Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
203 W 6th St - Building
PREPARED 9/03/10 8 43 50 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/03/10 ADDRESS 203 W 6TH ST SUBDIV TENANT NBR ELLEN K GAGE CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333 OWNER ELLEN K GAGE PHONE (360) 808 2944 PARCEL 06 30 00 0 0 9285 0000 APPL NUMBER 10 00000958 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/03/10 MECHANICAL FINAL TIME 01 00 September 3 2010 8 41 25 AM 1pangrle ELLEN 808 2944 MECHANICAL FINAL DUCTLESS HEAT PUMPS AFTERNOON COMMENTS AND NOTES ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Ductless heat pump Owner ELLEN K GAGE 203 W 6TH ST PORT ANGELES (360) 808 2944 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98362 ELECTRICAL ALTER RESIDENTIAL 172668 76 10 9/03/10 3/02/11 10 00000960 711360 203 W 6TH ST 06 30 00 0 0 9285 0000 ELECTRICAL ONLY Contractor Date 9/03/10 BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES WA 98362 Plan Check Fee Valuation N52, yZ 0 0 0 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 60 Charged Paid Credited Due Fee summary Permit Fee Total 76 10 76 10 00 00 Plan Check Total 00 00 00 00 Grand Total 76 10 76 10 00 00 INSPECTION TYPE iD DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X RESULTS 'i1t7 rev `511110 c REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date• Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A MINI SPLIT HEAT PUMP SYSTEM Owner ELLEN K GAGE 203 W 6TH ST PORT ANGELES (360) 808 2944 Permit MECHANICAL Additional desc MINI SPLIT Permit pin number 172650 Permit Fee 64 80 Issue Date 9/02/10 Expiration Date 3/01/11 Qty Unit Charge 1 00 Fee summary 14 8000 EA Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 Date Name T Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 Per Charged 10 00000958 635602 203 W 6TH ST 06 30 00 0 0 9285 0000 ELLEN K GAGE MECHANICAL APPL PERMIT RESIDENTIAL HIGH DENSITY 6170 Contractor PENINSULA HEAT INC 782 KITCHEN DICK RD SEQUIM (360) 681 3333 PERMIT HEAT PUMP SYSTEM Plan Check Fee Valuation BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited 64 80 00 00 00 64 80 00 Date 9/02/10 WA 98382 00 0 Extension 50 00 14 80 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 1 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. 'l 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 presu It give authorit to violate or cancel the provisions of any state or local law regulating construction or the performance of construc rr JJ 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 4831 Backflow Prevention Inspections 417 4886 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit !FINAL Date Accepted by PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE E Inspection Type Date Accepted By Electrical 417 -4735 E r Construction R.W PW Engineering 417 -4831 �p Fire 417 -4653 Planning 417 -4750 Building 417 -4815 v, N 0 w CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax: (360) 417 -4711 Signatur 1 2 Single Family Dwelling Plan Review May Be Required, Please CR9plete Electrical Plan Review Information Sheet Job Address: 2O k) /o Description of above +fur L C Building Square Footage: Owner Information Name: CI.1 L] &PC V.— Mailing Address: 2/f. City State: Zip: Phone: Fax: License #1 Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp, Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/.Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square. Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub f owner electrical contractor or electrical administrator Unit Charge 119.90 145.50 204.60 262.20 372.50 2:60 73.50 2.60 92.70 $110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 102.30 56.00 $110.30 35.20 73.50 $110.30 Dated: 9 "t ECELUET] SEP 2009 ELECTRICAL INSPECTIONS Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* ContractQLlnfocmation l Name: S is" L a 7 n Mailing ess: Y 5 A ,,u O a r c1 G City /1 s State:(,i Zip: QE S.4 Phone: 3 F c 9 ClIty Total (Qty Multiplied by Unit Charge) S S Owner as defined by RCW 19.28.261 (1) 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. Permit expires after six months of last inspection. 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 installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications. Cash Check Credit Card fi M/ 1,4 0 112010 S S 2 ao V-. II 11 5 411111/Mr Total 09/01/10 12 09 FAX 3606812086 Peninsula Heat BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4816 fax (360) 417 -4711 Applicant LI� r16M- i erso- Property Owner Mo, Property Owppr's Address U3 to i Contractor re%'/nSu /ek. Contractor's Address License Expires PROJECT ADDRESS Parcel Number Pruiect Type Qr a Descn»tlan. Check all that appy a New Construction o Addition a Remodel o Repair o Demolition o Re-roof encat System raOther Floor Aram Basement 1' Floor 2" Floor 3' Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 6r174 Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios. and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 6! 31 Noi•e,- Whorl Ieh Gael CaII -col^ Ccn inSpec'{-c` 11 }zri rvw._ L d 1,0i A nag.. Ocai 4- wa,5 v,stalla� o House o garage o other a tear off re o lay over one layer o Heat pump o wood burning stove a gas fireplace o pellet stove Is -ether Existing ism ft) pposed (sy es/denUal o Mult- family o Commercial o Industrial ft_ Occupancy group Occupant load Construction type @5 per sq. ft I have read and completed this application and brow it to be true end =Pact I dm authorized fo_apply for this pe and understand that if is m ►o brlity to determine what permits ae tilted, and to obtain permits prior ng p C�4 4 di e r e." Date? Print Name Y! Signaturef/ �G.....: T:Formal8 iiJdins Divisionl131dg Permit.doc For City UsQ Only' Date Received 9 -1--1C\ Permit 10 9 ciq Date Approved V102 Phone 3333 Phone 34 Jg .9V S/ Phone E -mail Lot Zoning of bedrooms of full baths of half baths PREPARED 5/21/10 8 05 21 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/21/10 ADDRESS 203 W 6TH ST SUBDIV TENANT NBR ELLEN K GAGE CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333 OWNER ELLEN K GAGE PHONE (360) 808 2944 PARCEL 06 30 00 0 0 9285 0000 APPL NUMBER 10 00000443 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 5/21/10 MECHANICAL FINAL TIME 12 00 May 19 2010 3 44 24 PM 1pangrle ELLEN 808 2944 MECHANICAL FINAL- ELECTRIC BOILER AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN MEET YOU THERE COMMENTS AND NOTES 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Replace 25kw boiler with 15kw unit Owner ELLEN K GAGE 203 W 6TH ST PORT ANGELES (360) 808 2944 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 10 00000450 633450 203 W 6TH ST 06 30 00 0 0 9285 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor ELECTRICAL ALTER RESIDENTIAL 164947 78 70 5/07/10 11/03/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 5303 Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Special Notes and Comments May 7 2010 10 35 50 AM Brian 417 4708 OK Charged Paid Credited 78 70 78 70 00 00 00 00 78 70 78 70 00 Date 5/07/10 Due DATE RESULTS slVi1Lb 6 )Ict r6 WA 98363 Extension 73 50 5 20 00 00 00 0 0 0 Signature of owner or Electrical Contractor X Date INSPECTOR. b 0 D I 0 ci t;\ ,,s' 05/06/2010 07 17 FAX 360 452 3498 City of Port Angeles Permit Application Building Division:Electrical Inspections 321 East Filth Street- P.O, Box 1150 Port Angeles Washington, 98362 Ph: 1300) 4174735 Fix: (360) 4174711 Date:G //0 2 Single Family Dwelling Multi-Family or Commercial* Commercial Addition Alteration Remodel Repair Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address' Z7' c l Building Square Footage: Description of above Uri! Charoe 5119,90 146.60 204.60 262.20 372.50 2.60 73.50 2.60 92.70 5110.30 148.70 187.90 95.90 .5 85,20 85.90 63,90 63.90 119.90 $102.30 110.30 5 35.20 73,50 $110.30 56,00 Thermostat 7S' T7 Total Signature or owner, electrical contractor or elactrlcat administrator Check Olympic Electric Co 4 PA CITY INSPECT Z001/002 Contractor Intormat Credit Card 8 RE,CETED Vigf 2000 ELECTRICAL INSPECTIONS Owner Information Name: -�G.iJ �r.o• Name: Malllng_Address: -y ,Le( acc r` Mellln Ad s: i' City: tq,. /r Stale: /r7 Zip: 9.1T J% City State: a. Zip: J67 Phone: f -_‘4 v Few Phone: CIS P—' Fax: y4 „e "y9 License Exp, License {t I Exp, rn f Total (Qlv MUluolltby Unit Cheroel 3 Service/Feeder 200 Amp. SeMcalFeeder 201400 Amp. Service/Feeder 401-800 Amp. Service/Feeder 601.1000 Amp, Service /Feeder over 1000 Amp, 5 Branch Circuit WI Service Feeder _,L $_J FX Branch Circuit W/O Service Feeder 7 5 S f? Each Additional Brencn Circuit Temp, Service/ Feeder 200 Amp. Temp, Service /Feeder 201-400 Amp. Temp, Servlce&Feeder 401.600 Amp. Temp Service /Feeder 601 -1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial, Additional 1500 55.00 Signal Circuit Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion ei S Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub p0Kr r� RIP Owner as defined by RC W.19.26.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire en electrical contractor N above sold property is for eale, rent or levee, Permit expires after els months of lest Inspection. After reading the above etatement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I em making the electrical installation or alteration In compliance with the electrical Iowa, N.EC. RCW. Chapter 19.25, WAC. Chapter 296.46B, The City or Port Angeles Municipal Code, and Utility Specification. cash riggIL Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REPLACE AN ELECTRIC BOILER Owner ELLEN K GAGE 203 W 6TH ST PORT ANGELES (360) 808 2944 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 1 00 14 7000 EA WA 98362 Fee summary Charged Permit Fee Total 64 70 Plan Check Total 00 Grand Total 64 70 Print Name T:Forms/Building Division/Building Permit MECHANICAL PERMIT ELECTRIC BOILER 164863 64 70 5/05/10 11 /01 /10 10 00000443 141547 203 W 6TH ST 06 30 00 0 0 9285 0000 ELLEN K GAGE MECHANICAL APPL PERMIT RESIDENTIAL HIGH DENSITY 5385 Contractor PENINSULA HEAT INC 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 64 70 00 64 70 Plan Check Fee Valuation Per BASE FEE ME BOILER <OR= TO 3 HP Paid Credited r 00 00 00 Date 5/05/10 Due 00 00 00 Signature of Nrttiac o Authorized Agent 00 0 Extension 50 00 14 70 V14,6 52 1 -10 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. 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. BUILDING PERMIT INSPECTION RECORD 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping l SHORELINE. T Forms /Building Division /Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date vZt Accepted by Date Accepted By 05/05/10 08 00 FAX 3606812086 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 4174815 fax (360) 417 -4711 Applicant d arha Property Owner ,',-.7 6 Property Ow, er's Address _i)" 2 (4/ Contractor Pr1 iN S14. iPQf J4-v Contractor's Address 75; Gk. License eP A/JN/() cr /Vfi'r Expires PROJECT ADDRESS Parcel Number Pr_ tect Type Brief Description: Check all that apply o New Construction Addition Remodel Repair Demolition o Re -roof )4Ieat System ...Other Floor Areas Peninsula Heat l 01 X03 Sk Lot Residential a House a garage a other a Multi- family o Heat pump 0 wood burning stove n gas fireplace a pellet stove j�bther Existing (sq. ft.) Posed (so. ft.) Basement t Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures ft. Occupancy group Will a lawn spnnkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application end know k to be true and correct I am euthoriz that it is my responsibility to determine whet permits are rag and to obtain permits pr7 Date 5) I /O Print Namec /4 i`ty1& iP truer Signat T:FormslBuildinp .Division/Bldg Permit.doc For City Use Only Date Received 5 -5- IC) Permit# Date Approved Phone 4 Phone S9 729 4-/ Phone _Or --3 7 /A 7 9 2 E —m row h ,,A _p yen 45.),)-. Zoninv per sq. ft =SS of bedrooms of full baths of half baths o Commercial a Industrial a tear off re -roof a lay over one layer TOTAL VALUATION 5. Total footprint of structures sq. ft. Lot size sq. ft. Lot co verage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage to apply for this s it and understand orkin on 'y Clallam County Assessor Treasurer Property Details 50 ELLEN K GAGE for Year Page 1 of 4 Clallam County Assessor Treasurer 56350 ELLEN K GAGE for Year 2010 2011 Property Account Property ID' 56350 Legal Description LOT 20 BL 92 TPA Geographic ID' 0630000092850000 Agent Code. Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space' N DFL N Historic Property' N Remodel Property N Multi Family Redevelopment: N Location Address. 203 W SIXTH ST Mapsco: PORT ANGELES Neighborhood: Cycle 5 Res Map ID Neighborhood CD 10955130 Owner Name. ELLEN K GAGE Owner ID 25844 Mailing Address. 203 W 6TH Ownership 100 0000000000% PORT ANGELES WA 98362 Taxes and Assessments Due Property Tax Information as of 05/05/2010 Amount Due if Paid on M. Exemptions: First Second Half Half Statement Base Base Base An Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Du 2010 39397 ST SCH STATE SCHOOL $220 50 $220 51 $0 00 $0 00 $220 50 2010 39397 CC -GEN COUNTY $117 34 $117 36 $0 00 $0 00 $117 34 2010 39397 PORT PORT $16.50 $16 49 $0 00 $0 00 $16 50 2010 39397 PORT ANG PORT ANGELES $271 68 $271 71 $0 00 $0 00 $271 68 2010 39397 SD #121 SCHOOL DISTRICT #121 $285 61 $285 62 $0 00 $0 00 $285 61 2010 39397 NTH OLY LIB NORTH OLYMPIC LIBRARY $34 10 $34 10 $0 00 $0 00 $34 10 2010 39397 HOSP #2 HOSPITAL #2 $48 14 $48 14 $0 00 $0 00 $48 14 2010 39397 WSMET PK DIST WILLIAM SHORE MET PARK DIST $15 32 $15 31 $0 00 $0 00 $15 32 2010 39397 CITY_STORMWATER CITY STORMWATER $36 00 $3600 $0 00 $0 00 $36 00 2010 39397 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82 2010 39397 TOTAL. $1046.01 $1046.05 $0.00 $0.00 $1046.01 $1( 2009 563502008 ST SCH STATE SCHOOL $253 44 $253 43 $0 00 $0 00 $506 87 2009 563502008 CC -GEN COUNTY $128.26 $128.26 $0 00 $0 00 $256 52 2009 563502008 PORT PORT $18 17 $18 17 $0 00 $0 00 $36 34 2009 563502008 PORT ANG PORT ANGELES $281 32 $281 34 $0 00 $0 00 $562.66 2009 563502008 SD #121 SCHOOL DISTRICT #121 $313 42 $313 41 $0 00 $0 00 $626 83 2009 563502008 NTH OLY LIB NORTH OLYMPIC LIBRARY $37.27 $37.27 $0 00 $0 00 $74 54 2009 563502008 HOSP #2 HOSPITAL #2 $52 60 $52.60 $0 00 $0 00 $105.20 2009 563502008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 http. /vpn.clallam.net.8O84 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =56350 5/5/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation MANGANO JASON' 203 W 6TH ST PORT ANGELES 7AL9 gnature of Contractor or Authorized Agent T•\Policies \1102_15 building permit inspection record05.wpd 1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983626008 06 00000649 275444 203 W 6TH ST 06 30 00 0 0 9285 0000 JASON MANAGO RE ROOF RESIDENTIAL HIGH DENSITY 4339 Owner Contractor Date 6/19/06 SPIRES HANDYMAN SERVICE 1120 E 3RD ST PORT ANGELES WA PORT ANGELES WA 98362 (360) 452 1356 Permit BUILDING PERMIT NO PR FEE Additional desc Permit pin number 80507 Permit Fee 137 75 Plan Check Fee 00 Issue Date Valuation 4339 Expiration Date 12/16/06 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Other Fees 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 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 Signature of Owner (if owner is builder) Date 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 WORKBEF'ORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS 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 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 PARKING/LIGHTING LANDSCAPING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD I I I I I I 1 I I I I I I I I 1 I I I I I 1 I I I I I I I 1 I 1 1 I I 1 1 I I 1 I 1 I 1 I 1 I I I FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417-4653 1 I I FIRE DEPT I I I PLANNING DEPT 417 I 1 r 1, I PLANNING DEPT I 1 I BUILDING 417 -4815 1 /6 Z6' 0 Ci I EXM MAX I BUILDING I 1 I ,no c h. i;no nerm,t mmection record05.wpd I1 /4/2005] Applicant or Agent. I Y/ 44L Li✓ ES P /)2,C Phone: 6 15 g-/3 S6 d/77- 309' S" Owner 7As *A1 AlAki6:A'(!0 Phone. -/57- S" /K 7 Address: .2D C iN Si City Poa AA l6 S Zip Q Sr7i a Architect/Engineer. Phone: 5p //4:x/59 y67" Contractor5Pfie .ti(,4AMY 4A SEAgrf' License i s9' 7 Exp D'( -oC oirPhone: x /77 -3c�9� Address: /V? '?RR $T City. P02 7 11,1C-��; /S-. Zip 92 PROJECT ADDRESS 2( Ld 6 V/ S 7 ZONING LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WOFK STZF/VALUATION Residential New Constr X Re roof Stove SF (a? /SF Multi family Addition Move Garage SF 'SF Commercial Remodel Demolition Deck SF /SF Repair 0 Sign Other TOTAL VALUATION )C g S -X. 5 BRIEF DESCRIPTION OF THE PROJECT 175p42.- A e9INlr0S1'nl©tq c; k COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Exastmg Sq. Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETEL'i and in INKK. 1 our application and site plan MUST BE COMPLETE to be accepted for review If you have any questions. call PERMITS (360) 417 -481 FAX(3601417 -4711 ESA/Wetland(s) Yes No SEPA Checklist required? Yes 0 No Other Occupant Load. Construction Type: &Proposed Sq Ft. TOTAL Sq Ft. FOR OFFICI SE Date i�ec a i q t NLY o c. Permit #a,4 Date Appro" Date issue APPROVALS PLAN BLDG DPWU FIRE. OTHER. 06 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 HBO permit is issued within 180 days of the date of apphcation, 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. I hereby certify that) have read and examined this application and know the same to be true and correct. 1 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 1 must obtain such permits prior to work. TAFORMS\B1dgPermitform.wpd Applicant: X i 9 A Date: -/9-04 Spires J{andyman Service (360) 452 -1356 477 -3095 Jason Mangano 203w 6th st port angeles Ellen Gage 360- 808 -2944 JCd 5. 0 57/ Item Description Total Permit Permit fees 200 00T Tearoff Remove existing roofing 800 OOT Roofing labor Apply new laminate roofing new vents pipe boots and metal 1 080 OOT flashing against walls and around chimney Dump fee Hauling and disposal of debris 500 OOT Roofing Materials 30Ib felt paper pipe boots,vents metal flashing starter 1 758 50T course,staples nails,caulking and 30yr laminate roofing. Misc labor Any rot repair or restoration is extra time and materials at the rate of $45 hr LJMT b wco PA$-2. p f F' wOO b Iz000 Doc/kW Signature Subtotal Sales Tax (8 3 Total $4 698 60 5/6/2006 Esti mate 11 $4 338 50 $360 10 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner MANGANO JASON 203 W 6TH ST PORT ANGELES Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T \PLANNING \FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000378 529724 203 W 6TH ST 06 30 00 0 0 9285 0000 ELECTRICAL ONLY WA 983626008 ELECTRICAL NEW 400 A SERVICE APS ELECTRIC 94 80 5/06/04 11/02/04 Charged Paid RESIDENTIAL HIGH DENSITY 0 94 80 94 80 00 00 94 80 94 80 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 RESIDENTIAL Qty Unit Charge Per 1 00 94 8000 ECH EL RM 201 -400 1ST Plan Check Fee Valuation SRV FEEDER Credited 00 00 00 Date 5/06/04 WA 98363 00 0 Extension 94 80 Due 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\PLANNING \FORMS \1102.15 11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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 1 NO FOUNDATION• FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERM IT ROUGH -IN PLUMBING UNDERFLOOR /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 GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO '4 6 Y ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING ELECTRICALPERMrrAPPLICATION j I. a G k Phone:�5� ^r -a 53 Far 1 4 C X7,5 )finer or FJec, Contractor Agent: 13( Vl�/ It property Owner n f 3 1 2 MCI l Q r1 o 0 4 1`'6 City' C t 4 IIQ e./ t. s zip: gi O TSL or .actress: W J c- l a I :lectrical COntrdClOr'� 6 Fie f-...4 I I`/1 3'3G C License C-L� q 1, O LPhoneL 5 2 1 5 ,dress: G `a lU Se../pcy. n koo 4 XResidential Multi family ELECTRICAL PERMIT APPLICATION Tne Electrical Permit Application must be filled out completely_ Please type or reprint in ink. If you have que ti t l lease call (360) 417-4735 Fax number Credit Card Holder's Signature: City rt ale 4 zip_ e d .3E. 3 .STALIATION WIRED BY O OWNER ELECTRICAL CONTRACTOR :redit Card Holder Name:_ P-. 5 /&c- 6-a tilling Address: r91) C 6 City :redit Card Number 0 f P) ei Exp• Date: ROJECT ADDRESS: d V Li) L 'v ._P-.:_,A YPE OF WORK. L-- Check all that apply' 0 New XAlteration/Addition O Commercial Mobile Home Sq- Ft 2_, ots_4,L Owner or Elec_ ConL Signature_ 11 OPFlC1°L US!' C` Y t r)McJNec. Dmc Approval. Mac Isrocd Phone: Li 5 -51.63 Zip. VISA. MC: I Remote Meter XDetached garage Hot Tub Swim Pool Septic Pump Low Voltage Telecom Sign umber of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT* n ��-a. l a l o rt mo t 5�ry c p W L boa a, pi Q Se r 1) c�. -C-i r-- a- lectrical Heat Load Additions and or Subtractions Baseboard KW Voltage: a Furnace KW Overhead Service Phase: y1 3 Heat Pump TON LRA Temp Service Service Size: Fan -Wall KW XUnderground Service Feeder Size: Service Information hereby certify that I have read and examined this application and know that same to be true and correct, and I am .thorized to apply for this permit I understand it is not the City's legal responsibility to determine what permits e required, it remains the applicants responsibility to detect line what permits are required and to obtain such. Date: 5-3 —?coy Date: 6 3 `aoo PERMIT FEE. 9 y g 0 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Application Number Appllcatlon pln number property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type descrlption Subdlvlslon Name Property Use Property Zonlng . . . Appllcatlon valuation ~"'... uur..l:L ~D1 5/05/06 06-00000425 Date 030025 203 W 6TH ST 06-30-00-0-0-9285-0000- JASON MANGM{O FIRE ABANDON TANK INSPECTION fl NAL-eo lIt?/Cb ~DO RESIDENTIAL HIGH DENSITY 120 Owner Contractor MANGANO JASON 203 W 6TH ST PORT ANGELES OWNER WA 983626008 Permlt . . . . . Addltlonal desc . Permit pin number Permit Fee Issue Date Expiratlon Date . UNDERGROUND TANK RES 76539 15.00 Plan Check Fee Valuatlon .00 120 11/01/06 Qty Unlt Charge Per Extension 15 00 BASE FEE Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 15.00 15.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 15.00 .00 .00 ~ ~ \ ~ ~ (/\ ~.~ ~"f- ~f 1f CO' + This penn it becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been reque ed with 180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the sam to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be co led with whether specified herein or not. The granting of this permit does not presume to give authority to violate or c cel the provisions of any state or local law regulating the work specified in the permit. s tractor or Authorized Agent Signature of Owner (if Owner is builder) FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final kOD skloG I PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00 BUILDING PERMIT - APPLICATION FOR OFF]C~S#NL y Date Rec ~ 'tJ C, Penmt # t%- 445 Date APPtOvect9J~ I()~ Date Issued :G/ G' I ~ Fill out COMPLETELY and in INK Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent: J ""-c'o V"\ Owner So... W'\ e... Mc....""'~"'-""0 / A ""''''''''..(''' HQ.~C<.'^<=Phone: 560'-(sn-~/b3r~6()<r77 78'(5:,- Phone: Address' Zos l-v. /:,+z..... Architect/Engmeer: Contractor Address' PROJECT ADDRESS: 203 t..-J . City: p",..r+ ~~<vk-'=>. Zip: 1856"2- State License #. Phone: Exp: Phone: CIty: ZIp: ZONING: (,+-<...... LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: SIZEN ALUATION: ~ ResIdential D New COllStr. D Re-roof D Stove SF @ $ /SF = $ l2.D, oD D MultI-family D AddItlOll D MoveD Garage SF @ $ /SF. = $ o CommercIal D Remodel 0 Demol1tlOll D Deck SF. @ $ /SF = $ D Reparr D SIgn 0 Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT tk.-LO,....,~ >-> s 1--:>___ .... \".......,. .......J.... "', I -\. "'- ~ COMMERCIAL/RESIDENTIAL: Occupancy Group. Occupant Load: & Proposed Sq. Ft. Construction Type. = TOTAL Sq. Ft. No of Stones' Lot SlZe Total lot coverage EXISting Sq. Ft % APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s) DYesDNo SEPACheckhstrequrred?D YesD No Other. VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the applicant. Tills figure wlll be revIewed and may be revIsed by the Building DIVlSlOn to comply WIth current fee schedules. Contact the Permit Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee is due it must be subffiltted at the hme the building perffilt application and constructlOn plans are subnntted. All other perffilt fees are due at the hme of permit Issuance. EXPIRATION OF PLAN REVIEW: lfno perffilt IS Issued WIthin 180 days of the date ofapplicatlOn, the application will expire. The Bmldmg OffiCial can extend the tune for actlOn by the apphcant up to 180 days upon wntten request by the applicant (see Section RlD5.3 2 of the International Bullding/Residential Code, 2003). No apphcatlOn can be extended more than once. I hereby cerlify 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 permits prior to work. T\FORMS\BldgP~nfurm wpd Applic"," fi7~ ~ ~ ..-/ Date: .;-- S-~ o~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15014 -, - -, c:. ) Port Angeles, Washlngton__m='__mm_:'-___:___________m______mm___m_______, 19__moo_ 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. / Address ___z.Q.3_m_(:_~____?m:'_~_oo_oommm_mm__oo_m_oooommoo__ Occupancy_____L____~:_______m__m______m_______ Owner __n_~.~~~_~L~'!_~~:_!!.~,--.!:;.~:.-!.-:-_-:{n!-:-f..";--~~-----ur~_~ Tenant__n______________________________m________~_________________________n Wiring Contractor m:_~_~_'m_::cL.:__~_:.__'___:m_~_:_-m_m~________m_m By_oooo___oo_________m___oo____oo___m_______m_oo__________m_____ Light OuUet"---_________......._______.__......______. /:"t'I/'-;'/V Service, volts ....___.___..:.......h...':............ .3 No. wires ....._...............................u Receptacle Outlets.........._...............___.. Dryer, KWl......n......nn............n.....__... Size wires_____..__..___......___..______...._.. Range, KW nmnnn.m..m.. Main fuse .....u.....____________.........______ Water Heater: Enclosure __.'.......nn.......___......______.. KW.___._______.m.__m______m_______m_____. Heat, Rw..::..2..Y......ij&_//e.t~ Type of wirIng; Entrance Cable ___....n.....n..........___ Motors: size, volts and phase: Rigid Conduit ...________..............______ Metallic Tubing h___.______............... Current transformers: No. & Size.u............_________............... Ser. NO............................_.....h.......... Ser. No.........._......___..._....................... Ser. No................................_.....___..._.. Total Load....____;,:.._______.___...... Ser. No..._.............._..............._.......... Type of Wiring; Armored Cable Non.Metallic ................______........... Knob & Tubeu.....__...__........_____....... Rigid Conduit .......___________________..___ Metallic Tubing ........m...._" Raceway ........................................_. Circuits, LighL........._...__.................._.... Utility............................................. Heat Range ............................n_....._.._.... Water Heater ....................___.____... Motor ....................__....................... Dryer......___....,.................................... Furnace ............_..__."h."'_.......mn __ . Total ..,.....,..................._.......... , /"- ( I..' /"" ,~" ..... Remarks : _____v__._:_n.-::::n~_~:?J..c__~~.::_tn.:'h_..n_Ln~~.n__.:____':.___.~~.._.u_=:..:.n:.n_:.n__n__n~.+____~_..~.___n_____v___~__________nnU.._n___ ! I .________h_.__:..::..._._.__~.o....?~__.::___L_v_____L~~_:___!__._____~_______.______...._.._..__..__....h____...__._d._._.n.._~_~______._____~____v___________________...___.__ Permit Fee Treas. Receipt /1 / /,'. '.. ~ $_______________________m____________ No.__________________________ By m_"!_:__,__:.n:.r.:_,__::m~_::_.!.._~____L_,__"-~oo__m___ NOTICE-Current must .not be turned on until Certificate of Inspection has been issued. If work Is to be con. cealed 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 / , 1/CA.r . ~',.I'<- /'.J...o-~.-. ELECTRICAL PERMIT Date called fO; l~spec~on.../..:...:......n......~,....:.....~.m..........n...-...-.....n........._..n.................. N? 15014 Inspection completed..._n__._.........._.._..._......._........_................................ Prel1mlnaryinspecUondates..........................._._..........................._................_..._..........................................__........,..............._._................_ Total Load nnn..n...............nnn.n.._.........,.............................nn_hn_.._.n 1M' 3.72 Olympic Printers, Inc.