HomeMy WebLinkAbout305 N Eunice St - Building t c
CERTIFICATE 'E U PA N CY
City of CitPOit Angeles =';Ouildiilg,Division
This certificate is issulpursuant to the requirements of Section ILL'Ofille 2009 International Building
Code certifying that at this structure was in compliance with the various ordinances
of the City regulatingibifilding'CO`nSteuet011,,or:usefor the folleialik
Business name: Y Banbury Corrfes Paycar.0
Business address: 305 N Eunice Street 4
,..0, v ,4,:" ,,V"-, s 4 dpivwff, ;1 11, 0
t Property owner: :41 'f,I.:*p ''',eq't f ;',.'',1, q3;? V 9
V 2 ii1 W An g e l e s, 14 *A fr diiStP
Property owner 's PO Box -0 i
vi'ciZN'6
Automatic fire sprinmer.fsystem: NotzReguired&2±,z,,....i,:,,-2z.A.'rhse4-4
Use occupancy elaSsification: Educational
Building permit number" t,.:, 12-995 s--,.
Nx a Tr 7 7,- l'emmwm7,7smc$7 Y
Occupant load: -i. Rer„2009 IBC; Table10041:41!.,,,,
-4A i.
Type of construction: V-Bttovmkzigzrr7-V-t:iK-
_f itreA7AfTi 4 8-3-12
q
Sue'Rbibrds,t,'.saldn, l,g4Mahaddr Date
,I
Post on the premises in a conspicuous place. This certificate shall not be removed except by the
Building Official.
l..
-lk soir,, CERTIFICATE OF OCCUPANCY APPLICATION Permit (2 "11
Atago— FEES
tI CITY OF PORT ANGELES
5 Certificate Inspection
Attn: Permit Technician
N INIMPOP r 321 E. Fifth St., Port Angeles, WA 98362 00 Parking Business Improvement Area (PBIA)
(360) 417 4815 fax (360) 417 4711 0 pc fee charged for Downtown locations
PLEASE PRINT IN INK 0 LI 5 0 05 13 Lo J UO
Check one: New business in P.A. Change of ownership only? X Moving location from within P.A.? Zoning R.,.51'
BUSINESS NAME N 9 bt ry r 11Y ryC r 7 ta rI d- Pce 5C Loa 1
Business address 3 S (✓u n.l. '-�P"Mailing address D5 IV F: IA n i
Phone number 3(e0 I q Vg Opening date fl/i/ Days hours of operation L445 r 1,1),-
Business owner's name 1- i e_kico.i .S Contact phone 3440 `7th -LeAI 1
Business owner's address J�j -f LI�el Lit..r,_t-- p pL j k I /I
Brief description of business h 11tle.4.A.e 0.L -rl' hnfr j asp s "'i y rS
Property owner's name L nta-c phone F I 6 S'
Property owner's address /contact 1*'? PLCT1'yMti> .111. .6 '1P
C. h a ry c
F0 Lax 2—'41' Por --r.�- 1( "i tk 61 s'/-)Lc) d
BUILDING DEPARTMENT phone 417 -4815 Bldg approval b y on
Is the business a restaurant or bar that will seat 50 or more people? Yes No
Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work,
adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417 -4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes Not
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
Square footage of business? PBIA notified on
Is business moving within the PBIA? Yes N
-/1...
CITY CLERK phone 417 -4634 City Clerk approval by on
Second -hand dealer /pawnbroker business? Yes No
Will there be dancing at this business? Yes Nt
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance,
Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
COMMUNITY 8 ECONOMIC DEVELOPMENT phone 417 4750 CED approval by on
Number of off street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc
Signs planned:
0—°
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
PWE approval by on
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 4812
Is site work planned (new or re- located sewer or water service,
excavation, grading or filling, in City right -of -way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes No
Work planned: C�
PUBLIC WORKS WASTEWATER phone 417 -4845 Pwwapproval by on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes No
If yes, what will be discharged:
Call for Certificate of Occupancy inspections BEFORE opening buReC E1VED
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653 AUG 3 2012
Please sign up for utility services at the cashiers' counter. CITY OF PORT ANGELES
BUILDING DIVISION
hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge. Incorrect information may rein revocation of
permit.
3 P rint Name r A
Date �l IM F^I` Signatur�'��,�
lI
T: \Forms \Building Division\Certificate of Occupancy Application (2010).doc
Page 2 of 2
Application desc
Heat pump no load change
Owner Contractor
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number 10 00001214
Application pin number 839642
Property Address 305 N EUNICE ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 3650 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
GARY D CHILDERS ALL WEATHER HTG COOLING INC
PO BOX 247 302 KEMP ST �J�
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 928 3883 (360) 452 9813
Permit ELECTRICAL ALTER COMMERCIAL
Cr
Additional desc
Permit pin number 175851
Permit Fee 112 00 Plan Check Fee 00
Issue Date 10/20/10 Valuation 0
Expiration Date 4/18/11 L
Qty Unit Charge Per Extension
2 00 56 0000 ECH EL LVT THERMOSTAT 112 00
Fee summary Charged Paid Credited Due
Permit Fee Total 112 00 112 00 00 00
Plan Check Total 00 00 00 00
Grand Total 112 00 112 00 00 00
T
DATE.
a'z1t /!a
Date 10/20/10
RESULTS INSPECTOR.
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X Date.
Date
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A HEAT PUMP
Owner
GARY D CHILDERS
PO BOX 247
PORT ANGELES
(360) 928 3883
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
14 8000 EA
T.Forms /Building Division /Building Permit
WA 98362
MECHANICAL PERMIT
INSTALL A HEAT PUMP
175778
64 80
10/19/10
4/17/11
Per
Charged
64 80
00
64 80
10 00001209
902308
305 N EUNICE ST
06 30 00 5 1 3650 0000
GARY D CHILDERS
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
12360
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee 00
Valuation 0
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80 00
00 00
64 80 00
Date 10/19/10
Due
Extension
50 00
14 80
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 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
!d
//o SecAr.. AAcGown jeo,_..
Print Name Signature of Contractor or Authorized Agent
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of Owner (if owner is builder)
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T.Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Date
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted By Comments
FINAL Date Accepted by
FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 1 ESA.
Landscaping 1 1 SHORELINE.
O g Ac c O pted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
3
z-
PREPARED 11/08/10 8 08 48
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
305 N EUNICE ST
GARY D CHILDERS
ALL WEATHER HTG COOLING INC
GARY D CHILDERS
06 30 00 5 1 3650 0000
10 00001209 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 11/08/10 J,,L
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
COMMENTS AND NOTES
PHONE (360) 452 9813
PHONE (360) 928 3883
MECHANICAL FINAL TIME 01 00
November 5 2010 1 36 48 PM permits
JANE-CHILDERS (BANBURY CORNER DAY CARE 808 3105)
MECHANICAL FINAL "HEAT"PUMP
SHE REQUESTED AN INSPECTION SPECIFICALLY BETWEEN
1 00 1 30 PM FOR THE LEAST IMPACT TO THE CHILDREN
PAGE 2
DATE 11/08/10
SPe--
3Cr\t\ D&c+--
OR\
Applicant \OMVIVY
Property ,...y),ne.
Property Owner's Address
Contractor
Contractor's Address
License PL1.■bFk
erect TI Brief Description:
Check all that apply
a New Construction
4ddition
^Remodel
Repair
a Demolition
o Re -roof
)214►leat System
o Other
Floor Areas
Basement
1 Floor
2" Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
t70 /ZO 39vd
BUILDING PERMIT APPLICATION 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
PROJECT ADDRE 'EkJ1\ ce %t
Parcel Number Lot
l Existing (so. ft.)
o Residential
Proposed (so. ft.Z
For City Use Only
Date Received 10
Permit# 1Ls
Date Approved
Phone O
Phone to0 DIbZ$ R
Phone 30K) U3
E -mail alar.e.Nficn CAY)
Zoning
a Multi- family Commercial o Industrial
o tear off re -roof o lay over one layer
Q House o garage o other
A3ieat pump wood burning stove o gas fireplace o pellet stove o other
per sq. ft.
.1
TOTAL VALUATION bl A(t)
Total footprint of structures sq. ft Lot size sq. ft. Lot coverage yo
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will afire sprinkler system be installed? 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 permits prior to acing on projects.
Date ‘011"61 Print Name P Y \Y Signatur
T:Forma/Building Olvlsion/Bldg lermit.doc
9NI1v3H a3H1v3M 11C LLTSZSV09ET 8E LO 0T0Z /6T /0T
Clallam County Assessor Treasurer Property Details 61616 GARY D CHILDERS f Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 61616 GARY D CHILDERS for Year 2010 2011
Property
Account
Property ID 61616 Legal Description. SMITH NORMAN R LTS 10-
12 &W2 LT 13 BL 36
SURVEY V24 P41
Geographic ID 0630005136500000 Agent Code
Type Real
Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 68
Open Space N DFL N
Historic Property' N Remodel Property N
Multi- Family Redevelopment: N
Township Section
Range.
Location 0 I
Address: 305 N EUNICE ST Mapsco `/Y
PORT ANGELES WA p y4-0-)
Neighborhood. Cycle 5 Comm Map ID 2
Neighborhood CD 20953140
Owner
Name GARY D CHILDERS Owner ID 17977
Mailing Address. PO BOX 247 Ownership 100 0000000000%
PORT ANGELES WA 98362
Exemptions.
Taxes and Assessment) Details
Property Tax Information as of 10/19/2010
Amount Due if Paid on 7 1.
Year Statement ID Taxing Jurisdiction
i
2010 44319 ST SCH STATE SCHOOL
2010 44319 CC 1 GEN COUNTY
2010 44319 PORT PORT
2010 44319 PORT ANG PORT ANGELES
2010 44319 SD #121 SCHOOL DISTRICT #121
2010 44319 NTH OLY LIB NORTH OLYMPIC LIBRARY
2010 44319 HOSP #2 HOSPITAL #2
2010 44319 WSNIET PK DIST WILLIAM SHORE MET PARK DIST
2010 44319 CITY STORMWATER CITY STORMWATER
2010 44319 WEED CONTROL WEED CONTROL
2010 44319 TOTAL.
2009 616162008 ST SCH STATE SCHOOL
2009 616162008 CC JGEN COUNTY
2009 616162008 PO T PORT
2009 616162008 P0I12T ANG PORT ANGELES
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
Half I Half
Base Base
Amt. Amt. Penalty Interest Base Paid
$530 43 $530 43 $0 00 $0 00 $1060 86
$282.27 $282.28 $0 00 $0 00 $564 55
$39 68 $39 67 $0 00 $0 00 $79 35
$653 57 $653.56 $0 00 $0 00 $1307 13
$687 06 $687 04 $0 00 $0 00 $1374 10
$82.02 $82 03 $0 00 $0 00 $164 05
$115 80 $115 80 $0 00 $0 00 $231 60
$36 84 $36 85 $0 00 $0 00 $73 69
$100 70 $100 69 $0 00 $0 00 $201 39
$0 82 $0 81 $0 00 $0 00 $1 63
$252919$252916 $0.00 $0.00 $5058.35
$619 03 $619 02 $0 00 $0 00 $1238 05
$313.29 $313.27 $0 00 $0 00 $626 56
$44 38 $44 37 $0 00 $0 00 $88 75
$687 16 $687 15 $0 00 $0 00 $1374 31
http. /vpn.clallam.net•8 i 84/ propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =6 10/19/2010
City of Port Angeles Permit Ap �lication
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (3601417.44735 Fax: (360) 417.4711
Date: 101 N10
1 2 Single Family Dwelling
Multi Family or Commercial'
X Commercial Addition I Alteration l/ Remodel Repair`
Plan Review a Be Req Ired Please Complaie Electrical Plan Review Information Sheet
Job Address: At
Building Square Footage: 1 x!'111 C)
Description of above V \Q p \k O \1V71 k Ca
Unit Ghana
93.75
$113.75
$160.00
$205,00
$291.25
2,00
57.50
2.00
72.50
86.25
$11625
$131.25
75.00
69.00
75.00
50.00
50.00
93,75
80,00
86.25
27.50
57.50
86.25
43.75
b0 /b0 39od
Owner I fggg�mm
I� o
Name:
J J..1(lS�
Mailin' Address: 1�
City
Phone:
License Exp.
State: wily- Zip: l'Z
Fax:
9NI1C3H d3H1v3M 11u
J .-f a)
ccf n 476.7
EL ECTRICAL
IN SPECTIONS
Contractor Informma_
Name :0111 1vt Ja1 4C t X01 vim
Maili Address: _.3.2.
City' it ti ll ra .a State: W:p Zi p: `'i� 'SUt 2
Phone: Fax:
License Exp.. C 1 5 1
Total (Otv Multiplied by Unit Charnel
ServicelFeeder,200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit WIO Service Feeder
Each Additional Branch Circuit
S Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201.400 Amp.
Temp. Service /Feeder 401 -600 Amp,
Temp. Service/Feeder 601 -1000 Amp,
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Femlly Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Si Thermostat
Total
Owner as defined byRCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner Is required to hire an
electrical contractor if above said properly is for sale, rent or lease.
After reading the above statement, I hereby certify that f am the owner of the above named property or a licensed electrical contractor. tam making the electrical
Installation 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 Specttications.
Signature of owner, electrical contractor or electrical administrator Cash
f Check
Date:
t lJ Credit Card 1Z
LLISZ5h09ET BE L0 0T9Z /6Z /OZ
'""~II
$~d~'<i
DB
'\.;jr..~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 98,62
I
ELECTRICAL PERMIT
I
I
OWNER/APPLICANT
I
IilANBURY CORNER DAYCARE
I
i1lO5 N. EUNICE
I
~ort Angeles, WA 98362
:3601000-0000
I
T:
I
CONliTRACTOR
ELECTRIC SERVICE
p24 DRAPER RD.
IPORT ANGELES, WA 98362
~t60/452-6424
PROUECT INFO
Project Type: COML. MISC.
Occupancy Type:
(i'ccupancy Group:
'Iectrical Heat:
D Baseboard
D Furnace
D Heat Pump
D Fan Wall
PERMIT NO 6821
ISSUED: 12/21/1999
S:
PROPERTY LOCATION
305 EUNICE N
Lot:
Block:
Subdivision:
Parcel No:
D Long Legal'
ARCHITECT
N/A
, 98360-0000
360/000-0000
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use:
o KW
o KW
o KW
o KW
o Riser 0
o Overhead Service
o Temp Service
Underground Service
Voltage: 0
Phase: D 1 D 3
Service Size: 0
Feeder Size: 0
PRO I ECT NOTES
WI . E TWO SUMP PUMP SYSTEMS
FEE ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Mise Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
COMMbNTS/ACTION NEEDED
$54.00
$0.00
$0.00
$0.00
$0.00
$54.00
$54.00
$0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVEll,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEFI'ED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
~UUH-IN I
t:lKYlCb
1i7/1.(/9Q I \1 .
GENERAL COMMENTS,
PW-II02.U(4'96J
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. .:?~cPJ
7;'~ffL
DATE
ELECTRICAL PERMIT
,
I
SitJ Address:
I
Installed By:
I
Owner/Business:
I
Owner/Business Address:
I
I
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW
o ~EAT PUMP KW
o SIGN
DetLslDescriPtion:
I
,
I
~I
I
~I
I
W.S. No.
I
CAP.ACITY:
I 0 O.K. NOT O.K.
A110N REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
I
I
o !Ditch Inspection O.K.
I
III ~ough-in/cover O.K.
o 0.K. to connect service
~ ~inal O.K.
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
.;]O~
Phone:
c
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~ SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE
AMPS
Fr~[
A-(~
I -zPA.) L
SERVICE SIZE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
Permit/Receipt No.
..:? (p cf J
New Meters
G
I
Notify Port Angeles City Light by Street Addres and Permit Number when ready for inspection. Work must not e 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. ..v
1 "If NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /T' . -, / &0
I 194<1 $ 0<:
I
WHITE - File by address
I
OLy!e PRINTERS INC.
Electrical Inspector
Permit Fee
YELLOW - file by number
PINK - Top: Eng, Bottom. Customer
GREEN - Top: Meter Dept.. Bottom: City Hall
o rDitch Inspection O.K.
~;a+oUgh-in/cover O.K.
~ )tJ o/.K. to connect service
~rnal O.K.
Sil~ Address:
I
I
Installer:
I
"",""
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
008z....
;;;,4;hc:
DATE
ELECTRICAL PERMIT
Sit~ Address:
~OS"
Ins ailed By: m r
I .coO'
Owner/Business:
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
(I).
.E4A
C*1--U_
Phone:
Owner/Business Address:
Sq. Ft.
o aESIDENTIAL
WCOMMERCIAL
o BASEBOARD KW _
o FURNACE KW ~
o FAN/WALL KW _
o ~EAT PUMP KW ~
o SIGN
I
I
DetailslDescription:
I
I
-e:rOVERHEAD SERVICE
o UNDERGROU~~aVICE
VOLTAGE: /~ U
~INGLE PHA E
o THREE PHASE
SERVICE SIZE ;;JOZO AMPS
o TEMPORARY SERVICE
kH'ERMANENT SERVICE
~EW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
,//h:uJ L1; ('~L
/0 1::.0 ~Ik-{J
/0 K t.-U /j. ,;:?
I
I
-I
w.~. No.
I
CAPACITY:
I 0 O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
I 0 INSTALL SERVICE POLE
I
SERVICE SIZE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
Permit/Receipt No.
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z:
t
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
,
befllJre 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.
i ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ,11/00 JJ!!
I ~leClricallnspeClor Permit Fee
WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall
I
OLYM11C PRINTERS INC
----.
- ..
-.------
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
3 t c?-3
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.
DATE
ELECTRICAL PERMIT
In51alled By:
:3 OS
13010'
E.
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CtfJ4/
o READY FOR
INSPECfION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
SitJ Address:
:
Owner/Business:
!
Phone:
Owner/Business Address:
I
Sq. Ft.
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o $IGN
M TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ OVERHEAD SERVICE
o UNDERGROUN.?1ERVICE
VOLTAGE: /?~ <;/0
IO-811IIGLE PHAS
o THREE PHASE
SERVICE SIZE ::::r-.~ AMPS
DetailslDescription:
.
I
W.S. No. SERVICE SIZE
CAPACITY:
! 0 O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
,
I 0 INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o 'Pitch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
/1hlfinaIO.K.
Installer:
Permit/Receipt No.
O~
Date:
S- It fc
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
befpre 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.
: ~ D1/V\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $
(JQ
d(t)-
Eleclricallnspector
Permit Fee
WHliTE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: MeIer Dept., Bottom: City Hall
OLYMpIC PRINTERS ING.