HomeMy WebLinkAbout230 W 6th St - Building Electrical Permit
230 W 6`h St
12- 1520
ELECTRICAL PERMIT '` {
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 12-00001520 Date 11/20/12
Application pin number . . . 288640 (�f
Property Address . . . . 230 W 6TH ST REPORT SALES TAX ��JJ
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6435-0000- on your excise tax form
Application type description ELECTRICAL ONLY .
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 circuit ductless heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ALLEN WILLIAM GUSTAFSON EXTRA MILE TECH & ELECT., LLC
226 W 6TH ST 418 N. RACE ST.
PORT ANGELES WA 983626009 PORT ANGELES WA 98362 `
(360) 452-9030 (360) 457-0198W'��
-------- - --- - - --------------- --------- - ---- ------- `/
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 11/20/12 Valuation 0
Expiration Date 5/19/13
Qty Unit Charge Per Extension \ ,
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 �J
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total 00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN Il ZI 1�
FINAL 0 Z I
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:_
G:\EXCHANGE\BUILDING
CITY OF PORT ANGELES PERMIT APPLIcATI®Pd i'��J-)
-
Building .-
Division/Electrical Inspections
321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362
Ph:(360)4174735 Fax:(360)4174711 / (7
Date: _.._1&2 Single Family Dwelling
Plan Review May Be Required,Please Complete Electrical Pian Review Information Sheet
Job Address:_.230 t..j"pl- F k f i
Building Square Footage
Description of above G / u L. e
Ownerinfo ation: app' 49H- +-''
� Contractor information
Name: �l p_P/t' r/ c2!'S 7L Name:�xTR l4 M 1 t.E Inca
Mailing Address: A.3 v t (ca a 5.'t- , Mairmg Address: aJ 18 m 214[ G ST-
Phone.
T
City:—�PC State:I.-/it-Zip: �3 Q$ .;L
Phone: Fax: City: State: W A-Zip: G rr:5(0
License#/Exp. Phare:`/f 7-4, — Fax-
License#/Exp. 46-X
Men Unit Charge tty 7trtal 1(lty Muitiolied by Unit Chargel
Service/Feeder 200 Amp. $120.00 $
i Service/Feeder 201.400 Amp. $146.00 $
Service/Feeder401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Servica Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $ 5,00 $
Branch Circuit W/O Service Feeder $ 63.00
Each Additional Brandi Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 $
Temp.Servicel Feeder 200 Amp. $ 93.00 $
Temp.ServiceJFeeder 201400 Amp. $110.00 $
Temp.ServicefFeeder401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp• $168.00 $
Portal to Portal Hourly $ 9600 $
Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74,00 $
Each Swimming Pool or Hot Tub $110.00 $
$ _Total
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 safe,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 contractor.I am making
the electrical installation 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 Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ aim*
❑ crea Cmd o
01/0112012
Building Permit
230 W 6`" St
12- 1494
Prepared 11/27/12,14:31:36 Application Inquiry-(BPN200I001) Page 1
Program HTDFTAL Screen detail for Program: BP BPN200I, Inspection history
User ID PBARTHOL Application 12-00001494
------------------------------------------------------------------------------------------------------------------------------------
Property Information
Address: 230 W 6TH ST
PORT ANGELES, WA 98362
Location ID: 91940
Owner name: ALLEN WILLIAM GUSTAFSON
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6435-0000-
ALTERNATE ID: 063000016435
Zoning: RHD RESIDENTIAL HIGH DENSITY
Subdivision:
Application Information
Application desc: DUCTLESS HEAT PUMP
Application status: PERMIT ISSUED
Status Date: 11/14/2012
Application type: MECHANICAL APPL. PERMIT
Application date: 11/14/2012
Valuation: 2845
Square footage: 0
Public building: NO
Reviewed by: PB PAT BARTHOLICK
Pin number: 688294
Entered by: PBARTHOL
Contractor Information
Contractor Name: AIR FLO HEATING CO INC
Contractor Number: 2412
Type: SPECIALTY
Status: ACTIVE
Contractor Requirements Doc Number Exp Date
------------------------------ --------------- ----------
STATE LICENSE AIRFLHC009C8 2/28/2014
BOND 2/28/2014
LIABILITY INSURANCE 2/28/2014
Outstanding Inspections
Insp Schedule Confirmation Permit Pmt
Type ID Date Number Description Seq Min Max
--------------- ------ ----------
------------ --------------- --- ----- -----
No outstanding inspections exist
Work Description
Code Description Quantity
CO Information
CO Issue
Str/seq Date Status Description
------- ---------- ------ --------------------
Str/Seq Permit/Seq Inspection type Insp Seq Inspector Schedule date Results Results date
Confirmation Nbr
000 000 ME 00 MECHANICAL FINAL 0001 JLL 11/21/2012 AP 11/21/2012
386771
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
�s
Application Number 12-00001494 Date 11/14/12
Application pin number . . . 688294
Property Address . . . . . . 230 W 6TH ST q
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6435-0000- REPORT SALES TA/i�/
Application type description MECHANICAL APPL. PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 2845 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
ALLEN WILLIAM GUSTAFSON AIR FLO HEATING CO INC
226 W 6TH ST 221 W. CEDAR
PORT ANGELES WA 983626009 SEQUIM WA 98382
(360) 452-9030 (360) 683-3901
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit Fee . . . 64.80 Plan Check Fee .00
Issue Date . . . . 11/14/12 Valuation . . . . 0
Expiration Date 5/13/13
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 Charged Paid Credited 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,
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormslBullding Division/Building Permit
BUILDING PERMIT INSPECTION RECORD C�
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities .417-41831 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 PLAINS 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 by
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
113locking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE 1
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE i, y•.
CITY OF �.. � For City Use
Permit# pp
Date Received:
321 East S'h Street
Date Approved /,
Port Angeles, WA 38362
•�
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
Main Contact: Phone #
E-Mail:
Property Name r ' _ U Phone 1 !49 0
Owner Mailing Address G Email 'T
City �y� �t State Zip
e.`�� h
Contractor Name ptT w Phone 6g 3 -3 1
Mailing Address Email
A a 1 VJ• CE ST PL 1�'T '
Mt--A-
city se
o J t State \A1 h Zip c
Contractor License# Expiration: o
Project Value: ra Zoning: TTax Parcel # of #
$ a� 4s .
Type of Residential OL Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical IQ Plumbing ❑ Other
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Vpc ❑ No ❑
Project I19Ll, bvi CT L,C.-S S 2a M
Description
I have read and completed the application and know it to be true and correct l am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. i understand that the plan review fee Is not refundable after plan review has
occurred. I understand that 1 will forfeit the review fee If I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name __ rr Signature
1-3 ELLEN 14\e,\(V L5
i -d IL66 689 096 01J dId Wd66 :01 2102 bi AoW
Residential Structures
For Office Use
Area Description(SQ FT). Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
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 # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove Gas Cook Stove Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/H
.!ALtUMpj Size: # Ventilation System #
Forced Air Unit Mbd 6TW
Plumbina Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping` #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
2 -Cl ILGE 689 096 01j dId WdGE :01 2100 bl ^oN
PREPARED 7/27/10 8 14 07 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/27/10
ADDRESS 230 W 6TH ST SUBDIV
TENANT NBR ALLEN WILLIAM GUSTAFSON
CONTRACTOR LINK ROOFING PHONE (360) 461 7476
OWNER ALLEN WILLIAM GUSTAFSON PHONE (360) 452 9030
PARCEL 06 30 00 0 1 6435 0000
APPL NUMBER 10 00000743 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 7/27/10 JLL BLDG FINAL
July 26 2010 4 22 13 PM 1pangrle
7r,x7T BILL 461 7476
BUILDING FINAL RE ROOFED THE HOUSE
COMMENT D NOTES
' - CITY OF PORT ANGELES
r DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 10 00000743 Date 7/15/10
Application pin number 388417
Property Address 230 W 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER 06 30 00 0 1 6435 0000 on your state excise tax form
Tenant nbr name ALLEN WILLIAM GUSTAFSON
Application type description RE ROOF to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 5050
Application desc
TEAR OFF & RE ROOF THE HOUSE
Owner Contractor
ALLEN WILLIAM GUSTAFSON LINK ROOFING
;.1'�W 6TH ST 3310 EDGEWOOD DR
PORT ANGELES WA 983626009 PORT ANGELES WA 98363
(360) 452 9030 (360) 461 7476
Structure Information 000 000 RE ROOF THE HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc RE ROOF THE HOUSE
Permit pin number 169623
Permit Fee 151 75 Plan Check Fee 00
Issue Date 7/15/10 Valuation 5050
Expiration Date 1/11/11
Qty Unit Charge Per Extension
BASE FEE 95 75
4 00 14 0000 THOU BL-2001 25K (14 PER K) 56 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00 �� I
Grand Total 156 25 156 25 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.
-9",s.,/(7 Id/ZI'l)c gip, `.fir
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
O
BUILDING PERMIT INSPECTION RECORD
-- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- ^�
Building Inspections 417-4815 Electrical Inspections 417-4735 W
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. p
Walls
Ceiling
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION G�
Slab
Wall/Floor/Ceiling
MECHANICAL.
Heat Pum /Furnace/FAU/Ducts „ ^
Rough-In
Gas Line
Wood Stove/Pellet/Chimney1
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parking/Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By 1
Electrical 417-4735
Construction R.W PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815 0 g
L-
T.Forms/Building Division/Building Permit
o�.,° 7q,,. I BUILDING PERMIT APPLICATION Print in Ink
CITY OF PORT ANGELES
Attn Building Permit Technician For City Use Only
Date Received 7- 115-10
321 E Fifth St. Port Angeles WA 98362 Permit# l 0—'1�{3
(360) 417-4815 fax (360)417-4711
Date Approved
Applicant 11nK Phone 76a- y4'/- 71'76
Property Owner /�«Jf,,,� 6c,�•fe1cfon Phone yf2- Qo7�
Property Owner's Address 2?o w G
Contractor Z AA JenPhone Ud- ys/- 7 y7,(
Contractor's Address W�o X01 e d4,6vvW Aa-
License # 1hj, ,q,P yid *g Expires E-mail
PROJECT ADDRESS 23o w
Parcel Number Lot Zoning
Project Type & Brief Description. XResidential ❑ Multi-family ❑ Commercial ❑ Industrial
Check all that apply
❑ New Construction
❑ Addition
❑ Remodel
❑ Repair
❑ Demolition
I Re-roof pd House ❑ garage ❑ other Otear off& re-roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other
Floor Areas Existin_q(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq ft. _ $
1 St Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ S b_ro
Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage %
Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
/ have read and completed this application and know it to be true and correct. /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 working on projects
Date Print Name X//' .41"n"n Signature q,)_2Ln: a"
T Forms/Building Division/Building permit application
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Clallam County Assessor& Treasurer - Property Details - 57238 ALLEN WILLIAM GU Page 1 of 4
Clallam County Assessor & Treasurer
Property Search Results > 57238 ALLEN WILLIAM GUSTAFSON for Year 2010 2011
Property
Account
Property ID- 57238 Legal Description. N80' LOT 8 BL 164 TPA
Geographic ID- 0630000164350000 Agent Code.
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space N DFL N
Historic Property, N Remodel Property- N
Multi-Family Redevelopment: N
Township- Section
Range
Location
Address. 230 W SIXTH ST Mapsco
PORT ANGELES wa 98362
Neighborhood. Cycle 5 Res Map ID- f�Y
Neighborhood CD, 10955130
Owner
Name. ALLEN WILLIAM GUSTAFSON Owner ID- 28184
Mailing Address. 226 W 6TH ST %Ownership 100 0000000000%
PORT ANGELES WA 98362-6009
Exemptions.
Taxes and Assessment Due
Property Tax Information as of 07/15/2010
Amount Due if Paid on. .
First Half Second Half
Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base
2010 40242 ST SCH STATE SCHOOL _ $7879 $7879 $000 $000 $i
2010 40242 CC-GEN COUNTY $41 93 $41 93 $000 $000 $4
2010 40242 PORT PORT $590 $589 $000 $000 9
2010 40242 PORT ANG PORT ANGELES $9708 $9708 $000 $000 $f
2010 40242 SD#121 SCHOOL DISTRICT#121 $102.05 $102.06 $000 $000 $1(
2010 40242 NTH OLY LIB NORTH OLYMPIC LIBRARY $1218 $12.19 $000 $000 $1
2010 40242 HOSP#2 HOSPITAL#2 $17.20 $17.20 $000 $000 $1
2010 40242 WSMET PK DIST WILLIAM SHORE MET PARK DIST $548 $547 $000 $000 9
2010 40242 CITY—STORMWATER CITY STORMWATER $360 0 $3600 $000 $000 $1,
2010 40242 WEED—CONTROL WEED CONTROL $082 $081 $000 $0 00 9
2010 40242 TOTAL. $39743 $397.42 $0.00 $0.00 $3f
12009 572382008 ST SCH STATE SCHOOL $9000 _ $9000 $000 $000 $1 f
2009 572382008 CC-GEN COUNTY $4555 $4554 $000 $000 %
2009 572382008 PORT PORT $645 $645 $000 $000 $1
2009 572382008 PORT ANG PORT ANGELES $9992 $9989 $000 $000 $1 c
2009 572382008 SD#121 SCHOOL DISTRICT#121 $111 31 $11130 $000 $000 $22
2009 572382008 NTH OLY LIB NORTH OLYMPIC LIBRARY $13.24 $13.23 $000 $000 $2
2009 572382008 HOSP#2 HOSPITAL#2 $18 68 $1868 $000 $000 $:
2009 572382008 CITY STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $i
http.//vpn.clallam.net•8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=57 7/15/2010
CITY PORTES
LIGHT DEPARTMENT ELECTRICAL PERMIT No
14971
.yInPort Angeles, Washington------- -�) �s--------------------------------- 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 electrical work as listed below.
, r
Address ___2r -j ? �r (P--`v
-X'----------------------------------------- Occupancy--,t-L'`¢` -----------------------------
Owner ...-------------- --------------------------- ------------.- Tenant------............ ............ ---------------------------------------
Wiring Contractor .......... By----------------------------------------------------------------------
Light Outlets........................................ Service, volts .--- I .6....... Type of Wiring:
Receptacle Outlets............................... No. wires .......9............................ Armored Cable ..............................
/1 r- Non-Metallic .................................
D er, K Size wires_�.................._.._..
Knob & Tube..................................
Range,KW---------------------------------- ------ Main fuse ....<7..'Q .!'T
..............
Rigid Conduit ---..................__...'..
Water Heater: Enclosure .._5.......................... Metallic Tubing
KW----------------------------------------------- Type of wiring: Raceway ..........................................
,p Q Entrance Cable .............................
Heat: RW.../ .1C.1..la..................... 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:
. -----------Remarks: :n,'= = ----------------------------------------------------------- ------------------------ -----------------------------------
---------------------------------------------------------------------------------------------------------I---------------------------------------------------------------
Permit Fee Tress. 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
7 / ELECTRICAL PERMIT N? 14971
Datecalled�or.ihsBectMfi'.....---.�.-�-."!5:..................'---....------.'---................-----......................................--'---.........--'--.--------'----'--................
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1M 3-72 Olympic Printers, Inc.