HomeMy WebLinkAbout727 W 5th St - Building
0/.... ~
~' .~...,' PUBLIC WORKS CONSTRUCTION
- . and RIGHT-OF-WAY PERMITS
~ City Phone: 206-457-0411, ext. 124
.,dUCANT/o.WNER: k, ~A-n 'j .s... ADDRESS o.F JOB: 7 z- { vJ S-t.b.
APPUCANT ADDRESS:JtJh", py:Y"'@_ PHONE 2-2.:2.-1 \p LEGAL o.F Jo.B: LT 14 61 K qq TJ:-A-
WORK IS 0 o.UTSIDE or 0 INSIDE OF TRAVELED ROAD VALUE OF WORK 15:$ (If work is outside roadway
aod is equal to or less than $2.000, thoo permit may be issued to other than licensed and bonded contractor.)
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PERMIT
544d-...
PLANS REQUIRED 0 YES 0 NO. CONTRACTOR: DATES Fo.R START & FINISH
PERFORMANCE BOND REQUIRED D YES D NO. AMo.UNT: $
PROOF OF INSURANCE: 0 Work $2,000 or leSs: $50.000 personal injury, $100,000 per incident, $20,000 property
[J Work over $2,000: $200,000 personal injury, $500,000 per incidoot, Sloo,ooo property
[J Right of Way Use: S3oo,OOO personal injury, $300,000 per incident, $100,000 property
Pcrmitteo UIldentaIIda that DO ._ may be closed to traffic lIII!eaa approved by tho City Enginoer and Chief of Police in adVlllal of the
closure; that there is a 24 hour minimum notice prior to inspection, and to call 48 hours before digging to: 1-800-424-5555,
II .. . ~.. .,....fII........ _............ __ _~.... "".......... .,11I..... ....,..IIIld....................... "-.........,. ~
tor..,...... - .......ID,.......,.....,., ......_ --....,......... 01.... __....... __ U. laIN t1/ Ibit .aUc:m m1 chi $lttl'llil Of p"nniUI....1III7 bI p.-t.,-ca-
_..;011...............-;....._...._ I /ll, A (Cl ( A
t;. , l A /0 v11'S DATE: <:r.l ~:L:J.. 7"-
Sipd:
1TrI! ." "i FiE awD TY1'E FEE .O^'D 'AID II
,AID
lJOK1' Of WAY EXCAY. "'''' ...... 40- ~..!.EWEJl (Sf") (6' 10 Pil... 6'".' ...... v 30 f2Vl
...",. IAN.1EWEIt tun'. l~... ....110
olSIllIJrmt SIZS.co SAN SEWEK IUFR'. "00. UNIT ".110
_AY 112:1.00 IAN lEWD. OTHD.S . ....-11'.0:1: =~.cms..._
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~ CULyur .. """ ~L?..;'.,)'Tc.w"O '12.S.D:Io'SXICI.co
ST1EEI' CUT . ____ 121I'" V "l-tJ()' lEWD C>>fWATEll METER sns.m
"""",VAL
0T1Ia IJCiHT 0' WAY WOIK """ ALT'ERATIONI ""'"
aEPAra TO SEW'D
FlU NYDOANT OEl'O$lT STORM DRA[Jrf TAP '113.00
aD. WAT'D 1D'YIC21- X ,..... ""'''' ,/ ~/)glL CATCH BASINS IN LOTS PEl EACH ....110
m. 'WATI!I. rEaVICE I- X ]14- "".110 , 1"_, d~ ~i
m.WATT:fI 'Y" -'" SEWER SYI. nEV. l"UAAGE
COWM. WAT'ElID.VICE 1""II,GllO MD.WAUKU DR. lEWD ASSESS. SIx.m /EWW
~\t:-J~
"'ATn 1EJlYK.'H. 0T1IEk EmMAT1! llOlfT OF WAY USE PERMm VAJJES U. 1100
WAT'D SYS. DEV. CHAJ.OE ~_,~wr .- 1f83 ~ TOTAU I l~
TbiI--.r- ..... .... --- ...... .. ......... ........., _ 1M -' dMcriW .. ..:I b 1m """'*'.... . ... ~ Eadro,.mat...... ~ to U. ..~ of IN .~ ....... ill _ ~
~O:-MiNTSiC;;DCZTio'NS;--"~ c:..... N,.-. Jl'-naiaW........u.,...... to -mdIo _....-_ 01....., IppUailMl Yo... 01 W Co,.. c_.. S~.. 00' F-":P~5 ~
a InstaII [J Repair
awstennaiD
[J Saaitary Sewor
[J Storm Drain
[J UadergrouDd Tc1ephouolEloctricsl
~TOTALS $?,*,5~O RECEIPT
# / qc:j3
ISSUED BY\ !l~
DATE:
INSPECTIo.N FEES $
WORK ORDER No,
lro41TJ
INSPECroR'S copy. WIlII'E APPLICANTS copy. PINK OFFICE COPY . CANARY p~
PW-G209.03 (1V931
~
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
{j..J '
ELECTRICAL PERMIT
S+f1
~~
/ j/; - d1il(l!
;?
. .- /.
PERMIT NO. .3 S '
DATE .5//3 /i (,~
Installed By:
:;17
of
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
/(,'
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
~ FAN/WALL KW ~
1f!I RESIDENTIAL
o COMMERCIAL
1)'l NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
~ RISER
o OVERHEAD SERVICE
ffl UNDERGROUND SERVICE
VOLTAGE: /2-0&</D
l:19\ D3~
SERVICE SIZE .;x;o
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
fJ'Ll-lr- i'\-t9-<.Ld...L
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
I dU\ ~,Rough-in/cover O.K.
~ m O.K. to connect service
~-(:J Final O.K.
Installer:
~:)7
01
Cu.
s+'~
~C>
New Meters
--
Site Address:
,
.
Notify Port Ange s 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.
'~IQ..1'V\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 11 $0
Electrical Inspector
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
ELECTRICAL PERMIT
111
o READY FOR
INSPECTION
License Number:
ILL CALL FOR
INSPECTION
Phone:
Owner/Business:
I nstalled By: ,po.
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW ~
o FURNACE KW ~
o HEAT PUMP KW
o FAN/WALL KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~EMPORARY SERVICE
Details/Description:
$A'~1 ~h,,/ /,t) /1/1/
// /:3/C;S~
/
PERMIT NO. 5 ~ /:3
///:1 /"lS-
/ .
DATE
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
01111 03111
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
Installer:
Permit/Receipt No.
b..
.
Notify Port Ange es City Light by Street Addre and Permit Numberwhen 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 Per '. PHONE 457-0411, EXT. 224.
~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
;36,DO
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall