HomeMy WebLinkAbout2112 W 7th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
WILLIAM & PAT LAITNER
2112 W. 7TH ST.
PORT ANGELES WA 98363
(360) 457-6933
Structure Information 000 000
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration.Date .
07-00001245 Date 10/26/07
524770
2112 W 7TH ST
06-30-01-5-6-0180-0000-
WILLIAM G. LAITNER
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
8172
Contractor
TOPNOTCH ROOFING & GUTTER
1235 W. 9TH
PORT ANGELES WA 98362
(360) 457-0066
TEAR OFF AND RE-ROOF
BUILDING PERMIT - NO PR FEE
TEAR OFF AND RE-ROOF
114124
193.75 Plan Check Fee
10/26/07 Valuation
4/23/08
Qty Unit Charge Per
.00
8172
BASE FEE
7.00 14.0000 THOU BL-2001-25K (14 PER K)
Extension
95.75
98.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 193.75 193.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 198.25 198.25 .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 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 pr visions of any state or local law regulating construction or the performance of
construction. .
W (WAhl c;: [LJ (1'Nc...~
Print Name
Date {~(
T:FormslBuilding OivisionIBuilding Permit (I 010 I I07).wpd
Signature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
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CALL 417-4815 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, INSULA TE OR CONCEAL ANY WORK BEFORE
. INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA TION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 l\-rn-o( BUILDING
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T: FormslBuilding Division/Building Permit (I % 1/07). wpd
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BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use On!x: /
Date Received ) 0 -&.0-01
Permit # 07- \ 2-Lts
Date Approved
Applicant or Agent
Owner ull<.l I i\ ~ G
Owner's Address L II L (j; ~r 7.f1J
Contractor/Engineer :th) <-
Contractor/Engineer's Address
License #
Phone
Phone '157- (J7;J .3
Phone q 57- 060 f
Expires
(tr2... w 7-k
fva-A.N~..J lJ..4
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Parcel Number
PROJECT ADDRESS
Lot
Zoning
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
~ Re-roof
o Demolition
o Sign
o Heat System
o Other
XResidential
o Commercial
o Multi-family
o Industrial
r::C.A. ,.~G" - f!. ~u~L '-Lp 5./.1.Occ.),
Ii- ,2~ (.lest]
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas Existinq (sq. ft.) Proposed (sq. ft.)
Basement @$ per sq. ft. = $
1 st Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ ~'j7Z cD
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
sq. ft.
ft.
Lot size
%
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
Occupancy group
Occupant load
Construction type
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 determine what permits are required, and to obtain perm'ts r:or to working on
projects.! f /" ! , . '
Date /0 Z{"fo? Print Name WlldJJ,f/1 G' L-j) (-;1-t~ Signature d).'f'-'
I I
T:Forms/Building Division/Bldg Permit Appl.-2006 Code. doc
C~r) /?"P-a.-zP '17
S/29/07
lOpnotchroo finga@qwesLnet
/2 . TOPNORG994~A >>>> ~~PIRAnON DATE: 5/18/08
Company slgnat",.{ . 'L u.) ~ Date 'if - .;11- 07
......-: Ufo,J mc.>TbAC- A:;-l.~t/lltl'\Jl
Bid prices are subject to reasonabl Increases due to any necessary alterations, additions, increases in material and/or
labor to complete work. Homeowner will be notified of any necessary changes, which may affect cost.
Property owners are responsible for obtaining any permits required for work and materials described herein. TOPNOTCH is happy to provide
permit, but will add the cost to the final bill.
Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to. Please feel welcome to call if you
have questions concerning this estimate/bid. If bid Is accepted, please sign one copy and return it to TOPNOTCH ROOFING & GUTIER,
at the address above. Work is scheduled "DOn rec~iDt of si~ned bid. Verbal aareements will not Cluarantee scheduled work.
References are available!
ESTIMATE AND BID PROPOSAL - CONTRACT
TO: Bill Laitner, 2112 W. ph St., Port Angeles, Wa 98363 808.1458 P.O. Box 2848, PA
FOR: Re-roof @ same address. House with shakes and skip sheathing.
Tear off existing roofing. Clean up and disposal included. Install OSB sheathing, as required.
Roof with 30-year laminated, architectural composition over 30# felt. Install 14 roof vents,
2-small vents, 1-1" neo, 2-2" neos, starter course composition, skylight flash, 20' W valley,
64' hip and ridge. Estimated cost of tear off, sheathing installation, re-roof; using the materials specified,
labor to complete work as described and sales tax:
$8172.00
686.45
$88~8. 45
Eight thousand, eight hundred fifty eight, and 44/100
lIrplus City of Port Angeles Building permit
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MATERIAL WARRANTY BY MANUFACTURER, WO'RKMANsHIPG"'UARA'NTEED BY LICENSED, BONDED, INSURED CONTRACTOR
PAYMENT TERMS: 'pNE HALF TO START WORK. BALANCE DUE IN FULL WHEN WORK IS COMPLETED" ALTERNATIVE PAYMENT ARRANGEMENTS
MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
subdivision Name . .
Property Zoning . . .
Application valuation
03-00000885 Date 9/12/03
2112 W7TH ST
06-30-01-5-6-0180-0000-
MECHANICAL APPL. PERMIT
3000
Owner
Contractor
LAITNER,PAT
P. O.BOX 2848
PORT ANGELES
WA 98362
PELLET HEAT CO.
230"C" E. 1ST
PORT ANGELES
(360) 457-4460
WA 98362
----------------------------------,-----------------------------------~------
Permit . . . . .
Additioual desc
Permit Fee
Issue Date
Expiration Date-
MECHANICAL PERMIT
PROl'ANE, INSERT, LINES, TANK
57.65 Plan Check Fee
9/12/03 Valuation
3/11/04 '
.00
o
Qty unit Charge Per
Extension
47.00
10.65
i
~I
BASE FEE
1.00 10.6500ECH ME-GAS PIPE 1 TO 5
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65. . 57.65 .00 .00
Plan Chf1!ck Total .00 .00 .00 .00
Grand Total 57.6,5 57.65 .00 .00
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Separate Permits are required forelectrlcal work, SEPA, Shoreline; ESA, utilities, private and public improvements. This permit becomes
nul' and void if work or construction authori.zed is not commenced within 180 days, if construction or wol"k Is suspended or abandoned
for a periodof.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:\PLANNING\FORMS\1102.1S [412002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDlNG INSPECfIONS: PLEASE PROVIDE A MINIMUM 24IIOUR NOTICE. IT IS UNLAWFUL 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 I NO'
FOUNDATION: .
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ..
ROUGH-IN I I
PLUMBING
-
UNDER FLOOR/ SLAB
ROUGH-IN
WATER LINE
GAS LINE it} ~?-o~ lL
BACK FLOW / WATER "
"
AIR SEAL "
WALLS .".
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL " .
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPAl
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE:
" , FII'IAL INSPECTIONS REQUIRED PRIOR TOOCCUPANCYIUSE .
, . ,
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
. YES' NO
.
ELECTRICAL - LIGHT DEPT. 417-4735 '. ELECTRICAL
" . LIGHT DEPT
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 .... PLANNING DEPT. '. " ,
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BUILDING 417.4815 BUILDING
. '.
T:\PLANNlNG\FORMS\1102.15 [412002]
PREPARED 10/10/03, 12:18:47
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
2112 W 7TH ST
PELLET HEAT CO.
LAITNER, PAT
06-30-01-5-6-0180-0000-
03-00000885 MECHANICAL APPL.
SUBDIV:
PHONE
PHONE :
(360) 457-4460
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
01
10/07/03
10/07/03
10/10/03
JLL
AP
~ ------- CO""""
-------------------------------
ME99 01
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MECHANICAL GAS LINE
GasLine inspection for
MECHANICAL FINAL
Final propane stove
Pat 457-6933
TIME: 17: 00
P.M. at PH# 457 6933
PAGE
DATE
3
10/10/03
I
AND NOTES --------------------------------------
PREPARED 10/07/03, 12:48:36
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
10/07/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
2112 W 7TH ST
PELLET HEAT CO.
LAITNER, PAT
06-30-01-5-6-0180-0000-
03-00000885 MECHANICAL APPL.
SUBDIV:
PHONE
PHONE :
(360) 457-4460
PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
M"__"'___'"I"'I"'__~_____~;~::::::::::;:::,::::::__:;,:~,_"'_""_____________________
9- 9-03: 4:18PM
3604520503;#
FROM : SPA SHOP-PELLET HEAT CO
FAX NO~
3604520503
Sep. 09 2003 03:38PM
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BUrLDING PERMIT - APPllCA rlON
~R Oi:FICIAL USI'. ONI ,yo
Da!: I<c.::.9: ~I /-03
I'cm.;~; 8~~_
DOle ^r7'rov:-d:___._
r.~tc bsucU:
1.m out COMrLETEL Y and in I~. Your appJiclltjon and site pla:J MUST BE
<.:OMPLETE to be at~l:pted fOT Hl'view. If you b:ne allY qll~.~tion&, eall
(360) 4i7-4815
Applicant or A~ent;Je,J/~f HtA+
Owner: PA-t' L A. ,'+^Lr
Address: 2./12 tt/. _71'
eo. Phone: (3'0 ) Iy~
.-;7", . f?o 'f Z61$honc::
~,
City: R,r+ A,.,-e/~ Zip:-.:tt3 ~_7-.
Archited/Engim:er: . Phone:
o J I I , II PELL ~~ t:- 0 fo,....,.
Contractor rf'.. L-4- J.1c...+ Co State License #: up; "1-J 7..o$"" Phone: 6,'S ':7.~"I2_6
Address: ~3ot' J!"-sr H,.S.J.- S.J- City: f1,r.J.. J4~.e~ tJ"- ~ Zip: q f 3 ~:z..
PROJECT ADDRESS: 2/ 12 W 7.tvt..._ __ __ZONING:
LEGAL DESCRlPTION: Lot: /11 Block: Sl1bdjvision: .$e,P\D':"-Nf G s mh$ $l
I CLALLA.\i COUNTY PARCEL NUMBER; 0' 3 "0 I S& (;) 18 ()
Credlt Card Holder Name; lit "CbA4L
BiIlillkAtltlr~: 2.. ~a c:..~a.J-r
C~ed[t CardType VISA..... Me It" 11
lYPEOP' WORK:
'J1 Rt'Sidc:nlillJ D N~w Consfl'. ;:J Re-roof
o Multi-family C Addition C Move
:J Commercial lJ 'Remodel !:J DemolitioD
o Repair C! Sign
SRI EF DESCRIPTION OF THE PRO,IECf:
~....:t.,&-
~F~-I- S~_ City= P.rf- A"pt~s
t:::' "" F /1<.
f1( Stove
o C7ID'3ge
o Dc:ck
lJ Other
r.:;. A S
SIZ!IV ALUA TTON:
SF. @ S . ISY'. = $__
SF. @ $ IS1=. =- $
SF~@.~ ISF. =.$
TOTAL VALUATIO?-i $
F,'r.L1' Jp.,.., "Z:.I~_-l-
Exp. Date: ..J2..Z..:-t:> ..,
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"'3/=00. _
COMMERCl4.LIRESJDENTIAL; Occupancy Group: Oc..."Upant Load:
NQ. of Stories: _ Lot Size; _ Exisliog Sq. Fl. & Proposed Sq. Ft
Existing lot coverage _ % & Proposed lot ~"'erage _.%.,.., Tota11ot covecage
Ccnsrroction Type:.__. ,~
= TOtAL Sq,Ft.
%
I PLANNlNG USE ONLY:
APPROVALS: !
PLAi'l: I
BLDG:
DPWU:_
l"lRE:___ '.
OTHER:~
ERAIWe.lland(s); 0 y~ c: No SEPA. Chcckiist rcqaired? 0 Ye30 No Other:
RTfTI .mNG l',ER..l\1IT APPLICATION ST.:&'1lTTAL~ The Building Division c.m provide yvu witl, information 00 the applica.tion and
pL'ln submittal requirement:! if you have questions.
VAJ.lIATlON OF CONSmUCTION: In oill ClUes.;a valuation 8mount muat be entered by the appHearrt. -n,js figure wiiI be rC:1'icweu
ar.,d may be revis~ by thc Bllildir.g r)jvislO~\ ro comply 'With currentfeo scheduks. COlltacllhe Permit Coordinator ~t .:1.17 -4 81 S for assi~taT.ce.
I'LA.~ CHECK FEE: 1I' Ii pkm check fee is due U: must be 8ubmitted at the Onus the buildio~ permit application aud COtlslructinn plans arc
submitted. All other permit fces ate due at ~ t:ist'.e of permit is.'roance.
EXP.tRATION OF PLA.~ REVIEW: If no pe:nnit is i$~ucd 'within 180 days oftl1e dale o' application, the applie:ltlol1 will expire. The
B!lildipg Official can extend the tin:le fu. action be) the applicant up to ISO days upon writtCJI request by the appJicarlL (/lee Section 107.4 01'
the Ucifonn Building Code, CUII'Ctlt edition). No application can be extended more than onee.
! hereby certify t!!at I hSV5 read ar:d e:tatT1it1ed thIs application arid knew the same to be true and correct I am authorized 10 8ppl}' for r!1i.s parmi! and
_mtand"" I To mY_IDa""",,,," wi.. _ ~ req_ .natffl. ;~ ...~"""_ p"";ts~ /0 ""..
,.\FnR""~\AP"S\RuildirlgpeTTnlL"'lXl APPhcant:~r~ ~ Dale: 9 ?'"- <:13
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
03-00000885 Date 10/09/07
9147
2112 W 7TH ST
06-30-01-5-6-0180-0000-
MECHANICAL APPL PERMIT
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
LAITNER, PAT
POBOX 2848
PORT ANGELES
Permit
Add~t~onal desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
RS7 RESDNTL SINGLE FAMILY
3000
Contractor
WA 98362
PELLET HEAT CO.
230"C" E 1ST
PORT ANGELES
(360) 457-4460
WA 98362
ELECTRICAL ALTER RESIDENTIAL
EXTRA MILE/ HP RECEPT.
112441
EXTRA MILE
46.00
10/09/07
4/06/08
TECH & ELECT., LLC
Plan Check Fee
Valuation
00
o
Qty
1 00
Un~t Charge Per
46 ,0000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
46 00 46 00 .00 00
.00 00 00 .00
46 00 46.00 .00 00
Laserec1
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tINSPECTION ELECTRICAL
TYPE DA TE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
FINAL
)0/9 JD 7 A~ ~cQ
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COMMENTS:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17982
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Plirt Angeles. Washlngton.....:::...(...______..._...1:.......m.___.___..........___. 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.
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Address ..............,..::'.-::;.....~.:......:::..:.:.,~......h..m.....m....______.mm.. Occupancy........(,Y{;.,'!),..---m---..........---...
Owner .__m___m__....__.___...m......__..____..___m............m..... Tenant...........___..m.._......m._..___m....___m.___.......______....
Wiring Contractor ......._____..........m___........__....m............mm___ By..h..m___.....___m..h___..m.m.........h....m......m....
Light Outletsnn".......n...n...n....n_n_.....
Receptacle Outlets.........m..n..........._._.
Service. volts ......00.............00.....0000.......
No. wires ..._......._................_._._.....
Dryer, KW........hn......_..__........_....___.__
Range, K\V._..._n_______n___.....______.______
Water Heater:
Size wires...._...nn....n__.............._..
Main fuse .........__...._._.___......0000.......
Enclosure 00......._........._.__
KW,....."......"""..mmmm.
Type of wiring:
Entrance Cable _...00................
Heat: KW................._n...n___......_........n..
Motors: sIze, volts and phase:
RIgid Conduit m.....m.m__...n.........
Metallic Tubing ..m__.........______..._.
Current transformers:
No. & Size..nn..........................__..___
Ser. NO..._........nn___.nn__........_._..........
Ser. NO.............._........._.__....n............
Ser. NO.__n............................._...........
Type of Wiring,
Armored Cable ............m_..............
Non.Metalllc nn..no.................n.....
Knob & Tuben...............n............._
RIgid Conduit nnn.nonnnn...nn...'"
Metallic Tubing n...........m_...m....
Raceway ._.___............_............_.__._
CIrcuits, Ligbt...._......_..__.........__.._.........
Utility n.....mnn......."non""......nn...
Heat .._.........__...__............_......._.._
Range ....................__nn__nn....~........
Water Heater ..__00..........._..00__00.....
Motor ..._........__.........._...___________.....
Dryer____nn__....n_...........................__....
Furnace ......................__.._._.___..__.__......
Total Load__..nnnn___.............. Ser. No. ..00............._.....00_00_..._00....___00 Total .................-----00..............-
.
Remarks: mnn.=~:...~u~....~mmu~i:.~.L._::~:.~;:...~.u.....nn....UhUUm.......m...un...mnn.....uuummunm"'u...U
. . / --
u....nnu.un...n...u..u.un.nnn.!unn....__......u.unu..n.nn__...n.......u__dndUUUUUnuu__n.unnnn.n.......U...hU.U..__.uu__nnn
No..........................___
!./'</,./,J. . / .'
By =!2r...1?1..!!....!.;:.~~J2.~~:.~.':.:{:~:::L-:.::7:::.
/1/
NOTICE-Current must not be turned on until Certificate of Inspection baa been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
Permit Fee
" ;..)-.,.
$.....1...........______.....m......'
Treas. Receipt
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 9 8 2
Address............._........__.....___..........._..........._...._...___....................................__....................._.........Date..._......____.._.._......--------.---......-.........
Owner .._................................_.....__..._......_......_.._.......................nnn...._..........._........_.... Tenant..._........_.._nnn......___....................____....._un_n
WiringContractor._............_.___.___..n_._....._._......_...................__.__....___h__..............................._......___By____.........______________.h._.........____.'................
, ~
NOTICE-Current must not be turned on untll Certincate ot Inspection bas been issued. It work is to be "con.
cealed~ue noUce mus~ be given the Inspector so that work may be inspected before concealment." -......,.
. .
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
17998
ELECTRICAL PERMIT
I';;' - ~/ 73
port Angeles, Washlngton___no___n.______n....._______m._....n_________.___....., 19n___m
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 nrJ.!ln6._n__~n2~~.~&nn---.--..---..n...n..n. Occupancy.n,.L!..t:&2."'...h___.__._.m._______..
Owner .a!J.!,,",-!.k9.::n?1l~.~.nnn:nn ~.;!,J__n TenanLn..nnnm_.mn.....hm_.nmnmm___..m_.___..___.m.n
Wiring Contractor .ae~Ap.E.'""'~...n~~'1"..c::t......h. By..nnn___.._...._.__n_.__________.___n___._.__hnn______________
1;- (j / ,:1(V ~d"
Light Outlets...................nh........_.._.m. Service, volts .....................n....._..m..... Type of Wiring:
- rr
Receptacle Out1ets..?~.m""'h''''''''' No. wires ...m.......................~.......
- C }ftp~
:::, ::.........-.;.:A............__.........m.... ::~n ~~::s::?~?:~::.:~::
s
Enclosure n..nmnn....nnn ...m.........
Armored Cable ................n...m___._
Non.Metallic ........nhd...................
Knob & Tuben...........................n._
Water Heater: !
KW.mn_.~n..nnnn.....n
He." Kw..4-.j:....._._~~c:.
Rigid Conduit ___________mm______
Metallic Tubiug _._____________m._
Type of wiring:
Entrance Cable ..............00...
Motors: size, volts and phase:
-f:-~~~~:'~~~::~~~~~~:::
RigId Conduit m....mnmn
Metallic Tubing 'mn....nm
Current transformers:
Raceway ..............................._......_
Circuits, Light...mn.nn.nhm..................
Utility .n....nn.........h._.........n.....n..
Ser. NO....................................n
Heat h..n................._...........n._......
Range .....n......n......n......h..............
Water Heater ............m................
Motor _...........__...............................
No. & Size..............................
Ser. No. ........................00.........0000......
Dryer ....0000.......................00.....00...0000._
Furnace .........................'_......_...........
Ser. No. .nn......n.......n.n.....h...........n
Total :Load......n._....nn........... Ser. f\'O..n.............._.......................... Total .......nn.....n......nnn...nnn
Remarks: n.n.4:!!?-d..-:<.c:::::::n_n.~.s~_.JfI...f(..._nc?mnm.n___.nn___.nmn___.______.___.h.n___.___n___n______n_________m
'---
..U...U.....UUduu.u.n...nnu........unuun..uuu...u.u.u.un.u.n.uuuunnun.......
By .i:2:jg""1!~--;g;=:
Permit Fee
Treas. Receipt
$:.........._............._____________
No...______....................
NOTICE-Current must not be turned on until Certificate of Inspection haa been Issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
OCT-03-20S7 01:07 PM
E.JANSSEN
360 452 2982
p.et
;;
I:
, (
~leetrle.1 Conlnelor
Q;Aanlla. Perml' t:J Alarm t:J C;unival Q Commcrdal (!f"Reddenthd l:J Rellldtntlal Muinl. CJ Sienl 0 Thermostat tJ filecom.
_~JOb wil'llfl by ~~lri..1 Contraetor 0 Owner t"''''II"Mb;'' <L I ~
~
c::l Owner W
ELECTRICAL WORK PERMIT APPLICATION
~{equest Inspection
'J
F.!leclrieo:l ~()ntr:tcl'H namo
_LlfJ! for; It m "..
~rc:hlt!Jcr'l m"ilit\~ Il;,Mtl:l..
.: tit, AI 1(>11r<!.(}
(~~
ff3~...~ Rt~.cv.
telephone number
'r$'iJ-</O -r~ lJo.~
L.iiFlscnul1lbC'r
&!p. fn~~._.._____
__ /'1-..1",7 __YJ"~ft-
d""ft,,l# ~f'ofl...f
-...,. ....--.-.----.-.--------
..
ff
Sl:W: lIP
....._.._~ "'"" ___~G..(
FAX l\umhcr
~t." -4"" - 'ts\.r
,
J
nmllltl ow"C!r'. aam,
.LJkJ\ L......I~...........
Addrtll or Inll)CctlOD
i ;>1\'2. w
.......----~_.._---..
Cllr.'\ '^
,~...~ "'I
...J.~___:n .
~~~
, .-.------
~ hereby certify thal I am the ownt~r nf the .lhnv\~ n:.tml.:d property ur .. licl;'nsed
~1<:ctrico.l contractor (or 1hq f\nn'~ OIuthoriz\!d <I~ent) and ::\m m;lldn~ the del'trieul
J"liblllarion or altt!l'1ltion in compliilnce with lhc eh..'t.'trIClll hlW, Chnplcl" 192& RC'W.
i:l Cash CJ Check II
CI Credit Card
C,rd#
VISe')
Ma!:.tcrcani
[)iscovcr
IX
ontrutor Or l!'1~('h'I"f1d adminhtl'ator
.",... G.....f1'l.\.
Expinltioll Dare
of card
l"bl~
---.. .
AppruvtM! I\y
~._""~r;;i';--
^~flrn\'cdn~'
6,:~~~_RMOS::::~ ._
( D"" _.:=~~~~~,~~.:
SERVICE
t "..:. -"
.-...."..-~^m';:;;;;;;-.
WALI~~
llu:ulallon Only
CI\lIJ~G
In1lUI<l1iOl1 C)nl~
CQvt'r
COVl'r
1}.I~
.. Appr~ud Dr
. ()~I~ .
^i'II",w~di'ir-'
,\.
,
~lec1rlc.U..9JKlAllllJtlmm..nd or 8u!lli!!~1'!!'J!
CI NO LOAD CHANGeS
ell e...boar<f KW
en Fumo.oo ____ KW
qJ Heal Pump Ton
9 Fan-Wall 1<W
!lervlee InlQrllllllmI
LAn
U OVemead Servi("lg
o Tomp Sorvlcc
o UndergrOund SQrvlco
VOltage ..__
~"".. IJ 1 IJ 3
SeMtXt Size: _.__ "',,'" ...
Feeder Size:
hu.pt!~li~'n
lJ!\l~
RECB
____ ^'c,.I'",/~,"l' '" ',~,,~:~"" r"sp"."~_~~=~~-~==_^"'o" r.,,"
J"t{'!~._________.__._.._______. .--.-.. 1
-"-~-~-- -_~ - - - =1~ --= -- ~ ~
-+-.-.-
..___..._J... __._.___.__..
ElclJlritlJl
Inspcelor
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UGHTDEP'ir.