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Home My WebLink About113 E 2nd St - Building f VORT ~ ~o~" u f'i:t!i!ij~ "- .::;;..:a' ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] 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 08-00000994 Date 682930 113 E 2ND ST 06-30-00-5-1-3160-0000- RES REMODEL 8/19/08 COMMUNITY SHOPPING DISTR 5000 Application desc REPLACE EXISTING FRONT PORCH Owner Contractor TAYLOR JOHN/ROSALYN 113 E 2ND ST PORT ANGELES WA 983622916 (360) 477-4062 HENDRICKS CONSTRUCTION INC 327 E 10 TH ST PORT ANGELES WA 98362 (360) 452-1641 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL REPLACE EXISTING FRT PORCH 132142 137.75 Plan Check Fee 8/19/08 Valuation 2/15/09 55.10 5000 Qty Unit Charge Per Extension 95.75 42.00 BASE FEE 3.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total 55.10 55.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 197.35 197.35 .00 .00 /)i ~ // ~ /~, ~ O~ 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 regulating construction or the performance of construction. Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD CALL 4 J 7-48 J 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. "'- ~ INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT II's SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: \ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ~ ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. ~ PLANNING DEPT. 417-4750 PLANNING DEPT. -> I 1TI.JiI - 05!> BUILDING -' BUILDING 417-4815 M \U \S- ~ \ ~ ~ "{) ~ ~ T.J:,...rmc/n...ilffinll nivi<:inntr~lIilrlilw Pcrnllt (05113/08).wod ~~ " "'oo 0 '- \0 N '- rl rl WW "E-< ..;..; "'0 rlN .,.\0 \00 rl.,. I I Nr- QJ ",r- .-< .,..,. >< tJ1 <:: 00 '" \0\0 0. >< ,., ,., .-< ..< ~ W ~ H ;> ..:: Ht>)W E-< OZZ rl en wen [!l00 0,., :x: W :<:W :x::x: 0" U E-< ~~ en"'''' ..\0 ~ 0 rl,., 0 Z E-<':l o .. '" oo 0 Z .. E-< ~ 0..: Woo Z HO en :Eo 0 E-<E-< E-< HO ~ en uu Z E-<N "- E-< WW ~ W N Z "'''' :E .\0 I W en en HZ:E \00 :E ~~ ffioO HN"'1'....:l :E HU ..; I";Z 0 E-<'- Z><r-ZO U U l:l"'Ul H\l)t""-HO Z HHE-< "-1i"'''-~ H cn~..< 1..< WU::> "QJZ"W Z ow <>:encn O>:I:OE-< 0 00 WW "<00..<"- H 00 10~ "'Z':l"'''; f-IZo:E U>< IW E-< ::>..<O~ H ~..;", ~"'~ ~ f-'lcn~CJ) ,., UlOr"J~ .,. Z~ I~ "'Ul::> E-lO..........r-I ZUl 0 CJ)UZI~ ~HW 0 :X:"'''' :z; ~ Cl (J) 0 I 0'\ H 0 Z:':':lOo 5 rlen NU 00 W H~ 10 HOO t '''< MO::Ooo :>ww oo ooW O....:lMO ClE-<E-< 0 0" ("') z ~ I I UlW '- ~~ r-1W,;;(I..DCO oW..< \0 r-l~(-loo 0::>'" N N O:E '- '-E-< wo rl rl~ <>: <>:~u rl .-<0 .~ ,W '" '" 0 '" Cl 0 E-< .~ W"- UlU rl ~o Ul"; ..<Z ... 0 0 ..; w~~w H en "'>< ~E-<WU..< ~ '- '" WE-< ozz~'" '" '" ~H ~03:";'" >< ..< o.u uoo...; '" E-< '" ,--- .- it, ~~ ,.,""^ ~ 105 ""- I BUILDING PERMIT APPLICA TION 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 For City Use Only: . Date Received~"""~~'" Permit # 0 Date Approved Applicant or Agent Property Owner Property Owner's Address Contractor/Engineer Rc.11. Contractor/Engineer's Address License # &"0)17'1 -4o~z.. II o~ HeY[ ol. riJf. k S' Phone 1:1.. 7 e /0 -r1\ -Sf) f1?rillHf e/<< . ExpIres PROJECT ADDRESS Parcel Number O~ - 30 - oc;) -5' -1-'31 hD - OOO() e-r Lot Zoning Proiect Type & Brief Description: r;('Residential o Commercial o Multi-family o Industrial Check all that apply o New Construction o Addition o Remodel )(Repair r e"ola-ul.- -r YI'YVt r ~ r-c.. t., oRe-roof I I o Demolition o Heat System o Heat pump o wood-burning stove o gas fireplace 0 pellet stove 0 other o Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 1 sl Floor 2nd Floor 3rd Floor Garage Carport 30''"'' Covered Porch :t)[)DO - Deck Shed Other 8L1f IJ"~S CDvel".2~ TOTAL VALVA T10N $ Total footprint of structures JTJ3D sq. ft. + Lot size 'Ita) sp sq. ft. = Lot coverage "d- "-( ,:L % Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type # 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 working on projects. d /J ~ Dateilllj/~1W8 Print Name J()~Yl 2>, ~/br Signatu~. ~~. T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc.. {/ ,--- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001538 Date 973388 113 E 2ND ST 06-30-00-5-1-3160-0000- ELECTRICAL ONLY 1/23/08 COMMUNITY SHOPPING DISTR o Owner Contractor ROCKDALE INN, INC., A TX CORP 111 E 2ND ST PORT ANGELES WA 983622916 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Pe rmi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OWNER/ DOUBLE FEE PENALTY 118935 64.00 1/23/08 7/21/08 Plan Check Fee Valuation .00 o - (J'J Qty 1. 00 Unit Charge Per 64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 r' N rf\ ~\ I -1 . ' INSPECTION ELECTRlCAL TYPE DA TE: RESULTS: INSPECTOR: DITCH , SERVICE .. - , - " ..- -'-, ROUGH - IN FINAL COMMENTS: -- ~......"-","",+,-,-,--""",:,, ,-- l ~ , ... Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001538 Date 973388 113 E 2ND ST 06-30-00-5-1-3160-0000- ELECTRICAL ONLY 1/08/08 COMMUNITY SHOPPING DISTR o Owner Contractor ROCKDALE INN, INC., A TX CORP 111 E 2ND ST PORT ANGELES WA 983622916 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OWNER/ CIR.=PNL Permit pin number 118646 Permit Fee 64.00 Plan Check Fee Issue Date 1/08/08 Valuation Expiration Date 7/06/08 .00 o Qty 1. 00 Unit Charge Per 64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 ,. ,~ , ,;. SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN 2. II o~ ~ FINAL OMMENTS: . - - -- :::-=--=: ~ __ _ = _.-:- =~:::l::C: ==....~.,.,.."."..., =="" :i:==- ~ ,--.,.,-=_ ~- ______ = ~ ~,,= ""=,..,..,, ~.""..=-=-==.~ ~ ~ == ~ ....._~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001538 Date 12/31/07 973388 113 E 2ND ST 06-30-00-5-1-3160-0000- ELECTRICAL ONLY COMMUNITY SHOPPING DISTR o Owner Contractor ROCKDALE INN, INC., A TX CORP 111 E 2ND ST PORT ANGELES WA 983622916 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 118265 Permit Fee 64.00 Plan Check Fee Issue Date 12/31/07 Valuation Expiration Date 6/28/08 .00 o Qty 1. 00 Unit Charge Per 64.0000 ECH EL-R OR RM 0-200 ALT SRV FOR Extension 64.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 l}) f\l \'J ~ ~ ..., [NSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE - - - ,- .. ROUGH - IN l- 3/08 ~. ~ FINAL . COMMENTS: CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001318 Date 11/13/07 597724 113 E 2ND ST 06-30-00-5-1-3160-0pOO- JOHN TAYLOR FIRE ABANDON TANK INSPECTION COMMUNITY SHOPPING DISTR 700 Owner Contractor JOHN & ROSALYN TAYLOR 113 E 2ND ST PORT ANGELES WA 983622916 (360) 477-4062 PETTIT OIL CO. 638 MARINE DRIVE PORT ANGELES (360) 457-9404 WA 98362 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date UNDERGROUND TANK RES 500 GAL. UNDERGROUND TANK 115188 15.00 Plan Check Fee 11/13/07 Valuation 5/11/08 .00 700 BASE FEE Extension 15.00 Qty Unit Charge 'per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 15.00 15.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 15.00 .00 .00 ~ ~ ~_d I~ C7 8,- 0> 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 I 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 compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the p ovisio_ns_ of any ~ate o~cJlrarJegulating the work specified in ~he perm it. ,'. :JJ 1yY~, 1/,/3- Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date .....--- ~-- _.J o -J FIRE PERMIT INSPECTION RECORD \.)J Call 360-4 1 7-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate c;Q 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 vJ FIRE ALARM Rough-in inspection rt\ Alarm final LP-GAS Completed by Contractor: t Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Tank (container) inspection Time initiated V) 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 \\-zg-07 Kbj) PERMIT OTHER (specify) permit final ~ Inspection Type I Date Passed I Comments + ~ GENERAL COMMENTS: => ~ o :s 2/15/00 ~ ~~ r\~ I (11/25/20b8)~in-d~ Pan~rl~- Re:#07-1318,113 E 2nd5.!:, Final. in5e~~tion Page 1 I From: To: Date: Subject: Ken Dubuc Linda Pangrle 11/25/2008 1: 17 PM Re: #07-1318, 113 E 2nd St., Final inspection Linda - I did that final on November 28, 2007. thanks, Ken By the way, I will be out of the office tomorrow. Happy Thanksgiving! I (11/2512008)Linda Pangrle -#07:-1318,113 E 2ndSt., Final inspection Page 1 I From: To: Date: Subject: Linda Pangrle Ken Dubuc 11/25/2008 10:32 AM #07-1318, 113 E 2nd St., Final inspection Hi Ken, When did you do the final fuel tank abandonment inspection? Please let me know. Thanks, Linda 2-/'f-iJ 9Tf<.E ET 3 To be completed by Fire Department Method of abandonment: ( ) Tank removed ( ) Tank filled with inert mixture ( ) Tank vent and fill lines capped below grade FP - 25 A (Revised 12/9/04) Page 3 6f 3 Section I - Required Information Applicant is required to furnish the following information on the space provided on the next page. 1. A site plan showing the number, size, and location of the underground storage tank with reference to the existing home. 2. Specify the type of liquid which was stored in the tanle. Section II - Requirements and Limitations Issuance of a permit is subject to compliance with the listed requirements and approval by a field inspection of the Port Angeles Fire Department. Residential underground storage tanks may be abandon in place or removed. 1. There shall be no welding, cutting, or other sources of ignition in the area while abandoning operations are in progress. Welding or cutting on tanks require a separate permit from the Port Angeles Fire Department. 2. Removal of all flammable and combustible liquids from the tank and all connecting lines shall be pumped out. Please use a hand pump or other means to remove remaining flammable or combustible liquids as far as practical. 3. If the tank is removed and stored on site temporarily, the tank shall be placed in a secure location and blocked to prevent movement. The tank would be required to be inerted prior to being transported. The hole created by removing the tank shall be filled with a suitable material (earth, sand, etc.). 4. There are three options for the abandonment of residential fuel storage tanks. All three options require that the tank is first completely pumped out. Option #1- The tank and all associated fill and vent piping can be removed completely. This is generally the best method, however it is also the most expensive. OPtio~The tank fill and vent pipes are removed, then the tank is filled completely with an in:~ture such as a sand slurry. If Option #1 (complete removal) is not chosen, then this method is REQUIRED if the tank is within 5 feet of a property line, driveway, sidewalk, swimming pool, deck or building foundation. Option #3 - The tank fill and vent pipes are removed below grade and capped. The tank is left in place. If using this method, the applicant must read, understand and sign the following statement: "In using this method, I understand that the void created by the tank may cause a collapse ofthe adjacent ground if the tank rusts out over Applicant Sign:e:' /itd oj %f!,J! Date: / /- C;, 7 f FP - 25 A (Revised 12/9/04) Page 2 of 3 PORT ANGELES FIRE DEPARTMENT /\ 1?;\<b "*(J ,-\ Abandonn1ent of Residential Fuel Storage Tank 1,100 Gallons or Less Application for Permit Please call the Fire Marshal's Office at 417-4653 for assistance with the processing this permit. I Site Address: //3 E. :A II/.() 61'. ! , Name of Applicant: Pe,TTI T Date: 1/- 9- 7 OIL Address: ~38 Jl1/fA / /ItS /J IJ I II /.;::-- Telephone: ~ 6/'" OO?6 Site Owner: ;j oH N 7A y 101( Telephone: ~ 7 7 - -9't6 2 Permits are issued at the City of Port Angeles Permits Counter located at City Hall, 321 E 5th, Port Angeles, W A. Permit fee $15.00 paid to the City of Port Ange1~s Fire Department. Date paid: Date Issued: 7tJO.oO ~ ~~r Date Issued: Issued by: Additional Comments: I have read and understand the requirements of this application. Applicant's Signature: FP - 25 A (Revised 12/9/04) Page 1 of 3 I :f rORT ~ t:-.J...O~~~ "~~ "- -==..:. ~ 'tt>:~ CITY OF PORT ANGELES DEP ARTMENT 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 04-00000186 Date .343930 113 E 2ND ST 06-30-00-5-1-3160-0000- ELECTRICAL ONLY 5/08/04 o Owner Contractor ROCKDALE INN, INC., A TX CORP III E 2ND ST PORT ANGELES WA 983622916 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 200 A SERVICE SHAMP ELECTRICAL 64.90 5/08/04 11/04/04 CONTRACTING Plan Check Fee Valuation .00 o "" "- \Al Qty Unit Charge Per 1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.90 ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.90 64.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.90 64.90 .00 .00 ~ \~ Q.. ~ 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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM f>c f l,ut(.) PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: 1-/S~O B LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1 102.15 [11/14/2003] f pORT ~ <-~O~~"" ~ha~ L -=..:oJ -=- "4\~ 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 04-00000186 Date .343930 113 E 2ND ST 06-30-00-5-1-3160-0000- ELECTRICAL ONLY 3/10/04 o Owner Contractor ROCKDALE INN, INC., A TX CORP 111 E 2ND ST PORT ANGELES WA 983622916 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) .452-1689 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ALTERED SERVICE SHAMP ELECTRICAL 76.30 3/10/04 9/06/04 CONTRACTING Plan Check Fee Valuation .00 o ......... ......... VJ Qty Unit Charge Per 1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 76.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76.30 76.30 .00 .00 plan_Check Total .00 .00 .00 .00 Grand Total 76.30 76.30 .00 .00 ~ 'tJ ) ~ CA ..'\ " Separate Pe....mits 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 construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] In 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 LOCATION. 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: # ROUGH-IN I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD ( DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #'5 SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 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:\PLANNING\FORMS\1102.15 [11/1412003] DATE )_Q /~_ ~B OW~ci*~GTOR PeRMIT /I 6f-)tz3B INSPECTOR ~ I i- I I I I I i ~ ~ORT -'l<\( ...->...O~Q~ <J",~. ~ I'~ "<1L-~fJl ~ ~- S~ ...,,~,\{-" I(..ORKS r. v ELECTRICAL INSPECTION WIRING REPORT 417-4735 f...1)1'<- I'L 2. 2-Y APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 ADDRESS CORRECTIONS NEEDED: Co rJ D U ,.... "'-, , \1-Il~W 8<-- , ~ Ot)I.~L_l..1L,Hr Bo\t..€S o~$E:- <~liE:)<. wi ~l)Si-lrlJt-;.>----1\NJD "btl~lJ:I1N6 to g./'J1nr...R..... '\2,0)( 11'1 " OK ~ CbiJrE-R-.. c.A/Z.A-~'E... NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452.1381 '. ,f .. -'"'' ...~.." "'-', l~'"'r";, :;->- ''''l',~~ ~7;-;.'\">6:'''"''<;'',~-,-, ''f I I I I I ELECTRICAL INSPECTION WIRING REPORT 417-4735 ADDRESS 'C) 1. Ti\ i,J 1-( , i,/. I i -z. ~ c:.., 2 ) APPROVED NOT APPROVED O....D~H....O , .' o. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . ,18 . ./ O. . . . . .. . . . . . . . . , . SERVICE. . . . . . . . . . . . . . . . . ..or;j O.........AN~.......4 CORRECTIONS NEEDED: ~t) u 13S L- lz- t t. I ClUTL m ' - , - :L\ S}';2NP - c..o U 1?'l2. ~)<T ' f.ti<T7AICZ '7._ y.,.,. ..._~ J '-].?,/-li ,.... 'f' C l)'-- -I .' , ;. giZ.hDVE. ""1. l ) t-\ 'f> INt. C~ ON. tY..!i;" ) G? t;:PAj)!e' S L(j E. "T:(... i-~7 ~>A!L>'1b~ ':\') . / - - - ,- ,-- '\'~ 1'-:-;'(.. LJ?:~P/..:._I ~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PRINTERS. INC_ (360) 452-/381 -l I I I I I I ELECTRICAL INSPECTION WIRING REPORT 417-4735 T I 1 I , DATE, / 2- 'J 0'(-') OWNER/CONTRACTOR - .' '! ,~ _ \Or/" ) ADDRESS I J-"' ,'"/ 1;;-:-_ PERMlTiI 0._-, - JC" -;:C-'. ",/ ./U INSPECTOR -":;'"J:fL' ',-::> . / '-n:, (-tLe;;: -7 ~ <~ -7-- APPROVED D...... ~. . .T~;F\~'.~:;::"',. D............. D........ NOT APPROVED D~H......D . . . ROUGH IN/COVER . .~T>:;.f~<X;i?-:-. .c.0" . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 .RN~........D CORRECTIONS NEEDED: i ~I STPLL t"01 "" '0 'is ~ y~ t ~\ ~ L) I4:J-.}~r::- <. FiiTUf2I'Z..<;. Ll vi -,.; {, _ 00 j:'i~1E. . "{(i'.? lIe ,." ! SII\I C2,. ~...,..<:... (~L.A M~)-S.., V--(.J f?___ c_ '.~f\ ( ~._i 1?C.;~"l 1? <;,,. .-' ( \ (; r<:O()~J V ~:,.c t;::.~-W-:=~. ,"'tL-.C r ~""L.. hf?-:Ti\-L or: (~\./- 5:'; C G JZ.&;:t7 1-,1 h ... ! \, ':2, ,. )._,(),~ t;:: C":," h::.i2 L')fZ-l)i(__(;:~ "Tc'( r:~i'C)'I?:: E,AT}-\ S,J€ILj) i-GR. Yf.Z.UICf?S.. Nn"- L.)fTHI"i S7/'012;< J / '-I (j r:c LC.. U Fi:(fK_Yc. , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PRINTERS, INC. (360) 452-1381 -f I ';';;~:~~': ; \- ,:';"n.~,..~.;<" ;_':-~ ,_~~..",,:_~,:~, . . .,.1,,:' ~:...,.L I i ELECTRiCAL INSPECTION WiRING REPORT 417-4735 ;'l:-,w OWNER ONTRACTOR PERMIT It 07-{LJ_"3"-'" .-:SuH ,,-1 ) '\j>,LlL' fZ- I I i I I I I I I i I I ADDRESS il~ 2 L- r-L APPROVED D ............ D... " D.... D. .......... NOT APPROVED . . . . . DITCH. . . . . . . . . . . . . . . . . . . . D . . ROUGH IN/COVER. . . . . . . . . . . . . . . 'fj'" '- . . SERVICE. . . . . . . . . " . D .....RNAL............D CORRECTIONS NEEDED: 'f\IC,j:"L.,::. T'::'l"lc..:.-< F"r:tc..,-... t~r:.f_,~ CF " S'-\}l:' /1/.../') t-....lo..tL "~'L..,o.,'TE:. ;-/t.-L1f.'":-., Wl-\"\_\It-..J 1//'-1.'; hoiJ'-. 'E1)(nE_ ~:?\~~ u? -))r "IC(.--I/""t...!) L~ i, fJ.. r;:.., . ~\f\?L'1Z. ~v"""R..~ 1;..)I-T"H Il'-..\ ., 12 (,(- R_nc.cs.. " o~ "';7?~/""['7 ~-.. Z I '. U v ~ 1) (tV I t::":iZ:G f:::o ,12- I j.,jc::;i'?&:.J'lc;0 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PRINTERS, INC. (360) 452-1381 <}~o;~<;. o~. .~ I'I-...~ '-\~; "''t'~.s-~ ....~ . ELECTRICAL WORK PERMIT APPLICATION '. Job wired by o Electrical Contractor ut Owner Installation description o Commercial .s. Residential Electrical contractor name License number Date Expires o New ~ Altered/Addition Purchaser) mailing a~ / 11"'2. e ?-!::Y1 (JO~M T;, fa.ttftJ,) J City. ...?' ( State ZIP PcwI /l1'I~ele-> tJA- 183?'L Tel 3?O nr;~7 _ '/tJ6 z- FAX number premJ;hw~r's na~e~ Address or inspection / I 3 E-2J-u{ s-r City fJ -r- /1 ;' "'- /0"'-( FTI'l1 ~ e-> Phon n~m~y ~7~d~f'~Yb~n: a;PRJX 20 ~t(L , Owner a.~ defined byRCW/9.28.261:(I) 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. 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 eleetrkal instal. lalion 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. Signa o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover ownL5:ctrical co B tpo8 Expiration Date of card - O~ J Ele trical Load Additions an o NO LOAD CHANGES I o Baseboard KW o Furnace KW 0 Overhead Service o Heat Pump Ton LAR 0 Temp Service o Fan-Wall KW 0 Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Service Information Voltage PhaseO 103 Service Size: Feeder Size: ROUGH-IN ~~"J THERMOSTAT 2.}lllfI(l ~ Dale Approved By Date Approved By /' FINAL DITCH -g "- Date Approved By/ SERVICE "- Date Approved By FEEDER Dale Approved By tl , . Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector ~ fb~l'q ALD - f '"",,., '. r ;-,.. I 11"'" pis (t) ~ \"'-\.~ 1\vv'\ -tlfltI Jet-lI'\3 .. . " Ol-Iq- ~ "'~'~r ~~~ ,.." r=.J:.. 1\'t- ~...~ -... ELECTRICAL WORK PERMIT APPLICA nON \ Job wired by 'L;lElectrical Contractor 0 Owner Electrical contractor name License number Date Expires EI<<thv .r2'('Vj~, 1h(> ft.f erSt 1?>:2,b M I'ucch",,'s maiJi~2'''s'O~ )" tttU",^, ;'61 City f\ 1\ \ Stale ZIPi TOrt Hyy(i..t. .e.~ WA q~<~V').--' Telephone num V FAX number 51-CoY S/t;M./ Installation description o Commercial )'1 Residential o New )( Altered/Addition 3 \ ~ ~ :::J~hw~cr'SIQ, l,y Address of il1specti~ Y ~3 . t:: ?-"'~ City ~A- ~()O ~ cel.t:.(vul syrV1U ( c.h ClL4 j il'l.j-r ".01 ~.)? q JJi~ h.e.<vt-lY ) . Phone numbc to schedule inspection: O.1.$' Owner as defined by RCw'19.28.26/:(I) Owner will occupy the structure/or two years after this electrical permit i,l" finalized. (2) Owner i~' required to hire an electrical contraclOr if above said property is for sale. rent or lease. 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 instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City or Port Angeles Municipal Code, and Utility Spccifications. o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Date: Expiration Date of card Inspection fee $ f/ll. '. Service Information Voltage 17..0/')..'/0 Phase 01:1 0 3 Service Size: .2. OOA ..,. Feeder Size: Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW 0 Overhead Service o Heat Pump _ Ton LAR 0 Temp Service o Fan-Wall 15- KW ~ Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 '. /' ROUGH-IN THERMOSTAT /' SERVICE , I ~3-o1f ~ "- Dale Approvctl By Dalc Approvcd By Dalc Approvcd By /' FINAL /' FEEDER J"3-o'ir ~ DITCH '- DalC Approvctl By Dale Approvcd By Dale Approvcd By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector , ,-/ ., / . 05/04/2004 15:27 13604521689 SHAMP ELEG PAGE 01 11& ELECTRICAL PERMIT APPLICATION Fr)t{r)F"F!r-I...I.II!'l=nNIV OntlRtc" ..___.....__. I'CttnIUI. __.._.....__._.... D:rtt^M'"'~r.ll:_____ n~c llJued __.... _h. . nIl! Elcl,..irlr;:;;,1 Permit ApplicatIon must be filled out completl!-lv. Please type Dr reprint In ink- II you have any Questions, plea... call (360) 417-4735 Ftuc number: (3601417-4711 tJj/- /6(P Owner or Eleo. Contractor Agenl:;JtJijmP ELECTRICALCO/J TettcJl Nb 1/..1C. Phone: Property Owner: -.J C)Y\q G;v\ -fA-t-h Address: \ \ ., ~. a "cl s-tt-u.--t Elc""'c.' cu""'clur3lh~P ~lE'ill(f\'LCD..rrfjkl1!vb 1f!:>1.-lb Xq Fax: 3.;>m.e.. City:_~ GY1"~1"'J'k-s . tN. p\. LiH" rnPEC02:'JB:? . IIJ~. Lic"",. I. !:,po I - 2)- 0'1 Phone:.J:l.Ll::.BOO....__.. Zip: ~830iL Address:..kJ.n',/. 363 Clly: f'~T .A;\), f,r-:1 J",- w.~. Phone: 'l5'l-1!&:L Zip: '163lJ'1. INSTALLATION WIRED BY, o OWNER ~LECTRICAl CONTRACTOR Credil Card Halder Name: NM K W. :)Uf111)f BiJli"gAddress: CliO \AI lC\,tI .str(-(t Clly: -P,"5'f..T At-.){,~ Cndlt Card Number.:..~}~ PROJECT ADDRESS: \\ ~ ~ '-. fl..~d ~+ ~lteralion/Addition iAlA. Zip: '1830? V1SA:X Me:_. TYPE OF WORK~ Check all that apply: 0 New --6Residential 0 Multi-family 0 Commercial o Mobile Home Sq. Fl t:J R"mot.. Meter 0 Delached garage 0 Hot Tub 0 Swim P~ol 0 Septic Pump 0 f ~w Vl)lta!]A 0 Telecom. 0 Sr, Number of Circuits added or altered: '2.004 DESCRIPTION OF THE ELECTRICAL PROJECT: A \w I Qj '1...t::n ~ . w.J- u...... . ~~ ---- Service Information Electrical Heat Load Additions and Dr Subtractions o Baseboard 1:1 Furnace [] Heat Pump r.JFari-Wall _KW KW TON KW LRA o Overhead Service o Temp Service o Underground Service Vo~age: Phase: 0 1 0 3 Service Size: Feeder Size:_.... _ J hereby certify that I have read and examineel thiS applicatIon and know that same to be true and correct, anell af authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits ere required; it romfJins the applicants responsibt1ity to dstlmnins what permits are required and to obtain such. <;/. Crod;"'..... Hold,,'. SI,,",,ro' ~~ ~ Do", S-4-0\t .4 (-. / OwnerorElec. Cont. Signature: ,~~__ Date:S-~-{)~ Me-fc..rb~L fVI v~1- be LoC-<\7'V-p d'-'1 p~ \llfJ"1-c... ~~ru~ . b:_el ~ '"Tk PERMIT FEE: $Jd:L:ill ~~TRIC;rMo'lrT :;L1CATlON l!o/7' w~' 0..G tJCjJIIZL.LJ 7- /~. 0 ~ r,G-(l/ j,/~/Ol{ ;tM_' dO 03/05/2004 15:52 13504521589 SHAMP ELEC PAGE 02 (i' ~ ~ ELECTRICAL PERMIT APPLICATION \;i J - ~he Electrica' Pormil Applicafion must be fillert non .."mpl.t.lv. ,i"' f1 _ ,'vo...:V Please type or reprint in ink. If you have any quesllcps, ploase call (360) 417-4735 L7' Fax pumber: (360)417-4711 ~1)R OFP1CI....t USF. om-v OJtdR~. ..._.__..._ f'l.'mIi111: "__"_ Datc^r.r-mve..i:_~,_ D3~e 1~lrued .4.'_.___~ 07' ~ /~b Ownor or .Iec. Contractor Agenl: 3l1ltml' rl fj'lTR Kit LC ON Te"tC [I N(, 11-/ C- Phone: ~5 2. -I t' 8q PropeMy Owne.. TON '\ kf. \ t=:-~\ Trt Add.e,s; I \ 3 E. 1-"'.1 '5-tY-u A Elec.;"", Contraclor:5I+.tlllP iaJ:?"Tl'I( f\L('i\,l11'A{'n~)t. ACldress:"'pO IJ)'I 313 3 City: V6'P AI\J\'-IZ'l.k:S , \tJ,A . . c5H A-IllP ECO 23 ii3 . _ L,eeno;e h; ElCp: I - '23 01-\ .p61l.T t+~ &l~Lr~ iAJ./\ . Fax: 3.;:>me.... Phone:~5 ZIP: Cj~~Ce/L nJ~. City: Phone: '151..-1~~ Zip: C)Z%'L INSTALLATION WIRED BY: v10WNER o ELECTRICAL CONTRACTOR W . ~i+<l11)f Billing Address: Gj lOW. City: u?oi.T _tt_~ bBC-'S ,04. Zifl.' 983" 3 V1SA:-6... MC: Credit Card Holder Name: Credit Card Number: PROJECT AOORESS~E; _ '2.. nd $h-c..e.;t TYPE OF WORK: Check all that apply: 0 New o Alteration/Addition o Residenti,,1 0 Mulli-family U Commercial U MODUa Home Sq. Ft o Remote Meter 0 Detached garage '0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Volt"o" 0 Tl!'lecom. DSi. Number of Circuits added or allered: Ut:SCRIPTION OF THE ELECTRICAL PROJECT:J \.k.v'l'. J ~V\ u.. Electrical Heat Load Additions and or Subtractions Service Information N /:> Lt>>4 0 C~<"i:... o Baseboard CJ Fumace o H~1;1l PUrrlJ.I o Fan-Wall _KW KW TON KIN lRA o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 ~ervjce Size: __y_ Feeder Size:__ I hereby certify that / have read and examined this applicatiun am! knuw that same to be true and correct, and I a, authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required: it remains the applicants responsibility to determine whl'/t permits are required and to obtain such. "'>/"/04- Credit Card Holder's Signeture: /2. I ) Owner or Elee. ConI. Signature: ;:: ~ k- IJi C~~I.;...{ wi" lee+:- ;' ,~m,~c~~,~,,"S - ~ d~ 4t:t/ 3M /0 if Date: 3--S-O~ Date:3-'5-o~L - PERMIT FEE: $ ~ ~)C jJ//ULJt 7- 1<)'05 CjI 7'" ,3D '-<CO o , '" N , .-< .-< 0101 l'Jf-< <>:<>: "'0 .-< ... '" .-< , N Ul ... >< ..:1 ~ 01 H ..:1 f-< 01 en 0<:01 8~ f-<'J Z O~ HO f-<f-< UU 0101 "'''' en en ZZ H H o '" <<1 > HU1U1 OZZ (!lOO ::0::<:::<: UJ"'''' <<1 ... o o o .-<en 01 -..:1 coOl 0l'J -;;,~ N 'f-< .-<~ .-<0 0. o 01'" ~O <>: "'>< U1f-< ~H "'U ~ U H ~ ct '01 Z o~ o 0 H 0l'J f-<ZoZ U ~ I H :::>~oo:l ~~~5 UlOI"'lH Z~IP.l f-iO...........,.-{ (I)UZIOO ::<:UlO Cl CJ) 0 I N Z~I-JOrl NU 00 H 0::: 10 ~P::OOO ~Hr'lO I"'l Z;>t I I rl~,::(I..Dr-- ri:I;(-Ioo ~ '01 (!l '5 en<>: ..:1Z U1~~U1 ~f-<U1U..:1 ozz~'" 003:<>:'" <>:uoo,<>: ,~ o f-< enu UJ f-< Z 01 :;: z:;: 00 HU f-<' "'en Hf-< ~..:1 U::o en en 0101 !-<o~ ~ l>< f-< 0...:1 6en::o zen HU1 ~o: U1U1U1 :Ef-<f-< enOl 001..:1 0::0'" 0:;: 010 ~u ~ !-< ~ l>< o en , '" >< f-< .-< o .r: "-' '" <1l .0 0. QJ r-< '" tJ1 <:: <1l 0. r-< :;: '" o Ul >. r-< '" QJ .01 r-< ',...,0 :;::~ "'0 ... \.0 .. 0 '-<01 "::EM OH<<1 M f-1 .. CO Ul ... Z .. H.-< , CO :I:co COHO H t90 00::1:;0 ~ ~O"<.1'OZN Z ON'<;f'NH (\jH 0::: \.0 ~ '\.0 ~ "'<1' 1..0 0 H I"'l I '<;f' H N '<1'...:l r::t: N,.-{ N..:r: I..:r: z U \.0 Ulo-lr--UO H>,oqo>'HW['"-HO ~~ ~~~...~@ ::<:;:l ;:l::<:QJZ::<:U1 U<::Z<::U:>::<:Uf-< WmO({l~OOW~ :;:'J~'J:;:Z'J:;:<>: ..:1 ..:1'" 'J<>: * H co co 00 " ...... N N " .-<.-< .-< o .-< o '" '" 01 :;: .-< 01 :;: ~ '" f-< Z 01 > en f-< Z 01 :;: Z:;: 00 HU f-<' ",en Hf-< ~..:1 U::o en en 0101 O~ !-< H ~o-~ l><en::o ZUJ l'JHU1 Z ~ H ~OO ,40101 o,f-<f-< UJU1 001..:1 0::0'" 0:;: 010 ~U ,4 0. !-< ~ 0. o en , '" >< f-< QJ .-< '" tJ1 <:: <1l 0. or-< o QJ H '" tJ1 <:: <1l 0. H ~~ 0:;: 0<>: .. Ul 01<<1 :;: .. H... f-<... .-< co 00 .. ... 01<<1 :;: .. HCO f-< CO zr-- t9 co ~g ~ :; ;J::N o:l ..:IN H g -...5 ~ -~~ 00\0::11....:1 H\J)OH P:::.....-t\.Ot).{ ~N'<j'~ <:::f4 Z I Z Cll--l1ZOt)\.-lr--C!o ZaJr-lHOZWt"-ZO ~~~~~~~~~~ 5~zg~5~~5~ HOOO~HOOH~ "'Z~~<>:"'Z'J"'<>: (!lo, 0.<>: w H "t""- oo " "'''' .-< .-< " .-<.-< .-<.-< .-< o .-< o '" '" ..:1 '" N ..:1 '" en 01 f-< o Z o ~ UJ f-< Z 01 :;: :;: o U NCO o '- '" N '- .... rilril ,",E-< <l:<l: o.Q .... '" \D .... , N U1 '" >< ..:I ~ ril H ..:I E-< rilUl "'''' ~~ E-<t-:l Z O~ HO E-<E-< UU rilril 0.0. (1)(1) ~~ o \D '" ;:- Hrilril QZZ 0100 ~"'''' (1)0.0. .... '" ~ ~ 0. 'ril Z o~ o 0 H 0,", E-<ZoZ U ~ I H ::0..:1001 ~~~S Cl)O("")~ ZP:::Ip.. E-tO............... (f}U~~~ ~~g~~ NU 00 H 0:: 10 ~o::OOO O~MO M Z ~ I I ..-l~r:::(\.Ol' .-l:X= f-io 0 U Z H \D U1 '" Ul ril -..:I coril 0,", :;-~ N '-E-< ....~ o 0. Q rill'. ~O <l: 0.>< rilE-< ~H o.U ~ .~ 'ril o Ol ~~ ~~ ril~~ril ~E-<rilU..:I Q13~~g; ~uoo.<l: Ul E-< Z ril :>: Z:>: 00 HU E-<'- o.Ul HE-< eJS (1)(1) rilril "'Q~ ~ ... ~ p, U1 '" Z .. H.... , ",CO ,",0 ~o'" ON'" ~ \D -'" ..:I"" <l:N.... U \D H >. '" ~ ~ '" " U<lZ ril<tlO :>:t-:l~ .... o 0 Ul '- 0. .... >< ril ... :>: .... o .r: .lJ >< <tl .Q '" :>: 0. o U1 Ul ril E-< o Z ~ (I) E-< Z ril ~ o U CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, .PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001208 Date 1/22/08 '~ 955424 . Q. ./ oerfY'\ \-\-' 113 E 2ND ST eJ>( ~l.:t P' "(GO--\ ,. , .errt' 06-30-00-5-1-3160-0000- \:l {;.CX'oJ' \-;llv'\j ~ ~RL-o.a-~e)--",?~~Ci r\vvn . ..-\t> f/"'f.\9- J COMMUNITY SHOPPING DISTR 4500 Owner Contractor P5 3 of ~ TAYLOR JOHN/ROSALYN 113 E 2ND ST PORT ANGELES WA 983622916 HENDRICKS CONSTRUCTION INC 327 E 10 TH ST PORT ANGELES WA 98362 (360) 452-1641 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT INSTALL BATH/LAUND FANS 119594 , 79.00 Plan Check Fee 1/22/08 Valuation 7/20/08 .00 o Qty Unit Charge Per Extension 50.00 29.00 BASE FEE 4.00 7.2500 ECH ME-VENT FAN Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79.00 79.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79.00 79.00 .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 inspe[ftion. 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. T. Forms/Building Division/Building Permit (10/0 I/07).wpd ~ 4- 6f4- CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL INSPECTIONS, CALL 4 17-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE BUILDING PERMIT INSPECTION RECORD o --J , INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING - UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL '. WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING - l' ',:!.'- '''.' ";.,... :~' .,. - DR YW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT II's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W. ( ENGINEERING 417-4807 PW / ENGINEERING I FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING -- b \)0 ,-- \)J fT7 ~ ~ .~ ~ L~ ~ T.Forms/Building Division/Building Permit (I % 1I07).wpd "''' o '- '" ci '- ci ci "'"' ~E-< <>:<>: '"101 ci '" \D ci , N If) '" >< .:1 <>: "' H .:1 E-< ",en ~"' U:E H<>: E-<>-, Z .. 0<>: HO E-<E-< UU "'"' '"'" en en ~~ o \D M > H",", I01ZZ moo ::>:e:e en,"," '" o <>: :;: '" ,"' Z 0<>: o 0 H 0(.9 E-<ZOZ U)-iIH ::>.:1om ~~~5 (f)OM....:l ZO:::IO-I E-iO............-; cnUZICO :elf)0 QU)QIN Z~I-JOr-l NU 00 H P:: 10 ~o::ooo QHMO M Z?l I I rl~.o::\Dr-- ,..-;::r; E-io 0 U i3 \D N o cien "' -.:1 ,,", 0(.9 ~~ ci '-E-< ci<>: ciO '" 101 "''" <>:0 <>: '">< ",E-< <>:H ,"U <>: ,"' m '~ en<>: .:1Z "'<>:<>:"' <>:E-<",U.:1 I01ZZ<>:," 10103:<>:'" <>:UO,"<>: '<>: o E-< enu en E-< Z "' :E Z:E 00 HU E-<'- ,"en HE-< <>:.:1 U::> en en "'"' 101<>: !-< H ~ E-< ~,".:1 ,"en::> zen (.9H", :z: <>: H ~101101 -<"'"' ,"E-<E-< en", 0",.:1 0::>," o::s ",0 <>:U -< '" !-< ~ '" Q) M '" tJ1 <:: <<i 0. OM o ;;~ .. If) ",M ::s .. H'" E-<'" C1J Z" ~ HO Z '0 H :eN m [5 -'" S om.qtH 0::" I..D 0... '" Z (j\.-lIZO ZQJ.--lHQ ~~~~~ s~z[5~ HOQOr.r... '"Z<>:<>:<>: ~~ ~ o en '- '" >< E-< ci o N .:1 '" en "' E-< o Z 101 ~ en E-< Z "' :E :E o U ~"ORT~ ~"O~tl(~ Uh!ii W "-- -=;...;w ~ 't,,(~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~r Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001208 Date 10/19/07 955424 113 E 2ND ST 06-30-00-5-1-3160-0000- PLUMBING REPAIR 4500 f2j \ of Lf Owner Contractor TAYLOR JOHN/ROSALYN 113 E 2ND ST PORT ANGELES WA 983622916 HENDRICKS CONSTRUCTION INC 327 E 10 TH ST PORT ANGELES WA 98362 (360) .452-1641 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT REPAIR/REPLACE PLUMBING AS NEC 113548 141.00 Plan Check Fee 10/19/07 Valuation 4/16/08 .00 o Qty Unit Charge Per Extension 50.00 28.00 63.00 BASE FEE 4.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 9.00 7.0000 ECH PL- EA. REPAIR/ DRAIN / VENT Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 141. 00 141.00 ,00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 141.00 141.00 .00 .00 ~ /i:..'C(L '<~ 6, O.,p 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 ~~~~;r~~~i~~ to give ;;hority to violate or cancel t~pn/;::/':!y state local law regulating construction or the performance of (q/r~ ~~ ~/f/#/U~ /!J7Iff( ~ Date ' Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/BlIilding DivisionIBlIilding Permit (10/01/07).wpd f- ';.~ Pj Z of-<t CALL 4 17-4815 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. BUILDING PERMIT INSPECTION RECORD o ,...J r INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOVNDA TION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN \ 1-'1\-0, "J"U- WATER LINE (METER TO BLDG) GAS LINE FINAL (\ -- 2~ ~()~ DATE J'(..L.- ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL f1.e,c.-hCi'"r'\ i Co.-\ ("'C>\A.Jh -i-A HEA T PUMP / FURNACE / DUCTS 1-11-4-08' J"LL GAS LINE WOOD STOVE / PELLET I CHIMNEY FINAL \ \- 2b-O& DATE ""J LA- ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS . SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING \'l o 0<:) vJ f\\ w ~ ~ T:Forms/Buildillg Divisioll/Buildil:g Permit (10101107)wpd v c 3" 0- -:5'" .::: ~f11 ~~ i -~ )<... BUILDING PERMIT APPLICA TION 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 For City Use Only: Date Received /€'-/9~o7 Permit # 07 -/zCJ e Date Approved Ie - /9-- cJ'7 Applicant or Agent t!tJJtftc'C;[S CO/IJ $0 Owner \ft;ir /U rA I' / (IY Owner's Address 113 {511 ~ { ;;< 'Vc{ Contractor/Engineer I~ 3.2. VJ t:'b("- 'i'fC P, A . Contractor/Engineer's Address Itf3;;L WC'~f7"" ~/"'tr A /I License # Phone Phone Phone Expires PROJECT ADDRESS / /5 EASt :2 pAJ d.. I Parcel Number Lot Zoning Proiect Tvpe & Brief Description: fE.esidential o Commercial o Multi-family o Industrial Check all that apply o New Construction o Addition o Remodel P'1 tt Vat hI "/If- Y Jf/-tp tuoJ -( I o Repair oRe-roof o Demolition o Sign o wall-mounted o projecting o freestanding Dawning o other Total sian area sq. ft. Maximum allowed siqn area Sq. ft. o Heat System o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove o'6ther o Other Floor Areas Existinq (Sq. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other ~ Sbo ::'3 /' TOTAL VALUATION $ Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? sq. ft. . Lot size sq. ft. = Lot coverage # of bedrooms # of full baths # of half baths % ft. Occupancy group Occupant load Construction type 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 t;;1(o t ~'n pe its rior to working on projects. / / 0 (d II It. yJ Date 10 / /7/ 07 Print Name I\.ONA n7'AJOft (,f'S Signature1t(J) ~- T:Forms/Building Division/Bldg Permit Appl.-2006 Code,doc .~'~ ~ "YiJ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 9R~62 ELECTRICAL PERMIT PERMIT NO 6850 ISSUED: 1/20/2000 OWNER/APPLlCANT HILL HAUS MOTEL 111 E. 2ND STREET Port Angeles, WA 98362 206/452-9285 T: S: ARCHITECT N/A CONTRACTOR SHAMP ELECTRICAL CONTRACTING INC. P.O. BOX 383 Port Angeles, WA 98362 360/452-1689 PROJECT INFO Project Type: RES. MISC. Occupancy Type: Occupancy Group: Electrical Heat: D Baseboard D Furnace o Heat Pump o Fan Wall PROPERTY LOCATION '? t7 4-11 2ND aT [ //3 (. ~ Lot: 11-12 Block: 31 ~ Long Legal Subdivision: MR SMITH Parcel No: , 98360-0000 360/000-0000 Project Value: $0.00 Construction Type: SERVICE CHANGE Zoning Use: CSD o KW o KW o KW o KW ~ Riser ~ o Overhead Service D Temp Service Underground Service Voltage: 120,240 Phase: [?;J 1 D 3 Service Size: 200 Feeder Size: 0 PROJECT NOTES CO'''RT S';;::;D'R~;i ;W $61.50 $0.00 $0.00 $0.00 $0.00 $61.50 I i , I i I FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE COMMENTS/ACTION NEEDED $61.50 $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELEClRICAL 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 ACCKPTED COMMENTS VES I NO -IN I ~K V lL.r. 1/U1/~ FINAl I I GENERAL COMMENTS: PW-I 102.U 14'961 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nl! 16670 d-.;2T' . >r Port Angeles. Washlngton..........m..L.....................m...........m..m. 19..mm 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 ...../-t.~"}nnn .'..~.n.nnn..m.m...m..n.. Occupancy....~.n.mm..._mmm..n ..g~ ~::~ ~~~~=:;:~~:.~~n l?~;;;:PA..Jl~~;:::::::::::::::..:...~~:::::::::=::::::::::::::::::=::::::::=::::::::: Light Outlets.......................................... Service. volts ...../.:i-~?;R:.... . Type of Wiring: Receptacle Outlets.__....__............__........ No. wIres --......---m...........--.....--.-/1 Armored Cable .............................. SI I ~t) ~ Non.Metalllc ................................. Dry"" KW nmm..n.............................. ze w res.../,;;(;...........I!!....... ....... Knob & Tube................................_ Range, KW.____.......____.............. Main fuse ................. ...... --- .......... -5 . Enclosure ................................. Water Heater: KW.............................m... Heat: KW..__.................................~..__.... Type of Wiring: Entrance Cable ...__......__m...__ Motors: size, volts and phase: Rigid Conduit ................___......__.... Metallic TubIng .................;......... Current transformers: ., No. & Size.....__..__....__.__..........__....... Ser. No.............................__._...__......... Ser. No........__...........................__....... Ser. No......................__........___.......__... RIgid Conduit ..........................._.. Metallic Tubing ........................... Raceway _......................_.....____ Circuits, LlghL...__...m...............h__..._.. Utility............................................. Heat ............___........................__.... Range ..........__................................. Water Heater ..................____......... Motor ............................................. Dryer ..........._..................................__ Furnace .........................'_......_........... Total wad........_________.___....__.. Ser. No.__....____......._........................__ Total ..................__................... Remarks: n.......mn,&1R4..--.4m...mn__...m.m....m....mmmnm..m.mm...nn....__n__.mmm.mm.m'm .-------.------..-.---------..-----..--.---------.--------....--._---------------------_.._--.._--._------------------...---.-....-----.--.------.---..---..------------------- .;~.=.~~~.~~~....~~~......~.~..~..~...~..---...::~.~.~:~.:~.~~~~.~~~~~~~....m.nn.---m:;n.:.:}fl&:.:::::::::::::::.::::::.::::::::::::: NOTICE-Current must not be turned on until Certificate of InspecUon has been issued. It work Is to be COD- cealed due noUce 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? 16670 Address...............__.._..............._..............................................._.....___...........................................Date..._._........_.._.._.......____.._.__....__..._..._ Owner................_.................._..._.._.._......_....._____..._....._......_..............._.............__......_....Tenant......................................................___......... Wiring Contractor ................__................._......................_................................._..............._........... By................................__............._............ ~- . ~OTICE-Current must not be turned on untn Certfflcate ot Inspection has been issued. It work is to be con- '\aled due notice must be given the Inspector so that work may be Inspected before concealment. . \ 1M Olympic Printers, Inc.