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HomeMy WebLinkAbout821 E 1st St - Building Building Permit 821 EPtSt 15 - 8 CIT OF 1`T GELES CITY For city Use WASHINGTON . U . S . Permit# 0008 Date Received: //7/Ze i c 321 East 5th Street Port Angeles, WA 98362 Date Approved i J -7/2.G P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Application Project Address: gQ7.2 r p ' t Main Coivct: Phone# !� / 7 - a r/D Tanta s041.a,,y S /i ,14 / -Mail: NamenProperty �) rr1.. f lyeti, Phone y • I �, l Owner Mailing Address Gu- A� Email 3big Ski DW1 /4( Cdy State Ceatte WA wA Zip ,„ 7g/02 Contractor Name?CA . /7 C A_' 116a- co • PhoneoD - 69/- fl33 •Mai ing Ads[+ J Email ,! •o•fix 1 ? g3,CoCity Ct yfl hip' State VVI ' • Z1Y.9.3021-1- Contractor ntractor License# nExpiration: peiV/Ni - o ow /0/1 w ,020/4, Project V ue: Zoning: Tax Parcel# Lot# $ , V3.C- 6r 0 0300o51a3& c Type of Residential 0 Commercial 6Y Industrial 0 Public 0 Permit Demolition 0 Fire 0 Repair 0 Reroof(tear off/lay over) 0 For the following,fill out both pages of permit application: New Construction 0 Remodel 0 Addition 0 Tenant Improvement 0 Mechanical Ly'Plumbing 0 Other 0 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathroom: Yes 0 No 0 Project ✓L AAA re/9lii:ee reel p oitp Description w/ I have read and completed the application and know it to be true and correct I am authorized to apply for thi permit. I understand that it is my responsibility to determine what permits are requiredand to obtain permi prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will 1 considered abandoned and the fees forfeit. Date Print Name Si a ture 1k/If 1,-oRrat%-- I/ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DNISION 321 EAST 5Th STREET, PORT ANGELES,_WA 98362 Application Number 15-00000008 Date 1/07/15 Application pin number . . 889752 Property Address 821 E 1ST ST REPORT PARCEL NUMBER: 06-30-00-5-1-2365-0000= REPORT SALES TAX' Application type description COMM MECHANICAL PERMIT Subdivision Name on your state excise tax farm Property Use to the City of Port Angeles Property Zoning COMMERCIAL ARTERIAL s �s Application valuation . . . 6435 (Location Code 0502) Application desc roof top mount HVAC Owner Contractor LYDIARD HARRY L PENINSULA HEAT INC 164 WALKER RANCH RD 782 KITCHEN-DICE RD PORT ANGELES WA 98363 SEQUIN WA 98382 (360) 681-3333 Permit MECHANICAL PERMIT Additional desc . ROOF TOP MOUNT HVAC Permit Fee . . . 64.80 Plan Check Fee . . .00 Issue Date . . . 1/07/15 Valuation . . . . 0 - Expiration Date . 7/06/15 Qty Unit Charge Per ' Extension a BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 • Fee summary Charged Paid Credited Due • Permit Fee Total 64.80 64.80 • .00 .00 Plan Check Total .00 .00 .00 .00 - - Grand Total 64.80 64.80 .00 • .00 • N • • 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 •�_ - regulating construction or the performance of construction. of/0 ale)K /1 c I kt2x A? y Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms!Buiiding Division/Building Permit - PREPARED 1/15/15, 13:34:29 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/15/15 • ADDRESS 821 E 1ST ST SUBDIV: CONTRACTOR PENINSULA HEAT INC PHONE : (360) 681-3333 OWNER . . LYDIARD HARRY L PHONE PARCEL . . : 06-30-00-5-1-2365-0000- APPL NUMBER: 15-00000008 COMM MECHANICAL PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 1/15/15 iikLif, MECHANICAL FINAL January 14, 2015 11:55:36 AM pbarthol. �` \ Mary 683-8867 Roof mounted heat pump furnace. Ladder will be available COMMENTS AND NOTES Certificate of Occupancy 82 , 1 E ist St 12 -793 p4. .p CERTIFICATE OF OCCUPANCY City of Port Angeles - Building Division This certificate is issued pursuant to the requirements of Section 111 of the 2009 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: Business name: TJ's Flooring Business address: 825 E 1st Street Business owner: Thomas Grubbs Business owner's address: 913 Church Ave Port Angeles, WA 98362 Automatic fire sprinkler system: N/A Use & occupancy classification: Business Occupant load: Per 2009 IBC, Table 1004.1.1 Type of construction: VB 3/29/13 Sue Roberds, P a ping-Manager Date Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. QO O6 . • y �}'�0 P ttrq.lcf CERTIFICATE OF OCCUPANCY APPLICATION Permit# ( �' L� �'c^iii FJ' i"- FEES ri 11101111 OF PORT ANGELES nn 021 Attn: Permit Technician CD( Certificate/Inspection . R E E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360)417-4711 fee charged for Downtown locations JUN 2 0 2012 PA, 02.90 •Iz CITY OF PORT ANGELES PLEASE PRINT IN INK OV))000 (a 3 Cheek111111NG OMSletisiness in P.A.?1 Change of ownership only? Moving location from within P.A.? ,Zoning BUSINESS NAME / U��-t�6,>)// G'' Business address c�,r / - oz $7 /7Mailing address �',2 /X57 .o".e f- • /5- Phone 2. Phone number36® 67f -/f- Opening dateJi 1 0Z Days & hours of operation r""--Oc7 T� :T' v<7 Business owner's name 77 o/r/ x �rA',I'r ru b S Contact phone-360 6 7G� _�/a Business owner's address 7/3 CHI tI2C H / ,' t%v6> Ccr £i/g- fcf3i 2_ Brief description of business /9-LC <OG�2/iv4, C, Qf' r/ I/m7 L / Let" -,etc, i - d Property owner's name ZAN1 iS Prn' P5S 9 ii 4j rr`- Contact phone /feel TA-/l'l,-s 3605//7D1P/a Property own is address/contact l/// 04&?Ly.-v sr /o i4r//i r ( 74 Q5-34.2.„4furry Lydia. ( c/o James cxtak� BUILDING DEPARTMENT phone 417-4815 Bldg approval bait' onalICAPr Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No X • Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: CIQI(‘,P_, • FIRE DEPARTMENT phone 417-4653 Fire approval by--3-4) on "L'2=1-lZ_ Changes to a fire sprinkler system or fire alarm system? Yes D No Af Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 qq I Square footage of business? PBIA notified I,,v 1 on_" Is business moving within the PBIA? Yes No KI CITY CLERK phone 417-4634 City Clerk approval bJ�SLIL—' in ZS' t� Second-hand dealer/pawnbroker business? Yes Nol Will there be dancing at this business?Yes No A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 • COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on `l r-1 17-- Number of off-street parking spaces available for employees and �(�, customers? 6 -1�`� 'C (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: -tom �f�5r4-4' ( — res -. eX tsk1I ciree5far d.wb, coev PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by LO I71 kl'Y onQ OW/ AI PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re-located sewer or water service, i O Co Irn EY‘01b4k 5 excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes No Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWWapproval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date 6/1r/ lL Print Name nemSignature � T\Forms\Building Division\Certificate of Occupancy Application(2010)doc Page 2 of 2 OF poRrgNo • PORT ANGELES INDUSTRIAL WASTEWATER PRETREATMENT ter" QUESTIONNAIRE and DISCLOSURE FORM KS AN�J Complete all applicable sections. Information must be typewritten or clearly printed. Attach requested information as needed. Signing official must have the authorization to provide such information on behalf of the company, corporation, or partnership. Company Name:��S�/©O?/4/ - `��cYJ,eiivc ?2ePUef" Yl/o( /3 t re 14 f26" , Mailing Address: (5?5/Eige5r- A?/G-<( r Cie cs-9 Address of facility in Port Angeles (if different than above): Contact Person: ©vki4r 6A. ,h, Phone: 3(,0 6'7o 5/r. 1. Type of Industry: /G402v'(/' Standard Industrial Classification number(4 digit SIC code) 2. Type of Product(s) or Service(s) produced; rate of production; process used: Type of product Rate of production Process CARP. - .‹Pt Ott -,,esovc-f S 0'4/Li tveo0 3. Product Volume: 4. Number of Employees: - 5. Operation Pattern: (hr/day) (days/yr) (mo/yr) 6. Water Usage(gpd): Average Maximum 7. WASTEWATER DISCHARGE TO SEWERS: [List the principal materials(cleaning agents,solvents,plating solutions,catalysts,process chemical,etc)by their generic name and principal chemicals that are regularly used in your facility and that will or might be discharged to the City sewer system] AVERAGE DISCHARGE MAXIMUM DISCHARGE TYPE OF MATERIAL OR CHEMICAL GAL. TIME& CONC. GAL. DURATION CONC. PER DAY DURATION (MG/L) PER DAY (MG/L) a)Process b)Cooling c)Sanitary d)Others listed below: =.example Degreaser jTrycfiloroettiylene) _`µ _ 3 }.3PM;30 Min/day 0 3' 710 AM, o mm/day s 0:001 Total Discharge 9. Are there seasonal variation to the above discharges? PW-804_02 page 1 PORT ANGELES INDUSTRIAL WASTEWATER PRETREATMENT QUESTIONNAIRE and DISCLOSURE FORM (continued) 10. Does your company sample and analyze your wastewater?❑ Yes ErNo If yes, what is the nature of that sampling program? 11. Discharge to sewerage system: Attach as"Exhibit 1"a plan of your property showing accurately the site plan, floor plan, mechanical and plumbing plans and details showing all sewers, connections to the City systems, inspection manholes, sampling manholes, and appurtenances by size, location and elevation. a) How many wastewater discharge points does your company have that are connected to the City's sewer collection system? b) Where are your discharge points located? 12. Does your company have any plans for expansion? ❑Yes No If yes, when and how would expansion alter your industrial wastes? 13. Do you provide any pretreatment of wastewater streams that occurs prior to discharge to a sanitary sewer?0 Yes Ek-'" No 14. Do you have a spill prevention, containment and control plan (SPCC) for your company? 0 Yes E3 No 15. Does your company have or plan to provide a parking lot,with a drain system to collect run off? 0 Yes 0 No 16. Do you dispose of any chemicals, solvents or hazardous materials to other than the sewer? 0 Yes 12'6o 17. If yes, provide a description of each material, giving the composition, solids content, annual quantity, means of disposal, and ultimate disposal location: 18. Does your company have the necessary Material Safety Data Sheets (MSDS) on file? 0 Yes D'No 19. List any prohibited pollutants being discharged as regulated by the City's Industrial Pretreatment Ordinance: Pollutant Daily Max. Conc. (mg/I) Daily Avg. Conc. (mg/I) 20. List any environmental control permits that are held by or for your facility. 21. If additional pretreatment and/or operation and maintenance activities are required in order to comply with the City's Industrial Pretreatment Ordinance, then the discharger shall provide a compliance schedule attached to this form which describes how the facility will conform to the requirements. The information contained in this questionnaire and disclosure statement is familiar to me and to the best of my knowledge and belief, such information is true, complete and accurate. � 1 DATE:6/1)1 fat L Signature: iTitle: ®G/I1/(-e NOTE: Attach additional pages, if needed. RETURN TO: City of Port Angeles Wastewater Treatment Plant Attn: Superintendent 321 E. 5tStreet P. O. Box 1150 Port Angeles, WA 98362 PW-804_02 page 2[Revised 7/05] • PREPARED 7/10/12, 9:10:41 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/10/12 ADDRESS . : 821 E 1ST ST SUBDIV: • TENANT, NBR: TJ'S FLOORING CONTRACTOR PHONE : • OWNER . . LYDIARD HARRY L PHONE : PARCEL . . 06-30-00-5-1-2365-0000- APPL NUMBER: 12-00000793 CO- CHANGE OF OCCP/USE PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 7/10/12 ' LI" BLDG C/O FINAL 1, • OVERRIDE TAKEN BY HCATUZO DATE: 07/10/12 TIME: 09:05:12 11' OVERRIDE COMMENTS AND NOTES ":",,~'i'lf''f.<!f..,,,E!:f ","C"n'''''';~,'''Ai':' ',"':,:;CC>l.:.ffr."f"1"'!, "'\b '""" " ~)P' 1", , ~I." CERTIfiCA'TEi O.F :O,CC"UPANCY ,.,' " , ", '>" , Ci,ty of Port Angeles"~ Buildin~;f;[),iv'i~ion (,'"}T'- ~ ~'; >-, - -, " ' \..i;- This certificate IS issued pJf!~u'aji'(toJ~e, requzrements of Sect/on J J 0 of the 2003 ~~ernational Building Code cert!jjill1g that at the tlm€!~:bfiss'itdnc'i;(h}f'sifucture was Il1 complzan'ce,'wztl:z the vari~'z!s ordll1ances of the City regulating buzlding confJr~~tip~;R~,~ie fo/:~~e;followi~g:':': .'. i' ';".~ :':::., ~;>i;; , l Business name: If'Ra~d?~':Atto S~le~'I'nb:":, \~' :~ ,< " st ; L -;: '~- ~, .) Business address' h 82t.E j1 St.. 1 , . " Owner of business' l~ R~~\dy'\~:Michalscheck:~~~2":'~~'}' :", ,',' . ~ Owner's address: \',819 E;~'1 51 St., Port A'ng~ietVvA! 98'362,' , Jf Use & occupancy cla}~i,fifation Busine's~j.r~ / .": i Building permit numbe~;" ::l: 06-840 ~ ,'~;" t"l \~I ~ iff' Type of construction:' "." w"'-'\7:'Rr':~" ,,::?i' ) . "I"!" 1(' ,4~ ,,;' I~N I ~~ lasered CEO .~. ~ ~ - ; ~ -, ~ - ~ 0"- ....j "CA ROUTING SLIP ~icate of Occupancy ($50.00 ertlflcate/lnspectlon Fee DATE Address of Proposed Business f(.}-/ E I !T Applicant P:A--IJOY ~ f.LI7O ('frL-f3{ J:.;J L Address el'1 c / ~ VOrl"- 7f-/JbG-t-&-J ?vA- yf3?C L Phone: business ]w.-Lj)1-72-7~e '1'j?- fOCI '7 New Business. . . . . . . . . . . . . . . . . . . . , . . . Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership .... . . . . . . . . . . . . . . . . . New BUilding .. ......................... Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . . . . . . . . . Change of Use ..... .................... Brief description of proposed business: -e fnA- / L SkE.J legal Description: lot Current Use of Property: Zoning Classification of Property: Block WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electncal 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 nght-of-way Is there suffiCient off-street parking? New dnveway 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 YES NO -~ -~ -~ -~ -~ --1- -- ", ==~ K - ~ -- _-K X -- K -~ -- k -~ -X- -f-- -- 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. ;;r;r; REJECTED ~SR ~-l-o~ B LJ '=IF I t-J q Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Subdivision C/P THE FOllOWING Will BE REQUIRED. PERMITS 1) BUilding 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Dnveway 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 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: MI v~LSc.+i 6a<. Com' ) ) ) rJl ) ) ) o 0- I f;;;)O -C 0' ~ - m - \J'\ -t. ~ " :3 e/ ..-- ~ o QO - ::i -. 5 o G -h o .: _.\ f', " . r~)J~ 8 f/J ~ '/ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. .;:;?cf .:29 DATE /~~/ro Installed By: 8.;2 C. oL. o READY FOR KWILL CALL FOR INSPECTION INSPECTION license Number: Phone: Site Address: Owner/Business Address: Phone: Owner/Business: Sq. Ft. o Residential 0 New Construction Heat KW 0 Remodel o Baseboard 0 Furnace/Boiler 0 Service update/alter/repair o Heatpump 0 Other 'or( o Commercial/Industrial ioad ~Add/alter circuits Total Connected load 0 Auxiiiary power (attach breakdown) (list below) Total Motor load 0 Special equipment (attach breakdown) (list below) o Overhead o Underground Voltage 010 030 Service size o Temporary Amps DetailslDescription: c.JU-. crUti W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. l-tJ. Rough-in/cover O.K. \ b O.K. to connect service _~Final O.K. \ Site Address: Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: Permit/Receipt No. " I ./ , ~otify the Depa me of City Light by Street Address and Permit Number when ready for in pec ion. Work nust not be covered or electrically energized before inspection and O.K. for covering or service has been given \y the ~n Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. r r} ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ';;;<lJ . lllO ~- Inspector Amount paid [HITE - file by address YELLOW - tile by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall FEE R'!e~~R CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A zcrv PERMIT NUMBER . TOTAL FEE '&-(c:> ~Nt:I"tS "&'"7 f' . \ "'23 1~ CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGALQCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address ~ (){....,-h vi) Vt..v.>cl~ ~2-I;::..... M~S'" CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT _ P:RMITS WITH. W_RONG ADDRESSEE{ ~AE CAN~ELLED ~_, . \ Owner .h ~L- ~ a /'..44-1 ':'-J) Installation By .24-1 ~P;bw <87 if.-jj O~. ner'sAddress ;5i~..-z-. .. Installers Adaress ~~I F'~- t2-/). Day Phone qS_~ '-i I I InstallersPhone ~ 2. -:~:z...~ Application is hereby made for Permit,to install Electrical Equipment as follows~ ! 1\)5 ' .A...- ~.-? :...~---;. <;76...) Wiring ~ethod c~..o-J \~ . NUMBER AMP 12QV. 240V NUMBER AMP 120V - 24QV USE OF CIRCUIT CIRCUITS PER 10 ",00A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT SIGN ). -4 k '2&" LIGHT SO VOL TS OR LESS CO~VENIENCE MOTOR - - , CONVENIENCE MOTOR APPLIANCE MOTOR. DISHWASHER - 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 ~&~ 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 I certify that the work to be performed under this permit will e done by the installer and in conf rm n . ,19M By- It ctrical Code. Date Application made CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) . Date Permit Issued 1/ ~If /~Y Permission is hereby given to do t~e 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. . .. . 2R OF CITY LIGHT By ~a~ ~/l9# PLANS APPROVED . , '. Notify Department of City Lig'ht by Street Address and Permit Number when re~dy for inspection. Werk must net' be covered or current turned on before inspectien and O.K. for covering .or service has been given by Inspector in Writing en 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 nt vuOI,... OI'lII\lTI"R<:: ,,,,(, REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS " " - ~..:..:> ",-O.K. FOR COVERING ,,' -e;Zie"c;gNr:;Ci sEAVtCE-- . - , ! ; " ~ /)./u.. 151 l' rI," ELtULl O.K. I - i . z o a: < ::!! !a J: I- Z W ;. I- o Z o C . /1) Z 0 'FEE RECEIPT NUMBER . - CITY OF.PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 5)3 PERMIT NUMBER . TOTAL FEE ~ t!3-. AIG ~tJ(1 zeL. I " ''I :,. "M r-. LEGAL OCCUPANCY CO NT. L1C. NO. TIME TO COMPLETE NO. STORIES Site Address ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /JI Owner Owner's Address Installation By Installers Address RE CANCELl,!'O j._ L.-'\-"/ A- J ? h d..- IBILlTY OF APPLICANT Day Phone Installers.Phone Application Is hereby made for Permit to install Electrical Equjpm~ntas follow~: ) I ou J I.-v I It . C I fL l\.A./~C> ---- t j- Wiring Method .i NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN . .. 50 VOLTS LIGHT OR LESS CONVENIENCE - . - MOTOR CONVENIENCE . MOTOR APPLIANCE .MOTOR . . DISHWASHER 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 TOTAL FEE ELECTRIC HEAT .SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT - AMP ", PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. . I SUB-TOTAL - SIZE OF GROUND SIZE OF ENTRANCE SWITCH - .. - - I certify that the work to be performed under this permit wilt be done by the installer a ~ li-o / 3~ ,19 / / - - '-CONTRACTOR R OWNER (OR AUTHORIZED AGENT) Permission is hereby givenJo do the above described work..accordlng to the conditions hereon and according to the approved plans and speCifications pertaining thereto, subject to compliance wIth the Ordinances of. the City OJ Port Angeles. .. '. !1i. !IRE~TOR OF CITY LIGHT By ~Q_ ,- Date Permit Issued PLANS APPROVED . ) .. 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 Ex!. 158. Date Application made onformance with the N.E.C. Elf3ctricaJ Code. , , WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD -Inspector's Report . f'1I,VUPIf".Pl:llNTI=R!'<. INt": . j.'lo'~ .,~. , ~ I- <: ;, < " . REPORT OF INSPECTOR , \ -' " ' -'". DATE OF VISIT MADE BY REMARKS , " , : ,,/ 1:' ~ \ .,1,' \ \ . " , , , \ ',1'.\ , .. - , --- , " \ , , , , " , \ .. ~ ~ : , , . : , .. , . .. , ~J ,:,,1 ..J ::: . .+ \ , , " , , " " \ . \ - - , " , : " . j , ~ ') - J.. , J '1 " , " " J : \ . . '\..,' r"\ . j , . .. . " . " . . .. , . , , .. , , . , , . , , " . , , , , . - ~ /' -- , C ~~ <0 - I'~(; \ c \. \ \ ~' ~ . ') , . '<, O.K. FOR COVERIN'G ' , . .1 1 .,/t..../3 ? 11//71 -) , ~ ''. ~ ._,pi! -r':'R"ISE , I. I V ~ALci,K\ ' , .. , . , , , . " , . z CI ~ c( ::!!: ~ J: I- Z W l- . I- o Z o Q .,