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Home My WebLink About2021 W 15th St - Building '".,~ '(i CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 AppLlcatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use Property Zoning . . . Application valuation 07-00000335 Date 167405 2021 W 15TH ST 06-30-00-1-0-7605-0000- ELECTRICAL ONLY 4/06/07 RESIDENTIAL TRAILER PARK o Owner Contractor KNUDSON KLINKENBERG LLC 6211 S PEBBLE BEACH DR CHANDLER AZ 852494092 OLYMPIC ELECTRIC 4230 TUMWATER . PORT ANGELES (360) 457-5303 WA 98363 Permit EL-RM-SERVICE & OR FEEDER Additional desc REPLACE 200AMP SRV OLYMPIC EL Permit pin number 98566 Permit Fee 46.00 Plan Check Fee .00 Issue Date 4/06/07 Valuation 0 Expiration Date 10/03/07 Qty Unit Charge Per Extension 1. 00 46.0000 ECH EL-MANF HOME SRV OR FEEDER 46.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 1\) D }\) .......... t ~ ~ \~ ~ ~\ COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO \1 '('1-1 . ...,...... 'V...... ~nTTnU_IN / CUYbK ~hK Y lCh I -::f-.::1 0 - /'J , rl!;. I GENERAL COMMENTS: PW.II02.1' (4'961 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 F, AST 5TIt STREET, FORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 7/18/2002 PERMIT NO 7748 OWNER/APPLICANT PROPERTY LOCATION MELISSA GALE 2021 15TH ST W 703 E 10TH STREET Lot: Port Angeles, WA 98362 Block: [] Long Legal 360/457-3812 Subdivision: T: S: Parcel No: 063000853066 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 15 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES MOBILE HOME SERVICE CONNECTION RECEIPT#9450 FEES ASSESSMENT Service: $45.50 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $45.50 AMOUNT PAID: $45.50 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-~735 FOR ELECTRICAL 131SPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO CO VER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PlaNS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE FINAL 17J ']o GENERAL COMMENTS: ~f'ORTI'\oV, ~-4.0~~~ hili 'IL -=.>t' ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PERMIT NO: 13540 BUILDING ~I::RMIT ISSUED: 7/03/2002 PROPERTY LOCATION 2021 15TH ST W Lot: Block: D Long Legal Su bd ivision: Parcel No: 063000853066 OWNER/APPLICANT MELISSA GALE 703 E 10TH STREET Port Angeles, W A 98362 360/457-3812 T: S. CONTRACTOR NU TREND ENTERPRISES INC P. O. 1780 SEOUIM, WA 98382-0000 360/683-6080 PROJECT INFO Project Value: $1,200.00 Project Type: MANUF. HOME Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD SO FT: 0 MFD Units: 0 MFD SO FT: 0 Commercial: Industrial: Garage: ~ ~ o o o N D rJ - PROJECT NOTES LOCATE MANUFACTURED HOME,14' X 66', SINGLE WIDE WITH TIP OUT f RECEIPT#9271 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home. Sign: Plumbing: Mechanical: Radon. Mlsc Fee 1. Misc Fee 2. Misc Fee 3: $0.00 $000 $4.50 $0.00 $230.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $234.50 $234.50 $0.00 \ft + ;- 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 T:\PLANNING\FORMS\1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR 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 YES NO FOUNDATION' FOOTINGS WALLS t3 JI? c.J., ~ '*-Ii e- ()-- --.. FOUNDATION DRAINAGE '7 'I."-O?~ 1<-1./ ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # U ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY I HOOD 1 DUCTS I PW UTILITIES 1 SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'5 WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA. PARKINGILIGHTlNG ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W. 1 PWI CONSTRUCTION - R W ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec.. ~ ~6?_ Permit #. ~ a Date Approved Date Issued 't&i1C~ The BUlldmg Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: ~~ Owner: In ~t l' 5 ~ A ~l L Address: 10 3 ~7/ \ at\ Phone: .L-j~J~ Dt=?~~ Th/)W1-~Y\1 Phone: 3bO ~ Lj') 7 - '3 [)I")..... City: P D ~-t ~V\.q-~l~_> Zip: 9 i'~t...:J... Architect/Engineer: Phone: Contractor A){J. '~b ~ License #:IJt..LT)Jl/L "'l.~ L . ~q.3 Phone: 1a'RS...IotDRC Address:fbBJ"~ · City:~ Zip: qR.s~'2- PROJECT ADDRESS: ;:JO:;J 1 J,J JSf-t-... ~ ZONING: LEGAL DESCRIPTION: Lot: Block: SubdIvisIOn: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZE~Al-UATION: pc ReSIdential 0 New Constr 0 Re-roof 0 Wood-stove I*~F. @ $ JO-:;OISF. =.$ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o CommercIal 0 Remodel 0 DemolItIOn 0 Deck SF. @$ /SF. = $ o Repair 0 SIgn 0 TOTAL VALUATION $ 12C;X;)"'- ~' ~ BRIEF DESCRIPTION OF THE PROJECT: ....j~c;;,~/~1h. rl- ;;~ ~ ./' _ -E> _ J ::::::r- III II U~ - /?D~~~---4-_ Icreo COMMERCIAL/RESIDENTI~: Occupanc~o~p: Occupant Load~ Construction Type: No. of Stories: -.:::1-.- Lot Size: CD CSO % Lot Coverage: ~~ % Existing Lot Coverage: sq., ft. + Propose.d.Lot Coverage: I o d.. /sq. ft. = TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: t'i"t~lD0y7 vo APPROVALS: PLAN Notes: BLDG. '. DPW FIRE ESA/Wetland(s): 0 Yes 0 No SEPA ChecklIst required?'O Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be acceptedfor review. The BUilding DiVIsion can provide you With more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and buIlding construction plans are to be submItted to the BUIlding Division. 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 Buildmg DIviSIOn to comply WIth current fee schedules. Contact the Permit Coordinator at 417-4815 for aSSIstance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit applIcation and construction plans are submitted. All other perrrnt fees are due at the time of permit issuance. ! EXPIRATION OF PLAN REVIEW: Ifno perrrnt IS Issued WIthm .180 days of the date of applIcation, this application will expire. J:he Building Official can extend the time for action by tht; applIcant up to 180 days upon written request by the applIcant (see Section 107.4 of the Uniform Buildmg Code, current edition). No applIcation can be extended more than once. J hereby certify that J have read and examined thiS application and know the same to be true and correct, and J am authorized to apply for this permit. J understand It is not the City's legal responsibilIty to determine what permits are required; it remams the applicant's responsibIlity to determine what permIts are required and to obtam such ApPlicant':ln~~~ate ~ /~5ftZ- T. \FORMS\APPS\B UI Idmgperml t DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: PROJECT/DEVELOPMENT ADDRESS: PHONrl/h'7 ~ '39/2 See Page 4 for instructions on completing the site plan. For more information, caI/417-4815. j 5 ::;7 -1 ~~ 1/1 ~ I :5 T I , , I..,. / - \If \.. V r~ "Y U I.., - 1\ '-I, ,....~ , 1\ ~ ... '\ r\ lAP'" If/l Ii in ~ rrvr J c! f/ ~ 1./ ./ r' v ... ~ ~ ~- - - . j -- I In "J ~.~ r ~)(; , ,rr I' '" , h,' - (\ " ~1: ~ , # \1 ~ I'\.~ u ~f .' '\j - ~ .. ~, } , ~~ - -.... '. ...... - r-- ....:L ~;:. , ......... C '~ ( I '" II "'/.-1 ~ ~ tt- I" I.- e... ",rr /; /1 ~/, A " I/' Iv :.<. . . ,. '" - !'\. t . (.... -" IV~ ~ - I J, :..-c. ~ Iol("" --.. LJ .. . NU- TREND ENTERPRISES, INC. P.O. Box 1780 SEQUIM, WASHINGTON 98382 PROPOSAL (360) 683-6080 Page No of Pages JOB NAME I NO To: 'D.u- ~JJyO$CIU ~ ~O:;l. U!), J~ Z:iq-lIlk-~4~ We hereby sUbml~;3atJ;;.~ fOr) ~ > ~~- , crfh . . A'1 k D~. .ofb " bl?~ ~ +-.;5eJQ.~(1~ .. .u.Y\ bl O~ "t" R e..A<.2~ VD YlIJOLX-.. .~~ ~IA~~~ -' . glo~ fYlA-~ 11t:- ~J/1S <? _ . _ '. 1 . ...-&-' D ~ ;;;;S' u ~-<-- ~~r~>>~ . 0;O/h4~ c><-&-~C;>e-~ ;;;?k9 ~.)-,~P:ff ;...)~ IA ~~ dM~ .J~? ~ ~. > . - :;l1e~ '3& ;i II >]. 1l.". ~'t" ry5~ l:V 1;50.- .. 50. ,;?m .::. ;?6D dII ~~ .~7~'b ~ ~O - ,eJ~. fJ~~~ (k:>~ ~sc>.- ncX:o ~ Go- ~/. -- ~:"2:5'O"L- CIC- (J 35D . - . ~~ \ " Ls, '\ . q--z....- \ tAl..\' IY Y \\~. All matenalls guaranteed to be as specIfied All work to be completed III a workrnanhke manner accordIng to standard practIces Any alteratIOns or devIatIon from above specIficatIOns mvolvwg extra cost WIll be executed only upon WrItten orders, and will become an extra charge over an~ above the estimate All agreements contmgcnt upon strIkes. aCCIdents or delays beyond our control Owner to carry fire, tornado, and other necessary Insurance Our workers are fully covered by Workmen's CompensatlOn Insurance AuthOrize Slgnatur days ACCEPTANCE OF PROPOSAL - The prices, specifications and condItIOns are satIsfactory and are hereby accepted. You are authorized to do the work as specIfied. Payment WIll be made as outlIned above Signature Date Slgnatur ~ {;.n 1:"7 ~ate /a 7~ c;., , , Jul 02 02 02:4Sp EnvHealth 360-417-2313 p. 1 - ,~. FAX MEMO Clallam COWlty Dept. of Conununity Development Environmental Health Division P.O. Box 863, Port Angeles, WA 98362 Phone: 360-417-2258 - Fax: 360-417-2313 r'Q~!~~-~Jt 0 i/02 ! Time: 5---~-~ ~~ I ~ag~~_Ct?_~i~~ ~_~~~~t~-~_~~~~_--_ ~ ~~i~---~~~\ vun YY1 ~ tf~~ -==~~~~~~:~~=::-~-~==-~~---j I !--=----l-=.- _-----,T:---:T I - ~!~:.-__-ldlli-----~ If\.., ______ ____ --__________________. - .J LQrga~a!i.9_~:__C_ '---~~.-----------.--- ____ _ _ _ -__ --- -- - ------------ i Phone: Fax: ' ~_~ "__________ __ ____.____ - __"_ ' .__~___.____________._ __ _. _______ ____1_- __ ___~ ! ------------ - ------ ------------- [-----------.------ ' --- -----:fu--.----- _~-------------~-J ~~omments: ,~ur\l.-e1 r flM.\.4 YY\.b},l_L~ Lbtrt::n.L---ili-- (' I ~ \ \ IfV1 \~ __ ____________J i \ ' ------- - - .--------------- ------------- -------- . -- - .---- - -- - ------. ----- 1__- _ . ..______________ __ __. 1_______ _________ ~.- ------ , 1-.- _.._ ___on _ _ _ _ _--- ----------- I- ___ _d______. --~ -~-----_. --..--------- ~---------------- I !---------------------- ----- I * - -- - --..--.-.------.- ' ~------- ------*--_.. --- .----------..-- -.--. ~---------- - ----- ! f.--- ---- ---------- - . .-- -.- ---_._~- - --~ -.--- .. --- -------------_.-~._- ------ -- - ----- - ------ - -- '-- ------------ . - --- - - - -- ----------- -- I Please call 360-417 -2258 if transmission is incomplete. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date ---; - / S- - cJ C: -/ Time Received by ~lJ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing 26 2 t \.IV I Si '-1. 1-'1 ~~ c'cJe Phone No. Permit No. I ~S-~O I Final Sewer Excav. Other 8/0<."-' ......5 1; e... d6W~ INSPECTION NOTES: Inspected: Date 7 -,/5-06 Remarks: Time By Rv Of< RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City CJ Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Jul 02 02 02:49p EnvHealth ON SITE SEW AGE DISPOSAL SYSTEM EV ALVA TION PERSON OR ORGANIZATION REQUESTING REPORT: NAME: DELMA THOMPSON .. " ',.'i,'! :' ADDRESS: 2021 WEST 15TH STREET ADDRESS: CITY,STATE,ZIP: PORT ANGELES, WA 98363 Phone: LEGAL OWNER OF RECORD NAME. L YDELL KNUDSON , ADDRESS: 2021 WEST 15m STREET , , ADDRESS: 'CITY,STATE,ZIP: PORT ANGELES, WA 98363 PROPERTY ADDRESS: SAME CITY,STATE,ZIP: 360-417-2313 p.2 ~~n' '.' REASON. CJ FOOD. EST ABUSHMENT INSPECTION LOAN CERTIFICATION . . X BUILDING PERMIT tJ 0~4 {o~ ~ro:.wnm!rt ~01/ PARCEL NUMBER: 06-30-00-107605 LOT: BLOCK SUBDMSION: VOLUME: PAGE: f , FINDINGS: TillS REPORT DOES NOT CONSTITUTE A GUARANTEE, WHETHEREXPRESSED OR IMPLIED THAT : THE SEPTIC SYSTEM WilL CONTINUE TO FUNCION PROPERLY. TIllS REPORT CONSTITUTES ONLY A . SUMMARY OF FINDIN"GS ON THAT DATE. PERMIT ON FiLE? 0 YES 0 NO ~t)T-+cv..:i) ~P# ~ APPROXIMATE DATE OF INSTALLATION: \etSO /_ . NUMBER OF BEDROOMS:(EXISTJNG) Z. (DESIGN) " SEPTIC TANK: : VOLUME: .::m. 1000 0 125..2../- , NUMBER OF CO:MP ARTMENTS: 0 1 ~ ; CONSTRUCTION MATERIAL: "$ CONCRETE . NEEDS REPLACEMENT / REPAIR? 0 YES~O INLET MISSINGIREP AIR? 0 YES 0 I OUTLET MISSINGIREPAlR? 0 YES NO ! OTHER: i' PUMPING OF T ANI< REQUIRED? 0 YES )( NO I 1 SCUM DEPTH: 10 ~ SLUDGE DEPTH: 0 : DATE TANK LAST PUMPED, b( UNKNOWN I PUMP mSTORY: PUMP CHAMBERS, ALARMS, SC~~NS ADEQUATE IF REQUIRED) 0 YES 0 NO .9'NOT REQUIRED : COMMENTS: SEPTIC SYSTEM APPEARS IN GOOD CONDITION PROPERTY CURRENTY OCCUPIED~D JS:NO LENGTH OF T1MB VACANT: [ ONTHS) YEARS) DRAINFIELD: TYPE OF SYSTEM: ~ if. SETBACKS MEET CURRANT CODE YES 0 NO SEPTIC SYSTEM ON SAME PROPERT YES 0 NO REPAIR /REPLACEMENT AREA: ADEQUATE 0 YES 0 NO LIMITED ~YES 0 NO SEVERELY LIMITED 0 YES 0 NO SYSTEM APPEARS TO BE OPERATIVE ~T.i' TIME OF EVALUATION? ~YES 0 NO ; RECOMMENDATIONS THAT ARE NOT CURRENL Y REQUIRED BY CLALLAM COUNTY: ENVIRONMENTAL HEALTH FOLLOW UP: CJ PUMPER RECIEPT NEEDED ,. tJ REPAIR PERMIT NEEDED CJ REPAIR RECEIPT NEEDED tJ LINE LOCATE NEEDED ,CJ WATER SAMPLE NEEDED lJ ACTION REQUIRED ") -'2...-0? _w_____________.._~__. INSPECTION DATE MICHAEL J. BOARDMAN WSWTS 5100164 DBA JACOBS, INe. ~~8~- HEALTH REPRESENTATIVE ERS INITIALS ~_::r~~_:~~__.___. DATE ~ BY SIGNING TInS REPORT, THE ENVIRONMENTAL HEALTH DMSION IS CERTIFYING THAT THE PERSON , PERFORMING TIllS EVALUATION IS A CERTIFIED DESIGNER OR SYSTEM BV ALUATOR IN CLALLAM COUNTY. EVALUATIONS OF SYSTEMS ARE TO BE PERFORMED IN ACCORDANCE WITH POLICY NUMBER 540.4 OF THE 'CLALLAM COUNTY HEALTH DIVISION. , ." ,........ ~''" ,",-II"" ...IooI..tm....... '61..~.1,..~.....~ ........../.. ...... "1._. ".1" ~_"''''''''''<I... _II','" ....,,,.....\1toi... ."", , Jul 02 02 02:50p ~ ' ,; r'} Env,Hea 1 th , , ',J 360-417-2313 " ",' ) " , CLALLAM COUNTY ENVIRONMENTAL HEALTH-DIVISION .. "NAME: KNUDSON ON-SITE 'SEW AGlc'DIsPOSAu SYSnM ,( J ) , \. ' " ,t" I " ,)", Plot Plan Scale_ ~i 1 " /....1 .. ' I ~ .! . ~ ~ t \ , " I, { I I :'; ': I. !d! ' I , I l <,j" I ':1 r"". ('," ,':q , IJ -:Il~ _-,_~ ,'1 '.' i \'" l I{i: :"l~" ~I, ;:::'f".'l; , ,'I ,,' I';: 1: k...:wi"r";'ld':; ld' ,1, "'{1 ,,; 'I. 0-'1 ~.H,.';,,'II' 1/':\ ,),{,r. I ~~.~ 'I"~ I '! 0 f[ I ''. r" ,. ',1 . (, ,Ill. t', \II I J, 'I''>~ "J~ I 1: 1""" < L __" ! HH' I'.: 1 :n:;, " J,I, ::\~,\~~"',', ,:1>, ,'i~l) i'll'" :" ':/';"1 "i ':' , , ~7- J : , ;1l11' I' ' \&II I '. "'~: . ' ~'" <J . .', / '\ '"[ ~ t , ill'tlf ~~'i i3 ~ I.J ~ j ~! ~, ill ,.I, I 1\' )~ \ 'f! If I " , , . I" l) I ,\ \ l' n' . ,'!, .~\.,:\,l" "':'{hr~hll ,'.j~" PARCEL NUMBER: 06-30-0B-t0760S ~ r r ~' I 1"1 11 I'~': '1/ I ~ ~ I i 1 J I! I I" \ \' 't~(,~l.l)i';,:~ '~r' , (i I l '. " r I ~' , I , , , "1,):" : i" r I I " , ~ : ,n 1 I "I' \ \'1 , . ~ i 1\ . :( !/,', r', I, , I , i ''''~ / I \); I ,'.~ ~ , , {I ,.11 f 1', I' "~\ \~~lo\. ). j 1 ~'1~e.s.l , "-.-.II 1/:' }' ,~"" ',' " , ~" ,l ~ l :: ) J...' ~ ",.' I," \:\" .' l ,\\\. j I, ,,. I', ~\r;:~', ,. 'I," ,,' " " ;, : ~ I 1 ," I ", " I , t' i " q: 'J? I 'I '-, l . ~ /(1 'I I ; p. 1 " .. ..), , , ,. , <, CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15467 F --.;2 , . jJ Port Angeles, Washington_________'________________________mn_______________________, 19__n_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 :?;;_~-(n--:.-~-~-I..:.--::--?;~-?;-~.'!.-.---~-.!.~= uccupancy___-c1'h.,!1~A__I_-<}d~- ow~er ___.:;~-Lt-<'J:.,-'~~----~;;-)1-~,1.~m- Tenant___nn_m____m__nm_n____n_mn______________:____nn__________ Wlrmg Contractor __________.<1__ ~,,_ ~____nn__n_n__mmm___ By_m__n___nn_________________________________n__n_________m__n . _ 4-- ~i::~t~:lt~e:~;-;~;-~:::::::::--::::::::=:=: ~::::~=:::2:~~~:~~- I Typ::::::n~~bie mum_mumm____n )I / ~ Non.Metallic mn..n..nm....h..h....... Dryer, KW!mnm..huu.....m...uuuu..mn :::: ;~::s............~~qZl~~............~.... Knob & Tube. ...00.............__............ Range, KW m.m._.._m..mm 5 Enclosure n......n....mn....mu...n...... Water Heater: KW.______..u___nu___nn_________ Type of wiring-: Entrance Cable ...n..mu..m........n.. Heat: RV.,r ,u........h.n........n............n.n.n_.... Rigid Conduit .........m....m..h........ Metal11c Tubing h""",'...m'h.huh. Current transformers: No. & Size"/"."'___""h"'''''''h'''''h' ,..' Ser. NO.'~'h""'.h""",,""'n....._....._..... l\fotors: size, volts and phase: Ser. NO......._u..nnum.......n...__..n....... Ser. No. "",,,,,,,,,,,,,,,,,,_.00..00.....,,,,,,,,,, Total Load...n.......h..h_.......... Scr. No. n..nn"'..n,,,"n,,,,',,'_......._._.n. Rigid ConduIt umummuu_U.........u Metallic Tubing nnon...n..._........... Raceway unm.....m Circuits, LighL...............n.on.m...nn...... Utility n........n.................__....__.....n. Heat Range h..............nn........_............n.. Water Heater .h.m.h..................... Motor ...._...h................................... Dryer............__...................._____........... Furnace .........................__m.......__.. Total .......n.......n.......u......__.... Remarks: ____nn___m_n.?<___m__n"_J!:;:;;;:.:il..,.J._______"~.<O.~.,,;,__~n----n------nn-n_m___n_mm_mn_____n______ _m__m____m_________________________m____m__m____mnm__m___________m__nn_m___nm__n_m;~mmnnn------~---------;----------------------- ~~-:-~~I:.~-~---------------- ~~~_~_~:__~~_~_~~~_~________ By ____5K~___.______~ll~~L~-~ , - NOTICE-Current must not be turned on until CerUficate of Inspection has been issued. It work Is to he con. cealed due noti.ce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBE_R WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15467 Date called for inspectioll......_..._.h.h.nh.........n......n.......h.h..._..h._................_.................nn.h......h__....n.__.....__..n.....................dh....._......... Inspection completed..._.._.._........n_...n",,,,,,,_,,,_,,,,,,u'"h''_'''h_'''...............n..n......h.h._.... Preliminaryinspectiondates..........................._...............................................................................h.............................._....._................_ Total Load ........................nnu...nn__......................n.....n..n 1M 3-72 Olympic Printers, Inc. fio~~. y -- ~ ~ # ~ii'" ~ . '.: . ELECTRICAL PERMIT APPLICATION ~~I~::'C" U~~y~o~ P=i", + ~8 DatcApproved: Datels:sued: The Electrical Permit Application must be filled out comoletelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: B 6lAS-3Q GoJ () Property Owner. ~ tt~at Address: /(t] <.,- (Jfu..)' City: ~f/I)"''Q.-yj t'Ri'-W1 Flpr.tri,..ol C'sFlt.aetar:. t'Jw'.J"IZ~ License#: REQUEST INSPECTION 0 Phone:-.!:l ;\ 'J <'t31 Z- Fax: Phone: ~) 730-719..3 Zip: 1'7[037 Exp: Phone: Address: INSTALLATION WIRED BY: Y.OWNER Credit Card Holder Name: City: o ELECTRICAL CONTRACTOR Zip: DON rox Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: MC: PROJECT ADDRESS: /)0:;'1 w. r~)-th ~d- ,Anq-Ele-:\ U)A q~~ TYPE OF WORK: Check all that apply: 0 New o Alteration/Addition o Residental 0 Multi-family 0 Commercial )if Mobile Home Sq. Ft 9CJ i Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Si! Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: -Qr Cllobllo ~n(fu? :C-:('Cliln" "j/n '3 Qt( ;;:;" *-111 J f) ~(')r' /<-d) Electrical Heat Load Additions ~ERMIT FEE: 1.5, 50 " Service Information o Baseboard '5lI Furnace o Heat Pump o Fan-Wall KW ,",",,, KW _TON KW 03 LRA o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 Service Size; Feeder Size: PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service & Feeders, building size (sq. ft.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electric. Permit application. I hereby certify that I have read and examined this applicatiDn and knDw that same tD be true and cDrrect, and I an authDrized tD apply fDr this permit. I understand it is nDt the City's legal respDnsibility to determine what permits ar required; it remains the applicants respDnsibility to determine what permits are required and to Dbtain such. Credit Card Holder's Signature: r . Owner or Elec. Cant. Signature:~~Itl4<i_ an. Qo - C:iELECTRICALPERMITAPPLlCATION Date: Date: 7 - } 7 -()2 ro' .~. . ., B3/29/2BB7 14:1B 3504523498 I ,.' '".' .'...... , , I . I i i I Job ",/red by IDlectrlcal Contractor lJ Ow.er electrica' contractor ".me ~:,r' --- r::=~ ~ P,'r. PIIn: r', alUnJ'ddml 'IJ'.5~ T,{/'#/'/~ff/?' C~ Sta~e ZIP rT 4/~,{ f 4/.:7. 7ff/? T(lephonc number"" FAX number LI -..??: LlQense flumber Dille Explras r?[P!'p#~l?/ "!" Pre-milt' Owaer'l Dime I :fr.& 1/ /(nv J~.'7 Ad ell or la.peeHolI I"~ ;2c:J..z / t/ / .F- Clt~~r Abf/',{' . P.boac a~mber to Il::bedule hupeetloD: '1/7- .J' L '/ L OWffItT cu f16fllttd b, RCH':J9.28.26J:(J) Owllt!' wlfJ tJct:flPJllne "ruc'~r"f()r 'w" . )'ran ~r 'Ttb _/""Ica./ pttmdl II j1ttGllz~tl. (1) Owntr I: nqll;~d fo hln Gn eJecJrka' eolllPrWor If 4bovt!' sala fJI"Opttr'ty Is for s(J/~, TUllO' 1m'. After readin; the .bove Itale:Nent. I horoby oertif'y maL I 11m the O\tmor or tbe above o&ned I'ltIpel1y or . lI~nled. elcttTI~.1 c:on"'a.~t.oT. I am maklng the Cltcl;lrl~illllUtDla lalion or .It.enufon In coJDpliaaee wilh. the .,h:etrlcalllwl. N.S,C.. RCW. Chapter 19,2S, WAC, ~pler 291).46B, The Clly or Pori A.sele, Muni'ip.' Cod" and Utility SpoellT<lriOOI, Sleauure or otnlrr. el.ctrlc.' contractor Dr eJtttrltal .r1mlnISlfAtDr Date:JBv>"b 7 ,/ - OLYMPIC ELECTRIC PAGE B5 ELECTRICAL WORK PERMIT APPLICATION . 1 fnllallalion dcsoriplion ./ o Commercial I2'Rulde.tlal ClNew IJ Altered! Addltlo. ftrp'~rc ~?,#J# /4b>/ e /' &/?1~ .[/r~;'-,- CJ C~h CJ Checlc 1/ iirEredil Card VISIl Mastercard Discover Cardll ____.____-____._.___ Expirntion Date of oard Service Information NO lOAD CHANGES o euebolllll _1M /"" C Fum""" _ KW c( D._mead Service o Heal Pump _ Ton _ lAR 0 Temp $eMce C Fan-Wall _1M C Underground ServIce SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 "~. ROUGH-:_.." J r THERMOSTAT '- Dale A:PJlI'O'I'ofJl;y, , 3-~o l>... :;AL~ ,..... , DITCH Dill Jnspcclloa' D~te An:a, Building or Equipment Inopeoled VOltage .2 'Ie Ph..... ITt a 3 Sarvlca SIzg: ~~ Feeder SIZe: r SERVICE o..c Appnmd tI)' FEEO~ API'f'OV'CdB.Y,/ Pile ~w:dDy A.llon T,ke. Blectric.! In,peofOr