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Home My WebLink About1807 E Front St - Building :f VORT""'v. ~~O~~ -~'lr"~ ' it ~ "- -=-- :;::;: 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: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00001196 Date 12/17/03 1807 E FRONT ST 06-30-11-5-0-0100-0000- LPG INSERT DISPLAY FIREPLACE/ INSERTS/FREESTANDING 5000 Owner Contractor HOAGLAND INC 1807 E FRONT ST PORT ANGELES WA 983624930 MOUNTAIN PROPANE 265 CHIMACUM RD. PORT HADLOCK (360) 385-6883 WA 98339 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 108.40 Plan Check Fee 12/17/03 Valuation 6/15/04 .00 o Qty Unit Charge Per Extension 47.00 10.65 50.75 co o -J BASE FEE 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 7.00 7.2500 ECH ME-INSTALL APPL. VENT Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 108.40 108.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 108.40 108.40 .00 .00 IT( if "1 o ~ 1- SeparafEi1"ermits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null al'\.d:~Q!d 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 herem or not. The granting of a permit does not ~pa~uthontfi:;Lr cane: :a:~;~Of any stata or local law ragulating construction or tha parlormanca of Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ' KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T.BAR INSULATION SLAB I WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE J,-J3-D4. .JLL WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s 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 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 .'1 -"':?-oJ.) J,J." BUILDING T \PLANNING\FORMS\1 J02 15 [l1/J4/20031 ,'/ " FOR OFFICIAL USE ONLY ,t... BUILDING PERMIT - APPLICATION Date Rec Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Perrmt # Date Approved Date Issued Applicant or Agent: v r- n-, .roc.. ,., Owner: B : I I 0 (). , / '^- h d Address: /8'0'7 E yOn f :>"i.. CIty: "" T Jlhj e {JS ArchItect/Engmeer: AJ eVe Phone: Contractor H 0 tt " t~.. h- (r~ F l'\ e State LIcense #: Exp: Address: Us Gk ; Wl~'-IH'\ f- ~ City: PorT /)0.. d JocK PROJECT ADDRESS: I %- I:) 7 L3 ;::YD" i Sf.. ~, t 11""j e /'5 :5~t Phone: V S- 7 - ~~9 I Phone: '-15-7 - 8'" ~ 9 ) Lv 19 ZIp: 7 g 3 fa z SubdivIsIon: io z.. 73 c ZIp: Iv~ONING: Sc e 4ft ODOO Phone: 6 83 ~ / g-t J 7~339 LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: 0'=>3000 P (' I '" \- c.) v-"'" Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o ReSIdentIal 0 New Constr. 0 Re-roof )( Stove o MultI-farmly 0 AddItion 0 Move 0 Garage ;>it: CommercIal 0 Remodel 0 Demolition 0 Deck o Repair 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT: p ,-<If'\, '" ~ i '^ f.,;) pc. 1'1 e 'nVv\ K5 +~ I(' COMMERCIAL/RESIDENTIAL: Occupancy Group: City: Exp. Date: SIZEN ALUATION: SF. @ $ /SF. = $ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL V ALUA nON $ Occupant Load: C I~ PJ/t:.... V s , J ConstructIon Type' = TOTAL Sq Ft. % 5~jr-'<. S~I.n< No. of Stones: Lot SIZe: EXIstmg Sq. Ft. & Proposed Sq. Ft. EXIstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The BUIldmg DIVIsion can provide you WIth mforrnation on the applIcatIon and plan subrmttal reqUIrements If you have questIons. 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 Buildmg DIVISIOn to comply WIth current fee schedules. Contact the Penmt Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be subrmtted at the tIme the buIlding permit applIcatIon and constructIon plans are submitted. All other penmt fees are due at the time of penmt Issuance. EXPIRATION OF PLAN REVIEW: If no penmt IS Issued WIthin 180 days of the date of application, the application will expire. The BUIldmg 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 Buildmg Code, current edition). 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 \FORMS\APPS\BUlldmgpenmt wpd ApplIcant Date: (' r4 .. .~, , Print Key Output 5769SS1 V4R5MO 000526 CLALLAM Display Device User Mode: INQUIRY Parcel # 063000 * Taxpayer # * Title Owner # * Contract Own # Plat/Condo Descript' n AUseC 5 0 F/Bk COM F/Pg COM PCC 510 Tax Code 0010 Zoning Code ACD Chg Rs Land: ASSRPUB3 KKREIDER Real Property 102730 0000 Rng 06 Twp 30 Sec 00 Tax THUR 1500 THURMAN ELECTRIC & PLUMBING THUR 1500 THURMAN ELEC~RIC & PLUMBING Page 1 12/16/03 09:45:04 Auto Roll: OFF Yr 2004 Date 7/27/89 By Aud/File# Loan # Unit Acres Taxable Market New/C Sr Cit Lien 89BE#82 Cd Date Blk Lot SLY 267.851 .76A PA 121 H2 L ARTER COMM DIST Land Use Tax Stat F/P? N Timber Total Improved .76 229730 Unimp 5200 TX Ac Land .76 229730 OlAV Vol/Pg Mob Home AV Chg Date Chg By Chg Rs ApprCd RET-BLD-FARM TAXABLE Improvement 22095 847 212 0 As-Tx Yr Sub Cd Regular Taxable App# SHIR Dock 6/12/01 MHOP RV 17 Reval 5 Total AV 251825 Int% 251,825 Agr# . ., JOB ESTIMATE GOOD FOR 30 DAYS %:30. ~ '." . .- 1185 CUSTOMER NAME: ;(:30 MO~H PROPANE TI\ Llr~vtMS l'2ol C ~rovvt P. A qg3b J.. r 265 Chlmacum Road Sequim, WA 98382 Port Hadlock, WA 98339 (360) 683-1881 (360) 385-6883 Fax' (360) 385-6914 www mountalnprop,ane.colT\ DIRECTIONS \ .'. . " . ..,." f=< 0 VI INSTRUCTIONS ~ :0/ TD 5~~, 6Dv (j&JlO/1 {'fA IlL /J J 0 i /75 '" (I ()Or> 5 nO i- ,~ d'f1 -j'{L)Ji r r '(C' "........., \' t-. ( (O}J,,~}.;tt 1.1 ~ ), ~O r-l")'1(), Or' fosis DESCRIPTION AMOUNT 6 5 Dc;) cg-- 5 00 o Oc> YVI V\ - )qn YO) Y::- Yr~Y-P v:- <- 00 00 <zS<t' ~ )~D 310 ).) '367 J s t ~~or f1ltx> fer L/ S' C-Y) /1--/ L LABOR This estimate IS for completmg the job as descnbed above. It IS based on our evaluation and dOGS not include rnatenal price II1creases oraodIllonallabor and matena/s which may be requlled should unforseen problems orcondIllons anse after work has started SUB TOTAL TAX x / TOTALAMT. OF ESTIMATE CUSTOMER'S SIGNATURE DATE PREPARED 1/13/04, 12 40 38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 1/13/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1807 E FRONT ST SUBDIV LPG INSERT DISPLAY MOUNTAIN PROPANE PHONE HOAGLAND INC PHONE 06-30-11-5-0-0100-0000- 03-00001196 FIREPLACE/ INSERTS/FREESTANDING (360) 385-6883 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS M'__"'____'/"/O.___~~-.-""'"'~"':::,"::: N"" _____________________________________ PREPARED 5/03/04, 12.38 04 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 5/03/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . APPL NUMBER 1807 E FRONT ST SUBDIV. LPG INSERT DISPLAY MOUNTAIN PROPANE PHONE (360) 385-6883 HOAGLAND INC PHONE 06-30-11-5-0-0100-0000- 03-00001196 FIREPLACE/ INSERTS/FREESTANDING PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 1/13/04 JLL MECHANICAL GAS LINE 1/14/04 AP ME99 01 ~/03 04 ~ MECHANICAL FINAL ~ MIKE 457-8591 THURMANS STOVE DISPLAY ----------- -- --- ------------------- COMMENTS AND NOTES -------------------------------------- ~ ~, ;' . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. '-..<;t/4'1 DATE i /Ic./'l{" Installed By: ELECTRICAL PERMIT .-----. E~ r ,~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1~ D3~ SERVICE SIZE FEEDER SIZE AMPS AMPS DetailslDescription: N<f-W Sit'-J . W.S. No. SERVICE SIZE CAPACITY: o OX 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service N~)S..,tinal O.K. Site Address: Installer: /807 {'~~-:i ,~ /LJ~ permit/R7~' f New Meters ~ t . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O. K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. .k ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ff r::;;? s;:- f $ Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC_ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. .J-'/,;(-3 .;t, /9' /7' t , , DATE ELECTRICAL PERMIT Installed By: o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. DetailslDescription: )'f RISER o OVERHEAD SERVICE o UNDERGROUi0ERVICE VOLTAGE: ....:<'I~ fV 01 rj; ~3 SERVICE SIZE ~ AMPS o TEMPORARY SERVICE FEEDER SIZE AMPS L/8otll'k:- SO-U/C'<- ~ /u/ W ~~ "/ / Ct!;' lu;,e./",v~ I&'~ lift; ~. ;'/1) I'fIr~ P;ftcr of!-- loLL r1 /1/ .be.. OrVJ U/s /vG .suet/la / o RESIDENTIAL 'g1 COMMERCIAL o NEW CONSTRUCTION ~ REMODEL o ADD/ALTER CIRCUITS ,t8J SERVICE UPGRADE/REPAIR ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW ;8l HEAT PUMP KW L.2.S:: o FAN/WALL KW . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service t1I^ 'F Final O.K. Site Address: Permit/Receipt No. New Meters . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on eitherthe Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. // ~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ ;9==' 70 e. Electricallnspeclor / Permit Fee \ ~\ WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. .:2700 ~ /.:2s- ffO , DATE Site Address: o READY FOR INSPECTION ~ILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other III Commercialllndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction D Remodel D Service update/alter/repair l! Overhead D UndergrO]!n~rr Voltage !.;;;LC/, C/ V I 1.:"_.1.0 D 3.0 Service size~ Amps D Temporary D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) Detai IslDescription: IV,. .-L.J U ./Mf' k~.u. . /lhtr/ /S /;9 (!-r'JlIQ I I' (AJU+ c2{l &lit:; ~K/S/;',vg f (3~ ~) .s:-/;Lf'. UltIWI"JN9uf.,t IS \l W.S. No. Service Size Capacity: D O.K. D Not O.K. Comments D Ditch inspection O.K. D Rough.in/cover O.K. -1#^ 1 O.K. to connect service ~ Final O.K. Date Hold tor: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Address: Permit/Receipt No. Cl7/}O . Notify the Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the ~ in Writing on the Wiring Report or the Buildi?gPermit. PHONE 457.04[). EXT.158 or EXT. 224. I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 7f'h 0 !!? Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. /9c2 t/ 11/1/.1'r . DATE Site Address: c, ~,VT C:k o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION license Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other D Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction D Remodel D Service update/alter/repair . D Overhead D Underground Voltage D 10 D 30 Service size D Temporary ~ Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) Amps DetailslDescription: . , U);RL (' ): f> fAJ /we) RtY{)1115, . W.S. No. Service Capacity: D OK D Not O.K. D Ditch inspection O.K. J. ~ ~Rough'in/cover O.K. ~ D O.K. to connect service ~ Final O.K. Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Installer: New Meters o Site Address: . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT II ,gAJ . l~ !Ip - Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall FEE RECEIPT NUMBER CITY OF PORT.ANGELES. DEPARTMENT OF' LIGHT APPLICATION AND ELECTRICAL PERMIT A ~ctlUMBER . . i?lfff2 TOTAL FEE / 1t"tJO < .570<~ CO NT. LIC. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY Site Address ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I ZO 7 ~ ~r:f.,;/)J- I CORRECT ADDRESS IS REsi5a SIBILlTY OF APPLICANT '//f<//L"'I A.-v' ') /00? EFk'o~;T-' Owner Owner's Address' Day Phone Application is hereby made for perl"flit to !n.stall Electrical Equipment as follows: L f C/;{ T; V "vdp-1,{} /'" Th ^' /l...1 / . 1/ PERMITS WITH WRONG ADDRESSES ARE CANCELLED Installation By ;11-- /""-_4--" r r/;,c -Installers Address -2.3 cr. tA..--" 8",/-7 Installers Phone 7'0'/, ",-Co. g- 9 ...u/~ e 0 F/--; c... -r- /~;c Wiring Method '7.::> 1/4 e - , . AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PER 120V 100A FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT ~? :20 ......... SIGN LIGHT . 50 VOLTS OR LESS MOTOR , CONVENIENCE CONVENIENCE MOTOR ' -- ., APPLIANCE .. MOTOR r DISHV!ASHER . . FIRE ALARMS . DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # , FURNACE SUB TOTAL FEE . GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT / .,21) V /~" 01) TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Permit Issued . c3/5/i",Y I WARNING I 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. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS '')\,"\\ 'bl.o ...A.!b O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. . z Cl a: <C ::E !!1 J: I- Z W l- . l- e z e c . 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. . Address nm@2.__~..!i.'!..~:~..'1:.n__.__mmm.m.m..__..__ occupancY..~m.__ ~:=~ ~~~'~:2~E~:~;:Y~.__~~:~~~;::::::::::::::~:.'.~::::::::::=::::::::::::::::::::::::::::::::::::::: Light ouuet.m_.m....m.m.mmm._..5! n' Service, volts ..../:?..Cl,/-.?..t.q, Type of Wiring: R t I Outlets No wires -{~ y Armored Cable ........m................._ eeep ac e ._.__m.h.m_............... . .....C9fifl/Z..---m Dryer, KW n.nn.....................h._....._____ Size wfres...._.!...n.............n.:......_ Non-Metallic ...........-..---......-.---..... .P~ () 11 Knoh & Tuhe.m..mm.........mm.m.. Main fuse ....._:.......m...../1......m (Q 7/4 Enclosure ........':>........__.mm...__.....__n CITY OF PORT ANGELES LIGHT DEPARTMENT I Range, KW h__..h____.._n__nm.___.____u Water Heater: . KW......::;.mYi:.m..mim..umu ai Heal: Kw.>i?...fI.....l,.r:..&.<..<'V.. . . t' Motors: size, volts and phase: ff~1113..i.....m....u...u...m.. d ~"!:.k..~.....!.~.. c/o :::?"Z;;;:;.iiLl..?Zl..~c.. ELECTRICAL PERMIT N9 15984 .. /1-fL ;>c:; Port Angeles, Washlngton........_".....n._....._m.m..m.mn..mnnn..... 19.....m RIgid Conduit m..........m.m...m..m Metallic Tubing ........................... Type of wIrIng; Entrance Cable __m__....mm....... Raceway ..............................._......_ Circuits, Light....................................... Utility ........___.................................. Rigid Conduit ___............................ MetallIc Tubing ..................... Current transformers: No. & Size.............................. Heat ......................................._...... Range ............................................. Water Heater m..........m............... Motor _........................................... Ser. No.............................................. Ser. No. ............................................. Dryer .................................................. Furnace .........................._......_.._....... Ser. No.............................................. . Total Load___.___.....___.............. SeL No.................._....___.______............ Totai .../.;{().......~ , .. . ~~:~.~~~~...::::::::~::::~:::::~:~~:=~=~:~:::::::::::~~:::::~=~~~'=Il:::::::::=::::::::::::::::::::::::::::::::::::::::::::::::::::: .m.m............nnnm...m..............m..__m........mmn......nnnm...m...m.....m..m.....h......~..........h.....m..m.m..m...... ;e.=/~:k..f2..m.... ::~.~.~:..~~.~.~~.~.~........ By .;;Yirf!....Ur!.&(.~~..~ 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? 15984 Address..................._..........................................................................._......................................Date..._.........._.._.._.........._......_......_......._ Owner ..................................._......_.._......_......_.._........................................................... Tenant..............................................................n.... Wiring Contractor........................................ ..................................................................................By.............................................................. Is to be COD- NpTICE--Current must not be turned on until Certificate of Inspection haa been issued. If work ceale', due notice must be given the Inspector so that work may be inspected before concealment. \. ,...,..__;~ O"'M.".... IM~ ",-/ , CITY OF PORT ANGELES ~ ra-4 DEPARTMENT OF PUBLIC WORKS \'L.....~ . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date '$-'; b -01 Time 10 ~(l1/ ,4/~eceived by 7ft {Phone.~s~ Location of Work to be inspected J'6 07 F .r=; uYl r Name of person requesting inspection [,./"",ft!"t 011/. Address of person requesting inspection j 7<J3 S c? [? <;;( Phone No. (1/7- cl'i<:cly Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. @ I.../Ct-/e./ INSPECTION NOT~~: Inspected: Date Ib~6-0-' Time ').;01../ ,II?? By 7/7 , Remarks: i (~~~~ 5;;;;/ u4f P7~t,/;O/ , ?r"-1 t!)r - RESTORATION REQUIRED. . . . .. YES NO JJ '- '8 . '}k. ~\ ~ ~ ~ ~. Froft! SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGra o Repaired by City [] Repaired by Permittee [] No Damage Found .;).'C)(. ~ I.. J.4o<::''P . ~.\~ Asphalt 0 Other ~k Order # "3 0 .~ (/6 - ,/.];2. COMPLETE . INCOMPLETE ~\01 STREET SUPERINTENDENT (DATE) , PW 1104.04 112/931 SENT FOR DEPARTMENT REVIEW ON REVIEWING DEPARTMENTuilding PW Engineering Wastewater Water Street Solid Waste Light Fire Concept Review Revision Not approved. Co mrryej is returned to submitter for response and or correction. )J.PreIiminary Review Final Review other Reviewed by COMMENT DRAWING OR NO SPEC REF DEPARTMENT COMMENTS RETURNED PROJECT NAME. U tilaSS by Date PLAN REVIEW COMMENTS SHEET L OF._ COMMENTS TO SUBMITTER. SUBMITTER RESPONSE DATE. NOTE TO PLAN SUBMITTER. All plan comments require written response and /or correction for permit issuance. Return response with plan resubmittal. Approval of ALL reviewing departments required prior to permit issuance. REVIEWING DEPARTMENT FINAL APPROVAL. COMMENTS ")C /TS ,0 oe Td /'e" Sid 4 V ®0 3 .3 LOCATION .115MM I'rRE NSi BACK CHECK S BY /DATE. T A STATUS CODES. T U A COMMENT ACCEPTED S C CORRECTION MADE N NO RESPONSE REQ'D PERMIT /J g Y3