HomeMy WebLinkAbout820 Milwaukee Dr - Building
Oct 10 03 07:34a
R.W. and F.L. 8ecker
360-683-6104
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ELECTRICAL PERMIT APPLICATION
H:lR OffiCIAL USE ONt Y
Dud>=
Pm-riillf:
OaI."Appll~
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The Electrical Permit Application must be filled out completetv.
Please type or reprint in ink. If you have any questions, please call (360) 4114735 '--1rE."# (i' ()~
Fax number: (360) 411-4711 rr. 0
Owner or Elee. Contractor Agent: K.. c.J ~Z'"C'I..G<.....-?L-
Property Owner: CJ,e i// c / /c- C A I/~ /l ;{ c::=-c.C'
Address: ~ :2 0 it1 (c:.. i.J /f Ie i cf'" il ecily:
Electrical Contractor: 72 i~; ') /? Ee/c~-::n _"
Address: /.,,---;; L.. T71-'7/"~_ C/?r--t>JP' ,(2/-7 City: 5 C::::::>~r I <---,.
~
~LECTRICAL CONTRACTOR
rSC-C"-IC-C7l-
Phone: SDY Z-y{,,/ Fax: t 6-5 [,/65'"
Phone:
r't1 /Z r 4v/-, Pc: c-<;
n . . rx.; "5C_'>
LIcense tc.-~6~ '-EX.p:- Z_ 1",,-. ..~
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c' c...~/?
Zip: ..> -if .:) b
-
Phor1e:?_.,~~ \-s:r~".
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Zip: / ) if L_
INSTALLATION WIRED BY:
DOWNER
Credit Card Holder Name:
f2 G-()
Sif/ing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VlSA:_ MC:
'ROJECT ADDRESS: \('U) tJ1.{(jvt+lC.lC t? 71....c
IoL'( f/7t./f7 C<:-c-S
ryPE OF WORK:
Check all that apply: 0 New
~lterationlAddition
f\3esidential 0 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
] Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
~umber of Circuits added or altered: I
o Low Voltage 0 Telecom. 0 Sign
IE SCRIPTION OF THE ELECTRICAL PROJECT:
I A./:; ;n.1- G<:-
(..r.hl"-f'TS
//r../
{~4CK. ~<'7
<L
C..M j'''vz..Y'--'
:Jectrical Heat Load Additions and or Subtractions
Service Information
1 Baseboard
, Furnace
I Heat Pump
I Fan-Wall
_KW
KW
TON
KW
LRA
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
?-J / L -c.'--
C4L-C ~
//(/sp
hereby certify that I have read and examined this application and know that same to be true and corTee!. and I am
uthorized to apply for this permit I understand it is not the City's legal responsibility to determine what permits
re required; it remains the applicants responsibility to dete ine what permits are required and to obtain such.
Credit Card Holder's Signature: /C--~ Oate:/v'r7 --0;7
Owner or Elec. Cont. Signature'
~LECTRet'MITJt~
-!;late: /cJ'-7-oj;
/0;"5 lop
PERMIT FEE: $
L/t:"
o
z-
ty C On--
/0)::-/03
Mar 1~ 02 11:31a
Bobb~ O. Coleman
360-452-7594
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llleEleClrif;al "..,.a__m...............--
__or......... iIIlnII. .,...... onr ...-no.......... call p&Il. .,74135
'-.numDer.: (360) 417...f7U
fOR 0fR[l.\L USI' 0""'1- y
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......
0zIc.,........__
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ELECTRICAL PERMIT APPUCATION
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'1C/dl"tUd/ l::7~(j-1C'i:.' -, .:;l.. 'i5",,;'I FIIlC
o.nerorElel;.CcnllactOrAgent _ _ _ - rll"''''' - -
:::o-c g.~{) m~~~,~
EJeclrical eom_ tJ6/h II/a./ k/dr h.-It" U<enoe"
_, 5),';). LA) i I. f-J, 0Iy: PO!2. 1-
INSTA\.l.ATlON WIRED BY: 0 OWNER jl(ELECTRICAL CONTAACTOR
Credit CIInJ ~ N8me: tPFIJ h / j;
R..lt"",+ .C
r....Ppc,..e.+-..,.:.........
..:l- '7:;,'Yy
Pl1one:
./-?/1
E>v.
fj ru") ,:/,,, \
ZO>'
p"",,",.;( -'-7 S'~. '-,
Zipo Cj So. 3 c. '2.
<>~
,
Zip:
V1SA:-L~
BOling Address:
CrBdlt CanJ Nutnfloer.
<-
EJtp. Date:
CIty:
PROJECT AIIDIlESS'
}j :J./- j
/17/// ttIA,:i...,rl-c..- .;:j,.
riPE OF WORK: Check !!! thai apply: 0 New n AI_lion/AddiIion
~esIdenIaI 0 MUilHaml1y 0 CommerCial 0 Mobile Home Sq. Ft
o Remole lo181er 0 Detached garage 0 HoI Tub 0 SWim Pool 0 Septic Pump 0 Low Voltege 0 Telel:om. 0 Sign
Number a/ Qn:uiIs addIId or_
#~.J' 4.u;T"
,
DESCAIP1lOH OF THE ELECTIlICAl PROJECT:
EIet:1riCaIHea\ Load-
LJ' .. C ~;..f <;t-S': Jb
~ ~ c.</""'" l"'" r -< -- - Senrice Wannation
o Baseboard
o Fumace
o Heal Pump
o Fan-Well
KW
lZlKW
~KW3 T"..J _tA-t4
_KW
o Overhead SeMce
o Temp ServiCe
o Und81ground ServiCe
v_:__
Phase: 01 03
SaNa Size:
F_Slze:
PAMC 14.05.1l6llt8): For ._SlJia\. c~. & ....-wIBl JlIUieCIS !alger lIIon a _ a .... - line drawing oIlt1e EIeCIricBl Service &
F........ building size (sq. ft.l. load calculations. andlhe type & 01 concluelerS and/or _;S required and shall accompany tho
8ecbioal Permit application.
I hereby certify that I have read and examined this appIicalion and know /hat same to be t(IJ9 and correct, and I am
authorized to apply tor this permit. I understand It is nof ttIe City's legal IefIPO'JSibiIII to determine whst pennits
are required: it remainS ttIe applicants responsibilily 10 determine whaI permits are required and 10 obtain such.
Credll Card Holder's Slgnelure:
Owner or EIec:. Cont. SignatUre:
~&L
Date:
!7
DaTa: ;).-' 1/ .-c~_._
PW-9019
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIV~ION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
S~division Nme ......
Property Zoning .......
...... at~cture Info~ation MW 570 SF CAR PORT & BREEZEWAY .....
............................................................................Pe~it ...... BUILDING PE~IT -~aIDENTI~i
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 governing this type of work will be complied with whether specified herein or not. The granting of a permit does not~
)resume to give authority to violate or cancel the provisions of any state or I~cal law regulatin/~onstruction or the performance of~
31gnature of Contractor or Author zed Aoen~ Dat'--~' S,gnature of Owner ('~',ewne~s builder) r date I
T:\PLANNITOG~FORMS\1102.15 [4/2002]
BUILDING DIVISION
CITY OF PORT ANGELES
*
Correction Notice
JOb Located at ~
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction: ~
These corrections must be made and are not to be
covered until reinspection is ma~hen corrections
have been made, please call
for inspection. ~ /
ector o ng Division
DO NOT REMOVE THIS TAG
:o ~ '
o ~
oo~
~ ~ °°
~ ~ oo~ ~
FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION
Pe. it #: (305-
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved:
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815 Date Issued:
Applicant or Agent: O]'¥/////'~ ~("~/.~_// Phone: ~0--~/0~'7--27~C~[
Owner: .~W,/"~L_ Phone: ~~
Mchitect/En~neer: ~/~. ~~~~ Phone: ~O y~
Con,actor State License g: Exp: Phone:
Address: Ci~: Zip:
LEGgOESC~TION: Lot: /[ .Block: Subdivision: ~/~ W~
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA__MC __ # Exp. Date:
TYPE OF WORK: _~i,~ZE/VALUATiON:
~Residential [] New Constr. [] Re-roof [] Stove ~.~.r~l~'~/~O _ SF. ~ $..~'-'//SF. = $ ~ O/fi-JO Ot
[] Multi-family ~m'~ddition [] Move I~"Garage~a't'O.~/~ O SF. @ $. /SF. = $
[] Commercial [] Remodel [] Demolition glm"Deck ~-"'?' SF. @ $. /SF. = $
[] Repair [] Sign [] Other ~, TOTAL VALUATION ~ $ ~-~,,
BRIEF DESCRIPTION OF THE PROJECT: ~O~,l"7'""-,,~4,..-r ~ /'V;~,---,O~,r~ ~ ~Z'--l~.y"to.r'
COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: Construction Type:
Ne. of Stories: [ Lo~S~e:~l~OOO0~ExistingSq. Ft. /~00 & Proposed Sq. Ft.,~--~'0 =TOTALSq. Ft. 5~/~'O
Existing lot coverage ~'. D' % &'Proposed lot coverage .,~5~_% - Total lot coverage ?, ~'~ % '
APPROV/~L~:
I
PLANNING USE ONLY: I PLAN: ¥~
BLDG: .~ .~
DPWU:_]_._~
FIRE:
ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other:
OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
andmayberevisedbytheBuildingDivisionto comply with current fee schedules. Contactthe pemnt Coordinatorat417.4815 forassistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building perrmt 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 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and knew the same to be., true,,,a~ correct. I am authorized to apply for this permit and
u~dersta~d that it is my resp~nsibi~ity ~ d~termine what p~rmits ar~ r~/~/ ~~ tt~ t7~7tai~ such p~rmits pri~r t~ w~rt~
T:~FORMSXAPPS\Buildingpermit.wpd Applica _~/.//--~(~/,~t~/~m Date:,~/-~' ~2 , ~{5/~?
A R C H I '1~.~'
319 S. Peabody, Suite B., Port Angeies, WA 98362
360.45Z61t6 / fax 360.452.7064
~indareh.¢om / wwwJindamh.eom
Project: / ~? ~-~' Project No.
Date: ~,~ ~+'~ ~ ~ -'; Sheet' of
LATERAL ANALYSIS
Wind loads-
Exposure 'C', wind speed 80 MPH,
Horizontal Projected Area -
0-15 Ft. (1.06)(1.3)(1.00)(16,4) = 22.60 PSF
20 Ft. (1.13)(1.3)(1,00)(16.4) = 24.09 PSF
25 Ft. (1.19)(1.3)(1.00)(16.4) = 25,37 PSF
30 FT. (1 23)(1.3)(1.00)(16.4) = 26.55 PSF
40 FT. (1.31)(1.3)(t.00)(16,4) = 27.93 PSF
Wind Uplift-
Partially enclosed structure Cq = 2.3
0-15 Ft. (1.06)(2.3)(1.00)(16.4) = 39.98PSF
20 Ft. (1.13)(2.3)(1,00)(16.4) = 42.62 PSF
25 Ft. (1.19)(2.3)(1.00)(16,4) = 44.87 PSF
30 Ft. (1.23)(2.3)(1.00)(16.4) = 46.41 PSF
40 Ft. (1.31)(2.3)(1.00)(16.4) = 49.41 PSF
A R C H I '~'~t C T S
319 S. P~abody, Suite B., Port Angeles, WA 98362
360,452.6116 / ~ 360.452.70~
con~lin~rch, com/ ~.lin~h.~m
~oj~: ~~ Proj~ No~
Subject: ~L ~b~ By: ~
Da~: ~& ~ Sheet ~ of
S~ W~L S~Y
w ~ ~ v ~ sw ~- ~/~ vosz ~o[~ ~o~
A. PLYWOOD OR O.S.B. SHEAR WALLS
1. MAXIMUM SHEAR = 250 P.LF.
USE l/~,, SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 6"
O.C. FOR FRAMING, USE DF NO.2. PROVIDE %" DIAMETER ANCHOR BOLTS AT
32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH
END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS.
2. MAXIMUM SHEAR = 315 P.L.F.
USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 5"
O.C. FOR FRAMING, USE DF NO.2. PROVIDE %" DIAMETER ANCHOR BOLTS AT
32" OC. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH
END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS.
3. MAXIMUM SHEAR = 375 P.LF.
USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 4"
O.C. FOR FRAMING, USE 3X DF NO.2. PROVIDE %" DIAMETER ANCHOR BOLTS
AT 24" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT
EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS.
4. MAXIMUM SHEAR = 490 P.L.F.
USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT
O.C. FOR FRAMING, USE 3X DF NO.2. DOUBLE BO~-FOM PLATES ARE
REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8"
DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
5. MAXIMUM SHEAR = 560 P.LF.
USE %" SHEATING - ONE SIDE QF WALL. NAIL ALL EDGES WITH 10d NAILS AT 3"
O.C. FOR FRAMING, USE 3X DF NO.2. DOUBLE BO-I-FOM PLATES ARE
REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 518"
DIAMETER ANCHOR BOLTS AT 24" O:C. MAXIMUM SPACING AT THE
FOUNDATION FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
6. MAXIMUM SHEAR = 685 P.L.F.
USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
2 1/2" O.C. STAGGERED. FOR FRAMING, USE 3XDF NO.2. DOUBLE BOTTOM
PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 20* O.C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
7. MAXIMUM SHEAR = 770 P.LF.
USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
2" O.C. STAGGERED. FOR FRAMING, USE 3X DF NO.2. DOUBLE BO]-~OM
PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE
FOUNDATION FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 F. AST 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 3/15/2002 PERMIT NO 7574
OWNER/APPLICANT PROPERTY LOCATION
ORVILLE CAMPBELL 820 MILWAUKEE DR
820 MILLWAUKEE DR Lot: 11
Port Angeles, WA 98362 Block: [] Long Legal
360/457-8790 Subdivision: BLUFFS WEST
T: S: Parcel No: 06300097010
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT .FO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: H. P./FURNACE
Occupancy Group: Zoning Use:
Electrical Heat: "~
[] Baseboard 0 KW [] Riser [] Underground Service ~'~
[] Furnace 10 KW [] Overhead Service Voltage: 0
[] Heat Pump 0 KW [] TempService Phase: [] I [] 3
[] Fan Wall 0 KW Service Size: 0
Feeder Size: 0
PROJECT NOTES --~
10 kw furnace and 3 ton heatpump. 100 LRA
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $45.50
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $45.50
AMOUNT PAID: $45.50
BALANCE DUE $0.00
('OIX~MI~NTS/ACT1ON NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 41%4735 FOR ELECTRICAL I~SPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COI~ER,
INSUL.4 TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE
FINAL I e/~
GENERAL COMMENTS:
PW-i Io215 [4,96]
CITY OF PORT ANGELES
PUBLIC WORKS BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 3/15/2002 PERMIT NO: 13288
OWNER/APPLICANT PROPERTY LOCATION
820 MILWAUKEE DR
ORVILLE CAMPBELL
820 MILLWAUKEE DR Lot: 11
Port Angeles, WA 98362 Block: [] Long Legal
360/457-8790 Subdivision: BLUFFS WEST
T: S: Parcel No: 06300097010
CONTRACTOR ARCHITECT
PENINSULA HEAT N/A
502 W. 8th Street
Port Angeles, WA 98363 , 98360-0000
360/457-2775 360/000-0000
PROJECT INFO
Project Value: $5,608.00 SFD Units: 0 Commercial: 0
Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
ADD HEATPUMP AND LOW VOLTAGE THERMOSTAT
RECEIPT#8845
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: THERMOSTAT $34.40
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $68.55
Plumbing: $0.00 AMOUNT PAID: $68.55
Mechanical: $34.15
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certif7 that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-48l$ FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITI$ 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 SOB SITE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
YES ] NO
FOUNDATION:
FOOTINGS
WALLS
BUILDING 417-4815 ~ ~ t BU1LDING
BUILDING PERMIT - PREAPPLICATION
The BuIMlng Permit - Preappllcatlon rnu~ bet"died out completely. Dm ~
Please type or print In Ink. If you have any questions, please ca~l 417-481S
Address: City:
Arc~tecffEngineer: Phone:
Contractor ~'/lz tlS/~/~ ~t'%L-/-; ~ c, License ii: ~t~a~/'A//,~t/~p:, Phone:
,, zo o
~idcnF WO~ SIZE/VALUATION:
rial U New Coast'. ~ Ra'oof C~ Woodstove SF. (~ $ /SF. = $
D Mul6-fam/ly n Addition n Move . n Garage-,, SF. (~ $ /SF. = $
o Commacial ~ Remodel o IN:raolition r~ I~ck SF. ~ $ /SF. = $
~ Rcpdr rn Sign .n TOTAl. VALUATION , ,$ '~-~/
COMMERC~S~ ~up~ ~up:. ~t ~: Coition T~:
No. of 5~fi~: ~t S~:. % ~t ~v~8~:
E~g ~t Co~ag~: /~. · + Pm~ Mt Cov~age: /~. · ' TOT~ LOT CO--GE:
P~G USE O~Y: ~PROV~: P~
P~ Req~M: No~: B~G
~ H*i~t: ~: .. ~g: DPW
Sit~ PI~ ~d U~ ApProv~ by: Dge:
~e~s):aYesaNo SEPACh~istr~?~ Yesu No O~=: O~R
P~PHCA~ON S~ Yo~ ~n ~d ~ p~ ~ ~ o~ ~'~ ~ &e a~d for r~.
DMsion ~ p~d~ you ~ ~ de~l~ ~afion ~ ~e applka~on ~ plm mb~ ~.
BU~G PE~ ~PLICATION SUBMiTtaL: yo~ ~mplet~ appli~a~on, site plm (for a~fio~) ~d buil~g ~cfion
pl~ ~ to ~ ~b~ to ~e B~I~g DMsi~. Any addit~n la.er th~ ~ *q. ~ ~ n~d a P~pp~cation ~vi~.
V~UA~ON OF CONS~U~ON: ~ ~ ~ a v~fion ~o~t m~ ~ ~t~ by ~e apph~L ~s fi~ ~
may ~ re~ by ~e B~I~g Div. to ~ply ~ ~l f~ ~h~. C~t ~ p~t C~ at 417&~I~ f~ ~.
P~ ~ ~E: Y~ plm ~ f~ h d~ at ~ ~e ~e bfil~g ~t application md ~fion pl~ ~ mb~
~TION OF P~ ~V~W: ~ no ~t is ~ ~ 180 ~ys of ~ ~t~ of applieafi~, ~s appli~fion ~11
304(d) of~e U~o~ B~l~g C~e, c~t ~on). No applka6on ~ ~ exn~d~ mo~ ~ on~.
I ~ ~ ~t I ~ ~ad and e~mined thi~ application and ~ow the ~ame to ~ t~e ond co--ct, and I am authodzed ~o a~p~for
this permit, I under~tand It i~ not the Ci~'s legal ~spo~ibtli~ to dtte~i~ w~t pe~i~ ~ ~qui~d: # ~mai~ the appllc~t'~
~,~o~ibillc to d, tt~ine what pemi~ a~ ~qui,d and to obtai~ ~uch. /~ / ~
.: .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ,~ ~ ' Time Received by ,~, (phone, person)
Location of Work to be inspected ~,' '~'"C"~ '' ' ' ' "
Name of person requesting inspection.
Address of person requesting inspection Phone No. ,,~,~ .-, ~.,,, "r.-'
Type of Inspection (circle appropriate one): , -,~-~-~,,, Permit' No. /'
Plumbin' Final,~SewerExcav. Other
Sewer Foundation Framing Chimney g,.___~ / ~
INSPECTION NOTES: ~ d¢~2
Inspected: Date ~'~ ~ ,' ' Time. By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel F1Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt? 16357
r::; - T !?7
Port Angeles, Washlngton_u__m__ummu______m_m_mm____mmumu_____' 19__mm
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 d6 electrical work as Hsted below.
Address -m-[-2--(-mfg--~-"''''--~ e_@J-_________________oo Occupancyoom,,__.i!""~_._m_hh_._m_mm___.
Owner moot26'.!-.L~~-h-~m~~~C--m Tenant__oooooooo.__oom_.____oom_m_moooom__oo_____oo__oom_moomoo
Wiring Contractor oo/Il:r!~_k:!_oooomoo;:_moooo_h__h____m_____oom_ By.._oomoomm_mmmm__________moo__m___ooo____h_moooo
:J 0 /~(j/~f?(;
Light Outlets..............................._.._..... Service, volts .,....-....-,r....-..................
Receptacle Outlets...L..t2.........._...... No. wires ......-:!............____...-!.':.~....
(. . V.&e;1'-P
Dryer, KW __.nn.............__......__............ Size wires..................._.............._..
Range, KW_h...!'...?....................... Main luse~.?!~/!..I.f:........._
(E.-I."C
Water Heater: ./ Enclosure ....:;..........!....._................
HeaIK:;:::::?~.~.;:_~::::..::..: TYP~::r:;:n~~ble ....... ..............
I
Motors: SIZh- volts and phase:
m__l....l&,~-;...k.._....m.m_...._.
- ,
/ ~./~ r-
..-,........................................................
..t....C.~!:?~I.;.?...::.............................
/
Rigid Conduit .............................
Metallic Tubing m..................
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No..............................................
Ser. No...............................................
Total Load.............................
Ser. No..............................................
Remarks : oo__oom,LJ_-1...IZ~<!.r.::::.___h__oo_~_,>t..;:!{;,"'_..:_mmmoooooo__m_oooooommoommoooo__m_000_000000000000000000000_000____
Type 01 Wiring:
Armored Cable ............................_
Non-Metallic ................................_
Knob & Tube..................................
RIgid Conduit ......._....__....._.m.m
Metallic Tubing ...........................
Raceway ...............................__..:_
Circuits, Llght.t~_...........mm_m...
<7
~:~tltY..::::~:::::::::::::::::::::::::::~::::::
Range ..;;J.........._......._m..........__
'-)
Water Heater .~.........................
Motor .............................................
::;
Dryer................................................_
Furnace .........................'_...................
3~
Total .n.............h.....................
Permit Fee
. ~ f'()
$__000000________000._.____000____000_.
Treas. Receipt
NO.m__oom_..oom_.........
By-9<f?i~L,~~~__
NOTICE-Current must not be turned on until Certificate ot...lnspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be---inspected before concealmenl
.......~ .........'--. '"
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16357
Address..................._...................................................................................................................Date...___...._.._.._.._.........._......_.................
Owner ..........................................._.._.__..._......_.._........................................................... Tenant....................................................................
Wiring Contractor.......................................................................................................................... By........n....................................................
\ NOTICE-Current must not be turned on untll Certificate of Inspection has been issued. If work is to be COD-
\cealed due notice must be given the Inspector so that work may be inspected before concealment.
\
.
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