HomeMy WebLinkAbout823 E 6th St - BuildingApplication desc
200 amp service Raise mast
Owner
GOUIN DANIEL L
823 E 6TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 119 9000 ECH EL 0 200 SRV FEEDER
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983626403
187096
119 90
6/07/11
12/04/11
119 90
00
119 90
Signature of owner or Electrical Contractor X
G \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
11 00000564
082296
823 E 6TH ST
06 30 00 0 1 9480 0000
ELECTRICAL ONLY
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
Paid Credited
119 90 00
00 00
119 90 00
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Date 6/07/11
RESULTS
WA 98363
00
0
Extension
119 90
Due
00
00
00
INSPECTOR.
Ay
6 1 71 ri cM? `Nrki
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections JUN 7 2011
.321 East Ix Street —P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 4174711 ELECTRICAL
INSPECTIONS
RECEIVED ec
Date: �4 6
i xL1 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition I Alteration Remodel Repair'
Plan Review May Be Required, Please CompleteEl ectrical Plan Review information Sheet
Job Address: 5
Building Square Footage:
Description of above
Owner Infoxmation
Name: QM O l t
Mailing s .x
City: tate:.14,2 Zip: sji2.
Phone: a Fan:
Li cense is 1 Exp
tf5.2 q�O6
Item
SeMce/Feeder 200 Amp.
SeMce/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 ZOO 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 First 1500 sF— Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 18, 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CO$S RUCTION ONLY:
First 1300 Square Ft
Each Additional 500 Square FL or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge gty
$119.90
$145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
$110.30
148.70
$167.90
95.90
8820
95.90
Contractor fo all
Name:
Mailin gAd
Phone:
License it 1 Exp
63.90
63,90
$119.90
'$102.30
56.00
NIA a L
G
erf7. State: t Zip:
Total (Qty MuWi riled by Unit Charge!
q ::ZlW
$110.30
35.20
73.50
.$110.30
1. otai
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. Permit 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 con( actor I am making
the electrical installation or alteration In compliance with the electrical laws, N.E,C. RCW Chapter 19.28, WAC Chapter 296 -4E B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sig of owner, electrical i ntractor or electrical administrator
Dared:
Cash D Check
Credit Card
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Upsize water meter 5/8 to 3/4 for fire sprinkler
Owner
GOUIN DANIEL L
823 E 6TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 983626403
Per
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00001566
027856
823 E 6TH ST
06 30 00 0 1 9480 0000
PUBLIC WORKS UTILITES
RS7 RESDNTL SINGLE FAMILY
0
BASE FEE
Contractor
OWNER
PUBLIC WORKS RES WATER SERV
UPSIZE 5/8 TO 3/4 DROP IN
139568
230 00
12/29/08
6/27/09
Plan Check Fee
Valuation
Special Notes and Comments
Up size water meter from 5/8 to 3/4 previously approved
fire sprinkler system 3/4 meter should have been
installed
Charged Paid Credited
230 00 230 00 00
00 00 00
230 00 230 00 00
Date 12/29/08
Due
00
0
Extension
230 00
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 as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T' \Policies\ 1 102 15 10 /08)
CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND 4 CCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
INSPECTION TYPE
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
I
T ∎Policies' 1102 1 [10/08]
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE ACCEPTED
YES NO
I
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
I I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
d pORT ~Q
~...~":~
~,.~
L~
~
~"'~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
LaseTer!
CEO -
07-00000035 Date
350480
823 E 6TH ST
06-30-00-0-1-9480-0000-
MECHANICAL APPL. PERMIT
1/16/07
Applicatlon Number
Appllcation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appllcatlon type descrlptlon
Subdlvlslon Name
Property Use
Property Zoning . . .
Applicatlon valuation
RS7 RESDNTL SINGLE FAMILY
14042
Owner
Contractor
GOUIN DANIEL L
823 E 6TH ST
PQRT ANGELES
'10?--1 ~ 6/
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
WA 983626403
Permlt . . . . .
Addltional desc .
Pr,rmit pin number
P'~rmit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
93336
64.70 Plan Check Fee
1/16/07 Valuatlon
7/15/07
Qty Unlt Charge Per
Extenslon
50.00
14.70
BASE FEE
1 00 14.7000 ECH ME- INSTALL 100- FAU
Fee summary Charged Pald Credi ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64 70 64.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.70 64.70 .00 .00
(
.00
o
~
~..;;7
Oy /~ /f
~cr
~.
~
G
-......j
,
'0'
~
~
~
n,
~
~
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume 0 give authority to Violate or cancel the provisions of any state or local law regulating construction or the performance of
constru on.
Signature of Owner (If owner is builder)
Date
"
BUll.DING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, 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
I
YES NO
FOUNDA nON
FOOTINGS I
SHEAR WALLS 1 WALLS I
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CElLING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN I
HEAT PUW 1 FURNACE 1 DUCTS
GAS LINE FINAL DATE ACCEPTED BY.
WOOD STOVE 1 PELLET 1 CHlMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMlT#'s SEPA.
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTlONR W IPWI CONSTRUCTION - R W.
ENGINEERING 417-4807 r. PW 1 ENGINEERING
FIRE 4J7-4653 I FIRE DEPT
PLANNING DEPT 417-4750 1 ! PLANNING DEPT.
BUILDING 417-4815 CY'" ID3/07 '-/ ! BUILDING
T \Po!Jcles\1102 15 bUlldm ' emll! inS ectJon record05.w d 1/4/2005 -::7 \
gp
p
p [
PREPARED 4/03/07, 8 26 57
CITY OF PORT ANGELES
PAGE
DATE
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
823 E 6TH ST
ALL WEATHER HTG & COOLING INC
GOUIN DANIEL L
06-30-00-0-1-9480-0000-
07-00000035 MECHANICAL APPL PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01
2/16/07
2/16/07
MECHANICAL FINAL
02/08/2007 03:04 PM
TOM 452 - 9813
02/16/2007 03 33 PM
no answer at door/]ll
03/02/2007 08 46 AM
MECHANICAL FINAL
04/02/2007 04 54 PM
DAN 452 - 9661
OWNER REQUESTING VERY
FAULTS AND INSTALLERS
JLL
DA
ME99 02
-fi-
JLL
A/J
V-
6
4/03/07
SUBDIV
PHONE
PHONE
(360) 452-9813
PERMITS
JLIERLY
AOMAN ------------------------------
PERMITS
-------------------------------------- COMMENTS AND NOTES --------------------------------------
RIGID INSPECTION,HAS FOUND NUMEROUS
ARE UPSET WITH CALL BACKS
hA#/rZ-
Laserea
CEO
PREPARED 2/16/07, 9 32 27
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
2/16/07
-----------------------------------------------------------------,------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
823 E 6TH ST
ALL WEATHER HTG & COOLING INC
GOUIN DANIEL L
06-30-00-0-1-9480-0000-
07-00000035 MECHANICAL APPL PERMIT
SUBDIV
PHONE
PHONE
(360) 452-9813
PERMIT: ME 00 MECHlINICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
I-asered
CEO
ME99 01
2/16/07 ~~
-------------------------------------- COMMENTS AND NOTES --------------------------------------
MECHANICAL FINAL
02/08/2007 03 04 PM PERMITS
TOM 452-9813
do
~
Jlc
04/13/2005 01:18
13504525177
ALL WEATHER HEATING
PAGE 01/01
LaserwJ
CEO -
BUILDING PERMiT.. APPLICATION
FOR OFFICIAL USE ONL V
Date Rec.: /- I (, - 0 7
f'cn:llitii. ~7 '" "?r
Dnte f.J.lpltwcd
DlItc ls~ucd:
Fill out COM:PLETELY and ill INK.. Your ~pplicatioJl and sit~ pla~ MUST BE
COMrt.ETE to be acccpted for rc~7jew. If you h:wc any questlOn$, call
:PERlV!ITS (360) 417-48J.5 FAX(360)417-4711
Applicant or Agent:' A \ \ \Jeo.~o~ ~"--b'C/ Gn1t?"' -"" , PhODc: ---3{.,!1 -~S ~ 91'\ , '3
Owner: D&r'\ 0(\(,,-~1'\ Phone. (~G2.o-LfS"~-'16::(o.\
Address: ~d-~ ~ ~~ City: 9~("~ P\f\..~3 Zip: q~61,,'1-
ArcbrtectlEttg;neer.' Ai;: Phone:
CrmJr.ctor A\\ \.\-",*",I : '''Cl State Lic~e #:~C -\ Sa\(,\! fu:P:~ Phone' y rIl-'f.')J.- '1l1J3
Address .'Y),7 ~, i C).ty.J>if.\- ~' ZIp <18:?i9Q..
PRO.mCT ADDRESS:T ~) G' (o~ [~~~l~ ZONmG:
LEGAL DESCRIPTION. Lot Block: Subclivlsion:
CLALLAM COUNTY P MeEL NUMBER:
TI'PE OF WORK: SIZEIV ALUATION:
~ Residelltial C1 New CODStr. CJ Re-roof 0 Stove SF. @'$ /SF. = $
D Mulu-fa1Di.1:\' C1 AddItion CI MoveD Garage SF @ $ /SF. = $
o Commofciai e Remodel 0 Domolitio.T.l 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOTAL VALUATIOlj L $ ~ /")4 -:1.~)
:BRmJ1' DESCRIPTION OF TmL :PROJECT: '-:::'[:(\,s+-n tea +r?5'r') 6(- ~+ 'b1 ~
COMMERCIAJ.../RESIDENTIAJ...: OcCtlpancy Group:
No. of Stories: _ Lot Size: Existing Sq. Ft.
Total1ot coverage %
Occupant Load:
& Proposed Sq. Pt.
Construction Type'
= TOTAL Sq. Pt.
PLANNING USE ONLY:
APPROVAl,S:
PLAN:
BLDG:
DPWU:
FmE:
OTE:ER:_
ESAlWo1l.and(a): eYes t:lNo SEPACheclclist,.equlj'ed? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cascs, 1\ valuation amolmt must be entered by the applicant.
This figure will be reviewed end may be revised by the Building DIvision to comply with CU1;rent fee sohedules. Contact the Permit
Coordinator OIl 417 -4815 for asslStance.
PLAN CHECK FEE: IF ~ plan check fee is du~:it 1JJn~t be ~DJitted at the ti:me the building pe:t!Idt applioa:tion and CO:t.lStntctioD plans aTe
!:ubmitted. All other pCtnlJ.t fees are due at tJ;m trmc of pcmn11.~SUmoc.
EXPIRATION OF PLAN REVIEW: If no permit is lssu~d wita.ir.t 180 daJ'~ of tbe da~ of appli.cation, the applicatiou ",'ill expire. The
Buildblg Offioial oan extend the time for aetion by the apphcant up to 180 day~ UpOIl Wl"1tten request by thc applicant (see Section
RI05.3.2 of the lntemational BuiJdingIRcsidential Code, 2003). No application ean be extended more tbZl!l once.
I hereby certify that J have reaci and examined this application and know ihe Se'ime to be true and correct. J am authorized to
apply forthJs permit and understand that it,is my responsibiltty to detelmine what permits are requ; d ,not fhe-City's, and that I
must obtain such permits prior 1'0 work
Date:
T:\F01'..MSIBldgPcrmitform.wpO Applic
d''''''~.
Jti~~
DI
~~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
12\ EAST 5TH STREET. PORT ANGELES. WA 98J62
App~lca~lon Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type descr~ptlon
Subdivision Name
Property Use
Property Zoning .
Applicatlon valuatlon
07-00000035 Date
350480
823 E 6TH ST
06-30-00-0-1-9480-0000-
MECHANICAL APPL PERMIT
1/24/07
RS7 RESDNTL SINGLE FAMILY
14042
Owner
Contractor
GOUIN DANIEL L
823 E 6TH ST
PORT ANGELES
WA 983626403
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Permit
Additional desc
Permit pin number
Sub Contractor
Permlt Fee
Issue Date
Explration Date
ELECTRICAL ALTER RESIDENTIAL
SIMPSONI HP FURN 200A PNL
93609
SIMPSON ELECTRIC
64 00 Plan Check Fee
1/24/07 Valuatlon
7/23/07
00
o
Qty
1 00
00
Unit Charge Per
64 0000 ECH EL-R OR RM 0-200 ALT SRV FDR
46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
64 00
00
~
~
~
Fee summary Charged Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 64 00 64 00 00 00
plan Check Total 00 00 00 00
Grand Total 64 00 64 00 00 .00
\1\
~
\~
~
~
COMMENTS/ACTION NEEDED
~
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS I
1 YES 1 NO
I JIll :H
IH II J( iH-IN I COVER
~~K YICh
1/...,,., ()7,1 ~I ./1
,
GENERAL COMMENTS:
PW-II02 1'14'961
~'
, J
'F)
ELECTRICAL PERMIT
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. 2-1 45
DATE 4- 2.5 - 8"!
Site Address; 8"2:> <,;21 XTH ~T. D READY FOR u WILL CALL FOR
E. INSPECTION INSPECTION
Installed By: WAN 60UII-..! I License NU~. Phone:
4'>2-- "J ~ 4>1
-
Owner/Busi n~k~: :'G,Y GOUIN Phone:
..,40
Owner/Business Address: Sq. F;:::D/55Z"'-q,
~ Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
)& Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai I slDescri ptl on:
ON S i? r2.L-( e R.. .J. IN AS I-t eE:.
I
o Overhead
o Underground
Voltage rW /V/O
,kl10 03.0
Service size -z.XJD
o Temporary
Amps
Size
Comments
Date
Hold for; 0 Easement 0 Letter
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ough.in/cover O.K.
o O.K. to connect service
o Final O.K.
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
\
Z3 E:. S,)(.TH ST.
Installer:
DA-/J GOLt 'f.{
Permit/Receipt No.
Z. I 45"
New Meters Date:
4-25-80;
Notify the Department 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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I 00 ~rY\C
j:"'-''-' (0 - --
J lnspeltor Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
I
'-............/
OlYMPIC PRINTERS. INC.
/(.,3;:;'"
FEE RECEIPT NUMBER
CITy OF PORT ANGELES
DEPARTIVh.._",c: lIGHT
APPLICATION AND ELECTRICIR t't:nM'T
A
1/9/
PERMIT NUMBER
,
TOTAL FEE )DC?:52 /~'J.
CONT.lIe. NO. TIMETQCOMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY
~ 2-j t. 0 rz..
CORRECT ADDRESS 1$ RESPONSIBILITY OF APPLICANT
Go U I1J
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner's Address
PERMITS WITH WRONG ADDR7E~CEllED
Installation By ~ F c. \ EA...,v",l (L
Installers Address
Owner
])~
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
MOlli Mem.L
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
50 VOLTS
LIGHT OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRVER REINSTALLATION LIGHT FIXTURE #
FURNACE sua TOTAL FEE
GAS - Oil ENERGY Ftc
FURNACE BASIC FEE
ELECTRIC
ELECTRIC HEAT TOTAL FEE
ELECTRIC HEAT SIZE OF SERVIC1; SWITCH OR CIRCUIT BREAKER
A.C. UNIT ~MP PHASE
FEEDER I 'IZE OF SERVIGt ENTRANCE CONDUCTORS
\ SERVICE I \ AWG.
I SUB-TOTAL SIZi:.OF GROUNI SI2E DF ENTRANCE SWITCH
, -
er this permIt will be done by the tn~ller antin
.
Date Application made
c NTRACTOR OR OW
" 'b e described work, according to the Cr'ldit~f1~ NEA (OR AUTHORJ,ZED AGENT)
Permission is h~r~by given to do ~Jhe ~ t o~omPliance with the Ordinances of t~ C;t)'~.l~re~~ and according to the approved plans and
specifications pertaining thereto, su ec 0 \ '0 or ngeles.
RE R OF CITY LIGHT
(. (;30 It 7 ~~ANS APPROVED
Date Permit Issued
. L' ht by Street Address and paiN
Notify Department of City Ig ins ectian and C,\<.: umt.er when read f' ,
be covered or current turnde~ o~ ~::~~rs ptone: 457.()411 EfaDvering or servicl h~~ ~speC~lon, Work must not
Writing on PermIt Placar. ' 1 . een gIven by Inspector in
PERMIT PLACARD MUST BE KEPT POSTED ON THE WO, SEE OVER _
PINK. Triplicate WHITE (
WHITE. Original CANARY. Duplicate lspecto,'S Report
,19_By
WARNING
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DATEOF~
ELECTR1CAlINSPECTlON
WIRING REPORT
457-0411 Ext. 158
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APPROVED NOT AP~ROVED
o ................... DITCH ...........,.,..,.. 0
o .............. ROUGH IN/COVER. .. .. .. .. ..... 0
o ..,.,.,.........,. SERVICE ..,.,.,..........,.8::"
o ..,...,.....,..".,. FINAL. . , . , . , . , . . . , . , . . . " 0
CORRECTIONS NEEDED:
(I) ~."I.r/J G.o".j /.",,1.."'-:41 "'C~
k~~(13DrJJ --k bY.~iM. Cv<rnJ
C~ S'-1flJaf- ~tA/rJl !?'rid Mrrsf !
EMf c.ud.~. WDod ~.f. ~;'-s::M,
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FE~%.~NU(.A
CIT~ OF PORT ANGELES
'DEPARTMENT OF LIGHT
.APPLlCATION AND ELECTRICAL PERMIT
A
000420
PERMIT NUMBER
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TOTAL FEE -
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address 8')... ~ ~ (()&c,J-
^ . CORA CT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner {lfllt1l-P[ &-oC(('r, . Installation By -l\','l,;ar 6-ol.{..l~
Owner's Address \11-3 ~ f. i!Je-)t- Installers Address "i"", p
Day Phone 4-<)'1- 'I C;" ( Installers Phone ~ " ""'-,0
Application is hereby mad~ for Permit to install EI~ctrical Equipment as follows:
......Ol,..(/I'\.PIt.
PrP"- <#-
Wiring Method ~"/\1 (-:t'
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA '0 ' 00R FEE USE OF CIRCUIT CIRCUITS PEA '0 100R FEE
CIA 30 CIA 30
LIGHT I SIGN
LIGHT" It. oe 50 VOLTS
OR LESS
CONVENIENCE I / MOTOR
CONVENIENCE MOTOR -
APPLIANCE MOTOR
DISHWASHER FIAE ALAAMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER - I REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC' BASIC FEE
ELECTRIC HEAT If, ~
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL / I. (J~ 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 conformance with the N.E.C. Electrical Code.
DateApplication made fJIr.;-.J 111 ~ '( -J--~ ,19 gc;- By () "/V1^;4 /;~
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 Angeles. . ~.. . . '.' . ..... \~
BY' ~1 ~ -' / 7~ OF ~ITJ~~HT " ; .\\
Date Permit Issued ~ ~
PLANS PROVED
r "1 r f) Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
. -,r- - be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
I Writing on Permit Placard. A.. Permits Phone: 457.0411 Ex!. 158.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD -lnspector's,Report
OLYMPIC~RINTERS, I~C.
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REPORT OF INSPECTOR
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DATEOFVISIT MADE BY REMARKS
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O.K. FOR COVERING
(i: J.. 't - '7.,- ~/l, O.K. TO CONNECT SERVICE
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FINAL O.K.
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01/17/2007 19:51 4579270
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SIMPSON ELECTRIC
PAGE B1
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ELECTRICAL WORK PERMIT APPLICATIQ\'1
~ d.-e.-
Job wired by }BlElectrlca. Contractor (J Owner
Rl~n~Brc;,a7;l~/'c S?~~fI:..L flf#ZtJircs
PlIrchas:cr"R mltilillg <Ldu:rcs:j,..JJrA ) 0 J W
JZ.'f3 03(,1 I ;L
City ftndlJrvj.efe5 ~A-?IP 1136..3
lf1s~ll\lt;on description
o Commercial ~e"identfaJ
aNew )iAAtteredl Addtfinn
Telephone., 9um,bcr C; 7
-;-5"7--/ :J- 0
FA~.
LA.-o F ~i, +0
T I, II.
20-0 ~ i- f'J-fl"I,..L L~
h.A.A71A-r tr. . / /~ 4..~< A'
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Prcmiull nwner":c>fl../V GOl.<..I'N
c. 1D-t.6.
PORt- ~~ l>>Jt-
Addre~~ nr Inspec,~.3
City
.,- .
Phone number tn lIchech
L.f-S ~-
inspeClion:
b I
()wne1' as defhlct/ b}' RCW.19.18.1fil:(l) Owllr!r will occupy Ihr. m"llcllIrcfor Iwo
yeon; afll!r Ihi~ t!.lecrrir./J1 {Xf1IIj( iJ ji"oUzed. (2) OWI'lr.r Lt rCfJuirl'd 10 hjr~ (HI electrical.
Cf,"'r(Jctor if abm,f! .void prnp(!n.v is JUI- sale, n::rrr nr'[c.ate.
Aflcr rending the above ~t:ltcmctlt, T hereby certify that I am the (lW-l1cr of (he llbove
flamed propcrcy or ~ licensed clecmc:\l contr:'lctor. I am mllk.ing the electric:\! il1!)\iI'~
li1tion or alteration in comr1innee with the electTical ltlw'!:. N.E.C.. RCW. Chaptcr
19.28. WAC. Chapter 296.46'9. The City of' Port Angeles Ml.lflici'Po1 Codc. and
Utility Spcciliculion!l.
SI~nAture
Date: l- J 8 en
o Cash (J Cbeck #
o Credit Card c5i';;;) M!'stcTcard Discover
Card# __~~____-____
Expiratio Date
of ca ;;"
x
trSl:tor nF I!lectric~1 adminis:tr:ltor
Sle_"'t~le.al Load Addlllons_a,~d or btr.clion"
o NO LOAD CHANGES
o Baseboard KW
WFumace In KW
ilH'feat Pump ..3- Ton _ LAR
o Fan.Wal1 KW
Service InfQr.maJlon
[J Overhead ServIce
CJ Temp Serviee
a Underground Service
Voltage
Phase 0 1 03
Se"'ice Size: dM ~
Feeder Slze~ U
SAME DAY INSPECTION, CALl, BEFORE 7:00 AM 3611-417-4735
/ ROUGH-IN ,.- THERMOSTAT / SERWCE
, 1~;,I2 -07 ~
\. D"lc A.I'I''''.....n1 By nnlr. ^pI'ro"ed Ijy \. nMf. ^PJmlvcd~y~
,.- / FEEDER
FINAL DITCH
/-~;J.-{)1 ..JuO
"- Uale Apl"fnvCilI'l) Ontc "llr>'1.'vo:d By I)Me ^I'OfOYlldDy,./
ln~pcctjon Area. B\li1ding or Equipment Inspected Action Tuken Electrical
Datc rnspector
/-'2.2. -0'1 err! WILL IAP~Pii al/. ~ C."q,.,a"iC 7'D :6 "'x - ", B/Sri,;"- toot ....J .Ai=' U.L
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