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HomeMy WebLinkAbout916 Benjamin Ave - Building CITY OF PORT ANGELES PERMIT APPLICATION RECE, POR..r , Building Division/Electrical Inspections 5.- 321 East Fifth Street—P.O.Bog 11501 Port Angeles Washington,98362 2 4 ?013 l" Ph: (360)417-4735 Fag: (360)417-4711 " !.l:taRl�aAl. pate: -� 1 &2 Single Family Dwel#ing A'SPECTIONSq *Plan Review M Be equired, Please Ca ple a Electrical Plan eview In for ation e Job Address: > Building Square Footage: Description of above Owner, rmation Contractor InforltZatia Name: Name: Mailing A d s� Mailing __ City: f e _State: Z$: City: Late: Zip: `�- Phone:_ Fax: Phone: ax: License#J Exp. License !Exp. Item Unit C a a Total t Multi lied by Unit Char e ServicelFeeder 200 Amp. $120.00 $. Service/Feeder 201.400 Amp. $146.00 $� Service/Feeder 401.600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $- - Service/Feeder over 1000 Amp. $373.00 Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp, $149.00 Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $� Signal Circuit!Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $_ Renewable Electrical Energy-5KVA System or Less $102.00 Thermostat $ 56.00 $ Note:$5.00 for each additional TStat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 T Each Additional 500 Square Ft,or Portion of $ 40.00 $, _ Each Outbuilding or Detached Garage $ 74.00 $. Each Swimming Pool or Hot Tub $110.00 $ nC .otal Owner as defined by RCW.19.28,261:(1)Owner will occupy the structure for two 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 tease.Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws,N.F.C.,RCW,Chapter 19.28,WAG.Chapter 296-468,The City of Pork Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator, D cca ❑ check x eater: ® 0110112012 a°F. � ELECTRICAL INSPECTION WIRING REPORT /c, �W OKS&� 417-4 735 �DAT[- PERMIT# _FT INSPECT CONTRACTOR �P ADDRESS APPROVED NOT APPROVED . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . Cl. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . C7 0- - . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ®. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDED: fl b�FBPFL> NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE -- ELECTRICAL PERMIT t CITY OF PORT ANGELES od 360-417-4735 Application Number . . , . . 13-00000827 Date 7/24/13 Application pin number . . . 2201B3 Property Address , , , . . . 916 BENJAMIN AVE REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-IS-6-4-0040-0000- Application type description ELECTRICAL ONLY on your excise tax form orm Property Name to the City of Port Angeles Property Use ' Property Zoning . . . . . , . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application. desc 200 amp service change Owner Contractor ,TAMES AND JULIE EMERY THE ELECTRIC COMPANY 916 BENJAMIN ST PO BOX 1471 PORT ANGELES WA 983626720 PORT ANGELES WA 98362 (360) 457-7120 --------_-_- ;------------------------------------.-- -------- Permit . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date 7/24/13 Valuation 0 Expiration Date 1/20/14 Qty Unit Charge Per Extension 2,00 120,0000 ECH EL-0-200 SRV FEEDER 120,DQ -N Fee ,summary Charged Paid Credited Due ----------- ---------- --------- - ---------- ---------- Permit Fee Total 120,00 120.00 .00 .00 Plan I Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 00 f.-'-^ INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTIiS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANCEkI3UILDINc PREPARED 10/13/06 10 22 13 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/13/06 ADDRESS 916 BENJAMIN AVE SUBDIV TENANT NBR EMRY RES CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950 OWNER JIM JULIE EMERY PHONE PARCEL 06 30 15 6 4 0040 0000 APPL NUMBER 06 00000771 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING 8/04/06 AP 08/03/2006 04 50 PM PERMITS CLIFF SMITH 460 1192 AFTERNON INSPECTION 08/04/2006 04 11 PM PBARTHOL BL2 01 8/08/06 JLL BUILDING FOUNDATION WALL TIME 13 00 8/08/06 AP 08/07/2006 05 00 PM PERMITS CLIFF 457 6950 08/08/2006 04 26 PM JLIERLY BLI 01 9/26/06 JLL BUILDING INSULATION TIME 13 00 9/26/06 AP CLIFF SMITH CONST 09/26/2006 08 08 AM DYASUMUR 09/26/2006 03 48 PM JLIERLY BLDR 01 10/13/06 L n BUILDING DRYWALL IBWP TIME 13 00 CLIFF 10/13/2006 08 02 AM DYASUMUR COMMENTS AND NOTES PREPARED 9/26/06 10 08 49 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/26/06 ADDRESS 916 BENJAMIN AVE SUBDIV TENANT NBR EMRY RES CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950 OWNER JIM JULIE EMERY PHONE PARCEL 06 30 15 6 4 0040 0000 APPL NUMBER 06 00000771 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING 8/04/06 AP 08/03/2006 04 50 PM PERMITS CLIFF SMITH 460 1192 AFTERNON INSPECTION 08/04/2006 04 11 PM PBARTHOL BL2 01 8/08/06 JLL BUILDING FOUNDATION WALL TIME 13 00 8/08/06 AP 08/07/2006 05 00 PM PERMITS CLIFF 457 6950 08/08/2006 04 26 PM JLIERLY BLI 01 9/26/06 JL BUILDING INSULATION TIME 13 00 1.� CLIFF SMITH CONST 09/26/2006 08 08 AM DYASUMUR COMMENTS AND NOTES PREPARED 9/22/06 9 26 25 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/22/06 ADDRESS 916 BENJAMIN AVE SUBDIV TENANT NBR EMRY RES CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950 OWNER JIM JULIE EMERY PHONE PARCEL 06 30 15 6 4 0040 0000 APPL NUMBER 06 00000771 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING 8/04/06 AP 08/03/2006 04 50 PM PERMITS CLIFF SMITH 460 1192 AFTERNON INSPECTION 08/04/2006 04 11 PM PBARTHOL BL2 01 8/08/06 JLL BUILDING FOUNDATION WALL TIME 13 00 8/08/06 AP 08/07/2006 05 00 PM PERMITS CLIFF 457 6950 08/08/2006 04 26 PM JLIERLY BAIR 01 9/22/06 J. BUILDING AIR SEAL TIME 13 00 kl cliff smith 09/22/2006 07 54 AM DYASUMUR BL3 01 9/22/06 JLL BUILDING FRAMING TIME 13 00 ,i 09/22/2006 07 54 AM DYASUMUR COMMENTS AND NOTES Application Number 06 00000771 Date 9/12/06 Application pin number 094746 Property Address 916 BENJAMIN AVE ASSESSOR PARCEL NUMBER 06 30 15 6 4 0040 0000 Tenant nbr name EMRY RES Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 9131 Owner Contractor JIM JULIE EMERY 916 BENJAMIN ST PORT ANGELES Other struct info Permit ELECTRICAL NEW RESIDENTIAL Additional desc DAVIS/ 200A SVC CHANGE+ CIR Permit pin number 86397 Sub Contractor DAVIS ELECTRICAL Permit Fee 78 70 Plan Check Fee 00 Issue Date 9/12/06 Valuation 0 Expiration Date 3/11/07 Qty Unit Charge Per 1 00 78 7000 ECH EL,RM 0 200 1ST SRV FEEDER Special Notes and Comments The Fire Department has reviewed the project application and has no comments 07/25/2006 04 23 PM SROBERDS The proposal is a remodel in the RS 7 for total lot coverage of 22% No land use issues noted Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 CLIFF SMITH CONSTRUCTION 3249 REGENT ST WA 983626720 PORT ANGELES WA 98362 (360) 457 6950 TOTAL LOT COVERAGE 21 60 NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 2110 00 LOT SIZE 10296 00 NUMBER OF UNITS 1 00 STATE SURCHARGE 4 50 Charged Paid Credited Due 78 70 78 70 00 00 00 00 4 50 4 50 00 83 20 83 20 00 Extension 78 70 00 00 00 00 1 44 ELECTRICAL PERMIT INSPECTION RECORD .,---2- tALL 417-4735 FOR ELECTRICAL INSPECTIoNS. ;PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVEg, .1 1.1 INSULATEOR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTER A. r ?f .310;', t- 1,Z1.34 i f KEEP PERMIT CARD AND APPROVED PLANAT Joasfri t DITCI4 ROUGH-IN COVER SERVICE FINAL GENERAL COMMENTS: INSPECTION TYPE DATE ACCEPTED cowstbris YES F S De tn. 44731 /36kNrX A I I I I I I I I I I I I I NO 1)cri fzED 0 7 PW-1102.IS 14196] G i Job wired by E ctrical contractor name License number Date Expires IN V V 5 Yhs 1 41 11,3 9 /..-60 Purchaser's mailing address City E >i, Telephone number FAX number 'Premises owner's name Address of inspection tip tri 7 q n� S Y/6__) City 4 t Phone number to schedule inspection State ZIP If7 Electrical Contractor Owner Owner as defined by RCW 19.28.261 (I) Owner will occupy the structure for two 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner ele 4rical contractor or electrical administrator NX Electrical Load Additions and or subtractions NO LOAD CHANGES O Baseboard g-KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Date J of card Overhead Service Tip Service Ud'Underground Service SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 417 -4735 l /^L ROUGH-IN THERMOSTAT Datt Appr Date Appr ed By Inspection Date 9 -5 -o4 A FINAL /J-,,3- ,(0 Date Appr ed By ,2 V? DITCH Date Appr ed By Area, Building or Equipment Inspected 44 t e/,v6 4 i ELECTRICAL WORK PERMIT APPLICATION' \/Installation description Commercial or Residential New Cel'Altered/Addition e I/ le-(° P, Z oe /¢aD `7" c t Y (Re g ee_a_ i9 )1 arri Cash Check Credit Card Visa Card Expiration Date Date Date Mastercard Discover C Insii ction fee 7 78 ,70 Service Information Voltage ti Phase 3 Service Size: _.fj Feeder Size: SERVICE Appr ed By FEEDER Appr ed By Action Taken Electrical Inspector PREPARED 8/08/06 11 05 20 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/08/06 ADDRESS 916 BENJAMIN AVE SUBDIV TENANT NBR EMRY RES CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950 OWNER JIM JULIE EMERY PHONE PARCEL 06 30 15 6 4 0040 0000 APPL NUMBER 06 00000771 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/04/06 JLL BUILDING FOUNDATION FOOTING 8/04/06 AP 08/03/2006 04 50 PM PERMITS CLIFF SMITH 460 1192 AFTERNON INSPECTION 08/04/2006 04 11 PM PBARTHOL BL2 01 8/08 06 BUILDING FOUNDATION WALL TIME 13 00 (.1 /J 08/07/2006 05.00 PM PERMITS CLIFF 457 6950 COMMENTS AND NOTES PREPARED 8/04/06 8 14 25 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/04/06 ADDRESS 916 BENJAMIN AVE SUBDIV TENANT NBR EMRY RES CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950 OWNER JIM JULIE EMERY PHONE PARCEL 06 30 15 6 4 0040 0000 APPL NUMBER 06 00000771 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/04/06 JLL f/1 BUILDING FOUNDATION FOOTING 08/03/2006 04 50 PM PERMITS CLIFF SMITH 460 1192 AFTERNON INSPECTION COMMENTS AND NOTES 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 Contractor JIM JULIE EMERY 916 BENJAMIN ST PORT ANGELES Other struct info Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 82719 Permit Fee 207 75 Plan Check Fee 83 10 Issue Date 7/31/06 Valuation 9131 Expiration Date 1/27/07 Qty Unit Charge Per Extension BASE FEE 95 75 8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 07/25/2006 04 23 PM SROBERDS The proposal is a remodel in the RS 7 for total lot coverage of 22% No land use issues noted Electrical load calculations and elctrical permits arp',. required Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total 207 75 207 75 00 00 Plan Check Total 83 10 83 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 295 35 295 35 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 -thaN 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 gfahtractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000771 094746 916 BENJAMIN AVE 06 30 15 6 4 0040 0000 EMRY RES RES ADDITION RS9 RESDNTL SINGLE FAMILY 9131 STATE SURCHARGE 4 50 Date 7/31/06 CLIFF SMITH CONSTRUCTION 3249 REGENT ST WA 983626720 PORT ANGELES WA 98362 (360) 457 6950 TOTAL LOT COVERAGE 21 60 NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 2110 00 LOT SIZE 10296 00 NUMBER OF UNITS 1 00 Charged Paid Credited Due fe--A 1�Z2 10 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 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 BUILDING PERMIT INSPECTION RECORD DATE I '/iv /06 I ah 1 I I I /42 I(7 ACCEPTED YES i NO FINAL FINAL SEPA. ESA. SHORELINE. COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I I I PLANNING DEPT 417 -4750 I tI r V e-/J► �p Ii I I I PLANNING DEPT I I I Y i BUILDING 417 -4815 I I I 1 —i -Z 1 10 I BUILDING I T \Policies \1 102_15 building permit inspection record05.wpd [1/4/21105] Address: Architect/Engineer Contracto PROJECT ADDRESS LEGAL DESCRIPTION TYPE OF WORK. Residential New Constr Multi- family Addition Commercial Remodel PLANNING USE ONLY T \FORMS'BIdgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If von have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant-or Agent. ci J1 r 7o Pat Owner S in Ll h /I ey flfl Phone. 407- 7 Z/ City /"O 1" t /411 f le J Zip y U 3C 2 �i, %7',CIS0/ Phone: State License :CIr 'ffC /210 7 Exp krb`7 Phone:r$7670 Address: e� t Cit pt A h Pp* Zip 913C2 b /9 Ci enj 10, /t 'd ZONING �,L S- Lot: V Block: Subdivision. A /7c 44tOO1'1 21- CLALLAM COUNTY PARCEL NUMBER. 0C&C /5 pot/ 0 Repair o Sign Other BRIEF DESCRIPTION OF THE PROJECT .Phone: 4 7t STZF/VALUATION Re roof Stove SF /SF Move Garage SF /SF Demolition Deck /20 SF 76 O /SF q /3D. $D TOTAL VALUATION 9/ 3P.# A /�v f its siz Arv-,verao,v COMMERCIAL/RESIDENTIAL. `�Occcupancy Group Occupant Load. Construction Type: Z No. of Stones: Lot Size: 7Z Xi Existing Sq. Ft. Proposed Sq Ft. ah TOTAL Sq Ft/ 2.2 30 Total lot coverage 2/ /0.t46 ESA/Wetland(s) Yes No SEPA Checklist required? Yes 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 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 apphcation, 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 R105.3.2-of the International Building/Residential Code, 2003). No application can be extended more than once. 1 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. Date: 7 6?-0C FOR OFFICIAL USES NLY :Date Rec. 7/ 9. Pennit I 7 „gate Approved: I l bate Issued: APPROVALS PLAN BLDG DPWU FIRE. OTHER k lc j 1 I I 1 CA 1 1vQ w 0 1 1 I 1 I I 1 1 1 554,0 hAAA4 s sizw_ 045ieto 0 A. 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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 --n-%/*m-~_t_~---.&'...-h-n--- Occupancyhnm_____m___________________mm Owner _~:1:L12.&C?-m-.--.i--m-m- v?7-q;, TenanLm_h___mm.m_.__._m___m_m_n_m___m_...n_m____.. Wiring Contractor _%~&I?:~h-l:..k:?Z<'i:d.n-.-n-mm By.____n___.___mm__mm____nn_m____m_____m_m.m.._ Light Outlets..._...~.~.;jj!........-..... Service. volls /.;t.c:>/-;:).._ff:!._ Type of Wiring: R t I Outlet j iii' "0 wires ...3 Armored Cable ..__m____................... ecep ac e s..:...__......__..__..__....... 1; . .---......-................7"}....... Dryer, KW mm...___mf.____.___n__._________ SIze wlres--;;-:Jt'f1..~m--. Range, KW ........../..~.................... Main fuse ....':J.,.:<?.tf..d........... ~ Enclosure ......____....___..__m_.._____m.... Non-MetalUc .__..............___._...___...__ Knob & Tube......__....._......__.........._ Water Heater: /" ~5 - KW..__.........h..................... .......... Heat' KW........../f...~l'.~A Rigid Conduit ...................._...__..... Metalllc Tubing ...................._...... Type of wiring; Entrance Cable ......____ No. & Slze..........______....___................ Raceway .....___7.................__..._ Circuits, Llgbt.....~n..mm...........n____ 6 Utility .......:..............._.................... Heat ..../'.y._....._.._........._________ Range ........____....._,..--.................----- Water Heater ...~__.............m_.__ Motors: BirOltS and phas~: ..._../.......r:.._...:.~........._:........ ..../...&,.7.'-........................--- Rigid Conduit ............ Metallic TubIng __m__ Current transformers: Ser. NO..._h........__....................____....._ :r::::. ..~~~~~_._~..~-~~~~-_-_~..-.......~~~~~~~~..~~..~= Furnace _......___..__...........,~_....._........... Ser. No. ..........................__......_____...... Ser. No.__________.__.____..........._..._..__.._.... Total lJOad.....__.......____........... Ser. No.._.....__.._._._......________.._______...___ Total ......3...Q_.__n................ Remarks: _____h_hm_~,::Y-e.,f..<..r.=n-----nCer.:?:7c.&::'Z-c..--m.-.-m.-...h--....---.------_m.__mm_mm_mmm_.......___ _mm__mm__mmm__m_m__m__m_m_mmmmm_______________m_hm__mmm_h______mmm_m_mm%_m__m_mm_m__m__...__ ;~_l~~;O'~______hm_n_mh ::~_~_~:..~_~_~_~~~_~m_m_ By _~cff..-~-~~k'~H~.'m r . NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. If work is to be con. cealed due notice must be gl~ the Inspector so that work may be Inspected before concealment. - NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ''-r.. ELECTRICAL PERMIT N? 16858 <:.::;....-"."-~.. .......... Address.______._________.......__............................................_......__..............................................__......_..Date..._.......____.._.._...__....._._...._......_......._ Owner....................___............_......_.._......_......_.._........_____....._..__.._.......___.....______._..........Tenant....._._._._.____________.._____....__..___....__...........___..... WIrI;;,ontractor__.......____._..._____.;.._._..._........_................_...................................._......._.._.....________By......................................._......................... N IC~urrent must nOt be turned on until Cert1tlcate of Inspection has been issued. If work is to be con- cealed ue notice must be given the Inspector so that work may be inspected before concealment. \ \ '-......, \ 1M Olympic Printers, Inc. \ -...."....- \