HomeMy WebLinkAbout120 S Laurel St - Building
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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:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000043 Date
084715
120 S LAUREL ST
06-30-00-0-0-3280-0000-
DORIS MCREVEY
RES REMODEL
4/21/06
COMMERCIAL OFFICE
4200
Owner
Contractor
FLOYD B/DORIS E MCREVEY TTE
120 S LAUREL ST APT 75
PORT ANGELES WA 983622601
HENDRICKS CONSTRUCTION INC
327 E 10 TH ST
PORT ANGELES WA 98362
(360) 452-1641
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4/0t/OV
permi t MECHANICAL PERMIT
Additional desc REPLACE 5 EXHAUST FANS
permi t pin number 75101
Permit Fee 86.25 Plan Check Fee
Issue Date Valuation
Expiration Date 10/18/06
.00
o
Qty Unit Charge Per
5.00
BASE FEE
7.2500 ECH ME-VENT FAN
Extension
50.00
36.25
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Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.25 86.25 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 90.75 90.75 .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 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 goveming 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
(t/(7~ 0/ /f/h
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:IPoliciesllI02_15 building permit inspection record05.wpd [1/4/2005]
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BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALUHOLDDOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE FINAL 41ulob 10
WOOD STOVE / PELLET / CHIMNEY 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 OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 J , / ...... PLANNING DEPT.
BUILDING 417-4815 'b/wl () 1/7 vlA/ BUILDING
. . n nnit ins tion record05.w 1 r4/2005
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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:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000043 Date
084715
120 S LAUREL ST
06-30-00-0-0-3280-0000-
DORIS MCREVEY
RES REMODEL
2/27/06
COMMERCIAL OFFICE
4200
Owner
Contractor
FLOYD B/DORIS E MCREVEY TTE
120 S LAUREL ST APT 75
PORT ANGELES WA 983622601
HENDRICKS CONSTRUCTION INC
327 E 10 TH ST
PORT ANGELES WA 98362
(360) 452-1641
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit pin number 69385
Permit Fee 137.75 Plan Check Fee 55.10
Issue Date 2/27/06 Valuation 4200
Expiration Date 8/26/06
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
-
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Other Fees
STATE SURCHARGE
4.50
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total 55.10 55.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Tota.l 197.35 197.35 .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 orwork 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' 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 0 local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_15 building permit inspection record05.wpd [114/2005]
.
,
BIDLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.) .
.
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE FINAL 4/ 14/ ~ DATE ('Jtu
WOOD STOVE 1 PELLET 1 CHIMNEY ACCEPTED BY:
.
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R. W.
ENGINEERlNG 417-4807 PW 1 ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 , / / - PLANNING DEPT.
BUILDING 417-4815 I4rIz.l /D~ IVW BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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Fill oui COMPLETELY and in LNK. Your application and site plan MUST B
CQlvIPLETE 10 be ~ct:epLeu fOf Yf:Vie\1~. Ifyuti have any guc:;tion:;~ ~~11
PERMITS (360) 417-4815 Fl0~.(360)417-4711
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BUILDING PERMIT - APPLICATION
Phone:
~O~ - ?~~- 8"7~'I
S,'t' 0- Lf6? - D() If ~
&~O - V~?- OO't<i?
Zip: Of <? ~ t. :>
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Applican1 or Agent:. L f1 U~EP CE K~ \ l i JJ(::I~ e..
Owner: Ooru CS; t'\ c.1\cv e-~
Address: \;Q 0 <3. L AlAt<.G"1 it 7~City:_ff}.Q.:\-
Phone:
Archltect/Engineer:
Conh-actor ~oJ
Address:
PROJECT ADDRESS:.-l1 0
LEGAL DESCRIPTION: Lot:
CLALLAM COl]1\.TTY P_ARCEL NUMJ3ER:
AN~I G,")
Phone:
Exp:
Phone:~' ((;41
Zip:
ZONING:
'S.
City:
LAlAv<.G \
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Block:
Subdivision:
TYPE OF WORK:
o Residential 0 New Consu. 0 Re-Ioof
)r Multi-family 0 Addition 0 Move
o Commercial )4 Remodel 0 Demolition
.,. Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
.~~L ~ ~ ~r'
o Stove
o Garage
o Deck
o Other
(('1~O l\i ^^~
SIZE/V.i\.L UA TION:
SF. @ $ /SF. = $
SF.@$ /SF.=$
SF. @ $ /SF. = $
TOTAL V.ALUATION,~ $.4,1.00-
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COMMERCLi\.LfRESIDENTIAL: Occupancy Group:
No. of Stories: ~ Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
Construction Type:
looo
& Proposed Sq. Ft. - 0 - = TOTAL Sq. Ft. & 00 (")
ESAf'iN etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee -is due it must be submitted at the time the building permit application and construction plans are
submitted. All other pemnt fees are due at the time of pemnt issuance. ,
EXPIR.4..TION OF PLAN REVIEW: If no pemnt is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the tin1e for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05 .3.2
of the Intemational Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
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Area Map
This map is not intended to be used as a legal description. .<, ,,*,'
This map/drawing is produced by the City of Port Angelesfor its own use and purposes. ;t::.,'c';.=;::
Any other useo/this map/drawing shall not be the responsibility ~fthe CiW "~.-
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BUILDING PERMIT - APPLICATION
FOR OFI'IClAL U E ONLY:
Date Rec.: 2J,"CJ b
Pennil# O(P- t743
Date APprovect:+t:;!f6
Date Issued: . U ~
Fill ont COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: 11(' /LIef r / (/7 s (' c') tv.:5!
Owner: ~l';:> tl1(!ft'UC,/
1
Address: 1;;( C: r ,5' c '-""( 1'> AI<) l(J" /{ I City:
^- ht tIE r-,1.0'!U(>F/ Ct)t'>JY1'/jc?r-
.'""\.1 c i ec. ngineer: u
Contractor Hl."NJ I' /Cf3" (0/lJ S (
Address: 1t.(3;;2. W (l>f Lf"'~
PROJECT ADDRESS: (;<0 !) Cq r"-
J,,-,c
Phone: 1(0 I -;( b 'f r
Phone: qS~ ~ /t: h(l
AtV~ 7'"(r-SI Zip: 9'8'3 be.
Phone:
jJcJo."{
State License #:
City: r. Of't r::.}/I./.;7 1'( r-5
~~ C4/'~ (
Exp: 0 7
Phone: ?/s;:;./6 &/1
Zip: 18J(,s
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK:
o Residential D New Constr. 0 Re-roof D Stove
){Multi-family D Addition 0 MoveD Garage
o Commercial ;(Remodel D Demolition D Deck
( Repair D Sign D Other 111 e ~tr r'V"'1-1'J 1
BRIEF DESCRIPTION OF THE PROJECT: ;r:: (V S 74 If
ICe u-rc-(' c 5: c Ii P/f (1/\5 T'V "5. ?--,e; I (
"']"a /{/-(.. vv F/l1V S
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories:.3 Lot Size: Existing Sq. Ft.
Total lot coverage %
SIZEN ALUATlON:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $
.N'c'V g114 /'CJc5k-r r/jll/~,
/l---c ~ (;)15Cc-'/V/,,_NC( Fir"" X V- ~oo~ c.r/'
r
Occupant Load:
& Proposed Sq. Ft.
Construction Type: vt...IoO'c' ;<:,;<;(/.Jo/.
, I/-L'/o<<
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): DYes 0 No SEPA Checklist required? 0 Yes D No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI 05.3.2 oftlle International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits pri~r to wor~/! -,/ ~
T:\FORMS\BldgPermitform.wpd Appl1cant: 10z. ~/'t Date: 7/ f? I /0 i
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
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
05-00001223 Date 12/12/05
576588
120 S LAUREL ST
06-30-00-0-0-3280-0000-
PLUMBING REPAIR
COMMERCIAL OFFICE
55000
Owner
Contractor
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FLOYD B/DORIS E MCREVEY TTE
120 S LAUREL ST APT 75
PORT ANGELES WA 983622601
ANGELES PLUMBING
P. O. BOX 1151
PORT ANGELES
(360) 452-8525
WA 98363
Permit . . . , .
Additional desc .
Permit pin numper
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
67082
. 183 .oe
12/12/05
6/10/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
50.00
126.00
7.00
BASE FEE
18.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 183.00 183,00 ,00 .00
Plan Check Total .00 ,00 .00 .00
Grand Total 183.00 183.00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
c.
T:\Policies\11 02_15 building permit inspection record05. wpd [1/4/2005]
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BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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.
~
,
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W
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OJ
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS .
.
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB Vl'l\t -11-7::; .~ I 0 '?/z-1f
ROUGH-IN \/~ /tJL..
WATER LINE (METER TO BLDG) I
GAS LINE FINAL~/~ jtJ t? DATE \!W ACCEPTED BY: ~
BACK FLOW 1 WATER -(
...
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW 1 ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 I I / ........ PLANNING DEPT.
BUILDING 417-4815 ~/'Z-l /lJ(p VW BUILDING
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at
~
l.to <; L..~ I
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
4( ; ~ F.e....1 S
ytt-Na-ir +
~ ~[l nkl8\H.1-
+- rx~~ '<x-
~ r <...) . A. LJ.
12e-12 rJl ru;-
~~ ~tJ'lV4-0
l\~ ('~,~
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call tA {7 - ~
for inspection. t.f f-/ d
Date 1/17/0
, r
Inspector for Building Division
DO NOT REMOVE THIS TAG
.
I
;]1
Sit~ Address:
II
tn'Stalled By:
~,
/:J-O
6/.
Owner/Business:
Owner/Business Address:
,
I
ELECTRIC HEAT
D BASEBOARD KW _
D FURNACE KW _
D,'HEATPUMP KW_
D I 'FAN/WALL KW_
,I
Det~ilslDescription:
~
.
g,
I
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
~.
PERMIT NO. $/9 t
,g I/?'s'-
DATE
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
,
/he- ~
'tzlC'RESIDENTIAL
D COMMERCIAL
D NEW CONSTRUCTION
'l8i REMODEL
D ADD/ALTER CIRCUITS
;iJ SERVICE UPGRADE/REPAIR
D TEMPORARY SERVICE
-3.-$
(
/t9D ~
~
Phone:
Sq. Ft.
D . RISER
,;!1: OVERHEAD SERVICE
D UNDERGROUN9'SERVICE
VOLTAGE: /2(JP~O
D 1!11 V3~
SERVICE SIZE /CflD AMPS
FEEDER SIZE AMPS
~
/tfl.W'
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. D NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D OVERHEAD SERVICE APPROVED
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
~~ough-in/cover O.K.
JA'i'-~ ,O.K. to connect service
IV' ,'1
,vJ Jt2 Fiinal O.K.
jlf' !Site Address:
New Meters
-
Noiify Port Ang s Cit 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. tIJ
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ i $0
, Electrical Inspector Permit Fee
.
WHITE - File by address
OLYMPIC PRINTERS INC
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept" Bottom: City Hall
---