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HomeMy WebLinkAbout1025 E 6th St - BuildingPREPARED 12/16/09 8 17 48 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/16/09 ADDRESS 1025 E 6TH ST SUBDIV TENANT NBR WARREN NANCY MILLS CONTRACTOR ALL WEATHER HEATING COOLING PHONE (360) 9813 OWNER WARREN S MILLS III &NANCY MILLS PHONE (360) 452 6830 PARCEL 06 30 00 0 1 9275 0000 APPL NUMBER 07 00001532 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/1 1/4 6/09 e) MECHANICAL FINAL TIME 01 00 December 15 2009 2 29 45 PM 1pangrle WARREN 452 6830 OR 808 5181 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number 07 00001532 Date 12/31/07 Application pin number 592224 Property Address 1025 E 6TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9275 0000 Tenant nbr name WARREN NANCY MILLS Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 10987 Owner Contractor WARREN S MILLS III &NANCY MILLS 1025 E 6TH ST PORT ANGELES WA 98362 (360) 452 6830 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP Permit pin number 118182 Permit Fee 64 80 Plan Check Fee 00 Issue Date 12/31/07 Valuation 10987 Expiration Date 6/28/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100 FAU 14 80 Fee summary Charged Paid Credited Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 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 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 Z/ IA) 7 DA AnciC —du hc/ Date Print Name Signature of Contractor or u b rued Agent Signature of Owner (if owner is builder) T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 CALL 417 -4815 FOR BUILDING 'INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 4.17 -4807 FOR PUBLIC WORKS UTILITIES 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. FOUNDATION FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) I 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 I!'s PARKING /LIGHTING LANDSCAPING INSPECTION TYPE DATE RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO FINAL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL CONSTRUCTION R.W PW/ CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING I I I I( 2- ('6rQGl L T Forms /Building Division /Building Permit (10/0I/07).wpd l COMMENTS DATE ACCEPTED BY. FINAL SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT DATE ACCEPTED BY. DATE I ACCEPTED I YES NO V I I 1 I I I E I I I I Dec 27 07 08:29a c.� FORE 4 121 10C Applicant or Agent Owner VAVv Ptn 11 JCrY\C.Pc11 A\111c Owner's Address in-71 C. Q fin -5-;- Contractor /Engineer Contractor /Engineer's Addre G7 License (n F. In A4 PROJECT ADDRESS J1\7‘-.) C. r Parcel Number Proiect Type Brief Des Check all that apply New Construction Addition Remodel Repair c Re -roof c Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT M CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 criotion. Residential Cn Existing (sq. ft.1 Posed (sq. ft.) Total footprint of structures sq ft. Lot size T.ForrnsIBuilding Division/Bldg Permit Appl. -2006 Code doc 4 Ccr ((nG_ Phone Phone V 1 f( foPhone i r o fo n Expires Commercial Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed'? Construction type Lot Zoning per sq ft. of bedrooms of full baths of half baths p1 APPLICATION Print in ink For City Use Only Date Received I2 27 -07 Permit #(7- 5Th 2 Date Approved 4 4 ;7— 9) 1 445Z oh i ('i h Multi family a Industrial wall- mounted projecting f-eestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. XHeat pump wood- burning stove o gas fireplace a pellet stove other R'c PIAt1Ap 1 r I Io or TOTAL VALUATION l \1 'T t c sq. ft. Lot coverage I have read and completed this application and know it 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, and o obt -in permit plor to working on proje s. Date Q Print Name (7: ,1' I"ct f,� e L )1 dell Signature MIA /1 I O niviz =purr OWNER/APPLICANT WARREN S. MILES 1025 E 6TH STREET Port Angeles, WA 98362 360/452-6830 T S: CONTRACTOR OWNER VARIOUS Port Angeles. WA 99360 206/000-0000 PROJECT INFO Project Value: $18,000.00 Project Type: GARAGE NEW Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: PROJECT NOTES NEW 600 SQ. FT DETACHED GARAGE WITH STORAGE ROOM PUMBING FLOOR DRAIN SEWER INCLUDED RECEIPT#9933 FEES ASSESSMENT Building 'Permit: Plan Check: State Surcharge: House Moving: Manufactured Horne: Sign: Plumbing: Mechanical: Radon: TAPLANNThiGWORMS11102.13 (4i1002,) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILD 321 EAST STH STREET, PORT ANGLES WA 98362 $293.25 $117.30 $4.50 $0.00 $0.00 $42.00 $0.00 $0.00 t 11,1%,?1 PROPERTY LOCATION 1025 6TH ST E Lot: 16 Block: 192 fIJ Long Legal Subdivision: TPA Parcel No: 063000019275000 ARCHITECT N/A 98360-0000 360/000-0000 SFD Units: SFD 80 FT MFD Units: MFD SO FT 0 Misc Fee Misc .Fee 2: Misc Fee 3. TOTAL FEE: AMOUNT PAID- BALANCE DUE. Signature of Contractor Or Authorized Agent Date Sig ure o Owner G DIVISION PIE441914,4$3, 0 Commercial: 0 Industrial: Garage: 0 0 $457 05 $457.05 $0.00 P7 7TLL,, $0.00 $0.00 $0.00 Separate Permits ani required for electrical work, SEPA. Shoreline, ESA utilities, private and public iMproVemanik This permit null and'ybidir WO* or construction authorized Is not commenced within 180 days, if construction or work it suspended or abandoned for a period 0180 'days after the work as commenced, or if requited Inspections have not been req ested wittiln•180 days from the last inspection: I hereby certify that I have read and examined this application and know the et° true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified are or /L The gmnting.of a permit does not presume to give authority to violate or cancel the provisions of any state or •-:l law u i vir nstruction or the Performance of constructiOn. Or is builder) Date CALL 417 -4815 FOR BUILDING" INSPECTIONS, .P1: ASE ?'ROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO. COVER, INSULATE OR CONCEAL ANY WORK BEFORE'INSPEC72I) AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP ligiOYT CARD AND APPROVED PLANS AT 70$ SITE PARKING/LIGHTING LANDSCAPING FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW /,WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR I CEILING, MECHANICAL HEAT PUMP WOOD STOVE! ?gu CHIMNEY, HOOD'/ DUCTS INSPECTION TYPE PW UTILITIES' SITE WORK (Engiris in Division) SEPARATE PERMIT li's: WATERLINE %METER I' .4_ I I SEWER CONNECTION I I SANITARY 1 I I STORM I I. PLANNING DEPT SEPARATE PERMIT #'s SEPA. RESIDENTIAL ELECTRICAL LIGHT DEPT: CONSTRUCTION R.W /PW/ ENGINEERING FIRE PLANNING DEPT BUILDING. T•1PLANNING \FORMS\ 1102.15 (4/2002) BUILDING PERMIT INSPECTION RECORD 4174M: 4174807 417.4653 DATE ACCEPTED I YES NO COMMENTS I. I I I I I I I I I I I I I I i I I. I I I I I ESA. SHORELINE: 111,1"4.k 11 SPBSTIONS REQI JRED"PRIOR TO "QCCUp ICY/USE DATE YES NO COMMERCIAL DATE' 'AtdI TED LE E6E� n,. CAL DEPT. CON RUCTIO ��R.W PW IN El G" FIRE DEPT. 417=4750, p PL D EPT 417 -4815 I i 5, q� 1 t BUILDING' p °R T Ar CITY OF PORT ANGELES BUILDING DIVISION Date 5 a Inspection Address I 5- Contact o.Y (reit() m t 1L115 Phone number(s) L 4 5 2 '(0$30 of- Cel I so g— 5t 81 Permit number I3 5o'3 issued. I( IS a2 Type of inspection F V C J v i 1,,Rtnai 4 P v) Spee"\-novas o as .O 3 Remarks Action. oWhen k re- v f liS l a- vuL 1 tr s fficA-i O Vv 011. c, kkPA I v,61,1 ea -h e l ec.4- L cal 4o +(eve lec_ qo p- ©h 03 -2 7 -08 (po- -hni4- O$ cJ J T Forms /Budding Division /Morning inspection Request MINSPECT►ON REQUEST Time PrFcfe-r 1 Owher- ViA,S 1A C©S k C-A for- axe ex4)nrck 4 VT e Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000376 Date 909832 1025 E 6TH ST 06-30-00-0-1-9275-0000- ELECTRICAL ONLY 3/27/08 RS7 RESDNTL SINGLE FAMILY o Application desc Sub to garage Owner Contractor -- Q N \J\ WARREN S MILLS III/NANCY MILLS 1025 E 6TH ST PORT ANGELES WA 98362 EXTRA MILE TECH & ELECT., LLC 418 N. RACE ST. PORT ANGELES WA 98362 (360) 457-0198 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 123638 Permit Fee 46.00 Plan Check Fee Issue Date 3/27/08 Valuation Expiration Date 9/23/08 .00 o ~ Qty 1. 00 Unit Charge Per 46.0000 ECH EL-R-OUTBD/DTCH GAR SEP Extension 46.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 \J" ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH 3(:Z7~ -W. SERVICE OUGH - IN FINAL ~ OMMENTS: I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001530 Date 12/27/07 922680 1025 E 6TH ST 06-30-00-0-1-9275-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor WARREN S MILLS III/NANCY MILLS 1025 E 6TH ST PORT ANGELES WA 98362 ALL WEATHER HEATING & COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 118158 Permit Fee 35.00 Plan Check Fee .00 Issue Date 12/27/07 Valuation 0 Expiration Date 6/24/08 Qty Unit Charge Per Extension 1. 00 35.0000 EC EL-LOW VOLTAGE 35.00 - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 0- N \J\ ~ (J' ~) SPECTION ELECTRICAL TYPE DATE: RESULTS:' INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: d'"""~ s~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANOELES. WA 9R%2 ELECTRICAL PERMIT PERMIT NO 7289 ISSUED: 6/04/2001 OWNER/APPLICANT WARREN S. MILES 1025 E 6TH STREET Port Angeles, WA 98362 360/452-6830 T: S: ARCHITECT N/A CONTRACTOR owner VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Type: RES. MISC. Occupancy Type: Occupancy Group: Electrical Heat: D Baseboard D Furnace D Heat Pump D Fan Wall PROPERTY LOCATION 1025 6TH ST E Lot: 16 Block: 192 D Long Legal Subdivision: TPA Parcel No: 063000019275000 . 98360-0000 360/000-0000 $0.00 Project Value: Construction Type: Zoning Use: - CI I'l VI o KW o KW o KW o KW D Riser D D Overhead Service D Temp Service Q- .Sl> ~ Underground Service Voltage: 0 Phase: [gJ 1 D 3 Service Size: 200 Feeder Size: 0 PROJECT NOTES ADD TWO SMOKE DETECTORS, NEW CIRCUITS ~ ~ $0.00 $0.00 $44.25 $0.00 $0.00 $44.25 $44.25 $0.00 v t "" " + FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Mise Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE ((J\i~lI\'IS,iA(;':TlON NEEDE]) ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO -iN I \.-UVI:\K '-'(0(0 I .1! J.- 1~f-;aL ,eo......."t, 1)tKVILt \" 'd,-Z{a. RIN.<\,T It.hU"" I 7i'l_ I GENERAL COMMENTS, PW-I 102.15 1-4I96J . I ",l BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: jD-'2S'~~ Permit #: ~ 8 0 Date Approv : Date Issued: ~IC Wfi.:P The Building Permit Application must be filled out completely. Please type or print in ink. If you have any quest~ons, please call 417-4815 Architect/Engineer: Applicant or Agent: t,U,L)I!./?bt.J.:5. /7l1iL!; ~~) Address: /OZ5* e ~p;I tffp4dZ Oa;,(/~ Owner: City: /J1lr ~~.BS Phone: ~~) ~2-~J'8o ('~) Zip: 96'3~z Phone: Phone: Contractor License #: Exp: Phone: Address: - City: Zip: PROJECT ADDRESS: /OZS' ~ t:$- 6~ ZONING: . I<S-7 LEGAL DESCRIPTION: Lot: /fJ? Block: /9z. Subdivision: rP;9 CLALLAM COUNTY PARCEL NUMBER: ~~I9'Z75Q;10Credit Card Holder Name: Billing Address: flJ2S' tiT ~7#- . City: ~ 19N~ Credit Card #: Exp. Date: . VISA' MC TYPE OF WORK: SIZEN ALUATION: o ,Residential, 0 New Constr. 0 Re-roofO:3Vood~stove SF. @ $ o Multi-family d Addition 0 Move (i('Garage. (det:) . SF. @ $ OCommerciardR~tti~del 0 Demolition ODeck >c "'SF~@ $ /SF. = $' . 'i<x;,[;,{.,.,.;.~tt~'i1L!.,',O Sign .' ' 0 ' , .,., .,y~,"~)fi'TOTttLVALUATION $ BRIEF 1>~~.~!rr(l~9~\~!PROJEcr, ~~~!f:e~~~~~ rL';i~;C~~!~~~:.".:.','..'.:,.',',..'.0.t.,.:,..'..:.: 'C;\,"E:;fi;;'p:{rj e:<<?; j'"",:;: " COMME~~' " ':. :s~E~lrL<\LT:dccup~cy Group: ; .....;,~t}{~~~~~~t~~(iX;'~:. ,,;'~:JL;"'C6nstruction Type:!,:r,:~'f:i;~:~iy&,'t~ir~:l~:;~J ., No. ofStoh~~:'~!~.'1r . " Lot ;siz1'~;,': lbob~ '~.rr~ Lot.C~ve;ag~:: ~::i. .2~ ~ Z. .:,)' ,.~~:: .<',:. ,'; , ','" " ',' . F~;:~~d:"~~. ~ "':;i'F~ A,..J..,' '.. EXistilig,LoU;:;over&ge: 8<<(;/ ~ /sq. 'ft.,+' Proposed;L1)'t'Coverage~ ~;" ~l7 " '/sq. ,ft.:"" tOT4tt-EOT e<DvERA@Ei' 1560 /sq:fl: Y.' PLANNING USE ONLY:,., .. APPROVALS: , ,. PL4.N .. ", )i'ir7F.~~tes.:' "; ;"~~'I~,iYl'i'i.~':f"r';' ;.;;..' .. ';"~'!!:f.,;' ;;'[:I!1'.',lr:;: ";"';'?:" I.'...r,;;.;....:.;"'!:'>;,." JJLnp~.. L )>" ;,~,.,,; , .. ':~.!.Lrtt"'i~ j, ;,.:,~';;.,. .,,'DPW, f;i"~~}" , . ... . ..... " ....r,;,. . ',. . , . ",i',. '. ." '. ""'" ..,...... , , BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to beacceptedfor review. The Building Division can provide you with more detailed information on the application and plan submittal reqUirements. Your completed application, site plan (for additions) and building construction plans are to be submitted 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 417-481 5 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: lfno permit is issued within 180 days of the date ofapplication, 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. .. T:\FORMS\APPSIBuildingpermit Applicant: Date: /0 - 24 -~z I hereby certify that I have read and examined this application and know the set be tru and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to ete ine hat p its a e required; it remains the applicant's responsibility to determine what permits are required and to obtain s h. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: , Date /2 - S--. 0"2- Time Received by Rt/ (phone, person) Location of Work to be inspected / D2. b ;;::- b ~ '-r Name of person requesting inspection '"RoliJ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer raming Chimney Plumbing Final Sewer Excav. Other Phone No. ~ 63"2. 8 Permit No. I 5> 80"3 Time By (3. K~r3 ~ INSPECTION NOTES: Inspected: Date t 2.... ~"" 0 t..... Remarks: RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ,----- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST:~ ~ Date I 2-- L 07- Time Receive(J by ~ (phone, person) Location of Work to be inspected /0 Zr C ~'6I Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspe' circle appropriate one): Permit No. ~ ::----- , Sewer o~ndation~ Framing Chimney Plumbing Final Sewer Excav. Other ~ .CJ./G(~ Time By INSPECTION NOTES: Inspected: Date ./2- t/ - 0 ~ Remarks: RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved OGravel DAsphalt OPCC o Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16333 5" - 3/ )? Port Angeles, Washlngtonmmn:_m_mm__..__n....m_____________m..mmm. 19__nm_ 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. / C .- f' C 1"/' Address nm__~n:~!_';?mm_mm_m_'C:_n>_~~~____n___mnnnm_n___nn__nnmn___ Occupancyn_~m_m____n________n_____ Owner uun.mu"'~~"~_:!:"."-:t...~:'~mm_/fc!:.!.!I_:::!:;lJ2.:-:!--Luun Tenantm.mnnum............._u._.__munnnmu.mu__nmumn Wiring Contractor _m_n~;"'--_':7::!,f.:._~:_m_____nm_m___n____nm_ By_____m_m_mmn__n______nn_____m____mn_m__n___mnn Light Outlets....____......................._.._..... Receptacle Outlets.....__........................ Dryer, KW....nn............__......_.._......._.. Range, KW hnu.hn.............nnn..n..n_ Water Heat~ /f) / II Cllllv.-l~ Heat~:~'1.~~~I_-_::::~_::::___::::_____I::-_::. Motors: size. volts and phase: c,., -J,-",---~-----[!.~--1!!"---I"" @ "'1'1/ IJr ....J ~ &...--.~ C>__________,______________________________n___.__________ /() ;fb------~,-~.r. Total Load..._.........______..__..._.. /.10/ :j(/6 Service. volts ........._..:...__..................... No. wires ........}.._._....._._._..._......... ~0d--'~ Size wlres..__..........:......_............._.. " ~1..,., ,1 If Main fuse ....:._._.:..._.....:......._._........ S- Enclosure ............................___........ Type of wiring: Entrance Cable ....__..___...________ Rigid Conduit ....___......___............... Metallic Tubing ....... Current transformers: No. & Size.....__.....___............._ Ser. No.___........__................................. Ser. No. ............................................. Ser. No.............................................. Ser. No. ...._........._..___.._...._____...__....... Type of Wiring: Armored Cable .....m..................... Non.Metallic ..........00................._... Knob & Tube___.....____...................._ Rigid Conduit _______________________________ Metallic Tubing _______.___________________ Raceway .........._......._............_._..._ Circuits, Light._................_____.......__....... Utility _____________________________________________ lIeat ___......_..._.____......._.................... Range ....._._............._____._..__....____...__ Water Heater ..................._.___....... Motor ..._..........__.._.___....____........_.... Dryer _ ..n.... ..................__... __.__." ...n..O_ Furnace .. ........._._......_...__.____._._.___.._.. Remarks: _nnnmnm_mmmm_nn__nnn_nnn___nnn_n_nn_n_n__mm_nnn___mmn___m_mnn_nn____mnmmnm_mmnmmnm Total.....__......___.....__................ ! -::_=_~~n~::-_-_::::::::::::::-n::--nmn::~_~.~:_-_~_~_~_~~~_~~_:-~_-_~_mmm---m---::-____?z:::,:~~::~:;~I:2~= NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. It work is to be con. cealed due noUce must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16333 Address..........._....._.__._............_.............................._._................__......_..._.....__._.._..___......_..............Date..._.....__.._.___._................:._......_........_ Owner ...nOo..._..._...._._........................._......_......_.._.............................___.....__..____..._._.__..... TenanL.._......._......._n....nnn...._n...n....._..._....nn....__ Wiring Contractor ...nn_...nn..._.._..........................................._.._n........_..___...._._.._._....._......_............ By.n..n........__.______............___....__.......___.....__ 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. . 1M . Olympic Printers, Inc. Dee 27 07 08:29a \~ ""'- ~ Electrical Contractor 0 Owner ELECTRICAL WORK PERMIT APPLICATION V' License number Date: Expires Installation desCriJltj~ CI Commercial ~ResideQtia1 St. Pi Q'Ii.". Cl Altered! AdditioQ LV t- "':>fl21tJAJ, Ut1/) Ow.,,, os defined by /(CWJ928.261.(I) Owne, will oecopy Ihe "'"OCI"" fa, IW" yea," op" Ilris el"""ieal pc"",,, is finahied. (2) O"n", is reqo'Ted to h're an dec,"!ca! COl/tractor if above said property is for sale, rent Or lease. Ailer "ading th, abo" 'tal,m'nt. J hee'by certify Ihall am Ih, Own" of!h, abov, named prOperly o. a lic,nsed ,lee,6,,1 controc,o,. 1 am m.king 'he 'Iee'tical insral. l.'ion or al"IO,ion in compliance with Ihe eJeel/leal Jaw;. N.E.C., RCIY. CI"pt" 19.28. WAC. Cbapte, 296-46B, The C;ty of Por< Angeles Muni.;pal Code, and Utility Specifications. Sig re f 0 nero elect enl co o Cash 0 Check # Credit Card Visa Mastercard Disco\.'er Card # Expiration Date of card ---------------- - (' ROUGH_IN '\ ( THER'ltOSTAT \ f SERVICE I~kl@ ~ D~le APf"'tl~C'<l By C D;J1e A.pProved By ') O<>le Appro\"ed By , .., ( FINAL ( DITCH , FEEDER , bkllJ~ ~.~ I Dolle ...::: Dale APPfovcd By Dale Approved By--, Inspeclion Area, BUilding or Equipment fnspected Action Taken Electrical Dale Inspector - y "- ';'-' SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 Q Overhead Service o Temp Service Q UndergrOUnd Service Voltage Phase Q f Cl 3 Service Size: _ Feeder Size' ..... ELECTRICAL INSPECTION WIRING REPORT 417-4735 C::::;OoL- /lL-G, APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 ~ . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D.................... SERVICE.............~ D..................... FINAL..............~ CORRECTIONS NEEDED: .... , -f~,z.~ k\'( 1ER ~ LA N I< .... -T>I L,;,c.cr-r-fJr;- 7'r FOI"L rii<T~i24C 1Z... NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 MAR-25-2008 10:12 PM E.JANSSEN 360 452 2982 P.01 11 Jf.iji'''''~'' ~:!r~'/"'l-,I;- r:~,:: P. . . _... ....... ~ ......... ...0: DE?T OF O:J:..tM DEli F,1.?~ J:':. :~>:. -= .. '- I , Og-b~/b . ELECTRICAL WORK P.ER.1\UT APPLICATION ~~uIDlJ ConlnCIIOt nlmfl 1Jc~_ 1:I\,;Tf'l"r t11l111t,lru $X Tfl-A ~ l..t. _!.~~_~_.. E\tL,~rt\tA. \ P'Jrnuer', DlID;:t addrI.tl ~e . ~~~~_.2'L__. ~ SIBle Zit -t"o~' 4",,~lu 14lJ4- ".lCi'hlL'\a nllDl."R "^,X. nwr.b." o -'t'n -S'".;a;;1~ ~wc:l - "u:..!!.u:.- Premise. uwuer'i: ..l2\e M.1r.€ m ,lA.-, ."""tut ot IOfPKU.a _L();/O' ~. ,.." 5TIC~_____n_____. Cltl"""") ro,,-T ~"Ie'-ES ,hOlil. Q....., t. '1!'.lllub\ bt.ptttlon; 1/ S-il-" B' YO ON... tJ ..u"",,,Addlli... ~1 ---I G~I .'iJbK<lrfd~ WElrclrk.' Conlne"'r I:J O""er ln1tlU.t1~n lIe.'lenpu"a :l Comm.n:i.1 X ~..M'Olllll H1'2 ~_c...\n.u...\.-T --~.""~._-- ~!'~------- +-0 0..",.,..,,,,, f(/1,IM1!ly A.CW.!9.1!.:~::t.') OWIlV' w:U r./ccw,py rIl~ .W.'.l~ fO,. 1110,. ,.art q(wr tlI1& dtetHDtJl JUMf.l1 tr JU'.!lUrnl ~J Owrl lJ ,.~urri!d 1(1 "~ftl em ';'Cfflal (~.:r~GD" II lI'boW N" JI'O,'1C'r) rs }~... saJ_. relJr or Jecn. A1tet rMdia. eft. .buvo 1IlltI\IIt.1I; L ),I!r'eby ceJti{y tb:u 1 .n'l 11\. O"":wt" of 1b.. a\SOw DU\cd l=''apcl:I:y or III 1I0141l1ld el.cttir:.d amtrl!ClOr. llQ]l r.\.lcia, the tleetrl:J1 lft,nl.:- !J CndIt Ct:rd '.1011 01" a11vatlotl. tll wmplince with r"o e\eetriOll.I 1l1wt, N.!.C.. IlCW. <.~ 1'.28. WAC:_ Cbapt.r UG-441S. 1110 City Cl1 hr: AlIlJlII!~' NUlIle!:p" CC'd<<. m.:t CIIJ'd # ._~._,.__ Will)' 814"~OILlOd'. BIIDIfUrr. (e'WOet', f-l.-elrlul c':IlItr.:::1ur Ot U.etrle.1 adlJlt"tnratlU' X dlf7 ~ Date: pr, Ils/oe ~mlll .-.t Addltlftn. Mid 01. .ubtreollimD tJ NO ~O"D CH4NO!S Cl '_I'd _I(W a Fumaae t<W 0 OV9ft!eCld 6olVi~Cl Q ..... _~ _ Till _ L"" 0 7""", So"""" C FAn.lM:Ilt _ KW 0 Ut'tdorgreund SeMee ~gJ.).AXJNSPEcnON. CALL BJLl"OnE 7:~O AM 360-417-4735 ROtlCll-IN '1 THERMOSTAT" . A;JII""'24ey ) o C.sh DChec;k;i. Expirotion Date "feITr. Vin Ma.!:t~~rrl T':~Ct)vt:r - . .. --I G;n~,l.'.~ __=J ~~ee.n~8Uaft V"'f4~t'I__. ;;tt't!It'.:J ~ Q.s S.:"""S"":_ FNdl4" Slzl':: Dol' ........... 0.. ~Y1--1~CE:D~i ~~. _._____. 11" ( ~-----~-; ~ ~......O'''1'.". l'1"lAL~\ >!e.1oA ''''''''0') EtOOtrio.sl lus1":1or Inlll.etiM O.t. -~~'~~---==f-~-: __ I '= i- ----=1:"_______ t--~~=: ---T. 101-15''3-0 _ _