HomeMy WebLinkAbout322 S Liberty St - BuildingQrn �`e�ves i ins 4 v\ 'ex ®h CO? 11 ILL n Pe(fl CAS- <l (p&
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RECEIVED go0
DEC 0 4 2008
OM' OF PORT ANGELES
BALDING DIVISION
K s 2
ei„Nrex,d, -*-0nIn (0-
(10/2/2008) Linda Pangrle 322 S Liberty St
From Roger Vess
To: Patrick Bartholick
Date: 9/30/2008 8 47 AM
Subject: 322 S Liberty St
CC: James Lierly; Linda Pangrle, Trenia Funston
Pat,
Thank you,
Roger
t.\\Z
There is construction activity is occurring at this address This permit (1160, has
expired, was extended, and is now expired again Does he need to reapply, if so, he will
need to be notified before any further work or inspections
Page 1 .I
PREPARED 4/02/08 9 21 26 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/02/08
ADDRESS 322 S LIBERTY ST SUBDIV
TENANT NBR JEF BOYD
CONTRACTOR PHONE
OWNER BOYD JEFFERY C PHONE
PARCEL 06 30 00 7 9 0465 0000
APPL NUMBER 05 00001160 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 5/11/06 JLL BLDG FOUNDATION FOOTING TIME 13 00
5/12/06 AP 05/10/2006 12 00 PM DYASUMUR
JEFF 417 6653
05/12/2006 08 49 AM DYASUMUR
BL3 01 11/27/07 JLL BLDG FRAMING
11/28/07 CA November 26 2007 2 55 37 PM 1pangrle
JEFF 417 6653
FRAMING
November 28 2007 8 21 26 AM jlierly
cancel per owner/j11
BL3 02 2/12/08 PB BLDG FRAMING
2/12/08 DA February 12 2008 8 20 30 AM 1pangrle
JEFF 461 9127
FRAMING
February 12 2008 2 47 56 PM pbarthol
4 strap on each side of garage door header J bolts
within 12 of spice ends and need to have 3x3x1/4 washers
strap where top /bottom place have splice within 4 remove
house wrap and call in sheeting inspection truss plans need
to be on site brace trusses per manuf plans
BL3 03 4/02/08 JLL BLDG FRAMING
April 2 2008 8 37 11 AM 1pangrle
JEFF 461 9127
FRAMING
4h_ki(
COMMENTS AND NOTES
PREPARED 2/12/08 9 25 514,, INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/12/08
ADDRESS 322 S LIBERTY ST SUBDIV
TENANT NBR JEF BOYD
CONTRACTOR PHONE
OWNER BOYD JEFFERY C PHONE
PARCEL 06 30 00 7 9 0465 0000
APPL NUMBER 05 00001160 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 5/11/06 JLL BLDG FOUNDATION FOOTING TIME 13 00
5/12/06 AP 05/10/2006 12 00 PM DYASUMUR
JEFF 417 6653
05/12/2006 08 49 AM DYASUMUR
BL3 01 11/27/07 JLL BLDG FRAMING
11/28/07 CA November 26 2007 2 55 37 PM 1pangrle
JEFF 417 6653
FRAMING
November 28 2007 8 21 26 AM jlierly
cancel per owner /j11
BL3 02 2/12/08 JLL BLDG FRAMING
V February 12 2008 8 20 30 AM 1pangrle
�I l'.... JEFF 461 9127
FRAMING
COMMENTS AND NOTES
Job Located at 22 S 6€ierY
'Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
46 Sreii ,il e4--ea
6,1a06c bor.w_ D e
v
,t)( ti4 At 4'.
V-f-t /42, )c 67: ../.470-10 4 Sik-z-riovi
,Ltv d4te 7-60 mispe 5 5 4 ahtioixerii- 2
Ahl c y 7 evii
hese corrections must be made and are not o be ,Z
covered until reinspection is madp VVhen/correstions
7-
T aDcr 1/01-sibre ea- 3
804-rs evtI-ex./ /).c difes/c-z- :5" PeZic,
-P rept 0 Borr I cP es,
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
zillayebeen made, please call
l'folintpectron
Inspector for Building Division
inn MAT DR/1/1I C TIJIC TA(
PREPARED 11/27/07 9 20 55 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/27/07
ADDRESS 322 S LIBERTY ST SUBDIV
TENANT NBR JEF BOYD
CONTRACTOR PHONE
OWNER BOYD JEFFERY C PHONE
PARCEL 06 30 00 7 9 0465 0000
APPL NUMBER 05 00001160 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 5/11/06 JLL BLDG FOUNDATION FOOTING TIME 13 00
5/12/06 AP 05/10/2006 12 00 PM DYASUMUR
JEFF 417 6653
05/12/2006 08 49 AM DYASUMUR
BL3 01 11/27/07 JLL BLDG FRAMING
/1 November 26 2007 2 55 37 PM 1pangrle
�1 a JEFF 417 6653
FRAMING
COMMENTS AND NOTES
ep Qk' O W p4517(._ 114
Auce
eec e ve c a b< A Ing r rte, 4 6Udd 4 Ti\Qge_
rn i\esccf_rnce,, 327 S. Gdoet _1_ had e 9roui\a
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c�c-ea red- 4�d p
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1 117-106S 3
CITY OF PORT ANGELES
BUILDING DIVISION
RECEIVED
JUL 0 9 2007 2 o0p
b�P
*1-s 04k-- j
o\-09"fig
PREPARED 5/11/06 13 27 58 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/11/06
ADDRESS 322 S LIBERTY ST SUBDIV
TENANT NBR JEF BOYD
CONTRACTOR PHONE
OWNER BOYD JEFFERY C PHONE
PARCEL 06 30 00 7 9 0465 0000
APPL NUMBER 05 00001160 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 5/ �1/t 6 BUILDING FOUNDATION FOOTING TIME 13 00
1 t 05/10/2006 12 00 PM DYASUMUR
JEFF 417 6653
COMMENTS AND NOTES
0 w 1141
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BOYD JEFFERY C
322 S LIBERTY ST
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983624435
05- 00001160
176120
322 S LIBERTY ST
06 30 00 7 9 0465 0000
JEF BOYD
RES DETACHED GARAGE
RS7 RESDNTL SINGLE FAMILY
16761
Contractor
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDING PERMIT RESIDENTIAL
66191
305 75 Plan Check Fee
12/01/05 Valuation
5/30/06
Qty Unit Charge Per
BASE FEE
15 00 14 0000 THOU BL -2001 25K (14 PER K)
Permit DRIVEWAY INSTALLATION
Additional desc
Permit pin number 66092
Permit Fee 170 00
Issue Date 12/01/05 Valuation
Expiration Date 5/30/06
BASE FEE
Special Notes and Comments
11/29/2005 12 30 PM SROBERDS Proposal is detached from
house w /side yard on 4th Street Setbacks are good lot
coverage is maxed at 30%
The Fire Department has reviewed the project application and
has no comments
11/29/2005 12 23 PM SROBERDS Site plan identifies
incorrect setbacks for e/w oriented lot Needs to be
revised such that rear setback is a minimum of 20
$OConnect Fee
11/22/2005 09 31 AM JHEBNER
Electrical permits are required
11/22/2005 09 32 AM JHEBNER
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
Plan Check Fee
Date 12/01/05
30 50
1 00
1352 00
7000 00
784 00
2136 00
1 00
122 30
16761
Extension
95 75
210 00
00
0
Extension
170 00
'/N \\re61
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 %gr}"ire of er (if owner is ilder) Date
v
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
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 1 1 1 1 FIRE DEPT
PLANNING DEPT 417 -4750 1 11 1 PLANNING DEPT
BUILDING 417 -4815 1 1 1 1 BUILDING
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 05 00001160 Date 12/01/05
Application pin number 176120
Special Notes and Comments
Any modifications to the City s electrical facilities will
be at the customer s expense
Construct driveway and Sidewalks to City Standards
No concrete with exposed aggregate allowed in the City
road right of way An inspection by Public Works
Engineering is required prior to prouring concrete
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 475 75 475 75 00 00
Plan Check Total 122 30 122 30 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 602 55 602 55 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 Signature of Owner (if owner is builder) Date
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
PLANNING DEPT
417 -4807
417 -4653
417 -4750
BUILDING 417 -4815 I
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
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 I NO
-f_ -z -o$ PO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
Shearw a- t 4 -z -O s PF3
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
Applicant or Agent:
Owner ,:Tn Q ROL( l 1
Address 1 6. r I�
Architect/Engmeer SN n
Contractor SPl-c State License
Address City
PROJECT ADDRESS 3 S. 1, bp i'
LEGAL DESCRIPTION Lot:_T-3 Block: LI Subdivision.
CLALLAM COUNTY PARCEL NUMBER. 0(0'3 Orl[� 0 �,1�� 2066 4V /p d s -lag
TYPE OF WORK.
Residential New Constr
Multi- family Addition
Commercial Remodel
Repair
BRIEF DESCRIPTION OF THE PROJECT
1�4P iJ ZI Va J '1
No of Stories. Lot Size: ""20b0
Total lot coverage 1 20 5
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Re -roof
Move
Demolition
Sign
Cit I rf Pngef
Stove
Garage
Deck
Other
Phone
Phone 360
Exp
Phone
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type:
Existing Sq Ft. 1, Proposed Sq Ft. 1434
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
FOR OFFICIAL
Date Rec.
Permit
Date Approved.
Date Issued.
Phone
Zip
ZONING Y
Ca I h
SIZE/VALUATION
c- tg l i SF /SF
SF /SF
SF /SF
TOTAL VALUATION
SEO
1
S AO
�1 s
o%
Zip _9636z_
LY
TOTAL Sq Ft. .1
APPROVALS
PLAN
BLDG
DPWU
FIRE
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 perrnit apphcation and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no 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 R105.3.2
of the 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 determinwhat p rmits are required ,not the City's, and that 1 must obtain such permits prior to work.
T•\Policies\BL 11 1102_13.wpd Applica ,ha4 Cdr, Date: 0j
20
Feet
Vertical Datum NA VD 88
1 Ho twain( Datum NAD 83/91
Area Map
314
4t,
This map is of intended to be used as a legal de lotion "441
This map/drawing is produced by the City of Port Angeles for its own use and purposes.
Anv other use of this map/drawing shall not be the responsibility of the City.
'~';,.
~
.w
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 9R~('2
ELECTRICAL PERMIT
Issued: 10/30/97
Permit No:
6105
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
JON WIPFLI 322 LIBERTY S
322 S LIBERTY Lot: 23&24
Port Angeles, WA 98362 Block: 4 Long Legal:
360/417-2075 Sub: CAINS
T: S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ELECTRIC SERVICE
924 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES.REMODEL prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat
Ba[5eboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
underground Service
Temp Service
voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-1 -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
REMODEL, NO ADDED HEAT
PROJECT FEES ASSESSMENT----------------------------------------------------~----
. ~ervice: $0.00
Additional Feeders: $0.00
Circuit Wiring: $41.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$41. 00
$41. 00
---------------------------------
---------------------------------
TOTAL FEE:
$41. 00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINJMUM 24 HOUR NOTICE. n" IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPIC110N TYPE DATE I ACCEPTED COMMENTS
I YES I NO
.
UUCtl
-IN I COV~K
FINAl I I I
GENERAL COMMENTS:
pw.II0'2.1"'~l
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15104
Port Angeles, washlngtonh____h~--::--;;--?--------h-------.--------..-m--..--, 19_2!.~
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 .__}.??___.i~'L____:.i.:d.~.L,,7;L_________'_______________hm__ Occupancy._____dQ<l,-__m__.__________.___h________
- 7
Owner .____________________________n__________________________n_______.._.__ Tenant_._________..hnh___hn______mmn________.______________._______.__
Wiring Contractor J:&-rflf..&.h!..--tJ~--.ry--~--.m-----. Bym____________._.n__..h___.m_h_________h_____n.._.___h_______
Light Outlets_......_.....____...____._____..__....___. Service, volts [_~":./.J~.!..:-:.---.------- TYP::::::n~~ble
Receptacle Outlets........m.m_m.____....... No. wires -mmm-..........-h--F...-...... ___m__...__m.._m..___n.
,...1'La "" Non-Metallic ........m_h___...__...........
Dry ~r. K\Vl........nmnm__._______nnn________ Size Wires...~ ;;m__:cm..m.....__m
Ral.se. KW ___.u______.u. ___..__._____.____._____. Main fuse .....:-;.;__(?CC~_4m.m....... Knob & Tube. .......mm..........h.......
S RIgid Conduit -----------.-------.--------.--
Enclosure _.__mm.._____.....m......h____.
W .ter Heater:
Metallic Tubing mmm____....__h......
KW.__..._______m_m__m____m_____._______.
He t, Rw.../.f___.i:.&_:~"<r.__.<::f:'....
/
Mdors: size, volts and phase:
Type of wiring:
Entrance Cable ____..__.......m____m..__
Race\vay ....._.........._____..........._...____..
Circuits. LighLmmm..__mm_.._________m...
Utility __...h.__..h_...____.______....___.........
Rigid Conduit mm____mm___........___.
Metallic Tubing hm__mm_._m_..._...
Current transformers:
No. & Size..m....mh.....h________..........
Heat
Ser. No...________...._________...____....____......
Range _______.__..__.....__._..______.___..._______
Water Heater m..mm______n..m_____..
Motor .___.__......__._..._....._.._______..___..._
Ser. NO......._............___..h_________.._.......
Dryer...________....__.____________..____...___........
Ser. N 0..................._........._.________..._...
Furnace ----...-.....--..........._m.mm....m
R)mark:~tal__~_~~:~:-.~:_:._.-::.__J.~?4~__~;~:~~_~-.:.!.:~.___~:~Z.l:~.::~m__m_________~::::.:::..:__._::.~__~...__:.-.:_:.._-:n
_;~~;~-;~:-.h-----m-------m-------;~:~:.--;:::;~~----..--------------h---m---------j~"7rlmm---;?--m-------------h
$.__________________________._________. No._____________.___________ By ----r____~'---!-.:;/If.~-Kf&!4df..e-9-M..!.----mm
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work Is to be COD-
cealed due notice must he given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/6 ~r
~)O Ii ,4-1'----'-
/)
~1{c.---f-,....-t~"-"tII/C~
ELECTRICAL PERMIT
N?
15104
:.7=~;;~;i'd~i,=-=::==:===:=:-==
Total Load n....n...hn...h....h....h........h..........h..h__.....n..._........_...hu._ n.n ..uu........._..__n............__.h_____........h_________..........h..___.__._......._......_
1M 3-72 Olympic Printers, Inc.
ELECTRICAL PERMIT
3 -/ ~
Port Angeles, WashlngtoD.__......ooo....ooo._....oooooo......ooo....oooooo___________. 19-::__~_.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
17707
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-
:;;:: ~h:;:;:=~ O~=_':::,o,.."~__m__
~::~ ~!!:e!:; .: .~:e~::::::~~~~:::::::::::::::..:::.~~~~~::::~=:~::~::::::::::::::::::::::::::::::::::
Light Outlets..............................._.._..... Service, volts .......mm...................__..... Type of Wiring:
Armored Cable .._.......hh____............
Receptacle Outlets...____..................___...
No. wires .........n___...................__....
1l~
Dryer, KW u........__n_..........__n...._______..
Size wlres.................n_......n......_..
Range, KW ---.--.._______..._____.h..___n__.
Main fuse ..__n_.........___._.......____._.....
Water Heater:
Enclosure n..__....____..........______.........
KW.hm....mhh.h.hh.hm....
He,t: KW......L.../3,8........................
Type of wiring:
Entrance Cable ____....hhmm.....
Motors: sIze, volts and phase:
Rigid Conduit ...........____..
MetallIc TUbing ..__m......
Current transtormers:
No. & Size............___.....____...............
..--.....................--........--.......--.--..........
...........................................................
...........................................................
........--.........--.................--......--...........
Ser. No........................................__....
------.....----.................--....................--.-
Ser. No.__...................................__......
Ser. No. ...__.....__....................__...........
Non-Metallic ..........__.............__......
Knob & Tube................................_
RIgid Conduit ...............................
MetallIc Tubing ...........................
Raceway ........................................_
Circuits, Light....................__...__............
Utility ........____...........................__....
Heat ...............................................
Range ...........................__................
Water Heater ............__.................
Motor ..._........................................
Dryer ......___............_.......................__
Furnace .........................__......_...........
Remark:~ta:__.~:M&____:Y~~.:.~~..~:::.:..~..~:::~.:.~:::....ooo______........~.~~.~:..:.::~::....::~::~..:~::~:::~..~:
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Permit Fee
'.'UUhU,uhu_.nunu.n.....nu.nn'Uh..nnu,.._uh...n.h..n.uu.hn..-h...n-h.nu.h...uu...nn...n_u.nn.__un__..__.nh_u_h...nnu.Unn
$.....000__....000000...000..________..
Treas. Receipt
No.__....ooo......ooo..........
By.~i1!..~~~- _
NOTICE-Current must not be tUrned on until Certificate ot Inspection has been issued. If 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
ELECTRICAL PERMIT
N~ 17707
Address..................._...................................................................................................................Date..._......_.._.._.............._...~.._......_.........
Owner ........__......h__..........................._...__._......_..___.....__....._...................__...................... Tenant.........____.....____.......__.__......__...................__.....
"'Tiring Contractor ..................................._..................................................................................... By..............................................................
NOTICFr-Current must not be turned on untU Certificate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector 80 that work may be inspected betore concealment.
1M Olympic Printers, Inc.
'M'