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HomeMy WebLinkAbout1813 E 3rd St - BuildingPREPARED 11 /08 /10 8 08 48 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/08/10 ADDRESS 1813 E 3RD ST TENANT NBR GORDON RUTH THOMSON CONTRACTOR DAVE S HTG COOLING SRVC INC OWNER GORDON C AND RUTH THOMSON PARCEL 06 30 11 5 0 0515 0000 APPL NUMBER 10 00001295 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 11/08/10 JLn l SUBDIV MECHANICAL FINAL TIME 01 00 November 5 2010 3 07 07 PM 1pangrle JEANNIE (DAVE S HEATING 452 0939) MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES PHONE (360) 452 0939 PHONE (360) 457 5888 Application desc 3 ton heat pump T stat Owner THOMSON GORDON C /RUTH 1813 E 3RD ST PORT ANGELES Permit Additional desc Permit pin number 176867 Permit Fee 56 00 Issue Date 11/04/10 Expiration Date 5/03/11 Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983624911 56 00 00 56 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION F of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 10 00001294 Application pin number 681210 Property Address 1813 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 11 5 0 0515 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 ELECTRICAL ALTER RESIDENTIAL Paid Contractor 56 00 00 56 00 DATE. Plan Check Fee Valuation Credited 00 00 00 Date 11/04/10 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Due RESULTS -13' 16 !4' 00 00 00 00 0 Extension 56 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Ack? Date. 0 CO Nov 03 10 12 25p Dave s Heating Cooling City of Port Angeles Permit Application Building DivisionJElectrical Inspections 321 East Filth Street P.D. Box 1150 Port Angeles Washington, 98362 Ph: (360)417- 735 Fax: (360) 417.4711 Date: 1 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition !Alteration 1 Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: I t 3 Ea s 3 .SF• -t' Building Square Footage: a 0O rax. �SOO Description of above -rf-a-i'rn o5 O wiz as Oars pu r7,1 Sfr✓°v. 47_41 Owner Information f Contractor Infotr(ta� 70rr Name: GO rd. 'Ru- 1- 1,Tl,ornSo;-1 Name' 1'IG o Maili Address: S 13 f .S Mailing •ddres D. f.ff!,7c C./1:R City rt v ir. State: (tom Zip: a City: 6 .L State: C.W Zip: x 7 2136, Phone: r• 7 SStj Phone:J -a 3 ax: v 93`? Lxenseirtfz,.. License 4 Exp. J ES f1 -'1'1( G Unit Charoe 5119.90 5145.50 5204.60 5 262.20 5 372.50 5 2.60 5 73.50 S 2.60 6 92.70 6 110.30 5 148.70 5 167.90 S 95.90 S 88.20 S 95.90 S 63.90 S 63.90 S 119.93 5 102.30 S 110.30 5 35.20 5 73.50 S 110.30 5 56.00 Check r x .,'t(� .t� oaf 0 13 10 NOV 3 H ELECTRICAL INSPECTIONS Total (Otv Mulliolied by Unit Charnel 5 SenricelFeeder 200 Amp 5 Service/Feeder 201 -400 Amp. 5 Service/Feeder 401 -600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder 5 Branch Circuit WO Service Feeder Each Additional Brandy Circuit 5 Temp. Service: Feeder 200 Amp. Terry, Service/Feeder 201 -400 Amp. Temp, Service:Feeder 401.600 Amp. 5 Temp. Service/Feeder 601- 1000Amp. 5 Portal to Portal Hourly 5 Sign/Outline Lighting S Signal Circuit/ Limited Energy Commercial. Additional 1500 35.00 5 Signal Circuit/ Limited Energy 1 8 2 Family Dwelling 5 Signal CacuiV Limited Energy Muiff -Famriy Deretirg Manufactured Home Connection S Renewable Electrical Energy 5 <VA System or Less First 1300 Square Ft. 5 Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage 5 Each Swimming Pool or Hot Tub 5 00 Thermostat 5 f,.00 Total Signature of owner, electrical contractor or electrical administrator Cash Credit card 3604520939 p1 iv After reading the above statement, I hereby certify that lam the owner of the above named property or a licensed electrical contractor 1 am making the electrical installation or alteration to compliance with the electrical laws, N.E.C. RCW Chapter 1923, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for Iwo 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. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00001295 Application pin number 915900 Property Address 1813 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 11 5 0 0515 0000 Tenant nbr name GORDON RUTH THOMSON Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5460 Application desc HEAT PUMP INSTALLATION Owner GORDON C AND RUTH THOMSON 1813 E 3RD ST PORT ANGELES (360) 457 5888 Permit MECHANICAL PERMIT Additional desc HEAT PUMP INSTALLATION Permit pin number 176875 Permit Fee 64 80 Issue Date 11/03/10 Expiration Date 5/02/11 Qty Unit Charge 1 00 14 8000 EA Per Fee summary Charged WA 983624911 Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 T:Forms /Building Division /Building Permit Contractor DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Plan Check Fee 00 Valuation BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited 64 80 00 64 80 00 00 00 Date 11/03/10 0 Extension 50 00 14 80 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) vir" 1■ 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. ii o r� L ��J�� ,a 4,2Z6e:/4 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date II- MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I 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 FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type ID ccepted by Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Nov 03101231p PROJECT ADDRESS Parcel Number Floor Areas Dave s Heating Cooling BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 41711815 fax (360) 417 -4711 Applicant Dav -e‘ s f t a..- 1 n Phone Property Owner o rrel o r, k' L4-h /r Phone Property Owner's Address 1 g '3 Ec{s -t- 3 Jai .'f-r Contractor .bo.ve's -ea--- r, c Phone Contractor's Address r o. Fox 9- (3 (for fi e_ wA License DA VES Hc-e 9 t Kc. Expires s 11 E -mail Lot Project Timm Brief Description. 6Residential n Multi- family Check all that apply o New Construction o Addition Remodel o Repair o Demolition o Re -roof ttHeat System o Other 3604520939 p1 For City Use Only Date Received t l —3 0 Permit# Ict— t24/5" Date Approved S'1p -o13 4 4-5 7— 553 4f.5 q 3 Cf A GcJc��.ac alb._ c Zoning o Commercial o Industrial o House o garage o other o tear off re -roof o lay over one layer Heat pump o wood burning stove o gas fireplace o pellet stove o other Existing (sg. ft.) f posed (so. ft) Basement per sq. ft. 1 Floor 2 Floor 3" Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 5 (oO Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage ek 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 1 have read and completed this application and know it to be true and correct. 1 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 tg working an projects. T:FormslBuilding Division/Bldg Perrnit.doc Date 1(1 (o Print Name Oi L.e i Icy. P Signature of bedrooms of full baths of half baths J Clallam County Assessor Treasurer Property Details 65321 GORDON C AND RUT Page 1 of 5 Ciallam County Assessor Treasurer Property Search Results 65321 GORDON C AND RUTH THOMSON for Year 2010 2011 Property Account Property ID* 65321 Legal Description. GREEN'S BELLE VIEW ADDITION LOT 13 PT VC ST ALLEY BL 5 12A) Geographic ID* 0630115005150000 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 Township Section. Range. Location Address 1813E THIRD ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID* 2 Neighborhood CD* 10955130 Owner Name GORDON C AND RUTH THOMSON Owner ID* 56125 Mailing Address: 1813 E 3RD ST Ownership. 100 0000000000% PORT ANGELES WA 98362 -4911 Taxes and Assessment Details Property Tax Information as of 11/03/2010 Amount Due if Paid on. M. Exemptions* NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid i 2010 47555 ST SCH STATE SCHOOL $250 32 $250 32 $0 00 $2.50 $250 32 2010 47555 CC -GEN COUNTY $133.21 $133.21 $0 00 $1 33 $133.21 2010 47555 PORT PORT $18 72 $18 73 $0 00 $0 19 $18 72 2010 47555 PORT ANG PORT ANGELES $308 44 $308 43 $0 00 $3 08 $308 44 2010 47555 SD #121 SCHOOL DISTRICT #121 $324.23 $324.24 $000 $3.25 $324.23 2010 47555 NTH OLY LIB NORTH OLYMPIC LIBRARY $38 71 $38 71 $0 00 $0 39 $38 71 2010 47555 HOSP #2 HOSPITAL #2 $54 64 $54 65 $0 00 $0 55 $54.64 2010 47555 WSMET PK DIST WILLIAM SHORE MET PARK DIST $17 39 $17 39 $1 91 $0 17 $17 39 2010 47555 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 36 $36 00 2010 47555 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 01 $0 82 2010 47555 TOTAL. $1182.48 $1182.49 $1.91 $11.83 $1182.48 2009 653212008 ST SCH STATE SCHOOL $288 89 $288.89 $0 00 $0 00 $577 78 2009 653212008 CC -GEN COUNTY $146.20 $146.20 $0 00 $0 00 $292.40 2009 653212008 PORT PORT $20 71 $20 71 $0 00 $0 00 $41 42 2009 653212008 PORT ANG PORT ANGELES $320 69 $320 67 $0 00 $0 00 $641 36 http. /vpn.clallam.net 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =65 11/3/2010 PREPARED 8/28/08 10 19 13 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/28/08 ADDRESS 1813 E 3RD ST SUBDIV CONTRACTOR PHONE OWNER THOMSON GORDON C /RUTH PHONE PARCEL 06 30 11 5 0 0515 0000 APPL NUMBER 08 00000975 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 8/28/08 JLL BLDG FINAL August 27 2008 8 47 56 AM 1pangrle GORDON 457 5888 BLDG FINAL RE ROOF COMMENTS AND NOTES spate J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF /INSTALL COMP Owner THOMSON GORDON'C /RUTH 1813 E 3RD ST PORT ANGELES WA 983624911 Qty Unit Charge Per 2 00 Other Fees Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Charged T Forms /Building Division /Building Permit (05 /13 /08).wpd 08 00000975 554800 1813 E 3RD ST 06 30 11 5 0 0515 0000 RE ROOF RS7 RESDNTL SINGLE FAMILY 4000 Contractor OWNER Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF/ INSTALL COMP Permit pin number 131920 Permit Fee 123 75 Plan Check Fee 00 Issue Date 8/08/08 Valuation 4000 Expiration Date 2/04/09 BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) Date 8/08/08 STATE SURCHARGE 4 50 Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 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 constru tion 6 of? -oiei /6/6.ysoA/ i7.107,47,af., Print Name Signatu of Contractor or Authorized Agent Signature of Owner (if owner is builder) Extension 95 75 28 00 `5;> eP e T5 P d1 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT //'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -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 I I I I I I I IYZS ©g I1L, I 417 -4735 ELECTRICAL LIGHT DEPT FINAL DATE ACCEPTED BY. FINAL CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CITY OF PORT ANGELES Attn Building Permit Technic,an 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent Grore,Do,✓ IoMSo>✓ Property Owner _WPM= Property Owner's Address 3 E 3,e0 sr Contractor /En i moo,✓ 71/orisoe./ Contractor /Engineer's Address License PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink x(13 g3>e -ST P/9 7c Residential Existing (sq. ft.) Proposed (g. ft.) Commercial 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 Lot Heat pump wood burning stove gas fireplace pellet stove other per sq ft. TOTAL VALUATION d 00 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage 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 l c►J Date FA 0 SS Print Name ��0� ei f`� T T Forms uildi g Division /Bldg Permit Appl. 2006 Code.doc Phone L 7 Phone Phone Expires Multi family Industrial For City Use Only Date Received -c) Permit# O,q,.. F7 S' Date Approved F-dP Zoning of bedrooms of full baths of half baths d d(b.fii' CITY OF PORT ANGELES. DEPARTMENT oF' LIGHT- APPLICATION AND ELECTRICAL PERMIT A /l9~ SCANNED PERMIT NUMBER Date FEE RECEIPT NUMBER . 3O~ nmals f) _ _ TOTAL FEE f\ C. CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT , /81 ""? ELECTRICAL PERMIT ONLY . ,;:) l'" j(b Site Address t.. '3 0 llLfc..Ou GE. b. V CO~PfXT ",ADDRESS I. PERMITS WITH WRONG ADDRESSES ARE CANG Owner;C M I.t-l. C1!:i!!::: P ~ Installation By 0 tel PI /IG Owner's Address Installers Address Day Phone Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows.: /JfJ;v1 ;~(/ rt LED (. 4...(.:{n. {{:... >v''', ltJae~ Wiring Method . AMP 240V NUMBER AMP . 120V 240V USE OF CIRCUIT NUMBER PEA 120V 100R FEE USE'OF CIRCUIT PEA 100A FEE CIRCUITS CIA 10 30 CIRCUITS CIA '0 30 LIGHT I SIGN . LIGHT Fu ~.4e IJ ......:. - /0 Irl(/, 50 VOLTS , OR LESS , /1 .iJ, I,...,~-- . . < MOTdR , CONVENIENCE - !( CONVENIENCE , 7 MOTOR APPLIANCE - .., " MOTOR , , .':,.... '. :'" , FiRE ALARMS . . ; '. , DISHWASHER " . DISPOSAL , . .. ,.BURG~AR.AL!,RM ; :- \.'," ... ..',< ,., , RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT , SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS , SERVICE AW.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH / I certify that the work to be erformed under this permit will be done by the installer and in conformance with the N.E.C. Electrical ~ode. l~~ \\~ ~'\-.1 '\'l' p Date Application made , 19 By . 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 specifications pertaining thereto, SUbflec]t to compliance. ~ith the ~:ylnan. C"J~S otJ; r(/Pl1eleSC~'GHT _. Date Permit Issued flr I 11 & d-, II f:J t~~ PLANS APP VED .'. ' otlfy Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned 9n before insP8:ctlOn and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. ". WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - " WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. r'"I ~"11 ..q Jl 1\ t"'"')rj '......::-: ~/", It ir'.'.;.- ~ . I DATE OF V~ ...._ _..._~~.....,MADE BY- . " '-.. " -.. _......-.-,-~- 1 'Lcli'1 l'Jli.t- I . I 7/ ~PW7 ;p-v..-o. ....,Ja'-:'7- ! ';Y1; 41 {~1:19.T~1 ..-:. ., "jy~w ~, 7 J (, ;lh /, . . REPORT OF INSPECTOR ..,~....-; . '-, ~.' 4 REMARKS ,:1 ,. ~.... ~AlMLs /A) ~l '21 fJl S'!VtO. "?,J1f< ..: VV+- J'$.u.<.A,~' ~ ~ t /J I ~~~i. ;/(;'.-J' ~f- A 17 ~- 9~ W/'$g / i~ ,'M , ~f- n-if/ L 0: ~ . I .-/ .' . O,K. FOR COVERING UPPE.R.. floOCl... OLiL0..4 , O.K. TO CONN~CT SERVICE '\ ,. r-1i"NAL 0). '-.,,/ . !: Cl a:: '" ~ !a :J: I- Z W ~. I- o Z o C . /d-pf .CITY OF PORT ANGELES DEPARTMENT.'OF LIGHT APPLICATION AND ELECTRICAL PERMIT A /008 PERMIT NUMBER FEE AECEIPT NUMBER . i ReS TOTAL FEE IG~ . . CONT. Lie. NO. TIME TO COMPLETE NO. STC~RIES LEGAL OCCUPANCY Owner Owner's Address ELECTRICAL PERMIT ONLY NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT ?, p.J 1V:3 OUSf., DVv-' I ~\3 f:~ PERMITS WITH WRONG ADDRESSES ARE" C~;:ELLEO.L"'!. . 'Ct.. Installation By Of Y//1.rIC Lo FC(X Ie Installers Address Site Address Day Phone Application,is hereby made for Permit to install Elee Installers Phone. t as foll9ws: Wiring Meth<?d . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT" PEA 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN LIGHT . '50 VOl.:TS -c- 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 BREAKEA A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I SUB-TOTAL - - SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer a~d in conformance with the N.E.C. Electrical Code. Date Application made ,19 By . CONTRACTOR OA OWNER (OR AUTHORIZED AGENT) Permission is ~ereby given to do the abov~ des_cribed work, according to the con~Htjons hereon and according to the approved plans and specifications pertaining theretO,?S;UbJe;t to. compliance with the O:yinances of h :r~~~~ Date Permit Issued f! ~ J _ . PLANS APP VEO . .. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turneg on before inspection and O.K. for covering or service has be.en 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 _ WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD -Inspector's Report REPORT OF INSPECTOR -:; .. \. DATE OF VISIT MADE BY REMARKS ..All ~n"t:C~G 4-1 z.t f 1 /1/1 t- O.K. TO CONNECT SERVICE , I , "'11lDI.b.~Jt- . z Cl II: <C :E ~ :I: I- Z W I- ~. l- e z e c .