HomeMy WebLinkAbout132 Dolan Ave - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000146 Date
229068
132 DOLAN AVE
06-30-09-5-2-1760-0000-
ELECTRICAL ONLY
2/26/07
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HOCH, RICK
132 DOLAN AVE
PORT ANGELES
OWNER
WA 983622508
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
OWNER/ TEMP SVC.
95208
40.00 Plan Check Fee
2/26/07 Valuation
8/25/07
.00
o
Qty Unit Charge Per
1.00 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
40.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.00 40.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 40.00 40.00 .00 .00
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COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfIONRECORD
CALL 417~735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
. I YES , NO
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III H 11~1-I-1N / CUVbK
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GENERAL COMMENTS:
PW.II02.1S 14196]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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07-00000114 Date
830570
132 DOLAN AVE
06-30-09-5-2-1760-0000-
RICK/TERRY HOCH
RES ADDITION
2/20/07
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name I
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
RS7 RESDNTL SINGLE FAMILY
33735
Owner
Contractor
RICK/TERRY HOCH
4201
TRK RTE
PORT ANGELES
(360) 452-5381
Other struct info
OWNER
WA 98363
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
23.60
V-N
.01
1. 00
1515.00
8750.00
552.00
2067.00
1.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
94516
508.65
2/20/07
8/19/07
Plan Check Fee
Valuation
203.46
33735
Qty Unit Charge Per
Extension
417.75
90.90
BASE FEE
9.00 10.1000 THOU BL-25,OOl-50K (10.10 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
95679
57.25 Plan Check Fee
2/20/07 Valuation
8/19/07
Qty Unit Charge Per
Extension
50.00
7.25
BASE FEE
1.00 7.2500 ECH ME-VENT FAN
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERM}'T
95661
107.00
2/20/07
8/19/07
Plan Check Fee
Valuation
Qty Unit Charge Per
Extension
50.00
BASE FEE
:,
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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 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
presu ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
co truction.
.00
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T:\Policies\1102_15 building pennil inspeclion record05.wpd [1/4/2005J
Signature of Owner (if owner is builder)
Date
I
BUll.,DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-473,5 I;OR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER. INSULATE OR CONCEAL ANJ' WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
,
YES I NO
FOUNDA nON:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TJON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.) .
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
,
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALlJHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN
HEATP~/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CIDMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKJNG & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
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.
BUlLDING 417-4815 BUlLDTNG
T:\Policies\1102 15 building pennll inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Page 2
Application Number 07-00000114 Date 2/20/07
Application pin number 830570
Qty Unit Charge 'Per Extension
5.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 35.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
02/12/2007 11:38 AM SROBERDS --Construction involves
remodel and renovation of a fire damaged sfr in the RS-7.
New lot coverage will be 24%. No land use issued
anticipated.
MAINTAIN CLEARANCES FROM SERVICE WIRES - relocate servcie
wires - see Gail in Elect. Engineering.
02/09/2007 09:17 AM GMCLAIN ----------------------------
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 672.90 672 . 90 .00 .00
Plan Check Total 203.46 203.46 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 880.86 880.86 .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
T:IPoliciesIII02_15 building pennil inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECT'IONS. CALL 417-473,5 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANI' J.VORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
I,....t
..........~l
INSPECTION TYPE DATE ACCEPTED COMMENTS
I
I YES NO
FOUNDA TlON: ,
FOOTINGS 13/1l /n0 iJ)y
SHEAR WALLS 1 WALLS 3/ i /07 .J I.A...-
FOUNDA TION DRATNAGE 1 DOWN SPOUTS
PIERS I
POST HOLES (POLE BLOGS.) .
PLUMBING S' Ho\\) ~ P kN 1'12.;/ O.1-:JU.
UNDER FLOOR 1 SLAB
ROUGH-TN ,3/2i/n7 :\/,-L-
WATER LINE (METER TO BLDG) FINAL 9~ 107 DATE ~L-L
GAS LINE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
Y 1 17 In "7 -:\/L.. ,
WALLS
CElUNG I I
FRAMING
JOISTS 1 GIRDERS
.---' r -- _._-
SHEAR W ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING t.i hi /01 3LL
DRYWALL (TNTERJOR BRACED PANEL ONLY) I
T-BAR
INSULATION <=tj"Z..-lI ( 0 I
SLAB
WALL 1 FLOOR 1 CEILING t.f /::2.4 J (n I -;\ Lt-
, I
MECHANICAL
ROUGH-IN
HEATP~/FURNACE/DUCTS FINAL 09/ Z-y I () JATE Ii- L
GAS LINE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CmMNEY
MANUFACTURED HOMES
FOOnNG 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTTNG
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
P ARKING/LlGHTING ESA:
LANDSCAPING SHOREUNE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R,W.I PWI CONSTRUCTION - R.W.
ENGINEERJNG 4 17-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 912-Yln/ '1' L. L- BUILDING
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T:\PoJicies\1102 15 buildmg permll mspeclJon record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 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
07-00000114 Date
830570
132 DOLAN AVE
06-30-09-5-2-1760-0000-
RICK/TERRY HOCH
RES ADDITION
5/11/07
RS7 RESDNTL SINGLE FAMILY
33735
Owner
Contractor
RICK/TERRY HOCH
4201
TRK RTE
PORT ANGELES
(360) 452-5381
Other struct info
OWNER
WA 98363
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
23.60
_\
~
N
V-N
.01
1. 00
1515.00
8750.00
552.00
2067.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
PEN. EL./ REWIRE
99994
PENINSULA ELECTRIC
75.00 Plan Check Fee
5/11/07 Valuation
11/07/07
.00
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Qty
1. 00
Unit Charge Per
75.0000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
75.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
02/12/2007 11:38 AM SROBERDS --Construction involves
remodel and renovation of a fire damaged sfr in the RS-7.
New lot coverage will be 24%. No land use issued
anticipated.
MAINTAIN CLEARANCES FROM SERVICE WIRES - relocate servcie
wires - see Gail in Elect. Engineering.
02/09/2007 09:17 AM GMCLAIN ----------------------------
Electrical load calculations and elctrical permits are
required.
Public Works Utility Engineering has no requirements for
this plan review.
~
,
f'i\
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
COMMENTS! ACTION NEEDED
1-
ELECTRICAL PERMIT INSPECTION RECORD
,<' CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPIt DATE ACCItPTItD COMMENTS
YES I NO
11 'f 'l-f
1) \1 1{~I-I-lN I coVER
ShK VICh
FIN A I
GENERAL COMMENTS:
PW-lI02.JS 14I96J .
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98362
..
Application Number
Application pin number
Plan Check Total
Other Fee Total
Grand Total
COMMENTS/ACTION NEEDED
.00
4.50
79.50
07-00000114
830570
Page
Date
2
5/11/07
.00
4.50
79.50
.00
.00
.00
.00
.00
.00
ELECfRICAL PERMIT INSPECfION.RECORD
.. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
NO
GENERAL COMMENTS:
COMMENTS
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in rnK. Your application and site plan MUST :BE /1
COMPLETE to be accepted for review. IfYOll have any questions, call
PERMITS (360) 417-4815 FAX (3'6 0)417-4711 "
FOR OFFIC~t ONLY:
Date Rec_: 9-- O?
'Permit#: (Y 1-111f.
ate APproved~ I (:)~
&
Date Issued: .
Applicant or Agent: ~~t>f2.t..:\e;- / L l~~ t 7M t~
1
Owner: ~'C It.. ~ ~r.A1 ~~O~
Address: 4-;2'0\ ""'VlYJ'\V'I A1l'$l'2. ~,,~ fg;ity: p. Ii .
ArcJritectlEngjneer: ~\ 1VO~tr12'14, C:;M~.~ A=~~\~iS"
Contractor OW N~ State License #:
Address: +"20 \ /1II1'(\W.p.~ "'V12.V1"~ fZ't;ity: p,tl. .
PROJECT ADDRESS: \ ~2. 1'.:>0 '-A~
LEGAL DESCRIPTION: Lot: Block:
CLA.I.LAM COUNTY P.A.RCEL NUMBER:
Phone: .4esOZ ~I >c;,
Phone: 45'1. ,. '53& ,
Zip: ~'''J (,?
Phone: 4-S '2.- ",/1&
Exp: Phone:4-5"2-53~'
Zip: ~ '6. ,~,,;
ZONING: ,~ 'J
Subdivision:
TYPE OF WORK: 'SIZEN ALUATION:
o Residential. 0 NewConstr. 0 Re-roof D Stove~1 s3 SF. @-$ 4--'5 /SF.=$ -:2b,~?5 (1(..;:1 f3dRft]
o Multi-family D Addition 0 MoveD Garage " ,1 "I SF. @$ ~o /SF. = $ 1./'7to tle.w ('"rc.J,
o Commercial ~emodel 0 Demolition 0 DecklO!f!;2 SF. @$ If) /SF.=$ Ib~ J:Gn,() a<-t1Mt"
D Repair 0 Sign 0 Other TOTAL VALUATION $ ~ :1 ~~' t:hPj
BRIEFDESCRIPTIONOFTREPROJECT: ~~?/!o.\ 2. F\W"t DAr-oU1\;'"J f~ 1'j"~e1\,)
/0.1\10 ~ml:>lVT"";.l I>l-lt:1 New rtl~ B\:rD,,",-oO'ff\ AN:> ~ I ~Op Mm.
~N-r' po,z."
CO:MMERCIALIRESIDENTIAL: Occupancy Group:~ Occupant Load: Construction Type:S ~lo~ ru:qw
No. of.Stories: J ~J ~~T B 15(;; Existing Sq. Ft. / 5 15""_ & Proposed Sq. Ft._~ S S Z- _ = TOTAL Sq. ... _. ~O ~"l
Total lot coverage "'2S, 85 % ~ -
ESAIW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN :
BLDG:
DPWU:"
FffiE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In a~ 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 CRECK 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. ".
EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can e:h.'tend the time for action by the applicant up to 180 days upon written request by the applicant (see Section "
RI05.3.2 oftheJnternational BUildingfResidential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examiner! this application and know the same to be true and correct. J am authorized to
apply for this permit and understand that i(is my responsibility to determine what permits are required ,not the City's, and that J
must obtain such permits prior to work.
T:\FORMS\BldgPemrltform.wpd Applicant ~~ Date: -Z.}=~, cJ 7
.~
"'I......,...
CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
,21 EAST STH STREET. PORT ANGELES. WA 98,62
ELECTRICAL PERMIT
PERMIT NO 6818
ISSUED: 12/14/1999
OWNER/APPLICANT
Port Angeles, WA 98360
360/000-0000
T:
S:
CONTRACTOR
SHAMP ELECTRICAL CONTRACTING INI
P.O. BOX 383
Port Angeles, WA 98362
360/452-1689
PROPERTY LOCATION
132 DOLAN
Lot: 11 &12
Block: 17 0 Long Legal
Subdivision: FOGARTY/ DOLAN ADDITION
Parcel No: 063009521760
ARCHITECT
N/A
, 98360-0000
360/000-0000
PROJECT INFO
Project Type: RES. MISC.
Occupancy Type:
Occupancy Group:
Eilectrical Heat:
o Baseboard
o Furnace
o Heat Pump
o Fan Wall
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use:
o KW
o KW
o KW
o KW
o Riser 0
o Overhead Service
o Temp Service
Underground Service
Voltage: 0
Phase: 0 1 0 3
Service Size: 0
Feeder Size: 0
PROJECT NOTES
INSTALL CIRCUIT FOR MICROWAVE, SMOKE DETECTORS, GFCI'S
PER PA HOUSING REHAB
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
COMMENTS/ACTION NEEDED
$42.50
$0.00
$0.00
$0.00
$0.00
$42.50
$42.50
$0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES T NO
lUll rr.l-l"_IN I CUY1'..K
]! R .
,
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GENERAL COMMENTS,
PW.II02.15(~J
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Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. c>? CJ {, :f
3///,3'1
/ /
DATE
I nstalled By:
a
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
5e.
. C~
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
l'3'1lesidential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
~rvice update/alter/repair
[Q"'()verhead
o Underground I
Voltage / 2() L 'f 0
w10 03.0
Service size 'Z.. <> <> Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
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C~L~ ~~.~ tR9 c~ (-1(J
. W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
"A Final O.K.
1f.v\
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
3;)"
Permit/Receipt No.
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.
Installer:
6- ~ ..5 . <... ~ 0 1/i''7
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT J 0 ~
New Meters
'7 ..........--
Inspector
WHITE - file by address YELLOW - file by number
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYM.!!.C PRI"ITERS. INC.
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ELECTRICAL WORK PERMIT APPLICATION
.
Job wired by
J Electrical Contractor
DOwner
Installation description
o ~mmercial Residential
~New 0 Altered/Addition
'QAA 5> ' n'mc~\.L&v-\'~
PU~C\ m'ilt=~~~ \'uJu P,,-k
Slate ZIP
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TeleP'3L:uoer _
pr~s\c~(ncrt\~~\r-
Address of ins"C)io1 1.
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ph,r llUe3e( ~ s he u e~l( cti~1
Owner as llefined by, RCW /9.28.261:(/) Owner will OCt:Upy the stl'llclure Jor two
years after Ihis electrical permit is finalized. (2) Owner is required to hire an elee/rical
contractor if above said property is for sale. relit 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 Specifi tions.
Sign at c of oWner)elect~.icar1T1tractor or CICC. trical administrator
X \ vW~ Date:3-').~-Of
o ycih 0 Check #
~redit Card Visa
Card #
Mastercard
Discover
Expiration Date
of card
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
D Baseboard KW
D Furnace KW D Overhead Service
D Heat Pump Ton LAR D Temp Service
D Fan-Wall KW ~Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
Voltage
PhaseD 10 3
Service Size: ~
Feeder Size:
, ,...
-)..*~
Approved By
Dale
Approve.! By
SERVICE
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at Approved By
ROUGH-n>l
THERMOSTAT
'1-7-n
Dale
FINAL
-U:2
-Approved By
DrrCH
t+:T
Approved By
FEEDER
Dale
Appro.'ed By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
F<'!lI''"'" r
1;~.;~r; ''03604 i 72733
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:1,1 !' .84/09/2007 --3~:55
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08:48:23 a.m.
04-1' )r
3604174729
PrnT ANGELI:S CITY L T
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, CITY OF PORT ANGELES
LIGHT DIVISION
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FAX TRANSMISSION COVER SHEET
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tOate:
i u
: To: '
Fax:
Re:
: Sender:
, 4/9/07
Labor & Industries
417-2733
Inspections
Kathy Trainor
Phone: 417-4724
Fax: 417-4729
: ~
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please Inspect for:
~Ula EI~C"
- 764
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132 S. Dola ehlnd AIbertsons)
Whole house roug -
Requests sometl e:(()jitorrow - plea let me know If ~ou can or can't do 11 1:
e to be there when you Inspect in case' J
2/2
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Thank you, 0" f
o' I
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Kathy ~
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ELECTRICAL WORK PERMIT APPLICATION
.
Job wired by
o Electrical Contractor ri Owner
Installation description
o Commercial ji( Residential
Electrical contractor name
License number
Date Expires
o New
o Altered/Addition
Purchaser's mailing addre~s
State ZIP
-( ~ VaL. ,e r.
q8?(P~
~YVI P t7q,tZV IVL.-
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t
Premises owner's name
~~ 1iQE:t/
Address of inspection
1'32.. DoL-A...v _ AV~
CHy 1=&ItT f\Kl\de~)
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Phone number to schedule inspcctio
OWller as defilled by.RCW/9.28.26/:(I) Owner wj// occupy the structure for two
years after LIds electrical permit is finalized. (2) Owner is required rn hire an electrical
con/rae/or if abOl'c 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
] 9.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signatur
o Cash 0 Cheek #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Expiration Date
of card
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
Jt( Temp Service
o Underground Service
Voltage
Phase~ 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN " THERJ'\10STAT SERVICE
DalC Approvcd By Date Approvcd By DalC Approved By
/' /" "
J / _FINAL DITCH FEEDER
"",In ," 7 ~ Dale Approved By "- Date Approved By../
Inspection Area, Building or Equipment Inspected Action Takcn Electrical
Date Inspector
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