HomeMy WebLinkAbout801 W 8th St - BuildingPREPARED 4/01/09 8 42 07 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/01/09
ADDRESS 801 W 8TH ST
TENANT NBR JOHN R BURKHEIMER TTE
CONTRACTOR PENINSULA HEAT
OWNER JOHN R BURKHEIMER TTE
PARCEL 06 30 00 0 2 3995 0000
APPL NUMBER 09 00000073 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 4/01/09 JLL MECHANICAL FINAL TIME 01 00
March 31 2009 11 09 19 AM 1pangrle
(,L JOHN 477 1785
l l MECHANICAL FINAL HEAT PUMP
AFTERNOON
PLEASE CALL HIM BEFORE YOU GET THERE TO MAKE SURE HE IS
HOME
SUBDIV
PHONE (360) 681 3333
PHONE (360) 477 1785
COMMENTS AND NOTES
C is
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
INSTALL HEAT PUMP
Owner
JOHN R BURKHEIMER TTE
801 W 8TH ST
PORT ANGELES
(360) 477 1785
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
14 8000 EA
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983635719
MECHANICAL PERMIT
INSTALL HEAT PUMP
140616
64 80 Plan Check Fee 00
1/22/09 Valuation 0
7/21/09
Per
64 80
00
64 80
09 00000073
062412
801 W 8TH ST
06 30 00 0 2 3995 0000
JOHN R BURKHEIMER TTE
MECHANICAL APPL PERMIT
RS7 RESDNTL SINGLE FAMILY
3895
BASE FEE
ME FURN /HP /FAU
Charged Paid
Contractor
PENINSULA HEAT
782 KITCHEN DICK RD
SEQUIM WA 98382
(360) 681 3333
64 80
00
64 80
a ct soikA dezisa v
OR 5 TON
Credited
00
00
00
Date 1/22/09
Extension
50 00
14 80
Due
00
00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of cons c}t /tion.
Print Name Signature of Contractor or Authorized Agent
firv
o 4 1 a/o9
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 I
Wall Floor I Ceiling I
MECHANICAL.
Heat Pump Furnace FAU Ducts I
Rough -In I
Gas Line I
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Inspection Type
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
o -01 65 fg
01/21/09 11 45 FAX 3606812086 Peninsula Heat
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E Fifth St, Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417-4711
Applicant or Agent ��,4rio Ade
Owner 4.14 A
Owner's Address SfU (f 1- h 5t
Contractor/Engineer P,en i n s u a Aka-if !`iy� e
Contractor/Engineer's Address 7 gA_ frh e— 014 4-
License A., L/L/ (d IV
PROJECT ADDRESS or t ,?71.h
Parcel Number
eat System
o Other
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
Pro /act Type Brief Description. 4tesidential o Commercial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign
I have read and completed this application and know it
understand that it is my responsibility to determine w
proje
Date l/9 Print Name ytu rti /�e
T.Forms/8ullding Division/Bldg Permit Appl. -2006 Code,doc
T Lot size
fk Occupancy group
Occupant load
Construction type
6?, e>1---- Signature
Phone
Phone
For City Use Only
Date Received 1-2
Permit# 04
Date Approved
4p
7 7
Phone ler/- 3 333
.S�riiA i17/1 bi 4-
Expires
Lot Zoning
a Multi- family o Industrial
o wall- mounted o projecting o freestanding o awning o other
Total sign area sq. ft Maximum allowed sign area sq. ft.
Heat pump o wood burning stove o gas fireplace o pellet stove o other
ti
Floor Areas Existing (sq. ft) Proposed (sq. ft.)
Basement per sq. ft.
1'' Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 3615 cirl
sq. ft. Lot coverage
of bedrooms
of full baths
of half baths
f j 02
to be true and correct I am authorized to ap ly fo this permit and
at permits are required, and stain er s r to orking on
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
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
06-00000517 Date
482802
801 W 8TH ST
06-30-00-0-2-3995-0000-
JOHN BERKHEIMER
PLUMBING REPAIR
5/17/06
RS7 RESDNTL SINGLE FAMILY
1500
Owner
Contractor
BURKHEIMER JOHN R
801 W 8TH ST
PORT ANGELES
WA 983635719
SANFORD IRRIGATION
PO BOX 2246
SEQUIM WA 98382
(360) 683-9807
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
77719
57.00
Plan Check Fee
Valuation
.00
o
11/13/06
Qty Unit Charge Per
Extension
50.00
7.00
BASE FEE
1.00 7.0000 ECH PL- EA LAWN BACKFLOW
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .00 .00
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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 of180 days after the work as commenced, or if required inspections have not been reqLlested 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.
fl~~
Signature of Owner (if owner is builder)
Signature of Contractor or Authorized Agent
s/l7#o
. Da(e
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FINAL '3 -\O-OlDATE RJS ACCEPTED BY:
~ACK FLOW /)vATER
AIR SEAL
WALLS
CEILING r I
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING f I
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
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'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. 4 I 7-4735 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
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T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
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Official Use Only
Ass':Ill.#
-
.J / fl //
Backtlow Assembly Test Report
City of Port Angeles
Public Works and Utilities Department
Water/Wastewater Collection Division
)
Ii) ) 1< ~ I It 1 ( ~
\)l- \0~<..l\\D~"'i",:
CO ' ~ ~ l!( S. e.,.D-- \) eK'
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~ol{\ ,?\\o\o1
YJj
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c:< ,;;:
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/(' "'.....
lsO~KS".tlO
NAME OF PREMISES:
SERVICE ADDRESS:
LOCATION OF DEVICE:
/f' 1/ /
! t
I-..
ASSEMBLY:
I f?
I
f /'
'v
J II
'/"f
Size
'" ) 1 f
.....
Manufacturer
Model
Serial No.
IS THIS AN APPROVED ASSEMBLY? YES 0 NO 0
IS ASSEMBLY INSTALLED CORRECTLY? YES 0 NO 0
DA TE OF INST ALLA nON
UNKNOWN 0
REDUCED PRESSURE PRINCIPLE ASSEMBLY RP 0 RPDA 0
DC 0 DCDA 0
PVB 0 Air Gap 0
DOUBLE CHECK VALVE ASSEMBLY SVB 0 AVB 0
CHECK VALVE #1 CHECK VALVE #2 RELIEF VALVE PVB/SVB
Initial Leaked 0 Leaked 0 Did Not Open 0 AIR INLET
I.. Closed Tight 0 Did Not Open 0
Test Held at --,-,~si Held at ~ psi Opened at _ psi
Open.:d at _ psi
Repairs Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE
Leaked 0 Held at _pSI
Replaced 0 Replaced 0 Replaced 0
REPAIRS
Cleaned 0
Details
Replaced 0
3 psi Buller YES 0 NO 0
Final Closed Tight 0 AIR INLET Opened at _ psi
., - t CHECK VALVE Held at _psi
Test Held at ~ psi Held at ~pSI Opened at _ psi BACK PRESSURE NO 0 YES 0
AIR GAP INSPECTION:
REQUIRED MINIMUM SEPARATION: YES 0 NO 0 TYPE OF HAZARD L / / It- /I'
....of"
L' P ~ 1 .
COMMENTS me ressure _ pSI
.)
-r , I-' / ! ;(1 ) 'J .) ( -; C /) -J) L JJ
I J , ! I ) Held Backpressure YESG NO 0
I ~
#2 Shutoff Held YESO NO 0
.-
Relief Valve Exercised YESO NO 0
Dateffime Tester Signature Cen.# Test Kit Passed Failed
Initial 1 ) .h
Test I i JI'"/({ \ J). 1 , I .J { ~ (,. \ ~ .- , 11<. m..... 0
1 / .., '1 . I )
Repairs 0 0
Final , L f' " / '-/'J?' , r - t1 Ii 0/ 0
Test ) i 'I ~, I I ) I ( ~ t 1 )
'-
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WHITE - CUSTOMER COPY
YELLOW - PURVEYOR COPY
PINK - TESTER COpy
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.:~/i '1/o(p
Permit #: O~- 9.1
Date Approved:S/r'110"
Date Issued: sit 1 /t:;l-.
.
Fill out COMPLETELY and in INK. Your application and site pIal! MUST BE
COMPLETE to be accepted for review. If you have an)' questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
S lAAt /0 y j f f/' r /c; a f,Oh /Lc Phone: 6-",0/6'? 3 - f JJo 7
. t.....o" ~
B-el//( h~/f11.eY
WI g-- f~ S T, City: I, A. Zip: q rf.3 6"::<
Architect/Engineer: f) a v ; d C {/ wa 11 Phone: (} -6 (J ) 6' 70 - 5 .5-'1 Cj
Contractor S- ClvlftJy) rtyr!j~ft~It/:J~tate License #:MIIFIIff /L..F EXP:Ot/'o-V<OC6Phone:(3(d) 6?3'-f/"G1 -;
Address: I, Or iJ iJ X Z < C;:-6' City: S ef Go{ / hi Zip: cr tf" 3 ?'<.
PROJECT ADDRESS: go ( !t/, ,f?' fL Sf I' f, A
/
Applicant or Agent:
Owner: J 0' ~ 1'1
Address: g- 0 (
Phone:
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK: SIZEIV ALUATION:
o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @$ /SF. = $
o Multi-family 0 Addition 0 MoveD Garage SF. @ $ /SF. = $
o Commercial D Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOTAL VALUATION $ (So 0
BRIEF DESCRIPTION OF THE PROJECT:
L,..1 ~-r^1.A-J ~,.,J ~^G--k-FUl w F~e...t-rtS1e-
COMMERCIALJRESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FffiE:
OTHER:_
PLANNING USE ONLY:
ESAlW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
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
Coordmator 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: lfno 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
Rl05.3.2 of the International Building/Residential Code, 2003). 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 itJs my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BldgPerrnitform.wpd Applicant:
Date:
.
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
~ RESIDENTIAL
D COMMERCIAL
D BASEBOARD KW _
D FURNACE KW ~
D FAN/WALL KW _
D HEAT PUMP KW ~
D SIGN
DetailslDescription:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. .3 0/..s--
S- 11,/9 t!-
o
DATE
w.
ELECTRICAL PERMIT
~Y--i.
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
D TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
D THREE PHASE
SERVICE SIZE AMPS
IV~
L;/'1.r!-T?- / /
/5 ktU ~kL
/(J /J-J ~I!te.-
IAf 4.
.
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W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
D O.K. to connect service
.I'/J'13 Final O.K.
Permit/Receipt No.
;;J (PIS
Site AddreS8 0 I w. 8 J1!...
Installer:
G -0vv1~
New Meters
----
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~
Electrical Inspector
WHITE - File by address
OLYMPIC PRINTERS INC
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
t.?!2
.,;(0
Permit Fee
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17992
/2' ~ ~
Port Angeles. Washlngton......m.m.............m.......m...m.........m..m, 19.h__OOO
Dryer, KW n....._......__.....__n__.__..._n______
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.
7'& / h- ;r:t;(
~::is~:~~~:;:~~:ii:~~:::~~;:::~~~~~~.~~~:=~:?=:::::':::::::::::::::':::::::::.
V /;r~
Light Outlets........................._........._..... Service, volts 00..............___.................... Type of Wiring:
3'
No. wires ..........00____..........__..::':'_..... Armored Cable ....00.00............._..00__.
. Mr~
Size WlreS..........._...._...........n_...._..
Main fuse nn~~?n.tt:n.......
S
Enclosure 00.......0000..............._
Receptacle Outlets..___________.._...............
Non.Metalllc ...........00.__._.........___...
Range, KW hn'''_..
Knob & Tube.mnmmn.....nmmmm.
Water Heater:
RIgid Conduit hmnm.mm..hn..n__h
MetslIlc Tubing 'm'm"nnmmn._..
KW.....hm. .0000.......00. 'nh... 00'00
Heal KWm.dr..?./3.!3.nmnn
Type of wIring:
Entrance Cable __________
Ser. NO.................._._._.......nnn__.........
Raceway .____.........................._......_
Circuits, Light...............n............___..__.._
Utility....n...........nnn_............nn_n_
I-Ieat ..00_.__................__...__........_......
Range ..........00..................._.00_.........
Water Heater ____..............._____.._....
Motor 00._...........00..__..00........_.00_..__..
Motors: sIze, volts and phase:
Rigid Conduit '''m_____.
MetalHc TubIng ....nn__.......
Current transformers:
No. & Size..m........._...............
Sec. No. .._00.__.................._..................
Dryer ......00__.............._....0000...........00.._
Furnace ....n...............n__'_......m..........
.000000..00-...._000000._........._..00...........00.......
Ser. No. ......h....n__..............___........._..
Remark:~t.:h:~~.__..~~~~..Z~__.....:..:::.__.__.:..::__..:::..ooooooooo_......ooo~_~~~:ooo...::...:::.:..___::::....:...__..__..._
n....nnnuu..nnuu.n._nnu.nnnu.nn_nnu.n__n_uuu_nnu.u.nnn"".--.u..nnn.-.unn._.uuu_nnnn_n.nuu."uuu_uunuunn.uu.__
-n-uuun-nnnu.n_nnnuuu__nnhn._nnuh.....uhnnn.u.h.hn.n_n.h...un
Permit Fee
Treas. Receipt
NO......m............ooo_...
-::~t!Jl...~:?~::::::::::
$...00000000000000..000000..____000.__.
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con.
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
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16243
C/- :3 0 . )/
Port Angeles, Washlngtonu___uu__,!.mm____m_:u..mm______nm.mu_m. 19__000000
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 d6 electrical work as listed below.
Address r (J_/.m_~!.:_n.([_Li..{mm..____n.._.m..u_nu..___....u. Occupancy__....m,,~_._.!,,""__mu__._m_._._u_u
Owner..:::~i~::~..:"_m~...__d"i~~:1_,,:-_~:~,,,1henanL_.m_._m...___.__m...m._m~___.n..muumu_m...m__._
Wiring Co;tract~r u...__-lJ.c_!2fb~idJl?uf/;Jd!.!){. By..mn.__m..._u_u_............._...umm_____.u.u_..m___u
. .
Light Outlets................._.m....................
Service, volts __00000000..00_...._..................
No. wIres ......._n....n_...__....n.._.n...._
Receptacle Outlets................m_..__.......
Dryer. KW uunn....n......___..__.__n._____n__
SIze wires........._.........._......_.......___
Range, KW....n__.....___._______._..___n___
Main fuse .____nm__mmm...m_mm_....
Water Heater:
Enclosure nn..m..m.......n......__........
KW..m....n..............................mm
Heat KW.........lPc......P.P.........
Type of wiring:
Entrance Cable m......m..m............
Motors: slze, volts and phase:
Rigid Conduit "mnnn...."
Metallic Tubing m.m.mm.............
Current transformers:
No. & Size.__...n....mm__mm.............
Ser. NO.........._.n__n_._....n.n_n_.............
Ser. NO.__....nnn....n........................._.
Ser. No. ........_....___......__00..__00_.......__00.
Type of Wiring:
Armored Cable ..._m.m_..h............_
Non.Metalllc ........._.._.00...00....00_.....
Knob & Tube_n..h............_n......._.__
Rigid Conduit .m.m......_................
Metallic Tubing h...........n..m._.....
Raceway ................_....._....._.........._
Circuits, Light................mm_.....hn.......
Utility m..........................................
lJeat ..............._._..._..._............._...._
Range ........._.........____.__....._.............
Water Heater ....n..h..._...._...._.n....
Motor _.......................____........00.......
Dryer ....0000__...................._....__..0000..._._
Furnace nh.n...h.............._...................
Total Load............................. Ser. No....._.,,_....._...........__.____...._......_. Total .....n.............................n_
Remarks: mu_.n_.______mu__um___q;,t1?.d?....uu:_'!c~~:1'!_::~__~..-u-mu...--u.--........-..._m_........u....__
.h....u..._.n....h_hn.nn_...........nhn...._.........___...nn........._U...Uh..UUUnUUUU.U...uu.uuuu..nuu...u.unuuuun..uuu.u.n..n
Permit Fee
Treas. Receipt
NO.........m..____m..______
,1/</11- Ii. .r!
By ._..llt.!_,~__'___.ie.._f.~~,:g.d_i~&...<"'=_~
... ...... .
$_._.._...___................_.........
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16243
Address..............._.......................................................................................................................Date._._._..___.:___.__._.........._.___.._......_....___..
Owner ._............n...................___.......__......__._...____..........__.....__00._...........__......____0000...__..__ TenanL.......h...._...h.....h._n_h....._n_nnn...__n_nnnn_..
WirIngContractor.__........................_..............................._....._..._........._........_____._..._..._____._..._._._____.By_______........._._..._..........__........................_..
\ NOTICE--Current must not be turned on until Cert1Clcate of Inspection has been issued. If work Is to be con.
\ cealed due notice must be given the Inspector so that work may be inspected before concealment. .
.....'--_,_ n.,_.~..~ T.....