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HomeMy WebLinkAbout1122 E 3rd St - BuildingPREPARED 2/03/ 0 8 30 59 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/03/10 ADDRESS 1122 E 3RD ST SUBDIV TENANT NBR S BROOKE TAYLOR CONTRACTOR SPIRES ROOFING PHONE (360 477 3095 OWNER S BROOKE TAYLOR PHONE PARCEL 06 30 00 5 4 0105 0000 APPL NUMBER 10 00000012 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/14/10 JLL BLDG FRAMING TIME 01 00 1/14/10 AP January 13 2010 4 49 52 PM 1pangrle TYLER 477 3095 FRAMING AFTERNOON January 14 2010 4 36 16 PM jlierly BL99 01 1/22/10 JLL BLDG FINAL 1/22/10 DA January 21 2010 3 15 01 PM 1pangrle (UNKNOWN NAME) 477 3095 BLDG FINAL RE ROOFED THE HOUSE RE FRAMED 2 WALLS January 22 2010 4 41 07 PM lierly roof has been complete he siding is still unfinished builder maintained that the siding was ordered and will be finished next week jll recall for wall and siding/j11 BL99 02 2/03/10 JLL BLDG FINAL February 2 2010 3 12 18 PM 1pangrle p TYLER 477 3095 BLDG FINAL RE ROOFED THE HOUSE RE FRAMED 2 WALLS f 4//1 z-- COMMENTS AND NOTES PREPARED 1/22/10 8 28 59 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES NSPECTOR JAMES LIERLY DATE 1/22/10 ADDRESS 1122 E 3RD ST SUBDIV TENANT NBR S BROOKE TAYLOR CONTRACTOR SPIRES ROOFING PHONE (360) 477 3095 OWNER S BROOKE TAYLOR PHONE PARCEL 06 30 00 5 4 0105 0000 APPL NUMBER 10 00000012 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/14/10 JLL BLDG FRAMING TIME 01 00 1/14/10 AP January 13 2010 4 49 52 PM 1pangrle TYLER 477 3095 FRAMING AFTERNOON January 14 2010 4 36 16 PM jlierly BL99 01 1/22/10 BLDG rINAL January 21 2010 3 15 01 PM 1pangrle (UNKNOWN NAME) 477 3095 BLDG FINAL RE ROOFED THE HOUSE RE FRAMED 2 WALLS COMMENTS AND NOTES C 1 212 LOQ C C o at.1(✓ Gd' i Sifll1 --Q� PREPARED 1/14/10 8 31 35 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/14/10 ADDRESS 1122 E 3RD ST SUBDIV TENANT NBR S BROOKE TAYLOR CONTRACTOR SPIRES ROOFING PHONE (360) 477 3095 OWNER S BROOKE TAYLOR PHONE PARCEL 06 30 00 5 4 0105 0000 APPL NUMBER 10 00000012 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/14/10 L BLDG FRAMING TIME 01 00 r{ January 13 2010 4 49 52 PM 1pangrle TYLER 477 3095 FRAMING AFTERNOON COMMENTS AND NOTES w le) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000012 Application pin number 200324 Property Address 1122 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0105 0000 Tenant nbr name S BROOKE TAYLOR Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 9164 Application desc TEAR OFF RE ROOF THE HOUSE RE FRAME 2 WALLS Owner Contractor S BROOKE TAYLOR SPIRES ROOFING 853 STRAIT VIEW DR PO BOX 2673 PORT ANGELES WA 98362 PORT ANGELES (360) 477 3095 Structure Information 000 000 TEAR OFF RE ROOF HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF HOUSE Permit pin number 159145 Permit Fee 207 75 Plan Check Fee 00 Issue Date 1/06/10 Valuation 9164 Expiration Date 7/05/10 Qty Unit Charge Per Extension BASE FEE 95 75 8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 207 75 207 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 212 25 212 25 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. /3 ry SP•2>:s Date Print Name T:Forms/Building Division/Building Permit Date 1/13/10 WA 98362 gnature of Contractor or Authorized Agent Signature of Owner (if owner is builder) hO' a 0 -03 -/0 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 Furnace FAU Ducts Rough-In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 Date Accepted By l`-t- Ib ZI,L- PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping 1 SHORELINE. Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted By 0 W 0 2 -3 -0 1'6 W Application Number 10 00000012 Application pin number 200324 Property Address 1122 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0105 0000 Tenant nbr name S BROOKE TAYLOR Application type description RE ROOF Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF RE ROOF THE HOUSE Owner S BROOKE TAYLOR 853 STRAIT VIEW DR PORT ANGELES Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Other Fee Total Grand Total T:FornsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 98362 RS7 RESDNTL SINGLE FAMILY 6364 Contractor SPIRES ROOFING PO BOX 2673 PORT ANGELES (360) 477 3095 TEAR OFF RE ROOF HOUSE BUILDING PERMIT NO PR FEE TEAR OFF RE ROOF HOUSE 159145 165 75 1/06/10 7/05/10 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 5 00 14 0000 THOU BL -2001 25K (14 PE K Other Fees STATE SURCH Fee summary Charged Paid Credited 165 75 16 75 00 00 00 00 4 50 4 50 00 170 25 170 25 00 1-6-7a sPf' s r Date 1/06/10 WA 9836 Due 00 6364 Extension 95 75 70 00 4 50 00 00 00 00 c.12)P J 0 cie )k. 06) QC c k JJ,•0 c c ou �v 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 Stature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Fid '♦'Tanning Building 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 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED P Inspection Type Date 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 1 Rough -In 1 Gas Line V Wood Stove Pellet Chimney Commercial Hood Ducts 1 MANUFACTURED HOMES 7/ Footing Slab Blocking Hold Downs I Skirting 1 PLANNING DEPT Siiparate Permit #s Parking Lighting Landscaping T:Forms /Building Division /Building Permit Elect /teal Construction R.W PW Engineering Inspection Type Accepted By 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 Backflow Prevention Inspections 417 FINAL Date FINAL Date SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date ND ACCEPTED NS AT JOB SITE. Comments Accepted by Accepted by Accepted By 0 Applicant yam/ SP Phone Property Owner (3e00,6_ y�©12 Phone Property Owner's Address $S3 3#- V■.011) 1>h f' Contractor f)p/ S g.,00A /A Phone. Contractor's Address 2/c/ t 5.-- Si License 5'p(ft52 q 27R 5 •Expires y ,y E -mail PROJECT ADDRESS Parcel Number Proiect Type Brief De Check all that apply New Construction Addition Remodel Repair Demolition K.Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICA CITY OF PORT ANGELES Attn Building Permit Technician 321 E .Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 ZD S 7 scription. Residential Multi-family Commercial Industrial I' nn L y LOCIYA we s Fo cireVi 62 eixiL61 e +Wo b r UO. watts VoL)L,6W -1ovk off- Pw5e.ci- hnure.ase_<' House garage .other J tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (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 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 Ti ON Print in ink For City Use Only .Date Received le l° Permit I O Date Approved o x/7 309.E qg (0 3476 3H© /77- 9 2 A.cL Lot Zoning per sq ft. 0 i f 4 7,1 TOTAL VALUATION 3 (py' 1 60 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 Date G r Print Name /G -ALP .SP S Si 1 T Forms /Building Division /Building permit application 12/31/09 Brook Taylor Project Labor Materials Spires Rooling Tyler Spires (owner) PO Box 2673 Port Angeles Wa 98362 Cell (360) 477 -3095 New Roof at 1122 E 3rd st. Item Description Total Tearoff Remove existing roofing, hauling disposal 1,800 OOT of debris City of P A. permit, 30Ib felt, 30yr Architectural roof shingles, new metal flashing around chimney and against walls, new plumbing and roof vents, torch down roofing on low angled roof of carport. T© 8f tortIk r b z►4/v 3 I Q 61 0 3. Sales Tax (8.4 Total contract 178 4,564 OOT $534 58 $6,898 58 Payment at Beginning of Job $3,000.00 Balance Due at End of Job $3,898 58 Clallam County Assessor Treasurer Property Details 61931 S BROOKE TAYLOR f Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 61931 S BROOKE TAYLOR for Year 2010 2011 Property Account Property ID Geographic ID 0630005401050000 Agent Code. Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Location Address. 1122E THIRD ST Mapsco PORT ANGELES Neighborhood Cycle 5 Res Map ID Neighborhood CD 10955130 Owner Name S BROOKE TAYLOR Owner ID 55594 Mailing Address. 853 STRAIT VIEW DR Ownership 100 0000000000% PORT ANGELES WA 98362 -8475 Taxes and Assessments Due Property Tax Information as of 01/06/2010 Amount Due if Paid on r� 61931 Legal Description. BAKERS EC SUBD OF LOT 19LT4BL106 Exemptions. First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 619312008 ST SCH STATE SCHOOL $162.36 $162.35 $0 00 $0 00 $324 71 $0 00 2009 619312008 CC -GEN COUNTY $82.16 $82.17 $0 00 $0 00 $164 33 $0 00 2009 619312008 PORT PORT $11 64 $11 64 $0 00 $0 00 $23.28 $0 00 2009 619312008 PORT ANG PORT ANGELES $180.23 $180.22 $0 00 $0 00 $360 45 $0 00 2009 619312008 SD #121 SCHOOL DISTRICT #121 $200 78 $200 78 $0 00 $0 00 $401 56 $0 00 2009 619312008 NTH OLY LIB NORTH OLYMPIC LIBRARY $23 87 $23 88 $0 00 $0 00 $47 75 $0 00; 2009 619312008 HOSP #2 HOSPITAL #2 $33 70 $33 69 $0 00 $0 00 $67 39 $0 00 2009 619312008 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0 00 12009 619312008 WEED_CONTROL WEED CONTROL $0 81 $0 82 $0 00 $0 00 $1 63 $0 00 2009 619312008 TOTAL. $731.55 $731.55 $0.00 $0.00 $1463.10 $0.00 2008 619312007 ST SCH STATE SCHOOL $172 41 $172.41 $0 00 $0 00 $344 82 $0 00 2008 619312007 CC -GEN COUNTY $83 43 $83 41 $0 00 $0 00 $166 84 $0 00 2008 619312007 PORT PORT $12.19 $12.18 $0 00 $0 00 $24 37 $0 00 2008 619312007 PORT ANG PORT ANGELES $179 66 $179 64 $0 00 $0 00 $359 30 $0 00 2008 619312007 SD #121 SCHOOL DISTRICT #121 $201 10 $201 09 $0 00 $0 00 $402.19 $0 00 2008 619312007 NTH OLY LIB NORTH OLYMPIC LIBRARY $24.24 $24.24 $0 00 $0 00 $48 48 $0 00 2008 619312007 HOSP #2 HOSPITAL #2 $8.29 $8.28 $0 00 $0 00 $16 57 $0 00 2008 619312007 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72 00 $0 00 2008 619312007 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 http. /vpn.clallam. net. 8084 /propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_Id =61931 1/6/2010 .~ "l4iir.*;p CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT Issued: 8/27/97 Permit No: 6040 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HARRIET CRUFF 1122 3RD ST E 1122 E. 3RD Lot: 4 Port Angeles, WA 98363 Block: 111 Long Legal: 360/000-0000 Sub: BAKER T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- ELECTRIC SERVICE 924 DRAPER RD. PORT ANGELES, WA 98362 360/452-6424 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS7 Electrical Heat . Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: Service Type o Riser o Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- ADD SMOKE DETECTORS AND RECEPTACLES PER PA HOUSING REHAB PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $41.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $41. 00 $41. 00 --------------------------------- --------------------------------- TOTAL FEE: $41. 00 Balance Due: $0.00 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, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE tN'SPECTION rrPK DATF. I ACCEPTED COMMENTS I Y<5 I NO DITCH lU)TTGH_IN I CU~ 1'>t<.KVICF. FTNAr I ,"(/2 7/ <J? T GENERAL COMMENTS: PW.I]OH~14l961 "(;; ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRlCAL DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 4/30/97 Permit No: 5910 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HARRIET CRUFF 1122 3RD ST E 1122 E. 3RD Lot: Port Angeles, WA 98363 Block: Long Legal: 360/000-0000 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 360/452-9264 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- INSTALL GFCI CIRCUIT FOR SUMP PUMP WIRE EXHAUST FAN PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $40.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $40.00 $40.00 ================================= TOTAL FEE: $40.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECfRICAL 'PERMIT INSPECfION RECo'RD . , CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNIA WFUL TO COVER, INSUlA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMJT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO , UIlCH lWUGI1-IN I COVER , SER V~ '" . , I J:oINAL ~-JI, , ( -7 . GENERAL COMMENTS: PW-II02.ljI4l96] . . 16683 Port Angeles. washlngton.........Ltf....=2:............m.m......_.mm. 19Zr In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in. on, or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as Hsted below. Address ...././.~. 2:...e..'!!..~..............______mmmm.. Occupancy.__...A~.m.._m......m. o~~er ..~2.('2'~.t;i"...~::nt.............m.....-.......m-m....m.mm...m..m-.mm.. Wmng Contractor ...9.1/GtJ{!mm.............m.m................m By.............mm.....mmmmm...m..___...m.mhm.... Light Outlets..............................._.._.... Service, volts ...L-2.o/~:Y.'~. Type of Wiring: Receptacle Outlets........................_______ No. wires ..__h..~..h..h.___.._~. Armored Cable hunm...................., Size wires......$aA.t::li>~.. Non.Metalllc ................................. Dryer, KW unu..UhU......................____.. ./ /' ~ Knob & Tuben.............................._ Main fuse .....__e:~::.....;.......___... S Enclosure ........._............................. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Range, KW ___.___mmm....__n. Water Heater: , "\ l; KW._______..........:~h.._~.___'__n____________. //'Y"~' F t6,:)" Heat: KW.u.. _._.......__.........._ .......~.~:h; ___ Motors: size. volts and phase: Type of wiring: Entrance Cable ..................m........ Rigid Conduit ........:...................... Metalllc Tubing ........................... Current transformers: No. & Size....................................... Ser. NO....................___.......___...........h Ser. No. ...._......_......_...........___.........._. Ser. No. ....................__.........._............ Nt! RIgid Conduit ............................... Metallic Tubing .mm._.................. Raceway .................._...._.....___._ Circuits. Llghl....................................... UtiIlty ..............."............................ Heat ....................................-.......... Range ...................................._........ Water Heater ..00........................... Motor ..._....................._.................. Dryer ......................n......................__ Furnace .........................._......_..... ...... Total, .Load............................. Set. NO.........cy._.....~E;y . Total....................................... Remarks: m-----nmm;;i.~nhn~"'.--.mh."~. ......h ..h...........nm.m..mm..mmnmmmmm.m.n... .::~.=.~~..~:~.....~~~~~n_.n.~..~..--.~mm...::~.~.~:~~~~.~.~~.~~~....~~~~.--mmm.mm:~.::-;fE~bZ:~~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon. 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 \ .f ELECTRICAL PERMIT N? 16683 Address.........._....._.......................................................................................................................Date..._......_..__._.._.........._......_.....___........ Owner...................._......................_.._......_......_.._......................_....................................Tenant.................................................................... ,I"firingContractor...............f.........................................................................................................By.............................................................. __'-\. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con- r cealed .~e notice must bs given the Inspector so that work may be Inspected before concealment. . 1M .' 6i~Pic Printers. Inc.