HomeMy WebLinkAbout810 S Albert St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
\ ~1 . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
~~QUEST:
Date Z. -/3 /' 0 I Time f .Received by
I '?flu ScJ I~I /
Location of Work to be inspected 0 V" 1h--13e-r'r
Name of person requesting inspection ~I JvdJi~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
(phone. person)
r. 0 USe.. ~o. ao
i+osp Ie.e..
Phone No. ~ - 1- C:7 O;:S3
Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
~
RESTORATION REQUIRED . . . . .. YES NO
:1--( 4- 0 I
./fJ; r'-C.. c.. ~ It" b
- ~ n]l.(.C-h c-Lil'y -Pw c:l rywe{f 10 w.....K.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
[] COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
ELECTRICAL PERMIT
CITY OF FORT ANGELES
360 -417 -4735
Application Number . . . , .
15- 00000990
Date 8/06/15
Application pin number . , .
316530
DITCH
Property Address , . , ,
810 S ALBERT ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-2- 7204 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . ,
Property Use
FINAL
Property zoning , , . , . . .
UNKNOWN
Application valuation . . . .
4
-- ----------------------------- ------------------------
Application desc
- -
- - -- - - --- -
Office remodel
Owner
Contractor
HOSPICE OF CLALLAM COUNTY
ANGELES ELECTRIC
PO PDX 2014
524 E. 1ST ST,
PORT ANGELES WA 983620271
PORT ANGELES
WA 98362
(360) 452 -9264
Permit , . ELECTRICAL
ALTER COMMERCIAL
Additional desc . .
Permit Fee . , . . 217,00
Plan Check Fee
.00
Issue Date 8/06/15
Valuation , .
. . 0
Expiration pate 2/02/16
Qty Unit Charge Per
Extension
17.00 5.0000 ECH 'EL- BRANCH CIRCUIT W /FEEDER
85.00
1,04 132.0000 ECH RL -COM
0 -200 SRV FEEDER
132.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 217,00
217.00 .00
100
Plan Check Total 00
.00 .00
QO
Grand Total 217,00
217,00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
�� �✓
ROUGH -IN
AP
FINAL
COMMENTS:
PERMIT WILL EXPIILE SIX (6) MONTHS FROM LAST INSPECTION- , ,
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
08/05/2015 11:35 FAX 360 452 9265 Angeles Electric 100001 /0001
CITY OF PORT ANGELES PERMYT Ai
Buildiung- Division/Electried Inspections
321 East Fifth Street —P.O. Box 11501 Port
Ph: (36D). 4174735 Fax: (340) 4174711
Date; _
" Plan Review May Be Requlmd, Please Complete
1A oAArow
Bullding 5quare'Foolage:
Descrlp0on of above%
Owner
Name:
City: State: &A- .4% k36 L ,
Phane:� Fay
1.1cense.01 Exp. J�
item '
ServicelFeeder. 200 Amp. $
$13A
SeMcelFeeder MAW Amp. S
S 161
Service1Feeder401.600 Amp S
S22!
SWeelFeedar 601.1060 Amp. S
S let
ServicelFeeder over 1000 Amp. $
$41(
Owner as defined by RGW.19.28,261: (1) Owner A occupy
to hire art electrical contractor If above said property is for sa
After reading the above statement, I hereby certify that l am
the electrical installation or. alteration In compliance with the
Angeles Municipal Code, and Utility Specifications and PAM
Signature of owner. electrical contractor or alactricai ad
ITON
Washington, 98362
amlly or CommerclO.
4 ,�
AUG 2015
Plan Ravlew Information Sheet V
Contractor Information
jr
..• to i
•s �. t.. X11 li t1 ,..,.:
J 'I
rr
.�S
$
s structure for two years after this electrical permit is finalized. (2) Owner Is required ,
rent: or lease. Permit ®zplres after six month& of last inspection.
owner of the above named property or a licensed elecWcal contractor. I am maldng
ctrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 2964$0, The City of Port
14.05.050 regarding Elodrieal Permit Application&.
sistrator•. ❑ c "h ❑meek
tC relit cam s
$
s structure for two years after this electrical permit is finalized. (2) Owner Is required ,
rent: or lease. Permit ®zplres after six month& of last inspection.
owner of the above named property or a licensed elecWcal contractor. I am maldng
ctrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 2964$0, The City of Port
14.05.050 regarding Elodrieal Permit Application&.
sistrator•. ❑ c "h ❑meek
tC relit cam s
0, v 0 R T 4*,Q ELECTRICAL INSPECTION
i`'ARKS, WIRING REPORT
417-4735
APPROVED NOT APPROVED
0 ........... ....... DITCH.. ............ 0
0 ................ ROUGH IN/COVER ............... 0
................. SERVICE — ........... El
.............. FINAL ...... ...... 11
CORRECTIONS NEEDED: V
, 1 0.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
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PERMIT
INSPECTO
OVVNFR-
v
CONTRACTOR
ADDRESS
- elp
F-- c -
APPROVED NOT APPROVED
0 ........... ....... DITCH.. ............ 0
0 ................ ROUGH IN/COVER ............... 0
................. SERVICE — ........... El
.............. FINAL ...... ...... 11
CORRECTIONS NEEDED: V
, 1 0.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
milolliTloydl