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Home My WebLink About112 W Front St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner WW BROWN LW BROWN INC 112 W FRONT ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date TAPolicies \1102.15R [1/05] Qty Unit Charge Per Fee summary Charged WA 983622607 RIGHT OF WAY RUP #06 33 91173 30 00 1/02/07 7/01/07 Permit Fee Total 30 00 Plan Check Total 00 Grand Total 30 00 Signature of Contractor or Authorized Agent 06 00001266 052662 112 W FRONT ST 06 30 00 0 0 1506 0000 PUBLIC WORKS UTILITES CENTRAL BUSINESS DISTRICT 0 Contractor OWNER BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 /a o 7 Date Plan Check Fee Valuation Paid Credited 30 00 00 00 00 30 00 00 Date 1/02/07 Due 00 00 00 0 0 0 Extension 30 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 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 goveming 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. Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING \Policies \1102.15R [1 /05] RESIDENTIAL 417 -4807 417 -4653 417 -4750 1 417 -4815 PERMIT INSPECTION RECORD 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 11 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO YES NO CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT 1 PLANNING DEPT BUILDING 1 1 1 1 1 1 1 1 1 1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000705 Date 410305 112 W FRONT ST 06-30-00-0-0-1506-0000- ELECTRICAL ONLY 8/03/05 CENTRAL BUSINESS DISTRICT 10000 ~R 12tj/ 4/z-r lOb Owner Contractor WW BROWN & LW BROWN, INC 112 W FRONT ST PORT ANGELES WA 983622607 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 56556 Permit Fee 36.40 Plan Check Fee Issue Date 8/03/05 Valuation Expiration Date 1/30/06 .00 o Qty 1. 00 Unit Charge Per 36.4000 EC EL-LOW VOLTAGE Extension 36.40 ~ ~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 56549 61.70 Plan Check Fee 8/03/05 Valuation 1/30/06 .00 o z ~ Z ') V) "'1 J 1. 00 BASE FEE 14.7000 ECH ME- INSTALL 100- FAU Extension 47.00 14.70 Qty Unit Charge Per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 98.10 98.10 .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 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 ~~~;;oOn~ive authorit / flate or cancel the/pro/ViSions of any state or local law regulating construction or the performance of c;tI~ ~) 8/'3/tfS- . Signature of Contractor or Authorized Agent / / Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEIUNG DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COlVlMERClAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTlNG 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.\V. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:IPolicieslll02 _15 bulldmg pennlt mspectlon record05.wpd [1/4/200)] 08/02/05 14:01 FAX 3604572864 Peninsula Heat 14101 FOR OFFIC~U& ONLY: 'DalcRcc.:~ ~'O8 Permit #: 05 -1 oS' Dale ApproYal: Date Isslled: BUILO'ING PERMIT. APPLICATION Fill out COMPLETELY and in INK. Your application Ind site.plan MUST BE COMPLETE to be aCcepted for review. If you have any questions, caD (360) 4174815 Applicant or Agent:~ A-nJ~ Owner: '~ Address: /)2- W ~t- "!!5T City: . Phone: 46'1- ~ 7 7 S- If? 7-'-1/5 1) Zip: 'f636 J.... Phone: Contractor Address: 6C>2 W gt!:L PROJECT ADDRESS: 11'iA W LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNIY PARCEL NUMBER: Phone:L/ 5~-~77 Zip: qm2- ZONING: Credit Card Bolder Name: Billing Address: City: Credit CardType VISA . MC # mE OF WORK: ."1' .' [J Re~idential [J New Constr. 0 Re-roof C Su)'Ve . o MUlti-family' [J Addition 0 MOve 0 Guage )(Commercial 0'. Remo:del C Demolition.c '0 Deck. . . . O. ~air . _ 0 Sip: :. [J Other. . BRIEF DESCRIP'l'ION OF THE P.RO.JECf: ': . .. COMMERClALIRESOlENTIAL: Occupancy Group: No. of Stones: _ Lot Size: Existing Sq. Ft &. Prop sed Sq. Ft. Existing lot coverage _ % &, Proposed lot coverage _% = Total lot co Exp. Date: Construction Type; = TOTAL Sq.Ft. % PLANNING USE ONLY; APPROVALS: PLAN: BLDG: DPWU: FIRE : OTHER:~ ESAlWetlaud(s): 0 Yes. 0 No SEPA Checldistrcquired'! 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITIAL: The Bwlding Division provide you with infonuation on the application and plan subniittal requirements if you have questions. V ALUA nON OF CONSTRUcnON: In all cases, a valua.tion amount must b entered by the applicant nus figure will be reviewed and may be revised by the Building Division to comply with CUlTentfee schedules. C nact the PermitCoordinatont417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tUne tb building .pennit application and construction plans are submitted.. All other pmnit n:es ue due at the time of pcnnit issuance. EXPIRATION OF PLAN REVIEW: Ifno p~mUt is issued within 180 days of date ofapplicatiou, the application will expire. The Building Official can extend the1ime for action by the applicant up to 180 days up written request by the applicant (see Section 107.4 of the Uniform Building Code, CUIre1lt edition). No application can be e,ctendcd 1110 than once. Applican correct. I am authoriZed to apply for this permit and t I ust 0 in such permits prior to work. ate: 8/ :J../t1 S- f" , T:\FORMS\Al'PS\BuildingpcnniLwpd Rug 02 05 03:15p Ol~mpic Rero Services Inc 360-352-3945 p. 1 5143 82nd Ave SE Olympia, WA 98501 Phone: 360.352.3891 Fax: 360.352.3945 Olympic Aero Services Fax To: City of PA From: Mike and Yvette Reynolds Fax: 360417-4711 Pages: 2 (incl cover) Phone: 360-457 -()411 Date: 08102/05 Re: 1637 W. 11th CC: -. o Urgent o For Review o Please Comment 0 Please Reply o Please Recycle _Comments: We are the owners of the above rental property. Please turn on the power and water at the above address effective Thursday, August 4th, 2005. 'do not need the garbage, just the power and water to clean the property. If you have any questions, then please call me at 360-352-3891. Yvette Reynolds 08/02/05 14:01 FAX 3604572864 Peninsula Heat 14J02 FAX Thtutl ~ fir ~ ht~.I Ii / ca'1! b~~ .r(~ In ~/)f'J7JW' -!tJ fi4Z- +Jus Uf < ThtuJ~-- a~ V ~...".'-.'.<' ..( :':: {:JYi;~'~ ~ CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East yh 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 05-00000731 Date 684712 112 W FRONT ST 06-30-00-0-0-1506-0000- BROWNS OUTDOOR INC. FIRE ABANDON TANK INSPECTION 8/09/05 CENTRAL BUSINESS DISTRICT 900 Owner Contractor WW BROWN & LW BROWN, INC 112 W FRONT ST PORT ANGELES WA 983622607 PETTIT OIL CO. 638 MARINE DRIVE PORT ANGELES (360) 457-9404 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . UNDERGROUND TANK COMM SLURY FILL IN PLACE 57042 100.00 Plan Check Fee 8/09/05 Valuation 2/05/06 .00 900 BASE FEE Extension 100.00 .-- ? ( ~ ~ -=1 '^ '1 Qty Unit Charge Per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that r have read and examimrl this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the IJ9vis~oJs i a",ny ~e ~~c,l ~ regulating the work specified in the permit. r~OJ I.;r,~, g~c;~ Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # I Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00 ~ '100..",,"'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION '21 EAST 5TH STREET. PORT ANGELES. WA 91\162 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000705 Date 410305 112 W FRONT ST 06-30-00-0-0-1506-0000- ELECTRICAL ONLY 8/29/05 CENTRAL BUSINESS DISTRICT 10000 Owner Contractor WW BROWN & LW BROWN, INC 112 W FRONT ST PORT ANGELES WA 983622607 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL SIMPSONI FURN. & H.P. 56648 SIMPSON ELECTRIC 61.30 Plan Check Fee 8/29/05 Valuation 2/25/06 .00 o Qty 1. 00 Unit Charge Per 61.3000 ECH EL-COMM ALT <5 CIRCUITS Extension 61.30 ~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.30 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61.30 .00 .00 ~ 1) '" ,,( ~ ~\ C. '\ ~ ~"'~ y-;"" \\. (' " V' co!vnvWNTSI ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO I III '1-1 lUll rc;.H_IN I COVER ~bRVICb , FINAl tl/.sc /b~ -A?t7 ") , , GENERAL COMMENTS: PW-1102.IS [4196] ~,.- ~ pORT ~ t:o"O~~.., ()~lfo if 'EiiiI ~ -- 't9t-;;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 8/16/05 05-00000755 Date 168515 112 W FRONT ST 06-30-00-0-0-1506-0000- MECHANICAL PERMIT CENTRAL BUSINESS DISTRICT 11275 Owner Contractor WW BROWN & LW BROWN, INC 112 W FRONT ST PORT ANGELES WA 983622607 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc LOW VOLT T-STAT Permit pin number 57877 Permit Fee 72.80 Plan Check Fee Issue Date 8/16/05 Valuation Expiration Date 2/12/06 .00 o Qty Unit Charge Per 2.00 36.4000 EC EL-LOW VOLTAGE Extension 72.80 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit pin number 57869 Permit Fee 76.40 Plan Check Fee Issue Date 8/16/05 Valuation Expiration Date 2/12/06 Qty Unit Charge Per BASE FEE 2.00 14.7000 ECH ME- INSTALL 100- FAU .00 o Extension 47.00 29.40 -n 1:-' ~~ ,-- c lL r- o V' \ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 149.20 149.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 149.20 149.20 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 construction or the performance of ?!l~~ ~ ~S- Signature of Contractor or Authorized Agent ~ate Signature of Owner (if owner is builder) T:IPoliciesll 102_15 building permit inspection record05.wpd [1/4/2005] , .r-- r-- ~ \ ~ ------ ~ t=- -\ J LJ\ ~ 1 Date 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS I WALLS I FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) Gl'\S LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TlON SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUNW/FURNACE/DUCTS GAS LINE WOOD STOVE I PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING 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./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 s;::;- .z,:Z.....l:> ) TV- BUILDING T:IPolicieslll 02_15 building permit InspectIOn record05. wpd [1I4/2005] 08/12/05 12:03 FAX 3604572864 Peninsula Heat 14102 FOR OPFICIAL USE ONLY: - ...-" . DaJe Rr.c..: ~~p --0'" Permit #: f?:; ~- l~ Dare Approved: Date ls$u~/110 ) cJs7 BUILO'ING PERMIT - APPLICATION FiB out COMPLETELY aDd 5D INK. Your applieatiOJl and lite.ple MUST BE COMPLET.$ to be aCcepted for review. If you have aay qUestlODS, uD (360) 417...815 . . ~PPlicant~Ag~t:~ A1J~. . Phone: Lf67-'l7?S-' ~er:~~~ PhQne: LJ.57~LlJ60 Address:-1G.- W '.~. . City:.J4{~~~l&1S Zip: q~? ArcbitectlEngineer: Phone: Con1rac:tor"p~/~ ~I~t-State License #:~uJh.~ . Address: 002 W ~t1::L City: PROJECT AnDRESS:...J ,::A uJ - ~ LEGAL DESCRIPTION: Lot; Block: CI.AI:.LAM'COUNTY P~CEL NUMBER: Phone: L/ ~Jr-;177 Zip: q~~ ZONING: Subdivision: Credit Card Bolder Name: BWinC Addrea:. City: Credit CardType VISA _ Me # __ Jbp. Date:. _ TYl'EOF,WORK; '-i;" ~SIZEJVALUATION: . o Re'Siden~l' O. N~w CIlQ$', C R.c-roof . 0 StOv~ . . ... -.. SF. @ .$ /SF. - S < -'. : O'Mlilti--fainilY" O~A~OD. . C Mov~ ti Garage . .' : SF, @$ . : ISF..=~ . ~ . . ~Co~ O';~:del C D"molitioJl.~'''O Dtpk . .'.' ..' .:.-SF,@~ .: ISF;.=-$. : ~ . . 'B~DE~~FriIE~ :~~~~. R!;~::..,~~ co:Mi\.t:ERCrluREsmENTIAL: Occupancy Group:' . . Occuprmt Loa~ CODS1IUetion Type: No_ ofStoriei: _ Lot Size: Existing Sq, Ft, & ~roposecl Sq. Ft, = TOTAL Sq.FL Existing lot coYetage ~ '& Proposed lot coverage % "'" Total lot eo~emge % - 0 _II APPROVALS: PLANNING USE ONLY: PLAN: BLDG: . .. . ~'. ~ DPWU:': '. ESAlWetIaDd(s): 0 Yes. 0 No SEPA Chec1distrequired? C Yes C No Other: FIIU:: OTHER: - BUILDING PERMIT APPUCATION SUBMI1TAL: The Building Division can provide you with infonnatiOD OD the applicatiOD IIDd pIan sobaiittal ~tI if you have questions. V ALUATJON OF CONSTRUCTION: Ia an eases, _ valuatioa anuJunt must be entered by the applicanL This figuIC will be reviewed and may be revised by the Building Division to comply with CUO'eDt fee scbedulei, Contact the PeDDit CoordiDatar at 417-4& IS for assisrance. PLAN CHECK. FEE: IF a plan check fee is due it ~t be submitted at the time the buildiDg.~t application and comtnlction plans are submitted. All other~t fees. arc due at ~ time ~f peanit issUance. '. . EXPIRATION OF PLAN REVIEW: Ifuo p!=JDrit is issued within 180 days of1he date of app1icatiOD, 1hc applJcatioa will upire. The Building .Offidal eaD.ateod the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107,4 of the YniformBuDding Co~e. cwrent edition). No application can be extended more than once. 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CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: ;;2W ~ ~, j Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL ~ COMMERCIAL tJ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS ))i SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE DetailslDescription: ~F- ~...y. u9 I?~..f /Hd , rh.J;1 PERMIT NO. 4/7~f / /.zl/YS;- / . DATE o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o RISER ;8l OVERHEAD SERVICE o UNDERGROUNg,.SERVICE VOLTAGE: /Z?7at/o ~'191 0391 SERVICE SIZE C>t9o AMPS FEEDER SIZE AMPS ~ . 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. D O.K. to connect service o Final O.K. Site Address: 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. .-,;~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ t ...30 Eleclricallnspector Permit Fee Installer: . WHITE - File by address PINK - Top: Eng, Bottom, Customer OLYMPICPRINTEASINC. New Meters GREEN - Top: Meter Dept., Bottom: City Hall 07/31/2005 18:45 4579270 }dEI.ctrical Contractor o Annual P.nnit 0 Alarm (i'N' ~ ! o Owner ~....'" CI CarntvlI SIMPSON ELECTRIC PAGE 01 I:J Request Inspection ELECTRICAL WORK PERMIT APPLICATION 8 - /-0 s Comm~rc'aJ D Rc.c;idential 0 Rc~jdential Maint. 0 Signs 0 TbcrmostDt 0 Telecom. Job wired by )Q Electrical Contractor 0 Owner Electrical contractor name License number 0Yl r:; ler-h-tr, SitnLlSeL 9'7~ e.~ Ptircha. '!{ mailing address .,' d'f :s 03 b IJ.. }~./ 0 / W Citf") 0 State ZIP r tJ~i A n o"j~r . Uhl. 9' B'"3..k ~ Telephone number T / FAX number PrcmilC5 owner'" name 8 J-DI..Jn's Address' or Inspection /I,;J.. W. City 10 U Or I 8 E~H>rgUl'; () l-/. ~ OlQaY L;jv(' _ ,., Frn-n + S'{. A. I hereby certify that' am the owner of the abovt named property or a licensed electrical contractor (or the firm's authorized agent) and am mBk;ng the electrical installation or alteration in compliance with the electrical law, Chapter 19_28 RCW. I administrator x ,r WALLS Insullllion Only Dnle A""mYeD ~}I C('IVer n.le AJlPf'O"C<! By '- CEILING Insulation Only Dale ^rr\flwetl By COvet D:Jle ^ltP'Ovod Dy Electrical Load Mdltlon.JlP~tQtsJ!.b.!r.a9tl!ll!~ o NO LOAD CHANGES o Ba.eboa<<t KW o Furnace KW o Heat Pump _ Ton _ LAR o Fan-Wall KW In!ltallation dCRcription -idm;k. up ~....L ~- C/,eUtJ!5 /l....~ } , ~. I~' ~ o Cash Cl Check # ~red;tCard (Vi~..J Mastercard Card # Expiration Date of card llfERMOSTAT '- I)~I~. AperoYed By DTf(]J DatI; AppnlYod By CJ Overhead Service o Temp Service o Underground Service lmrpcetinn Date Area, Building or Equipmcmt Inspected frNrl?- Discover SERVICE DMO ^l'l'fO'Vl:d Dy FEmER DOle ^l'f1Tllvcd ~)' Service Information Voltage Phasa0103 Service Size: _ Feeder Size: Action Taken Electrical fnspcetoT ,.,..,0