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HomeMy WebLinkAbout706 S H St - Building q2 CITY OF PORT ANGELES �l® DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION e 321 EAST 5TH STREET, PORT ANGELES, WA 98362 L Application Number 12- 00000789 Date 6/19/12 Application pin number 649935 t,,•1 Property Address 706 H ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 4600 -0000- REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2845 (Location Code 0502) Application desc HEAT PUMP- DUCTLESS r Owner Contractor Lovejoy Sarah AIR FLO HEATING CO INC 706 S H ST 221 W. CEDAR rYla (9' P PORT ANGELES WA 983635417 SEQUIM WA 98382 (360) 683 -3901 Permit MECHANICAL PERMIT Additional desc HEAT PUMP- DUCTLESS Permit Fee 64.80 Plan Check Fee .00 Issue Date 6/19/12 Valuation 0 Expiration Date 12/16/12 Qty Unit Charge Per Extension BASE FEE 50.00' 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .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 I4st 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. C> ..7; 7 "/Z 5...,--3,_ 9...../ea... ye. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD 8 E--- PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 CA Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 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 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date 8 �O Accepted by 01 MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit: #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By I Electrical 417 -4735 t Construction R.W. PW Engineering 417 -4831 Fire 417 4653 Planning 417 -4750 Building 417 -4815 T•Fnrmc /Riiilrlinn r)ivicinn /Ruilrlinn Permit d' N 0 0 CO 0 0 0 F as a o 0 m M M co 0 o N 0 0 M 0 O a ro u, o u CO H C H H W w r F 0 0 0 m 0 x w X 0 0 r F uE cnaa H 0 h o 0 z t O N a �a o a m o F m a F F H F a E- u u a Z H N E F W W fk W H 0 a 0 Z CL a W F. wo W Z oo Z a 0 0 co 0 zz a 0 H H F-I U a M 0 07 F U o U a a V] H z a H F W a s u 0 0 0 10 x u oa to u 00 H o u F Q a 0 m O H H O O a 0 0 O a u a F H,a an F t0 N IQ z 0 a UU) w O W N o O H a 0 x cn m F o 0 V cn 0 0, 0 0 w O 0 q q •.7 S W.ri00 N. 014 N N W NMO F E-F r+ 01-1 OWN O W 0 (0 r a o ff 0 Q a 0 o 0 F W O O Oa a a a 0 0 10 0 0 u) U J 0 a 0 m 1 a Z F a o GI W E. nn. r Z z C./ a 0 a O a U Q u o a< W H 0I rogr ^,1 BUILDING PERMIT APPLICATION Print in ink i f, i CITY OF PORT ANGELES For City Use Only; 1 Attn: Building Permit Technician Date Received 1`t• 17- 321 E. Fifth St., Port Angeles, WA 98362 Permit I' (360) 417 -4815 fax (360) 417 -4711 Date Approved a Applicant or Agent tot( FLo vk E A' Psj cr.- Phone (a$3 -390\ Owner eATIRtC_l. L..bgssb1 Phone "191 4104 to Owner's Address f(Ib(o si)t)TN 4 smeer0 pp T ik.ki LcL.GS VJ V n3G -A..I. Contractor /Engineer #r1 a Pl.O E -eArr NJ 6- Phone t -3101 Contractor /Engineer's Address t EXEC I License A l R 1 p to bc,- Expires 4 f IN. PROJECT ADDRESS 10 (o 600 1 4 N S-rR.sic Parcel Number 0(P30 00 O OD Lot Zoning Project Type Brief Description: it Residential Commercial o Multi- family o Industrial Check all that apply New Construction o Addition Remodel Repair Re -roof o Demolition o Sign wall- mounted o projecting freestanding o awning o other Total sign area sq. ft. Maximum allowed sign area sq. ft. pit Heat System pHeat pump wood- burning stove gas fireplace pellet stove bother t CTl rsS o Other Floor Areas Existing (sq. ft.) Proposed (sa. ft.) Basement per sq. ft. 1 at Floor 2 Floor 3 Floor Carport R C V lilt Covered Porch (A• f4aI Deck JUN 1.9 ZU1Z Shed Other CITY OF PORT ANGELES BUILDING DIVISION rb TOTAL VALUATION M'K• Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Max, height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this application and know it to be true and correct. I a thorized to apply for this permit a understand that it is my responsibility to determine what permits are required, a to obt permits prior to working on project; p Date (Q "l QQ I 11... Print Name ELLE1 4 M� V l E R-5 Signature C/ T:Forms /B Iding Division/Bldg PermitAppl. -2D06 Code.doc 1 d I LGE 689 09E 01.E NUJ Wd80 :2 2100 6I unc 0 ELECTRICAL PERMIT i CITY OF PORT ANGELES d da 360 417 -4735 v Application Number 12- 00000830 Date 7/02/12 Application pin number 270750 Property Address 706 H ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 4600 -0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc 1 circuit ductless heat pump Owner Contractor Lovejoy Sarah ANGELES ELECTRIC 706 S H ST 524 E. 1ST ST. PORT ANGELES WA 983635417 PORT ANGELES WA 98362 (360) 452 -9264 CD Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 63.00 Plan Check Fee .00 Issue Date 7/02/12 Valuation 0 Expiration Date 12/29/12 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 1 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN -T °Igt62 FINAL 713 I COMMENTS: 7 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ,4 Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 06/28/2012 14:22 FAX 360 452 9265 Angeles Electric 1,0]0001/0001 I 1 P^ IN F ,r `l l S 3 t Cltygf :RofAnpaIM PirmltApplicatlon 4 E LECTRICf� dil dinlib itifirgliO iat,Mipiouona Q7 ::3 1t ut l tgot 1160 INSPECTIONS ::-Ppr 40.IetWi hlitiltg1 Pl ,j'3to).41r ./dd. 4174711 D <Y 1 2 Single FamlyDwellIrg MulOarnlly_ tl rCommerdal• Coriiril.8e0etAddlotl)Maretloa' Remodel Repair' PlanRev*MayBd Requir Plane Complete Electrical Plan RiMars In(omiation•Sheet JobAddmsl: 706 '�-�l �r'' Biilldingsquare.f .:1Deoatptlonot,above Ahb j /LI77I el se w „qr .�..r,� Noe, 't 71 i rt Name: its t4 drear %I� M row, ,524 A. T Sr Cllyt State: y Dix %f.;t?SG City. State: ttdig Phone 'jd "4: i'7. ac phone !ems -14 y Fioc ‘06 ;Uconae41 EIS, t lcenae a> t,xp, r4M t 4' BPS .1.1pI(Caarae ,2X Tote' (Q Y Mu1tlolled by unit Clime) •8:1:1A:90'2 8 SenitelFoeder.200..Amp.:: .3':145 :60• Sarvb&Faedar201400A p. ;1:2 SeMcelFe$der401400Arm. 526220 SenlceVaaedtr001l020Arno. :::3372.50 i Servcalnedar.vw .''..i 2.60 BratnchCiadtWi kv1CoFfader I S 173:60 T •i Branch Chunk W!b nk* Si Feeder 2.60 Each Adddond efildiODA 9210 SerVWFi Tamp. adar200Amp. i :•1110x0, i Temp. SonloelFiedr 40 At 401 p. 8 Te p. Bervics Fndor401a00Mip. T Terrm.9entNFiader I _4'15110 t P ond14PNitta* I '8 8820 8 elsnlOuttimUphrng .'95.90 _. dMatti tt nitad Cpmtnardd.Addlioaa11500$6.00 3; :60.110 Sand Gait Lilted -1I 112 Fun Magna :•03:90 Pool Ctitip UnitId•Enstoy- :`S 11 .3:00 6hiritmly adi toiritrCoriiiec6ar I 10210 fit'3 Ofealdlfe r•51NA&Momcalms i :1 :110.30 Fitt 1700 Squire Ft r Eachmonoraf600SquasRorParton ::1`; 7360 SS or D ..Y.- 0, &3 brRCK.1 esr0l 1.l$J6f ;(1)On••• py the sa rrcerre for teorars arfer>I<ifs dfs dirOoo la &ad PJ Oxmo rIngr t oMoanalre0falnnt retord 7 1 bOira F UfdpniD1 K0 MlatiMaf gf len& P.irmf gobs dbr demands ofk t hupecf a ding fits above of meet 1 huaalgr amtlty that I am 04 owner of pu above named, pro' oor a Maned eteemat eontrxlar 1 am ugug oleatAoslinhl Or or a twt�0o r lyn n P1r• bIna, NE. c„ RCW. cite pbrl9.: awAGchripbr n> lcdtrotFortA .rcoaem`aum S1gnihirs:of ownar,_ahehial contractor or 'tactical administrator I l7 Cash j Chaokt.. ,le �dadRCard= D�' 1 I ELECTRICAL PERMIT CITY OF PORT ANGELES 0 360 -417 -4735 Application Number 12- 00000080 Date 1/24/12 Application pin number 409200 Property Address 706 H ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 4600 -0000- on our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc DEMAND RESPONSE NO FEE LARRY DUNBAR Owner Contractor Lovejoy Sarah OLYMPIC ELECTRIC CO INC 706 S H ST 4230 TUMWATER PORT ANGELES WA 983635417 PORT ANGELES WA 98363 (360) 457 -5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DEMAND RESPONSE NO FEE LARRY D Permit Fee .00 Plan Check Fee .00 Issue Date 1/24/12 Valuation 0 Expiration Date 7/22/12 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 INSPECTION TYPE DATE:. RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 3/c 11 FINAL 3 17 cf'"l. COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING N f*tahr.t• 1 a ""A ,.,8 CITY OF PORT ANGELES PERMIT APPLICATION L Building Division /Electrical Ins ections Y4 0 1 4 41 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL INSPECTION' Date: 01/24/2012 X 1 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 706 "H" ST. Building Square Footage: Description of above DEMAND DRESPONSE DISCONNECT FOR WATER HEATER Owner Information Contractor Information Name: SARAH LOVEJOY Name: Olympic Electric Mailing Address: 706 "H" ST. Mailing Address: 4230 Tumwater City:PORT ANGELES State: WA Zip: 98363 City: Port Angeles State: Wa Zip: 98363 Phone: 360 797- 4846Fax: Phone:360- 457- 5303Fax: 360- 452 -3498 License Exp. License Exp. OLYMPEC285D1 Item Unit Charge Total (Qty Multiplied by Unit Charge) Service /Feeder 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 W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 1 0.00 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 /Feeder601 -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 T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 000 Total 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 lease. 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.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check Zi Credit Card x Michael L. Rutten Dated: 01/24/2012 01/01/2012 .... CITY OF PORT ANGELES  DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/03/2002 PERMIT NO: 13889 OWNER/APPLICANT PROPERTY LOCATION 706 H ST S KENT OSTERBERG 706 SO. H STREET Lot: 1 Port Angeles, WA 98362 Block: 246 [] Long Legal 360/452-9511 Subdivision: TPA T: S: Parcel No: 063000024600000 CONTRACTOR ARCHITECT ARMOR ROOFING N/A 2524 RYAN DR Port Angeles, WA 98362 , 98360-0000 360/452-3667 360/000-0000 PROJECT INFO Project Value: $1,600.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAR OFF, FELT, COMP RECEIPT#0975 FEES ASSESSMENT Building Permit: $57.05 Misc Fee 1: $0~00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $61.55 Plumbing: $0.00 AMOUNT PAID: $61.55 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 build~r) Date T:\PLANNING\FORMS\ ] 102. ] 5 [4/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 1TIS UNLAWFUL TO COVEI[, 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 I DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PWUTILITIES/ SITEWORK (EngineerlngDivision) SEPARATE PERMIT #'s: WATEKLINE / METER SEWER CONNECTION SANITARY STORM 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. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIKE DEPT. BUILDING 41%4815 ! ~ BUILDING T:\PLANNING\FORMS\ I 102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /~ -~_~ --c~_ Time 2-'~/~-~'--- Received by (phone, person) Location of Work to be inspected ?~/~ ~-'~'* ~/ ?~rT'-- Name of person requesting inspection Address of person requesting inspection ! Phone No. ~'~--~- Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date /'~-~ Time By ., Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [-]Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) FEE RECEIPT NUMBER , ; I CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A fot95 PERMIT NUMBER . TOTAL FEE Ib/~ k&{' . CONT.lIC. NO. TIME TO COMPLETE NO. STORIES \ LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY : NO OCCUPANCY OR ~SE ESTABLISHED U,NDER THIS PERMIT: ,\ Site Address ~;:? ~ - 5l?' .fI' , ' C' " " '! ., " .- '_ COARECTADDRESS.lS RESPONSIBILITY OF ~PPLICA:NT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner KEA/f (JS7P!RI3&RC, \ 'InstallationBy /lA-Lt/t?Rr~A/S E7Kc.TRjG' Owner's Address 1fl:.6 f~-' /1' , - I~s;allers Address /42 G u/ /.1 ,Ii Day Phon" :' .4. 1 ",' " Installers Phone ,,4s'}-9,tP/7 <? Application,is hereby made for Permit to install Electrical Equipment as follo';s: -fEIt/ //?.F' I?FMIJIJELFJJ t::/tRME :~ A/J;J<./ /"/ JC 'iY'1- 2'77 - Wiring Method .! NUMBER AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT PEA 120V 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIR 10 30 LIGHT I ,/ SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE I ~ F=,Z r....--/ " MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIAE ALAAMS DISPOSAL BURGLAR ALARM RANGE MISC, OVEN ~L1./" 1/1 I ,~O ,/ WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS-OIL::"'" FURNACE ENERGY FEE ELECTRIC BASIC FEE , ELECTRIC HEAT I ")1)'0 v" TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH :~ I certifjl that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ,;;;/6' ,198(;; By ~/rt > " . Date Permit Issued WARNING 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 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS. INC. DATE OF VISIT MADE BY , ~/tJf(" I I , ' gJ~ v t:\ \V\Q~ \ (~'261'l.~ t \ \\ t' f 1-/ dVl~ I REPORT OF INSPECTOR REMARKS jJ Z c J <:A, :D! J IV 1-, +c., C6 .....lv,,p,.... -/., /) t/{" 6 u} /J.,..... -f.,. -If!. r So uft. - AJ f .... -/rt-A / ~{\'" .A}I..J 'Mf--k+! bl/....h oU Sf.. /lli>,Lv(..'L l_ltA...'- &Jv"J. hlt-r ",,,r j., fEN IN( k 11 ~ J (3-it4- ~.J.Rv ItJ >1.," tA"h.+ \ '-- I. ./ O.K. FOR COVERING &oK. ..............,..JE;-......\lI,.C FINAL O.K. . z Cl a: <I: ~ ~ J: I- Z W l- . I- o Z o C . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15883 .y -c}-3 ;>.c Port Angeles. Washlngtonmm__mmm______.__mm__m_m_m______m_._.. 19__mm In accordance with the City Ordinance to regulate the installation, extension. or repair ot elec- trical equipment In. on, or about any building or other structure In the City ot Port Angeles. per- mission is her~y ~an~o wctrlCal work as listed below. A--'! , Address m.-2m_mm___._.m____.___________m________.______.._._____.____.__.__________ Occupancy____________""'=__m_.._..._______.______ ~:~:~~.~~~~:~~~-:::~::.::;.::~~~;;.~::::::.---~~::~~;:::::::::::::::-:.'--:::::::::::=::::::::::::::::::::::::::::::::::::::: /j -' ;.:'2-0/:5Y.6 Light Outlets....................n....n..._..___... Service, volts .00.00__00..00...............__.00...... Receptacle OuUets......2.C9............._.... No. wires .....J..................p........ Dryer, KW ___m..,d___...._..__........___....___ SIze WIres..7~;i........._.. Range, KW...n.I..~.hn._..n...__n......__. Main fuse .__.m........___.m___..n____n.___ S Enclosure .........................0000..00 Water Heater: Heat~:~:::::tZi{f.::::.:::::..::: Type of wiring: Entrance Cable ..mm.n.___m___ Motors: size. volts and phase: i7&.t:;;;~:::::::::::::::::::::::::::::: RigId Conduit .................. Metallic Tubing n___m....... Current transformers: No. & Size..m....n.mn.........n SeT. NO.__...nn....................nnn.......... SeT. No. ............................................. SeT. No. ...00..............00...........00........__. Type 01 Wiring: Armored Cable ...nom.......n............ Non-Metallic .................._............._ Knob & Tube............_.n...n...__........ Rigid Conduit ......____..................... Metallic Tubing ..m....n................ Circ:::~::;h.~::::::~?:::~~:::::::~~~::~=~~::~ UtilIty _......c::;................................... c:. IJeat ......................................__...._.. .:J!.. Range .......0000.........0000......00............. Water Heater ..:::;1:............m........ Motor ..._h.................n...........n...... DryeT .......2:...............00.00.......00......_ F UTllace . ..........._._..._......'_......_........... Total Load.....m....m.m._mn... Ser. 1'\O....m..........._...........nnn.......n Total mit-.)!___n.................... Remarks: n__.h....n._n.nnnnnn~!:.-:!.~~n.::-C~~~....4....!..n.nn.nnnnnn.nn.__n__nn_..nn___________________.. ~ermit Fee $_.__J/.:.!2__'=?m_m.________.. Treas. Receipt NO..____m_____________m____ By Zclf..n'~~;;Z~dg,,,~~.-- 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? 15883 Address..................._............................._..................................................._....__..........................Date..._......_.._.._.._.........._......_......__........ Owner n....................._................h....._.............._.._...........................00.....00..00...........00. .... TenanL..........n...nn.........._.__..n.nn_........................ WirIng Contractor..................................._............................................................__..00 .....00.00.00.0000 By.......nnn.......nn...........n...._..nn.........n... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- -cealed due notice ~lUst be given the Inspector so that work may be inspected before concealment. .. -''II, 1M Olympic Printers, Inc.