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HomeMy WebLinkAbout3005 W 18th St - Building CITY OF PORT ANGELES d DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION c 1 321 EAST 5TH STREET, PORT ANGELES, WA 98362 le ll Application Number 12- 00001013 Date 8/06/12 i Application pin number 960643 Property Address 3005 W 18TH ST q A Application type description RE- ROOFS -1 -0- 9505 0000- REPORT SALES TAX Subdivision Name on your state excise tax form -.y_ Property Use 1 "',.y1 Property Zoning RS9 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation 14400 (Location Code 0502) 6 Application desc 4 TEAR OFF REROOF T Owner Contractor HYDEN ROBERT CLAWSON CONSTRUCTION LLC 3005 W 18TH ST P. 0. BOX 2683 cJ g V PORT ANGELES WA 983631111 PORT ANGELES WA 98362 5 1 r2 (360) 457 -1473 Permit BUILDING PERMIT. NO PR FEE Additional desc TEAR OFF REROOF Permit Fee 277.75 Plan Check Fee .00 Issue Date 8/06/12 Valuation 14400 Expiration Date 2/02/13 Qty Unit Charge Per Extension BASE FEE 95.75 13.00 14.0000 THOU BL- 2001 -25K (14 PER K) 182.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 277.75 277.75 .00 .00. Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 282.25 282.25 .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 `''riot presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of x. construcjion. ,may 474,. 4 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Bullding Division /Building Permit W BUILDING PERMIT INSPECTION RECORD p 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 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. I4)4 POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. U 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 FINAL Date Accepted by 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 1 Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: P arking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By N Electrical 417 -4735 1 Construction R W. PW Engineering 417 -4831 Q Fire 417-4653 1 Planning 417 -4750 Building 417 -4815 F-13 la ,_T ti 1 r) 1 rl I W W W 1 C7 F 1 aa1 aq1 r a 0 L rn H H W W F 1 g 2 2 W 0 0 co 0 x w p x x F U E N a P 0 F 0 1 0 z 0 n 0 0 1 F n u u 1 z F to to 1 w z fl. a 1 E W zz W2£ 221 woo a H. -1 wHU a 0 F\ Z u cx LL H F u x a 0 0 0 0 z cn V] q 0 2 a 2 0 0 2 CO 0 0 w 0 F F n O N U o 2 yr F L!1 111 a a Q, c13 r. x HO W,H x a h CO U fA t o H m Om H q (1) 2 a'0 7 •17 2 m 2 0 D W W N c� W 1 Ln 3 W rn o 0.1 F H H H Cry 1 o a g i V1 W N o w a M H ri Uxo 00 H OX F W W 0 m ma x 0Z o l •a •w Z a 0 CO PO q F W w I C U y r1 a a cx W 2 H a 0 au auoa H THE 1ORT 1 V ELE C ITY OF For City Use Permit 1Z m W A S H I N G T O N U.S. c c v GI Date Received: W b 1� t ffl 321 East 5th Street J o Port Angeles, WA 98362 Date Approved: 8 /IP I(a 6 o P: 360 417 -4817 F: 360 417 -4711 �'1CC�i hcatuzo @cityofpa.us f Building Permit Application Project Address: ,4 Main Contact: Phone 0 Vf 7 (62 V? Property Name 7 /A yv G J Phone Owner Mailing Address -A. Email Soo S" t- c 7/1-Ci 7 City oa A 1- State Zip j �3GL Contractor Name Phone c L 0 e 3' 0 Vs 7 4 Y3 Mailing Address Email 6c55c (o 8 3 lCCVi a_ e ON w Lv h h I ear, City 'A State Zip,„, �i�3 z Contractor License C_ 'W S C i /a Ex it tion: f Z /1 Z 12�t ©�i 2� Project Value: Zoning: Tax Parcel Lot al)`� 069 3° Type of Residential in Commercial Industrial Public Permit Demolition Fire Repair Reroof ar of lay over) jgt For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes No Project Description I have read and completed the 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. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name Signature 4 ,v /evjje 7( f Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with LW to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name CLAWSON CONSTRUCTION LLC UBI No. 602452116 Phone 3604571473 Status Active Address P 0 Box 2683 License No. CLAWSCL963RS Suite /Apt. License Type Construction Contractor City Port Angeles Effective Date 12/10/2004 State WA Expiration Date 12/10/2012 Zip 98363 Suspend Date County Clallam Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company CLAWSON CONSTRUCTION LLC Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status PENINPC966OM PENINSULA PRIDE Construction General Unused 9/14/2004 9/14/2012 Active CONST INC Contractor CLAWSC "07705 CLAWSON Construction General Unused 9/10/1993 7/15/2000 Archived CONSTRUCTION Contractor Business Owner Information Name Role Effective Date Expiration Date CLAWSON, DAVID Agent 12/10/2004 CLAWSON, DAVID ERIC Partner /Member 12/10/2004 RUSSELL, KEVIN DEAN Partner /Member 12/10/2004 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Number Date Date Date Date Amount Date Name 1 CBIC SF7110 12/06/2004 Until $12,000.0012/10 /2004 Cancelled Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Policy Number Effective Expiration Cancel Impaired Amount Received Name Date Date Date Date Date Granite https: fortress .wa.gov /lni/bbip /Print.aspx 8/6/2012 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 State 8 Insurance 02LX0864801820 03/23/2012 03/23/2013 $1,000,000.00 05/21/2012 Compan Granite 7 State Insurance 02LX0047478554 05/13/2011 05/13/2012 $1,000,000.00 03/15/2011 Compan NEW 6 HAMPSHIRE 41LX0047478553 05/13/2009 05/13/2011 $1,000,000.00 04/12/2010 INS CO GRANITE 5 STATE INSURANCE 02LX0047478550 05/13/2008 05/13/2009 $1,000,000.00 05/14/2008 COMPAN CAPITOL 4 SPECIALTY CS00333097 12/06/200712/06 /2008 06/27/2008 $1,000,000.00 12/05/2007 INS CORP CAPITOL 3 SPECIALTY CS00333097 12/06/200612/06 /2007 $1,000,000.00 12/01/2006 INS CORP 2 NAUTILUS NC500175 12/06/200512/06 /2006 $1,000,000.00 11/29/2005 INS CO Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: fortress .wa.gov /lni/bbip /Print.aspx 8/6/2012 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HYDEN ROBERT 3005 W 18TH ST PORT ANGELES Permit Additional desc Permit pin number 74484 Permit Fee 249 75 Issue Date Expiration Date 10/11/06 Special Notes and Comments The Fire Department has reviewed has no comments 04/05/2006 02 05 PM SROBERDS 006% lot coverage Electrical load calculations and required MAINTAIN CLEARANCES FROM SERVICE accessible to meter reader 04/04/2006 10 48 AM GMCLAIN Public Works Utility Engineering this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total SignatuVe of Con4actor or Authorized Agent T•\Policies \1102_15 building permit inspection record05.wpd [1/4/20051 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983631111 06 00000308 586924 3005 W 18TH ST 06 30 00 1 0 9500 2001 HYDEN RESIDENCE RES REMODEL RS9 RESDNTL SINGLE FAMILY 12500 Contractor R N BUILDERS 171 CEDAR GLEN LN PORT ANGELES (360) 460 0979 BUILDING PERMIT RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 11 00 14 0000 THOU BL -2001 25K (14 PER K) Date the project application and No land use issues elctrical permits are WIRES Meter must remain has no requirements for Charged Paid Credited 249 75 249 75 00 99 90 99 90 00 4 50 4 50 00 354 15 354 15 00 4/14/06 WA 98362 STATE SURCHARGE 4 50 Due 00 00 00 00 99 90 12500 Extension 95 75 154 00 ti 1cl /Ac.--19 6 X 61, 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 performJlce of construction. L -1�- Date Signature of Owner (if owner is builder) Date 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 I NO 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 FIRE PLANNING DEPT BUILDING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING T• \Policies \1102_15 building permit inspection record05 wpd V/4/2000 BUILDING PERMIT INSPECTION RECORD 417 -4807 417 -4653 I I I 417 -4750 417 -4815 I S 6, /64 I 74-- FINAL FINAL SEPA. ESA. SHORELINE. DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT I BUILDING PREPARED 5/18/06 10 26 26 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/18/06 ADDRESS 3005 W 18TH ST SUBDIV TENANT NBR HYDEN RESIDENCE CONTRACTOR R N BUILDERS PHONE (360) 460 0979 OWNER HYDEN ROBERT PHONE PARCEL 06 30 00 1 0 9500 2001 APPL NUMBER 06 00000308 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL6 01 4/18/06 JLL BUILDING POST /COLUMN FTG TIME 13 00 4/19/06 AP 04/17/2006 02 26 PM DYASUMUR RYAN 460 0979 04/19/2006 09 14 AM JLIERLY BL99 01 5/01/06 JLL BUILDING FINAL 5/02/06 DA 04/28/2006 02 08 PM JLIERLY RYAN 460 0979 DECK FINAL 05/02/2006 08 33 AM PBARTHOL INSTALL HANGERS /BRACETS ON STRINGERS BL99 02 5 18 06 LL 0UI18ING 6INAL 05/18/2006 09 14 AM JLIERLY COMMENTS AND NOTES ryes. BUILDING DIVISION Job' Located at 00c 14 AD Inspection of your work revealed that'the: following is not in accordance with the codes governing the work in ^..p.,.. ..�....w yr... va ifti= o4T 7 'i.- A- 2 Correction Notice this jurisdiction p Att/1d� L om/oI These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call Z1/7— ZA% f for inspection Date CITY OF PORT ANGELES gee/ SYI ,iVd e-i?-J 7 DO NOT REMOVE THIS TAG Inspector for Building.Division PREPARED 5/01/06 12 58 02 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/01/06 ADDRESS 3005 W 18TH ST SUBDIV TENANT NBR HYDEN RESIDENCE CONTRACTOR R N BUILDERS PHONE (360) 460 0979 OWNER HYDEN ROBERT PHONE PARCEL 06 30 00 1 0 9500 2001 APPL NUMBER 06 00000308 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL6 01 4/18/06 JLL 4/19/06 AP BL99 01 5/01/,06 JLL BUILDING FINAL S 7- 04/28/2006 02 08 PM JLIERLY 49 RYAN DECK FINAL BUILDING POST /COLUMN FTG TIME 13 00 04/17/2006 02 26 PM DYASUMUR RYAN 460 0979 04/19/2006 09 14 AM JLIERLY COMMENTS AND NOTES 440 'W L )3172-46/4-r- t/ 5770/A4(.44 PREPARED 4/18/06 13 37 15 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/18/06 ADDRESS 3005 W 18TH ST SUBDIV TENANT NBA HYDEN RESIDENCE CONTRACTOR R N BUILDERS PHONE (360) 460 0979 OWNER HYDEN ROBERT PHONE PARCEL 06 30 00 1 0 9500 2001 APPL NUMBER 06 00000308 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL6 01 4 18/06 JLL BUILDING POST /COLUMN FTG TIME 13 00 44= 04/17/2006 02 26 PM DYASUMUR RYAN 460 0979 COMMENTS AND NOTES LEGAL DESCRIPTION Lot: TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel PLANNING USE ONLY T•1FORMS\B1dgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and COMPLETE to be accepted for review If you have any questions, can PERMITS (360) 417 -4815 FAX(360)417-4711 Applicant or Agent: Pr N &A. 1 ever 5 Owner Pc• 60P) 4 Address: R(OS A Architect/Engmeer Contractor "Nu‘\k5 Address: 1 l) Ceda r 1 PROJECT ADDRESS O O �l CLALLAM COUNTY PARCEL NUMBER. 1.OeST Block: SIZR/VALUATION SF /SF SF /SF i) 3y SF 53iy.) /SF !aj Repair Sign Other TOTAL VALUATION L BRIEF DESCRIPTION OF THE PROJECT $io►IC 0t)rvvr ho s de rib Old (led( 2 oa ow-)- e x 1 ST,na Re -roof Stove Move Garage Demolition deck X 1 o deck Gr4 (4ace eoe rot Urn +o Code, PontuCe (A he Go Uc propoct cX (aW\iNc5 Show All --Fex mc&+ o 1 i nc\vJ rq har cad/ Ail fir, FrAme -Wor COMMERCIAL/RESIDENTIAL. Occupancy Group R Occupant Load. J Construction Type: 1.) No of Stones: Lot Size: 1,"Cse 7 Existing Sq Ft. 1 Proposed Sq Ft. a 314 TOTAL Sq Ft. Total lot coverage ©G ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: 1 1(. n- oq)q ottbq y5 14Lf3 �1 Phone: City P( 1 n cktles Zip C re Phone: State License V1 )3 q�(o MExp u 3)o 7 Phone: L 4 Jo� 0L n City Po rT �nn� QS W ti Zip q (9 2 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 Buildmg 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 If no permit is issued within 180 days of the date of application, the application will expire. The Buildmg Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 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 it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. FOR OFFICIAL S) NLY V Date Rec. J�y 5 r Pennit site plan MUST BE `Date Approved Subdivision. ZONING Date 3 OU Date Issued: APPROVALS PLAN BLDG DPWU FIRE. OTHER. 4 Th 22 141 50 SHEETS 22 142 100 SHEETS 22 144 200 SHEETS ii 7 ipitfien, 3,7411.1,141LLei 21i1 I 1$ arame '''::;17% rt xit 7:4 0° 0 HclndPc4 o 0 GI I i Hou r J FILE (CITY OF PORT ANGELES Co tstruction Plans T e Issuance of this permit based upon these plans, specifi- c'tions and other data shall not prevent the building official fi i m thereafter requiring the correctio of errors in said pans, specifications and other data, ;)r from preventing building operatio i ns' ng carried on hereunder when in v.lotion of oil ced of this jurisdiction. de.) Zpa. C-- �.i Approval Date (ol D p By J 4 0 3 t4 t4 N N N b. 1.1 N-+ 0 0 0 CA w w m mm m m m ww I ~9~ FEE A I CElPT NU BEA CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 0 ~E~NUMBER . , , , ,. j /t,{)D ~ TIT AL FEE CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGALQCCUPANCY Site Addtess I PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner /?t Installation By 5" E L r::- Owner's kddress lJ1 Installers Address- Day Phore 4<-<;-7 ~ /'i?7<3 .. installers Phone' _ . APPlicatIon is hereby made for Permit to install E!ectrical Equipment as ,OIIOWS: (, ) I v/ ^"G' rcJV"'" (itnv"njl/'J, Q~/tI hn+J. I I . I I I .... ..~...' . Wiring Method I r h__r/..ntJif7 ei uselOF CIRCUIT AMP 240V -. . ""J ,. AMP 24QV NUMBER PEA 120V 100R FEE I USE ~F C.IRCUt"r NUMBER PEA 120V 100R FEE CIRCUITS ClR . 10 30 CIRCUITS CIA 10 30 LIGHT: 2. :Ii) ,/ , SIGN .. . LIGHT I 50 VOLTS '. . . OR L:ESS CONV$NIENCE , <r? 'v' MOTOR I CONV~NIENCE . MOTOR , APPLIANCE MOTOR I DISHWASHEA ~~y FIAE ALAAMS , DISPOSAL BUAGLAA ALAAM , RANGE \ } MISC. , I, - OVEN I \ IJ WATER HEATER \ ,It , LAUNDAY , \ I:: , DRYER ~ .\ REINSTALLATION LIGHT FIXTURE # , FURNACE .,'Il SUB TOTAL FEE GAS. OIL FURNACE \ ENERGY FEE ELECliRIC BASIC FEE ELEC~RIC HEAT TOTAL FEE . ELEC~RIC HEA! 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 certltJ that the work to be perfo'rmed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Ar: plication made II :J'O / ,19 f1 b By /ilL;/.-- J / ~~ . . .. .. , CONTRACTO~ OR OWNER (OR AU HORIZED AGENT) Pelmlssion is hereby giveI'! to do the above described work, according to the conditions hereon and according to the approved plans and specifltations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.\ DIRECTOR OF CITY LIGHT . . '. By VnO/i;t: ~O-JlI f2. dp PLANS APPROVED . '. , , Date ptmit Issued &/~i /?'p I W~RNING I Notify Department 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 Ex!. 158. PERMIT PLACARD MUST'BE KEPT POSTED ON THE WORK - SEE OVER- I OLYMPIC PRINTERS. INC. WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD -Inspector's Report REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS ., . . . - . - - " /, /!PUlC.T q/-AiI"- d IN'1 0"'; '" A A. A-<i1 r /lee. .-:77. . G.~~f: , . 2.. t;~r (11./ 1. IIlrc-<r .f;x: Iv IU. f""' (!Lo p:l .,. s; 1Y\-.i7 I... Lr--l,(.t .; I,Jrv .i: ly( l",""h ,<- A. II ,,,..~..l ".....tr .Il",..- 'v A-rrlr. f f --;;Y . . , - . , ;"'"0 ! " , .. " J , ,. , , . " , " . f . / . 1/ /<111'1 /I) .rr-- O.K. FOR COVERINQ II / 'irK '.. ---"~n.lCE: , . , - , IJo (Jp1(~ -J{~ Zlv, If? ,jJl A- ' FINAL O.K. I I. ,- . . z Cl a: < == ~ J: I- Z W l- . l- e z e c . CITY OF PORT ANGELES UGHT DEPARTMENT ELECTRICAL PERMIT N~ 17898 y-- I 5- ;; 3 Port Angeles. WashlngtOlLm.__.m__m......._.....__....m__....__m...m...... 19.______. , In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- tridal equipment in. on. or about any building or other structure in the City of Port Angeles. per- mission Is hereby granted to do electrl~al work as listed below. ~=M t~~;~~~;=::;~~;:~?:::~~:~~_~:==_::::= LIght OutletB........___...~___.~..._.._..... ServIce, volts /f.?...e./..J2.t.:C!..... Type of Wiring: . - , / Reqeptacle Outlets......2....Q.........___... No. wires ....3..............___............ Drver. KW ____......n..tfnnnnnnn.nn.... SIze Wires..__Y/'??..~c!:?.:..._.. Ra:'~e, KWn........I.2...n....nnnuu Main fuse ...";."1...9.((."',./1......__ S Enclosure ..........n.........n.....n.......n Water Heater: He.IK:~:::.i.:[t:..;~~~ /- Type of wIring: Entrance Cable ...n..m................... Mo1ors: size, volts and phase: Rigid Conduit .........mn................. MetaI11c TubIng _m....m.....__......... Current transformers: No. & Size..n.........n......n.__............. .------.-.....---.....--...----..........---.....--.-.--... Sec. NO................._..........n__............... .-.-.------.......-.--........-..--.........--........._-.. Sec. NO.......................nn..........n....... ...-...--.---......--.---........--.---.......--.---......~ Sec. NO..........................nn._......._....... Armored Cable .........___._.._............. Non-Metallic ..................n............_ Knob & Tube.......nn.............n......_ Rigid Conduit ______..__............______... Metallic TubIng m_..............mm... Raceway .....__.___.__.................__..._ CIrcuits, Light.____............._____..__............ Utility................n_____...........n.___n_._ Heat ......_................................_.._.. Range ................................n........... Water Heater ....____._..._........._..n... Motor .n_........._....nn_n_.............._... Dryern.............._._.n............n_...__......_ Furnace ..........................R...........___._n. Total wad..................._.nn_... Sec. No. ................._......_nn............... Total .........._n__........_...._n_._..... Remarks: ..----m.1?:i~".?::m~'="....,..A.~~.m__.__m...mm____..____m.__.mmm..mm__.000__000000.____ .--n...uu.nnnnu.nnnn'Uhnnn_._nnnn__.n.n.n__nnn_..n..n.n___nn....-nn------.n...-..nnn___....nn_n_n.nn_nn_nn.n.n.n.nn.nnhn ---.._.u-.---nnunn.nu.n.._.......__.n_u..nnn..___.n..uu.n..nu.h--.-...un.nhh._._...u..nnhu__n.n_h..nu......uu_.._nnn.n.UU".Un_n PeJimlt Fee $..__.__..000000....__________000....... Treas. Receipt No............................. . ~7 $k.4~.~ .~ .k;; , By r;...-----.....m--.........m.....__.........___m.__....Y-..... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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~ 1 7 8 9 a Add~ess..........-........---..._......._.__..........--_...........__.__.___.........._.........___.__......._.........----.......-........_.Date..._...._.____.._.._..........___...._.....___........ Owq.er n_........._.......__n..._......._......__._......_......_.._................._..................__..................... Tenant......n_.....n..._n.......__.n.....___nn_......n..___.._..... Wirlng Contractor....._n.._.........__.................................__.............nnn_......._.__._..___..nn..........._..._...n By.__......___nn........n_.............__.........._......... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be COD- cealed due noUce must be given the Inspector so that work may be inspected before concealment. . 1M Olympic Printers, Inc.