HomeMy WebLinkAbout109 N Oak St - BuildingPREPARED 5/05/08 9 47 39 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/05/08
ADDRESS 109 N OAK ST SUBDIV
TENANT NBR WEST END OUTREACH SERVICE
CONTRACTOR COUNTRY HOMES PHONE (360) 452 3707
OWNER MICHELLE ANDERSON SMITH PHONE
PARCEL 06 30 00 0 0 1530 2001
APPL NUMBER 08 00000049 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 5/05/08
tt
BLDG FINAL TIME 01 00
May 1 2008 8 25 50 AM 1pangrle
TONYA 417 9456 EXT 17
BLDG FINAL
AFTERNOON
COMMENTS AND NOTES
Application Number 08 00000049 Date 2/01/08
Application pin number 074448
Property Address 109 N OAK ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 1530 2001
Tenant nbr name WEST END OUTREACH SERVICE
Application type description COMM REMODEL
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 6600
Owner
MICHELLE ANDERSON
PO BOX 604
PORT ANGELES
Construction Type
Occupancy Type
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
5 00
Other Fees
Fee summary
2- .-?a
Date
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Print Name
T Forms /Building Division/Building Permit (10 /01 /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Charged
165 75
107 74
4 50
277 99
165 75
107 74
4 50
277 99
Contractor
SMITH COUNTRY HOMES
656 SUTTER RD
WA 983620109 PORT ANGELES
(360) 452 3707
Structure Information 000 000
TYPE V NON RATED
BUSINESS OFF /PRO /MED /REST
Unit Charge Per
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
January 29 2008 5 07 59 PM sroberds
The proposal is an interior tenant remodel No land use
issues anticipated
Electrical load calculations and electrical permits are
required for new circuits Additional heat load info
required if any
January 16 2008 3 19 55 PM GMCLAIN
Public Works Utility Engineering has no requirements for
this plan review
Paid Credited Due
00
00
00
00
WA 98362
BUILDING PERMIT COMMERCIAL
INSTALL PARTION WALLS
119016
165 75 Plan Check Fee 107 74
2/01/08 Valuation 6600
7/30/08
Extension
95 75
70 00
STATE SURCHARGE 4 50
00
00
00
00
nn
T
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 hether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of �f .te or local law regulating construction or the performance of
construction.
Signature oWactor or Authorized Agent Signature of Owner (if owner is builder)
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 I ACCEPTED COMMENTS
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 N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750
1 BUILDING 417 -4815 1
T Forms /Building Division/Building Permit (10 /01 /07).wpd
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
FINAL
1 FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE
ACCEPTED
YES 1 NO
TO•
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
ENERGY
ENGINEERING
POLICE DEPARTMENT
ADMINISTRATION
CITY CLERK
RISK MANAGEMENT
FROM. PUBLIC WORKS/BUILDING DIVISION
RE ADDRESS Q G&K Sf
NAME /CONTACT C o vrti'� r 1 me-5
PHONE.
PERMIT NUMBER. 0 4
PROJECT DESCRIPTION Ti
Tar C 0 S oar a oe S
NEW CONSTRUCTION
ADDITION /ALTERSATION
COMMENTS /CONDITIONS
DATE. 5_
4,52 -3 car
1 417 q4;
ne n s1
REVIEW/RETURN
FILE
Applicant or Agent
Property Owner
PROJECT ADDRESS /yq
Parcel Number
�Hat System
VOther
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician c;k t�
321 E. Fifth St. Port Angeles WA 98362 \t\
(360) 417 -4815 fax (360) 417 -4711
aok C' ovr6/z_ Wed 5 Pho e
—r /n,i YJlZ1 Phone
Property Owner's Address
Contractor /Engineer /�,a,07,2. /d0763
Contractor /Engineer's Address ,e rz
License ‘42441qr......W./
72/< ST.
Project Type Brief Description. Residential .o2`ommercial
Check all that apply
New Construction
Ad ion
emodel
Repair
Re -roof
Demolition
Sign
,%ice f 2,cM 24
Phone 9 'X7 -374t7
Expires c fQ
Lot
For City Use Only
Date Received /k
P rmit 695;3 -c74
'ate Appro c��C
Iy —95 5
Zoning
Multi family
Industrial
wall- mounted projecting freestanding awning other
Total sign area sq ft. Maximum allowed sign area sq ft.
Heat pump wood burning stove gas fireplace pellet stove other
Floor Areas Existing (sq. ft.) Posed (sq. ft.)
Basement
1st Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. Lot size
ft.
Occupancy group
Occupant load
Construction type
TOTAL VALUATION
per sq ft.
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
OA
I have read and completed this 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 i.ermits prior to working on
projects.
Date %f¢ 00.38 Print Name 77- 41&J Signal rt fl" P
T Forms building Division /Bldg Permit Appl. 2006 Code doc
207
0
I •■#A`` I '1
o
I
I I t
i I i
r
I 4.+
t
I
r
I
I
I
0
o
II 1
I i♦
I Y
r
I
I
I
1 1
08
EXIT
RECEPTION
STORAGE
SYMBOLS
V DOOR
OFFICE
-ro
14 DOL.
WAITING
AREA
*EXITrAROMM4
OFFICE/F1LING ROOM
OFF ICE' OFFICE
iZAkvar
ticnAP
t lid
dp.
Or a
1 r''R►
6 10201 ok A
iv-Av
bup\A
mookle1/4.4)(s
P A I '4)e
uAooV
AQA10
tog
c.tv.,c:7
17 l LT
(14-( 5
0
r -t- r
C o (t giro
_14 'L`
_,Sautc4N-hcad Aar--
64 x ('3
Air
,r f 0
S e.ed; i vos.
CITY OF PORT ANGELES Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the corection of errors in said
OE specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of tIOS jurisdiction.
48EETI8ft-383f c Unifor+e 1 2�a CQ
,Approval Date 1
c-vq a
7
ry
i
V-■=. v---1 a 1 c o A
t
mot
1"
r f 1 .r
,6/2h 5.
t b' t
PLANS APPROVED BY
POI ANGELES FIRE DEPT
1
t
4;
ri_19q
77
if
1 :7 1
VVd s fy
'71-6
1"" C
Application Number 07 00001453
Application pin number 401283
Property Address 109 N OAK ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 1530 2001
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Owner Contractor
MICHELLE ANDERSON SMITH
PO BOX 604
PORT ANGELES WA 983620109
BOB S ELECTRIC INC
2293 DEER PARK RD
PORT ANGELES
(360) 457 6887
Date 12/07/07
WA 98362
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 117242
Permit Fee 58 00 Plan Check Fee 00
Issue Date 12/07/07 Valuation 0
Expiration Date 6/04/08
Qty Unit Charge Per Extension
1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00
Fee summary Charged Paid Credited Due
Permit Fee Total 58 00 58 00 00 00
Plan Check Total 00 00 00 00
Grand Total 58 00 58 00 00 00
INSPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
1 2 /7 /67
A•q.
FROM
BOB'S Elec~ric
FAX NO.
1 360 452 9943
Dec. 072007 09:17AM
Pl.
Cf7-ILJ$3
e
ELECTRICAL WORK PERMIT APPLICATION
License 1\\lmber
Date Expires
Inslallatioll description
~mluerdal Q llflid.entia\
o New 0 Altered/Addtdon
Job wired by
~ectrleal Contractor 0 Owner
Statl!; ZIP
Vh q<l '?:(o ""2-
FAX numb<>- n/;2
:s. -Q7'-f..-.)
e
~~ ~"'''!'. C,-/~
~+ 3 ~
Q i-J*","'-~ -=\- ~ ~
AddrelS Qr inspection i
---10 q- Y1... (;n ~ _
~ I
. U C"'ft. 0 ~ <1 "'U:oL
PIlODt Dumber- to b~~ule fn$pecclon:
.1 2::Sc"7
Ownf!I" os dcJillcd by RCw'19,18,161:(J) OHmer will occupy the structure for fWo
yeQ}'s after this electrIcar Per".lt i.~ futalked.. (2) Owner is I"et/tdf'eJ to hlrt! tul e/~lricaI
Cot1.lraClor if above said p'ropeny is for sale. /'enr or leme.
I
After reaclina: tl\c above. Slaternent. I hereby certifY chat 1 am the owner of the above
named property or a licensed electrical. contractor. I a.m makill.g the eleetriel11 instal-
lu;ion or al~cr'.Ui(ln in co~plianC= with the electtlC31 laws, N.E.C., RCW. Chapter
19.28. WAC. CMptcr 296-46B. The Ci.ty of Port Angeles. M\lDicipal Ceode. ~nd
U[ilily Specifications. I
Slgpahue or oWnllr, ~lect.-it:.1 cUlltracto.- o~ eletlrlCAI adnti)Jist.-alo,.
Date:
[J Cash [J Chock #
o Credit Card N Mastercard
Card# lhA..-'fL-----
ExpirationDate (I\l"-<o) "I f)'" -
f d . Inspection fee
o car $
Discover
- {)?
x
Elt:!ctrleal Load Additions and or subtractions
Q NO LO.o.o CHANGES
o Baseboard _ KW
o Fum~ _~
o Heat Pump _ Ton _ LAR
~an-Wa" 7~K~ l:;:,<l.
,
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
Cl Overhead Service
o Temp Service
[J Underground Service
vonage
Pha..O 1 03
Service Size;
Feeder Size:
~
,"J.,-t..
, /' THERMOSTAT / SERVICE
rj I ROUGH-IN
l'1f.!b 7 ':f,.~
DII11I ,",pplVYt'ldJ.!y "- D.. A&lProvelJ lily
,FINAL 1 DITCH / FEEDER
i{~[ze ~ Dill. "'''JVo'al By./ D.lc r\Jlpwwtd o.y./
Inspc:cli\.lll I Areu, Building or Equipment Inspccted Electrical
Dale Aetioll T:lkell fnspcctol
.
~-
~
;
1
;1
~
fVORT04.-..:
A.~O~Q~
iJ'~~\',
f' 'IiiiiI
~ ~ -==.JJ {fJ
~0~~"$'
JJ-ORKS&'
ElECTRiCAL iNSPECTION
WiRiNG REPORT
417-4735
1m
OWNERlC NTRACTQR
~ ,
"
-I
10
IN
(, I - '7~8'Z
ADDRESS
K
APPROVED NOT APPROVED
~'.'.'.'. '.: .......... '. '. .... .~~~~~I~~/~~~.~~ : : : : : : :6R:~
o. . . . .. ............. SERVICE. . . . . . . . . . . . . . . . . . . 0
o. . . . .. .............. FINAL. .. . . . . ... . . . .. . . . . . 0
,
\
CORRECTIONS NEEDED:
,
S l) '?'P(,)~I he /2..11
~;>I.~: 0' ~l\~ I
s, ~
--
r lZo M....
.,
.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
:6
ADDRESS
/CP/
PERMIT #
6'7-1t.{S-:3
l!" I .pr" 1 C
1J 6Ak-S
INSPECTOR
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . .. FINAL. . . . . . . .. . . . .. . . . . .):1(
CORRECTIONS NEEDED:
~\J11."f)ltJ'" f~t'\.i--' '2E~0t\Zro
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
:;:/
/07~
FEE RECEIPT NUMBER
I
,
CITY.OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
S73
PERMIT NUMBER
.
I A
I - oc-ytnrtl:.... ~ /'11Y/.
TOTAL FEE J!9E--- 2'8 so I -
I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
-- -
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
(PC,! ~iJ7.{__ (( cc ~)-<--
Owner tV Installation By
Owned~ Address Installers Address
Day Ph10ne Installers Phone
Applic~tion is hereby mad~ for P~rmi~)o install Eltlctrlcal Equipment as follows:
At> D 7 A/(.<-J C/~. I JJ H~) T ~"if)_
~A-v-.
It,,/!--,
t
Wiring Method
.
, NUMBER AMP 120V 240V NUMBER AMP 120V 240V
- US.:: OF CIRCUIT PER - 100R FEE" USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHt SIGN
LIGHt 50 VOLTS
OR lESS
CONVENIENCE MOTOR
CON~2NIENCE MOTOR -
APPLI,ANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
, ,
RANGE MISC. .4- /~~
,
OVEN 3 /260
,
WATER HEATER
-
LAUNQRY
ORYE~ REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTriC HEAT TOTAL FEE 2YoQ "-
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. U~IT AMP. PHASE
FEEOE~ SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVIOE AW.G.
,
-I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify1that the work to be perform d under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
.19
By
'1?, II
Date Ap~llcation made
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Perfnlssion Is hereby given to do the above described work, according to the conditions hereon and accordi1ng to the'approved pla'ns and
specifications pertaining thereto, subject to compliance with the Ordinances of t e itY_9f Port Angeles. .... i.' . ... . .~.
01 TO F T. ;Li!lHT
WARNING
-----. -' -
~/ / f j f! _ ~0,NS A PROV D-- _ _
:!otifY Detriment 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. .
.
I
Date Permit Issued
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC P~INTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
,
'. "
. ,
. \
4- I~ , q(o V O.K. FOR COVERING
\ .' _~ERVICE>
~FI ,
.
~
.
z
Cl
a:
cl:
::E
~
:J:
I-
Z
W
l-
.
l-
e
z
e
c
.
I
,
~-k tb
FEE R~CE1PT NUMBER
I
CITY OF PORT ANGELES
. DEPARTMENT OF LIGHT
APPLICATION AND. ELECTRICAL PERMIT
A
000176
PERMIT NUMBER
.
,
I 3.:2- ,pl. o t -r hJ Pe.c.t.8;" ~ CONlIVI
TOTAL FEE
I CONT. Lie. NO. T1METOCOMPLETE NO. STORIES LEGAL OCCUPANCY
i
Site Addless 10'1 IJ. o AI<::.-
'\ CO~Cl ADDRESS \S RESPONSIBILITY OF APPll~T.1
Owner ,FIR.-~ t-C7:SeJ2.Ptt.:- S\JG,.S rt LdnN
Owner's ~ddress I <>1 ~ OPt/t.
Day Pho~e 4'>1r _IHg I
,
APPlicat~Of"! is h~reby made for ~~rmit to inst~11 EI.ectrical Equipment as follows:
ELECTRICAL PERMIT ONLY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Instalialion By ol..fmplL- e-/a-rta'{...
installers Address SOl ~'. 1..1 wc.uAJ
Installers Phone tlt;7,- 5303
Wiring Method ('ON 0" , T
.
, AMP 240V AMP 240V
USE!OF CIRCUIT NUMBER PER 120V 100R FEE . . USE OF CIRCUIT NUMBER PER 120V- 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
I
LIGHT I SIGN
, , 50 VOLTS -
LIGHT I OR LESS
,
.CONVENIENCE -- MOTOR
,
CONVENIENCE - MOTOR
,
APPLI~NCE MOTOR
DISHWASHER .. - FIRE ALARMS ,
I
DISPOSAL BURGLAR ALARM
, --
, MISC.
RANGE;
OVEN:
WATE~ HEATER
, .
lAUNDRY
I
DRYER I . REINSTAllATION LIGHT FIXTURE # - . .
FURNACE SUB TOTAL FEE .
GAS- Oil -
FURNACE ENERGY FEE
ELECTRIC . --
ELECTF\lC HEAT BASIC FEE
.. -- .. :?://\/") ,
- I TOTAL FEE
ELECTRIC HEAT ,
, SIZE OF SERVICE SWITCH OR CIRCUIT, BREAKER
A.C. u~; T AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
,
SERVlcl:: AW.G.
,
, I SUB:TOTAL . ,
i SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I . -' -
I certifYlthat the work to be performed under this permit will be done by the installer and in conformance with t .E.C. Electrical Code.
Dale AP!rlication made "2..-/-1-0 ,19~ By 'hrf!ft..,
I - - C NTRACTOR OR"OWNER (OR AUTHORIZED AGENT)
PermiSSion IS hereby gIven to do the aboye deSCribed work, according to the conditions hereon and according to the approved plans and
Specifications pertammg thereto, subject to compliance with the Ordinances of the City of Port Angeles. f"
,- !. -B;' 'DIRVYLIGHT - '
Date Permit Issued ). ~ ;z. 0 _ ~ '6), PLAN:z:z.4 ,~
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not'
be covered o~ gurrent 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 _
.
WA~NING
I
I
OLYMPIC PRINTERS, INC.
I
WHITE" Original
CANARY - Duplicate
PINK" Triplicate
WHITE CARD" Inspector's Report
ii..
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
. . ~ >. . . .
,
. .
.
.
,
. .
.
1 ~ ). 0 - (~ 7f~/ O.K. FOR COVERING
O.K. TO CONNECT SERVICE
3-6''6.',- -/Y//$ FINAL O.K.
.
z
c:J
II:
<
~
~
J:
I-
Z
W
l-
.
I-
o
Z
o
Q
.
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 electrlc,a! work as listed below.
Address ___1..?2..z.u,fI1L.___.<;2<:::~u___.___.___._____uu____uuu occupanCYh_.~I____u_____________
Owner u~MPfffie:z.~","-.~uu=--,7~;~'~~'~Tenant_________________._______._____._.___________________u_________u.....
. ........ - -....0' .'''/5
Wiring Contractor -/(4,~dLt2e.."".___af5.=Z.._____. By...________________________________.__u___u__________.__________uu
. f c7 /.,::lc;'/UJ Y-O
Light Outlets........_____.___......h._........_..... Service, volts ......y.n....__................. Type ot Wiring:
Receptacle Outlets...................________.... No. wires _m....._..L.........__............. Armored Cable ............................,.
81 1 ~O Non-Metallic .......------......----..........
ze w res..R.~":.___..n.............h.__.
;#00 -yo 0
Main fuse .................................nm.
.s
Enclosure h...nn....___.............____
Se" No,uu....,. u UUU ,uu7Y"'O
~ Dryer n.n..................____.......,_..........__
-,:,~=~t:~~~~_~~=~~~~___'"~::=~:~::~_~
/
CITY OF PORT ANGELES
LIGHT DEPARTMENT
Dryer, KW..nn..__n.__nn.___..........____.____
Range, KW hnh____..____.__._______.h_______.....
wa:~~_~_a~er~x~--.-n--.
Heat, Kwnn_,L!.:...nJJ./~......____u,
Motors: size, volts and phase:
Ii .~...u'.nnu..'7X?;P:<-......u
/f,eJ.'7f:::::::::::::::::~:~:::-:..'.:~~:::
I .............---.............._................_._.........
ELECTRICAL PERMIT
N~
17757
Port Angeles, washlngton__m_2_=~.~....._mmmmm__.._m..... 19__[';:'.
Knob & Tube.n_..................hn._...._
RIgid Condull ......_.......__nn.......
Metallic Tubing ...........................
Type of wIring:
Entrance Cable .......m
Raceway ___......._.................__._......_
Circuits. Light___..........._..._.__..._____.........
Utility ...............u...u......_____....n_n
I-Ieat __......................._...___..........._._
Ra.nge ........h......nn__._.....................
Water Heater .._m___...m..m...........
Rigid Conduit ....n.__mm........
Metallic Tubing 'mm..
No. & Size...
Motor n......hn..................nn_.n.......
...---n-u_n..nnn.._...nnnn_n._._.__nn......__n.__uuuh.n__n_nnnn--.nnunh..___nnn__..____n___..nn.nn.__nn.n.nu_nunu_.nnn_nuu_
-;~.=_~~:.~::_:_::::::.:::_:___:-----m.::~_~_~:_:~_~.~.~~_~~_:__:__u.h----m-m--:~...:fZit~~Z=::::_
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 ,vork may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N~ 1 77 5 7
ELECTRICAL PERMIT
Ad4ress..................._._.._........__...___..__.........._._.__................_..................................----............___....Date_.._....._____.._.._.........._......_.........____....
Owner _n......n_nnnn__............._.h......._......__n..._.._.......n._............................._h.nn....n...n Tenant....hn_n.........nnn...........___n_.....h...n....hn___..
(
Wi~lng Contractor ......_..___.._.___._......_._u.........._.__....................................._....._......._._._...._.......___.___. By____...........____._.........................................
\ NOTIC~urrent must not be turned on until Certificate of Inspection has been Issued. It work Is to be con.
\, ceated due notice Iriust be given the Inspector so that work may be inspected betore concealment.
''-.~. -."
1M
Olympic Printers, Inc.
,
".
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl! I 17423
/ {;..- 3 r ()
Port Angeles, Washlngton........................-.:::................................, 19........
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 i~e~~,;~aQn.ted .t~eleC~!Cal work as listed belOW.,:!
Addres~41/JA'!-!f-y---...--..~:'::fe:~,..m-'.7a...--.......------. Occupancym.......L~.t..1,~.m..__m...
owner{/:!a.7t-"~.~.~~.~...,.t.=:?'~~nant..._..........__....___........_.....m............__..m...m......
Wiring Contractor m.&f7ri..Ei!r::t2...~.";)!.~~--:--.m. By..____.m......mmmmmmmm......__.__.......m__.......
Light Outlet................................_.._..." Service, volt. ./p;:!..L...:.
Receptacle Outlets..........__..__.__..__........ No. wires ........................--.............
Dryer, KW __unn..hU..U........................
Size wires..................._.............._..
~( Range, KW....u...............
Main fuse .......................................
Water Heater:
Enclosure __.....__..................__.....m..
KW...............____....______...____..__
Type of wiring:
Entrance Cable ......__m.......__.......__
Heat; KW.............__.....__..____.__...____....__..__...
Motors: size, volts and phase:
,) A
cJ .;B~-<I>/J;f,.t"'."'1~~..m..m..;p.OT
.<< ^ .mm....m......._'....._d..-..........__m...
Ig""I.;.?......;<:,~!...5..""4..."..i!X?.Z:..x.'_
I II . mltl~j4..m.'..Gl.tJ..:r:....:~.p{
tl .-e "(;:., ,C/!R,.M:;e.'t.~.m...J!--'-'.?.~
.., /~(ff'"
Rigid Conduit .........__mmmm........
Metallic TUbing ...........................
.!current transformers:
No. & Size....__....................__...........
Ser. No.............................----.............
Ser. No......._......................................
Ser. No.........__..__..................._............
Type of Wiring:
Armored Cable ................__m.........
Non-Metallic ................................_
Knob & Tube______..__......................_
Rigid Condnit ...............................
Metallic Tubing .............--............
Raceway ......................._....._.__._
Circuits. Light.......................................
Utility.........m.................................
IIeat .......................................--....
Range .............................................
Water Heater ...............................
Motor .___........................................
Dryer......................................:.........-
Furnace ......__..................~...._._...........
..-'
Total, wad............................. Ser. No. .............................................. Total ....n.................................
i_ ,;- .. /7 r-) ,
Remarks: .~m___..nn':?n'~fl.cfLi!'...d/.__.....!(~a::t..IJ..d".'J,,::d.....n........m__.n...m.m...mmmm...mmmmnn.........
. -
.;~~;~.;~~__....m.__n.........mm;~~~~...~~~~;~~..__.___________.._____..mm...m2:;.....7;..l;.;~;mm.2;.mmm.2.
(L............m........'..........._ NO.........m..m.........___ By /fliml:..-;...d!l,.,1r!.~.t._:.o/:!:.~f:::"':t.':..:;?.~..'_.
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 P~RMIT
/
Address...................___.......................................................!~......................................................._Date..._......_.._..._::..........._......_......_.........
,....' .. -/ I .
Owner......................__..........._......_.._......_......_.._............................................!..............Tenant..........................................n........................
I
I f
WiringContractor..............~.........._................................._.............................~.......................!.......By..................................................._..__......
!
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 tiyen the Inspector so that work may be Inspected before concealment. '
\
I
,
\,
1M
Olympic Printers, Inc.
,
,
'.
N?
17423
\:
,
,
\
,
:
,