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1017 W 17th St - Building
PREPARED 10/03/08 8 42 03 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/03/08 ADDRESS 1017 W 17TH ST SUBDIV TENANT NBR GLADYS M PRESSLEY CONTRACTOR 0 LEARY GENERAL LLC PHONE (360) 460 1557 OWNER GLAYDS M PRESSLEY PHONE PARCEL 06 30 00 0 4 4170 0000 APPL NUMBER 08 00001243 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR PEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/03/08 f BLDG FINAL October 2 2008 2 49 51 PM 1pangrle BRYANT 460 1557 BLDG FINAL RE ROOF ACCESS THE GARAGE FROM THE ALLEY THER PERMIT IS VISIBLE FROM THE ALLEY COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 32] EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001243 Date 9/29/08 Application pin number 250973 Property Address 1017 W 17TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 4170 0000 Tenant nbr name GLADYS M PRESSLEY Application type description RE ROOF Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 4100 Application desc TEAR OFF RE ROOF Owner Contractor GLAYDS M PRESSLEY 0 LEARY GENERAL LLC 1017 W 17TH ST 2920 S PEABODY ST PORT ANGELES WA 983637435 PORT ANGELES (360) 460 1557 Structure Information 000 000 TEAR OFF RE ROOF Other Fees T.Forms /Building Division/Building Permit WA 98362 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF Permit pin number 135509 Permit Fee 137 75 Plan Check Fee 00 Issue Date 9/29/08 Valuation 4100 Expiration Date 3/28/09 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 142 25 142 25 00 00 G 7 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 9-z1-e& Brvan o'Leac Kyaq Dl, w/ Date Print Name Signature of Contral or Authorized Agent Signature of Owner (if owner is builder) 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 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 SEPA. Parking Lighting 1 I ESA. Landscaping 1 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE RESIDENTIAL DATE Accepted By Commercial Date Accepted By Electrical 417 -4735 1 1 I Electrical I I Construction R.W Construction R:W PW Engineering 417 -4807 PW Engineering Fire 417 -4653 I I I Fire 1 I Planning 417 -4750 1 I 1 Planning 1 I Building 417 -4815 1 1 (Building I10 3-US I :TLL, 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 417 4735 Public Works Utilities 417 4807 Backflow Prevention Inspections 417 4886 FINAL Date: Accepted by FINAL Date. Accepted by Parcel Number Proiect Tvoe Brief Description. Check all that apply New Construction Addition Remodel Repair e -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures tail a lawn sprinkler system be installed? t Will a fire sprinkler system be installed? Date CY -29-c i BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent 0 Lea cH Ge.rleca Property Owner JGlcxc s P.YSS(e Property Owner's Address 1d (7 a( Contractor /Engineer c 0 L e c e A (O t- earM G I t Contractor /Engineer's Address 2 q 74) S rea d, sf P A License OL- 44 (2 $L 929,f/4 Expires 7 3 D PROJECT ADDRESS l 0 11 W c7 1-1 S4-- rear Residential Commercial di-t I kocc c ()oc 3 C' Jr 1ctk, Existing (sq. ft.) Posed (sq. ft.) Print Name Frvct✓1 0 Lea( 1 sq. ft. Lot size ft. Occupancy group Occupant load Construction type Phone Phone Phone t.Jft E -mail Lot olc( rdd r- eAloece I For City Use Only Date Received 1 -2A- Permit C4R -1242 Date Approved Heat pump wood burning stove gas fireplace pellet stove other 3(.0 4( (rs` 7 540 y s`-2 5 �f! 0 -ES Zoning 'Multi- family Industrial per sq. ft. TOTAL VALUATION L{ 1 00 cr-) sq. ft. Lot coverage of bedrooms of full baths of half baths 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 to determine what permits are required, and to obtain permits prior to working on projects. Signature �t-L dW (-9/ CONTRACTOR'S BID PROPOSAL PLEASE PRINT OR TYPE ALL ENTRIES Contractor s Company Name Registration No. D Leary rGelv c t L14 &t- z cc M 1 Address (Street or P.O Bo Stat Zip Code I Estimate submitted to: ,_phone_ i �,s �a��� u41 (3v) 4sZ 753 1 Address (Street or P O. Box) Job Name Architect We hereby submit specifications and estimates for the above job: (Use separate sty et if necessary) (r L I y iI r •c ©I C� S t v1 (e5 1 it Yt' c „c rt f W1 S T C___ S 1 1 �)0. IC VOC fk US i co La #I S” t t o- r� cu f^ k k si M,. s tt r A y aaM4 e �'r�t� ,f�44 ti��- c r �u s (A.) M tic+ 6 e. r,c \ut a f\ Oc +11v sand wr iI 6.e assu.ed a,n Q \C mu --ev c 15c, ck+ +44 f, ,vle We purpose to furnish material and labor complete in accordance with above specifications, for the sum of: Payment to be made as follows: o ra l +1 t 'c t f_ rv(- q4 j 5 kc (16+ 204 e c cti 300 t-04■ r1 C, Ljed I'o,„rN) C{-0 to �t�r5r�- Qbc' J m41 2 c- S t Q.e.S 0. 55 c i-eo t OA. C Ac t'w1g a r q ✓t (r'1CLUck.e 6 :.'4 c(oGJA re_ma(0, 0 ci /2- up c Customer is responsible for obtaining all required permits. My alteration.eir deviation from the above specifications will be executed only upon written orders, and will become an extra charges over and above the estimate. All agreements contingent upon strikes, accidents or dela beyond our control. Customer to carry fire, casualty and other necessary insurance upon above work. This proposal is withdrawn by'us if not accepted within 1 days. This Contractor is registered with the State of Washington and has posted with the state a bond or cash deposit for the purpose of satisfying claims against the Contractor for negligent or improper work or breach of contract in the conduct of the contractor s business. This bond or cash deposit may not be sufficient to cover a claim which might arise from the work done under your contract. If any supplier of materials used in your.construction project or any employee of the Contractor or Subcontractor is not paid by the Contractor or Subcontractor on your job, your property may be liened to secure payment. If you wish additional protection, you may request the Contractor to provide you with original lien release documents from each supplier or subcontractor on your project. The Contractor is required to provide you with further information about lien release documents if you request it. General information is also available from the Department of Labor and Industries of the State of Washington. Authorized Signature c ACCEPTANCE. The abovIj races. specifications and conditions are satisfactory and are accepted. You are a orized to perform the work as specified. Payment will he made as outlined above. Authorized Signature 1017 17 S¢ 194 ripu f ciusaU'( d ((a rs Q J ollars. y) uc UG Title J Contr cto Bid P up al Estimate ©Wash ngton Legal El Inc Is aqi 3h WA Form No. 273 1/01 MATERIAL MAY No BE REPRODL.:.D 'N WHOLE OR IN PART IN ANY FO! WHATSOF State W Job Location Date of Plans TE Page :Date* 9 Zip Code L' NOTE: THIS PROPOSAL MAY BE WITHDRAWN BY CONTRACTOR If not accepted within Days of above* date, Authorized Signature Date of Acceptance of Pages Expiration Date Telephone Cs) c y s Letter of Transmittal WashingtonState Diart[en Hea ~ ~lympia, Washington 98504-7852 u u JUL CITY OF PORT ANGELES LOUIS E. HAEHNLEN P O B OX 1150 Cm 0~ ~R~ ~L[S PORT ANGELES, WA 98362-0217 C0M~U,m0[V[~[~ ...... Project CRS~ 6642 ~oject ]0]? W 17® Street PeninsulaM~or location: Port Angeies WA 98362 Chapter 388-78A WAC Bonding Homes Bonding Home Retro Fi~ SprinUer System Key People: Facility Gladys Pressley Facility Susan Ad~nistrator: 1017 W 17® Street Contact: 1017 W 17~ Street Po~ ~geles WA 98362 Pon ~geles WA 98362 (360) 452-5831 (360) 452-5831 Architect / Innovated Fire Sprinkler System Building City of Port Angeles Engineer: Vince Bettger Official: Louis E Haehnlen 81 New Haven Ln PO Box 1150 Port Angeles WA 98362 Port Angeles WA 98362-0217 (360) 452-7583 vincebettger @ tenforward.com Review Staff: Fire & Life Chad E. Beebe, CSI Architect: Richard M. Swanson Safety and chad.beebe @doh.wa. gov richard.swanson @doh.wa.gov Program (360) 705-6648 (360) 705-6782 Manager: Sanitarian: John R. Templar, R.S. Mech. / William M. Kingrey, PE john.templar @doh.wa.gov Electrical: william.kingmy @ doh,wa, gov (360) 705-6786 (360) 705-6783 Small Projects Douglas Taylor Small Projects Rob Bradley Reviewer: douglas.taylor @ doh.wa.gov Reviewer: robert.bradley @ doh.wa.gov (360) 705-6628 (705) 705-6685 Copies To: [] Local Building Official: City of Port Angeles [] DOH Child Birth Center Licensing [] DOH Office of Accommodations & Res. Care Survey [] Washington State Patrol, Fire Pmtection Bureau [] DOH Office of Health Care Survey [] DSHS, Deb Burman, Aging & Adult Services Administration [] Architect / Engineer: Innovated Fire Sprinkler System [] Other: [] Sub-Contractor: [] Other: [] Sub-Contractor: [] CRS File Page 1 of 4 Plan Review Comments for Project #6642 Peninsula Manor Chapter 388-78A WAC Boarding Homes Boarding Home Retro Fire Sprinkler System Memo: - NOT APPROVED - This project is not approved and is not yet authorized for use by the Licensing Agency. Please provide written responses to our review, using our numbering system, for those items checked as not approved. Include two copies of revised plans or sheets, in the same format/size as the original submission, incorporating your corrections. Any response that does not address ALL the review comments and provide the required information will be considered incomplete and returned without review. The project sponsor should review with the consultants what is being submitted in all submissions. All copies of the accepted shop drawings will be retained in our office until such time all the construction documents have been received, reviewed, and accepted. At that time the complete package of accepted documents shall be stamped 'Approved' and a copy of the set returned for the facility records. Page 2 of 4 Plan Review Comments for Project # 6642 Review Key: A = Architect F = Fire & Life Safety S = Sanitarian M = Mechanical / Electrical SP=Small Projects C = Conference Note Facility Name: Peninsula Manor Facility ID: 000840 Site Address: 1017 W. 17th St. Port Angeles, WA 98362 Facility Data: Occupancy Group: LC Construction Type: Applicable Code: Number of Apartment units: Private occupancy: Two person occupancy: Automatic Fire Sprinkler System: [--]13 [-]13R [--]13D [] Not Applicable Automatic Fire Alarm System: [] Yes [] Not Applicable Compartmentation on all floors required: []Yes [--]Not Applicable Special Egress Control Devices: Approved Smoke Control System: []Yes [--]No Maximum allowable licensable Beds: Based on size of rooms used for sleeping Residents Based on size of common rooms Residents The data above is based on the information presented to the Department of Health Construction Review Services. Any change in the facility or facility program that causes the above information to be incorrect is subject to review by DOH Construction Review Services. Approval for construction is not approval for licensure. A copy of this certificate will be sent to the licensing agency. Approving Authority Page 3 of 4 Plan Review Comments for Project # 6642 Review Key: A = Architect F = Fire & Life Safety S = Sanitarian M = Mechanical / Electrical SP=Small Projects C = Conference Note Peninsula Manor Chapter 388-78A WAC Boarding Homes Boarding Home Retro Fire Sprinkler System Plan Review Comments SP 1 [] Error in calculations, which causes the actual operating pressure to be less than minimum design psi, required for proper operation of sprinklers. Provide revised calculations as per NFPA 13 8-1.1.1 and NFPA 8-3 SP 2 [] Revise plan to show hangers on arm over sprinkler drops. NFPA 13 6-2.3.4 SP 3 [] Provide recent flow test data at City Supply and the company who performed the test. NFPA 13 8-2.1 Page 4 of 4 Plan Review Comments for Project # 6642 ReviewKey: A=Architect F=Fire&LifeSafety S=Sanitarian M=Mechanical/Electrical SP=SmallProjects C=ConferenceNote / Letter of Transmittal A Washington State Department of September 19, 2002 Health Construction R~v~w Services 2725 Harrison Aw. NW :Suite :500 PO Box 47852 Olympia, Washington 98504-7852 CITY OF PORT ANGELES www.doh.wa.gov/crs LOUIS E HAEHNLEN PO BOX 1150 PORT ANGELES WA 98362-0217 Project Info: CRS# 6642 Project 1017 W 17th Street PenJrJsula Manor location: Port Angeles WA 98362 Chapter 388-78A WAC Boarding Homes Boarding Home Retro Fire Sprinkler System Key People: Facility Gladys Pressley Facility Susan Administrator: 1017 W 17t~ Street Contact: 1017 W 17th Street Port Angeles WA 98362 Port Angeles WA 98362 (360) 452-5831 (360) 452-5831 Architect / Innovated Fire Sprinkler System Building City of Port Angeles Engineer: Vince Bettger Official: Louis E Haehnlen 81 New Haven Ln PO Box 1150 Port Angeles WA 98362 Port Angeles WA 98362-0217 (360) 452-7583 vincebettger @ tenforward,com Review Staff: Fire & Life Chad E. Beebe, CSI Architect: Richard M. Swanson Safety and chad.beebe@doh.wa.gov richard.swanson @ doh.wa.gov Program (360) 705~6648 (360) 705-6782 Manager: Sanitarian: John R. Templar, R.S. Mech. / William M. Kingrey, PE iohn.templar @ doh.wa.gov Electrical: william.kingrey @doh.wa.gov (360) 705-6786 (360) 705-6783 Small Projects Douglas Taylor Small Projects Rob Bradley Reviewer: douglas.taylor @ doh.wa.gov Reviewer: robert.bradley @ doh.wa.gov (360) 705-6628 (705) 705-6685 Copies To: [] Local Building Official: City of Port Angeles [] DOH Child Birth Center Licensing [] DOH Office of Accommodations & Res. Care Survey [] Washington State Patrol, Fire Protection Bureau [] DOH Office of Health Care Survey [] DSHS, Deb Burmah, Aging & Adult Services Administration [] Architect / Engineer: Innovated Fire Sprinkler System [] Other: [] Sub-Contractor: [] Other: [] Sub-Contractor: [] CRS File Page 1 of 3 Plan Review Comments for Project #6642 Peninsula Manor Chapter 388-78A WAC Boarding Homes Boarding Home Retro Fire Sprinkler System Memo: - APPROVED - The construction documents for your project have been reviewed per Chapter 388-78A WAC Boarding Homes (BH) and found acceptable. The stamped approved copy of the documents shall be kept and available for the licensing staff on site. Please note the following: Boarding Home regulations do not allow occupancy of the completed project area until authorized by Department of Social & Health Services (DSHS) Boarding Home Licensing. n The local building official is responsible for building construction permitting and occupancy. Final licensing approval is subject to a site inspection by DSHS Boarding Home Licensing to verify compliance with BH regulations. The enclosed "PINK" construction completion card must be returned to this office before occupancy once you have completed construction. When we receive this card, we will close your project file and notify DSHS Boarding Home licensing that you have completed the review process. If you have any questions please feel free to contact Construction Review Services. Please take a few moments and fill out our online survey at www.doh.wa.gov/crs. Page 2 of 3 Plan Review Comments for Project # 6642 Review Key: A = Architect F = Fire & Life Safety S = Sanitarian M = Mechanical / Electrical SP=-Small Projects C = Conference Note Peninsula Manor Chapter 388-78A WAC Boarding Homes Boarding Home Retro Fire Sprinkler System Plan Review Comments SP 1 [] Error in calculations, which causes the actual operating pressure to be less than minimum design psi, required for proper operation of sprinklers. Provide revised calculations as per NFPA 13 8-1.1.1 and NFPA 8-3 Approved: 09/04/2002 Revised calculations received 8/16/2002. SP 2 [] Revise plan to show hangers on arm over sprinkler drops. NFPA 13 6-2.3.4 Approved: 09/04/2002 Revised plans received 08/16/2002 show hanger locations. SP 3 [] Provide recent flow test data at City Supply and the company who performed the test. NFPA 13 8-2.1 Approved: 09/04/2002 Information received 08/16/2002. Page 3 of 3 Plan Rev;.ew Comments for Project # 6642 Review Key: A = Architect F = Fire & Life Safety S = Sanitarian M -- Mechanical / Electrical SP=Small Projects C -- Conference Note Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. /f'S'D DATE //lftR/!;? . Site Address: D READY FOR D WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Totai Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01003.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps DetailslDescription: h~f 4~ 'C:;/~L .J .' (1~ I . Lw~d W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ---U-t4..{ ~ Rough-in/cover O.K. . 0 O.K. to connect service ~ Final O.K. ~""^ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending . Installer: New Meters I 5 0 II J~ ~'l Notify the Department 01 City light by St eet Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. 7 ~ NO OCCUPANCY OR USE ESTABliSHED UNDER THIS PERMIT / to ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall w, ~ Permit/Receipt No. Site Address: /9. OLY,",PIC PRINTERS. INC. r~ . Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. /y.;zc., ///y/f'r DATE Installed By: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: OwnerfBusiness Address: Sq. Ft. M Residential ( . Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/lndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction ~Remodel ~ Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage o 1.0 03.0 Service size o Temporary Amps DetailslDescription: ~2tS){) Ay ~ d~ 01' r;2cw ll~~..Jo ;(j~ ~') . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. ~ O.K. to connect service ~Final O.K. ~ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending New Meters o Site Address: Installer: u..}, I {.i.. . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. 2./J!!:2 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ WHITE - file by address YELLOW - file by number Amount paid PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspecto~, Bottom: City Halt OLV..PIC PRINTERS, INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16334 6' 3 )::> Port Angeles. Washlngton..._........._...__.....................oo............_........ 19_0000'" In aocordance 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 d6 electrical worR as listed below. Address .__..IP/.2uu._(:(X_f.?R..::.L_uu.._._..__uu...u... Occupancy_..~b.!f...~o,='..___...._oooo_oooooo... Cj/ . .......IJ" L. ~:=~~.~1:~~:::::~~.~;Z:.~:~::;/:oo~:;=~;::::::::.-:::::-_':_'_~::::::::::=::::::::::::::::::=::::::::::::::::::: "~~ / I 1 ," / "" oJ"' <<~1' ;.-' T f WI In . Light Outlets.......h_..........__ .....__.._ ._ Service, vo ts ..........7............................ ype 0 r g. I . ~ Receptacle Out1ets.......!..._~ No. wires ..J?':.:;............................. Armored Cable .............mm.._........ ize wires.......:.:........................._.. Non-Metallic .........nn.n.........n...... _ " I! () A Knob & Tube..........m....m............~ . I~ fuse ..,.../..........!.................. Dryer, KW nnn._n..u.n......n .....____..... /"J Range, KWhnmLn=::'. '.._m.m..._....... nclosure _nnnunnnnnnn...nn..nnn... TYP~::ra~rln~~ble ..~ Rigid Cond t... .......................... Metallic Tubln .......,.......... curren~rmers: /!::: ::~I:Z~:..::____:..______________:__.:..:..____:::::..__.:____.:... HeaIK:~....::..:.?i::f~::::c;;; Rigid Conduit ...._..................._...... Metallic Tubing ........................... Raceway .................._....................._ Circuits, Light....................................... Utility............................................. II eat ........................_.............._...... Range ........................_._.................. Water Heater ...............nnhn........ Motor ........n......nu.....h.................. Dryer u........................n......n_...nnn_._ Furnace . ........................'_._u......_....... Ser. NO.n.nu...hnn............................. Total Load.mnm.....m___....n... ~....Lh"'''.''' Total ...................................._.. Remarks: ._..._.-!f:"I!&;li.~f!_?~.k._ool:'.:..,.oo-e"L...oo....moooo.m...._..oo..oooo...____.__oo....oooom......m.........oo .. I ./- .oooo..................-......oomm....-....--.oo--.oo...-......oo7.........oo..-...-....-...............-._m..oo......moo._....._............oo.................oo :~.=_~~_:~~~-_:::-.oo..~.::.--.oo...:...----oo::~~.~:::::~.~~.-~~.-.-_:....oo....oo...oo.::...:_;?i~~6;4;:_=::Z~:~~-::--- NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to he con. cealed due notice must be given the Inspector 80 that work may be Inspected before concealment NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16334 Address..................................................................................................._....................................Date..._......__._.._.._.........._......_......____...... t" Owner .........h......h.nnhn......._n.nnn.___...._......_.._n............_................h......J........uun.n Tenant.................hd....hnn.....n..n....nuunn_n.~u.n_. Wiring Contractor ._......h.u..................................hn.....h._..................n.h....nn__u.........n............... By.................................n........_..............n.. NOTICE-Current must not be turned on until Cert1f1cate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. ""'.._~l_ D..l..'....... r..... ,../ ..'" CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16330 ",-._ ;~) '-, ')r: " -< /' 19' .~> Port Angeles. Washlngton........-C'..............::...................................... ........ In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec- trical equipmeht 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 ..jq/2..../"~'!..e..l.).!.~:..........n......n............. Occupancy....!!..!?""'................................. -~ ."~/ Owner hh::.n~_--::!.~~_.::_~n..__.::2_~~~!_:.'_~n:!..-:_~-:f.'!:'!=-.:-~_~u.n Tenantu__uuun_nunn__n_n_____.__n._hnnnnn__.._'nn.u..._.n. , II 1 Wiring Contractor .................................................................. By...................................................................... (. Light Outlets.......................................... Receptacle OUtlet6_.;/_.;;~;............... Service, volts ...._mm_m_......__..._______.__.. No. wires ....._...___._.__...................... Dryer, KW ____uu____n...__.h______.___.______.__ Size wires.........__............._..........__. Range, KW..______h._........_ Main fuse ......................................_ Water Heater: Enclosure __.______m.........__.______.___...__ KW.....mmm.... ...........m.... ..... ...... Type of wiring: Entrance Cable .......m............. Heat: KW.___...____........................_..._.....;__ Motors: size, volts and phase_: Rigid Conduit .._________..____ Metallle Tuhlng ..m........... Current transformers: No. & Size.._______________...__......___ Ser. No...........____..__.___.__._........____._._... Ser. No._____._______________..._____.......__....... Ser. No._.._..____..._____.__..__..___......___...... Total I.oad.__...._____................. Ser. No. ...___....._______.______...__.._._.__....... Remarks: .............................................n............................................................................................................. Total ._..________.._..______._______..__.... Permit Fee $:..................................... Treas. Receipt No...___.................:..... By...................................................................... Type 01 Wlrtog: Armored Cable ..___..._...______d_......... Non-Metallic .__....._m_._d__............._ Knob & Tube__.............................._ Rigid Conduit .................m........... Metallle TUhlng .............m........... Raceway ___________....................__..._ Circuits, LlghL..................................... Utlllty .........m................................. Heat ..............--.--......-...---.......-..-- Range ........._._.........._.________............. Water Heater ................________....... Motor ........_____......____.___...__............. Dryer ..........._._____........___._._________..__._._ Furnace .........................'_.........._....... NOTICE-Current must not be turned on until CerUf1cate of Inspection has been issued. If work Is to' be con- cealed due noUce 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? 16330 Address.__._______.._....._............................_._..............__...____.___._....___._..._......._.____.............................Date__.___...._.._.._.._........:.~...:.._......~......... Owner ........h__......________________._._......_._......__._...__.___.._......................._________.____.......__...__... Tenant.................._..__.__________..__..__............_.......:'..... 1M Olvmcic Printers. Inc_ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: DateJO ~?7-C51 Time \2tJccrlYl Received by (phone. person) Location of Work to be inspected -t-QlJ W i ..,-~.., Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other lAJ(.\.4U- INSPECTION NOTES: Inspected: Date _to -77-01 <;marks: R~9\r1.~<r~ I,~ \Chff . Time 1 -Z~()t) yM1 By l \7 3/1..\ ?t - fruYV) (('lcy_' ($I l.0 ,'+-h RESTORATION REQUiRED...... YES NO X 0 <) rj\- ~ \ --\"\\~ - s\ \J' y . I \ l.i../S' L . J I ... ~ !> ~ ~ ~ If SUREAGE RESTORATION. SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE IContinue.on.l'.e.l1.erse side if necessary) STREET SUPERINTENDENT (DATE)