HomeMy WebLinkAbout127 E 14th St - Building PREPARED 10/16/09 10 20 13 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/16/09
ADDRESS 127 E 14TH ST SUBDIV
TENANT NBR THOMAS ST AMAND
CONTRACTOR PHONE
OWNER THOMAS ST AMAND PHONE (360) 452 5374
PARCEL 06 30 00 0 3 8682 0000
APPL NUMBER 09 00000877 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLI 01 9/18/09 JLL BLDG INSULATION
9/18/09 AP September 18 2009 3 47 22 PM jlierly
September 18 2009 3 47 47 PM jlierly
BL3 01 9/18/09 JLL BLDG FRAMING
9/18/09 AP September 18 2009 3 46 53 PM jlierly
September 18 2009 3 47 47 PM jlierly
BL99 01 10/16/09 LL BLDG FINAL TIME 04 00
►,4 October 15 2009 11 34 59 AM 1pangrle
�3 TOM 670 3476
BLDG FINAL
HE REQUESTED YOU CALL HIM AT LEAST ONE HOUR BEFORE YOU GET
THERE SO HE CAN MEET YOU THERE HE WORKS IN PORT TOWNSEND
HE ASKED FOR YOUR LATEST AFTERNOON INSPECTION
COMMENTS AND NOTES
i
PREPARED 9/18/09 8 25 33 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/18/09
ADDRESS 127 E 14TH ST SUBDIV
TENANT NBR THOMAS ST AMAND
CONTRACTOR PHONE
OWNER THOMAS ST AMAND PHONE (360) 452 5374
PARCEL 06 30 00 0 3 8682 0000
APPL NUMBER 09 00000877 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 9/18/09 J L BLDG F4WW- TIME O1 00
T September 17 2009 2 55 43 PM ipangrle
TOM 670 3476 OR 452 5374
BLDG FINAL
AFTERNOON
COMMENTS AND NOTES
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% CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST STH STREET PORT ANGELES WA 98362
Application Number 09 00000877 Date 8/27/09
Application pin number 553939
Property Address 127 E 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 8682 0000
Tenant nbr name THOMAS ST AMAND
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 700
Application desc
ENLARGING & MOVING TWO WINDOWS IN KITCHEN
Owner Contractor
THOMAS ST AMAND OWNER
127 W 14TH ST
PORT ANGELES WA 983627721
(360) 452 5374
Structure Information 000 000 ENLARGE & MOVE TWO KITCHEN WINDOWS
Permit BUILDING PERMIT RESIDENTIAL
Additional desc ENLRG & MOVE TWO WINDOWS
Permit pin number 152512
Permit Fee 56 10 Plan Check Fee 36 47
Issue Date 8/27/09 Valuation 700
Expiration Date 2/23/10
Qty Unit Charge Per Extension
BASE FEE 50 00
2 00 3 0500 HND BL 501 2K (3 05 PER C) 6 10
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 56 10 56 10 00 00
Plan Check Total 36 47 36 47 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 97 07 97 07 00 00
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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 T 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 a thori to violate or cancel the provisions of any
state or local law regulating construction or the performance of con str
'�'ai 61►i1 �� �1CU U
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
Q
BUILDING PERMIT INSPECTION RECORD 1
Oa
- 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 ,� 1
Back Flow/Water FINAL Date Accepted b
AIR SEAL.
Walls
Ceiling
FRAMING —rLL
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Onl
T-Bar
INSULATION: I R-041 TLL—
Slab J
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
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T.Forms/Building Division/Building Permit
? _,%VORT,4N
BUILDING PERMIT APPLICATION Print in ink
R W""�""'� CITY OF PORT ANGELES
a For City Use Only:
Attn Building Permit Technician Date Received
r 321 E. Fifth St. Port Angeles WA 98362 Permit# U
(360)417-4815 fax (360) 417-4711 1 L. q Date Approved
�62 Al I
Applicant o�j _AV0- ,n �
(4-16
Phone 1'5-2— �_3 7�Z
Property Owner SPhone
Property Owner's Address 12-:2 15 /aft' P66 f3 62
Contractor S4 �Ihone
Contractor's Address
License # Expires E-mail
PROJECT ADDRESS 5; 4 7 /yam
Parcel Number Lot Zoning
Project Type &Brief Description. -Residential ❑ Multi-family o Commercial ❑ Industrial
Check all that apply
❑ New Construction
❑Addition `L k e-e_,-_h1sf A2
�-Remodel 05 a,-
•
-❑ Repair
❑ Demolition
❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existing(sq. ft.) Proposed(sp. ft.)
Basement @ per sq ft. = $
1 st Floor _
2nd Floor
3rd Floor a ,r 0.s353
Garage Lal�o r
Carport
Covered Porch
Deck
Shed
Other
OTAL VALUATION $ _700
i
Total footprint of structures_ ft. T Lot size = Lot covers- e °
Site Coverage = the amount of imp ious ace on a parcel including structu paved dl i ays sidewalks, patios
and other impervious surfaces. (see 117 94 135 for exemptions) Site coverage %
Max. height of proposed structure ft. Occupancy group #of'bedrooms
Will a lawn sprinkler system be i stalled? Occupant load full baths
Will a fire sprinkler system b installed? nstruction typ #of f baths
r
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determinewhatpermits are required, and to obtain permits prior g on projects.
Date �2l Print Name to of sf�w�p�t� Signatu e
T Forms/Building Division/Bldg Permit doc
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FILE
—� CITY OF PORT ANGELES—Construction Plans
The Issuance of this permit based upon these plans,specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
Plans, specifications and other data, or from preventing
building operations being carried on thereunder when in
I• j violation of all codes and ordinances of this jurisdictions.
1'�£?tBPi-e�9�( erg-13ni t ll�e�V i`��
} Approval Date g
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LINDBERA.
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ARCH Ilt!,g C T ! S
319 s.peabDdy,suite bi port angeles,wa 98362
360.452.6116 fax 360.452.7064
Project: t^ ST, pmt Project No.
subiqct: I By cys
Date. &Va. /,waI Sheet I of. ............
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LINDBER
A R C H Ifl%-PCHTT'qs�
319 S.Peabody Suite B. Port Angeles,WA 98362
360 452.6116/fax 360.452.7064
contactna lindarch.com/www.lindarch.com
Project: rn I Project No
Subject: �p-t ,tZ, I By ,
Date Aws I Sheet '2� of
SHEAR WALL SUMMARY
W L H V V/L SW VH- WL/2 POST HOLD DOWN
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Ankh VaL.�IJNCWNSCP NINA15 W076' 're, SO}�
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I/ALLOFIT/FIRMINFO/FORMS/SHEARWAL
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A. PLYWOOD OR O.S.B.SHEAR WALLS
I
1 MAXIMUM SHEARj=250 P.L.F
USE%' SHEATING—ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 6"
OC FOR FRAMING USE DF NO.2. PROVIDE %' DIAMETER ANCHOR BOLTS AT
32"0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH
END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS.
2. MAXIMUM SHEAR=315 P LY
USE W SHEATING—ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 5"
OC. FOR FRAMING USE DF NO.2. PROVIDE%"DIAMETER ANCHOR BOLTS AT
32"0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH
END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS
3 MAXIMUM SHEAR=375 P.L.F
USE%"SHEATING—ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 4"
OC. FOR FRAMING, USE 3X DF NO.2. PROVIDE W DIAMETER ANCHOR BOLTS
AT 24' 0 C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT
EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS
4 MAXIMUM SHEAR=490 P.L.F
USE W SHEATING—ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3"
O-C FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE
REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8"
DIAMETER ANCHOR BOLTS AT 32' O C MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
5. MAXIMUM SHEAR=560 P.L.F
USE%"SHEATING—'ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 3"
OC FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE
REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8"
DIAMETER ANCHOR BOLTS AT 24"0 C MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
6. MAXIMUM SHEAR=685 P L.F
USE l"SHEATING—ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
21/2-OC STAGGERED FOR FRAMING USE 3X DF NO.2. DOUBLE BOTTOM
PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVIDE 5/8"DIAMETER ANCHOR BOLTS AT 20"0 C MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
7 MAXIMUM SHEAR=770 P.L.F
USE%"SHEATING—ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
2"O C STAGGERED FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM
PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH.ANCHOR BOLTS.
PROVIDE 5/8' DIAMETER ANCHOR BOLTS AT 18' 0 C MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
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8. MAXIMUM SHEAR =870 P.L.F
USE%"SHEATING—BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT
3 1/2"O C FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE
REQUIRED BOLTJTHROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4'
DIAMETER ANCHOR BOLTS AT 20"0 C MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
9. MAXIMUM SHEAR;=980 P.L.F
USE W SHEATING—BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT
TOC FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE
REQUIRED BOLT THROUGH BOTH PLATES-WITH ANCHOR BOLTS. PROVIDE 3/4"
DIAMETER ANCHOR BOLTS AT 18'0 C MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
10 MAXIMUM SHEAR 1,200 P.L.F
USE%' SHEATING—BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
3"O C STAGGERED FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM
PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 14"0 C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL,SEE
FRAMING/SHEAR WALL PLANS.
11 MAXIMUM SHEAR= 1,540 P.L.F
USE W SHEATING;BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
2"O C STAGGERED FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM
PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVIDE 3/4 DIAMETER ANCHOR BOLTS AT 11 0 C MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS
12. MAXIMUM SHEAR= 1 740 P L.F
USE 5/8"SHEATING—BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
2" O C STAGGERED FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM
PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVIDE 3/4' DIAMETER ANCHOR BOLTS AT 9"0 C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS
I
d CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION r
321 EAST 5TH STREET PORT ANGELES WA 98362
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Application Number 05 00000996 Date 10/20/05
Application pin number 634364
Property Address 127 E 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 8682 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
THOMAS ST AMAND AIRFLOW HEATING
127 W 14TH ST 221 W CEDAR
PORT ANGELES WA 983627721 SEQUIM
SEQUIM WA 98382
(360) 683 3901
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc AIR FLO/ T STAT
Permit pin number 62166
Sub Contractor AIRFLOW HEATING
Permit Fee 36 40 Plan Check Fee 00
Issue Date 10/20/05 Valuation 0
Expiration Date 4/18/06
Qty Unit Charge Per Extension
1 00 36 4000 ECH EL LVT FIRST THERMOSTAT 36 40
Fee summary Charged Paid Credited Due
Permit Fee Total 36 40 36 40 00 00
Plan Check Total 00 00 00 00
Grand Total 36 40 36 40 00 00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 41711735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINWUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACC fB� coMM�TS
YES NO
DITCH
SERVICE
FINAL
GENERAL COMMENTS:
Pw-1102.15(oft]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 PAST STH Sl WWW. PORT ANGEM.WA 9$.362
Application Number . . . . 05-00000996 Date 11/15/05
Application pin number . . 634364
Property Address . . .. 127 E 14TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8682-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Owner Contractor
THOMAS ST AMAND AIRFLOW HEATING
127 W 14TH ST 221 W. CEDAR
PORT ANGELES WA 983627721 SEQUIM•
SEQUIM WA 98382
(360) 683-3901
----------------------------------------------------------------------------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc AIR FLO/ T-STAT
Permit pin number 62166
Sub Contractor AIRFLOW HEATING
Permit Fee 36.40 Plan Check Fee ; .00 .
Issue Date . . 10/20/05 Valuation . . .' . 0
Expiration Date . 4/18/06
Qty Unit Charge Per Extension
1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT -------36_40
=
---------------------------------- ----------------------------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc OLYMPIC EL/ FURNACE-HP
Permit pin number 64782
Sub Contractor OLYMPIC ELECTRIC
Permit .Fee 48,19 Plan :Check Fee
:t r •
.,I's$tilate
Expiration Date 5/14/06
Qty Unit Charge Per, Extension
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 48.10
Fee summary Charged - -Paid- - Credited - -Due
----------------- ---------- ----- ----
Permit Fee Total 84.50 84.50 00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 84.50 84.50 .00 .00 v
COMMENTS/ACTION NEEDED
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ELECTRICAL PERMIT INSPEMON-RECORD
CALL 4174733 FOR ELECTRICAL INSPECnONS. PLEASE PROVIDE A W MMUM 24 HOUR NOnM-ON VhUWFUL To 4CQYER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND A CCEPMIM
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE AGCEPI fa CONMCCRU
T+ps
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SERWCE
CENMA'I COMMBM :,
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4NCFA= CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362T�i (206} 457-0411 PERMIT NO.Adak CJ t 3
DATE—
ELECTRICAL PERMIT
Site Addre/ss: ,1 ❑ READY FOR El WILL CALL FOR
`2 rCi �4 N' INSPECTION INSPECTION
Installed By: License Number: Phone:CwOk
Ovv41bR- 3K-77 o7
Owner/Business: hone:
oM 5 r �iMal >D +;a-537
Owner/Business Address: Sq. Ft.
S jbw IAS
ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER
❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE
❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE
❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: lzolz*c
❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS
❑ SERVICE UPGRADE/REPAIR )4-1 ❑ 3
SERVICE SIZE -Z,00 AMPS
❑ TEMPORARY SERVICE FEEDER SIZE AMPS
Details/Description: 0+111rr.14a6 O11T -ro ZOOA% exE 4162
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
❑ Ditch Inspection O.K.
❑ Rough-in/cover O.K.
f.,O.K. to connect service
❑ Final O.K.
Site Address: Permit/Receipt No.
2-7 E . 14114 fit. 5137
Installer: / New Meters Date:
aM '�-T. QMauD Co�clrlER� (0-13 9�
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered
before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Q Som V
W
Electrical Inspector Permit Fee
WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPIC PRINTERS INC.
�OF VONT 44,C
' ��� CITY OF PORT ANGELES p
LIGHT DEPARTMENT PERMIT NO. ��a6
c,TOt
ELECTRICAL PERMIT DATE o2/y(n —
Site Address: _ X"EADYFOR ❑ WILL CALL FOR
�', �'" `INSPECTION INSPECTION
Installed By: / (� License Number: Phone:
Owner/Business: ( Phone:
SS
Owner/Business Address: Sq. Ft.
❑ Residential ❑ New Construction ❑ Overhead
Heat KW ❑ Remodel ❑ Underground
❑ Baseboard ❑ Furnace/BoilerService update/alter/repair Voltage
❑ Heatpump ❑ Other ❑ 10 ❑ 3Z
❑ Commercial/Industrial load ❑ Add/alter circuits Service size Amps
Total Connected load ❑ Auxiliary power ❑ Temporary
(attach breakdown) (list below)
Total Motor load ❑ Special equipment
(attach breakdown) (list below)
Details/Description:
BVI �
W.S. No. Service Size D ate Hold for: ❑ Easement ❑ Letter
Capacity: ❑ O.K. ❑ Not O.K. Comments
❑ Ditch inspection O.K. ❑ Signed up for service/meter
❑ Rough-in/cover O.K. ❑ Meter Department notified for installation
O.K. to connect service ❑ Fire Department notified of inspection
Final O.K. E) Plan Review approved/pending
Site Address: m.p Tp_ Permit/Receipt N.00..
a0
Installer: New MetersDate:
e 8?
Notify the D artment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the In�r in Writing on the Wiring Report or the Building Permit. PHONE 457.04 EXT. 158 or EXT.224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Inspector Amount paid
WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall
Wr
ELECTRICAL WORK PERMITAPPLICATION
Installation description
Job wired by electrical Contractor ❑Owner ❑ Commercial "Residential
Electrical contractor n License number Date Expires
.-77� �� ,U .9j7,f� Or/ El New ,UAltered/Addition
Purchaser's mailing address haO / t
d. ee ��� _' 67H9ilOSt7vT
City State ZIP
/� Gt/e- 41362- GUS 70j-u-
Telephone number FAX number
"Premises�wers pjne61
���
Address of inspecttiioolnn
/a2 a' l
city Q�
Phone number to sche Ie inspe tion:
S_a - �
Owner as defined by RCW.19.28261:(l) 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. ❑ Cash ❑ Check#
After reading the above statement, 1 hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal- ❑Credit Card Visa Mastercard Discover
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card# - -
---_-- --_—
Utility Specifications
Signature of rner ecticai ontr for or electrical administrator Expiration Date
Inspection f e �o
X Date:S --e� ofcard $ yw_
Electrical L d Additions and or subtractions Service Information
❑ NO LOAD CHANGES
❑ Baseboard _KW Voltage
❑ Furnace _KW ❑ Overhead Service Phase❑ 1 ❑ 3
❑ Heat Pump _Ton_LAR O Temp Service Service Size:
❑ Fan-Wall _KW ❑ Underground Service Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
IN THERMOSTAT SERVICE
E15;
Approved By Da, Approved By Dam ADprrovd By
DITCH FEEDER
Approved By Dare Approved ny Dmc Approved 9y
Inspection Area,Ruildin or E ui areal Ins ected Electrical
Date S 9 P P Action Taken Inspector
A
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ,
INSPWnON TYPE DATE ACCEPTED COMMENTS
yES NO
DITCH
SERVICE
FINAL
GENERAL COMMENTS:
Pw•1102.13141
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ELECTRICALWORKPERNUTAPPLICATION' ;
Installation description /
Job wired by lectrical Contractor 0 Owner acommercial ;� Residential
Fleet ' I contractor n e Llccnae number Date Expires 0 New Q Altered/Addition
Punch milling address ��,f ✓a7 �c.%/t GG
City AA-
State ZIP
Telephone number FAX number
Y5?-5;0
Premises owner's nam0�r�
Address or inspectionZ G A/r�f ,Q
City
Phone number to schedU19 inspection:
7
Owner as defined by RCWl9.28.16/:(1) Owner will occupy the structure for two -
years after chis electrical permir is finol(zed. (I) Owner is required to hire an electrical
contractor if above said property is for sale, rent or ldare. 0 Cash Q Check#
After reading the above slatement, 1 hcrebv certify that I ant the owner of the above Mastercard D15COveI
named property or A licensed electrical contractur. I am making the electrical instal- Credit Card Visa
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Card# —---
Utility Specifications.
Signatu of own r. el trice! contractor or electrical administrator Expiration Dalc Inspection I"ec
Date: �r 3 °S of card $ x{8.(0
X ntvice Informal on
t "ti r tr ns S
U NO LOAD CHANGES Voltage. ?—YZ
Q Baseboard _KW _ Pnase 1 O 3 y'
❑ Overhead Service Q`
1,3 Furnace .(Q KW 3'0 N Q Temp Service Service Size:
Q Heat Pump, "on LAR - /i
0 Fan-Wall _KW 0 Underground Service Feeder Size:
SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 b
ROUGH-IN E�5;
TAT SERVICE
Dom Approved aY AYProvsd Y Dace APFmvcd ay
FINAL FEEDER
/ Du ,u Ain,revLd 9r Dam Apuawv d 9,
Electrical
Inspection Arca,Building or Equipment Inspected Action Taken Inspector
Datc
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TO 39Cd OIdiO3-13 OIdWA-10 86b£Z91709£ LT :80 9002/L0/TT
10/07/05 FRI 13:42 FAX 360 683 3971 AIR FLO HEATING CL7J 00)1.
Oat QA„
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ELECTRICAL PERMIT APPLICATION �� CIAtVSEOHLY
Dnf Appy —�
W.I.Are the Electrical Pemlll Appliratbn must be filled out omoleleN
Please type or reprint in Ink. If you have any questions.Please call(366)417-
4735
Fax number:(360)417-4711
REQUEST INSPECTION ❑
Owner or Eiec.Contractor Agent Phone- Fax:
, Property Owner: Tom St. Anand 452-5374
Address: 127 E. 14th Street Port Angeles Phone:
98362
City:
Zip:�
Electrical Conhaclor. A" 1,`101eatln
B License REhyCpagC$Rp: Phone 681-3901
Address: 1 W pdar
cry:_ Sequim auim Zip: 9838_ 2 —
INSTALLATION WIRED BY: DOWNER ❑ELECTRICAL CONTRACTOR
Credit Card Holder Name, Air Flo H arine
Billing Address: 991 W. t'erlar City. Seguin zip. 98382
Credit Card Number_ File Exp. Date: VISA
MCc
PROJECT ADDRESS, 127 E. 14th Street Part Angeles, WA 98362
TYPE OF WORK Check a I that apply: O New 'Alteration/Addition
rResidential ❑Multi-family ❑ Commercial ❑ Mobile Home Sq. Ft
Remote Meter ❑ Detached garage O Hot Tub ❑ Swim Pool O Septic Pump Low Voltage O Telecom, ❑s,
Number of Circuits added or altered: -
DESCRIPTION OF THE ELECTRICAL PROJECT: `11�tAsyv>7 f 1. 11
Electrical Heat Load Additions PERMIT FEE: � . 17 Service Information
❑Baseboard _ KW
Furn
O Heat Pu Phase: O 1 ❑ 3
KW O Overhead Service Voltage:
64 Heal Pump TON LRA O Temp Service Service Size:
O Fan-Wall —KW ❑Underground Service Feeder Size:
/hereby certify that l have read and examined this application and know that same fo be true and correct and/a
authorized to apply for this permit. /understand it is not the City's legal responsibility to determine what permits
are required, it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature. a—
bate
Owner or Elec. Cont. Signature:
C:/ELECTRICALPERMITAPPLICA TION Date:
/��>0/0 s
11/21/05 MON 15:18 FAX 360 683 3971 AIR FLO HEATING Z001
221W. Cedar Sequim,WA 98382
(360)683-3901
(360)683-3971 (Fax) '
Fax
To: City of P.A. From: Sandy Tapia
Fax: Pages: 1
Phone: nate: 11/21/05
Re: Ready for inspection cc:
❑Urgent ❑ For Review ❑ Please Comment ❑Please Reply ❑Please Recycle
COMAENTS: Aemlr- � 0�, el?
The following jobs are ready for inspection:
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