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HomeMy WebLinkAbout103 Lopez Ave - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner LUCAS MIKE 103 LOPEZ AVE PORT ANGELES Permit 'Additional desc Permit pin number Sub .Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00, 46: 0.00' 4ECH Fee summary Permit ,Fee Total Plan Check Total Grand Total WA 983622 SEQUIM VA 46 00 9/10/07 3 •/08 /0"8 Charged 46 00 00 46 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA'98362 07 00001013 811730 103 LOPEZ AVE 06 30 10 5 0 2036 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor SEQUIM;VALLEY ELECTRIC 2915 REGENT ST 535 SEQUIM (360) 452 4454 ELECTRICAL ALTER RESIDENTIAL SEQUIM VALLEY EL/ KIT" REMODEL, 110155 ELECTRIC Plan Check Fee Valuation Paid Credited 46 00 00 46 00 1 4 ALT CIRCUITS: 00 00 00 Date 9/10/07 WA 98382 0 0 0 Extension 46 00 Due 00 00 90 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO 7 -f. -ai I I I 1 I I I 1 1 COMMENTS .14-1‘101.15 [4/96] PREPARED 3/20/07 11 00 24 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/20/07 ADDRESS 103 LOPEZ AVE SUBDIV TENANT NBR MICHAEL LUCAS CONTRACTOR PHONE OWNER LUCAS MICHAEL /MONICA PHONE (360) 565 1386 PARCEL 06 30 10 5 0 2036 0000 APPL NUMBER 07 00000142 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/14/07 .JLL BUILDING FRAMING TIME 10 00 2/14/07 AP 02/14/2007 08 52 AM PERMITS Mike 565 1386 02/14/2007 04 02 PM JLIERLY BLI 01 2/20/07 JLL BUILDING INSULATION 2/20/07 AP 02/16/2007 02 26 PM PERMITS LUCAS 565 1386 02/20/2007 03 57 PM JLIERLY BL99 01 3/16/07 JLL BUILDING FINAL 3/16/07 DA 03/15/2007 05 14 PM PERMITS MIKE 565 1386 03/16/2007 03 37 PM JLIERLY no answer at door and left message/j11 BL99 02 3/20/07 LL BUILDING FINAL 03/16/2007 01 47 PM PBARTHOL MIKE 565 1386 COMMENTS AND NOTES PREPARED 3/16/07 10 27 32 INSPECTION TICKET CITY OF PORT ANGELES PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTOR JAMES L LIERLY ADDRESS 103 LOPEZ AVE SUBDIV TENANT NBR MICHAEL LUCAS CONTRACTOR PHONE OWNER LUCAS MICHAEL /MONICA PHONE (360) 565 1386 PARCEL 06 30 10 5 0 2036 0000 APPL NUMBER 07 00000142 RES REMODEL BL3 01 2/14/07 JLL BUILDING FRAMING TIME 10 00 2/14/07 AP 02/14/2007 08 52 AM PERMITS Mike 565 1386 02/14/2007 04 02 PM JLIERLY BLI 01 2/20/07 JLL BUILDING INSULATION 2/20/07 AP 02/16/2007 02 26 PM PERMITS LUCAS 565 1386 02/20/2007 03 57 PM JLIERLY BL99 01 3/16/07 J T'� KJ 0UI15ING 7INAL Al 03/15/2007 05 14 PM PERMITS MIKE 565 1386 COMMENTS AND NOTES 1140 Cti Dow, PAGE 1 DATE 3/16/07 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 LUCAS MICHAEL /MONICA 103 LOPEZ AVE PORT ANGELES (360) 565 1386 Qty Unit Charge Per WA 983622535 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 07 00000142 516626 103 LOPEZ AVE 06 30 10 5 0 2036 0000 MICHAEL LUCAS RES REMODEL RS7 RESDNTL SINGLE FAMILY 1600 Contractor OWNER Date 2/22/07 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc ANGELES' EL/ 1 4 CIR Permit pin number 95182 Sub Contractor. ANGELES ELECTRIC Permit Fee 46 00 Plan Check Fee 00 Issue Date 2/22/07 Valuation 0 Ex Date 8/21/07 Due Extension 46 00 4 50 46 00 46 00 00 00 00 00 00 00 4 50 4 50 00 00 50 50 50 50 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL INSPECTION TYPE GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES 1 NO 42 1 1 1 1 1 1 1 1 1 COMMENTS PW -I 102.15 (4/96( PREPARED 2/20/07 11 37 48 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/20/07 ADDRESS 103 LOPEZ AVE SUBDIV TENANT NBR MICHAEL LUCAS CONTRACTOR PHONE OWNER LUCAS MICHAEL /MONICA PHONE (360) 565 1386 PARCEL 06 30 10 5 0 2036 0000 APPL NUMBER 07 00000142 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/14/07 JLL 2/14/07 AP BLI 01 2/20/07 U I BUILDING FRAMING TIME 10 00 02/14/2007 08 52 AM PERMITS Mike 565 1386 02/14/2007 04 02 PM JLIERLY BUILDING INSULATION 02/16/2007 02 26 PM PERMITS LUCAS 565 1386 COMMENTS AND NOTES PREPARED 2/14/07 9 04 39 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/14/07 ADDRESS 103 LOPEZ AVE SUBDIV TENANT NBA MICHAEL LUCAS CONTRACTOR PHONE OWNER LUCAS MICHAEL /MONICA PHONE (360) 565 1386 PARCEL 06 30 10 5 0 2036 0000 APPL NUMBER 07 00000142 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 2/14/07 .L' BUILDING FRAMING TIME 10 00 02/14/2007 08 52 AM PERMITS Mike 565 1386 COMMENTS AND NOTES Op PORT �w CITY OF PORT ANGELES C14 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor LUCAS MICHAEL /MONICA 103 LOPEZ AVE PORT ANGELES (360) 565 1386 WA 983622535 07 00000142 516626 103 LOPEZ AVE 06 30 10 5 0 2036 0000 MICHAEL LUCAS RES REMODEL RS7 RESDNTL SINGLE FAMILY 1600 OWNER Date 2/12/07 Permit BUILDING PERMIT RESIDENTIAL Additional desc BASEMENT INTO GAMEROOM Permit pin number 95067 Permit Fee 83 55 Plan Check Fee 33 42 Issue Date 2/12/07 Valuation 1600 Expiration Date 8/11/07 Qty Unit Charge Per Extension BASE FEE 50 00 11 00 3 0500 HND BL -501 2K (3 05 PER C) 33 55 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 83 55 83 55 00 00 Plan Check Total 33 42 33 42 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 121 47 121 47 00 00 Separate Permits are required forelectrical 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 fora 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 r Signature of Owner (if owner is builder) Date T• \Policies \1102_15 building permit inspection record05 wpd 11/4/20051 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE 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 ROUGH -IN HEAT PUMP /FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FJRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T- \Policies \1102 15 building permit inspection record05.wpd 1!4/20051 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -473,5 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COWER, 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 9/1/o9 ,I14- i I 1 9.01l9- 1.111 I MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT I 1 1 I"; /07 I \I I I I YES NO FINAL FINAL CONSTRUCTION R.W PW ENGINEERING FIRE DEPT. PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEP 11:1) BY. Applicant or Agent: GAi a.e C—(.l CAS Owner Ghr o. I 4-u ciar Address. /O_? 4 L0 p t /1 v�( City A/ Architect/Engineer �2..e ,re /24”..e Contractor J1 kr Address: PROJECT ADDRESS LEGAL DESCRIPTION Lot: Total lot coverage PLANNING USE ONLY T\FORMS\BIdgPermitform.wpd Applic 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 BUILDING PERMIT APPLICATION State License Block: CLALLAM COUNTY PARCEL NUMBER. 0 6 3© 1 o SO 2 0 3(, 060 6 00 TYPE OF WORK. SIZE/VALUATION b Residential New Constr Re -roof Stove SF /SF MO?) Multi- family Addition Move Garage SF /SF Commercial Th Remodel Demohtion Deck SF /SF Repair Sign Other TOTAL VALUATION rse) �r-P- BRIEF DESCRIPTION OF THE PROJECT P't>Er,n �G,iei/ �J 4„26 /ihrg /f`r /.v f it (Arty c c G7 C7`'j 1]�s QA�LU e FBfyc k% /'v� s h hr.�P yvt COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. No of Stories. Lot Size: Existing Sq Ft. ESA/Wetland(s) Yes No SEPA Checklist required? Yes 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 If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. hereby certify that 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 t p determine what permits are required not the City's, and that I must obtain such permits prior to work. City Zip 4 vie L-w 4& ZONING Subdivision. Proposed Sq. Ft. Phone: (36.0) .SC S 3k Phone:( 3 Co) _ctS -17t Zip 96347 Phone: Exp Phone: Construction Type. 00() TOTAL Sq Ft. Date: bz-9- c'' FOR OFFICIAL USE ONLY Date Rec. 9- 6 /Nrmit e Approved: Date Issued: APPROVALS. PLAN BLDG DPWU FIRE. OTHER. NA, -opez Ave:— Tit op Of I te ded to he d legit desc Th rpah rg p du d 41 th Cal of Pod Angelo fo its cp oh f th 1p/dr 1g sh or he th sp ibithy of the C f ?q• Mir VL ro 1/1)011 NAM h Ho 11011 1)011 NAD 8- Legend 25 Feet I tt It `T) t t Qo 3y, I1, Zth 1 z. 1 w kJ- AN el 3 es tiViN C '1 7 r1 \Q. p tr' 8 4 l ,pproval Date AIL CITY OF PORT ANGELES Construction Mans The Issuance of this permit based upon these Oil, ss ifi- cations and other data shall not prevent the building jial from thereafter requiring the correction of error in -said plr 's specifications and other data, or from pr building operations being carded on thereunder kvhe n in violation of all codes and ordinances ofatJjj jurisdict on. PORT ANGELES CrT'f'I:IGHT - STAKING SHEET PRIORITY:L PROJECT NUMBER: 74 I ;? SPECIAL INSTRUCTIONS: LOCATION: Ol2-C-A:S / L-OPe;.-z... DESCRIPTION OF WORK: C.e.r7L..ACA; P-O'TieiJ POl-E::. SUBSTATION/FEEDER: LAuea 120'2. FEEDER MAP: 10- "2..0 GRID KAP:--22- LOCATE COMPLETION DATE: Z. -?~ q -;:0.; TIME: :.c, : 4~ NUMBER: ?J:?Oc" ?,4-~ 7 ENGINEERED BY 6:iAIL DATE 2--"1 -i'? CHECKED BY ~ DATE 21'D 10, 3 ~'-.j DATE ISSUED Z-10-93 REVISED FOREMAM P ,.c_-,:---J~- f START DP.TE '2. f ~:, ~! /"'-'- COMPLETED 2.. lor:;; ACT NO - PROJ NO DESCRIPTION 4-517 7Cj, ~ POLe. /Zer71...tlG-CMG,n -401(.1 - "7"'11:', r"'E:'IMAC'1" dunS 4.'52=' -I~l:.. :)1:-"'v',l..e (O.....c\"''-\-.:Ys. . -. . 0 c " n " z c . . " ~ ..J Y [;! COPIES- MAINT INSP CREW I TEL I TV DPW FILE I OTHER OPS MGR I TOTAL ,; PCLE NUMBER Sf"" WIRE SIZE PCCE PRIMARY fRAMING UNIT TRANSFORMER M!SC. GOY ANCHOR SECONOARY O.H./U,G. SERVICE O.H.jU.G. MISC. Ii REMARKS Fl Hie a.H. U.RD. "" .0. . ,~~e~\ WIRE SIZfi "". WIRE SIZE 'te I ,BDrO", IZ::; 2-.if r.:, 401,"," ff I 01 ,;D 4":;0 C 6 4 01 A 0 01 o~' l~ *:2-,-P, A I 78DP~ 40 I~ pe I tn '" ['01 SKETCH OF WORK O[ZC-A6 -.I \1J :".J -----;;-1 --r ----1---- ~ ~ I I \~! ,'? 1 " r I " 'j I ~~ ~-~~-~-t .::~..:-::~:=-~ ~~:~-~-' , I ~ \ 1 I ': \ Os ' Ii' ..s II I \ "2 "I ,{ ,- _I i I , 1 I L_ .._-- l.... I -- - , I , _I I _ L_I---1 , _'___~L. .--'-n__L LDi'C:z.. 0_\<'-. Ow POl..C - ,lJOTE: 'Jl,~, 1':..1.:. ~ ;:.':w61.::- - ie-l.CD '.-:-:-:.(;:.... 10 -I!i (;, VlL:-':'-1 IO"? {.."'f'e"iJ /!-t--t-er'j 5(JA~ f~ ~ /1-Z,/-0fj1 ~ /ufJaWc! (~ BILLING INfORMATION ~Cd1")(:;J W/JPG'U.:::dZ"u 1;;'" .~'\AEL.'tJcl';' .-::,', GI(Zo<J/ ;::;.'. Iv'? !~fL~ . I;rv v/V ' 0 ~.JLjJJ ~ JJi-fJ)', 'lyJ ItVrdL' ") \~j)IJf.~;yJJ'V <<p s 7 D~ ~ ""TnDT'T'v. '_"''''''''"...",,..v ?_"'nl>"Il.T. ~""''''nlTT.''' "'I_I"ll.T.T. 'l'n ~r.H~nIILE 4-FILL IN WORK ./. j,....,,"'" CITY OF PORT ANGELES LIGHT DEPARTMENT JOINT POLE NOTIFICATION TO' L I~ W$! Date 3/ 5,/r~ 1.0 20 3.0 4.0 5[1 6.0 7.0 Intentions to set _ poles, _ anchors. Intentions to replace_poles and_anchors. Request to purchase _ poles and _ anchors. Intentions to remove_poles and_anchors. Notification to transfer. Application for rental on_poles. Other ~~N; I L.-Opr::z.. OGAO E3(0C/ e;,dp, po'tAS- or '-4 u \Z-6' L- 7h~ ~ ) t'L/ c- r ,~- '-~, ( /I<>'~~U" ." c...c.,- -- 77.T"'~-- C..j J! )~ r , ......l.,-.f /1,/ I;.. ( Please check appropriate box: I. 0 Arrangements confirmed and billing authorized per Joint Use Agreement. 2. 0 Notifications and Intentions accepted. 3. 0 Space requirements other than normal: _ feet. 4.0 No joint use anticipated. 5.0 Transfer of facilities completed. 6.~ Other. ~ i--c A LL~() Date :)3;f~!i:f:: ~~;=:~ By Company Title Please complete and return Original (white) copy to' City of Port Angeles light Dept. 321 E. Fifth St. Port Angeles, Wa. 9B362 Phone 457-0411 Ex!. 157 WHITE - CITY LIGHT YELLOW-CUSTOMER N<:: 0268 W.S. 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":~, h ,.ft, .j~ !l f-' ~1 \..~ "r.~' ~f'0~' ".' ... /1.1"/.,.(.f1 _ ":' "~'. }\' ., :;:.::,,~:.t~::;""IU)"..;:.:ill...rq..liJ....~s.' ,". - ~ .....~~:-\... ~\, . :,l~."~,, ^ lJo.'c"i~~~'I~ '.~3 ."" 'o,'J I . 1'<<.,'''< w~,,,,j)/.. ""'" ;' '. '~"',..,' ., ~'~ ..' '-~l ~)~ w:jl , ~}~;...~.~".f6,i.f...;\~~~i;~....- '. i~oY:'-.1)~tir - ~.. ~.\\.!J:.~j.';(... .~i~~k.t.. 'i;/f{"4':;f."~Yff~r.:'(?3~ril"--' .;., " :9.;,.:f.tf:(@I""'\' ~J.~,.''' _~~ 'I. I" ., "':,.r.~a. .1, '~~~~U!'~IJ'W~ .'<<t~-...b..:r-. \~idY~. . 'S....C CITY OF PORT ANGELES UGHT DEPARTMENT ELECTRICAL PERMIT N? 14987 ::J - ;2 C ?(/ Port Angeles, Washlngton.n___.._______.__mmmmm__m_.___mmm.m______, 19__000:__ 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. /0 ' C' f,. Address _ooo__ooo_ooo~~ooon_~~ooo__..'.~:'::' ___."-~!.~.....n_n_..ooo.._________ooo__ooo.. Occupancy____-'U?_-5k_L..ooo__....n___ooo.ooo.____ ~ JJ --a l.e.. Owner ..__'.;:..~~\.________:..n_d!:'f.Jj:c.---ooo.!.J()TenanL.ooo----....m...--m--mn.--.._____mooo.__ooo...___n____n___.. Wiring Contractor n__rk"_~..::.ft::""_.._~?_,_.,_!-l?i!___.__.__. By_nn____._____ooo..ooo__ooooooooo__m._n_________.______n_____..__ (j . LIght Outlet..m.____._______.___.____________.______ ServIce. volts /:!f?7/.4.__'!._0._____. 3 No. wires .........h.h..h..nnn............. Size \Vires...~:a...~~,m...n_.. -, ;.)d:i4 Main fuse ...m..u.......m.m....m...m.. Enclosure h..Sn....hn__n....mmn... Receptacle Outletsn....nnnh..hn___........ Dryer, K\Vj.h.h.._n...un...__n.un.....__..... Range, KW..h.n'nn......nh Water Heater: , . KW______m._______________.m___________._..._ H~at: Rw__3__Q___l';,'.'~~",~ I . Motors: size, volts and phase: Type of wiring: Entrance Cable mm..nnnnnnn....... RigId ConduIt m_mm_mm_m________ Metallic TUbing .._..00.................... Current transformers: No. & SIze.m....nn...nn___n..mn........ Ser. NO............un.....n....................... Ser. NO......__.............h................n...... Ser. NO........_.....n..._...................h..___ T~rpe of Wiring: Armored Cable ................00...00000000. Non.Metallic .......mmnnm.....m'..h Knob & Tube........h..h..n............m Rigid Conduit ___._________mmm___._ MetalUc Tubing .mm..m.mmm..... Raceway n.nunn...nnnn.._n..h.___....... Circuits, LighL.............h....hh....h......m Utlllty ___mmm___._m_________m___._______ Heat Range ........__.................._......_....,-__._ \Vater Heater ..mm__.mm__"n"__"" Motor ______............._.......___............._ Dryer..____....n____.._..__n.n__.__"__'h__.__..n_ Furnace .........................._..m... Total Load_______.....______._...__._ Ser. NO...............................__..h__.n__.. Total ____.00"'_.__.____'__"_____________00 Remarks: nn.______________,_d'1__P.__b_"~-!="::n----o_~.""'-"'_-.~t-..{1L".f!.cf2n:_'h:~yn____n..______ooo__ooo__ooo__ooo_ooo _....'l:r -i.~_;_~_-.~~~-_~~~~~~~-_~~~~~~-_._._~----ooo---i~~_~:~_~~_~~~_~~_-_-~~~~--m-ooooooooo..:;-:::gtZ:::2:::::::,i:::::~:~::::::: " NOTICE-Current must not be turned on until Certificate 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 t:, /i .r.> li~/t-__CfZA. '--- 3 () L<f r 1 ELECTRICAL PERMIT N~ 14987 Date called ~~i1t1o~.....1f::!=----.._.._.--.m_.....-.-...--..-.._.-----.....-..m_..-.....-...2.__~__2__~.2..'f___.......... ~::;::::ry c=~:~::~::.!~~~;;~~::::::::::::::::~:':::::::-:::::::::::::::_:::__:::::::::::::::::::::::::::::::::::~:~::::::::::::~::::=:::::::~::::::= Total Load n...n..n......................n.....................................h..nn.h....._ ........00.. 1M 3-72 Olympic Printers; Inc. j' ......-..............................__...............h_....................__.._...._......_ r$: .t-J/?-if?/J ~1TN: /11- . ELECI'RlCAL WORKPERWT APPLICATION Job wired by . K Electrical Contractor 0 OWDer Installation description CJ Commercial CJ RHlde.a.tlaI Telephone number Swe ZIP 511N; FAX number -1J t/ OLe/liD K/rMllLN el/U"eArr~ ; oJ..! City ~ - (p~/~ J'?9J License aumbet .Da~ 2 CTtelG S~"iJ' {.- ~ '/(.1- Sj . JW. SiilLt, 17. M 9g I:JNew )i(AJlendlAddItIOD Electrical contTactor name premltti owner's Aame 1I111C~ /.../1(AS Ach'rc$lI or Inlipt:,dloD !t)S E. t:-t;Pf..ZI dill. City // A /1 ?4 ft , ~"I F.,r / (/VI' "hone number 10 seh du.le lna: edi 0; - . OWller os defllled by RCJY.J9.28.26i:(l) Owner will fja:IIPY the structure for two years tJftl!T this ellet,lall permit is finaJued. (2) Owner is req1Iirf!d 10 hirt at! electrical COlltractor if above said propury lJ for Jale, re"t Dr leau. After reading the above s1atement. 1 hereby certify that I am the owner of th~ shove named property or s ljccn6cd electrical con.tractor. I am making the electrical instal- lation or .alknatto1'l in eompHance witb the clc:cbico.l I~w:., N.E.C.. RCW. Chapter 19.28. WAC. Chapter 296-46B. The: City of Port Angeles Municipal Code. and UtiJity SpeCifica~l Stt:nsture G1'Vue o Cash o Check # ectrlcill contractor Dr clettrleal ad redil Catd Card/' Ex. . D lnspecnon lee of card . $' P'V Service InformBtiqg VIsa <1Jastercar:d-) Discover x~_/ Electrical Load AddttioM and or AubtrActlons I:J NO LOAD CHANGeS CI Baseboard _ KW o Furnace KW o H.al Pump _ Ton _ LAR CI Fan.Wall KW I:J Overhead SOMeo a Tamp Service o U-..ground Seniice vonage PhaseI:J11:J3 SonAceS~.: _______ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 TJIl:RMOSTAT Sl:R.VICE "'. Approved By Dolo "'wntvOll ey DlTOI FEEDER D_ ~c4e,. Dde ..........'" Inspection Date: Area. Buildin@ or Equipment Inspected Ac.ti(>>ft Taken Electrical Inspector 2-09-207 1, <19PM FROM ANGELES ELECTRIC INC 360 <152 9265 P.l Job wired by ~'" '" . ~ -l ...::... ELECTRICAL WORK PERMIT APPLlCATJqN Purcha.'icr's mailing addrC!>s License number Date Expir~ ANGELES EI ECTRIC INC 52'1 EAST FIRST PORT ANGELES, WA 98362 Stale: ZIP o New o Owncr Jnst<l.lhltion description o Commercial Electrical conlractor- name: City Tclcpholl.C number FAX number Pt~~iSU owner's 1111 )!~. AddrCSl> of iOlipection - - /[}3 Ci'y f) 4-- Lq,c~ /-01'65 9NZ- g-6 Pbone numbl'r tv schedule jlLspc:~ -_ - .::> (9":::> ~ Owm:r (IS d('firrcd. by RCW,/9,28,26/:(1) OWfl.~I' will occupy the struc(ur(' jor tWo yeoFS aJter this electrical p~'rmil i.~ finalized. (2) Owner is required tu hi,,: WI c:lcctrkul ccmlrc<<:tOr if above suid property is [or jaJe, rell' (,r lease. After reading the: ~bove statement. I ht.Teby certify th:'J.\ t am the owner of the above J\amcd property Of a liccllscl1 electrical contractor. I am making the eleetTieal instal- lation or alteration in compliance with the electrical laws, N.E.C.. Re\\'. Chapter 19.28, v.,../\C. Chapter 296-468, The City of Port Angeles Municipal Codc, and Utjlit)' Specifications. Si.gnature of.o er, elect..lcal c.ontractol' or o Cash/Check # ~t Cord Visa Mastercard Discover Cardff .____-jJN _-_BBS.____ x Date: Expiration Date of card (nspel:~e /'Y? $ "::>0' Service Information VOltage ~'.hyt' Phaso iiH"D 3 - Se..,;"" Size; ::;ZaJ FGGdcr Size: _ ~~ . t' I L dA ili n o LOAD CHANG ES D Baseboard tQN o Fumaee KW o Heat Pump Ton D Fan-Wall KW n(J r s ractions U(,fff? J-. piA65 /' ~erhead Service LAA D Temp Service o Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 / ,l}OUGlI-lN "' lHERMOSTAT / SERVICE ~,,- ~ / UA\~''-' ^Jl over! Ky O~, Apfll"OVCld lly D:>.tc Approv.;tj fJy ~~.,FINA~ / DffCH FEEDER I '\.-....... ^l'l"'l'lved ~y I)IIIC Arorrovt.:lliy D~le Approyod Dy Inspocti.on Area,. Building or Equipment ItI~ected Action Taken Eloctrical Date Jnspector ~ ~ ~7 - - "7