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Home My WebLink About2109 W 7th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Cable TV across 7th street Owner ANDRADE RONALD G 2109 W 7TH ST PORT ANGELES Qty Unit Charge Fee summary Charged Permit Fee Total Plan Check Total Grand Total T•\Policies \1102 15 [10 /081 WA 983631619 Per BASE FEE 70 00 00 70 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001447 607269 2109 W 7TH ST 06 30 01 5 6 0070 0000 WAVE BOARDBAND PUBLIC WORKS UTILITES Permit RIGHT OF WAY Additional desc TV CABLE ACROSS 7TH ST Permit pin number 137950 Permit Fee 70 00 Issue Date 12/16/08 Expiration Date 6/14/09 RS7 RESDNTL SINGLE FAMILY 0 Contractor EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES (360) 452 1110 Plan Check Fee Valuation Paid Credited 70 00 00 00 00 70 00 00 Date 12/16/08 WA 98362 Due 00 0 Extension 70 00 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 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 CALL 417 -4831 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102 15 110/08] PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF RE ROOF W /LAM Owner RONALD G ANDRADE 2109 W 7TH ST PORT ANGELES (360) 457 6281 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 4 00 Other Fees Fee summary Charged CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983631619 Permit Fee Total 151 75 Plan Check Total 00 Other Fee Total 4 50 Grand Total 156 25 T.Forms /Building Division/Building Permit (10 /01 /07).wpd 08 00000225 599450 2109 W 7TH ST 06 30 01 5 6 0070 0000 RONALD G ANDRADE RE ROOF RS7 RESDNTL SINGLE FAMILY 5698 Contractor TOPNOTCH ROOFING GUTTER 1235 W 9TH PORT ANGELES (360) 457 0066 TEAR OFF RE ROOF W /LAM BUILDING PERMIT NO PR FEE TEAR OFF RE ROOF 121475 151 75 Plan Check Fee 2/25/08 Valuation 8/23/08 BASE FEE 14 0000 THOU BL -2001 25K STATE SURCHARGE Paid Credited 151 75 00 4 50 156 25 (14 PER K) 00 00 00 00 Date 2/25/08 WA 98362 Due Extension 95 75 56 00 4 50 00 00 00 00 /kJ CB 00 5698 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 Signature of Contractor or Authorized AgAnt Signature of Owner (if owner is builder) CALL 417 -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. 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 ti's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING FIRE INSPECTION TYPE DATE 417 -4807 417 -4653 PLANNING DEPT 417 -4750 BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL 1 1 I I BUILDING 417 -4815 I i C• .7 1 T Forms /Budding Division /Building Permit (10 /01 /07).wpd COMMENTS FINAL DATE ACCEPTED BY. FINAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED I 1 1 I I I YES NO rb Applicant or Agent 7 pivez,4 -ee 6:e40/ stsB Owner ft ,va.•4j 6 17_ s A+- 'Per 4 A- Arciazac Owner's Address Contractor /Engineer "Pr 6 t ek Contractor /Engineer's Address /-7, 3 I.AJ g dam^ P, License -70 p ilo &'G 'q q PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair �r Re -roof Demolition Sign Heat System Other Floor Areas Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 2lag w pA `7 j et rv'? a 4-y f Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures 2 6''Af sq ft. Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Phone Phone Phone Expires ?8 Lot For City Use Only: Date Received _Z— 2.-F -O Permit (')S- ZZ5 Date Approved -s �7 l�.mil /8 Zoning Residential Commercial Multi family Industrial P D ice/ A. I wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. 0 Heat pump wood burning stove gas fireplace pellet stove other per sq. ft. TOTAL VALUATION Co g* sq ft. Lot coverage of bedrooms of full baths of half baths OA 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 2 Print Name 'PAU- ,LtJe r Signature( !c v T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc Company signfc $5698 00 478.63 $6176 63 10/31/07 Bid prices are subject to reasonable increases due to any necessary alterations, additions, increases in material and /or labor to complete work. Homeowner will be notified of any necessary changes, which may affect cost. Property owners are responsible for obtaining any permits required for work and materials described herein. TOPNOTCH is happy to provide permit, but will add the cost to the final bill. Bid prices are applicable for 30 days* from date below, unless otherwise stated or agreed to Please feel welcome to call if you have questions concerning this estimate /bid If bid is accepted, please sign one copy and return it to TOPNOTCH ROOFING GUTTER, at the address above. Work is scheduled upon receipt of sianed bid. Verbal agreements will not guarantee scheduled work. References are available! TO' Ronald Andrade 2109 W 7 St Port Angeles WA 98363 457 6281 FOR Re -roof above address Tear off existing roofing Clean up and disposal included. Roof with 30 -year laminated architectural Composition over 30# felt Install starter course composition 63 of ridge cap 63' of ridge vent Step flash 4 -AF50 vents chimney flash. Estimated cost of tear off and re -roof using the materials Specified herein labor to complete work as described and sales tax City building permit is required, in Addition to these costs topnotchroofing @gwest.net TOPNORG994DA EXPIRATION DATE. 5/18/08 La Date I-0-2-#" o7 ESTIMATE AND BID PROPOSAL CONTRACT Six thousand, one hundred seventy six and 63/100 Authorized party to accept bid Atar1 Date 1 2.0 MATERIAL WARRANTY BY MANUFACTURER, WORKMANSHIP GUARANTEED BY LICENSED, BONDED, INSU D CONTRACTOR PAYMENT TERMS: ONE HALF TO START WORK. BALANCE DUE IN FULL WHEN WORK LS COMPLETED ALTERNATIVE PAYMENT ARRANGEMENTS MUST BE DISCUSSED AND AGREED TO PRIOR TO THE START OF THE JOB CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000922 Date 10/08/03 2109 W 7TH ST 06-30-01-5-6-0070-0000- MECHANICAL PERMIT 5550 Owner Contractor ANDRADE RONALD G 2109 W 7TH ST PORT ANGELES WA 983631619 PENINSULA HEAT 502 W. 8TH ST. PORT ANGELES (360) 457-2775 WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL H/P, FURNACE OLYMPIC ELECTRIC 46.70 Plan Check Fee 10/08/03 Valuation 4/06/04 .00 o \\J - o -D Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46..70. - 46.70 .00 .00 Plan Che.ck Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .00 G ~ \1- (A '") 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 prqvisions 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 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL417-481S FOR BUILDING 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 FOUNDA TION DRAINAGE - ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: /I - ROUGH-IN - PLUMBING - UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL - WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION - SLAB WALL / FLOOR / CEILING MECHANICAL -. HEA T PUMP WOOD STOVE / PELLET / CHIMNEY 1I00D / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT /I's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT /I's SEPA: t)o:;.>p , ~D PAltKINGILlGHTING ESA: 4-'LC( <- 05 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\1102.15 [4/2002) I. .' \:$l;,:(,:~'1\ ':,:.',r:.,; '.'{",':::'/- Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name propertyzon1ng '.' . Application valuation 03-00000922 . Date 2109 W .7TH.S'J:..c.~, .; . 06-30-01-5-6-0090:0000~ MECHANICAiPERMI1' ! 9/22/fJ3 tt~ .tjw ~ ~. ~ ',. '~~,''.: ,.' !(ierJ:'Y;OFPORTJ\NQ~LES. DEPARTMENT OFCO~YDEYELOPN1ENT -HUILDING DIVISION 32IEAST,S'tH ~!REETiPORT ANGELES,WA 983~2 . , OWner -----------'~~----------- ANDRADE RONALDG 2109 W 7TH ST PORT ANGELES WA 983631619 PENINSULA'" HEAT . 502 W. 8TH ST. PORT' ANGELES' (360) .457-2.775 WA 98362 Permit . . . . Additional desc Permit Fee IssUe Date Expiration Date. '. MECHANICAL PERMIT INSTALL. HEATPUMP 61.70 9/22/03 3/21/04 Plan Check Fee Valuation .00 o " Per BASE FEE....~.;... 14.7000 ECH ME- INSTALL lOO-FAU i Fe.esununary Charged Paid credi~ed Due 'PermltFeeTotal Pl~Ch~ck Total Grand. Total 61. 70. ' .00 61.70 61.70 .00 .61.70 "':'00 .09 .00 :00' .00 .00 Separate Permit,S are required for electd~al work, SEPA.$hor~lii1E3.E;~e.."ui,ilitles/~rlyatean~ public Iml)r9":~rn,e~i~.:f! ,.,. . nullariCl void if work or construction authorized is not commenced iNjthln180 days;]f construction orworkjs:,su'SPQIJ ,e.... . for a period of 180 days after the work as commenced, or if ftlqi.lired InspectIons have not been requested, withtl118d'~i .', r9,r!l,lhelast Inspectf6n. I herebycertjfy that I have read andexamlned'tlifs application'and know,the same to be true ahd'.cOrrect/Alp,ro"jsjonspf laws and ordinances governing this type of work will be cOlT\pliedwith wli~ther specified herein or not. The granting of a pet~!t"does'liot presume to give authority to violate or cancel the provisionsfot-any state or local law regulating construction,,0~be.:.perf6nnai1ce .of construc.tlon. . . " ' '; '.. ',';; ,::;;>, r . ,'; . 6iVFIC.c- , Sign'1itur~ of Contractor or AUthorized Agent T:\PLANNINO\FORMS\1102.1S [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING 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 I YES NO FOUNDATION: ..... FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II ROUGH-IN . PLUMBING - UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDI!RS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T.BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL .' HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT II's SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: .... , FINAL INS"'ECTIONS 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 411-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. , , PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 , J-7'.()-O~ Rl~ BUILDING T:\PLANNING\FORMS\ 1102.15 [4/2002] .. BUILDING PERMIT. APPLICATION FOR OFFICIAL USE ONLY: Date Rec.:9 - '7- 0.:) Permit #: 922 Date Approved: Date Issued: ~ Fill out COMPLETELY and in INK. Your application and site.plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: Oh~rltJJ-k An~r50Y7 Owner: Kt5Y1 AndrCld6 Address: 2) 0 f /1). 7 i!2 Phone: ~67-;;? 77";- L/57-~d1~ / Zip: .q~~ 3 Phone: City: ~r-j-:4JP~ ~ Phone: State License #tt7VlllJllltJV~ City: ~Y'f- ~rk> 7ft ArchitectJEngineer: Contractor fJe n in '5u I a Ik a/- Address: .50;:;( W x:!:.b. PROJECT ADDRESS: fJ-/ tJ l' W Phone-YS7-277S- Zip: ~A :::z ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC TYP..J..OF WORK: ~esidential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move 0, Commercial 0 Remodel 0 Demolition o Repair r o Sign BRIEF DESCRIPTION OF THE PROJECT: -1J1~-k Ila-hi7vJ ... COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage City: Exp. Date: # f<SIZEN ALUATION: o Stove SF. @$ ISF. = $ o Garage SF. @$ ISF. = $ '0 - Deck ..SF. @$" ISF, == $ o Other . .. .. TOTAL YALUATION1. ..$:s)6"5/J J1~z:l/}~r;, /'d',J ~YY7//-.~ Nar0l/ ~ ../ - ... -. .-. /. Construction Type: = TOTAL Sq.Ft. % APPROVALS: PLAN : BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee-schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. . EXPIRATION OF PLAN REVIEW: 1fno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same 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 require n the City's, a at I ust obtain such permits prior to work. T:\FORMS\APPS\Buildingpermit.wpd Applicant: ~f ~/ .16 It) 71 FEE RECEiPt NUMBEA CITY OF PORT ANGELES, DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 5' ~EtCMBER CONT. LIC. NO. TIME TO COMPLETE NO. STORIES ",. . TOTAL FEE / b q!l- cz.-rJO LEGAL OCCUPANCY Site Address ELECTRICAL PERMIT ONLY .J- /,lYi /,U 7f11 CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner Owner's Address ..--:- ---- - Installation By -~ Installers Address f:VlLjlLfG../ <!..Ci~ f/lIC Day-Phone -Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: . - . - - M:lt>l/Jh >911,1:. t)o7Urr t i>X'1tu D /!vI C1 fL. Wiring Method f-oP.;.....-' , 1i0 <(p.;1"'-"1 , Mr."" .~ NUMBER AMP . 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100A FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 50 VOL is , OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR - ... DISHWASHER '. FIRE ALARMS , DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER - A.C. UNIT , AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Permit Issued I certify that the work to be performed under this permit will be done by the installer andl~~ "l'form"an'fl with the N.E C. Electrical Code. Date Application made ~1/6 ('Y'{" - ,19 BY~ , I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby giv~n to do the above described work, according to the conditions hereon and according to the approved plans and' specifications pertaining thereto, subJec't to compliance with the Ordinances of t City of Port Angeles. ~'~" ','.. ' DIR CTOR 0 CI Y'LIGHT > ,: 1/1' /1 ~ ',>' ,-, :,' ~L~ PROVE ' Notlf~ep:rtment of City light by Street Address and Permit Number when ready for Inspection. Work must not be covered or current turned on before Inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A., Permits Phone: 457-0411 Ext. 158. ' . 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. DATE OF VISIT . 77 /Wit. '77 '" MADE BY J /. 'V/lV " REPORT OF INSPECTOR O.K. FOR COVERING 0;1: _I~..~_ ~""'I(r FINAL O.K. REMARKS . z CJ II: <( ::E !a J: I- Z W l- . l- e z e o (7<1$1,1"'1 I . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nl! 16847 Port Angeles. washlngtoLmm..5.=..:..L#............n....m....m..... 19'2,.'7" 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 ..nF./,.rL..l.n.l&.!.mm.'d!:/..n..n...nnmnnn.....n Occupancyn7"'*-'L.?.,4~.'....mn.....nm..... Owner fJ.-&7~ .~.'!J..;2~m.......nm..m TenanLmnm.mmnn......nm....nn..n..m...........m_.mn.n Wiring ~~':~a:t~r:4/t~:'.~~~...~..m. BY...n..m.m..mm.mmmmn.mm..m.....nn..n..nnn Light outlets..........,2.~:..._.._..... Service, volts '/-f-'~~~ Type 01 Wiring: Receptacle Outlets.....~._...........m.... No. wires ....:..........................=..... Armored Cable ............................- & e//tf,d../ Dryer, KW .....u....~..u...n_un............. Size wlres...:..............................._.. Range, KW ..mu/..~:m.._..m..m.___.. MaIn fuse .~~~.A....... ..s Enclosure ....................................... Water Heater: /' KW.......m1tn~m__..... Heat Kw--......';,<!J.3..,..ur-r.-J.....~ Motors: size, volts and phase: J?~_.................................... J'i ...C..J.J~~' . (}f;.......r;r....-...........-....:..................... Type ot Wiring: Entrance Cable ............................. Rigid Conduit ................_......._.... Metallic Tubing .................. Current transformers: No. & Size......_....................... Ser. No.....................__....................... Ser. No. ............................................. Non.Metalllc ....................._.......... Knob & Tube........._......................_ RIgid Conduit .................._._........ Metallic Tubing ........................... Raceway ................_._............_......_ Circuits. Light...ff:........................__.. Utility ...';!......_......_.................... I-Jeat ....G................................_.._.. Range dfl...r).e.",.,,-...~ o :2. Water Heater ............................... Motor ..._........................................ tJ-. Dryer ....................._............_.........__ Furnace .........................'_......_.._....... Ser. No. ............................................. Remark:~taln=~~....~:::::_~~..hn.~O:.,=~;.:...:..:::~~~~___...m...m...~.~~::u::~=.=....:::.::.:::::: :i.=i~~....__..u.u.::....n---.m..::~~.~:.::~.~:~~:~_:.........n.h.m---...::..iE~~~~{[:z~.~.~::~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. !.ealed 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 ; / (, j -, ," ,F f ELECTRICAL PERMIT N? 16847 .r" Address..................._._..........................__.............................................................................;........Date...-......----..-..-...._._..._......_......_......... Owner ..........hh........___...______._.........._......_......_.._........................................................... Tenant............................___.........___......................... WiringContrac~tpr............................................-..............-................_.............................................By........'l,............................................._.___... ....., NOTICE-Current must nl>t. be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be I.given the"'Inspector so that work\may be inspected before concealment. t . \ \ ! \ 1M Olympic Printer!,. Inc. \ ,/ t17 .:. . , ELECTRICAL PERMIT APPLfCA TION Fu;t OFFlCLI...lLiS,( ONL v 1.loa..'R... _...______ ~.. ._--_._-_....;.~ ~"'~"cd. o..t...b1."cC.__..._.. ,he E lecrricat PerrTlIt Applll:.,lll\!l must b. flllli.d our com DlliU!lv. P IIIII.I!! ~ or rClpril"lr In Ink.. 11 you ha.....e aft)' Quo.nons, Fl.....!! call (360) 417"",,7;)5 Fax numb.,.; (3eO) "17"'11 t t-tre- #- 9Z'L Ownot'CW'EJoc.CQnrraetorAe.,.-,l" Olympic Electric Cn. , Prnp.~y C>..n"" /?P/1 A lYiJ.lJft()E. . Addr..., Z / 01 t.I ?Tf"'. C"y: Erec:1l'IcoIC""..e:o', Olympic Uectric Co., Inc. Inc. Pher1C~; 457-5303 Fa.: 452-3~98 7-C,Z81 'i17-7bO I PMne' Liconselt Q~.:D1E.p: 3/31/03 Port I1ngeles Zip: Pr.on.: "57-5303 Lt230 Tumh'~ leT City: A.Odreu: INSTALLA,rO.' WIR=D BY: Zip: 98363 :..:. OWNER ~ E.lE.crHICA:.. CONTRACTOR Cr&dffC"rdHolder-Nama: Charles T. Burkhardt, Olympic Electric Co., Inc. BIlling Addre$$;-----5ame _ C;ty: Zip: CnHt/t Card Number: )) &cp. Dare: VISA: X Me: PROJECT ADDRESS: 2/or tv' 1 rlr TYPE OF WQflI(: Check all thai aPllIy: o New o AJleratlonlAddition ::: ResldentillJ 0 Multi-family o Commercial LJ Mobile Home SQ.Ft OJ RemOla Merer IJ O.,'ached garage 0 Hot Tub [J Swim Pool r:. Septic Pump Number of Circuits addoo or alter9(j: ~. , DESCRIPTION OF THE ELECTRICAL PROJECr,___1I f!.!. _/f(':!7// /v/;1l/t t 11 Low VoIlage C Telecom. 0 Sig A/I/I I-Ic~l-) ( . / J;;lfCtrlclll L"Dd Additions and or subtractlons Service Inform;rticn C BaSeboard j'iFurnace ,zrrtelilt Purn p .= Fan-Wall KW 7()" KW ~ TOr; __ LAR _I\W U OverheacJ Service L.' Temp SeNice o UnoerQf"ound Ss/"'Vice Volt30ge: _ Ptlase: l' 1 C 3 SaNtee Size: Feeckr SI,e._ __ ___ PAMC 14.05.060(6). For industrial, com mHn;ial, & resloenth;1 projeC'n5 larger than a duplex, a one _ line drawing of the Electrical Servial A F8ecse~, Dui/dlng size (SQ. n.), lOad calculatl()(l8. and the type & of conductors and/or raceway Is reQuired and 8hC!lJI accom pony (he Electr1c:a1 Permlr epplleaNon_ I herBby certify that I havB read and examined this application and know that same to be true and correct and I at authorized to epply for this permff. I understand it is nat the City's legal responsibility to determine what permitl; e required; it remains the applicants responsibility to determine what permits are required and to obtain such. 1fJ-lk ... Ll~ D'V) Ct.dll Cnd Holder. S.gnalur., pO't' - b ~Q,.\-(."'\ ~ D~ Own.,orE~.!:Q.;19n.lur.' 'w.,,"ro, \~J tJ.-l,xi<:! {$ C~ /t7f-/03 c' ~~':- :: ( PERMIT FEE; $ It? /'3 /~? I I tf(,JO TO~ JIMLJ313 JldNX10 S6~CGS~09C XYj 6S:TT COOG/CO/OT