HomeMy WebLinkAbout806 E 6th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
08-00000725 Date
474650
806 E 6TH ST
06-30-00-0-2-0735-0000-
JOHN HUBBARD
MECHANICAL APPL. PERMIT
6/24/08
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . . . . . .
Application valuation . . . .
RS7 RESDNTL SINGLE FAMILY
9577
Application desc
HEAT PUMP INSTALLATION
Owner
Contractor
JOHN N HUBBARD
806 E 6TH ST
PORT ANGELES
(360) 457-4316
WA 983626404
ALL WEATHER HTG & COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452-9813
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
HEAT PUMP INSTALLATION
128439
64.80 Plan Check Fee
6/24/08 Valuation
12/21/08
.00
9577
Qty Unit Charge Per
Extension
50.00
14.80
BASE FEE
1.00 14.8000 ECH ME- INSTALL 100- FAU
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
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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.
T:Forms/Building Division/Building Permit (05f13/08).wpd
Signature of Owner (if owner is builder)
o
CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. \:R
CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS. \ I
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE ~
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION. ~"-.J
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. 'J"\
BUILDING PERMIT INSPECTION RECORD
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDA TlON:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS I ROOF I CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR I CEILING
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE PB
WOOD STOVE I PELLET / CHIMNEY FINAL(-IL./ - 0 g DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT II's SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT ~
CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
C
PLANNING DEPT. 417-4750 PLANNING DEPT. ....,.
BUILDING 417-4815 BUILDING - ~
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Jun 17 08 11 :42a
p.2
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St, Port Angeles, WA 98362
(360) 417-4815 fax {360) 417-4711
For City Use Only:
Date Received 0 ~ -17~08
Permit # 08 -72- ~
Date Approved
Parcel Number
PROJECT ADDRESS
~OG, e . CoM
Proiect TVl3e & Brief Descril3tion:
Check all that apply
C New Construction
o Addition
o Remode!
o Repair
oRe-roof
o Demolition
o Sign
)4ieat System
o Other
Floor Areas
Basement
1 SI Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Lot
Zonin
o Multi-family
o Industrial
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
eat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Existinq (sq. ft.) Prol3osed (Sq. ft.)
@$
per sq. ft. = $
TOTAL VALUATION $
\ \'(\€...
sq. ft. .
%
o'Je)[
,*"e
~oyYt
~ \ II'lO~
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
I have read and completed this application and knew it to be true and correct. I am authorized to apply (or this permit and
understand that it is my responsibility to determine what permits are required, an to obtain permits prior to working on
projects. (, 0-,,, j rI f}i/'\
Oate\ 0\ 1- C'O Print Name (Af\1fV\f\e' V HllLUJ J Signalur
T:FormsJBuilding Oivision/Bldg Permit Appl.-2006 Code.doc
Lot size
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
ft.
Occupancy group
Occupant load
Construction type
I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000724 Date
599892
806 E 6TH ST
06-30-00-0-2-0735-0000-
ELECTRICAL ONLY
6/19/08
RS7 RESDNTL SINGLE FAMILY
o
Application desc
T-stat
Owner
Contractor
HUBBARD JOHN N
806 E 6TH ST
PORT ANGELES
WA 983626404
ALL WEATHER HEATING & COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 9813
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 128421
Permit Fee 35.00 Plan Check Fee
Issue Date 6/19/08 Valuation
Expiration Date 12/16/08
.00
o
co
()
(j
Qty
1. 00
Unit Charge Per
35.0000 EC EL-LOW VOLTAGE
Extension
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
~
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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
6' 28' ~
FINAL
~-Z!6 {)6 ~
OMMENTS:
..--~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000711 Date
053861
806 E 6TH ST
06-30-00-0-2-0735-0000-
ELECTRICAL ONLY
6/19/08
RS7 RESDNTL SINGLE FAMILY
o
Application desc
200 amp service w/ electric furnace
Owner
Contractor
HUBBARD JOHN N
806 E 6TH ST
PORT ANGELES
WA 983626404
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 128256
Permit Fee 64.00 Plan Check Fee
Issue Date 6/19/08 Valuation
Expiration Date 12/16/08
.00
o
00
~
Qty
1. 00
Unit Charge Per
64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
~
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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
d'ORT~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property zoning . . .
Application valuation .
03-00000204
806 E 6TH ST
0630000207350000
ELECTRICAL ONLY
Date
3/16/03
o
Owner
Contractor
HUBBARD JOHN N
806 E 6TH ST
PORT ANGELES
WA 983626404
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ELECTRIC SERVICE
46.70 Plan Check Fee
3/16/03 Valuation
9/12/03
.00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pUbiic 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 cancei 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
T:\PLANNING\FORMS\1 102.15 [4/2002J
BillLDlNG PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE U 3 .- ~ 1-/
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMH: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF! CEILING
DRYWALL
T-BAR
INSULATION
SLAB I
WALL! FLOOR! CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE! PELLET / CHIMNEY
HOOD! DUCTS
PW UTILITIES / SlTE WORK (Engineering Division) SEPARATE PERMIT Irs:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 3h,,/~! A-r:-o ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI I f CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILD1NG 417-4815 BUILDlNG
T:\PLANNlNG\FORMS\l 102.15 [4/2oo2J
rJ'ORT~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03~00000154
806 E 6TH ST
0630000207350000
RES REMODEL
Date
2/21/03
7000
Owner
Contractor
HUBBARD JOHN N
806 E 6TH ST
PORT ANGELES
WA 983626404
LINDQUIST CONSTRUCTION
1509 W. 8TH STREET
PORT ANGELES
PORT ANGELES WA 98363
(360) 452-4820
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 162.75 Plan Check Fee
Issue Date 2/21/03 valuation
Expiration Date 8/20/03
65.10
7000
Qty Unit Charge Per
Extension
92.75
70.00
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BASE FEE
5.00 14.0000 THOU BL-2001-25K (14 PER K)
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
54.00
2/21/03
8/20/03
Plan Check Fee
valuation
.00
o
1. 00
BASE FEE
7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
Extension
47.00
7.00
\\
Qty
Unit Charge Per
Other Fees
STATE SURCHARGE
4.50
Fee swnmary Charged Paid Credited Due
------------ ---------- ---------- ----------
----------
Permit Fee Total 216.75 216.75 .00
.00
Plan Check Total 65.10 65.10 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 286.35 286.35 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pubiic 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 di~ances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presu t ive authority to violate Jr cancel the provisions of any state or local law reguiating construction or the performance of
cons c n. ' -
)-O-{)
Date
Signature of Owner <if owner is builder)
Date
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 0 ~ -15<1
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARA IE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN U-jY-rlZ RI}
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
I-BAR
INSULATION
SLAB I I I
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE,
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW / CONSTRUCTION ~ R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FlRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 J.-/-IH-O'l r-<IJ BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
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BUILDING PERMIT - APPLICATION
FOR OFFIClAW}SE ONLY'
Date Rec.: e..-z.c:>.-.63
Permit #, / <'-7'
Date Approved:
Date Issued:
~IC~
The Building Permit Application must be filled out completely.
Please type or print in ink. If you bave any questions, please call 417-4815
:::::.,];1:"' ';j;:j'-"L Ph;:,o,
Address: g Of.,. -~ . (/P.J;!.- t; I. City: ;2 f 4~ Il&,
(
ArChitect/E2ineer:. Phone:
'J .1. ---:-f . L#Jq>Cf t',J~ kK... I ')QD;./ 'fS"J- cfcf:J-o
C,o""'t"'. "'. QUJ.7 ~~ fl"'j .Li'ffi"' #e; I ~ Exp' 4- d' IPhwo
Address: /S-oCf lI/~sf g- G, City:_~ -!~ elG... Zip: 9'8.>(0)
PROJECT :WD~SS: ,fOb f c;! ,{-> r ZONING:
LEGAL DESCRIPTION: Lot: Q Block: Subdivision:
CLALLAM COUNTY PARCEL,NUMBER:J'b~DiJOtJJ..073S- it Card Holder Name:
Billing Address: . City:
Credit Card #: Exp. Date:
L./, ':;7 - 4'':? ( 6
,
Zip: ~6' 3Gn(
VISA
MC
TV..l'1i.' OF WORK:
,e(it;'idential 0 New Constr. 0
o Multi-family 0 Addition 0
o Commercial fI{ ~emodel 0
Ill"'Repair 0
Re-roof
Move
Demolition
Sign
Wood-stove
Garage
Deck
SIZEN ALUATION:
SF. @$ fSF.~.$
SF.@$ fSF.=$
SF.@$ fSF.=$'
TOTAL VALUATION $
~D
7~
BRIEF DESCRIPTION OF T
. '1
PROJECT:
//1$ td- p~
~ E,{;,E',
4-e
-
COMMERCIALIRESIDENTIAL: Occupancy Group:
% Lot Coverage:
/sq. ft. + Proposed Lot Coverage:
Occupant Load:
Construction Type:
No. of Stories: i Lot Size:
Existing Lot Coverage:
PLANNING USE ONLY:
Notes:
%
/sq. ft. = TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
FIRE
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befilled out completely to be acceptedfor
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.
/sq. ft.
V ALUA TION 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 exteud 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.
Applicant.
Date: ,;)- ;/0- 03
I hereby certify that I have read and examined this application and know
this permit. I understand it is not the City's legal responsibility to
responsibility to determine what permits are required and to obtain
T:\FORMS\APPS\Buildingpennit
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT . . . . . .
V'L/
REQUEST:
Date ~ -11-~63
Time
Received by
{2,\1
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
86b E 0 'IlL
;:hI: '--.t..<....., 1.<.:",+
Phone No. '/57.. - ~'i320
Permit No. / St.!
~ Sewer Excav. Other
Sewer Foundation Framing Chimney Plumbing
INSPECTION NOTES:
Inspected: Date q- /'-(-03
Remarks:
Time
By
KO
Dk
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
[] COMPLETE
[] INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT . . .
~j
REQUEST:
Date ;/ - 'd-/ - C;::S
Time
Received by
f?v
(phone. person)
C t6-t-Lt
1-.-"""11_1.I..Js:.. +
Phone No.
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney E~3 Final
IOv<.$ k. l'^-
~Ob
gob
Permit No.
Sewer Excav. Other
/5;L!
INSPECTION NOTES:
Inspected: Date 2 - 2 i::3 -()~
Remarks:
Time
By
Rt/
OfZ
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel DAsphalt Dpcc
D Other
D Repaired by City
D Repaired by Permittee
[] No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16039
....- . ~
,,'" ,.Ii'"
Port Angeles, Washington.m__....m______._......____................m...m....., 19,0000000
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 electriqal work as listed below.
<:;:', ,? ,- .::-' r /,"
. ' - - c.~ ,. ('r.. /'- '-'
~::::soo:::::::::~:.;~:~;:~::~~:~;:?:;~?~:;::::::::::::~;:::::::::oo;~:~~~~:::ooo~::~~~-~~.~:::::::=:::::::::::::::::::::::::::::::::::::::
".' ,. '1\......... ,,-y
Wiring Contractor _':ooo::.:oooo.:.;m.m--:--~-m--..-oommoo::-::--m.-.m. By__.oom.mm.__m._._____.m.ooh_.m._moo__._.__h___.moooo
./c-:-,J, : . C
Service, volts .......::....7::.-..................
No. wires .......................................
Light Outlets............m..m.__........_.._.....
Receptacle Outlets........mm.m___m.......
Dryer, KW nn....h...........................__...
Size wires......nmm........mmm...._..
Range, KW h......u...........
Main fuse .h....................................
Water Heater:
Enclosure ..m.....__.................m.......
KW........_........._.........m_
Type of wiring:
Entrance Cable mm....m....__..........
Heat: KW...........__.................h............
Motors: size, volts and phase:
Rigid Conduit m...h........
Metall1c Tubing ....mm..m..
Current transformers:
No. & Size__hmhmm___....m__......
Ser. NO.................................h...........
Ser. No. ......h..h.............h..................
Ser. NO............n.................................
<"
Type of Wiring:
Armored Cable ................m..m......
Non.Metalllc .___..........___._..___.._______
Knob & Tub.....___..___..___..___..______....
Rigid Conduit ___..______....................
Metallic Tubing .....m...................
Raceway .................................._...._
Circuits, Light...m..h.............................
Utility ..............................n......n.....
I-Ieat ......................................._......
Range .............................................
Water Heater ............m................
Motor ..._........................................
Dryer..................................................
Furnace .........................'_...................
Total Load.............................. Ser. NO,....hh.........~h............h............ Total .......................~.............
// ,. .- . -
(/ . (' , I _ .,' J _
~~:;:f:;",;.Jt:~;:::::::;::::::::::::::::::::~~:;~:::::;:;~:~;;v::::::;::::::~:::;t,~;~;.~?::::::::::~=~~=:=::
Permit Fee
Treas. Receipt
NO..m___.________m__m.m
By _.m_____mm.m.ooommooo__m_..__h_______.______.m___.___
$..h____________.__m__m.mmm.
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
ELECTRICAL PERMIT
N?
16039
Address........................................................................................................................................Date..._.......____.._.._.........._......_.................
Owner ....n.....n......................_......_.._.............._.._........................................................... Tenant......nn.....n...uun..........................................
Wiring Contractor....................................... ...................................................................................By..............................................................
NOTICE-Current must not be turned on until Cert1f1cate ot 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.
Jun 17 08 11:41a
D<6cOr2Y
.,~~
c-Y-- ' 'l.;.
~.
~'" S"}'
-~
Job ",ired bJ'
o Electrical Contractor 0 Owner
Electrical contractor flame
All u.](lal1'\~l-~l1I';ll-':j < (Mlio()
PurCMsr:('S m<lihng address
"~'f.';Z lU mr 0\:
~y
. (J/'I rmm-Elf)
Telc non~ number
LiCl:I1SC number Date Expires
l'll..lU'FkJi1Q..,_j.lAIJ Oi-l.On
~)(-~V1vn-ti) 60a.vd
Address or inspection
fYY.n E. (oM ~.
~ ~()vt f\v1C') eke:;; _
Phone
OW':l'r as Jefinl!d b}',RCW/9.2826/:(I) Owne'- will occupy the structure/or two
_wan;: ofier rhi!' {,'I'eClrica! permj/ iJ' finalized. (1) Owner i~' required to /rire an cleclricol
crmtrac!or if lJbo~'e .Iaid prope"(I' is lO1" j'{Jle, nmJ flr !f!a.H~.
Af[cr reading the above stalcment, I hereby ccrtry 11131 1 am the owner oftbc above
named property or OJ licensee c1::ctrical contractor. [ am making the electrical inSfal.
Jation or ahennion in compliance with the ;::]C'ctn.:al Izws. N.E.C. RCW, Chapler
19,28, WAC, Chapter 196-468, The City of PorI Angeles Municipal Code, and
Ulilily Specificalions,
s;
Date:
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
CI Baseboard KW
o Furnace 10 KW
o Heal Pump 1...5 Ton:::t7 LAR
o F an-WaJ KW
p1
ELECTRICAL WORK PERMIT APPLICATION
lnstalll'llion description
o Commercial -,cReSideotial
~
\
S
N
L
o ~ew
X Alte~d/Addition
L-V
-r-- Sm. t- {A. J LrlJ1q
Q Cash Q Check ~
~CreditCard
Card #
\~sa
Mastercard
Discover
-------~--------
Expiralion Date
of card
Service Informal ion
.:J
o
o
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
Voltage
Phase 0 1 (J 3
Service Size:
Feeder Size:
Overhead Service
Temp Ser\lice
Underground Service
( THER"IOsrAT )
; b-;?b .f)f? "'fAY I
"Dm" Appro,-c<.l Oy ../
/'
"
ROUGH-IN
'--
LhllC
Appr,,,,,.:oJ Uy ./
ANAL
h-2.~ ~
'- D~IC Appl1l"~" [3)--""
DITCH
D~\~
Inspection
Datc
Area, Building or Equipment Inspected
~
/'
SERVICE
Dale Aprro'.~~ B~
"
FEEDER
I
;'
App....vaJUj.. ../
Dale .\pl'......oo U,.
Action Taken
Electrical
InspeC10t
~
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE
b -Z!"-Cf6
OWNER/CONTRACTOR
tv..
ADDRESS
80(;, €
c.
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . R-
D. . . . . . . . .. . . . . . . . . . . SERVICE.. . . . ... . . .. . . . .. . . 0
D.. . . .. . . . .. . . . . .. . . . . FINAL. . . . . . . . . . . . . . . . . .. . 0
CORRECTIONS NEEDED:
,
L..-ASk,-
7"" rJ ~_L
,
::,t-1Fe.ITrl (&--1(., ..., lilALI ~..l<'" i305<- of2.- (loAf
,/,-/,(
I DP'LN" t Y N..![.lJIIe--AJ tf"7 l,j/rt lIE
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
06/15/2008
19:52
4579270
01
SIMPSON ELECTRIC
PAGE
. ~
,
~i ..~ _ _
.
ELECTRICAL WORKPERMlT APPLICATION.
Elccn-ical contractor name LiCCllSe numbeT Dab: ExpiJ'er;:
S; 'nDrS"(:'Yl r:: I~vhr..'''- ,C)unps EL'173/(.Q)
PutehlSld mallinj; ad~.ll ,.
,.:1.'I~f)36 /J-uIVr j 0/ tv
City P,LJ U' DA Zlr '1fJb3
T".pho.. numb.! !AX numbe< ~
Job wired by
11\stllllation ~cription
o Commercial )(Reslde.atial
Q;
C7\)
G
.:J
)14 Electrital Contrattor lJ Owne.
iJN....
~AIlendlAddltlo.
Ufd~ Sen),'ce ..J-o
~(J1~
HooK- ~ ~ ~
"t- Y--U--1./~
-.
----
rremlses owner', fUlmc I L . J.. l /
:J c h n r-rlA-VQ-"'-/YL
Add.... .r '.'P'~~OCJb E _ b tiJ s+.
City ;J. A.
Pbonr alJ-.ber to !lc:bedu'e fhSpcdloD:
OWNer- 4s defhled by RCw'/9.28.2fiJ:(I) Owner,.,m oce"I'" 'At: $'ruclu.,~fo,.lwn
ymn after 'his el~trit:al fX"Nrlil is f~ (2) OwIJI:'T is f'n/"lre4 to hln G1I t:lt:r:tncal
Co"'rt2do,. if tlboVl!' ~Qld proptnty is fn,. .(all!, rort or looSt!.
A ner reading tbe above statement, I hereby CerTjfy that I SJt1 the OWT'lCf of the above
named property or a liccnsed electrical crmrr:aCWr. J am makinl1he dcc:trical instB1-
talion or 31tenltion in cClf\1plianec with the electrical law$. N.E.C.. RCW. Chapter
19.28. WAC. Chopter 296.46D. The CilY of Pori Angele~ Municipal Code, end Card #I
Utility Spec:ificarion~. '1
Sl'Hulton of DW en otll!ctrlc.. tontrattor . e' nrlesl admJn'!ltr.tor
X I 1/~ - te: tt6 I)S
6lt~.!r1cal LOBel AddltlonBAnd or sub\t8.1ltIl .
o NO lOAD CHANGES
o BalIoboard _ KW
~ Fumace Jb. KW ~ D..mead Service
JiiI Hoat Pump ::2.. Ton _ LAR 0 Temp Service
iJ Fen-Wall _ KW ::J Undergroul1cl Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
"7,/'fCQ;,
bfLlllil't
FINAl.
~
O.le
Inspection
Date.
lJ Cash a Check #
Credit Card I!fil Mastercard Di_cover
__L?~~_-____-____
ElIpiration Date
ofeam
ServlC$'lnfonnBtloD
VOllege 2.40
Phase'tl..10s
Service Size: ~~
Fead$r Size:
SERVICE
~~.,
0..
~Ar
~
DITCH
"t.lWEI<
Do"
"lIrftWCd Hy
D~lt
~B,
Area, Building or Equipment Inspected
Action Taken
Electrical
II"l~poc:tot
() tI.,&'U,Ic,,~ Sn.vJcF
""." ...
.....
.,'
.
....
0).....
/,
\ '.
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-
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lJveR-
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"
Article 100 - Definitions
examples of such systems have been deleted from the defini-
tion. Some examples of a separately derived system may
include a generator. a battery. converter windings, a trans-
fanner, and a solar photo voltaic system provided they "have
no direct electrical connection" to another source.
Service. The conductors and equipment for delivering elec-
tric energy from the serving utility to the wiring system of
the premises served.
The definition of service includes the statement that electric
energy to a service can be supplied only by the serving
utility. If electric energy is supplied by other than the serving
utility. the supplied conductors and equipment are considered
feeders. not a service.
Service Cable. Service conductors made up in the form of
a cable.
Service Conductors. The conductors from the service point
to the service disconnecting means.
Service conductors is a broad term and may include service
drops, service laterals. and service-entrance conductors. ~
term speciticallv excludes. however. any wiring on the sup-
ply side (serving utilitv side) of the service point. Simply
put. the service conductors originate at the service point
(where the serving utility ends) and end at the service discon-
nect. These service conductors may originate only from the
serving utility.
If the utility has specified that the service point is at
the utility pole. then the service conductors from an overhead
. distribution system originate at the utility pole and terminate
at the service disconnecting means.
If the utility has specified that the service point is at
the utility manhole. then the service conductors from an
underground distribution system originate at the utility man-
hole and terminate at the service disconnecting means.
Where utility-owned primary conductors are extended to
outdoor pad-mounted transformers on private property. the
service conductors originate at the secondary connections
of the transfonners only if the utility has specitied that the
service point is at the secondary connections.
See Anicle 230. Part VIII. and the commentary follow-
ing 230.200 for service conductors exceeding 600 volts.
nominal.
Service Drop. The overhead service conductors from the
last pole or other aerial support to and including the splices.
if any. connecting to the service-entrance conductors at the
building or other structure.
28
In Exhibit 100.13, the overhead service-drop conductors run
from the utility pole and connect to the service-entrance
conductors at the service point.lConductor~ 2..0 the utIlI{~
l sloe at me service point are not covered by the NECJThe
utility specifies the location of the service point. Exact loca.
tions of the service point may vary from utility to utility, m
well as from occupancy to occupancy.
Service.drop conductors
/
o
Service-entrance
conductors
Exhibit 100.13 Overhead system showing a service drop frc
a utility pole to attachment on a house and service-entrance
conductors from point of attachment (spliced to service-drop cc
ductors). down the side of the house, through the meter sock
and terminating in the service equipment.
Service-Entrance Conductors, Overhead System. 1
service conductors between the terminals of the serv
equipment and a point usually outside the building, clear
building walls, where joined by tap or splice to the serv
drop.
See Exhibit 100.13 for an illustration of service-entm
conductors in an overhead system.
Service~Entrance Conductors, Underground Syst
The service conductors between the tenninals of the ser'
equipment and the point of connection to the service latl
FPN: Where service equipment is located outside the
building walls, there may be no service.entrance conduc-
tors or they may be entirely outside the building.
See Exhibit 100.14 for an illustration of service-entr,
conductors in an underground system.
2005 National Electrical Code Hal
~
-r
!
Article 100 - Definitions
Meter and
service
equipment
Service lateral
Service-entrance conductors
:.
Meter and
service
equipment
\
Service lateral Terminal Service-entrance conductors
box
Exhibit 100.14 Underground systems showing service laterals
run from a pole and from a transformer.
Service Equipment. The necessary equipment. usually
consisting of a circuit breaker(s) or switch{es) and fuse(s)
and their ,accessories. connected to the load end of service
conductors to a building or other structure. or an otherwise
designated area, and intended to constitute the main control
and cutoff of the supply.
Service equipment may consist of circuit breakers or fused
switches that are provided to disconnect all ungrounded
conductors in a building or other structure from the service-
entrance conductors. It is important to understand that indi-
vidual meter socket enclosures are not considered service
equipment according to 230.66. A case could he made that
potential and current transformer cabinets associated with
utility meter enclosures are also excluded from the definition
of service equipment.
The disconnecting means at anyone location is not
allowed to consist of more than six circuit breakers or six
NutimwI Electrical Code Handbook 2005
"'--
switches and is required to bl: readily accessible either out-
side the building or structure or inside nearest th~ point of
entrance of the service-entrance conductors. See 230.6 for
service conductors out...ide the building and Article 230. Part
VI. for service disconnecting means.
Service Lateral. The underground service conductors be-
tween the street main, including any risers at a pole or
other structure or from transformers, and the first point of
connection to the service-entrance conductors in a terminal
box or meter or other enclosure, inside or outside the building
wall. Where there is no terminal box, meter, or other enclo-
sure, the point of connection is considered to be the point
of entrance of the service conductors into the building.
As Exhibit 100.14 shows, the underground service laterals
may be run from poles or from transformers and with or
without terminal boxes. provided they begin at the service
point. Conductors on the utility side of the service point are
not covered by the NEe. The utility specities the location
of the service point. Exact locations of the service point may
vary from utility to utility. as well as from occupancy to
occupancy.
Service Point. The point of connection between the facili-
ties of the serving utility and the premises wiring.
The service point is the point of demarcation between the
serving utility and the premises wiring. The service point is
the point on the wiring system where the serving utility ends
and the premises wiring begins. The serving utility generally
specifies the location of the service point.
Because the location of the service point is generally
determined by the utility. the service-drop conductors and
the service-lateral conductors mayor may not be part of the
service covered by the NEe. For these types of conductors to
be covered, they must be physically located on the premises
wiring side of the service point.UfJ.h.e conductors are located)
[on the utility Side of theservice point. they are not covereCP
I by the oefinitilllLofsen.ice..C,Qlllfllctors anoaretTieretore noV
rcovered bv the NEC!
Ba'ied on the definitions of the terms service point and
service conductors. any conductor on the serving utility side
of the service point generally is not covered hy the NEe.
For example. a typical suburban residence has an overhead
service drop from the utility pole to the house. If the utility.
specifies that the service point is at the point of attachment
of the service drop to the house, then the service-drop con,.
ductors are not considered service conductors because the
service drop is not on the premises wiring side of the service'
point. Alternatively, if the utility specifies that the service'
29
~~,
FROM
Electric~S 17"
, {:/
FAX NO. : 4526424 Feb. 26 2003
The Electrical Permit AN:Jication must be "!lad out comaletBlv.
09:57AM P2
. Valt."II).:IUI.'=l,/,"'7-rrU
t Dale l~~~.i: -~{_
Plea.. ~ or repMnt 1ft Ink, It y.u hi.... I.Y qu..~o.., plea.. call (360) 417-4735
FUJI numbor: (380) '17-471'
/
OWner or Elec. Contractor AGent J~<2..L"f'Y.il' \..t.. ~.....'" l.~([ ,..L L '--
Propet1yOwnec "OVl h ~-Jh bcu.c:;l
Addre.s: 'to&' ~ 10'" City: P':>ri: A"rl~, ,
r:,-. C". _ 3'd"-"
ElectrIcal Contractor: \Z,..t.e t.."t1L\.<- ~ I ~_ Li;::8nse#:Qu2.c:.~j I Exp:
Add",.s: ~"L ~ V:~ ~& City ~~n., ~
INSTALLATION WI REO BY: 0 OWNER ~L CONTRACTOR
9~
(yv'- City:
Pnon~:
REQUEST INSPEC TlON 'I
"~\I'2V Fe>: 1..\ ~-')..-G.~...,.. I
Pho.e: Lt ,') 7 -'1 ~ I}
.cr 8 3(/> '/
Phone: 4 r Z. -l.,
Zip: <fT?t,.'-..
Zip:
o/r"h~
r
, ,
;l~'_
Credit Card HOlder Name;
8111ing AddrD$$:
Credit Card NumbGl':
Zip:
Exp. Oate:
, VISA:_MI
PROJECT ADDRESS:
<?0~ E G:, -ik
TYPE OF WORK: Check 1MI that apply: !.J New 0 Alteratien/Addltion
YRasldentaJ 0 MultJ.famlly 0 Commercial 0 Mobile Homa Sq. Ft
Remote Meter 0 Detached garage [J Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom, 0
Number of Circuits added or altered: l
DESCRIPTION OF THE ELECTRICAL PROJECT:
b Qh(.p,,~ J11
!
$' ~ '. '.. "\ '1;..</ Clt< JiZesiC~mt:.:
PERMIT FEE: ~.70 > Servic.lnformation '
Electrical Heat Load Additions
o Baseboard
o Fumace
Ci Heal Pump
~ Fan-Wall
KW
fW{
-TON LRA
.LfWf --
o Overhead Servlca
a Tamp Service
C) Underground SeNiee
Voltage:
Phasa: 0 1 0 J
Sarvlce Size:
Feedar Size:
PAMC 14.05.060(9): For Industrial, cOrlOrnercial, & residMI'al nrojects larger than a duplex, a one - line drawing of the Electrical Sarvlce
Feeders, building size (sq. ft,), load calculations, and tha type & of conductors and/or racaway Is reqUired and shall accompany the Electr
Permit application.
I hereby cartify that I have read and examined this Clpplication 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
required; it remains the applicants responsibifity to determine what permits are required and to obtain such.
1( &:(0) I 'Ii. ' '"It, .\LJ .J'D
. 1\:1- () ~ /(C1 ~ r '6,
Credit Card Holder's Slgnlltur..,
~~
Date:
Owner or Elec. Cont. Signatura:
C:/ELECTRiCALPERM IT APPL ICA TION
Date:
0-tL- c ~
:z.-27-0~
~
--------
\~