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305 W 1st St - Building
CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION ,9� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 i A' f6a Application Number 12- 00000301 Date 3/22/12 Application pin number 653127 Property Address 305 W 1ST ST REPORT SALES TAX r ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 1302 -0000- i Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name Property to th City of Port Angeles s c 4' Property Zoning COMMERCIAL ARTERIAL (Location Code 0502) '.ay Application valuation 17262 4 y Application desc HEAT PUMP -ROOF TOP UNIT Owner Contractor 0 e i NORTHWEST MEDIA, INC LP ALL WEATHER HTG COOLING INC P 0 1330 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 ft�a (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc HEAT PUMP -ROOF TOP UNIT Permit Fee 68.20 Plan Check Fee .00 Issue Date 3/22/12 Valuation 0 Expiration Date 9/18/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 18.2000 EA ME- FURN /HP /FAU 5 TON 18.20 Fee summary Charged Paid Credited Due Permit Fee Total 68.20 68.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.20 68.20 .00 .00 t Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes 4 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 H of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does 4 not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. *ai a 1 (Y1l c 1u Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit A BUILDING PERMIT INSPECTION RECORD 0 PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS c Building Inspections 417 4815 Electrical Inspections 417 4735 1 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 l IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. I Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney -�2 Commercial Hood Ducts FINAL Date C' ccepted bat HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 g Fire 417 -4653 Qo_ Planning 417 -4750 Building 417 -4815 T•f=nrmc /Riiilrlinn rliuicinn /R■ iilrlinn Parmit N 1 1 N 1 1 CO 1 1 1 1 W E CO 1 7 F 1 1 a 1 1 1 1 1 1 H 1 m 1 01 1 N a 0 1 N 0 a 1 a 1 V 1 W 1 1 H 1 7 a 1 1-1 w w 1 F w z z Q 0 1 W V7 1 PEI 00 1 W .X W 0 3: X N U co Ufa a EN, O H O z E rj 1 0 F n 0 CI o 0 cc. H O i E-• I V1 a Z uu E z, zo° co W W 1 a 1 w H 0 m Z a s 1 01 1 X 1 w N w W cn 1 a 1 z£ 1 p7 X O 0 a a E H H 1 Z H u t V1 0 H a 1 E\ U N U a 1 a V] H a (0 a 1 H E ,7. +-1 0 z 1 a 1 0 01 H a o I U 1 a a a 1 ro CID 1 u rnx 0 0000 1 F00 1 u z o 2 H 1 H k H N 1 .0x 1 [Q (J M U I QI F 01 1 E, H H W a H 1 X Q E 1 8 U a �4 1 H W 0 I H m st. 01 U] 01 z 0 1 H W 1 01 o 0 1 H a F x F M 1 OD CO F V 0 0 V1 1 H� W o0 1 w 1 W 1 0 1 W r4 a 1 3 3 0 0 1 W W N N W 1 Pm. F F H 1 lna cn W r fiC 1 O fC z 0 H 1 0 Z a N N dX m Z a I au I NI 0 O 0. Q F W w V U 2 I o 1 Ch a z a o H En a H I a F W U a 1 01 W F w z z a a 1 Z d a 01 a u a u o a.0 a H PROJECT STATUS UPDATE Permit 2' 3o I OS _i.s.T s r Date: S -2 I2 I phoned the: Applicant KQ,reo- I I meet iaW at g 1 3 Property Owner at Contractor at I (left a phone message, discuss- The permit (has expired or will expire soo What is the status of this project? q Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. T:Forms /Building Division/Project Status Update 03/15/2012 14:17 13604525177 ALL WEATHER HEATING PAGE 02/03 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received ISO' Ia" Permit# 12- I City of Port Angeles Please print in ink. Date Approved 3- IS 1)— Attn: Building Permit Technician Approved by }nly 321 E. 5 St., Port Angeles, WA 98362 360 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person:^(( „I Ph one: Fill l -1n A L I sa_ s (3 Property owner: A 1 d1 n5k) U� L�� Nw Meok I Phone: uS a- d3yS Property owner's mailing address:. pp (Soi. I 3N) Contractor's business name: Hi vu hec }R A o`- Coo 1%' n Phone: (or property owners name If he/she is doing /overseeing thVwork) 1 1 5 3 1€3( 3 Contractor's mailing address: Contractor's L &I license number: A L' E e: F+ L` 50 K L Expiration date: r'i q /I a Project Address: SO5 W, 5 Project Type; Residential Cnmmerciel o Industrial m Multi- family Project Business Name: (for commercial, industrial, or multi family projects) 1 ey1Inbt.) (tx i ty NW /5 The following permits are usually issued over -the- counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re roof: o house o garage o other o tear off re -roof o lay over one layer Licensed contractor: Submit a copy of your re roof bid. Project Valuation (labor materials, not including sales tax) Re side: house a garage c other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) MAR 15 2012 Project Valuation CITY OF PORT ANGELES BUILDING DMCION *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T :Forms /Building Division/Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) aeon* Page 1 of 2 03/15/2012 14:17 13604525177 ALL WEATHER HEATING PAGE 03/03 Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements, Project Valuation Demolition: A demolition permit Is needed when an entire building gets demolished, What will be demolished? c house garage o other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain, Agree to ensure that all utilities are /will be properly turned off (and capped off If needed) prior to demolition. (1) Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Alr Agency ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. o yes o no Will the debris be going to the Regional Transfer Station in Port Angeles? o yes to No If yas, will a licensed contraalrr hp takino It thPrn9 If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing Is needed). 1 Plumbing Permit: (explain the orolect) Project Valuation Mechanical Permit: ex _lain the prolect) Installation of Heat Pump app V L. t i<a.rer\-> Project valuation 17g o'ltod,•7O have read and completed this application end know it 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, and to obtain permits prior to working on projects. Date f 1 S Signature 11 1 4 1 Print Name Karen McKeown Page 2 of 2 ELECTRICAL PERMIT N CITY OF PORT ANGELES 360 417 -4735 Application Number 12- 00000311 Date 3/22/12 Application pin number 817665 Property Address 305 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 1302 0000 on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc T -stat Roof top heat pump Owner Contractor NORTHWEST MEDIA, INC LP ALL WEATHER HTG COOLING INC P 0 1330 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -9813 AW-a g-71.1 Permit ELECTRICAL ALTER COMMERCIAL v J Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 3/22/12 Valuation 0 Expiration Date 9/18/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL -LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00' .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ktkr> ROUGH IN gC3 IZ- FINAL g r C2-- COMMENTS: j4 G PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION "1. Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 03/19/2012 12:35 13604525177 ALL WEATHER HEATING PAGE 03/03 e fr' CITY OF PORT ANGELES PERMIT APPLICATION r ,1 R 1 D 2 1? off Building Division/Electrical Inspections "i 321 East Fifth Street P.O. Box U50 Port Angeles Washington, 98362 ELECTRiCAi Ph: (360) 417 -4735 Fax: (360) 41,7 -4711 INSPECTIONS Date: r 1 St 1 X_ Multi Family or Commercial* Plan Review Ma Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 3 0 3 V 51 Building Square Footage: Description of above w Mt t•• 17 1► Owner formation Contractor In ormatlon Name: 6' C11 1V4J- Name: It ec�Thtr ti NA (r...,0(( ki Mail/ Addre s: C 1 Meilin Address: 15.e I. Clty:D State: Zip: v 3 City: e- State: e Zip: Phone: 1 Fax: Phone: ax: License >Y Exp, t.iCense It Exp. t... S od.' I= Unit Charge gL To tal (Qty ultfalied by Unit Charge) Service /Feeder 200 Amp. $132,00 Service /Feeder 201 -400 Amp, 160,00 Service /Feeder 401.600 Amp 225,00 Service/Feeder 601 -1000 Amp. 288,00 Service /Feeder over 1000 Amp. 410.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 86.00 Temp. Service/ Feeder 200 Amp, 102.00 Temp. Service/Feeder 201-400 Amp. $121,00 Temp. Service /Feeder 401-600 Amp, 164.00 Temp, Service /Feeder 601 -1000 Amp 185.00 Portal to Portal Hourly 96.00 Sign /Outline Lighting 88.00 Signal Circuit/ Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 56.00 _i___ $_Ltr� Note: $5.00 for each additional T -Stat 1 CO 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 owner of 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 PAMC 14.05.050 regarding Electrical Permit Applications, Signature of wner, electrical contractor or electrical administrator: Cash Chock j O Crodk Card d Onad: I I 011011MU N ELECTRICAL PERMIT CITY OF PORT ANGELES W 360 417 -4735 X Application Number 12- 00000347 Date 3/27/12 Application pin number 874163 Property Address 305 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1302-0000- on your excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc roof top heat pump Owner Contractor NORTHWEST MEDIA, INC LP BLACK DIAMOND ELECTRICAL CONTR P 0 1330 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 565 -1035 Permit ELECTRICAL ALTER COMMERCIAL cj\l Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee .00 Issue Date 3/27/12 Valuation 0 O Expiration Date 9/23/12 Qty Unit Charge Per Extension K1 BASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 (5 .T INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 3 t 2- °aAP FINAL it 2-- `�1/ COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION o Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING oF90R,A,4 �N ELECTRICAL INSPECTION WIRING REPORT `'ow- 417 -4735 RKS h DATE: PERMIT INSPECTOR 7 OWNER ne r fn CONTRACTOR ADDRESS APPROVED NOT APPROV DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: R•icp brt Actaglo F, I tK i'J* 6/b 3 ?Pa s4 1:2t‘ c c; r-k. 1140 N30.44-c. t G 140E, bla NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE ot,9; o `F ELECTRICAL INSPECTION y WIRING REPORT ipoRks„,0 417 -4735 DATE: PERMIT INSPECTOR -z 1Z i2 -b.3 OWN R CONTRACTOR T3LA'CAK �►�c� N. 1> G A C.- ADDRESS a)S rS APPROVED NOT APPROV DITCH ROUGH IN /COVER SERVICE FINAL s. CORRECTIONS NEEDED: J15-.11 L U 1,J IJ z4".' c. 1lb l2 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE l 1 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections riAR 2 3 2:::: C1 O 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS u Date: 3-2_3 12_ 1& 2 Single Family Dwelling ....1 Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 305 u,.). 1 RST P. D, t�f Building Square Footage: Description of above R_ al A'u.P 0 lb f N I'- Owner Information Contracto Information Name: t O L�hl T-WT �PADt t! 1 N C Name: L) `X k t iA.tvn al-C�z (Cr4L Mailing Address: Mailing Address: S a 3 uac-• Dot- 0 City: State: Zip: City: P A. State: 1 A'k Zip: 983 CO Phone: Fax: Phone: Fax: License Exp. License Exp. 73 C-# d C ,r `fD_ Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service /Feeder 401 -600 Amp 205.00 Service /Feeder 601 -1000 Amp. 262.00 Service /Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1 -4 75.00 i Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. Service /Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 7S Totai 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 owner of 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 PAMC 14.05.050 regarding Electrical Permit A plications. Signature of owner, el i ric. /contractor or electrical administrator: Cash Check 6-7 5- (3/ Credit Card X Dated: 3 0110112012 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00000490 Date 5/22/09 Application pin number 389110 Property Address 305 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1302 0000 Tenant nbr name PENINSULA DAILY NEWS Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 53025 Application desc TEAR OFF RE ROOF THE PENINSULA DAILY NEWS BLDG Owner Contractor NORTHWEST MEDIA INC LP ACHTEN S QUALITY RFNG CON INC P 0 1330 418 112TH ST E PORT ANGELES WA 98362 TACOMA WA 98445 (253) 539 7663 Structure Information 000 000 TEAR OFF RE ROOF PENINSULA DAILY NEWS Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF Permit pin number 146738 Permit Fee 698 25 Plan Check Fee 00 Issue Date 5/22/09 Valuation 53025 Expiration Date 11/18/09 Qty Unit Charge Per Extension BASE FEE 670 25 4 00 7 0000 THOU BL -50 001 100K (7 00 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 698 25 698 25 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 702 75 702 75 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 has commenced. or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. n� ©S /9 /v 9 v 'Date Print Name T:FormsBuilding Division/Building Permit ve.A. CcSCo L.: Signature of Contractor or Authorized Agent kincte y-7-lo Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T:Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By �I _1- io PREPARED 4/07/10 8 29 03 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/07/10 ADDRESS 305 W 1ST ST SUBDIV TENANT NBR PENINSULA DAILY NEWS CONTRACTOR ACHTEN S QUALITY RFNG CON INC PHONE (253) 539 7663 OWNER NORTHWEST MEDIA, INC LP PHONE PARCEL 06 30 00 0 0 1302 0000 APPL NUMBER 09 00000490 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR PEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 4/07/10 JLL BLDG FINAL April 6 2010 4 31 01 PM 1pangrle DEAN 452 7694 BUILDING FINAL RE ROOFED THE PENINSULA DAILY NEWS BUILDING COMMENTS AND NOTES May 22 2009 11 54AM HP LASERJET FAX 253- 539 -7664 p 1 OUJneir Vet OM (AWN Ccion� viebsif Nor +hWest ('l edt4t. •nc, LP Po 133b c Pori- Anrks,WA 93302_ BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant ;ft' Property Owner tn5v. l Property Owner's Address Contractor Contractor's A. dress' 41 License Phone St1 Oa C., rike. q$4 Expires E -mail tni ckettte asifeiens r PROJECT ADDRESS L 1_I 1_ ACk. C g3(pa Parcel Number 1�- Project Time Brief Descnation: u Residential Check all that apply C1 New Construction a Addition o Remodel o Repair o Demolition Floor Areas E ristinci (se ft.), proposed fsa. fL) Basement 1 Floor 2 Floor 3" Floor Garage Carport Covered Porch Deck Shed Other o Multi- family ,(Commercial o Industrial r e -roof o House o garage )(other ,oar off re-roof o lay over one layer o Heat System Heat pump o wood buming stove o gas fireplace pellet stove o other o Other Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Phone Phone Lot For City Use Only. Date Received -2.2-61 Permit 4 90 Date Approved onin$ per sq. ft. TOTAL VALUATION Total footprint of structures sq. ft Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authonzed to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior in. o rejects. Date' r -Print Named C._,Qt1e. S Signature T:Forms/Building Division /Bldg Permit.doc 1 1 May 22 2009 12 41PM HP LASERJET FAX Item Re-Roof Change Order Bill To Peninsula Daily News 305 W 1st St Port Angeles, WA 98362 Thank you for your business. Quantity Achtens Quality Roofing 418 112th ST E. #C Tacoma, WA 98445 Office (253) 539 -7663 Lic ACHTEQR923CM 253 -539 -7664 p 2 Invoice Date Invoice* 5/19/2009 1613 P.O No. Terms Due on receipt Description Rate Amount Install 2 -Ply Torchdown System 53,025.00 53,025.00T Permit fee 702.75 702.75T Sales Tax 8.40% 4,513.13 Total $58,240.88 Payments /Credits 19,159.70 Balance Due $39,081.18 May 22 2009 12 41PM HP LRSERJET FAX Achten's Quality Roofing and Construction 418 112 St. E. Suites C, Tacoma, WA 98445 Office: (253) 539 -7663 Fax: (253) 539 -7664 FAX COVER SHEET COMPANY. ATTN. Linda FROM. Juanita DATE. Mav 22, 2009 RE. Invoice for Peninsula Daily News Project (Page 1 of 2) 253 539 -7664 p 1 PREPARED 4/07/10 8 29 03 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/07/10 ADDRESS 305 W 1ST ST SUBDIV TENANT NBR PENINSULA DAILY NEWS CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452 8525 OWNER NORTHWEST MEDIA INC LP PHONE PARCEL 06 30 00 0 0 1302 0000 APPL NUMBER 09 00000151 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 4/07/10 JLL �7 PLUMBING FINAL April 7 2010 8 13 39 AM 1pangrle DEAN 452 7694 PENINSULA DAILY NEWS PLUMBING FINAL REPLACED WATER LINES WITH WIRSBO COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000151 Date 2/17/09 Application pin number 623522 Property Address 305 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1302 0000 Tenant nbr name PENINSULA DAILY NEWS Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 11000 Application desc REPLACE WATER LINES WITH WIRSBO Owner Contractor NORTHWEST MEDIA INC LP P 0 1330 PORT ANGELES WA 98362 ANGELES PLUMBING INC P 0 BOX 1151 PORT ANGELES (360) 452 8525 WA 98363 Permit PLUMBING PERMIT Additional desc REPLACE WATER LINES Permit pin number 141713 Permit Fee 57 00 Plan Check Fee 00 Issue Date 2/17/09 Valuation 0 Expiration Date 8/16/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL -WATER LINE 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name T.FormsBuilding DivisionBuilding Permit Signature of Contractor or Auth d Agent Signature of Owner (if owner is builder) Inspection Type IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments 'Li 1 —lo P FINAL Date Accepted by c I O FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Applicant Property Property Contractor Contractor's License Floor Areas PROJECT ADDRESS ,3 DS Gl) 4/ Parcel Number Proiect Type Brief Description. Residential Check all that apply New Construction ifanakee Addition Remodel Repair Demolition Re -roof Heat System Other Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 4W/1- rt% //hi- C Owner;, Owner' Address 4,9,4"-te. <3/25-. G(, his SV Address PD1 /A--/ S ,4/jig,c at c s )J E-mail i .bsi i- 6 c� ne r KO r' ()\E -S'- (Yleai etc L p i PO t3 ex B3 Po- (c 4 BUILDING PERMIT APPLICATION Print in in 9' "6 Multi- family XCommercial Industrial Existing (sq. ft.) Proposed (sq. ft) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Phone Phone Phone Lot TOTAL VALUATION For City Use Only Date Received Z-- I -0 7 Permit M'- (5 1 Date Approved 7 7 moo 4 1.5 z z� Zoning House garage other tear off Te -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other per sq ft. Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it 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, and to obtain permits prior to w; ing on proje Date Z7 Print Name /2 4/wit T4" Signature T.Forms /Building Division /Bldg Permit.doc ,.----- r/ ~ORr ;\\rG' ~~~~"" ~,.~ "- -=.;or ~ ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000221 Date .079972 305 W 1ST ST 06-30-00-0-0-1302-0000- ELECTRICAL ONLY 3/25/04 COMMERCIAL ARTERIAL o Owner Contractor NORTHWEST MEDIA, INC LP P 0 1330 PORT ANGELES WA 98362 OWNER Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 40.90 Plan Check Fee Issue Date 3/25/04 Valuation Expiration Date 9/21/04 .00 o ~ Qty Unit Charge Per 1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT Extension 40.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .00 .00 E. . !i . 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 construction or the performance of cons r I 3 25/ DJ Date Signature of Owner (if owner is builder) Date Sign ture of Contractor or Authorized Agent 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: /I ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERlOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT /I's: WATERLINE / METER SEWER CONNECTION SANITARY .f)C p , ~'i 0 STORM PLANNING DEPT. SEPARATE PERMJT /I's SEPA: 1- ( , · O~ PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] s~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]21 EAST 5TH STREET. PORT ANGELES. WA 98]()2 Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER. Application type description Subdivision Name Property Use Property Zon~ng Application valuat~on 06-00001293 Date 12/11/06 250711 305 W 1ST ST 06-30-00-0-0-1302-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Owner Contractor NORTHWEST MEDIA, INC LP P 0 1330 PORT ANGELES WA 98362 ANGELES COMMUNICATIONS INC 102 ROSS LN. . PORT ANGELES, WA PORT ANGELES WA 98362 (360) 457-4375 Permit Addit~onal desc Permit pin number Sub Contractor Permit Fee Issue Date Expirat~on Date ELECTRICAL ALTER COMMERCIAL ANG. COMM / 5000SF VOICE DATA 91801 ANGELES COMMUNICATIONS INC 53 60 Plan Check Fee 12/11/06 Valuation 6/09/07 .00 o ~~ ~ l\ ~t ~ ~ Qty 1 00 1. 00 Unit Charge 42 2000 11.4000 Per ......'.,..~.........~. ... Extension 42.20 11. 40 EL-LOW VOLT SYS <=2500 SQFT EL-LOW VOLT SYS >2500 SQFT Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 53.60 53.60 00 .00 Plan Check Total 00 .00 00 .00 Grand Total 53.60 53 60 .00 00 . n Ar tmhAL ",,- "'*-....-.....IS;--" - --- ^ ~ ~ I:," \'l'ld~:-Ol!.T1l: -.................~_.... .:.~.,,~~.. '. ... "'I ."(l!.\."'. .,'~ ---- ,.., - ~ v COMMENTS/ACTION NEEDED ';. '\~.ia~". . - -. __-........ ;~~ae ... _ _ -< . ..." ~. .....' ELEcrRlCAL PERMIT INSPEcrION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, INSULATE 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 NO IJITCH lUll I(TH~ I CUV.hK ~hK V lC.h I-ln- ,,-, I L~ ) I GENERAL COMMENTS: PW.II02.U 14196) 'v.'~. $ficl~~ Da ......~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DTVISION 121 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 07-00000506 Date 970606 305 W 1ST ST 06-30-00-0-0-1302-0000- ELECTRICAL ONLY 5/16/07 COMMERCIAL ARTERIAL o Owner Contractor NORTHWEST MEDIA, INC LP P 0 1330 PORT ANGELES WA 98362 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 permi t Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL OLY. EL. / 800A SVC 101360 OLYMPIC ELECTRIC 264.00 Plan Check Fee 5/16/07 Valuation 11/12/07 .00 o ~ '\ Qty Unit Charge Per 1 00 264 0000 ECH EL-COM 601-800 NEW SRV FEEDER Extension 264.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 264 00 264 00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 264 00 264 00 00 .00 t ~ " \~ \A ~ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 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 YES I NO 1)1'1'( :H ~'lU'TH-IN / COVER 1ShK VICh ~n. T .... T I f...J7-()7 T ~1 GENERAL COMMENTS: PW-lI02.1S (4'96] d'~'~ s~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 981(,2 ELECTRICAL PERMIT Issued: 6/15/99 Permit No: 6666 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ PENINSULA DAILY NEWS 305 1ST ST W 305 W. 1ST STREET Lot: 1,E1/2-2,18,19,20 Port Angeles, WA 98362 Block: 13 Long Legal: 206/000-0000 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- STRAITS ELECTRIC P.O. BOX 2914 PORT ANGELES, WA 98362 360/452-9104 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: Prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: ACD Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type X Riser Overhead Service Underground Service X Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 100 AMPS o AMPS PROJECT NOTES----------------------------------------------------_______________ temp service for new building PROJECT FEES ASSESSMENT---------------------------------________________________ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $42.50 $0.00 Misc TOTAL FEE: Amount Paid: $42.50 $42.50 =============;=================== -------------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 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 I ACCEPTED COMMENTS I YES I NO KllIlljH-lN fl.-V V ~K , / :stlK V iCtl c,/f,V/f/t;' FINAl I I I GENERAL COMMENTS: PW-J102.15!4'96J . - . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 {206} 457-0411 PERMIT NO. ,<:""-5-7.3 &/>I.-~/?b DATE ELECTRICAL PERMIT Installed By: .3.. O.S- o {{.II o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: to -€./l/\ . 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 ;Bl: ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER ~ OVERHEAD SERVICE o UNDERGROU~ SEflVICE VOLTAGE: /ZO 2?t:! 01 r/J ~3~ SERVICE SIZE..;7(tZO FEEDER SIZE AMPS AMPS DetailslDescription: ;AJ aAML;1;US't:- /fP ,?() ~ [( ) i(t<L ~11v~ .~ {'f'>?... . . 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 OX ~/III ~O.K. to connect service o Final O.K. . Installer:~, New Meters Date: ,'.;1 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. hi' /I ~V/ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ (/ ~ 7 () I Electrical Inspector Permit Fee LUr Permit/Receipt No. sS-73- Site Address: WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept., Bottom: City Hall ~ OLYMPIC PRINTERS INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: PERMIT NO. . ),6'..;:>.s-- DATE .3 /LI/pS- o READY FOR INSPECTION License Number: 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 If]- NEW CONSTRUCTION ]}i' REMODEL :M ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o q\ 0391 SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: U)~ l~ o TEMPORARY SERVICE ~ ALuJ--. ct.dt - u.H,}( ,~ .... ~ . 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 0. K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. Site Address 30S- W, (J Installer: New MeterL---- ~ .> Notify Port Angeles ty Li t 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 !lermit. PHONE 457-0411, EXT. 224. ( {fYV'/\ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ Electrical In peeler . WHITE - File by address PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. Permit/Receipt No. SVQ..S' to'D Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: OwnerfBusiness: OwnerfBusiness Address: o Residential Heat KW _9-. Baseboard 0 Furnace/Boiler z:>Heatpump 0 Other ~ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair ~ Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai IslDescription: PERMIT NO. 3010 ;;s fly/?/ DATE ~READY FOR ( INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o Overhead o Underground Voltage <1;.10 ~ g-ervice size o Temporary Amps . ~~7 I 31"~ II. f. lO~~. rNskf/ . ~ /1 ~~T . // fY. ~- ~~u/ /~ /:(;(/ . Size Comments Date Hold for: 0 Easement 0 Letter W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough.in/cover O.K. . ~ O.K. to connect service /fK. Final O.K. o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pendi ng Site Address: oS-- W. Permit/Receipt No. :30 ;0 Instoer New ~ Notify th De rtment of City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Ins~pect r 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 fI? -, 0 ~ ~ ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . OLYMPIC PRINTERS. lNl;, --19~ Z- FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A /;267 PERMIT NUMBER . It; & -' - - C.-M11A/4.- , TOTAL FEE CONT.lIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address C9RRECT ADDAESS IS RESPONSIBILITY OF APPLICANT Owner {JA"/7 //lffi.(.J~ Owner's Address f ::sos w. PERMI~S WITH WRON.G ADOAE~S A~E.~ANc;ELLED Installation By 0 '/ivt.e1/v / / Installers Address 6, Day Phone Installers Phone Application Is hereby made for Permit to install ElectricayEqUiPmen~ tallows;; ~ &.. . J;J/J>10V,F ('19/0 cis F ,<HI. ol:. . C-X, "/IJ/< "l~ , - /J~'(.. Wiring Method , NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA '0 30 CIRCUITS CIA '0 30 LIGHT SIGN LIGHT 50 VOLTS ./ OR LESS CONVENIENCE /, ./ //&11. MOTOR CONVENIENCE ( / 1 I/V MOTOR APPLIANCE. . '-- "'. MOTOR DISHWASHER FIJ:lE 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 ,IJnd~r this permit will be done by the installer and in conformance with the .E.C. Electrical Code. Date Application made f? h /8 7 ,19 By ~... , CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, ac~ordjng 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. DIRECT OF CITY LIGHT 8A jg7 . Date Permit Issued WARNING Notify Department of City Light by Street Address and P rmit 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 .....1.VUPIf". PRIJ\JTFRR INC_ REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , O.K. FOR COVERING O.K. TO CONNECT SERVICE J/~ 121 "l1i_^ FINALQ.K. ....... I \ f . z c:J a: < ::E ~ J: I- Z W I- ;e I- o Z o c . ..."".. , >~13 , CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 87'8 I' RECEIPT NUMBER PERMIT NUMBER brt:- L?eM. CONT. Lie. NO. TIMETO COMPLETE NO. STORIES LEGAL OCCUPANCY Owner's Address ELECTRICAL PERMIT ONLY SO 5' W / sr ODRESS IS RESPONSIBILITY OF APPLICANT Vl/f ----- --- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Installation By Installers Address PERMITS WITH WRONG ADDRESSES ARE CANCELLED OCY/YItJIC ;(( FrlL1C- Day Phone Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: jDl:J/NG/lJJf) 10f~ 1>f1C'if of PjutfM l/'Jr. !/y6 &J--cL,1- )./fAJ O.ffi1,,<A I A),IV LINt hiTU.[t) f;u~I'1',<JT Wiring Method ....- ------ ;:F,et,,; . AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PER 12QV 100A FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS 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 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 . - ,19 By ~J 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 specitications pertaining t~;t; ;;bJi,; compliance with the Ordinances f e City of ~~~SCITY LIGHT bate Permit Issued I j / 6 WARNING 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 - ~. '''.....',.nc.~ITc:cQ 1~1r._ DATE OF VISIT MADE BY q~ L()\ E\~ \\ REPORT OF INSPECTOR REMARKS z Cl II: <t ::E !!! J: .... Z W ., .... o z o c . "'0:"'. ~OR Cvv~nln.... ' irJ.... 'v eefJflteT GI:RHIt'i \~ ~ ......LO.K. ~ . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17706 c9 -~ c::;; 6d Port Angeles, Washlngton__....m...__.m.........:.m.__mm.......m.....m.... 19000__00. 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 )>elow. /~ ; O",,;;{ 30 S- W (..a.-Y ~ Address m.. m.m....mm--V.h-m.m--oo__..__._._..m__...oom._.__h._m Occupancy____m._._.__oo.____m.._h__h___.....mm. o,,:~er ..:::~J.--~0-&if.zf!i-&..~,=::J)l.~ TenanL.m.....mh.m_..h..m:_..m.moo..m_.......m.__..mm Wmng Contractor .--...mm--.--.J___mcm.__.____.m....m._____oo__m... By-..--oomm__.____.oo...mm_m__.____oo___m.._m.m..m__.. LIght Outlets__.......h.____..........u.............. Receptacle Outlets............................... Dryer, KW................................__........ Range, KW................................... Water Heater: KW'h__Uhh__.___h_.hm_u.hm Heat: KW.......................h.......................... /l>Ioto:,: slze>vol~s and phase: /;;::~::/p~!2..~(::2:::?.:::::::::::::: .0..........................0.............................. 0................0..0...................................... ........................................0................_ Service, volts ....................................... No. wires .....0..........0......_.........0.... Size wiresh..................h............._.. Main fuse ...................0.........0......... Enclosure ....................................... Type ot wiring: Entrance Cable ...............0............. Rigid Conduit ............m................ Metallic Tubing 0.......................... Current transformers: No. & Size....................................... Ser. NO.................h........h....h............ Ser. No. ..............................0.............. Ser. NO.................h.........h................. Type of Wiring: Armored Cable .............................. Non-Metallfc ............n.__................ Knob & Tube................h....n........_ RIgid Conduit U__m...UU....m.......... Metallic Tubing ........................... Raceway ......................._......_......_ CIrcuits, Light....h................................. UtlUty U____m_......____..._____u____.......m. Heat ......................................._.._.. Range 0..........0................................. Water Heater ............................... Motor ..._.....0.........0........................ Dryer .....hu......................................._ Furnace .........................'_................... Total wad.....................h...... Ser. I\'O.......h........._........h.......h....... Total .........0......................0...... Remarks: ----.J!.2md.m--.mZf!.oo.m_<!.~.~.__f!.m..._..~~:?~.~.f_?:~~~?:mm__..mm__.__.m. .m..-m----mm.m...2.(LlL....m_____}/!.m.._...!!..!:.r::..L::.___m.._m4.~.;...--C?,-----c.<?~".,"!'!-.~__.mm....m.__m...mm...m. .;~:;~..;::.moo~-~0.(~~.;~~~:~..$;(:::~~.-.,t~:~..~oo---..-Lt/i;,.....-mz-=--:. <'7kml::1.mm-- $.m.....m.....m...m____m..___ NO..__m...........m........ By ..._. .:.__. ..!m..._...m~'"..!.m.._m__._.~.~:::--- . / NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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~ 1 77 0 6 Address........................................................................................................................................Date..._......_.._.._.._.........._......_......_......... Owner ...............0........0.........._......_.._......_......_.._0......................................................... Tenant....h.......................h.........__...............h......... Wiring Contractor.........h.........n............._....h................_............h.......h......n......h...................... By...hU..h.h..........................................h.... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. I .' CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17701 d- -;) -3 ~<:2 Port Angeles, WsshlngtoILn...__..____.__________._________..__m______._____nm_. 19_.___00_ 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. uP; oceL 3115w I~ ~ ~=.!~~~i;~;~~;:~?::~===::==:=~:::: Light Outlets_____________________________.._..___.. Receptacle Outlets___............................ Dryer, KW........h..n...h._..__.........h...... Range, KW....oo................u...n...... Water Heater: KW...... __.____..__..________...____ __ ____...... Heat: KW.........._........................................ Motors: stz>> volts andyhase: 7:1,y;" J.P... t/~::!..~::::::::i.:?;;~) ........... .............. .................................. .................--........................................ ........................................................... Service, volts ....................................... No. wires ....................................... Size wlres..................................._.. Main fuse ................._..................... Enclosure ....................................... Type ot wiring: Entrance Cable ............................. RigId Conduit ...__..__.__...__.....____.____ MetaIUc Tubing ............... Current transformers: No. & Size............................ Ser. N 0....................._......00................. Ser. No. ............................................. Ser. No. ............................................. Type of WIring: Armored Cable ............................_. Non.Metallfc ................................_ Knob & Tube..._____...__________._._________ RIgid Conduit .._____.___._____...____._____. Metallic TubIng .__.____....__....___.__... Raceway ....................._................._ Circuits, Llght.............___....................... Utility _______._____...______....______.____________ J-Ieat ............................................... Range .........................................__.. Water Heater ............................... Motor __........................................... Dryer ....................._...00...................._ Furnace ............_.............~................... Total :Load............................. Ser. No..._.......................................... Total....................................... Remarks: --m..-..,L---::r2.rf2--m..4~LL~:__t.a.....n___..___n.m_mn_m..____.____..n__.__000000___000.000___000_.___.___00__.00___000 UUUU'.Uhuu.-nu-nn.nu._n.___u.nu_uuu_u_un__..u.u.u_u_..uunu-uu.n._-uun'hh".UUh__..u_...._n",.uu_hU,_u'hu._nu_nu.uu_. -~~;::;~--;~~--nn----..m.......__..n~~~~~.--~~~~;~~..n--......n..---..-n-mmm-7Y3~-t;.mLn.7----.--- $-----00000000___.000____..___.__00000. NO.m__n_.._____.n_......___ By --nn.----._m_m_._Z:_..<::~n..____.m__:___:.~__!_,_,_==__ NOTICE-Current must not be turned on unttI Certificate ot Inspection has been issued. It work Is to be con- cealed due noUce must be given the Inspector so that work may be inspected belore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 77 0 1 Address...................._............._.....................................................................................................Date..._._...._.._......_.........._._...._......._......... Owner ......................_............_......_.__.._00._......_.._........................................................... Tenant.......................m......u.................................. Wiring Contractor...................._................_................................................................_............n..... By.............................................................. NOTICE-Current must not be turned on untU Certfticate ot Inspection has been Issued. It work is to be COD. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT \ ~ -, ELECTRICAL PERMIT N~ 17687 Port Angeles, washlngton________...I..__.iZ..______.______________...___..., 19.!G:i2. 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 __l1,.y'j::i~~!:z-:!........3Q.2:....L6!.mJsr::::____ Occupancy___._________..____._____._______.____..__._____ Owner ....,jkr."f::f.~...:l!~.~'E.___..______..___.______ Tenant.....m...m___._______m___.___.__.___..._________...________.__.m Wiring Co~tractor ___?/2-:!i:.!....f:..r:f-:f':-:y.~__..____._____. By..____....____.__..._____._____.__________m.___...___________.....__ U /';;0/:5 [/{J Light Outlets..............._..............._.._..... Service. volts ...___m.............................. Type ot Wiring: Receptacle Outlets..............n............... No. wires ....c..~........._.n......_..... Armored Cable ......._m...._.............. J . Size wires..!._m_....nn.......m_......._.. 'I Main fuse .....00_.....00.00_.....0000........... Dq", KW. .:......~--;j!.,m:--m--~.;,::rn. Rang; .'K/~(f!jfr~;:;;(;7{--...--.. Wuter.lii~-ater: KW.m__hnnh.________.h.hnn____hh. (1tuY",p Hent, KW___!...&-:!,~1.>___~'?l?K?*~ .; I' J / Motors: size, volts and ph. ase: / // ... ~ r... . _~) 1/ '-Y.e:/i "'-"_. Y :30"",,'<4 c? Yo r .) /~. .h____m.____hn.mn__-v____m___..hhh..-______. J~..~ __..r!.::~:~':::::::::5.?:i=j[~ ..~. (:/ ,c"....vl,. n __:J.:.~L______.___I.<'k.<:::':::p.__/.r.____./ 7 Enclosure 00.00...0000..............._........... Type of wiring: /) Entrance Cable ......__.....m_...n....... ~1('f"~lJ':'1:1\<~""... Rigid Conduit .h.m.___nm..........:.... Meta1l1c Tubing .h_h........m.......... Current transtormers: If No. & Size......n........n_..h................ Ser. NO........_...................h_...._....n.... Non.Metallic n........h.._.............h.._ Knob & Tube___________________mm___...._ RIgid Conduit h__h..__hh.hm__hh____. Meta1l1c TUbing .........h................ Raceway ___.._........................._...n._ CfrcU1ts.,;.~ight..................-............-....... Utility .____.mm._____......__...._________.__n Heat .__._.......................................... Range ....._...00_............_.._................. Water Heater ....h......................... Motor .................._.......................... Dryer ....................._............__......______ Furnace ___......................'_00___._.._._. .._.. Total Load_......_.......____.__....... Sec. No. ........_........_..._...._................. Total ._................00................... r . -J- .... ." '[,f, . Remarks: _umn...-;:f"~.;_A~.~(;::.--:t:;t:~:.~uu:!C.__.._:{~t;:.~_::.!~:.;;.L~r:".::t.;:.':-::?..mmnmmhnm.nmnumumuuuu..u.. --..------..m...-------------------____..____________________m_______________.___.....___.________._______...___.fJ____________.._________________________.______________. .__.________m._______.____________h..h.___________h.__m._____._____.m____m________._____.__._______~'l7~--f.------:-----------.----.::---------------. :.e.=.~~__~::____________________ ::~.~.~:__:~.~:~.~.~......__ By __.>{:____:...iL:-~L.(.:!.:i~.~__~_____. NOTIC~Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected betore concealment. Ser. No. ...___.................__._.................. Ser. NO....____...n..........................._...... NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION Address ELECTRICAL PERMIT ....._..........................................................hn.............................._...._........................._...... N~ 1 7 6 8 7 Owner ......h_n.___...................._...h__.__.............._.._........_........_.....n.........h.....n...._........... Tenant......n_....._...........n...___................._n.._n......... Date_.._......_.._......_._.._....._......_......_.._____.. \WiringContractor............__'...._..__........................................................___.__.____............____......_.........By___......................................_..................._ \ NOTICE-Current must not be turned on until Certltfcate of Inspection has been issued. If work 1:8 to be con. cealed due notice must be given the Inspector so that work may be inspected betore concealment. \ \. 1M Olympic Printers, Inc. 05/09/2007 09:18 3604523498 OLYMPIC ELECTRIC PAGE 01 ..... . . ELECTRICAL WORK PERMIT APPLICATION Job wtnJJ by rea,lCal Coat,aclOr C OwIIer . Elcr;:c;lI:ll coplraeter Mme t.:Ic~ riumber . DaLo !tptrea '. I'?h~Djr'n:; &",17-,,, (?Lj/.#lpL=~.2%r/?? ~ct}l moilini Dddrea L/.2 1,<7 ;rv/7?f../..7~~ City 17 ..LtfJ / SlAle ZIP /'/O.r7. >/If"/ Vrl. '7/.Tb'J TrlephClne numbe FAX number lastanation 4eIOriplion ;"'Co..lDerdaJ 0 RelldeaUaJ ON... ~AJler.d1AddJtt.. -A.Jlo . ~'VI- If/ ~("Irj' C-I/ ~ ,. -' ~J',' " '" . ~ ~ . b . :~;' . . Own" '" d</l..d by ~CW.J9.Z8.Z6/:(I) aw." wI/{ _""y ,h. $lrtlcrurcfo'..... )'W'n qfIv ,'1116 .J<<trl=l pewrI'. U /l"GllmJ. (1) Ownrr IJ rl!IJulnJ '0 1tin tJ/I 41a:lrlc41 CtJlalnlctor (f abcwt MJld FOptJH1 UfoI' Jo/., ~l Dr lfOJe. A~ tcadioJ the tbovc..llaiement, 1 hereby cord". th&\ 11JTl. the owner or the lbovo umtd pftlpmy or , JiccnlOd electrioal cGnUaclar. I am makULa the electrle&J Inllal.. . labon or alteralion In,oompUIDco with the el<<trlcll Ilw" H,E-C.. RCW. Ch.ptClr 19.21, WAC. CIl&PlO' 2'~8. The CilY or P." Anl.lea Munlclp.1 Code, ond Ulin!) SpeclnaariOtlL SIC.lcure or er. ~I.ttrleal -unlr.clor or elettrh:.t IdmJnl.tralor X ~ D8te:s:'/~/OI ~.,-_..," ,:~~ ~,.~ 1."". - i ",.,' CJ Cash CJ Check # ~dit Card VISIl MasterCard Discover Carelli - - . ------------_._-~ Bxplrotion Date ofoard S.uvlea InformbtlDn C NO LOAD CHANGES o easeboanl _ t<:N C Fumace _ t<:N 0 Ov.rh.ad S.rvIoo o Hast Pump _ Ton _ tAR 0 T.mp Sor:vlee o I'M-WeJI _ I<W 0 Undarground Sorvlc& SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 V.IIIIg. Ph.....010a S.rvlc:e SIzD:_ F...d., SIz.: ROVGH-lN r THERMOSTAT smVICE . .... """,.~By PI.' J\flpIDftcIBy II'" "~j)' ~ALR~ DITCH FEEDER ~7 dB, . ... ._., "'" ....." . Jnlpeclioa . Area, Duillling 0' El;ulpmcnlln8poclod Action Taken B.ltttricat Datc Jnspe~r . ~E~ #~[Q) , ...,,' ...... .. v qvvI . .. ,...... .. " ELECTRICAL WORK PERMIT APPUCATION Job ",ired by o Eleetrleal Controetor 0 Owner Installation description 'Qit CommerelDl 0 RelldnUa. c<i Electrical contractor name I..icense number Date Expires ~r-..r~)~.'j, ~t)(,(,\fl\\),,'.r!l.\~"'"1"~. Purchaser" mailing address ~ (\ ~ \l.\\)~ C'''' ~(\~,,~X-,\~ lli,,~i\N- ~y State ZIP '-\-'N'I~ t\"eJ ~O~ \..I..)~ Q'l::?i6:<' Telephone number' FAX number ~l.\ ON... o A1tered/Addltion .s, rY:.O s''b' ~ DO + \ ),..,", ~ ~ "'- ()rA-A - - Addu55 of Inspection ..2,D5 \.1 b-;".I" 1...~ ~:;<-.... C\ "W ~ ~') Pboru! number to -;Pbcdule In'pec:tlorl;: Owner as defined b,v RCW /9.28.26/:(1) Owner will occupy the ...trl.l.cture ja,. two years a/Wr fhi... eltcfrlcol permil is finalued. (1) Qw,w' Is required 10 hirlt an eJeclricaJ C()I/troctor if abq..'e said property i$ for sa/e. rent or 'eas~. After reading lhe above statement, I hereby ce"ify In8t J am the owner of the above named property or II licensed electrical contrBclor. I am making the ~l~ctrical instaJ- btioo or altcralion in comp1iallc~ wilh the eleclrical laws. ~_EC.. RCW. Chapter BUS. WAC. Chapter 296.468, The City of Port Angeles Municipal Code. and Utility Specification~. Signature of o~.ner. elettrlell coote.dol" QT electrical administrator D Cash 0 Check II () {) \::" \-L o Credit Card VI58 MasterC'lrd Discover ~d#________________ I It dA dltl o NO LOAD CHANGES o Baseboard KW o Furnace KW o H9at Pump Ton o FQn-WaU KW Date: Expimtion Date of card lospe<:tion fee $ 53.'-0 Servl"" Information ctlons LAR o Ovemead ServiCe D Temp Service CJ Underground Service Voltago PhaseD 103 Service Size: _ Feeder S1z9~ SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN TIlERMOSTAT SERVICE Oll.lt Approve4 Sf fl'l_ Approvoo B~ -./ OIl< Awroved8y " FlNAL DTfCH FEIDER l-iL'-C,/ Al~ f "- C,IP ApproH By " (llle ^ppro~Jh Olle . "0, Inspection Area, Building or Equipment Inspected Action Taken Elccnical O~lte ln9pectOl:' fico I;. - 6"-bb