26/13 Valuation . . . 0
Expiration Date . . 9/22/13
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.0000 EA PL-PLUMBING TRAP 14.00
2.00 7.0000 EA PL-WATER LINE 14.00
2.00 7.0000 EA PL-DRAIN VENT PIPING 14.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . DOUBLE PERMIT FEE 109.75
STATE SURCHARGE 4.50
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if requ' i pections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined s appli ation and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will b o lied wit whether specified herein or not: The granting of a permit does
not presume to give authority to violate or cancel the ovi s of a state or local law regulating construction or the performance of
construction.
ate Print Name Signature of Contractor r uthorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
fT - •y
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 INCONSPICUOUS 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 FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
r DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 13-00000242 Date 3/26/13
Application pin number . . . 172356
-------------------------------------------------------------------
Fee summary Charged Paid Credited DueREPORT SALES TAX
----------------- ---------- ---------- ---------- ---------- on your state excise tax form
Permit Fee Total 259.00 259.00 .00 .00
Plan Check Total 71.34 71.34 .00 .00 to the City of Port Angeles
Other Fee Total 1.1.4.25 114.25 .00 .00 (Location Code 0502)
Grand Total 444.59 444.59 .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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
-- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS--
Building Inspections. 417-4815 Electrical Inspections 417-4735
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 INCONSPICUOUS 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 FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE t--'
Inspection Type Date Accepted By \)j
t
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THEr�+ T For City Use
EES
CITY OFP- 1AN
L 13 - 2--4y
Permit#
h Date Received:
W A S H I N G T O N , U . S . Date Approved
321 E. First Street
Port Angeles, WA 98362
P: (360)417-4817 Building Permit Application
F: (360)417-4711
E-mail: permits@citvofpa.us Form
Project Address: 2,4 v--3
Primary Contact: ' 0�� �`�'�'�� Phone # �o P *60 r-.!6
E-Mail:
Property Name Phone
Owner C41H Rl Nf— i�A6L1�Fy
Mailing Address Email
124 �� �� ft >z�
Cit State Zip
tc lc- N//A— 985361
Contractor Name Phone
Information L� `� .1-
Email
License#
Expiration Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ �-
Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification
(check For the following, fill out both pages of permit application:
appropriate) New Constructiioo - 1:1Exterior Remodel ElAddition ElTenant Improvement ❑
al I Pl
Mechanicumbing ❑ Other ❑ AJ)D S i 0 k
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No QA-
Project
Description rvvz Q _ 'S1 Y_ - W AL.L C�'�r1
Fi;�_T I
6131> Z>1Z' Sv tJbs2�$ 6Z 1 C S
EEt�1o�� N c- T T IaC
Is project in a Flood Zone: Yes ❑ No Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $ 3
I have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not r able review has
occurred. I understand that I will forfeit review fees if I withdraw t lic do a re the permit is
issued. I understand that if the permit is not picked up/issued . i i8o a bmit _e application
will be considered abandoned and the fees will be forfeited.
Residential Structures
_. � - For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement-
M
First Floor
Second Floor ;
Covered Deck/Porch/Entry
Deck(over 30"ora" floor)
Garage
Carport
Other(describe)
[AreaTotals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure (s) "
Proposed Addition
Tenant Improvement? r
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size :%Lot Coverage (Sq Ft of all Structures):
%Site Coverage (Sq Ft of all impervious surfaces including structures)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent;`j 1.\ I- !r j# JnJ Heate%(Suspended',floor;,Recessed wall) #
Boiler/Compressor ,Size: i #i., _ Heating/Cooling appliance_ #
repair/alteration
Evaporative Cooler-(a'ttached,not # 'Pe11eYStove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Ventilation Fan,single duct' #
Outlets: q
Furnace/HeiiiPump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated.
Plumbing Trap Fuel gas piping #of Outlets# Water Heater Water Line
Medical gas piping Sewer Line Industrial waste pretreatment interceptor
Vent pipin # Other
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX
W ^N
X"o WEDGE ANCHOR AT END OF TOP ANGLE rn z
y- Q ���i s
3�� i
W
1' L7x4x-%" ANGLE EA. SIDE
i
0
0 WEDGE ANCHOR AT MID SPAN 3 ^ o
d
a d c 10 Z Z L=j
}§"® WEDGE ANCHOR 1` " �" L W F J
AT TOP OF VERTICAL V ci
20 road
• a V
5-5" MAX.
N Q f_1
' 1 ZC,6
EX. CONC. WALL TT Z `""'
1� U o
L4x'.x;4' ANGLE EA. SIDE W --+ O � cL
o 3 L (/�
ATTACH VERTICAL ANGLE TO :H . z w z
CONC. W/WEDGE ANCHOR ® I Q W
F 0,6 -w
MID HEIGHT r— W
A AVI7 VLI\,,CAL TO CONN. O�
d W/WEDGE ANCHOR AT BTM. Z C O
� � •d ka
W -
NOTE:
1. ALL ANCHORS TO BE SIMPSON. to O obi
WEDGE ANCHORS 74"OW LONG. W g
W/3Jj" EMBEDMENT INTO CONCRETE W�E
�Co (nW
A STEEL LINTEL DETAIL Z
S 1 Scale: N.T.S. Kj o 3 .
eo x�o
wJ W
1 J
F U
SCALE:
AS NOTED
DATE:
3/4/2013
FILE:
Q EX. CONC, WALL 13057 Si
a
y. 4 o 1/2Y`84WEDGE JOB 'NO:
ANCHORS (TYP.)
PCOYf oDw1'A3SG0HU5�Dtic
7 x
aLx%"7x4ANGLE EA. SIDE
t
�
I I L4x4xig ANGLE
I 11 VERTICAL EA. SIDE
32777
C/STER��
STEEL LINTEL SECTION n SS%NAL ENG,
1 Scale: N.T.S.
SHEET
OF
GENERAL NOTES
1. Engineering Design loads:
Roof live load: 25 psf (snow)
Floor live load: 40 psf (residential)
Rain load: 31.6 psf (assume 6" ponding depth)
2. Construction shall conform to these plans and oil
applicable codes end local ordinances including the 2009
Edition of the International Building Code,
POST INSTALLED ANCHOR NOTES:
1. Adhesive Anchors: Anchoring adhesive shell be a two—component high solids,
epoxy—based system supplied in manufacturer's standard cartridge and dispensed
through static—mixing nozzle supplied by the manufacturer. The adhesive anchor shall
have beer. tasted and quallfed for performance in cracked and uncrocked concrete per
ICC—ES AC308. Adhesive shall be SET—XP Epoxy—Tie adhesive from Simpson Strong—Tie,
or approved equal. Install per manufactures recommendations. SPECIAL INSPECTION
REQUIRED
2. Mechanical Anchors:
Expansion: Wedge anchors shall be on imperial=sized steel threaded stud with on
integral cone expander and a three—segmented expansion clip. The stud shall be
:ivnufwtur^cd frati CCr`.,vn 5tc21 O.d the GXPGnSian clip Shoff have two undercutting
embossments per segment and be manufactured from 316 stainless steel. The anchor
shall hove been tested and qualified for performance in cracked concrete per ACI 355.2
and ICC—ES AC193. Anchors shall be Strong—Bolt wedge anchors from Simpson
Strong—Tie. Install per manufacture's recommendations.
Screw: Anchor shall hove 360' contact with the base material and shall not
require oversized holes for installation. Fasteners shall be manufactured from carbon
steel, and are heat treated. Anchors shall be zinc plated in accordance with ASTM
8633 or mechanically galvanized in accordance with ASTM 8695. The anchor shall hove
been tested and qualified for performance in crocked concrete per ACI 355.2 and
ICC—ES AC193. Anchors are not to be reused after initial installation. Screw anchors
shall be Titen HD anchors from Simpson Strong—Tie. Install per manufacturer's
recommendations.
STRUCTURAL STEEL
ALL STEEL SHALL CONFORM TO THE FOLLOWING:
W—SHAPES ASTM A992, Fy=50KSI
L—SHAPES — ANGLES ASTM A36, Fy--36KS1
C—SHAPES — CHANNELS ASTM A36, Fy=36KS1
HSS — SQUARE OR RECTANGULAR STRUCTURAL TUBE ASTM A500 GRADE B. Fy-46KSI
STEEL PIPE ASTM A53, TYPE E OR S GRADE B. Fy--35KS1
STEEL PLATES AND BARS ASTM A36, Fy=36KSI
MATERIAL CALLED OUT ON PLANS AS (A36) ASTM A36, Fy--36KS1
ANCHOR BOLTS/RODS ASTM F1554 GRADE 36, Fy=36KS1
COMMON BOLTS ASTM A307
ALL OTHER STEEL UNLESS NOTED OTHERWISE ASTM A36, Fy=36 KSI
STRUCTURAL STEEL WELDING
Structural steel shop drawings shall show all welding with AWS A2.4 symbols. All
welding shall be done by AWS/WABO (Washington Association of Building Officials)
certified welders and in accordance with AWS D1.1. Welds shown on drawings ore
the minimum sizes. Increase weld size to AWS minimum sizes, based on plate
thickness. the minimum weld size shall be Field welding symbols hove not
necessarily been indicated on the drawings. Where shown, proper field welding per
AWS D1.1 shall be used. Where no field welding symbols are shown, it is the
contractor's responsibility to coordinate the use of shop and field welds. All partial
penetration groove weld sizes shown on the drawings throat thickness. All welds
shall be made using low hydrogen electrodes with minimum tensile strength per
AWS D1.1 (minimum 70 ksi). low hydrogen SMAW electrodes shall be used within 4
hours of opening,their hermetically sealed containers, or shall be re—dried no more
than one at a time, and electrodes that have been wet shall not be used.
All welding shall be performed in strict adherence to o written welding procedure
specification (WPS) per AIRS D1.1. All welding parameters shall be within the
electrode manufacturer's recommendations. M:e!ding procedures shell be submitted
to the owner's testing agency for review before starting fabrication or erection.
copies of the WPS shall be on site and available to all welders and the special
inspector.
All complete—penetration welds shall be ultrasonically tested upon completion of
the connection, except plate less than or equal to J" thick shall be magnetic
particle tested, Reduction in testing may be mode in accordance with the building
code with approval of the engineer.
PREPARED 4/05/13, 15:07:53 INSPECTION HISTORY REPORT PAGE 1
PROGRAM BP521L 0/00/00 THRU 0/00/00
CITY OF PORT ANGELES
—---—-------- -- ------------------------------- --
APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR
--- - ---------- - -----
12 00000751 124 W 1ST ST A 06-30-00-0-0-3215-0000- 1
000 000 SIGN 00 SIGN BL99 0001 BLDG FINAL 4/03/13 APPROVED JLL
REQ COMM: April 3, 2013 8:35:26 AM pbarthol.
RES COMM: April 3, 2013 4:34:47 PM jlierly.
(0 La ?_��_ CITY OF PORT ANGELES V`�,0 0 9 4
FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A �1
PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
TOTAL FEE Lo-
p - lIN1Mwe1 n-�
CONT.LIC.NO. TIME TO COMPLETE NO.STORIES LEGALOCCUPANCY
7 ' /ELECTRICAAL PERMIT ONLY. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address /`41 W1 Sr 5'— - - -
,.e � C RRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner A �� " Installation By DL�4m9ic, LLycrrie1
Owner's Address Installers Address .570/ s-0- LIA/607—Al
Day Phone - Installers Phone 497— 5 O d=
Application is hereby made for Permit to install Electrical Equipment as follows: //VSTtAtr_ L161h'{"7 N 6 /O&r,
Wiring Method &(WB1�Yf—
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 1 0OR FEE USE OF CIRCUIT PER 1 COB FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT 6 SIGN
LIGHT - 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE. MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER -
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE p
FURNACE SUB TOTAL FEE
GAS-OIL
FURNACE ENERGY FEE
ELECTRIC
BASIC FEE
ELECTRIC HEAT
- TOTAL FEE
ELECTRIC HEAT /
SIZE OF SERVICE SWITCH OR CIRCUIT-BREAKER
A.C.UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE
A.W.G.
SUB-TOTAL 1 SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformances with the N.E.C. Electrical Code.
Date Application made 119_ Lal 1g 6�4_1 By_� t A/I• 'TJ�C�iISL'✓�
- CONTRACTOR OR OWNER(OR AUTHORIZED AGENT
Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angel6s. `
DIRECTOR OF-CITY LIGHT '• -
40Date Permit Issued By��— ,L7I0
PLA4S APP O E
� Notify Department of City Light by Street Address and Permit Number when ready 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 Placard. A. - Permits Phone: 457-0411 Ext. 158. I
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER —
WHITE-Original CANARY Duplicate PINK Triplicate WHITE CARD-Inspector's Report '
I
OLYMPIC PRINTERS,INC.
REPORT OF INSPECTOR
DATE OF VISIT MADEBY REMARKS
.W
r
Z
a
H
Z
W
F
O
_ 2
O
. O
l),-A S. yy ve, s O.K.FOR COVERING
O.K.TO CONNECT SERVICE
q'- ✓ ` FINALO.K."
1
CITY OF PORT ANGELES N° 1 8 2 3 1
o t LIGHT DEPARTNIUIT ELECTRICAL PERMIT
Port Angeles, Washington------------ c_.�...._.-- 19...._..
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 el ctrical work as listed below.
Address ....... W -------------------------------------------------------- Occupancy----S CSI.
Owner ------------------------ ------------------------------------------- -
Tenant----•-----------• -------------------------
Wiring Contractor_./ 1-11__Ai fl C-_,5.... eT ......... By------ •---46 �- ----------------- ..
Q /
Light Outlets........................................ Service, volts ......./Lul....... ....................... Type of Wiring:
Receptacle Outlets............................... No. wires .......5............................ Armored Cable ........................
Dryer, KW.......................................... Size wires......._ /�_. � Non-Metallic .................................
Range,KW------------------------------------------ Main :ftp'/
Knob & Tube................................_
9 Uv Rigid Conduit .... ................
Water Heater: Enclo .............. . ......
"" Metallic Tubing ...........................
KW....................... ......._._._------. Type of wiring:
Raceway --------.....-.............__..._
-____... Entrance Cable ............................
Heat: KW............ ... .................... Circuits, Light.........._.------..._------....._...
Motors: size, volt and phase: Rigid Conduit ............................... Utility ............----__._.._.------------...__.-
........................................................... Metallic Tubing ........................... Heat ......................................._......
.
® Current transformers Range .............................................
No. & Size............... Water Heater ...............................
...........................................................
Ser. No..--------------------------------------- Motor ............................................
...........................................................
Ser. No.............................................. Dryer------------------------------------------------_
...........................................................
No.
Furnace.........................._...................
NSer. o..............................................
TotalLoad Ser. No.......................................Q....... Total .......................................
Remarks: -- � / LiJ a.0 1W t ��" --- J-h,�_r
•--------------------------------------------------------------- ------------_---------.......................--.................--------------------------------------------
n`
____J4 ------------------------------- ----------------------- ------------------------------------------------------------------------------------
Permit Fee Tress. Re ipt
$----- ------°--�........... No.-6-------2 By . -k 1----- �
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. 1f work is to,(be con•
cealed due notice most be given the inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N°' 18231
/
ELECTRICAL PERMIT -
® Address ..............Ia_4/...._w,S.�............... ..... / 052 :. ..... Date..._,...1,1.c?a� fl y
Owner .........................................._................_.._........................................................... Tenant_.. ............-------------------------------
Wiring Contractor..L/ C7�.� x....1ep- - 4c:.............._._.......................
NOTICE—Current muanat .......� .
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 Olympic Printers, Inc.
i
IVOF92 3 Cit
y of Port Angeles
LIGHT DEPT,
Ceui�cate
��`�nsOection
that the electrical wiring and e
4u
b Lpment installed
atm �_ ��
under Permit No._��� /
has beenI
inspected and approved
err. c )Inepect9
1
CITY CE PORT ANGELES o ELECTRICAL PERMIT
LIGHT DEPARTMENT rJ � 15230
Port Angeles, Washington....._-----.._--"--_ . -- Y
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 ...... ✓1 = ---- --=------------------------------------------------------------- Occu anc =* a
P y- --, - ---- ----------- --------
Owner '' -s= == '` = Tenant------------------------------------------------------------------------
Wiring Contractor = = " tr;� t ./., ' ., - ...... B
Light Outlets....................................... Service, volts --------------------------------------- Type of Wiring:
Receptacle Outlets------------------------------- No. wires ....................................... Armored Cable .............................
Dryer, KWJ------------------------------------------ Size wires Non-Metallic ......---------..----------------
Knob &, Tube---------------..................
Range, KW ------------------ Main fuse --------------------------------------
Rigid Conduit ...............................
Water Heater: Enclosure ---------------------------------------
Metallic Tubing ...........................
KW Type of wiring: Raceway ..........................................
Heat: RW......................_a.rt:.....:.r:_4:. ... Circuits, Light....._._-------._------------.......
% Rigid Conduit ---
Motors: size, volts and phase: Utility .............................................
Metallic Tubing --------------------------- Heat
........................................................... Current transformers:
Range .............................................
........................................................... No. & Size........--....--.......................
Water Heater ----_-------------------.---
........................................ Ser.No...............................................
Motor ..-_........................................
........................................................... Ser. No.
..................._.......-..---------------------------- Ser. No------_-------------------------------------- Furnace
TotalLoad............................. Ser. No.-------------------------------------------- Total ..-................-
Remarks- ----------------------------------------------------------------------------------------------------------------------------------------------------------
Permit Fee Treas. Receipt
$-------------------------------------- No----------------------------- By --------------------------------------------------------------------
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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT IST° 15230
Datecalled for inspection--------------------------------------------------------------_..................................................................
Preliminaryinspection dates-----..................................................._.....................................................................................
Inspectioncompleted..._......_.........._.............._.....................................................................................................
TotalLoad ---- ................................................................._....................------------------...........
1M 3-72 Olympic Printers, Inc.