HomeMy WebLinkAbout1038 Grant Ave - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000802 Date 10/15/03
1038 GRANT ST
06-30-14-5-6-0214-0000-
RES ADDITION
50000
Owner
Contractor
HOLMQUIST GARY J
1038 GRANT ST
PORT ANGELES
WA 983622727
J & J CONSTRUCTION
233 ALICE RD.
PORT ANGELES
PORT ANGELES
(360) 457-1809
92 SF ADDNT. -REMODEL BATH/KITCHEN
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
WA 98363
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
1. 00
~
W
~
Permit
Additional desc
Sub-Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ADD FURNACE/HP REMOVE BASEHEAT
ANGELES ELECTRIC
64.90 Plan Check Fee
10/15/03 Valuation
4/13/04
.00
o
Other Fees
STATE SURCHARGE
4.50
t
Qty _Unit Charge -Per
1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.90
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.90 64.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 69.40 69.40 .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 ~ 80 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 spec"ified 'I1erein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or" local-law. regulating construction or the performance of
construction. - .
Signature of Contractor or Authorized Agent _
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO -
FOUNDATION:
FOOTINGS ,
WALLS
FOUNDA TlON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN -
PLUMBING
-
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL - -
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: ,I{-:C
WATERLINE / METER .t-~
SEWER CONNECTION /~-'~-~3
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIOENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ~/J!Jj 1.- ~ ELECTRJCAL
IF/I LIGHT DEPT
CONSTRUCTION R.W./ PW/ , , CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\ II 02. I 5 [4/2002]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000802 Date
1038 GRANT ST
06-30-14-5-6-0214-0000-
RES ADDITION
50000
Owner
Contractor
HOLMQUIST GARY J
1038 GRANT ST
PORT ANGELES
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
J & J CONSTRUCTION
233 ALICE RD.
PORT ANGELES
PORT ANGELES
(360) 457-1809
92 SF ADDNT. -REMODEL BATH/KITCHEN
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
WA 983622727
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
KITCHEN/BATH REMODEL
667.25 Plan Check Fee
8/18/03 Valuation
2/15/04
Qty Unit Charge Per
BASE FEE
25.00 10.1000 THOU BL-25,OOl-50K (10.10 PER K)
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
61.50 Plan Check Fee
8/18/03 Valuation
2/15/04
Qty Unit Charge Per
BASE FEE
2.00 7.2500 ECH ME-VENT FAN
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
75.00
8/18/03
2/15/04
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
4.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
Other Fees
STATE SURCHARGE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 803.75 803.75 .00 .00
Plan Check Total 266.90 266.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1075.15 1075.15 .00 .00
8/18/03
~
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.............
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\A
~
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,-~- -.J
:<b
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WA 98363
1. 00
266.90
50000
Extension
414.75
252.50
~..."
~,~
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 afterthe 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.
s,1~n"!~~enl
18 4u! ~
Date
.00
o
Extension
47.00
14.50
.00
o
Extension
47.00
28.00
4.50
Date
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\I 102 15 [4/20021
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
, -
I ,'..-,...... ......."... YES NO
-.-. "
FOUNDATION:
FOOTINGS f1_J L -n '? 1,1
WALLS .
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPn SEPARATE PERMIT' #
ROUGH-IN T
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN q, ." j')A") "'2, ilL
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS VO-/S--02 .J~ I- ,
CEILING
FRAMIN~
JOISTS / G1~ _~
SHEAR WALL 7\'
W ALrl/ JOOF / cEf!..INi' 1()-'.6-O~ J,I-,
DRYWA'tL... .
T-BAR ....-,
INSULATION .,'
SLAB - , _ A-, .../.. ./ ( f ,
WALL / FLOOR / CEILING "VI'-'I V'I 1""- 'T
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIviSIOn) SEP ARA TE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 . PLANNING DEPT
BUILDING 417-4815 I~ 7[ frJ b1J I~/L BUILDING
, J
"
PREPARED 2/17/04, 12 43 45
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
2/17/04
------------------------------------------------------------------------------------------------
SUBDIV
PHONE (360) 457-1809
PHONE .
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1038 GRANT ST
J & J CONSTRUCTION
HOLMQUIST GARY J
06-30-14-5-6-0214-0000-
03-00000802 RES ADDITION
--------------------------------~------~--------------------------------------------------------
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BLl 01 9/16/03 JLL
9/17/03 AP
BAIR 01 10/15/03 JLL
10/15/03 AP
BL3 01 10/15/03 JLL
10/15/03 AP
BLI 01 10/17/03 JLL
10/17/03 AP
BUILDING FOUNDATION FOOTING
Foundatlon for Scott of J&J BUllders
Ph# 461-4724
BUILDING AIR SEAL
Alr seal
Scott 461-4724
BUILDING FRAMING
Fram~ng
Scott 461-4724
BUILDING INSULATION
Insulatlon
Scott 461-4725 late afternoon
BUILDING FINAL
Scott 461-4724
BL99 01
2/~ 7 /04 \ ~TI
~ \") \ '\}- ----nr-
-------------------- ----------------- COMMENTS AND
call ahead so he can meet you there
NOTES
PREPARED 10(15(03, 12 21,42
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
10(15(03
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
1038 GRANT ST
J & J CONSTRUCTION
HOLMQUIST GARY J
06-30-14-5-6-0214-0000-
03-00000802 RES ADDITION
SUBDIV'
PHONE
PHONE
(360) 457-1809
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP(SQ COMPLETED RESULT RESULTS(COMMENTS
-----------~------------------------------------------------------------------------------------
BL1 01
9(16(03
9(17(03
10/15(03
JLL
AP
BUILDING FOUNDATION FOOTING
Foundat1on for Scott of J&J BU1lders.
Ph# 461-4724
BUILDING AIR SEAL
A1r seal
Scott 461-4724
BUILDING FRAMING
Fram1ng
Scott 461-4724
BAIR 01
BL3 01
10/15(03
N-
~
-------------------------------------- COMMENTS AND NOTES ----------------------------__________
PREPARED 9/30/03, 12.51 59
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
9/30/03
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1038 GRANT ST
J & J CONSTRUCTION
HOLMQUIST GARY J
06-30-14-5-6-0214-0000-
03-00000802 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 457-1809
~-----------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
----------------------------~-------------------------------------------------------------------
PL2
9/30/03 ~L PLUMBING ROUGH-IN
ROUGH PLUMBING
STEVE 461-2259 OR 457-1690
------------------------ ------------- COMMENTS AND NOTES -----------------------_______________
01
TIME
17 00
----
PREPARED 9/16/03, 12,25 00
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
9/16/03
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1038 GRANT ST
J & J CONSTRUCTION
HOLMQUIST GARY J
06-30-14-5-6-0214-0000-
03-00000802 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 457-1809
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPL~TED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BLI
01
9/16/03
If1fLL BUILDING FOUNDATION FOOTING
Foundat1on for Scott of J&J BU11ders
Ph# 461-4724
------------------------- ----------- COMMENTS AND NOTES --------------------------____________
~.
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
DateRec 7-2/-63
PermIt # ~Cy~
Date Approved
Date Issued
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
ApplIcant or Agent: If .e..u -e.- H, U H,/ -t r' Phone: .1/ 72- ~ 2.. CJ 9 !J
Owner: br'J ft 30(\ Ho 1VY\ltJlll' ~ t- Phone: Y 5d. -B50:)
Address:_' 03 B Clra (\ + CIty: Po (, At"l[je (e S ZIp: 9 ~"3 <0 a.
ArchitectlEngmeer: Sherry G-r,'iY\es Des/8V\ Phone: I;,FJ3-dO Id-..
Contractor Jt~ J C. 01'\ S tru e....t1'OVl State LIcense #:JJCo NP- O'l'fP~xp:<De.:!: 10..3 Phone: t...f57-IOB9
Address: A \ I' ce__ Rd, CIty: Po ("1" '~~W13 e \ -e S - ZIp: q B 3'" '3
PROJECT ADDRESS: 103B (Jv-o V"\T ZONING: RS-q
LEGAL DESCRIPTION: Lot: 7 Block: ' Ot SubdIvlSlon: .H'8hhnd V'PJJJ fk.re TrC/(Irs
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA " MC # f
TYPE OF WORK: .....:. - ._-,~""- ~
~ '
o ReSIdential 0 New Constr. 0 Re-roof I
o Multi-family 0 AddItion 0 Move !
o Commercial 'Q!l Remodel 0 DemolItIdp.
. 0 RepaIr 0, Sign.. 'r
BRIEF DESCRIPTION OF THE PROJECT: i:
City:
1
"
" Exp. Date:
!I
I. .,
COMMERCIAL/RESIDENTIAL: Occupancy Group': . - . Occupapt Load:!
,
No. ofStones'l Lot SIZe: .CJ !:>o.e..re EXIstmg Sq. Ft. ICJYO & Proposed Sq. Ft..Crt] ~
Existing lot coverage ~ % & Proposed lot coverage ~% = Total lot coverage 5
o Stove
o Garage
.;. 0 Deck
I
o Other ,.-.
kl+chen l~ .hCt+h
,
I
;
SIZEN ALUATION:
SF. @$ /SF.,= $
SF. @ $ /SF. = $
SF. @ $ '/SF. = $
TOTAL VALUATION $~-1-000
'N lIY\ 7) d~ l
I ConstructIon Type'
APPROjA
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNIN:G USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA ChecklIst reqUlred? 0 Yes 0 No Other:
BillLDING PERMIT APPLICATION SUBMITTAL: The BUlldmg DiVISIOn can proVIde you WIth information on the applicatIon and
plan subrmttal requIrements If you have questions.
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 BUlldmg Division to comply WIth current fee schedules. Conta,ct the PermIt Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be subrmtted at the tIme the bUlldmg permIt applicatIOn and constructIon plans are
submitted. All other permIt fees are d*e at the time of permIt issuance.
EXPIRATION OF PLAN REVIEW~ If no permIt is Issued wIthm 180 days ofthe date of applIcation, the application will expire. The
BUlldmg Official can extend the time f~r actIon by the applIcant up to 180 days upon wrItten request by the applicant (see Section 107.4 of
the Umform BUlldmg Code, current edItIOn). No applIcatIon can be extended more than once
I hereby certify that I have read and examIned thiS applicatJOr/ 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 re~uired ,not the City's, and that I must obtam such permits pnor to work
TIFORMSIAPPSIB"ldmgp="wpd----- - - - - - APPlioaiitcp ~"e' 7 /<}'I/O 3
:t
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION "
APPLICANT: G-Olt~ ~c1 ~~'(\, \\O\W\'\J\)\b.~ PHONE: ~SG- <M8bD
PROJECT/DEVELOPMENT ADDRESS: \ D ~ CC c:,..'("D.N'\ ~
See Page 4 for instructions on completing the site plan. For more information, call 417-4815.
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03041ENGR1
DQ te:
Jun.,2003
Sheet
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Add 2xl2 under new wo.lls I I
Sheet with 3/4' subf'loor
Insto.ll f'o.bric over wood
Pour exposed aggrego.te Concrete I
North ReModel
Sco.le: \/4'=\'
(4) 2'-114 rebo.r drilled 6" into existing footing
Quickcrete or equal groute
(2) 2'-114 rebo.r drilled 4' into existing wall
Quickcrete or equo.l grout
(@ bolth connections to existing foundation)
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Job:
03041ENGR1
Do. te:
Jun.,2003
Sheet
2
of 3
. .
314 T8.G Subf'loor
01 2x6 DF*,2 @ 16" o.c.
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Existing building
wall to be reMoved
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Ot Floor joist and installing
sub Floor and tabric.
o
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wI 14'x6" Footing
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Soil
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I EXPIRES: 3/17/2004 I
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Job:
03041ENGR1
Do. te:
Jun.,2003
Sheet
3
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.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
~ RESIDENTIAL
r U COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
Details/Description:
.
,
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
.;g ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
a ~.../ ~ r::J /.<'~.fl h.,"/-
/J"'/~'b ,::J k.. LV ~-/-
DATE
-f/?J 74-
'f/-?::2- 'l~
PERMIT NO.
READY FOR
INSPECTION
License Number:
ILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
ijclrl~ It 6 Ai
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
~ ~ Rough-in/cover O.K.
o O.K. to connect seNice
~ o/J Final O.K.
Site Address:
Installer:
New Meters
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and .K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building P. rmit. HONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ 6,. (J ()
Permit Fee
.
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom. Customer
OLYMPIC PRINTERS INC.
GREEN - Top: Meter Dept., Bottom: City Hall
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO.
DATE
Site Address:
/038
C:>t/i-N-r STt2E..t7
o {J/ /J1 It.. tta c. m L.
Gf'r{bf
o WI LL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business Address:
Phone:
:2-FJ'C:>~
Sq. Ft.
Owner/Business:
'J6 Residential
I Heat KW
0, Baseboard 0 Furnace/Boiier
0' Heatpump 0 Other
d Commercial/lndustriai load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
~Remodei
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voitage
o 10 030
Service size
o Temporary
Amps
DetailslDescription:
f(Y.tyweLf (
,
/G~ -kite,J
fJ f:<-J
fft-ff.
eTC.
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
o O.K. to connect service
'~ Final O.K.
-r /tP'^-
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer: t) c
sr.
U L- (6L/ L--
Permit/Receipt No.
?~
Dje'..-/cj -j? l
Site Address:
/038 G (ljW r
M (he
New Meters
-e--
.
Notify the Department 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 Inspe or in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
I r-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / t ~
Inspector [ Amount paid
WHITE - tile by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15556
Port Angeles, wasbJngton.m.i...(..=..~._.mm.m..m........__....., 19:.?:~--'
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
AddressJ8t.3m.C-.~.-.5l..~------n-..nn- OccupancYm~.m_hn___m_mm__
Owner .~t:tL!~~.m__..m . . __ h.m_m. Tenantm_mn...._..m_.____._______._m_nm_mn_.n_nmm.
Wiring contractorr;lOn .~ n.mn Bymnnmmn...nn...___mm...m..mm.--m----n--m-n
Light outlets___.2__?~:;.::...~....._.._..... servl~e, volts ..J.~Y~,Y.:.~..... ,Type 01 Wiring:
Recepta_ cle ou~ets....~......~.~......._.__ No. Wir.es .....m--:.-~/i....--.7'/.--m-- Armored Cable ...__________mh............
KW V' 81 Y/ (/ fAY Non-MetallIc ......._0......._............._.
::::. KW._..._...j?b.~.........._.........._-_----- M:~U :::s::~~p.:A::::::::::~:: Knob & Tube.........__.....__.............._
S RIgid Conduit .....----...................-..
Enclosure ____....__00.....______................ M talll T bl
e c u ng __m__.__..................
Water Heater:j
KW...nh)5m......_............
He." KW....../.~:.=!1.8.m...m.n
Type of wiring:
Entrance Cable ..mnmm.m__.....m..
Ser. NO.n_.__..__..................._................
Raceway ....____.........................._...._
r;,
Circuits, Light......__.___...._____._...._..........
~:~tlty..--&:::::::::::::::::::::::::~::=:
.2-
Range ___._..:__......................______.__.___
.:2..
Water Heater ......:......_..._.m__.mh.
Motor ...........__....._.____.....___.............
D'ya h..h.a.-.:..._.........mmn.__m.........
Motors: size, volts and phase:
Rigid Conduit m.m_hm___;
Metallic Tubing .....mh_................
Current transformers:
No. & Size..............................__.......
Ser. No. n...._..h..._________..____....._________..
dl6
Total wad........____................. Ser. NO._____..._........_...............h_......_. Total ..........................._.._.....____
Remarks: _m_~~-nn--~:--:.___-.--n-__.---.-...__--m.----:--n.--m--.m----....m...___n.n..m.
Ser. NO....h........................................
Furnace ._..........__...........'_..._.__n..........
n.m_m______h___m__m____mm.mnnm.m.___.._m_mmmn_mm__.m____mm.mnmnm.mmmm~.-..m...n.--.-.-mm...--m.-
:.~.]~.~~~.m.m.m.m_. ::~.~.~:_~.~.~.~~~.~.__m By -f}{t!..it-~m__
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/s-K.r 88 . ~~
~ ELECTRICAL PERMIT
N?
15556
r-
-.
-~
M'." -IJ--~f~~---........ ,------
:~;~~~.:.~~~'::~=-;:~:;=~~::;=
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
\
\.
1M
Olympic Printers, Inc.
\
"""*-:;;';i;,.i;'~
"
TII<! tl~lI;C:'il PP.!H.;I Am>l:Cl'llbH ~~!1~ flll<>d.Ol't ~om;pIQl(>iv.
1',.... 'Y/><>Q' '.p,'n, In '0" "YOW ",V< on, QOo.""o,. pi..... c." 1350. .""'735./IT'C # !30:z. !'
' f.,'1 f1Ul1lbf-r: {J60l4H-4711
REQUEST INSPECTION 0
~~..~..,...~:--.~ j
'l.(,'........,:~_____
,
OM.., 0< IElo<, Cool'acln! IIycnl:----ANGEl..ES F r EC""1'I1 c I ~(' ~
P'op,n~~.r: ~ :;J(''J II 0 J M ~ u :"T
Add.cs^, ID_~8 G~"",+ 4",,,- C;'Y;_
El.""C'O'C01lI"',"",: ---1l.[\lGELF:S r:LF:C1'RlC INC_
r;,on,,'4 'i /- q ?(,4
Fax 4<;,-q,,;o:;
""""', Lf 5.2 - 6'8~' 0;
'ip: 9R3C~
'2A,
^IIlGELP..I460RS
Ucnr,.;;,eti~_~ _EJI.('):_
Phone' AI r:;, 7 _ W)f':4_
INSTALLATION WlrlED BY,
Ad~,o,s: S 24 EAST PI RSl'
U Owwm
C"y,JOIlT ANGr;1J;S,W1.\
Zlp: -98367
Credit Card Ho/cJer flcme:~ "7'.o.A c::; i mr"'::o.n
:!i)i;U,C7R'CAL CONTRAcTOn
BJlting AiJciress:'
-,-Cily:
Zip:
CrfZdit Card Nurnber~'
ExpDal/!:
. VJSA'--MC,,---
PFlOJECT ADOFlEso,_ /L; 38
Ivp!;; OF WORK:
Check alllhal apply IJ N",w
6~r Ave_
~lcratiOn/Addi1ion
)l'ReSident"l 0 Multi-family 0 Commercial '0 Mabile Home Sq. Fl.
o Remale Mel~r 0 Detach<<! garage 0 HOI Tub 0 Swim Pool 0 S..ptic Pump 0 Low Voll8ge 0 TeIeCO'TL 0 Sign
NlJmber of Cirr:uiu. added or anfi'~:
CRIPT/ON OF THE ELECTI1JCAl PROJECT: R ~i oIV)O J I?_I
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El"ctricall1e;rt load Addilions
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'AMC 14,05.060(81: F~, indu,:1\aJ, commorda!, & r~id.nu.., pmJee1Slarger than. dupl<>x, a one _ Hne drnwi"U of the E1ecl~cal SeM"" &
:eetiers, buReli"!} slze (sq. n.). load CiI<Ic-Jl>..,fl>. ond Ihe 'Yre & of COnduc,,,,. and/Of 1>lcoway Is requ;",,; and shall &c=mpany lhe
'leotrical P"lTTlil appllostion.
hereby CBrfI'fy th~f I h~ ve read and examined this applicationsnd know that same to be irue and IXJrrecl,. alld I am
IUthori2oo to apply for this permit. f understand it is not Ihe City's legal respansJbllify 10 determine what permits
Ire required; it remains the applicants ,:,sponsibilily /0 determine whal perm/Is are required and to obtain such.
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O,,!l"ler or EI'Ie, CO"1. Signature: - Dale:
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