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HomeMy WebLinkAbout320 E 11th St - Building "54;,, CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY R. ECONOMIC DEVELOPMENT BUILDING DIVISION tr 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001410 Date 12/19/11 Application pin number 342970 Property Address 320 E 11TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 4120 -0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Us e i Name Pro to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc heat pump HVAC Owner Contractor ALL WEATHER HTG COOLING INC 320 E 11TH ST 302 KEMP ST PORT ANGELES WA 983627932 PORT ANGELES WA 98362 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc HVAC HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date 12/19/11 Valuation 0 Expiration Date 6/16/12 ra 9) C 1 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .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. /46/g C. 'ea. j Date Print Name Signature VContractor or Authi /Agent Signature of Owner (if owner is builder) 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 4174735 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. Inspection Type Date Accepted By Comments 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 FINAL Date Accepted by 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 I Commercial Hood Ducts FINAL Date (.01g4 1 1'epted by ja-- MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting 1 PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 C) Fire 417 -4653 Planning 417 -4750 Building 417 -4815 0 N H 0, la W W 0 E 4 W Q a) A C N U r., H C CO U o) a1 N Cr 0 O W 0 0 >1 4.) 0 N A N n a a a) 'd a ro .jai 0 W U H SA U H ,7 .0 M -ri .0 E, a O 2 2 0 rn co W U] 000 5 W £H w W xxx a $J am E+ r U i rn H u N H C m 2 Fr 1- i PI a H 0 H d z O a N 0 lO d 0 a N W r U M H0 EH (0 a ••x N a ••a E• EH H E+ 4 o E• a (1I 0 w U u z Z a N z x E Eil W a W H N W N 0 .H H N E- Z 0. 0. W W H 3 H -.-1 H W H W 0)CO a 2£ aao 0 G 2 2 U 0 0 a N a N ,H a N 3 H H z r H U o ro 'O 4 a 0 Ha a H\ 0 UCU •a U Z O, 0 H N 3 N .1 I H 01 .Q C7 W W HE 3N N O UZN H x X03000,3 3 0 0 ar z a 4 a V]01 U U2 U a1 rn U C 2 0 0 W 0 U F Q a 0 h O v 0 h U z o H H ,b F N0 ,PMFCI, n N x m H aaw a aa II, E�xx I 8 0 00 N 0 Hw a a�► .H, x W 0) 0 H a O (0 m 0 H 0 0 C../) iy000 W W 1 0 1 0 0 a W z o O W W N N N N W O a 0 Z EH E- H ,-i 0 -10 oa 0) V1 W N a 'N la H 0 (.7 a N N at o M 4 E-•o H 00 O. N N N N 0 H W 0 .o 0o 0o 0. a a a 0 o. O W 0 a 0 X) 01 a 2 F 0 o 0 41F. 044 2 U w Ix 0. m of W 0 .1 0 0 0 0. 0 a F X CITY of k ORT A NGELES W A S H I N G T O N U. S. A TI COMMUNITY ECONOMIC DEVELOPMENT June 18, 2012 Tyson Kristine Henry 320 E 11 t Street Port Angeles, WA 98362 RE: Expired Building Permit #11-1410 Dear Mr. and Mrs. Henry: I am writing this letter to inform you of the status of the above permit. The permit expired on June 16, 2012. If the work has been finished, please call to have the work inspected. If we haven't performed the inspection by July 6, 2012, we will close the permit entirely. After that time, you may request an inspection and pay a one -time inspection fee. If you have any questions', do not hesitate to contact us. Sincerely, Nak,u_ gti Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo@cityofpa.us 360 417 -4817 H N N N N V v W W 0 a Q Q. M N m O N N y \J Cr O 0 0 N ------'e Y M 7 a 0 H 0 H 0 C M F a 000 H C.1 cn w O O N 0 0 w nx F x J ��j U V 0. W N H H u) z F M 0 O IX N W J uu H z z�� F 00 0 w HNw Z a s w 0 w H 0 HH z s-, a 0 aNa 0 H a, F� 0 0 0 04 a 0) H N .2 0 x 4 z a 4 N r H 00 x a)z 04 cn CO U qz 0 00.0 E Q a X h h 0 Z 0 H H t Zz •a FOry mNx as U' H H U a F 0 FX W as M Fxx X 8 cn 0 0 x (.10 0 Hw a 0 x W z o H H X h F x a m W W Q o o QQ 0 W z O W W W 0 N W O M O E F F 0 H U' o 0 0) co CO N a 00 0 0 W 0 0 N M KC F o H 0 0 W 0 0 00 F W 0 0) ■0 a 0) 0) 0 a 0 0 w cn 0 0 a 0 0 g a z E 0 o 41 E F 0ZZ a a m 0. 0 .1 0 U O P FC a F X PROJECT STATUS UPDATE 1' WO E l Permit Date: 1p\I Va 1 phoned the: Applicant AU \N? kft at 45'). 9gI3 Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, o ill expire soo What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension requesfTetter. Or Let me know if the project is abandoned. T:Forms /Building Division/Project Status Update BUILDING PLUMBING /MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received [2_4i42 1,,l Permit i,L —14 0 City of Port Angeles Please print In Ink, Date Approved t- --t. Attn: Building Permit Technician Approved by -::3 321 E. 6 St, Port Angeles, WA 98362 360 -417 -4815 fax: 360 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30.4 pm Fri 8:30 -12:30 pm MactilEW 1-11,6-19 Ceotiiri P AZ t-F)291W.') IL Property5n mailin -MKT; J '"em for+ ioft 9(3 2 Contractors business narne:All Weather Heating Cooling P hone: (360) 452 -9813 (or property owners name if he /she Is doing /overseeing the work) Contractor's mailing address: 302 Kemp Street Contractor's L &I license number ?.LLWEHC150KU Expiration date: 5/01/12 Project Address; 0 tea 11-'1) Project Typ Residential o Commercial o Industrial aMulti- family Project Business Name (for commercial, industrial, or multi- family protects) The following permits are usually issued over the counter Immediately, without the need for plan review, Complete only the portions of this permit that are relevant to your project, Re -roof: house o garage other c tear off re -roof u lay over one layer (1) Licensed contractor: Submit a copy of your re-roof bid, Project Valuation (labor materials, not including sales tax) Ro- side:. C house c garage c other Project Valuation y (labor materials, not including sales tax) Repair (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property, Cost of materials x 2 Project Valuation T :Forme /Building Division /Building/ Plumbing /Mechanical PerniitApplication -Short Form (Revised 2011) Page 1 of 2 60/b9 39'71d 9NI1'•✓3H c13H1v3M 11V LLIGZSb99£T 6£ :91 TT9Z /ST /ZI Swimming Pool or Spa (z 24" deep): For prefabricated swimming pool or spa projects that dq,iot regyim Dien review.' Obtain the City of PA handout entitled "Pools a Spas" follow the requirements. Project Valuation Demolition: A demolition permit Is needed when an entire building gets demolished, What Will be demolished? ,o house o garage cr other Note: some demolition permit applications need to be reviewed by verious City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off If needed) prior to demolition, Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (front the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. d yes o no Will the debris be going to the Regional Transfer Station in Port Angeles? o yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later If asbestos testing Is needed), Plumbing Permit: (explain the project) Project Valuation IVlechanical Permit: 'explain the nroiect) Installation of Heat Pump 1 Project Valuation 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 t• ternine what permits are required, and to obtain penults prior to working on profec s �1,� Date. i I i !6i Signature 40 V� Print Name n\ Sm 1. Page 2 of 2 60/S0 39vd 9NIlv3H a3HJVBM 11V LLTSZSb0SEI 66:9T TTO-6/ST /-6T ELECTRICAL PERMIT 1' CITY OF PORT ANGELES 360- 417 -4735 Ct Application Number 11'00001407 Date 12/16/11 Application pin number 710926 REPORT SALES TAX Property Address 320 E 11TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 4120 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City Of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stat no load change Owner Contractor HENDRY CHRISTOPHER J ALL WEATHER HTG COOLING INC 320 E 11TH ST 302 KEMP ST PORT ANGELES WA 983627932 PORT ANGELES WA 98362 (360) .452 -9813 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 12/16/11 Valuation 0 Expiration Date 6/13/12 v Qty Unit Charge Per Extension O 1.00 56.0000 ECH EL -LVT- THERMOSTAT 56.00 Special Notes and Comments December 16, 2011 9:12:56 AM tamiot. Transformer loading looks fine. Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN p� 4 FINAL 2 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X 1- Date: G: \EXCHANGE' \BUILDING oF pOR74 �'F EJECTRIC,4 L INSPECTION 11-1Ai i a EPORT 417 -4735 ck"oRKS yS� DATE: 4 INSPECTOR OWE ZZ /G -11107 �17 CONTRACTOR ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL CORRECTIONS NEEDED: glrLQ LA ®'hZ L>5 1F-- t ri Czb -A.r GDS, NOTIFY INSPECTO,', WHEN CORRECTIONS RE COMPLETE WITHIN 15 DAYS Di NOT F E OVE d Y J L11, gE CITY OF PORT ANGELES PERMIT APPLICATION DEC 1 6 201 i r <--E, Building Division /Electrical Inspections „,,,:s;,: Q 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362- CEC 1 RICAL Ph: (360) 417-4735 Fax: (360) 417 -4711 INSPECTIONS Da e: 12 IL-t) I 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair' Plan Rev] B- 'e• Ir P ase Co pie Electrical Plan 'ev'ew Ir orma �e Job Address: 7.46 a. G ise.t Pr r Building Square Footage: ie Description of above Owne for r at on Cont ctor n o ation Name: S ic l :AI Name i t 1 L.: E MaiiingAddress: raZCiiatf” 'NI Mailing A. dress: 4V_ 7:4. KUL! City State: Zip: t:"rr►.r City: Slate: ZI.: °RH& Phone: eiii• ti i Fax: Phone ,1J:1 Fax 'rirf. License Exp, License #I Ex. V111,11f r lt2.'12:9 '1U1 IZ km Unit Charge 2yt Total (Qtv Multiplied by Unit Charge] ServicelFeeder 200 Amp. $119.90 Service /Feeder 201 -400 Amp. 145.50 ServicelFeeder 401.600 Amp 204.60 ServicelFeeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/0 Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. ServicelFeeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401.600 Amp. 148.70 Temp. ServicelFeeder 601.1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy I First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Clrcult/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119,90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 —1 NEW CONSTRUCTION ONLY; First 1300 Square Ft. 110.30 Each Additional 500 Square Ft, or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Mot Tub 110.30 g Total Owner as defined by RCW.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 property Is for sale, rent or lease. Permit expires after six months of last inspection. 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 installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: cash Check 1 Credit Card ft J Oated: III I 01/0112010 60;E0 39Vd 9NIIC3H d3H1V3M 1 LLTSZSb99ET 6E:91 TT9G /ST /GT Application Number 08 00001438 Application pin number 645656 Property Address 320 E 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4120 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp service change Owner Contractor HENDRY CHRISTOPHER J 320 E 11TH ST PORT ANGELES WA 983627932 ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 Date 11/14/08 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 137844 Permit Fee 64 00 Plan Check Fee 00 Issue Date 11/14/08 Valuation 0 Expiration Date 5/13/09 Qty Unit Charge Per Extension 1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR 64 00 Fee summary Charged Paid Credited Due Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 00 Grand Total 64 00 64 00 00 00 [NSPECTIO1\ TYPE DITCH SERVICE ROUGH III AL COMMI TS: EL F C TRI CAL DATA; RESULTS INSPECTOR 11,1q.0.0 '(I "'l..;" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l2\ EAST 5TH STREET. PORT ANGELES. W A 98]62 Appllcatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05 00000492 Date 451068 320 E 11TH ST 06-30-00-0-3-4120-0000- ELECTRICAL ONLY 6/20105 RS7 RESDNTL SINGLE FAMILY o Owner Contractor HENDRY CHRISTOPHER J 320 E 11 TH ST PORT ANGELES WA 983627932 SIMPSON ELECTRIC .243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin nurr~er Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL SIMPSONI ALTER SVC. 52274 SIMPSON ELECTRIC 66.90 Plan Check Fee 6/20105 Valuation 12/17/05 .00 o Qty 1. 00 Unit Charge Per 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 VJ ).; C) ---------------------------------------------------------------------------- Fee summary Charged Paid Crediled Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 IV- ~ V1 '"' COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECT.ION RECORD CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.1) (4196) CITY OF PORT ANGELES DEPARTMENT OFCO~Df::vELOPlvffiNT -BUILDINGDNIS10N . 321 EASt 5TH STRE13T, PORT ANGELES, WA98362 . &< BU1UJING PERMIT '.,"," PERMIT NO: ISSOED5;10/15/2002 PROP~~;rvL6cATION '326 11TH ST E ',',..' ,no, " Lot: 5 Block: 341 . Subdivision:. TPA Parcel No: 063000034120000 13781 -,:, '- "-',;, OWNER/APPLICANT . CHRIS HENDRY 320 E 11TH STREET Port Angeles, W A 98362 360/000-0000 T: D Long L~gal. S: ARCHIteCT > .".-:'c"':..... __, .",,~ '. h CN/A , 9a~60-o000 360/000-0600 CONTRACTOR DAVES HEATING & COOLING SERVICE I 991 FRESHWATER PARK,RD. . PORT ANGELES, W A 98362-0000 360/928-0245 PROJECT INFO Project Value: $5,000.00 Project Type: HEAT PUMP ADD Occupancy Type: RESIDENTIAL Occl1psl'lcy Group: Construction Type: Zoning Use: :. ';:~~I SFDUnits: SFDSa FT: o o Commereial:~- 0 o o Industrial: Garage: MFU Uhits: MFD sa FT: o o PROJECT NOTES ADD HEAT PUMP & LOW VOL TAGETHERMOSTAT RECEIPT#9816 FEES ASSESSMENT Building Permit Plan CheCk: StateSureharge:. . House Moving: Manufactured Home: Sign: 'Plumbing: Mechanical: Radon: Mise Fee 1: THERMOSTAT Mise Fee 2: Misc Fee 3: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.15 $0.00 $35.30 $0.00 $0.00' $69.45 $69.45 $0.00 TOTAL FEE: AMPUNT PAIQ: BALANCE DUE: Separate Permits are required for electrical work, SEPA, Sho~lIri~i;'ES~i utilith3s'IJrlvate and public Improvements.~1ll' null and )':oJd if work or construction authorized is notcomme.~~ed \Vithin 18p days, .if consb}lction orw.ork Jssti .... fot.ap,eJjCl(t9f'80d~Y!.~ftetthe wqrk ~~C()mmElllced~()r if r4!~9~~e~JI'!!~!5!I()Il~.h~ve not ~~en requestedwith!n;!!,O; Inspection.. I hereby certify that I have read and examined thls'appllcationandknow the same to be true andcdffe~ .' ,. laws and ordinances goveming this type of work will. be complied with whether specified herein or not The .grantingofa ~ it does nO.t presume to give authority to violate or cancel the provisions of any state or local law regulating construction 0'1" me - p~ifoliilance of rtJJ~ aUL? /Q/ir;Iz. . .. Signature ,of Contractor or Authorized Agent Date SIgnature of Owner (if owner is bullder)- T:\PLANNING\FORMS\II02.1 S [412002] .' <""~4" ",~,:,:"-"',~1 c'" .;-t:.::r~:;:~-;~:!~ . ,-" .... -""."..~ . .. . BUlLDIN,(lPERMIT.INSP~CTJON RECORD:.';;f~t, f'/ _ ' '~l\~~":, ,"-'~>/l'f':;' '~--~.~(:; ,; ,/:_<r ,:.._.:.--'+'~ _I_,~: ,', .__;!~.-.',,~ti'~~rt~::~'-..' CALL 417-4815 FOR BUILDING IN~PECTIONS,.t;P.!tgAS~;PRpVIDE, AMINI~:QM~4'JIOUR NO'flCE. 'iT IS UNLAWEpL''fO:~Q.VlJ.!J,' INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A ~ONSPICUOUS,U)O\.TIpIl{:: . . , ~-. KEEP PERMI,~J\RQ,AND APfROVEO PLANS AT JOB SITE "-;:;:'~."," ;'C'}':~.~~i~fs, ,..> . INSPECTION TYPE bATE; "11 ACCEPTED c r. h'i I'"", YES NO ". ,.", : COMMENTs' .:~',: i.., , , FOUNDATION: ~ , FOOTINGS ".'J. .... WALLS '_ FOUNDATION DRAINAGE " : '('i ,,' "'F' ELE~ICAL _., (LIOHTJ:)J;Pl) sE1>MA:rnrERMlT: # ROUGH-IN .'1 ,'. PLUMBING . ...,'. I :".. '. t_ '.' . c , - ~ : ,1,1 . I ,~ ,':J ., ^. ,~; " . " ," .:(;. :~):~ 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 ,:, :i,':H,i, ~-:-7 , , .' - " " " . '. , '" -:;. ,'H.n."""'" "n',' , ;...)...',,' ; " ',' '. i'..< !. , I I I , " "i' .,j.~ ,,"'j, " - " ,.... , , -.. , ; INSULATION SLAB' WALL.! FLOOR/ CEILING MECHANICAL ..... HEAT PUMP , WOOD STOVE/ PELLET / CHIMNEy '.. , " , HOOD/DUCTS "'. PW UTILITIES.' SITE WORK '~(Eni;(A~ng Division) SEPARATE PERMIT #'5: WATERLINE'/, METER ,. ~.."" SEWER CONNECTION ' :~L, ..;.' , ::~i~" , , SANITARY c _ c,';}:;"..T "'t" '--':' """ , . ',:<",', ,;.. STORM ' ',.,' PLANNINGDE'PT. SEPARATE PERMIT /1'5 PARKINGILIGHTlNG , " " " , , " SEPA: ESA: ;{':;"::f',-::, ,\!-r~-_~ ". , .J SHORELINE: "..} ".d,':FIN~~ 111~!.Eg'ION~ REQUIREI)'P!UO~T<!l?(:91~crPSE .. ,""",;,': "iP' ,+,' I. ,'. DATE YES..' , ~O~,;) ,k,fOM.ME:R(:~ DATE ..,I:,'A~~i!)f' '1\ """,: :'1",' , ,'C,. r; '.'> ,'.',; ""'..,,:,, <ii, <,...;'.., It, ,,),(; :,,;}VES;"~ 'if'NOt'," , 41i-47iS" " , >, /i'd"Ei.ECiiiicAi;:(:':;" t':'tF',1ii"i\(', ki f::'" ;,"'.."Y" ',~U3lfJ)pEl!i'lb"i':.'",;):"" ,L';V' ,1,1 .' ; 417-4807 ,', '( '~~mw=S-W::1 " "';~ I' 417-4653 FIRE DEPT. ! '. " ' ,'. LANDSCAPING '417,-4750 L.., ", _ I.. 417-4815 I":'''.''-.J "]"f!:"" 'f l I , ,- ".,~., '"" loL~,I~El'ITIAL, , ' ",.., ,',,'L.; f'." ELECTRICAil:rlGIh-'DEPT. ' CONSTRUCTIONR.W. Nw/ ENGINEERING FIRE P~G DEPT. .. BUILDING '. 1lI7 ,. PLANNING DEPT.. BUILDING , " '" '. , " ' T:\PLANNING\FORMS\1102.15 (412002) - CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT - N? 15461 ff-;){, )..5/ Port Angeles, Washlngton........u.............~......m............m............ 1900...... 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 ~orlectrical work as listed below. J;i0 C'lltx ~::::s..::::::(2~;;;::::;:;;~:::::~;:::::::..u~~~~~:::.u~~~~:~.n.c.~:::::::::::::::::::::::::::::::::::::::::::::::: .. ~/e ~;1c Y-'-"",.~k)/ WITlllg Contractor u...oo..moooo~..oouoo.uu...u.............u...uu.....u Byuuoo.mu........mm.....oom................u...moo.u..... 1'/ '. .. A 'O.;lf - Light Outletsm.unm___..__..............._______.. Service, volts _.__n'?::...___./........:...~...__ Type of Wiring: 7 ' No. Wl~es ...--1,......iJ..&J5"m- SIze Wlres..~'trA"'''''''''' Main fuse ....uS.................---------oo Enclosure ____mm_nm...mm___________._. Receptacle Outlets__m____................._nn Dryer, KWI...._n__......_n_____n____n___________ Range, KW umn__m______mn__m_n Water Heater: Type of wiring: Entrance Cable mmnnm__nm.___nm KW,u'd;;J;S7rDffur. Heat: It \V .....nnn_n.___nn________..______.....________ Rigid Conduit unmn_____________.____.._. Motors: size, volts and phase: Metall1c Tubing ..h__...U________...__.h Current transformers: No. & Size___.___.__..______......__..______..__. Ser. N 0..._..0..__......__...__...___0........_....... Ser. No.-..__..__.._____.._._.._.____......._._....... Ser. NO.__________h....___..___._h_________________ Total Load__..._..___.................. Ser. NO...____.....h....___h.__...._____________.__ Remarks: ..~~~..........................m........m............................._............mm................m............. Armored Cable _.___.____.._________.___..._. Non-Metallic ..._......______________..__..._. Knob & Tube_no...._____........____.....___ Rigid Conduit ..__..m..___._....._______h. Metallic Tubing ._____0..............._____ Race,vay .........______...________............... Circuits, Light.....___.._...__..........___.....__... Utility .___........__..._______________.___.....__._ Heat Range .....h_....h......._..________n______n.._ \Vater Heater __________m...__..h_.h..... Motor ________....___.._..._...__..........._____._ Dryer.._____________._...__..__....._.........n._..... Furnace _____h__"'___""'__'''__m__. Total ___________________________............ .i~.~.~~..~~~.....~..~~......~.~..~......~..........i~~.~.~:~..~.~.~.~~i.~.~..~...~..................:~.9t..::l!~:l~];2::...:: NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION d ;) I 5/t0-. L 1___-aA:. r~~~CTRICAL PERMIT N? 15461 3;/0 c~ / /J:! ::~I~~:l:r:f;:~~;~~~:::::~~::.::::::::::::::=:.::::::::::::::::::::::::::::::..::::..:::::::::::::..::::::::::::::::.:::::::::::::=::::::::::::::::= InspectioJ?completed____.....__.........._____________.......--...--.-.-........--.....--....--_.........._____________..___.__...__...__..__________.........__.__________...._..__......._......_ Total Load _.......___.___.___________.___.._______..__.............__..__...__.__._.___ 1M 3-72 Olympic Printers, Inc. 05/12/2005 23:12 4579270 SIMPSON ELECTRIC PAGE 01 t-J;3)tJS (i )d Electrlc,,1 Contractor 0 Owner '-..."" CJ Aomu_' 'Permit l:I Alarm 0 Camhl"l Cl Cnmmercial ELECTRICAL WORK PERMIT APPLICATION o Request Inspection . o Residential Malnt. Q Sign!; 0 Therrnf)!.tat CJ Telecnm. \ Job ",ired b)' '91 Electrical Contractor IJ Owner <" Licen!lc number ~ -J/ .& }_~ IMlnlJalil,)!'l description f? ~ ?/All'll t:P- "f-' .../Uu M ~~ r:r, tJ R,A.-./ .. K.JiJ P:1~ m;;$r:"i~ /01 W C;)'?;/Zf 1J~,.g'1e) Sujt- 9i;363 Telephone 5mb'" . J 7 () FAX~q:/:;... Prem~. 0"."" name I~/o~ /r 1.f5d--fo"'li3 ( '!j. IZ/ S IvnC{ ,rt-1 Addre" of inl'ilpeetion ...J-.L ~ E. / /V7 <;J+ J. City I hereby certify that J am the owner of the above named property or a licensed electrical contractor (or the firm's allthori7:cd a.gent) and am making the c1cctriclIl installatiof'i or alteration in complhmcc with the c1cctricll.llaw. Chapter 19.28 RCW. IJ Cash 0 Check # Credit Card Q Card # Mastercard Discover . . ---_.------------ ctrlcal administralor E"piration Date of card x WALLS In!lulation Only CEILING Tnsulation Only THERMOSTAT SERVICE DM' ANlMved ay DBI~ ^M'rov.::d 8y Oll'e ^~~,.wel\ By Dftle ApPll:'''",ll:1y DITCH FEEDER Cover Cover Ollie ^PC'/ftYert By D~'f ^~vt\1Ry Dille APJIftlvox! By DM' A""l'fIvcd 9y I=lectrlcal Load Additions and or subtrac.tl.om; o NO LOAD CHANGES o Baseboard KW CJ ~ume~ KW o Heat Pump Ton LAA o Fan-Well KW lil.!l.Qflce Informallon, o Overhead Service Cl Temp Service a UndBrground Service Vol1aga Phase 0 103 Service Size: Feeder Size; JnSI'CClion Dalt Area. Building or Equipment Inspected ^ctiof'l Taken Eleetric!ll 'nspoctor (}..1M.. Ir:f 11/12/2008 10:53 FAX 360 452 9265 fRi IE ~~I.~~>>iC ~ 0001/000.1 ~ W, NOV 1 3 2008 ELECTRICAL WORK PERMIT APPUCATION LIGHT DEPT. Job wired by o Electrical Contractor 0 Owner Installation description [J Commercial 6esidcDtial ~eredlAddition o Telephone number License number Date Expires ..a t'}~ c.-l~ 1J8-+~ (J..".h"4 '" J ""'dr'''; PurchasCCJ mailmg address ~ ~'16r State ZIP IAJ tn'J... '1 <6:3 C;)... FAX number %'J.-- Premises owner's Dame C.ntd D<V<!.-J1 ~ 'dwk Qt- ih+- lith DNew Electrical contractor Dame (,11~ n,,<f- alJ ? t 1\ SCl'h p'M...J r:;:< .::v'f' fh'r- tS. tr 0..:;+ .Jo tiv-;r{-v- lie", fv- -t: ~ c~a.. '-I citt?4 Address of inspettioD 3 a..o CHy QA_ Phone Domber to schedule inspection: /Vii Owner as defined by RCW.J9.28.26l:(J) Owner will occupy the structure for two years after this electrical permit is finolized (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 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, aod Utility Specifications. SiKoaturc r, !electrical contractor or electrical adminutrator o Cash 0 Check # ~dit Card VIsa Mastercard Discover Card # x Date: II I 0'1 Expiration Date of card tnspecti~IJ f~ $ 67-..- Servlcl!! Information D NO LOAD CHANGES D Baseboard KW Cl Furnace KW D Heal Pump Ton D Fan-Wall KW LAA ~verhead Service [J Temp Se/Vice (J Underground Service Voltage j;u I :1.~() Phase rL 1 D :l Service Size: ~ /J-If.er.cJ Feeder Size: . SAME DAY INSPECTION, CALL BEFORE 7'00 AM 360-417-4735 ROUGH-IN lHERMosr,cr SERVICE J//,'i/D8 ~ o.~ _By o.~ Appro~By 0"" App,cMld By FINAL DIICH FEFDER n!J'!irs ~~By Date Approved By ../ o~, AppI'oved By '- 0 Inspection Area, Building or Equipmeotlospected Action Taken Electrical Date Inspector //-/3 -0'3 7>1>. Jo& HftS AtJ!r;AA'r /!ZPJ DONF./ /!ft.Jc->Jfii) ~lhU ! i ; i ! ! : ! , I ! I : "