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HomeMy WebLinkAbout616 E Front St - Building May 13 2013 04'10PM Olympic Electric Co., Inc 3604523498 page 1 RECEIVED VV MAY 13 2013 Ls CITY OF PORT ANGELES PERMIT APPLICATION ���������� � Building Division/Electrical Inspections DEL URICA 1 321 East Fifth Street—P.O.Bog 1150 /Port Angeles Washington,98361 V Ph: (360) 417-4735 Fax: (360)417-47ll Date:, 21 Multi-Family or Commercial' *Plan Review Mav Be Reauired,Pleme Cornplete Electrical Plan Review Information Sheet Job Address. � � ��� Building Square Footage: Descriplion of above_277 :��4 Owner Information Contractor Information Name:) � � l� S��i Name: OLYMPIC E-EGTRIC Mailing Addrass:U;r ec--- ZKC�r' sr Mailing Address: 62+0TUMVVATER city' ry _Slate:Lke�PLZip: %r cr� {',Ity: FOR7ANGELE3 State: WA Zip: 98363 Phone: ax: Phone:366457.5303 Fax' W-452.3483 License 4)Exp. License 41 Exp,2­Ecxaao+ Item Unit Charae gly Total LOU Multiplied by Unit Char-gel Service/Feeder 200 Amp, $132.00 $ Service)Feeder 201400 Amp. $160.00 $ ServicelFeeder 401-600 Amp $226.00 $ Service)Feeder 601-1000 Amp. $288.40 $ Servioefeed er over 1000 Amp. $410,00 $ Branch Circuit W!Service Feeder $ 5.00 $ Branch Circuit=Service Feeder $ 7400 --- $ `== Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp,Service!Feeder 200 Amp. $102.00 $ Temp,ServicelFeeder 201-400 Amp $421.00 $ Temp,ServicelFeeder 401-600 Amp. $164.00 $ Temp.ServieelFeWder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ SignlOutline Lighting $ 88,00 $ Signal CircuiU Limited Energy—Multi-Family $ 64.00 $ Signal Drcu!VLimited Energy;First 1500 at—Commercial $ 96.00 $ Note: 55.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Slat 'cr $.,,Z4 Total 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 ownerof 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 Municipal Code,and Utility Specifications and PAINC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ Chock ' © credit Card A % ��_ Dated: ELECTRICAL PERMIT 1 CITY OF PORT ANGELES 360-417-4735 Application Number 13-00040513 Date 5/14/13 Application pin number . . , 230299 Property Address , . , . . 616 E FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2140-0000- of]your excise tax form Application type description ELECTRICAL ONLY on Subdivision Name . . , , . , to the City of Port Angeles Property Use , , . , , . (Location Code 0502) Property Zoning COMMERCIAL-ARTERIAL Application valuation . . . . 0 Application desc 1 circuit lights above sign t Owner ------_- Contractor KOREAN WOMENS ASSOC. OLYMPIC ELFCTRTC CO TNC 123 E 96TH ST 4230 TUMWATER TACOMA WA 98445 PORT ANGELES WA 98363 (253) 538-8340 (360) 457-5303 ---------------------------------------------------------------------------- Permit . , , , . , ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee 74.00 Plan Check Fee 0o Issue Date , . , . 5/1.4/13 Valuation . . . 0 ExpiratiOn Date , . 11/10/13 Qty Unit Charge Per Extension 1.00 74,0000 ECH EL-COMM BRANCH CTR WO/ S/F 74-DO Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74.00 4D 04 Plan Check Total . ,00 .00 ,00 .00 Grand Total 74.00 74.00 ,00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN r FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEC'T'ION Signature of owner or Electrical Contractor X Date: QTXCHANGEWILDING No. 96 CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following Use Classification. Business Building Permit No. 05 -1 129 Business Name: Denture Clinic Group: B Type of Construction: VN ,Use -Zone: CA Owner of Business: Michael Coffey. Address: 616 E. Front Street. Port Angeles. WA. 98362 Port Angeles. WA. 98363 Building Address: 616 E. Front Street Building Official March 21, 2006 Date Post on the premises sin a conspicuous place Shall not be removed except by Building Official 6 I 21 ftt 6 7,4 DATE f0Y 5• /7 2 005 Address of Proposed Business 66 from-1 S+ Applicant 71 //c-A 4 el Co Fr a-;) Address LL /6 E- Frost J SL his ova. 9S Z Phone business 36 3 home 3 gy/ WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other APPROVED 31ci 1 0-o- ji 1E15 oS'QJ REJECTED YES I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. ROUTING SLIP ificate of Occupancy ertificate /Inspection Fee NO x x X VP 7& New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Brief description of proposed busi ess D�- 'i n t"� G /i i c- /-a AL- gill an �3r4.21 q(d-�'1 krd,C Tn.- ±h dc. pcl.hi i� c Legal Description Lot Block Current Use of Property AP Zoning Classification of Property Comments Conditions Subdivision THE FOLLOWING PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other WILL BE REQUIRED BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Date AIa�/ /`1 _0.5 Signed 214 A 164\2kn.. Coffer DATE t C7 L Address of Proposed Business Applicant Address L. r Phone business i home- Brief description of proposed business i Legal Description Lot Current Use of Property* Zoning Classification of Property* WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off- street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other APPROVED REJECTED v ROUTING SLIP Certificate of Occupancy $50 00 Certificate /Inspection Fee Block YES NO I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed r THE FOLLOWING PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Subdivision r; WILL BE REQUIRED BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Comments Conditions 9 n �X.0 I Lint A f n v T ,c1 n ~ "ORT ~ $"O~~ ~ '= ---- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use property zoning . . . Application valuation 05-00001185 Date 12/05/05 634960 616 E FRONT ST 06-30-00-5-1-2140-0000- MICHAEL M. COFFEY SIGNS COMMERCIAL ARTERIAL 300 Owner Contractor ------------------------ ------------------------ HANKINS SHAWN / JERI 1371 3 CRABS RD SEQUIM WA 983827856 OWNER ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SIGN 66431 47.00 12/05/05 6/03/06 Plan Check Fee valuation .00 300 ---------------------------------------------------------------------------- Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LES THAN 25 SF Extension 47.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51. 50 51.50 .00 .00 ~ ~Nfr1- \2-\ \ 3t 6)- :J\ f\ ~ r' .-r '/ - Z\ f'\) ..... (- ~\ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructiofl or the performance of construction. r. I .. :>(h.-}17t1 J ~~' Signature of Contractor or Authorized Agent Date (:2-- ~~{jS Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 / / PLANNING DEPT. / , BUILDING 417-4815 7ii7 /3/0(" P BUILDING / ,7/;3/Or ff?ti) r 'es\1102 15 buildin ermit ins eclion record05. d 1/4/20061 / , '-----"" T.\Po lCl gp p wp[ , '" , ., '" ?;;:;;~8;JE; n'O , I:"' , ><: ~ H;o , \D , '0 'O;oZZZO .,t'l , \D , , I:"'Q~;J~Gl ><:'0 , , Ul .... ;p , 0 , 0 >-l ZI:"' ;p.,Ul 0;0 , >-' , ~. n- Ul Ojt'l , , ., 0 , , C/l '" OZ '0 , , .... t'l. ;0 '" . 0>-' , , 8Gl1i ;0 ;0 ;ON , , ." -; , , :s:o >-' ~'): '00::0 00;': :S:", ~~ I:"'t'lo ~~~ H>-' W .,-<. I t'lUl n'" G)o 0 , .,.,C/l oc.>:>: :I: t'l'" .." , t'lt'l.... OOH ;Pt'l 1:"'- ~ , 001i o , Z t'l t'l , ooUl I:"'Oj Ul>-' , >-,0 ;0 N , >-' , Ul :s:o ~ , ;0 oo",:I: Z '" , t'lH '" , ;p ., \D , UlZ >-':8 n CUl ([J Z OUl 0 1:"''0 HN OJ'' 01> , ., G)>-', OJ , ZoI> t'l , UlO'-< ><: , , t'l , 0;0 , ;00 o H , t'lt'l 0 , UlUl 0 , o::n , 1:"';0 , .,H , Ul'O , ,., , nH H H , 00 ZZ , :S:Z UlUl , :s: '0'0 t'l t'lt'l Z nn , ., .,., , Ul OH ~ , ;00 0 , .. Z 0 n , n '0 , ,-<., Z :s: , ;PH 0 , '0'0 Ul :s:n ., , :I::I: 51 t'l:>: t'l H '0 , 00 Ult'l Ul Z '" , ZZ 0 ., ([J ;p , t'lt'l < , t-< '0 ;0 , t'l ., , .. I:"' n :I: , , H ., 0 , , t'l H I:"' , , ;0 0 , , I:"' Z , , ><: , , ;p , , ., , , , , ., , , :I: , , t'l , , , Ul ~ , , , t'l , , ., , H , , :s: , , t'l , , 0'0 , ;po;p , , .,G) , , t'lt'l , , , , , , , , .... , , N , , , , , >-' , , c.> , , , , 0 , , "'00 BUILDING PERMIT - APPLICATION Fill ~~;g~:i:~"E:,Ya:~,~:~X~;.'::i:' ~Pi;~:ti::V:n";';i~u':~~O~:';; ntf PERMITS (360) 417-4815 FAX(360)417-4711 f' FOR OFFICIAL USE ONLY: Date Reel; 1- ~3 -c9 r Pennit# ~.,l e~ Date Approved: Date Issued: Applicant or Agent;JYI I ~h c..(1) r:' . Co C~ Phone: .3 ~D .' 4 S? ~" 13 I Owner: IYlI C l1~ (1, ( m ~ (ra-V Phone: Address: b' Ie. e - F to 11-1- .$ J- I City:'}:6 r-+ ~jq...1 (LJ Zip: q 8 3 b ,;) Architect/Engineer: Phone: Contractor C) W y'}..e.- y- State License #: Exp: Phone: Address: City: PROJECT ADDRESS: L i tp G. -P-YL)I1f- t5.J- Zip: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: SIZENALUATION: o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Reparr }i,Sign 0 Other TOTAL VALUATION $ ~1'9t'9 e$!- BRIEFDESCRIPTIONOFTII:EPROJECT: .5/jYl ~Ht.-iA(Jd -Ie S/& D'C but J.d.//lS ra..IJl.J(~i,'}..:i . I/<fx \I/~ la' sG-ra.......,~ .- Wd-; 'h\ of ~)( . 5 I b - 51511 apx 1/,+" T\...;c:.h COMMERClALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. % ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLA1\1NlNG USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tllis 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 fOI assistance. PLAN CHECK FEE: IF a plan check fee .is due it must be submitted at the time the building pernlit application and construction plans are submitted. All other pennit fees are due at tlle time ofpernlit issuance. EXPIRA.TION OF PLAN REVIEW: If no pernlit is issued within 180 days oftlle date ofapplication, the application will expire. The Building Official can extend the tinle for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\Policies\BL-l102_13.wpd Applicant: ~vi! VV\., ~(L6 Date: l\.tov ~3 I ~cx..'5 /0 (~'V / "7~, oJ G ~ "<l -"'<J ~ ~ o '"' ".- "r- ~ ~ . t'N OF PORT ANGELES - ConstmctiO:l Plans ~. p Iss"once of this permit hased upon these plans, specifi. c .rion': and other data shail not prevent the buildmg oificial c- "J ,1m thers;;fie, requiring the correction 0: enors in salel Oot:: nt.,.. "I'rifrco>'n'J< -nd ot"e" doh or from pr~\wrtir'("f j,-/.-t-z:... F il~, .)~ t.~,-,,, ,CoULi.J d I I. j ~.a; II..... t.!/ dl::~ b '1c,"g operations being carried on thereunder when in ~ "1,1 'lor cl ail codes and ordinances of thJl:.J..LiflSdlclIOIl. ~',.. ~ (.,,' 0'0" . ~~~ '-- ~ ~ """j[L--- t i:, ,I e,,,;1 Date 2. I) By l. ~ 'I' ~. I -- 0 i 1 I \ ~~.~~ ~';:;i'"~,, . ~y-- ~ , --' \' ol . C-'. <lI{-.-.--ltc o <J ~~. '1)\' VI ~. ~ l->. _. .","":' 1.-<) --.l ~ :; "" ~ ,. I ~ ~-. ] ...,.. 1"-'fN3 ~ I rr .--j1 t V Q.-J J , 1 \ l~ ~ '. ;-\ ~. ._-.~~= ~-~i, .- ~ ' ..._~~ ~ , ' ./ i '.~' 1 0\"" I ...... ,ps to f / 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 Subdivision Name Property Zoning . . . Application valuation 03-00000748 Date 8/04/03 616 E FRONT ST 06-30-00-5-1-2140-0000- RE-ROOF 6225 Owner ~, ' Contractor HANKINS SHAWN / JERI 1371 3 CRABS RD SEQUIM WA 983827856 LARIAT CONSTRUCTION P. O. BOX 280 PORT ANGELES WA 98362 (360) 457-0952 Permit BUILDING PERMIT - NO PR FEE Additional desc TEAR OFF TORCH Permit Fee 162.75 Plan Check Fee .00 Issue Date 8/04/03 Valuation 6225 Expiration Date 2/01/04 ~ty Unit Charge Per Extension BASE FEE S!2.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 Other Fees STATE SURCHARGE 4.50 G'\ ""'- ~ Fee sUIlUIlary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 162.75 162.75 .00 .00 Plati Check Total .00 .00 .00 .00 Oth~r Fee Total 4.50 4.50 .00 .00 Grand Total 167.25 167.25 .00 .00 ltl .. ,I :p G ~ -+ tJ '"":1 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and publiC improvements. This permit becomes null and void if work or construction authorized is not c9mmenced within 180 days, if construction or ~ork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined thiS application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work Will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to Violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Sig Date Signature of Owner (if owner is builder) Date T.\PLANNlNG\FORMS\1102 15 [4/2002J 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 I I INSPECTION TYPE DATE ACCEPTED CO~MENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TlO~, DRAINAGE ELECTRICAL I (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN I WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL I WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES' / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY I STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA I 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 FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 I l BUILDING ~-"2, J.L , I T \PLANNING\FORMS\1102.15 [4/2002] .' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . / o~ J.df ~ Time -{- - Ll=::::. Received by~~ Location of Work to be inspected (b / b ~ 9vo v1 t Name of person requesting inspection 1-0. t: r'1 Address of person requesting inspection .1J Phone No.l/6o 1f'J'i!'i Type of Inspection (circle appropriate one): Permit No. 71'( Sewer Foundation Framing Chimney Plumbin~ewer Excav. Other ~~f INSPECTION NOTES: , re;- Inspected: Date Time (J YL By \.....-- Remarks: T REQUEST: Date (7) yhry/o :? t r (phone, person) RESTORATION REQUIRED . . . . .. YES NO w SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Submi tter /Inspector Reviewer I'ffi.SHINmDN STATE ELECI'RICAL PLI\I'1 Pt'VIEI'J PH: (206) 753-6347 SCAN 234~6347 . .,' --, Sheet.L.. of ~ sheets NAME Shawn K. Hankins, OC ~; . Port Angcles, WA .,~. NeJ Faci'lity ?LS-7- 75- 7'-: E.P.R. N0.209-06-8514 pffi=CT NO. . J."\l...AJJ:., ,TWr. ADDRESS &,/(, .E , front: ! PIDJECT DESCRIP'1 ION ! ....... - .. Labor & IndUSTries Office: or ge es , ~~-" SERVICE FEEDER . VOLTS fIli LOAD '. l?~" FUSE CDND. liIRE lIDD ! INA ~" AMPS . SIZE SIZE IBRl'7l' ~JD - .'r' .:&,.............c...e.. :~ ! .:< -.z.st? -- - ,cAr? ~C)O ,ei1L . \ /.zo / f'?35'" /~J,9 I-~~A'.t .,tb"'~ui'/') L,0a> , ; , % .e4V ;~ , L -I"A"'" " /;t.f"h,,,:) &0 /y,? " ..;1......_ ~.:V /' )f ,(2A Y X,?' /"7' ..e >>cP"";,,{,ry ~ ,/, : ~ '/' ~ /' '/' . , / /' P tAn 1 FIGURED BY: DATE: ~%/~~ / 10/08/85 150.00 x 35% = + Shipping - - - 52.50 35.00 87.50 5.00 $92.50' INSPEi:::rrON FEE ('IO'T'.AL) pg# -C...$ ~ CJC PIAN REVIEI-J FEE $ 92.50 RECEIVED OCT 101985 .: Electrical Inspection Slletion Port An';!oles '. . .. . " 9.)7 FEE R,ECEI,.rNUMBER CITY OF PORT ,ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT, A ~/~ P Mil NUMBER , i. '--'" ,03oE! " '.\ Zg,~D/ ~ .~ , O-rl/t:I)~,~C "C-rll'f/C , . i : '\1"',. " " TOTAL FEE CONT. L1C. !'lO.. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY \. .' 'b/6 - E 'PriJNJ $'f CORRECT ADDRESS-IS'RESPONSIBILlTY OF APPLICANT Sy.f,I+y/;'/ 'K /-fItNk,Ns Owner'sAddress 61'6 E ,&:"i/Wr Installers Address S c9 I 50 I-t N C/)J-II! Day Phone ij{;;7 C' 7S7b ' ,Installers Phone ~~7 -, S30.i> ' Application is hereby made fo! Permit to inst,all Electrical Equipment as follows: ~ Y71J"'1" ,<2,-5",,0/)uiAJ ?tro.A IY S.&rt/lCO ./ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT. r' Site Address -, " , , ., ,. Owner PEAMITS'WITH WRONG ADDRESSES ARE CANCELLED , Installation By 6J~Il1"'/~ ' Et..t!'C7YJr.:- Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 24QV . USE OF CIRCUIT CIRCUitS PEA 10 100R FEE USE OF CtRCUIT CIRCUITS PEA 10 100R FEE CIA 30 CIA 30 LIGHT SIGN LIGHT - 50 VOLTS .. OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC, H OVEN WATER HEATER LAUNDRY DRYER - REINSTALLATION LIGHT FIXTURE # FURNACE " SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT ,::Loa AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made '7 -/$ :19$5 By -;:r"ttrf 77/eK/s>" CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. ~ ~IT\L~GHT By .0.;/' '- -." PLANS APPROVED ", ~ ~'- ~ -" \ .~ Date Permit Issued q ;/<J /f~ WARNING I \ l\ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or, service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Ouplicate PINK. Triplicate WHITE CARD -Inspector's Report -.. . ,-..,.--.-..,.... \." ...--. , , \! ',,,, " " . REPORT OF INSPECTOR , / -. , . DATE OF VISIT MADE BY REMARKS . ,.<;lC.. " if.. /JJ /i/" 'r 1\ <CAIN v'/.'7'- 1/ ~ /'.- . '--f;!L4...sZr.L<.__/?, AI.t. { -, , ' / r,'7.. '4 , d-. G'-M[;/N'fJS ,,)/oT t', ~ . iLl. '!.J"~s , - cr" ")-1\ ~/J' " tPK ("0 ~e.~ S()C{rj.. -fA ~ee. I?" oJVJS /0.. i/" ys- 1ft' .--f ~/( ('a /la. I' ~Ay 'f' W;1,''V"", C- A.eeA .' . , , , . . , , , . . . , , , , . " , ," ). ~.,. " '.' .. '. .. . \ " , , . ' O.K. FOR COVERING '.- (0 .. ('S - "b~ //(/",2 O.K. TO.CONNECT SERVICE , -- L:., ., -- ......... , \ \ FINAL 0 K. , I . 1 . !.~\\. \ \". ...._~ .. , I e z Cl a: <l: :::r; !!! J: I- Z ~ l- e z e Q - '. R. A.~ DAVIS "Director STATE Of WASHINGTON . DEPARTMENT OF LABOR AND INDUSTRIES 520 Waler 51., P.o. Box 95"19 . Olympia, Washingtun 9B504-95"19 October 14, 1985 Olympic Electric Co., Inc. 501 S.' Linooln Port AngeleS, \Va. 98362 EPR#209-06-8514 Shawn K. Hankins IX: Power & Lights The plans for the above referenced project have been reviewed by this office. They have been found to be essentially in compliance with the National Electri- cal Code and the Rules and Regulations for Installing Electrical Wires and Eouip- ment, chapter 296-46 WAC. Approval:re)ates to the electrical design only and is subject to: 1. Any notes made on the'drawings . 2. Inspection of the installation by the authority having jurisdiction 3. Equipment being listed by Underwriter laboratories for the application. Any deviation from the approved drawings must be submitted to this office for review. We.,suggest that the stamped-approved drawings be placed on the job site for u,se'tiy the inspector and be preserved by the owner for future reference. Please feel free to contact us if we can be of any assistance. Sincel"ely. ~#~ Don W.' Irland Electrical Plans Examiner ....-:;:\0;;;11./<> / -y" U.. 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