HomeMy WebLinkAbout1012 W 12th St - BuildingPREPARED 11/04/10 8 26 54 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/04/10
ADDRESS 1012 W 12TH ST SUBDIV
CONTRACTOR PHONE
OWNER MORRISON ALLEN G /SANDY PHONE (928) 3109
PARCEL 06 30 00 0 3 7010 0000
APPL NUMBER 07 00000102 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/07 JLL BLDG FOUNDATION FOOTING TIME 10 00
3/29/07 DA 03/29/2007 09 14 AM PERMITS
SAM 460 0497
PERMIT ON BACK PORCH CONTRACTOR ON WAY TO SITE WILL BE
THERE BY 10 A M
03/29/2007 03 26 PM JLIERLY
slab footing to be 12 wide and have two bars in the bottom
of footing one in top/j11
04/02/2007 09 20 AM PERMITS
BL1 02 4/02/07 PB BLDG FOUNDATION FOOTING
4/02/07 AP 04/02/2007 11 43 AM PERMITS
SAM 460 0497
04/02/2007 04 45 PM PBARTHOL
PERMIT ON BACK PORCH
BL9 01 5/07/07 JLL BLDG SHEARWALL
5/07/07 AP 05/07/2007 08 29 AM LPANGRLE
MARVIN 775 7061
SHEARWALL DETACHED GARAGE
05/07/2007 01 53 PM JLIERLY
BL99 01 9/06/07 JLL BLDG FINAL
9/07/07 DA 09/05/2007 02 03 PM LPANGRLE
ALAN 477 9126 OR 928 3109
BLDG FINAL GARAGE
09/07/2007 09 00 AM JLIERLY
h =clips on ratfer and top plate /anchor bolts require
3x3x1/4 washers all /electrical final requiired before blgd
final /j11
BL99 02 10/28/10 JLL BLDG FINAL TIME 01 00
10/28/10 DA October 26 2010 3 58 43 PM 1pangrle
ALLEN 477 9126 (I CALLED HIM TO FINAL THIS PERMIT
BUILDING FINAL GARAGE
AFTERNOON
PLEASE CALL ALLEN 10 MINUTES (OR MORE) BEFORE YOU GET THERE
RENTERS LIVE HERE ALLEN (THE OWNER) LIVES IN JOYCE
October 28 2010 4 10 02 PM jlierly
no progress same items as previous insp h clips /3x3x1/1/4
ti washers on AB /jll
BL99 03 11/04/10 L BLDG FINAL TIME 01 00
November 4 2010 8 19 25 AM 1pangrle
AL 928 3109 OR 477 9126
BUILDING FINAL GARAGE
AFTERNOON
PLEASE CALL HIIM 10 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
PREPARED 10/28/10 8 47 28 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 1012 W 12TH ST SUBDIV
CONTRACTOR PHONE
OWNER MORRISON ALLEN G /SANDY PHONE (928) 3109
PARCEL 06 30 00 0 3 7010 0000
APPL NUMBER 07 00000102 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PAGE 1
DATE 10/28/10
BL1 01 3/29/07 JLL BLDG FOUNDATION FOOTING TIME 10 00
3/29/07 DA 03/29/2007 09 14 AM PERMITS
SAM 460 0497
PERMIT ON BACK PORCH CONTRACTOR ON WAY TO SITE WILL BE
THERE BY 10 A M
03/29/2007 03 26 PM JLIERLY
slab footing to be 12 wide and have two bars in the bottom
of footing one in top /jll
04/02/2007 09 20 AM PERMITS
BL1 02 4/02/07 PB BLDG FOUNDATION FOOTING
4/02/07 AP 04/02/2007 11 43 AM PERMITS
SAM 460 0497
04/02/2007 04 45 PM PBARTHOL
PERMIT ON BACK PORCH
BL9 01 5/07/07 JLL BLDG SHEARWALL
5/07/07 AP 05/07/2007 08 29 AM LPANGRLE
MARVIN 775 7061
SHEARWALL DETACHED GARAGE
05/07/2007 01 53 PM JLIERLY
BL99 01 9/06/07 JLL BLDG FINAL
9/07/07 DA 09/05/2007 02 03 PM LPANGRLE
ALAN 477 9126 OR 928 3109
BLDG FINAL GARAGE
09/07/2007 09 00 AM JLIERLY
h =clips on ratfer and top plate /anchor bolts require
3x3x1/4 washers all /electrical final requiired before blgd
final /j11
BL99 02 10/28/10 i n BLDG FINAL TIME 01 00
October 26 2010 3 58 43 PM 1pangrle
ALLEN 477 9126 (I CALLED HIM TO FINAL THIS PERMIT
BUILDING FINAL GARAGE
AFTERNOON
PLEASE CALL ALLEN 10 MINUTES (OR MORE) BEFORE YOU GET THERE
RENTERS LIVE HERE ALLEN (THE OWNER) LIVES IN JOYCE
COMMENTS AND NOTES
3K3x1/4 re \\e) s i 7 c I
a� ►�ic�A, C ap re>
P2A 1 3_ c■(.\■r\ y c ne)-\
BUILDING DIVISION
CITY OF °PORT ANGELES
Correction. Notice
/0 G'4
Job Located at l A i
Inspection of your work revealed that the following is
not in accordance with the codes governing the in
this jurisdiction
e ��s���
Ad e L
1, (l,„, /go IT
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call (..L/ J7 r
for inspection
'pector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 9/06/07 9 18 52 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/06/07
ADDRESS 1012 W 12TH ST SUBDIV
CONTRACTOR PHONE
OWNER MORRISON ALLEN G /SANDY PHONE (928) 3109
PARCEL 06 30 00 0 3 7010 0000
APPL NUMBER 07 00000102 RES DETACHED GARAGE
PERMIT BPR 00 BUI LDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/07 JLL BLDG FOUNDATION FOOTING TIME 10 00
3/29/07 DA 03/29/2007 09 14 AM PERMITS
SAM 460 0497
PERMIT ON BACK PORCH CONTRACTOR ON WAY TO SITE WILL BE
THERE BY 10 A M
03/29/2007 03 26 PM JLIERLY
slab footing to be 12 wide and have two bars in the bottom
of footing one in top/j11
04/02/2007 09 20 AM PERMITS
BL1 02 4/02/07 PB BLDG FOUNDATION FOOTING
4/02/07 AP 04/02/2007 11 43 AM PERMITS
SAM 460 0497
04/02/2007 04 45 PM PBARTHOL
PERMIT ON BACK PORCH
BL9 01 5/07/07 JLL BLDG SHEARWALL
5/07/07 AP 05/07/2007 08 29 AM LPANGRLE
MARVIN 775 7061
SHEARWALL DETACHED GARAGE
05/07/2007 01 53 PM JLIERLY
BL99 01 9/06/07 r BLDG FINAL
09/05/2007 02 03 PM LPANGRLE
4 ALAN 477 9126 OR 928 3109
BLDG FINAL GARAGE
COMMENTS AND NOTES
PREPARED 5/07/07 13 00 27 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/07/07
ADDRESS 1012 W 12TH ST SUBDIV
CONTRACTOR PHONE
OWNER MORRISON ALLEN G /SANDY PHONE (928) 3109
PARCEL 06 30 00 0 3 7010 0000
APPL NUMBER 07 00000102 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/07 JLL BLDG FOUNDATION FOOTING TIME 10 00
3/29/07 DA 03/29/2007 09 14 AM PERMITS
SAM 460 0497
PERMIT ON BACK PORCH CONTRACTOR ON WAY TO SITE WILL BE
THERE BY 10 A M
03/29/2007 03 26 PM JLIERLY
slab footing to be 12 wide and have two bars in the bottom
of footing one in top/j11
04/02/2007 09 20 AM PERMITS
BL1 02 4/02/07 PB BLDG FOUNDATION FOOTING
4/02/07 AP 04/02/2007 11 43 AM PERMITS
SAM 460 0497
04/02/2007 04 45 PM PBARTHOL
PERMIT ON BACK PORCH
BL9 01 5/0 7 JLL BLDG SHEARWALL
A-7/ 05/07/2007 08 29 AM LPANGRLE
7 MARVIN 775 7061
SHEARWALL DETACHED GARAGE
COMMENTS AND NOTES
PREPARED 4/02/07 11 50 03 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/02/07
ADDRESS 1012 W 12TH ST SUBDIV
CONTRACTOR PHONE
OWNER MORRISON ALLEN G /SANDY PHONE (928) 3109
PARCEL 06 30 00 0 3 7010 0000
APPL NUMBER 07 00000102 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/07 JLL BUILDING FOUNDATION FOOTING TIME 10 00
3/29/07 DA 03/29/2007 09 14 AM PERMITS
SAM 460 0497
PERMIT ON BACK PORCH CONTRACTOR ON WAY TO SITE WILL BE
THERE BY 10 A M
03/29/2007 03 26 PM JLIERLY
slab footing to be 12 wide and have two bars in the bottom
of footing one in top/j11
04/02/2007 09 20 AM PERMITS
BL1 02 4/02/07 JLL n BUILDING FOUNDATION FOOTING
04/02/2007 11 43 AM PERMITS
SAM 460 0497
COMMENTS AND NOTES
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at /n/a k) a
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
1 a I
DO NOT REMOVE THIS TAG
eD (.c)
1 6 9it' t
These corrections must be made and are not to be
covered until reinspection is made When corrections
have been made, please call CHI
for inspection
Date Q
Inspector for Building Division
PREPARED 3/29/07 9 29 01 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/29/07
ADDRESS 1012 W 12TH ST SUBDIV
CONTRACTOR PHONE
OWNER MORRISON ALLEN G /SANDY PHONE (928) 3109
PARCEL 06 30 00 0 3 7010 0000
APPL NUMBER 07 00000102 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/29/07 Lt BUILDING FOUNDATION FOOTING TIME 10 00
03/29/2007 09 14 AM PERMITS
SAM 460 0497
PERMIT ON BACK PORCH CONTRACTOR ON WAY TO SITE WILL BE
THERE BY 10 A M
COMMENTS AND NOTES
REQUEST
Date h
Se r Foundatio
*c
I SPECTION
Ins
Remarks
ate
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
INSPECTION REPORT
Time
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of I s ection (circle ppropriate one)
RESTORATION REQUIRED
SURFACE RESTORATION
SURFACE TYPE Unimproved Gravel
Repaired by City
Repaired by Permittee
No Damage Found
(Continue on reverse side if necessary)
9
5r4 17 S
ing Chimney Plumbing Final Sewer Excav Other
Time By
Asphalt
YES NO
PCC
Work Order
COMPLETE
INCOMPLETE
Other
Received by phone person)
Phone No I/40 6 9 R,
Permit No O 7 '10
STREET SUPERINTENDENT (DATE)
I
i
OF PORT M,
w
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MORRISON ALLEN G /SANDY
253 SEAL ROCK RD
PORT ANGELES
(928) 3109
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
7 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged
193 75
77 50
4 50
275 75
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983638622
Signature of Contractor or Authorized Agent
T• \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005]
07 00000102
592292
1012 W 12TH ST
06 30 00 0 3 7010 0000
RES DETACHED GARAGE
COMMERCIAL NEIGHBORHOOD
8532
Contractor
OWNER
BUILDING PERMIT RESIDENTIAL
DETACHED GARAGE
94243
193 75 Plan Check Fee 77 50
2/20/07 Valuation 8532
8/19/07
Unit Charge Per
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
02/09/2007 09 47 AM SROBERDS The proposal will result
in the construction of a detached garage in the RS 7 zone
for total lot coverage of 24% No land use issue
anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES reroute service
wires see Gail Elect Engineering
02/09/2007 09 09 AM GMCLAIN
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
STATE SURCHARGE 4 50
Paid Credited Due
193 75
77 50
4 50
275 75
00
00
00
00
Date 2/20/07
Extension
95 75
98 00
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.
Date Signature of Owner (if owner is builder)
.o7
Date
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE /PELLET /CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT 4's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CALL 417-4E15 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 UNLAWFUL FUL 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 I, COMMENTS
I�rJo1
15iilo1
YES I NO
I FINAL
FINAL
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 I PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
BUILDING 417 -4815 1 11--to I -3-` W I I BUILDING
T 1Policies11102 15 building permit inspection record05 wpd [1/4 /2005]
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE I ACCEPTED
I YES I NO
I I I I
I I I I
1 I I 1
J a
��y t...1
_Pty 4"-'-
5�
Neal ti AgAq r
a Er
pN CR
C
C
1'5
Address:
PLANNING USE ONLY
T•\FORMS\B1dgPennitform.wpd Applic
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Phone:
Phone: 3Vo 8 3/ J
0 12 »i 9- City 1�vAr Le Z o`
Applicant or Agent: p Q ,`l
Owner A L.L LN /r l o p,'R 1 55O
Architect/Engineer.
Contractor /0 U) vl 2 V'
Address:
PROJECT ADDRESS a L
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr Re -roof
Multi family Addition Move,K Garage
Commercial Remodel Demolition
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group U Occupant Load.
No of Stories. Lot Size: 7 Ov s -I/' Existing Sq. Ft. t 8-1'jti8z Proposed Sq Ft.'ea..C1
Total lot coverage g.
ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I
must obtain such permits prior to work.
State License
City
2.:
Block: Subdivision.
Phone:
Exp
Phone:
Zip
ZONING
SIZE/VALUATION �S,2.. p_
Stove L' ®O SF /SF
SF /SF
Deck SF /SF
TOTAL VALUATION 26 3 e`-=
S i V a 1....( C A1e C-1 it 4 CA/ F
Construction Type:
Date: /1// 7
FOR OFFICIAL USE ONLY
Date Rec. O'7
Permit CJ' 1 7 2...
ate Approved:
Date Issued:
rl
TOTAL Sq Ft. /t78` -rt L
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MORRISON ALLEN G /SANDY
253 SEAL ROCK RD
PORT ANGELES
(928) 3109
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
WA 983638622
Qty Unit Charge Per
00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER
1 00 46 0000 ECH EL MANF HOME SRV OR FEEDER
Other Fees STATE SURCHARGE
Fee summary
Permit Fee Total 46 00 46 00 00
Plan Check Total 00 06 00
Other Fee Total 4 50 4 50 00
Grand Total 50 50 50 50 00
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
07 00000102
592292
1012 W 12TH ST
06 30 00 0 3 7010 0000
RES DETACHED GARAGE
COMMERCIAL NEIGHBORHOOD
8532
Contractor
OWNER
TOTAL LOT COVERAGE,
HARD SURFACE-AREA
.NUMBER, OF STORIES
EXISTING' LOT'COVERAGE
LOT SIZE
PROPOSED COVERAGE
TOTAL LOT COVERAGE
,NUMBER OF UNITS
ELECTRICAL NEW RESIDENTIAL
OWNER/ GARAGE
100180
46 00 Plan Check Fee
5/15/07 Valuation
11/11/0.7'
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
02/09/2007 09 47 AM SROBERDS The proposal will result
in the construction of a detached garage in the RS 7 zone
for total lot coverage of 24% No land use issue
anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES reroute service,
wires see Gail Elect Engineering
02/09/2007 09 09 AM GMCLAIN
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
Charged Paid Credited
Date 5/15/07
.24 00
1.00'
1278' 00,
7.000 00
400 00-
1678 00
1 00
Due
Extension
00
46 00
4 50
00
'00
00'
00
00
0
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH VilOn 1
ROUGH -IN COVER
SERVICE 1 -7Jz[-1 n') 1 41
FINAL 1 2, is Ice 1
M M
1 1
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
COMMENTS
PW- I102.15 1+1
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
0<9~?
~ /;J/Pl
r
..
. ,
ELECTRICAL PERMIT
DATE
Site Address:
D READY FOR
INSPECTION
License Number:
Ii'WILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
~ Residential~ .r-
Heat KW . ..:>
~Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
;g Overhead
o Underground /,/r]
Voltage /~~
~10 030
Service size rC;lJ2t/ Amps
o Temporary
DetailslDescription:
/Vzw
AC/('€
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ Rough-in/cover O.K.
~~ O.K. to connect service
;()I'Y' Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instaliation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
r
Site Address:
.
Notify the Dep rtment 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 ESTABLISH EO UNDER THIS PERMIT ~ 1!!2
~ Amou~aid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
;\
OLYMPIC PRII<lTERS. INC.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. ;;;> 1'9' /
/ /zd"/p /
DATE
Site Address:
J<I1EADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
D Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
D Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
D New Construction
D Remodel
D Service update/alter/repair
D Overhead
D Underground
Voltage
D 10 D 30
Service size
,)'"Temporary
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
Amps
Detai IslDescription:
.
rj~,
W.S. No. Service
Capacity: D O.K. D Not OK
D Ditch inspection OK
D Rough.in/cover O.K.
A/vA ~ O.K. to connect service
~V" D Final OK
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Permit/Receipt No.
Installer:
.
Notify the Depa ment 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 ~XT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .::2.0 _
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
.,.-~~!,&
6'~~'~
'" 1Si:!iO
~ r=:;.:.J;..
~~<:,.
"",...
ELECTRICAL WORK PERMIT APPLICA nON
Job wired by
o Electrical Contractor ~n'ner
Installation description
D Commercial ~esidential
Electrical contractor name
License number
Date Expires
D New
Purchaser's mailing address
D Altered! Addition
City
State ZIP
t) rJlJ "fILCj ~ u tvO lJJ ,fl... ~,.,., IJ~..
I'T<"U .,,_
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FAX number
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Owner as defined by.RCW.19.28.261:(I) 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 sate, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property ur a licensed electrical contractor. I am making the electrical instal.
]ation 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
Utility Specifications.
Sig
o Cash t2F-check #
o Credit Card
Card #
contractor or electrical administrator
, Date: 4/ <7j,
Expiration Date
of card
D Overhead Service
D Temp Service
D Underground Service
LAR
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
Date Approved By
FINAL
?-(~!Oe, ~
'- Date ApprnvedDy/
/ THERMOSTAT
"- Date Appr<lved By
/ DrrCH
2:- s::-'O 7 L+L
\.. Dale Approved By /
Inspection
Date
Area, Building or Equipment Inspected
Visa
Discover
M astcrcard
00
Service Information
Voltage
PhaseD 103
Service Size:
Feeder Size:
SERVICE
Ik1rz ck...O
Approved By
FEEDER
Date Approved By/
Action Taken
Electrical
Inspector
-
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
D^,
( /I of]
PERMIT II
07-ID2-
o NEAi QNTAACTOR
uJ 12..
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. .. . . .. . . . .. . . ... . . . SERVICE. . .. . . .. . . . . .. . . . . . 0
D..................... FINAL..................../Z
CORRECTIONS NEEDED:
~RW
G:> N:VV n- 7" UE> YI\NlE:c'
&'F"(...~ ~R&1kq
C)\5-;rL~S
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
~l~ 1-0:
\,,:. 3604172733 ST OF WA L&I
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08:03:07 a.m. 04-01)( 3/4
t1.Jt<1~~'-'J.rYL.1 '11:11:. OJ.
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CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
-.--'
4/4/07
Labor & Industries
417-2733
t:
. Sender:
Inspections
Kathy Trainor
Phone: 417-4724
Fax: 417-4729
tJw-u~
07 - / Q2--_
YOU SHOULD R!;C!;IVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please inspect for:
~I Mor~son
. 477-9128
. 1012 W 12th, alley
Conduit for new garage
. Thursday If possible.
'Please call Mr. MorrlsolT....n done 80 he can have It backfilled (he lives Ir
Clallam Bay and probably won't be on site when you arrive).
. Thank you,
Kathy
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