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Home My WebLink About220 S Oak St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 11- 00000080 Date 1/25/11 Application pin number 211280 Property Address 220 S OAK ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 5275 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc GARAGE Owner Contractor ANDERSON, MICHAEL P OWNER PO BOX 1742 PORT ANGELES WA 983620090 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OWNER/ GARAGE Permit pin number 180752 f1 Permit Fee 174.50 Plan Check Fee .00 Issue Date 1/24/11 Valuation 0 Expiration Date 7/23/11 Qty Unit Charge Per Extension tA 21.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 54.60 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due 0 Permit Fee Total 174.50 174.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand' Total 174.50 174.50 .00 .00 4,1( INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 4-.5 i 1 AP ASE. FINAL COMMENTS: 31211,.. Kx a te PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING c 4i.al 4,0 G *I T /2art 14. °9 S{ Gt i CITY OF PORT ANGELES PERMIT APPLICATION 1 Building Division/Electrical Inspections 'ItiMit 00 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 d Ph: (360) 417 -4735 Fax: (360) 417 -4711 D 2 Re 1 2 Single Family.Dwelling Multi- Family or Commercial _Commercial Addition Alteration Remode Repair* Plan Review. May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: dL20 5 (-24 1-- Building Square Footage: Description of above Q 4 4 f) '4c 1 j 14, (--t u- {'1 PLL Owner Information Information Name: 1Zi 6114 €1 i t i an Name: Mailing Addrss: J 1 cx 17 2.. Mailing Address: City: Pop-4 N 8 2.‘ State: k/14 Zip: oiS 6 7._ City: State: Zip: Phone:-!o c(6 Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 f 4 0 Service /Feeder 201 -400 Amp. 145.50 Service/Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 A 1 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50. Each Swimming Pool or Hot Tub 110.30 17 13"DTotal 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.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Cod-, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign. of own •r, -1 tri contractor or electrical administrator: Cash Check 1 Credit Card Dated: 01/01/2010 Application Number 05 00001285 Date 1/09/06 Application pin number 893910 Property Address 220 S OAK ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 5275 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Owner Contractor ANDERSON MICHAEL P PO BOX 1742 PORT ANGELES Permit Fee Total Plan Check Total Grand Total WA 983620090 OWNER Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OWNER/ UPSTAIRS GAR CIR Permit pin number 68106 Permit Fee 58 70 Plan Check Fee 00 Issue Date 1/09/06 Valuation 0 Expiration Date 7/08/06 Qty Unit Charge Per Extension 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 48 10 2 00 5 3000 ECH EL R OR RM ALT ADDNT CIRCUITS 10 60 Fee summary Charged Paid Credited Due COMMENTS /ACTION NEEDED 58 70 58 70 00 00 58 70 58 70 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STH STREET PORT ANGELES, WA 98362 00 00 00 00 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH FINAL INSPECTION TYPE ROUGH-IN COVER SERVIC$ GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE 1 FR pp ,17*1 ACCEPTED YES I NO COMMENTS PW- 102.15 [arm) PORTA4, tetcygio Fee summary Signature of Contractor or Authorized Agent T•\PLANNING\FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 03 00000354 Property Address 220 S OAK ST ASSESSOR PARCEL NUMBER 0630000052750000 Application description ELECTRICAL ONLY Property Zoning Application valuation 0 Owner Contractor ANDERSON MICHAEL P OWNER PO BOX 1742 PORT ANGELES WA 983620090 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 64 90 Plan Check Fee 00 Issue Date 5/06/03 Valuation 0 Expiration Date 11/02/03 Date 5/06/03 Qty Unit Charge Per Extension 1 00 64 9000 ECH EL -R OR RM 0 200 ALT SRV FDR 64 90 Charged Paid Credited Due Permit Fee Total 64 90 64 90 00 00 Plan Check Total 00 00 00 00 Grand Total 64 90 64 90 00 00 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and k •w the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether s cified here'n or ot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state tir •cal law/ e lat' construction or the performance of 7 construction. X/1 111 x/6 Date Sig a'ure of 0 er (if owner is builder) Date ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T\PLANNING \FORMS \1102.15 [4/2002] BUILDING 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 1 NO FOUNDATION I FOOTINGS I WALLS I I I FOUNDATION DRAINAGE I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT Y ROUGH -IN 1 I a di. 03 AO 40 t PLUMBING UNDER FLOOR SLAB 1 I l� 'L di O 3 ROUGH -IN 1 I Are WATER LINE 1 GAS LINE 1 I 01/40 BACK FLOW WATER 1 AIR SEAL WALLS 1 I CEILING 1 FRAMING JOISTS GIRDERS I I SHEAR WALL I I WALLS ROOF CEILING 1 DRYWALL I I T -BAR 1 INSULATION SLAB I I WALL FLOOR CEILING 1 MECHANICAL HEAT PUMP 1 I WOOD STOVE PELLET CHIMNEY 1 HOOD/ DUCTS 1 PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER 1 1 SEWER CONNECTION 1 I SANITARY 1 I STORM 1 PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING 1 I ESA. LANDSCAPING I 1 SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 2 4c I 1 r ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING Installation description Job wired by 0 Electrical Contractor Owner 0 Commercial 0 Resideolial Electrical contractor nam'e License number Date Expires / CJ New ~ Altered/Addition ELECTRICAL WORK PERMIT APPLICATIO~' Purchas.er's mailing address City State ZIP etdJ ----.H\..V P I \.t1 s I I, 'r; h rbs / 'I t'" '* ; / 11 eo.. '1 (LJ pi c,.",- \.vel j' . Tele'phone number FAX number P[XTiseS)'OWDer'( DO 1 d~ t IA fVl' c.- 1 t'(-.?, , ,-, ..> ., Address of inspection; ,__ 2-""2...0 5, OCf IS. "bi~t- ~'1ti)C~ \;vA- . I ~ '1 Gll'l..Cvvtr\ '-18,1 D J 5",30 '-1311'> It) .G 0 :L Phone number to sche1ule inspection: 4!oV qs-~"t) Owner as defined by RCWI9.28.26J:(I) Owner will occupy the structure for two years after this electrical pJrmit is finalized. (2) Owner is required to hire an electrical contractor if above said p~operty is for sale, rent or lease. After reading the above st~tement, I hereby certify that I am the owner of the above named property or a liccnsed electrical contractor. I am making the electrical instal- lation or alt ation in corripliance with the electrical laws, N.E.C., RCW, Chapter 19,28, WA . Chapter 296-468, The City of Port Angeles Municipal Code, and Utility 'fications,.1 Sig ractor or electrical administrator {; 56.70 o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Date: 12. - 50 --Vs- Expiration Date of card Inspection fee $ 5"<6 .7 D Service Information Ele tical Load Additi'ons and or subtractions CI NO LOAD CHANGES' I CI Baseboard KW : CI Furnace KW CI~eat Pump Toni I!!I' Fan-Wall !I- KW : I SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 LAR D Overhead Service o Temp Service o Underground Service Voltage Phase CI 1 0 3 Service Size: Feeder Size: I ROUGH-IN / THERMOSTAT /' SERVICE I .JJ) /-.:)~-D' "- Dalel Approved By Dale Approved By Dale Approved By : FINAL DITCH FEEDER 4, t.o ! Db ~-) Dale Approved By "- Datel Dale Approved By / Inspection I Area, Building or Equipment Inspected Action Taken Electrical Date Inspector I I I I I , , : I , I I j-j'!/ J IV V I~~ l:;Onl / /: ELECTRICAL PERMIT APPLICATION FOR. OfFlCIA]XSE ONLY [blclRri:: f'? -r?/-n"~ PmMtI: [hI!: AppruvW; Dale JUlIN: The Electrical Permit AppUcation must be n'\ed out com'D~te'v. Please type or reprint in Ink. "you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 1/3-;-1' Owner or Elec. Contractor Agent: Property owner: 11'1 \ "" hCl-e I f. It--r-de .,;D(\ Address: ;;;l,~o S cxt~j i-4~ Electrical Contractor: oW'\ €.r Phone: Fax: Phone:~o'LI52'6 C.{03 i.A.J,f Zip: q<z~ 2. CIty: Po(''t ~€\es license #: Exp: Phone: INSTALLATION WIRED BY: )ll OWNER City: o ELECTRICAL CONTRACTOR Zip: Address: Credit Card Holder Name: Billing Address: po i;,'ll!<- 17-$2. Cily: $or'l- ~9'e\e<; Credit Card Number: Zip: VISA: Exp. Date: MC:_ PROJECT ADDRESS: :l:l-O :; Oa..L " TYPE OF WORK: Check all that apply: 0 New o Alteration/Addition o Residental 0 Mulli.family o Commercial 0 Mobile Home , Sq. Ft. o Remote Meter ~ Detached garage 0 Hot Tub 0 Swim Pool 0 ~plic P,urnP '0 Low Voltage 0 Telecom. 0 S Number of Circuits added or altered: /,.', :",! J .,:.'" . DESCRIPTiON OF THE ELECTRICAL PROJECT: i'li"'.ve over h e<t d Vv~ i- ,. '{.o" ,t{ ~\~ COUn d i/'<::.VoJ~(e. <c/Cis'Fl"'q 'j'",-rci.~e r , Electrical Heat Load Additions f 0'1/PO Service Information o Baseboard o Furnace o Heat Pump o Fan.Wall _KW _KW _KW _KW o Overhead Service o Temp Service )lll Underground Service Voltage: ~ L1 0 Phase: EI"'i 0 3 Service Size: I 7- ,,- Feeder Size: PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex. a one -line drawing of the Electrical Service Feeders, building size (sq, n.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I , authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are req~,~ rema~n~ t:e :;~':,ts rej;j:ibi~rmine what permits are required and to obtain such. D /' ~. ... .... . 'f C. ,.t Credit Card Holder's Signature: i Date: Owner or Elec. Cont" Signature: 1/; wri f{ t{----- Date; '1/; I () 3 PW-9019 , I! C~ {" Dv~ v 1/Z/03 F c ~ """- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 5/28/2002 PERMIT NO; 13433 OWNER/APPLICANT PROPERTY LOCATION 220 OAK S MICHAEL ANDERSON POBOX 1742 Lot: 20 Pod Angeles, WA 98362 Block: 52 [] Long Legal 360/452-6403 Subdivision: TPA T: S: Parcel No: 063000005275000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $11,800.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE REPAIR SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RHD PROJECT NOTES POUR SLAB UNDER EXISTING GARAGE, INSTALL NEW PITCI RECEIPT#O0Ofi FEES ASSESSMENT Building Permit: $209.25 Misc Fee 1: $0.00 Plan Check: $83.70 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: $297.45 Plumbing: $0.00 AMOUNT PAID: $297.45 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permit~ are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and k~)tow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whethe[/~9~/cified he/'ein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state/:~ ~cal law r/eflfulatigg construction or the performance of construction, l/'l //! / Iff /, Signa ureo Co r ' ed g i~n~h (' ' ' ) T:tPLANNING~ORM$\1102.15 [4/2002] CITY OF PeR ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date 12 - ~ ~* ~ Time Received by /~/~ (phone, person) Location of Work to be inspected ~- ~- ~) ~ ~3L, ~ Name of person requesting inspection ~ ,~ Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle a~i~l~ropriate one): Sewer Foundatio/w~ming C~ney Plumbing Final Sewer Excav. Other INSPECTION NOTES-; ~ Inspected: Date ~Z'J ~)! ~) ~:;~ Time PM By ~L~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved I-]Gravel I--IAsphalt I-'~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) eoRr~ FOR OFFICI~LUSE ONLY: ] d,O~ ~ Date Rec.:.~,~/7-- <~ '~ I 0~ BUILDING PERMIT - APPLICATION P~it~: ~_ ] Date Approv~:~~ Date Issued The Building Permit ~pplication must be filled out completely. ~ ~ .- Please ~pe or print in in~ If you have any questions, please call 417-4815 Applicant or Agent: 71[~] ~, ~~o~ Phone: ~60 ~ G~O~ Owner: ~,chRe{ P. ~d¢~o~ Phone:~6o ct92 Address: ~O ~Ox 174X City: Por+~ele5 Zip: ~chitec~ngineer: O~O Phone: q ~ - Contractor O~neF License ~: Exp:. Phone: q¢' Z - ~ VO~ Ad.ess: ¢0 ~o~ ]7~ City: ~.c~ ~.[e.~ Zip: PROJECT~O~SS: ~0 % ~<~ ZONING: E H LEG~ DESCmPTION: Lot: ~O ~lock: ~ Subdivision: CL~L~ CO~TY P~CEL N~BER:o~ ~C~ Credit Card Holder Name: Billing Address: ~O ~o~ }J~ City: FvC~ Credit Card ~: Exp. Date: ~SA MC · o, wo : /f ~ ~ia~.,a~ ~ ~w Co.~. ~ ~-~oo~u Wood-~to~ I~ o o ~. ~,_ /SF. =Z = Multi-fa~ly ~ Addition ~ Move ~G~age ~. ~ $_ ./SF. =$ = Comercial ~Rcmodel ~ Demolition ~ Deck .~ SF. ~ $ /SF, = $~ m Repair ~ Si~ ~ ' TOTAL V~UATIO~ $ COMMERCI~SIDENTI~: Occupancy Group: Occupant Load: __ Co~mction T~e: No. ofStories:~ LotS~e: ~ ~{~ % Lot Coverage: ~6 % Existing Lot Coverage: ~O ~ /sq. ff. + Proposed Lot Coverage: ~ /sq. ~. = TOTAL LOT COVE~GE: PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW ES~efland(s): ~ Yes D No SEPA Chec~ist requked? D Yes D No O~er: OTHER B~LDING PE~IT ~PLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for review. ~e Building Division can provide you ~ more detailed info~ation on the application ~d plan sub~l requirement. Your co~Ieted application, site plan (for additions) and building cons~ction plans are to be subdued to the Building Division. 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: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other 'permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this 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. 1 hereby certify that I have read and examined this application and know th~t~ame to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to ~te~rmine wfifit..permits are required; it remains the applicant's responsibilitytodeterminewhatpermitsarerequiredandtoobtain~//h/// //~/]/~ ~ / Applicant: ~//~c~/4 ~(j~....~Date: -~'<-//~/L9 ~ T:WORMSXAPPSXBuildingpermit r - // / .41 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date L~ ~ --7 -~ ~;.>__~ Time Received by ~ ~ (phone, person) Location of Work to be inspected~ ~-~- ~ ¢~4.3 ~._~ c~,4. Name of person requesting inspection //~ ~<:.~ r'~ ,~ ~ ~ cT.> ~A Address of person requesting inspection Phone No~,"'~ (~.~c~ 4) '-~ Type of Inspection (circle appropriate one): Permit No. I ~ ~/'~ Sewer ~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~/'~-C.~'.~ Time ,*~;<~'~'~'~ By ~---~ Remarks: /c~,.:~,..~..~ .~ ~.~,.~../~.~ ¢~. ~ D~,<~,~ ~' ,/~/~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE r-I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKE ........... INSPECTION REPORT ........... REQUEST: Date//~---~--- ~'~ Time Received by ~---~(~/ (phone, person) Location of Work to be inspected ~-~ ~c~ Name of person requesting inspection ~/~' ~ ~[~c~<~/ Address of person requesting inspection Phone No. Z/~d--~ Permit No. Type of Inspection (circle appropriate one): ~~himney Plumbing Final Sewer Excav. Other Sewer Foundation INSPECTION NOTES: ~ Inspected: Date I ~%--~, ~"~ Time ~Y~ By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [-]Gravel I--IAsphalt ~-~PCC I--[Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary} STREET SUPERINTENDENT (DATE) BUILDING DIV, SION CiTY OF PORT ANGELES Correction Notice 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 made. When corrections have been made, please call for inspection.. / ,,' Date ' -· -- 'Inspector for Bi~ilding Division/· · DO NOT REMOVE THIS TAG CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. S.;? 7 c:, _ u l/fHc:., DATE Site Address: ELECTRICAL PERMIT :;2;2.0 .so, O~ /J'l/ C.A [/9 L 4,/ Cl's&-M } &wtU9f.. c~ READY FOR INSPECTION License Number: ~: WILL CALL FOR INSPECTION I Phone: Installed By: - Owner/Business: Phone: u~_ Owner/Business Address: :lECTRIC HEAT BASEBOARD KW _ FURNACE KW ~_ HEAT PUMP KW_ FAN/WAll KW :=: RESIDENTIAL ~ COMMERCIAL - NEW CONSTRUCTION REMODEL ADD/ALTER CIRCUITS :=: SERVICE UPGRADE/REPAIR TEMPORARY SERVICE letailslDescrlptlon: 7'f C4,;J ~ ~ ~ i~ ;;:?(;,Z K:U ~ ,.{~ //..s- ku/ =:: RISER :R OVERHEAD SERVICE :=: UNDERGROUh0ERVICE VOLTAGE: /20 D__ )(1\11 :=:3~/ SERVICE SIZE ",,&.0 AMPS FEEDER SIZE /6'O/'>,,"s AMPS c ~O /fv..-(J '-I - /00 M~ ~~ 'I!-v.f f?-d r,es SERVICE SIZE J - I zs- ~ ;{;-/y.c DATE ENGR. '/.S. No. " [ APACITY: :=: O.K. :=: NOT O.K. i CTION REQUIRED: ,: CHANGE TRANSFORMER INSTAll SERVICE POLE :=: OVERHEAD SERVICE APPROVED [j CHANGE SERVICE WIRE :=: OTHER [ Ditch Inspection O.K. -1'"'" v '(. Rough-in/cover O.K. JI.;,"!\ 1 O.K. to connect service Final O.K. 3(IQlc,1 I ;ile Address: DaA : ;;;l,;20 ~ . '-Slalier v1A; p ~ :... IVll( ,e-L . Permit/Receipt No. -~ $.376 I New MeIers I Da/j !J '7 ' / ", 9C: N ltify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered bdore inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. -r~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ !!-';;280 ~~ EectricallnspeClor Permit Fee WhITE - File by address PINK - Top: Eng. Bottom. Customer GREEN - Top Meier Depl Bottom City Hall OL' '>'c PRINTEi'lSINC