HomeMy WebLinkAbout1411 Eckard Ave - BuildingApplication Number 07 00000982
Application pin number 513856
Property Address 1411 ECKARD AVE
ASSESSOR PARCEL NUMBER 06 30 14 1 3 0040 0000
Tenant nbr name ROBIN GABRIEL
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
FLOYD R GABRIEL
1411 ECKARD AVE
PORT ANGELES
(360) 457 8368
'Permit
Additional desc
permit .pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Qty unit: Charge Per
q 1 00
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
46. 00!00 ECH EL R
Qty Unit Charge Per
1 00 35 0000 ECH
Fee summary
Permit Fee Total
Plan Check Total.
Grand Total
COMMENT /ACTION NEEDED
81 00 81 00
00 00
81 00 81 00
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
RS9 RESDNTL SINGLE FAMILY
9550
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
WA 983622714 PORT ANGELES WA 98362
(360) 452 9813
ELECTRICAL ALTER RESIDENTIAL
SIMPSON/ BOILER
110049
SIMPSON ELECTRIC
46 00 Plan Check Fee
9/14•/0 Valuation
3/12[08.
OR RM 1 4 ALT CIRCUITS
ELECTRICAL ALTER RESIDENTIAL
ALL WEATHER/ T STAT
110056
ALL WEATHER
35 00
9/14/07
3/12/08
HEATING COOLING
Plan Check Fee
Valuation
EL LVT FIRST THERMOSTAT
Charged Paid Credited
00
00
00
Date 9/14/07
00
•0
Extension
46 00
00
0
Extension
35 00
Due
00
00
00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MJNIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
GENERAL COMMENTS:
INSPECTION TYPE DATE
Dti'CH 1 I
ROUGH -IN COVER I I
SERVICE I I
FINAL I I
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
ACCEPTED
YES I NO
kp� p
COMMENTS
PW- 1102.!514'96)
08/23/2007 22 55 4579270
G-6
I 1 /Installation description
Job wired by Electrical Contractor 0 Owner O Commercial >l Residential
Electrical contractor name License number Date Expires
°ftl l_r�dt:�. t S.T SCL 4 "7 3 ,2Q
Purchag s mailing address
c 03 (o k 4 1 or V.)
city
Telephone number
S 7 -9a-7. o
Porgy 011441-1 es
'Premisee owner's natng
Robi GAbri
Address of inspection
I Li j CKgki
City 9 n
Phone number to schedule ins cell
Owner as defined by RCW 19 28.261•(6) Owner will occupy the structure for two
years after this electrical permit isfinalizcd. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, i hereby certify that 1 am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with 'the electrical laws, N.E.C. RCW Chapter
19.26. WAC. Chapter 296 -46B. The City of Port Angeles Municipal Code, and
Utility Specifications,
Signatl(re bf owner, electrical ntractor or electrical administrator
plectri l d f traction
O NO LOAD CHANGES
asneboard KW
Furnace All KW 6o' f°T O Overhead Service
O Heat Pump Ton LAP O Temp Service
0 Fan -Wall KW 0 Underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360- 417 -4735
ROUGH4N THERMOSTAT
Dale
FINAL
p
Inspection
Date
5 i —y —o
-RECEIti F D
AUG 2 8 8007
LIGHT DEPT
State ZfP
I)A-. 98.313
FAX number
Me
Date: S2.5107
Approved Dv
Dale
By Dole
Area, Building or Equipment Inspected
SIMPSON ELECTRIC PAGE 01
ELECTRICAL WORK PERM1.'I' APPLICATI&.
L( Cr leC.il u`•(-
o r
utf -r-
Approved ay J
DITCH
Cash D Check
O Credit Card GD
Card ®n'`_
Expiration Date
f card
Approval By
C1 New 1/2 Altered/Addition
Dole
Mastercard
inspection fcc
6-
rvice lntofmntlort
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SERVICE
Dale Approve,' ay
IEEE
Approved ay
Action Taken
Discover
Electrical
inspector
21
N
IS 14V rb t=0.0i
08/24/2007 08 38 13604525177
Inspection
Date
F i z uc a6
RE CEIV
AIIC 2 R 9nn
--LIGHT nEPT .1
Dutc Approved By
FINAL
State ZIP
V
Job wired by -4Electrical Contractor Owner
Electrical contractor name License number Date Expires
All tA 140inna Itgas _1�,c 4 (Gn 1 nO 2 JA1 fl111EaUt 11-1
Purchaser's mailing address
I D6L Ian -4 f
Atinm c 1.07-
Telephone number FAX number �7
;00' 4 -6Z— 91'n ��7- SIjj
Premises
4F Oi owner's, er 7C b V 1 C I
Address of Inspection
Ni
Phone number to schedule section,
Owner as defined by RCW l9.28.261 Owner will occupy the structure Or two
years after this electrical permit is finalized, (2) Owner is required to hire an electrical
contractor if above said properly is for sale, rent or lease.
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 instal-
lation 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 nt rc of owne electricn oinfractor or electrical admi atratn
Date:(9 X 67
Electrical ad Addiitions4nd or subtractions
NO L D CHANGES
A Ba board KW
Furnace KW
Heat Pump Ton LAR
Fan -Wail KW
Date
Overhead Service
Temp Service
Underground Service
Delc
Area, Building or Equipment Inspected
ALL WEATHER HEATING
\(Innttllation description
Cl Commercial Ja! Residential
Expiration Date
of card
SAME DAY JNSPECTIOIi CALL BEFORE 7:00 AM 360 -417 -4735
ROUGH* THERMOSTAT
Approved By
DTTCA
ELECTRICAL WORK PERMIT APPLICATION
New Altered /Addition
Cash 0 Check
Credit Card Visa
Card
Approved By
Dete
Dole
(Uiti nod
Mastercard Discover
35
7 Inspection fee
S erwrlce Information
SERVICE
Approved By
I'u DER
Action Taken
AP
Voltage
Phase 1 3
Service Size:
Feeder Size:
Approved By J
PAGE 02/02
Electrical
Inspector
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning , . .
Application valuation
08-00000460 Date
401820
1411 ECKARD AVE
06-30-14-1-3-0040-0000-
FIRE ABANDON TANK INSPECTION
4/18/08
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
GABRIEL FLOYD R
1411 ECKARD AVE
PORT ANGELES
WA 983622714
THE REMEDIATORS INC.
905 W 9TH ST
PORT ANGELES
PORT ANGELES WA 98363
(565) 2065
Permit UNDERGROUND TANK RES
Additional desc TANK FILL
Permit pin number 124891
Permit Fee 15.00 Plan Check Fee
Issue Date 4/18/08 Valuation
Expiration Date 10/15/08
,00
o
Qty Unit Charge Per
BASE FEE
Extension
15,00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 15,00 15,00 ,00 .00
plan Check Total ,00 ,00 .00 ,00
Grand Total 15.00 15,00 .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 provisions of any state or local law regulating construction or the performance of
construction.
Date
Print Name
gnature of Owner (if owner is builder)
T:Forms/BlIilding DivisionlBlIilding Permit (I 0/0 1/07),wpd
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 M[NIMUM 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 PERM[T CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS,)
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 W ALL/HOLD DOWNS
WALLS / ROOF / ~EILlNG
DRYWALL erNTERIOR 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 OCCUPANCY/USE
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 417-4&07 PW/ ENGINEERING
FIRE 417-4653 S .2.0.0 '6 ~ FIRE DEPT,
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
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T,Forms/Building Division/Building Permit (10/0 I /07),wpd
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PORT ANGELES FIRE DEPARTMENT
Abandollll1ent of Residential Fuel Storage Tank
1,100 Gallons or Less
Application for Pen11it
Please call the Fire Marshal's Office at 417-4653 for assistance with the processing this permit.
Date: ti. /'J ( 13 200
Name of Applicant:
Address/~ 1/ e
Telephone:
4IC/IJ6
Telephone:
Site Owner: /J b. .
/\G<)f '-1
Permits are issued at the City of Port Angeles Permits Counter located at City Hall,
321 E 5th, Port Angeles, W A. "
Permit fee $15.00 paid to the City of, , H d Sp se 1
I owar rOll ,
i Soils Remediation Services THE REMEDIATORS INC. !
- . I
90S W 9th Street, Suite 222, Port Angeles, WA 98363 ;
Date Issued:
I
I
(360) 565-2065 (Office) !
(360)-461-1361 (Cell) ;
hsprouse@theremediators.com '
www.theremediators.com
Date Issued: I 0
~-----~~-- -
Issued by: 0
Additional Comments:
I have read and understand the requirements of this application.
Applicant's Signature:
FP - 25 A (Revised 12/9/04)
Page 1 of 3
Section I - Required Information
Applicant is required to furnish the following information on the space provided on the next page.
1. A site plan showing the number, size, and location of the underground storage tanl<: with
reference to the existing home,
2. Specify the type of liquid which was stored in the tanle
Section II - Requirements and Limitations
Issuance of a permit is subject to compliance with the listed requirements and approval by a field
inspection of the Port Angeles Fire Department. Residential underground storage tanks may be
abandon in place or removed.
1. There shall be no welding, cutting, or other sources of ignition in the area while abandoning
operations are in progress. Welding or cutting on tanl\:s require a separate pemlit from the
Port Angeles Fire Department.
2. Removal of all flammable and combustible liquids from the tank and all connecting lines
shall be pumped out. Please use a hand pump or other means to remove remaining
flammable or combustible liquids as far as practical.
3. If the tank is removed and stored on site temporarily, the tank shall be placed in a secure
location and blocked to prevent movement. The tank would be required to be inerted prior
to being transported. The hole created by removing the tank shall be filled with a suitable
material (earth, sand, etc.).
4. There are three options for the abandonment of residential fuel storage tanks. All three
options require that the tanl\: is first completeIy pumped out.
Option # 1- The tank: and all associated fill and vent piping can be removed completely. This
is generally the best method, however it is also the most expensive.
Option #2 - The tank: fill and vent pipes are removed, then the tank: is filled completely with
an inert mixture such as a sand slurry. If Option #1 (complete removal) is not chosen, then
this method is REQUIRED if the tanl\: is within 5 feet of a property line, driveway,
sidewalk, swimming pool, deck or building foundation.
Option #3 - The tank fill and vent pipes are removed below grade and capped. The tank is
left in place. If using this method, the applicant must read, understand and sign the following
statement:
''In using this method, I understand that the void created by the tank
may cause a collapse ofthe adjacent ground if the tank rusts out over
time."
Applicant Signa!ure:~_--.a1 ~-^" '-'-u Date: tf;2~ '( I 2> 68
FP - 25 A (Revised 12/9/04)
Page 2 of 3
",)
Site Diagram
>r\\DSt
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To be completed by Fire Department
Method of abandonment:
( ) Tank removed
ffi.-Tank: filled with inert mixture ~ 'S. UJ. O'B
( ) Tank vent and fill lines capped below grade
FP - 25 A (Revised 12/9/04)
Page 3 of 3
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32 I 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
07-00000982 Date
513856
1411 ECKARD AVE
06-30-14-1-3-0040-0000-
ROBIN GABRIEL
MECHANICAL APPL, PERMIT
8/24/07
RS9 RESDNTL SINGLE FAMILY
9550
Owner
Contractor
FLOYD R GABRIEL
1411 ECKARD AVE
PORT ANGELES
(360) 457-8368
WA 983622714
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
INSTALL ELECTRIC BOILER
109~79
105.45 Plan Check Fee
8/24/07 Valuation
2/20/08
.00
o
Qty Unit Charge Per
Extension
50.00
55.45
BASE FEE
1.00 55.4500 ECH ME-INSTALL BOILER 1.7-
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105.45 105.45 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 105.45 105.45 .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 1'80 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commented, 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.willbe complied with whether specified herein or not. The granting ota R.eDJlit doe!? n9t
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 Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit inspection rccord05,wpd [114/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-48]5 FOR BUILDING INSPECTIONS, CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS,
CALL 4 17-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A ivlINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANY WOJU( BEFORE
J.NSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TION.
KEEP PERMJT CARD AND APPROVED PLANS AT JOB SITE.
3
I
..D
~
'~
INSPECTION TYPE IJATE ACC!':PTElJ COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATJON DRAINAGE / OO\VN SPOUTS
PIERS I
POST HOLES (POLE BLDGS,)
PLUMHlNG
UNDER FLOOR / SLAB
ROUGH.IN
WATER LINE (METER TO BLOG)
GAS LJNE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEJLJNG
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
JNSULA nON
SLAB
WALL / FLOOR / CEJLING
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL \ -13-ott DATE "SLl- ACCEPTED BY:
WOOD STOVE I PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING &. HOLD DOWNS
SKJRTJNG
PLANNING DEI'T, SEPARATE PERMJT #'5 SEPA:
I' ARKING/L1 GHTING . ESA:
LANDSCAI'ING SHORELINE:
FINAL INSPECTIONS REQUIRED PRJOR TO OCCUPANCY/USE
RESIDENTIAL DATE ,YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - UGHT DEPT. 417-4735 ELECTIUCAL
LIGHT DEPT
CONSTRUCTION RW. IPW/ CONSTRUCTJON - RW,
ENGINEERING 417-4807 PW I ENGINEEJUNG
FIRE 417-4653 FIRE DEPT,
PLANNING DEPT. 4]7-4750 PLANNING DEPT.
BUTLDlNG 417-4815 BUTLDING
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T:\Policies\J ]02 15 buildllig penTIlI mspcctlon record05,wpd [1/4/2005]
L-.
08/24/2007 08:38
13504525177
ALL WEATHER HEATING
PAGE 01/02
fj..
BUILDING PERMIT ;: APPLlCA rlON
FOR Omcw..USB ONLY:
Dmlll Rce.; m ~ '2. y' --0'7
Pe!Tllit#: C) 'l. r- '1 g 2..
D~teAppmved: ()~ -2,.,'1-6
t\
Date rssucd:
Applicant or Agent
Phone-upO-4t)Z - Qer3'
Phone ?;( pO - i1 S 7 - 0?,G,B
C\
Ownerj:O \? i VI f7 01 \J vi { I
Owner's AddressJtl\ e~O\\lc~ fN-( 'e.
Contractor/Engineer~ U1Mtbrll /f(lAti~f {oQ1ift1 ", State License # (1JllJ.Jcttc It)CJIL.v Expires Q-/-07
ContrnctorlEngineer', Address 2:>.07 ~. .& _ ~hone 3<' t(j - '1 ~7 -qtJ/3
PROJECT ADDRESS;~ \ ' E~ ~ ZONING:
LEGAL DESCRlPTION: Lot: Block:' Subdivision:
CLALLAM: COUNTY PARCEL NUMBER:
IYPE OF.' W01U(
t:l Residential t:l New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Movo, CI Garage
CI Commercial t:I Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
SlZEN ALUA TlO.M
SF. @ $ ISF. "" $
SF. @.$ ISF. '" $
SF. @ $ ISF. = $
TOTAL V ALUATION $~D . C'O
E-\eCt\ r '00 \ \-e V I Yl S; m11
Occupant Load: Construction Type:
COMMERCIALIRESIDENTIAL: Occupanq' Group:
Existing Structure(s) basoment Sq, Ft
1't floor Sq. Ft.
2nd floor Sq. Ft
]rd floor Sq. Ft.
Existing Structure(s) TOTAL Sq. Ft
Ma.xUnum, Height of Proposed Structure(s) Ft.
& Proposed Structure(s) basomcnt Sq. Ft.
& pi floor Sq.Ft.
& 2nd floor Sq. Ft.
& , 3'4 floor Sq. Ft.
& Proposed Structure(s) TOTAL Sq. Ft
, TOTAL Sq. Ft. of existing & 'proposed structures
1l.01 COVERAG-E
Lot size Sg. Ft.
Existing Structure(s) Sq. Ft Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOT AL Structure(s) Sq. Fl Footprint
Total Lot Coverage %
f .
(Divide Total Structure(s) Sq. Ft, Footprint by Lot Size Sq. Ft.)
V ALUATION'OF CONSTRUCTION: In all cases, a valuation amount must be entereQ by the applicant. ,This figure will be
reviewed and may be revised by tbe Building Division to comply with current foe schedules. Contact'the Permit Coordinator at 417-4815
for assistance. .,
PLAN CHEcK FEE: The plan chcc[c fee must be paid at the time the building permit application is submitted. All other permit fecs arc
due at the time ofpemtit issuance. '
EXPIRATION OF' PLAN REvtEW; An application for a permit for any proposed work shall be deemed to have been abandoned 180
days aftertbe date cffiling unless such application has been pursued,jn good,f.aitb. or a_pennitbas been issued1_except that the building
official is l1uthorized to grant one or more extensions oftimo for additional periods not exceeding 180 days (90 days for commercial
proj~cts) each; The,extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 1-05.3.2) ,
I hereby certIfy that f have act and examined t/7is application and know the same to be true and correct { am authorized to
apply for this perm. anct derstanct tl1atit is my responsibility determine whet pe . saf73 r73quired, and that {mrJst obtain
sLl13h-permits r/ow-w
Date Applicant
Dlr;G"bIVISION\BldgpGrmitAPPI.-Z006 CODE.wpd
.-.,"
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
;/r~z
/ p//9f
DATE
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
license Number:
o Will CAll FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
1)1I FURNACE KW ~
~ HEAT PUMP KW ~
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
0195 0395
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
/tJ,tv ~I'
f s4/~ ;O~
,
~~~
~h~
.
/j ~uJ
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~4 Final O.K.
Site Address:
/'1//
~
Permit/Receipt No.
Li'1 Vz:..
Installer:
New Meters
.
-' .s---
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. ,//
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ I)E J 0
Electrical Inspector
Permit Fee
WHITE - Fife by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
~
OLYMf'IC PRINTERS INC