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HomeMy WebLinkAbout916 S Race St - Building 9 ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 (0 .....:3 , Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000177 Date 622247 916 S RACE ST 06-30-00-0-2-8465-0000- SEAN MCGUFFY RES DETACHED GARAGE 3/12/07 -J --:l 12500 Owner Contractor RACHAEL P & DIARMAIDH MC 916 S RACE ST PORT ANGELES (360) 461-5616 Other struct info GUFFY DERMA CONSTRUCTION 1313 GEORGIANA ST. PORT ANGELES (360) 670-1175 TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 WA 983628025 6.00 1. 00 1311.00 34962.00 816.00 2127.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 816 SQ. FT. DETACHED GARAGE 95786 249.75 Plan Check Fee 3/12/07 Valuation 9/08/07 99.90 12500 11.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 95.75 154.00 ~ " ~ Qty Unit Charge Per Special Notes and Comments The Fire Department has reviewed the project application and has no comments 03/05/2007 10:15 AM SROBERDS --The proposal will result in a detached 816 sq. ft. garage in the RS-7 zone. The structure CANNOT BE USED for residential occupancy at this time. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. V\ r Other Fees STATE SURCHARGE 4.50 /i; o s,<?;cto/ '0> fA 'f.. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 249.75 249.75 .00 .00 Plan Check Total 99.90 99.90 .00 .00 Other Fee Total 4.50 4.50 .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. l-hereby-certifythat~Aave 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 ~ 1Y1~ 3- i)-ol Signature of Contractor or Authonzed Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] I 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 FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAfNAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-fN WATER LINE (METER TO BLDG) GAS LfNE FfNAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILfNG I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILfNG DRYWALL (fNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILfNG I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FfNAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: P ARKINGILIGHTING 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.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPolicieslI102_15 building permit inspectIOn record05.wpd [1/4/2005] .. . ti ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . Application pin number Grand Total 354.15 07-00000177 622247 354.15 Page Date 2 3/12/07 .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-certifythat-l 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] 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, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o -J , ...j j INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: '\? € 17~ ~ e;-11()/o+ J\..L..- FOOTINGS "'1 h;:rl6\" -:!'vV 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 . C'leo/o{>} lo=l-- \V'v JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I I WALL / FLOOR / CEILING I I MECHANICAL HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNG/L1GHTlNG 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. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 O'bfZ,~/o1 :ru... BUILDING . . -S) CS"'"'- VJ ~ <' (tl * , o ~ GJ J T:IPoliciesl II 02_15 buildmg penmt mspectlon record05.wpd [1/4/2005] " ~ '[;i w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J21 EAST 5TH STREET. PORT ANGELES. WA 911362 ,J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name . Property Use Property Zoning . . . Application valuation 07-00000177 Date 622247 916 S RACE ST 06-30-00-0-2-8465-0000- SEAN MCGUFFY RES DETACHED GARAGE 7/30/07 12500 Owner Contractor RACHAEL P & DIARMAIDH MC 916 S RACE ST PORT ANGELES (360) 461-5616 Other struct info GUFFY DERMA CONSTRUCTION 1313 GEORGIANA ST. PORT ANGELES (360) 670-1175 TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE. NUMBER OF UNITS WA 98362 WA 983628025 6.00 1. 00 1311.00 34962.00 816.00 2127.00 1.00 .~ ~ Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ 60A TO GARAGE Permit pin number 105759 Permit Fee 75.00 Plan Check Fee Issue Date 7/30/07 Valuation Expiration Date 1/26/08 .00 o ~ Qty 1. 00 Unit Charge Per 75.0000 ECH EL-RM-0-200 1ST SRV. FEEDER Extension 75.00 ~ Special Notes and Comments The Fire Department has reviewed the project application and has no comments 03/05/2007 10:15 AM SROBERDS --The proposal will result in a detached 816 sq. ft. garage in the RS-7 zone. The structure CANNOT BE USED for residential occupancy at this time. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer'S expense. Public Works Utility Engineering has no requirements for this plan review. \>\ ~ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 79.50 79.50 .00 .00 COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfION .RECORD :. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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-1I02.1S (4'96) "" ~ - ..., -, ~ c1.~T,,~ t~ ~~ l.~- ~.; -'i'~..." ~.... Electrical contractor name License number Date Expires ELECTRICAL WORK PERMIT APPLICATI<lN . ~ ~ \ "- ~ ~ Installation description /' o Commercial [ZJ Residential ~w 0 Altered/Addition Job wired by o Electrical Contractor ~wner Purchaser's mailing address <\ \ ~ ~. Y-...o..L~ ~ \-. City YM ~ t\",~\-E...<S,. Telephone number -() 'l (,0- '-\ \. _ U\ ~ State ZIP wA ~~~t..L FAX number GIttk6iL + PANtf..L i Premises owner's name "\),"< ~"'-.~\.. 'Su,-",- Address of inspection q \~ 'S.. ~.,-. qL C't I ~6( \ -Av..\....~ S Phone number to sCti~dule inspection: t--\C-6~ ~<L1 S\. .. ~~, -5~\ Owner as defined by RCW./9.28.26/:(I) Owner will occupy the struclllrefor 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. 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, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator o Cash ~Ck# 10~2- o Credit Card Card # Visa Mastercard Discover x \)h. '0".... 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N "" ~ '" ~ ~ .-..:5 \J\ Ul W f-< o Z o ~ Ul f-< Z W :>: :>: o U ,- ------=------~--------";..T:.. ..,or --iI'r ~ "",v--'-~...~-,- ).;....~--- .-,.-", ~-'''''''-.:~ BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice 0, Job Located at q / (:; 5 RIk:..L Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: _05 C/ S k~r/t:A/; ~ /SSu~.!) c/ }.lor I;f/S11fUl~ ~~ ~~~ 7'J r;::- k.4u~ /he~ 7Zl 1?7." ~/5ULn~D (f]t~rtCcl/ II" lkv?f;U:>) )7UIJ-S ;he/Sf & bh 70 /YI r /N5(/{-ItffION Lff:jtult'.f:.MCA..f,0- These corrections mLfSt be made and are not to be .. covered until reinspection is made. When c,9frections have been made, please call 4/7- 98/( :~t~nspe~;~7 ~ ~ ' In,,.oIo< to, .""dlng O"','on DO NOT REMOVE THIS TAG .. CIl riI -..:I r-ri1 0l'J ;::.-~ N ____E-< "'I>: o 0. o rilr.. 1>:0 .:r: 0.>< rilE-< . 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HOE-< a~u\~ E-< H HI>:\D ~o.~ ~~ E-<.:r:",CIl UHCO~ E-< ::00 'I>: o.CIl::O CIl><l>: N ZCIl ~ E-i r.J:l I r-- C!lHriI rilr..CIl Or- :z: l>: U :J Z III r .-f H .:r:l'J0 00 9 P:::UUHOO :;: riI '0 HOO ~ (J) ~~~~ i:)riIri1 ~E-<E-< \.D ~ ~ U I I CIlril .--f~w,::r;\.Dr-- Oril..:l CTI(J)OP:::OO 0::00. 0:;: ril0 I>: I>: l>:I>:U .11l1>: .ri1 0. zo I1l ~ E-< .13 CIl -u .... UlE-<.:r: ..:IZ E-< 0 0 gJ~~~tl..:l H Ul ~ ---- OZZZI>:o. 0. .... ~riI03.:r:o. >< ..:I E-<UOo..:r: 0. E-< I1l N Ltl '" M <Xl ~ ~ ~ ~ i , ~ ~ ~ ~ ~ ,~ ('q " ~ " \... ~ ~ ~ J ~ ~ ~ '- ~ ~ ~ ~ ~ ~ \. ~ ~ ~ ~ " ~ 'S ~ f ~ $ ~ ~ ~ ~ CQMP05ITIClN ROOFING ~ 6UILDINGs FELT II2"PLYUOOD ROOf 5l-1EATHING 2X BIRD BLOCKI~ UJI 2"41> SCREENED VENT, (2) PER RA+=TER SPACE. CONT.METAL OR 7 VINYL RA~~ It::.R ~. 2~ CEDAR FASCIA ~EATH~ . SIDING AS &ELECTED . ey ou.NER APPROv~D HOUSE 'UJRAP RIM JOIST ,l BLOCKING F{~\'E?" FA. 5RIL BA~LE, MAINTAIN n. 1" MIN. AIRSPACE P\Tc:.~~.. R- INSULATI~ . r PRE - ENGD 1t'1i=R1D ('I / TRUSSES ~ 24" O.c. / 5/6" G.llJ,B. CEIL INS 2X6 DBL. TOP PLATE R- BATT. IN5ULATION 1/2 II G.wB~ 2X~ STUDS e 1611 O.c. 3/411 T~ COMPL Y FLOOR R- INSULATION JOISTS PER FRAMING FL.MJ . 2X) P.T. ~U_L-':::)LA TE = z ~- r Af",c..HDR~-II2N4> X 1011 Al3. 4811 o.c.. ~ 1'-011 FROM EA END Wi ~U}>.Jae WAJS.i-LE:..I2<=; I -4 VERT. ,j t:b. ___ At../'D ~0l<a?.D 1'0 . -4 I-1ORll. R:oIIIJQ. "BAR (2) -4 CONT. ~6 MIL. BLACK POLl VAPOR BARRIER " . liSe. PIPES ", "'.. ( v ..:;..r '" ~~ w G? .r - ~ 6 J J q) -:Z ~ ~ ... t' \I) I i j 01 ; . ! ' i " ~'\ :r ft1 .... g Q ~ .c-- '-.D - E 9- o iJ-<;' ~ ~ W~{ ~ '9 .yj~ ~ f:)OO f r:P ~ cr :l '&~ "- ~,J. V>- ~ IT ....,}' ~ \J f...y"" ~~ \ Q.U ~ \{) ~@ ~"" 8 ~.. ~ m l' ....:;:;.l ~ -1 -- c;ffJVJ G ~ ::- O:::r- <: ....... "!; y trlJ) . -l \!) cr ~ ~ ~ V\ L Q ~ 0 -...9Q 'X o -i. Ln~ z ..... ~ -~ ~ --t (J ~ ~ \oj-;r- ~-f o -J C'-. C'") ~ ~ }~ --' ,/ ( , o o~ ~ ~-y ..:; .. "' ~ "" -::r ~O' ~ 11.. ~ 'D-c;P{ \.D "'- o '. or . ~ ') "' cr X. ~I: ~ L...-'1- \.0 '::- -');- ~ ~ y I ..:.Ir' u'" " '00 ,~ ""':r- -,d'~ 0"--- _____loT" !;> -v,':> Q (---y~ ~ < " 50' o P, ~ ~ '). ~~"-"1 i I FILE CITY OF PORT ANGELES - Construct;"" r'~"s The Issuance of this permit based upon these p,n3. spr,,:ifi. cations and other data shall not prevent the buiiding official from thereafter requiring the correction of errors in soid pl,,~s, specifications and other data, or from pre"enting building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. ........-J . . .' . . . ~2 ,.,Hl.- Approval Date ' 0 By ~t wofL,L- Sl,~~ [+:;';11 v^ i '-r+~~~ 0-~ \)~.D DR- ~f\00 ~ ~'j.JI"-~. W ...t: ~ '()iL- \2-t%4.1' OUVfOtJJ--. .sq~e IS -rv & <: L I O. \.} () c ~~ .2.yJ o 9 ""\ ~ f'\. }...::) 0... 0"-..... .JJ' ~ t). _ 7 ~ -r:: -+- ...r- -- IlJ ~. ~t2, cY\, '-_/ ~ ;z. (\ t 'I' <S'"'.. W VI O;1S' ~~ ) t:...:r. ~. J"..'C . ~ '. t-' Q ~ ~ 6' ~ ~- Fi ;; ., " G'1 ....J ,; - \,.j ...... Address: ct \ ~ s~ f'V~'&V~j t'\l-C.,,1.1 W':) S Q<,rA( -( S{. l~ ~ ~ V"'I\4. I olh FOR OFFICIAL us EJ;,N L Y: Date Rec.: ~ II)~ () 7 Permit #: ~~ 74-~ 7 Date Approved: ~ 0 ate Issued: BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: S ~"'....... Phone: City:~ Zip: ArchitectlEngineer: Phone: Contractor D {., VI f"'\" ~ ~~sL State License #: D e. Y1 t\"&\ c.. ~'P'13()P Exp: no t'\ e Address: \ ~ \ 1, (<")-(Q~ 1 VI ~ ~t, City: 6> ~;t FJ '\J -c-\ <S PROJECT ADDRESS:~ ~ R <AL~ cst . LEGAL DESCRIPTION: Lot: 17 ~I ~ Block: 1, 'by CLALLAM COUNTY PARCEL NUMBER: D0 J 000 0 ~ ~ y (95" Phone: ~ 10-' 17~ Zip: ~t3 bA ZONING: Subdivision: TYPE OF WORK: D Residential 't( New Constr. D Re-roof D Stove D Multi-family D Addition D Move~ Garage ~\l" D Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: 0\ <b ~~V- .L"I- 2 ~ ~,\ .T~ COMMERCIAL/RESIDENTIAL: Occupancy roup: No. of Stories: _ Lot Size: :3 4 J <') c, ~ Existing Sq. Ft. I ~ I J Total lot coverage ~o e ~ Occupant Load: Construction Type: & Proposed Sq. Ft.~ = TOTAL Sq. Ft. J.):J... '7 \~. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checklist required? DYes 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 RI05.3.2 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 determine what permits are required ,not the City's, and that I must obtain such pennits prior to~ " ~ T:\FORMS\BldgPermitform.wpd ApplIcant: -+=J~ Date: ~- .1.1.-.Q ( :f ~ORr ~ $4.0~~~ rea ~-- ~~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 05-00001205 Date 12/08/05 993150 916 S RACE ST 06-30-00-0-2-8465-0000- GRANT NESS RES REMODEL 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 Stacy & Grant Ness 916 S RACE ST PORT ANGELES Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 4000 Contractor OWNER WA 983628025 ~. \ -.:c.l ~ ~ C'- BUILDING PERMIT -RESIDENTIAL ..-- "-. 66852 123.75 12/08/05 6/06/06 \ ' " .... ... Plan Check Fee Valuation 49.50 4000 '" ~-..,} Tj "> Qty Unit Charge Per BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date Extension 95.75 28.00 ~ " I f <:: -..J ,., ". '\ ........... g n, - ~ ~ ~ ~ r!\., \ _\ (\ (1\ MECHANICAL PERMIT 66860 57.25 Plan Check Fee 12/08/05 Valuation 6/06/06 .00 o Qty Unit Charge Per Extension 50.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 66878 71. 00 12/08/05 6/06/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 50.00 21. 00 BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- --...------- ---------- ---------- Permit Fee Total 252.00 252.00 .00 .00 Plan Check Total 49.50 49.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 306.00 306.00 .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. Date 'd~~PPt...-4-...,L.. ) 2.,. C,~..C' 'i Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\PoJicies\11 02_15 building permit inspection record05. wpd [1/4/2005] , ELECTRICAL WORK PERMIT APPLICATION Job wired by 1:1 Electrical Contractor IU-6Wner Installation description CJ Commercial )I; Residential License number Date Expires ClNew ~Altered/Addition ,.?;~;' ~ SHAwr--\ 4LoI-\3BS Owner as defined by RCW19.28.261:(J) 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. 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, and Utility Specifications. ;gn~r, nt I cnntractnr nr el~t:~;; al9:ru::oS Electrical Load Additions and or subtractions o NO LOAD CHANGES D Baseboard KW D Furnace KW D Heat Pump Ton LAR o Fan-Wall KW 1:1 Cash 1:1 Check # 1:1 Credit Card Card # Visa Mastercard Discover Expiration Date of card Service Information D Overhead Service D Temp SelVice D Underground Service Voltage Phase 0 1 0 3 SelVice Size: Feeder Size: ,I .. ,,- THERMOSTAT SERVICE "- Date Approved By Dale Approved By ,,- DITCH / FEEDER "- Date Approved By / '-... Date Approved By/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date . Inspector . ~'f , !lr^f) {l. If, c; J ne:;, I ( SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN Al;;J Approved By FlNAL i- t3-t>b Date ..17D Approved By /. ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE PERMIT # ..-/ (- ;t.o-o6 05 -/2-0 ~ OWNER/CONTRACTOR 'WNeA... ADORE 1"6 ..5 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . .. . . . . . . . . . . . SERVICE. . . ... . . . . . . ... . . . . 0 D. . .. . . . . .. . . .. . . . . . . . FINAL. . . . . .. . . .. . . .. . . . . .X' &;~N/:JS (6J CORRECTIONS NEEDED: .IIlo . ~k-r' . . NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN 117_1t-:; /0:: ,Ju- WATER LINE (METER TO BLDG) FINAL ~k~ DATE j (,.V GAS LINE ACCEPTED BY: , BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP I FURNACE 1 DUCTS GAS LINE FINAL }{~~ DATE ([ ({.; WOOD STOVE I PELLET I CHIMNEY ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNG/LlGHTING 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. I PWI CONSTRUCTION - R.W. ENGINEERING 417.4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 l.h,.1 /O~ J~ BUILDING T:\Policies\1102 15 buildin ermi tins ction record05. d r (14/2005 gp pe wp[ '0 .., '0 ::;~~8;;jE; 0'0 r' '< ~ H:U '" '0 'O:uZZZO ..,01 --.. ~Q~~~~ '<'" Ul H :P 0 0 .., Zr' :P..,Ul O:u H !ii. 0- Ul "101 .., 0 'tI tD OZ '0 ~ t'" 01, :u tD . OH O:u :u :u :u'" 001 ..,--.. 3:0 H 'OCO OOUl Gl\D ~~ r'01O Ul"'rT :UH O1Ul , , II> ~'" Glo ..,..,'tI own O1Ul O101t'" 00'< ..,Ul r'- OO~ 0' 01 001<> Z:u UlH HO O1:P w H "', Gl UlO ~ :u III 00'< UlO1 0 O1HG'l Ul' II> \D UlZ "'::1 CIl CCIl'tl :U' rT .., '" ~~; 01 CD ot> CIlot>Z <nro H :UUlCll .., 01' CIl 3:0 *ul-''l:l :u0 00 *;J:>Nt-I 0101 00 * ~::::~ CIlCll 010 CO r" '0 ot>tD r':U r' --"H ..,H 01 "'Z CIl'" 0 ~.s::..oQ --...., 0 CIlUlO OH ZZ 3: tI:!NUl:U 00 3: , 0 3:Z UlCll 01 OCD C 3: '0'" Z ;J:::IlT1oQ 01 0101 .., t"'NM::>::r: Z 00 CIl t"' lJ1.. , .., ..,.., ot>H CIl OH ~ :;; UlZ :u0 :r: ". Z 0 01 Z '" <=-<.., Z 3:j :PH 0 0 '0'" CIl 3:0 .., 0 3: :r::r: ~ O1~ 01 Z "'01 00 CIlO1 CIl 01 tJj .. ZZ 0 .., :P 0101 H r' CIl :UH <: 0 ..,..., r' :r: .. H :r: 00 01 01 r'0 :u r' 0 '< ~ 0 :u :P Z .., :r: 01 :;; :P .., 01 0'0 :u :P:P . ..,Gl . 0101 . . . . H '" --.. H Ul --.. o H Ulot> BUILDING PERMIT - APPLICATION '----=--,,/ Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to he ~eeprted for review. If you have any questions. call PERMITS (360) 417-4815 FAX(360)417-4711 Archi teet/Engineer: Contractor OWH~ Phone: :s (P 0 - c../S1-/lfs;-1 Phone: 3 (po --4S1- /45"{ City: PDrT-J4Y\~--e/-€.S Zip: Cfg3Cp1- Phone: Applicant or Agent: G.,.....OI V\T N~ss Owner: Gf'qV/T +- S,ctc. y N.Il s,.s Address: q/{P S. (2o,C~ ST, State License #: Exp: Phone: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: /t.f-/~ CLALLAM COUNTY PARCEL NUMBER: qJ f.p 5. (lOt (-€- City: 51 Zip: ZONING: PUB BL"D&S/PII-J ks Address: Block: ;)~<I Subdivision: TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family ~Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: l rll~OI'?- (2.EMoc::t.L.- o Stove o Garage o Deck o Other \4dd fv.\\ SIZENALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 1Ic:?C!7L?'& B,","~ \ ~ vv-.c"J~(" be~V'""o(:)rY\ COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: L Lot Size: Zs-o' X 140' Existing Sq. Ft. /311 Total lot coverage % Occupant Load: Construction Type: & Proposed Sq. Ft. /3/1 = TOTAL Sq. Ft. / ~ J t ESAfWetland(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. Tins 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: If no permit is issued within 180 days of the date of application, the application will expire. TIle Building Official can extend the time for action by the applicant up to 180 days upon WTitten request by the applicant (see Section Rl 05 .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 determine what permits are required ,not the City's, and that J must obtain such permits prior to work. T:\Policies\BL-ll 02_13 .wpd Applicant: Date: t: X ferlv"", We/I) - ~ ~ ~~ ~~ \\. ~ ~' ~ ~. '\ x. WJ ,~,!r\~ <')~ c>np;T t\r,~~:~.~J?S - GO:1r--tr"~.2(~t~c~ :~!,,:.,,-v~ nOt) " \"1-1 '1 t...-S- ~~ Jl...l..... ~ t" "! tC , ,.l~~ J/}t.211 J:-'''''~ tlevY Bcr-rh. t--- ~ ~I"~~ .. ~ -=:::::- r-;::r~ ~ /5';<1) tl J~; let J hpj/1/e; 10/ '-J"\ .....' > ~ ~~, '\') N~VV C /t:Y:7> r t. ... 1. '0 \"l ~ ")< - \') . " ~ rb r r/GCJL:J .~. QJ.~.~ '.ff!.) d/fljO ,01!.'Q!suods(}.1 <Jl{J aq IOU lIDl{S ~U!,mJ.JP/dDUJ Sfl/I/O <J57l./JlfJO ,(up" 'sasod.md PUD iJSll WUO SJ.l./0/SiJ/J3UV !.lOd lo .Ii!.) ;)1.(1 .(q pa~mpo.Jd Sf $U!.11.D.lp/dvUl S!l{l 'uo!ld!..lJSJp /vBa/l} SlJ pasn aq 01 papUJ/u,11011 Sf duw Sll{l dVN ViJ.lV N [6/[g (JYN = //In/D(J /D/uozl'OH aN ClA VN = UlmD(J lD:J!JJ~A I lee.:! 9/.,t) i~ 00, ~ 1~ Q~ <:70 "1d i~ 08 :f ~ORr ~ $4.0~~~ r'Gii 11: -- ~-;;-~ CITY OF PORT ANGELES DEP ARTMENT 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 05-00001205 Date 12/16/05 993150 916 S RACE ST 06-30-00-0-2-8465-0000- GRANT NESS RES REMODEL 4000 Owner Contractor Stacy & Grant Ness 916 S RACE ST PORT ANGELES OWNER WA 983628025 c Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OWNER/ BATHROOM ADDED 67389 48.10 Plan Check Fee 12/16/05 Valuation 6/14/06 _.....~ .00 o r- \....\ (7':' (t, Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 '\ Other Fees STATE SURCHARGE 4.50 \" (:" --- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 ~ \h I ", V \ --., 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 /', I ( -l U;Y t~-; Date T:\Policies\11 02_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 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 FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING 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: PARKING/LIGHTING 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. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98162 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001205 Date 12/19/05 993150 916 S RACE ST 06-30-00-0-2-8465-0000- GRANT NESS RES REMODEL 4000 Owner Contractor Stacy & Grant Ness 916 S RACE ST PORT ANGELES OWNER WA 983628025 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OWNER/ BATHROOM ADDED 67389 48.10 Plan Check Fee 12/16/05 valuation 6/14/06 .00 o ~ ~ Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ~-~~------------- --------~- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 CJt o ~ V' -; COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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-1102.1514196) to , ..., "d , ~~~8t;jEl n", t:-< , 0< ; , H", '" "' I "'"' ZZO ""01 '" , ...... I t:-<Qr:J;;J~Gl 0<", , [J) H I '" 0 , 0 ..., I Zt:-< ",...,[J) 0"' H , .. I !j1, n- [J) "'01 , ..., 0 , I:ll to OZ "' I "d 01, "' to ' 0 , n",:o; "' "' ",H H , 001 ...,...... ...... , 3:0 "-' "-' , ",CO OO[J) G)'" ~~ 0 , t:-<OlO U1"'rt :O;H ...... , 0l[J) I I OJ ~'" G)O 0 , ...,...,I:ll own 01'" '" , 0l0le:: 00'< ...,[J) t:-<- , OOH 0 , 01 , e; 00,,", Z"' [J)H i~ , HO 01'" ... 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WA 98162 ELECTRICAL PERMIT Issued: 10/16/97 Permit No: 6090 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ DICK SCHULZ 916 RACE S 916 S RACE Lot: 14-18 Port Angeles, WA 98362 Block: 284 Long Legal: 360/452-0454 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- ELECTRIC SERVICE 924 DRAPER RD. PORT A~GELES, 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 Baseboard 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-I -3 200 AMPS o AMPS PROJECT NOTES------------~------------------------------------------------------ WIRE REMODEL PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $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 ELECfRlCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPItCTlON TYPE DAn I ACCItPTm COMMI!NTS YES I NO :rN1CUVhK :)hKViCh , Jk ~./ r 1<Tl\I " T Tlii71&707f 1"77tt0-t. I f GENERAL COMMENTS: PW-I102.1S(06] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17755 ') _. / "'. C'., / . c:;r-"- tF _ Port Angeles, WlUlhlngtonnmnh.mn..............mn.mm.m.mmm.mm, 19nm... ~ 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. "''/ L ..-::) Address ./. m0.nn~m<J::'myn?~~.~~nn.nnnn'n......m..h____. Occupancy.~.e.~.__nm....__,__h,hh,.nn ~::~~~~-::~~:e~~1~:~~~:=~~::~~;::::::::::::::~.....~~:::::::::=::::::::::::::::::::::::::::::::::::::: Ll5'ht Outlets....................__........._.._..... <.>")0 R( ceptacle Outle.!s.....m....................... :::::, ::.:.,...:2;C:.:,....:::..,..:::,,,.,. '~":I.ter Heater: J's KW______n......!'...n________nn.n Hello KW__mn..,:z.Allu__uu.uu.."'''' M ltors: size, volts and phase: I') 0..,/'5 V:, Service, volts .....~.........._.....~~............__ "3/ No. wires .........................__.......:'...... jI/-:J ...,{ ::~n :~::s~:~~~~~~~~~~~~~~~~~: 5 Enclosure ..................__.__....____.__..... Type of Wiring: Entrance Cable ......____................... Rigid Conduit "onmmm.......__........ Meta1l1c Tubing .........................__ Current transforlners: No. & Size......__....______..................... Ser. No.............................____......__..... Ser. No...__..____...____..........__................. Ser. No.....__....__...____.____...__................. Type ot Wlrlng: Armored Cable ..........__.m.............. Non-Metallic ................................. Knob & Tube..............__.......m__...... Rigid Conduit m.m""m"""""m"" Metallic TubIng ____..........__m..m... Raceway ..............................._......_ Circuits, Light....................................... Utility,,__"'."''''n'''''''.''m'__'__'''''m'' I.Ieat .............,n............................... Range ............................................. Water Heater ............................... Motor ....__...............,..__................... Dryer ...__.__.__......____.....______................_ Furnace ..__......................_...__..........__.. Total Load......__.~.__..______....... Ser. No.................._...............__......... Total ..........____.____.......____......... ~~:~::.~~~:::~~~::::::::::::~:~:~:::::::~:::::::::::::~::::::::::::::::=:~~r:~:~:::::::~~::::::::::: '~~ :;~--;~~--------m'..............--';~~~~.-.~~~~;~~--...--.m--....m.....---------n~:r;?'J,?'.2--.m...2.......... $..........m....m.m_____m.m.. No...............___........... By .",~L:~m..'!.':::::::/.k:?..m.g5?...!~~z..,.... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon- eel' .led 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 ELECTRICAL PERMIT N~ 1 77 5 5 Address...................__..........................__......................................................................................Date..._.........._.._.............._......_......_......... Ov;ner..................................._.........._......_.........._...........................................................Tenant.................................................................... Wi~ingContractor..........................................................._.............................................................By.............................................................. '\ NOTICEl-Current must not, be turned on untU CertifIcate of Inspection has been issued. It work Is to be con~ cer led due notice must be given the Inspector so that work may be inspected before concealment. , 1M Olympic Printers, Inc.