Loading...
HomeMy WebLinkAbout323 S Albert St - Building CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 4/18/2001 PERMIT NO: 12606 OWNER/APPLICANT PROPERTY LOCATION JOHN VALREIO 323 ALBERT S 323 SO. ALBERT Lot: Port Angeles, WA 98362 Block: [] Long Legal 360/452-7535 Subdivision: T: S: Parcel No: CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $2,000.00 SFD Units: 0 Commercial: 0 Project Type: SHED SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES CONSTRUCTION OF ONE 10'X24' SHED FEES ASSESSMENT Building Permit: $69.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $73.75 Plumbing: $0.00 AMOUNT PAID: $73.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 goveming 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 construct on or the performance of construction. Signature of Contractor or Authorized Agent Date ~/8~gnature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSUL.dTE OR CONCE~4L .4NY WORK BEFORE INSPECTED AND ~4CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE [ DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECItANICAL tIEAT PUMP YES NO LIGHT DEPT BUILDING 41%4815 t/~/~'~/~ "~. ~ '~ ~/ BUILDING ~ [ FOI~ omClAL US~ Om.y: BUILDING PERMIT - APPLICATION ~ ~: ,,~ -i ~-~ ~ Bu~g ~ff - ~pli~i~ ~ ~ out cosign, Plme ~ or print in h~ R~u have any qu~fion~ plu~ uH 417~1S ~c~tec~: Phone: Con, actor Li~me ~: E~: Phone: Ad,ss: . gi~: Zip: C~ CO~ P~L T~ OF WO~ S~UA~ON: o Mul~-~ily ~ Ad~fion ~ Mo~ G G~e SF. ~ S ~F. a Comm~i~ u ~el u ~ol~on a ~ SF. ~ $ ~F. - $ 5 R~ U Si~ ~ ~T~ V~UA~QN B~F D~ON OF ~ PR~: ~ ' ' · CO~RC~S~E~L: ~ Gm,p: O~ ~d: Co~on T~: . . No. of Stofi~: ~ S~: % ~.~e: Exls~g ~ Cow~g~: /~. ~ + ~ ~ ~e: /~. ~ ~ ~T~ ~T CO~GE: ., /~.~ PLUG USE O~Y: ~PROV~: P~ M~. Hei~c S~: Zoot: D~ Site PI~ ~d U~ A~ed W: D~: ~~s): a Yes ~ No SEPA Ch~t ~7 ~ Y~ ~ No ~ B~G ~PLICA~ON ~~: Your ~11~ ~d ~ ~ ~ be~ed out ~lete~ to be a~t~ for ~. ~e Buildhg Division cn pmvid~ you wi~ mo~ d~iled ~fo~afion on ~e applica~on ~d pl~ ~bmi~ ~. B~G PE~ ~P~ON ~'rt'~ Yo~ ~mp~ ~p~o~ s~ p~ (for ~) pl~ ~ to ~ ~bmi~d m ~e B~g Division. VALUA~ON OF CON~U~ON: h ~ ~ a ~ ~o~ m~ ~ ~ by ~e appli~L ~is fi~ will ~ ~i~ed P~ ~ ~: Yo~ pin ~ ~ is duc ~ ~a ~c ~c ~ild~g ~it a~li~fion nd ~n~ion pl~ o~cr pe~it fees ~ due ~ ~e ~ of~t E~ON OF P~ ~W: If no ~it h i~M wi~ 18~ days of ~e da~ of ~pli~fion, ~ appli~tion will ~pi~ by I~im~. ~ ~ild~S Offici~ ~ ~ ~ ~ f~ ~ ~ ~a ~p~tup ~ 180 da~, ~ ~n Section 107.4 of~e Unifo~ Butld~g ~e. ~nt edition). No appli~ion c~ ~ ~ mom ~n once. 1 ~by c~t~ t~t 1 ~ ~d ~ ~mi~ thb ~pF~ion ~ ~ tM ~e to be ~ ~ co~t, a~] ~ ~thor~td to app~ for th~s ~m~t. I ~rst~ it ~ not t~ Ci~s legal ~l~lli~ to &t~inf w~ ~miO a~ rt~i~d; r~po~lbi[iW to ~t~mi~ w~t ~rmi~ ~e ~i~ a~ to obtain Apple Pw-~ ~0~13[~] f P!RT ~ t~O~<?~ -~ "- -=- ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00001100 Date 11/14/03 323 S ALBERT ST 06-30-00-5-2-6460-0000- RE-ROOF RS7 RESDNTL SINGLE FAMILY 3500 Owner Contractor VALERIO JOHN B 323 S ALBERT ST PORT ANGELES WA 983623415 AFFORDABLE SERVICES 258663 HI - WAY 101 SEQUIM SEQUIM WA 98382 (360) 452-5264 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR OFF, FELT, COMP 120.75 Plan Check 11/14/03 Valuation 5/13/04 Fee .00 3500 w ('J W Qty Unit Charge Per Extension 92.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.25 125.25 .00 .00 \j\ \) D tr ~ + 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. ON FILE Signature of Contractor or AuthOrized Agent Date Signature of Owner (if owner is builder) Date TlPLANNlNG\FORMS\1l02 15 [4/2002] BillLDING PERMIT INSPECTION RECORD ~ CALL 417-4815 FOR BUILDING INSPECTIONS 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 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE 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 J- ?D-oL/ I~ 111_ BUILDING T \PLANNING\FORMS\1102 15 [4/2002] NOV-12-2003 09:48 AM 2D673A53.73784237 ~ 360 582 9029 P.01 s "" " "q'-",'N!I!1II1.' I (oj ''''l~' I ";' ~","'~1,', ~\ij(I'!"~_ ....y... ~ '1' j.,I I \ \'," . ~" , , .. BUILDING PERMIT. APPLICATION FOR. OFfICIAL lJSB ONLY Da.~.: t 1- /'I-o~ Pmrdl': //60 Pat, Approved i 0.'- Wucd I FllI Ollt COMPl.ltTEL Y and In INK. Your appUcatJOl:l aDd sib! plaD MUST BE COMPLETE to be accepted Cur rnlew. U you bave l.l1y C)UClIt1DIlI, caU (360) 417-4815 Applicanl or Agent!FR)Y7ftd.J:>/p ~'( tJ f'cCJ~ Phone: 3fef) hBS -C(t:::,ICl Owner: .:rlJhh 13J.a.k.r:J D . Phone: 452-7535 A~BS: '';7,,2, S,~ Sf _City: Yt)'r+-AY'fj.(ll'r.:> \-1M:-Zlp:i~e3u2. Archi~ginccr:___ ~hone; Contractor~"i r;. Ke,khv ~~l State Licen:l~P~OIZ..S<<"~~P13/~ rhone:~~94?4 AdJireS!J: Zs~~:2, l-h:<-'1'()/ ~/-L City, 5~I.Ii M _ JA) If- Zip:qPJ~2 -1~ PROJECI' ADDRESS;_3 S.:J. 4/ tu,,, r.J- I."JT ZO~G: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY P AReEL NUMBER: __ ___ -- . 1<(130{- 11 ~= ~~..Z ~~~''t~'11 IS; 'oJ,:U ,City: 5~" ilIA WA, q ~ l<>> ~ -7i.J zr:. CrKlt Cantryp. VISA.....k:::'MC _ If ()1"\ F, Ie, . -. J;~, ate: o Raiille~tiJJ C New Clmstr. ~roof Cl Stove' SP, @ S /SF." S CJ Multl-family CJ Addition 0 Move Cl Gange SF. @ S /SF,.. $ a CoammwJ C ~1 a Demolition Cl Deck SF, @ $ /SP. ... S o Repair 0 Sjp Q Otlw IQTAL VALUATION $ ?>S01..()/) BIUEF DESClUPI'ION' OF THE PROJECT: 'I BL1 \,.- /T~ / J:e, 'f- I ' /./J?"'h t/J - I ' , COMMERC'L\.LJaESmENTL\L: O~&ncy Gl'tlup; Occupant Load: Ne. of Stones: _ LoI S1u: Ex.t.ti!18 Sq. Pt. & Proposod Sq. Ft Exlstlns lot cO\'enp _ % '" Propo:ied lot cov~gll _% .. Total 101 COVcngll ConSlNction T~; - TOTAL Sq.Pt. % AlPROV A.l..S: PLANl BLI)G: DPWuI_ Inn. 01'l:llm:_ PLANNING USE ONLY I ___. ESAlWe~ll): C Yet C No SEPA Chf:clc1lst reliuiJed? 0 Ye~ t:J No Other: BUILDING PERMIT APPLICATION SUBMn'TAL; The B\lildi~ DiVision can provide you with information on tbe application llnd plusubmltml tequJsCllDCtlll if you haVCI questions, VALUATION OF CONSTRUCTION: Ia all ~.Je', a VllluatlDD lUIlOunt mwt be eIlwed by the appliclDt. Th1s figaro wUl bo m'icwe;d and maybe rcvlIed by tbeBuiJdiDaDlvislOD to comply with cwrenl fee schedulos. Cont3cttU Pormit CaordlDar.out417-481.s toru8ls1anoe. PLAN CHECK FEE: Jlla plan chcc:k fee Is due it DlWI be submltted ll.l the ti.r:na the building permitepplicanOl1 and llClD!Ouction plans are wbmittcd. All other pOUDoit feell ~ due ..t the time ofpcrmit wuance. tXPIRA'I10N OF PLAN BJ.'VlEWI It 00 perrnjt Ii iJrned withm 180 day. of the dale ofapplica!:i.on. tho applkatloa ~II expire. The BuildJaa Official Clbl extend tb.a tiD:UI for action by tho applicant up to 180 day. upon wrlncu toques, by me applicant (lee Sectiou l07,~ of rbe Unifann BuUding Code, cummt edition), No appli~atioD ClllJ be ClXtended more than ODee. I h6fBby ClJIf/fy t'lal , ~i\IfJ fWIi .na examined t/1ia applloatlon end MOW th" ,eme to be true end cOlT8Ct. , 8f1I BUhortz&d to apply 10, viis p.rmif ff1d ~detrfand tnM t /~ my rNpOII3ib/~ to de/ofTTIlne MIst permits 819 rtqU19rJ ,not the Cly', .nd that, must obtukl such penn/f, prk,r 10 work. HPORMSWI'S\SuHdmJPmTUI.'kpd Appl1cant: 71.~r ttft /- ___-.- DIl~; j 1- / Z-t?~~ _ PREPARED 1/30/04, 10 47 32 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 12 1/30/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 323 S ALBERT ST AFFORDABLE SERVICES VALERIO JOHN B 06-30-00-5-2-6460-0000- 03-00001100 RE-ROOF SUBDIV PHONE PHONE (360) 452-5264 PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 1/30/04 JLL BUILDING FINAL --------~1t~~-~--------- eo".." ^'" '0'" ----------------------------------_ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . REQUESTq" Date { - I --tJ ( Time Location of Work to be inspected 41-"3 Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing ChimneY~b~ Final / tJ ,J CI-eJ Vr 14- INSPECTION NOTES: Received by (phone, person) /l-L/i3B:7Z( te-J ?;) (/(./ :fl/~:;~ r7(~:? Phone No. Permit No. Sewer Excav. Other rL/~ Inspected: Date Remarks: Time By " RESTORATION REQUIRED " " " " ." YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 3CJIJb /:J-9-fy DATE ELECTRICAL PERMIT In tailed By: o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: Si e Address: Phone: Sq. Ft. \ii RESIDENTIAL .10- COMMERCIAL o BASEBOARD KW _ o FURNACE KW o FAN/WALL KW _ o HEAT PUMP KW o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL ~ADD/ALTER CIRCUITS /O-SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS DrailslDescriPtion: ~/.S 1<0 . . I WIS. No. CjPACITY: o O.K. NOT O.K. A ION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER Ditch Inspection O.K. Rough-in/cover O.K. d O.K. to connect service Final O.K. 1'M Permit/Receipt No. nstaller: New Meters ~ . I Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered b6fore inspection and 0. K. for covering has been given by the electrical inspector in writing on either the Wiring Report of on the Building Pe it PHONE 457-0411, EXT. 224. :5 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ :Jt) Permit Fee HITE - File by address 1M"C PR'MOERS 'MC YEllOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall Ins aIled By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. ;{:{ 7 t, DATE 8/1/R9 3,;( o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Sit Address: Ow er/Business: Phone: Ow erfBusiness Address: Sq. Ft. Residential Heat KW Baseboard 0 Furnace/Boiler Heatpump 0 Other Commercial/lndustrial load Total Connected load (attach breakdown) Totai Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 030 Service size o Temporary Amps o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) De ailslDescription: ;}rD . =1 W.~. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. , ~ough-in/cover O.K. ~ ErjO. K. to connect service jinal O.K. Sit Address: In' taller: 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 Permit/Receipt No. New Meters . o S? Ndtily the Department of City Li t by treet Address and Permit Number when ready for inspection. Work m~st not be covered or eiectrically ene gized before inspection and O.K. for covering or service has been given by the In~ in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ b tJ:2 Inspe Amount paid W ITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLV PIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ':l..., EL~CTRICAL PERMIT 'N~ 17578 ~ 7 r - . Port Angeles, WashlngtolL....___.:mm.........mm.m......__m__m..m.m.. 19.[::--1 In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- Wcal equipment In. on, or about any building or other structure In the City of Port Angeles, per- ,*isslon is hereby granted to do ele4:ltrlcal work as listed below. A'ddress '?;;! 2m:';brJ__l?.j~b,y{__m':C!!:.____"h...m__m. Occupancyh..__h........m..m..___.....____.__..m.. . ~).n nn ..,' , . Owner ....:..~~~:!_~:.'::'1:~_mn:__:__b:?~.~_~.nd.n.:.....n Tenant...__hn_hmnmnmmm.n....nu..._.nn........nnmmn.. /I I . Wiring Contractor ...m.~ft::l'1.~.m.m....__mm...h.h.... By..__hm...m.m____mmm..h....__.hh..___.m..mh...____ I,lgbt OUtl.tB....h................__......._.._..... Receptacle Outlets......................n....... Dryer, KW.....................___n..__._......... Range, KW..._....__nn__._.._...n_____n____.._.. Water Heater: KW.______...........__........................... It,a" Kw.../l)l....K......!?13 ~Iotors: size, volts and phase: Service, volts ......0000000000................__..... No. wires .....000000............_.......__.0000 Size wlres..................nnnn........._.. Main IUBB;2..I.>....1...It............... Enclosure ...~. ....... Type of wiring: Entrance Cable _nn.n....._...o.n___...n Rigid Conduit ....m._........ MetalUc TubIng _",o.mm Current transformers: No. & Size.........nn__nn.......... Ser. NO..._............n_.___._.............._nn_.. Ser. No. 00..__.....__..................00............ Ser. No. n....n................_.n............_._.. Typ. 01 Wiring: Armored Cable ............................_ Non.M.talllc ........................__.....__ Knob & Tub.................................. Rigid Conduit ............................... M.talllc TUbing ........................... Raceway .....___....__.._.............._....._ Circuits. Ligbtn............................n..._.. Utility............................................. Heat _00_................................_.._...... Range ._..__._____._............................... Water Heater .........m.....mnn._..... Motor .............n.n......_n_............_.... Dryer n.n.n................................n......_ Furnace ......._.__.__...........'_..........__..._.. Total wad....nn_.................... Ser. No. .n._............_......nn___..........n. Total ..........00_._..00__.................. , Remarks: ------m.'-~~0...&h..~......mm...____m__m__....mmmm__h...m.______m......mm________m.m. ,"-._._.n.n._du..nn.u_._._.nnnu.nun.u.nn.._..___nnu.n__o..nnnnn..nunnnunnh..._.nnn__unnn.un..n.._..n.uun.n_.unnn.no_.... :Permit Fee ....-...-------nuh_______U...U.h_._.._.nu___.____nuu_h_nU.h...U___-----.nuuuuunun....____n.u.UUhnunuUn.n__.uh_____..n.u..h.h_.n.nn Treas. Receipt NO..m_____.___...m....____ $n__.m.m_____m__m.__nmm.. By non____.mmmn.mm.m__n..m__m...m.m.________..on NOTICE-Current must nl)i be turned on until Certificate of Inspection has been issued. If work is to be con. Clealed due noUce must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 5 7 8 Address._______._.........___...__._............._....................._._....................................................................Date..._......_.._.._.._.........._._...._......_......_.. Owner ..........................00.._...._......_.._...._._......_.._..................n_.nn_......nn.nn...n....n_..... Tenant_.._...nn__n.n..........nnnnn........n..nn.._...n..n_ WirlngContractor....._...._........................_......_.............._....._._.____.._............._______.......___._____.......__By.....__.._..._...._......_.._______............__._.._._...... NOTICE-Current must nl)i be turned on untn Certlflcate 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 betore concealment. . 1M Olympic Printers, Inc. 17475 JJ-(. ~ Port Angeles, Washlngtonm.____.._....m.-:._...........m..m.m.......mm, 19umm 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 ele,ical work as listed below. Adtess u___.??.u?...d~__.__.~~-u.u.-u------..--.hhm Occupancyu_:_u__.d,e.~_04..mmuu.._um.__.. ~:r:~~~:~ct:::~~~::~~;;?~~~~~;~:::::::::::-..-.:...~::::::::::=::::::::::::::::~::::::::::::::::::::: I /' (j /&(J/":J Y"::; Light Outlet8.............__................_.._..... Service, volts ..........:/....'...--_............... Re ) ptacle Outlets...._m..n..............___.. No. wires .1................__......:'!"h... ?'/A ",Y Size wtresur.._.........._.....nn....._.. Main ruse .?:;~:~./'f............ S / Enclosure ........._......._n_n__.____...__.... ( / CITY Jr PORT ANGELES LIGJh DEPARTMENT ELECTRICAL PERMIT Dry r, KW nn....._...___...................____.__ Ran 'e, KW.._.__n__._nn_______________..__ W ter Heater: KW........................................ H, " Kw...t.L..l:1..I3J.............. Type of wiring: Entrance Cable .._...__nnnmm......... M tOTS: size. volt~. and phase: Rigid Conduit ...._.......................... Meta11le Tubing ........................... Current transformers: No. & Size.__.........................__...____.. Ser. No.....................................__....... Ser. No...........--..--............................. Ser. No. .____........................................ Total wad......__..................... Ser. ]\'0.____............._........__....__...__..... >>, R marks: um___nm___..h~d:..,,~_..Lf2nm_.___n__..m.mmmm__.__.__..m.m..m.mm..nm..u.__mmm.m.._..m_.m.. Total....................................... N? Type of WIring: Armored Cable ............................- Non-Metallic ........n....................... Knob & Tube................................_ RIgid Condnlt ......._............._......... Metallle Tubing ........................... Raceway ......................._......___._ Circuits, Ligbt..................__n.........___.. Utility ..................__......................... Heat ......................................._...... Range ............................................. Water Heater ..__........................... Motor ..._........................................ Dryer ................................................_ Furnace ..........._............'_.m.._..n....... .. .._.u.---.m..---..--m-----hh---..mm--n---m------m-m-m.-n---mnm.mm..-mmm7Y.'m.m.C---..f7..---m.--:...--......n--.m-;;.m- :rmit Fee Treas. Receipt ~eJ(/; .~' L. $ .___......___...___.n..m.__.____.. NO..m.m.............___... By u_O'__m..__:/...m..!!:n~..'.:!.~"-<!..m_~~3::~.,'---:-- / NOTICE-Current must not be turned on until Certificate ot Inspection bas been Jssued. It work is to be con- cealed due notice must be given the Inspector so that work may be Jnspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17475 ddress..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_......... I jwner.................................__......_.._......_......_.._...........................................................Tenant.................................................................... WJrJngContractor..................................._......_.............................................................................By.............................................................. J \ NOTICE-Current must not: be turned on untll Certificate ot Inspection has been issued. It work i~ to be con- healed" due noUce must be given the Inspector so that work may be inspected before concealment. '. 1M Olympic Printers, Inc.