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HomeMy WebLinkAbout127 E Park Ave - BuildingCITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000010 Application pin number 720260 Property Address 127 E PARK AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 0568 0000 Tenant nbr name QWEST Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 50 buried phone cable RCP #10 01 Owner Contractor PITTIS TTE JACK N /PENNY A P 0 BOX 3041 PORT ANGELES WA 98362 Fee summary T' \Policies \I 102 15 10/081 Charged Paid Credited Date 1/07/10 EXCEL UTILITIES CONSTRUCTION 54 W MISTY LN PORT ANGELES WA 98362 (360) 452 1110 Permit RIGHT OF WAY Additional desc 50 BURIED PHONE CABLE #10 01 Permit pin number 159129 Permit Fee 150 00 Plan Check Fee 00 Issue Date 1/07/10 Valuation 0 Expiration Date 7/06/10 Qty Unit Charge Per Extension 1 00 150 0000 ECH PW RW CONST EXCAVTION OTHER 150 00 00 150 0000 ECH RIGHT OF WAY PERMIT 00 Special Notes and Comments Traffic control plan to be submitted to and approved by the City prior to the start of work Permit fee does not include surface restoration Work to be in accordance with attached detail Due Permit Fee Total 150 00 150 00 00 00 Plan Check Total 00 00 00 00 Grand Total 150 00 150 00 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 CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITAR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102.15 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING' I FIRE DEPT I PLANNING DEPT I BUILDING PREPARED 8/16/06 9 10 27 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/16/06 ADDRESS 127 E PARK AVE SUBDIV TENANT NBR PENNY PITTIS CONTRACTOR PHONE OWNER PITTIS TTE JACK N /PENNY A PHONE PARCEL 06 30 10 5 0 0568 0000 APPL NUMBER 06 00000407 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/23/06 JLL BUILDING FRAMING TIME 13 00 6/23/06 DA PENNY 457 3078 THIS IS A DECK INSPECTION 06/22/2006 01 09 PM DYASUMUR 06/23/2006 04 00 PM JLIERLY post and beam under stringer /2x block at joist and beam intersection /no brad nails on guard rail /hand and guard rail on stairs/j11 BL99 01 8/02106 JLL BUILDING FINAL TIME 13 00 8/02/06 DA 08/01/2006 04 10 PM DYASUMUR PENNY 457 3078 08/02/2006 04 49 PM PBARTHOL NEEDS HANDRAIL BL99 02 8/14/06 JLL BUILDING FINAL 8/14/06 DA 08/11/2006 08 53 AM PERMITS PENNY PETTIS 457 3078 08/11/2006 09 25 AM JLIERLY 08/14/2006 04 00 PM JLIERLY no brad nails in newwel post /deck screws in hanger to be replaced with 16d commons and bolt connection block to beam/j11 BL99 03 8/16/06 LL BUILDING FINAL TIME 13 00 9 f 08/15/2006 03 58 PM DYASUMUR PENNY 457 3078 COMMENTS AND NOTES BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at t 2.9 Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction Od- 2 kt4 s o�1 6 -ieL1 1 1) These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call for inspection Date Inspector for Building Division nn MAT RFMAVF T41IC TAO. PREPARED 8/14/06 13 18 36 CITY OF PORT ANGELES PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS 127 E PARK AVE SUBDIV TENANT NBR PENNY PITTIS CONTRACTOR PHONE OWNER PITTIS TTE JACK N /PENNY A PHONE PARCEL 06 30 10 5 0 0568 0000 APPL NUMBER 06 00000407 RES REMODEL BL3 01 6/23/06 JLL BUILDING FRAMING TIME 13 00 6/23/06 DA PENNY 457 3078 THIS IS A DECK INSPECTION 06/22/2006 01 09 PM DYASUMUR 06/23/2006 04 00 PM JLIERLY post and beam under stringer /2x block at joist and beam intersection /no brad nails on guard rail /hand and guard rail on stairs /j11 BL99 01 8/02/06 JLL BUILDING FINAL TIME 13 00 8/02/06 DA 08/01/2006 04 10 PM DYASUMUR PENNY 457 3078 08/02/2006 04 49 PM PBARTHOL NEEDS HANDRAIL BL99 02 8 14/06 J.. BUILDING FINAL %'a IP 08/11/2006 08 53 AM PERMITS fps I�`riv, PENNY PETTIS 457 3078 ig 08/11/2006 09 25 AM JLIERLY COMMENTS AND NOTES PAGE 4 DATE 8/14/06 PREPARED 8/02/06 9 36 29 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/02/06 ADDRESS 127 E PARK AVE SUBDIV TENANT NBR PENNY PITTIS CONTRACTOR PHONE OWNER PITTIS TTE JACK N /PENNY A PHONE PARCEL 06 30 10 5 0 0568 0000 APPL NUMBER 06 00000407 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/23/06 JLL BUILDING FRAMING TIME 13 00 6/23/06 DA PENNY 457 3078 THIS IS A DECK INSPECTION 06/22/2006 01 09 PM DYASUMUR 06/23/2006 04 00 PM JLIERLY post and beam under stringer /2x block at joist and beam intersection /no brad nails on guard rail /hand and guard rail on stairs/j11 BL99 01 8/02/06 JLL BUILDING FINAL TIME 13 00 1 08/01/2006 04 10 PM DYASUMUR ‘94— PENNY 457 3078 o f COMMENTS AND NOTES PREPARED 6/23/06 13 25 29 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/23/06 ADDRESS 127 E PARK AVE TENANT NBR PENNY PITTIS CONTRACTOR OWNER PITTIS TTE JACK N /PENNY A PARCEL 06 30 10 5 0 0568 0000 APPL NUMBER 06 00000407 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/23/06 SUBDIV PHONE PHONE BUILDING FRAMING TIME 13 00 PENNY 457 3078 THIS IS A DECK INSPECTION 06/22/2006 01 09 PM DYASUMUR COMMENTS AND NOTES BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at Inspection of your work revealed that the following is not in accordance with the co es govern'n• he work in this jurisdiction 9,Ar L S, .IPok..(1-. S L r)'h t)ST( G iAghti l T L kLe, ae .41A1 N I c ,�4-aoarz 47` 4O S l Q DO NOT REMOVE THIS TAG G These corrections riius -mod -are not to be covered until reinspection is made When corrections have been made, please call -f- for inspection I Date it) Q3 k 0 .J C-L.. Inspector for Building Division PREPARED 6/22/06 11 03 25 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/06 ADDRESS 127 E PARK AVE SUBDIV TENANT NBR PENNY PITTIS CONTRACTOR PHONE OWNER PITTIS TTE JACK N /PENNY A PHONE PARCEL 06 30 10 5 0 0568 0000 APPL NUMBER 06 00000407 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/22/06 BUILDING FRAMING TIME 13 00 PENNY 457 3078 THIS IS A DECK INSPECTION 06/21/2006 08 21 AM DYASUMUR COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000407 Application pin number 361382 Property Address 127 E PARK AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 0568 0000 Tenant nbr name PENNY PITTIS Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 9000 Contractor PITTIS TTE JACK N /PENNY A OWNER P O BOX 3041 PORT ANGELES WA 98362 Owner Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 76216 Permit Fee 193 75 Plan Check Fee 77 50 Issue Date Valuation 9000 Expiration Date 11/13/06 Qty Unit Charge Per Extension BASE FEE 95 75 7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 05/15/2006 10 09 AM SROBERDS No land use issues noted Electrical load calculations and elctrical permits are required Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid Credited T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Date 5/17/06 STATE SURCHARGE 4 50 Due 193 75 193 75 00 00 77 50 77 50 00 00 4 50 4 50 00 00 275 75 275 75 00 00 Separate Permits are required forelectrical 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 orwork is suspended or abandoned fora 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 nstruction. s. R#Q 16 Sign'}ture of Contractor or Authorized Agent Date Signature of Owner Of owner i builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS 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 ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD YES 1 NO FINAL FINAL SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I J I I I PLANNING DEPT BUILDING 417 -4815 (,�0b I J /4' I I BUILDING T \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005] DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I I Applicant or Agent: Owner•5P Address: Ja 7 L PC lL 4) P- City (1 /4/1 Architect/Engineer Contractor City Zip ZONING Fa 404 LEGAL DESCRIPTION Lot:A. L y 11 Block. L‹ Subdivision. 7 Sco.,a. n CLALLAM COUNTY PARCEL NUMBER. 6.30 o (5 0,57 anti Y Address: PROJECT ADDRESS Poss. 4.)e- TYPE OF WO Residential Multi family Commercial Repair BRIEF DESCRIPTION OF THE PROJECT RK. New Constr Addition Remodel Sign COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones. Lot Size. Existing Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T•1FORMS\BldgPermitform.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 you have any questions, call PERMITS (360) 417 -4815 FAX(360)417-4711 State License Re -roof Stove Move Garage Demolition tk Deck Li On Other Phone: Phone. Phone: Exp 96 367 Zip 96862 SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 1 cz��tl FOR OFFIC Date Rec.•✓, Permit a Date kpproved: Date Issued: Phone: Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. Date: S a- in 6, APPROVALS PLAN BLDG DPWU FIRE. 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 application, 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 RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to w r= ST 5t or OP' 5 0 3 4 lt r SITINOtr5 ,aarj 1m rvcc t4 r RU-1-0 1G) 101...c, IC ,e• ort. 01.44.4 ,14,01 0* 7i toc PO 1.1 rNI(i__ 'IC141- I Oh 541- 11%4142 3lecoAc PhD T r 4)(11. NNAe. fA, f 2x� rtrti rat L' 2x Z vtr'r3 2)(4- 1'(vQ et- (3 °Troll z xte, Toe r G po STS i l-z...% Ao-t Into 4 SomJtc_;- Co 1 04 ).0 Retto 1 114-5 -L 6)4 td 246.c4 ..(e-,VS ,rte 4 �1 F.'5 ALL ft Surf --1 2_7c2. vv C2 oz 60).)C F itk 1 04 file ®L(f 1C yG1- 5'ygy) GAS (/5 7 Sa Cis (1kl'' ti Cfl —rr�x p�cK z >go: o STS I o h o 2� 3Etttm5 Pirris Drc)c, 24X Zc( I s ■E Sem 4 c X s Cf 4� 4 5 weetT51 1E0- 1W ZS o' 40 woot rvAV- 1, 0 tv tr- ftnet 6 I 7 1 lj S 4 4" x x ra, 2.1c) 4 x4 Kt, 1 3 Lu t) 117r) Wcoc>sHe 15,0 208 3% (7) 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 correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval Date 47 lo WALK 1‘, By .11CC T1[2. 2..•■•••■ 17_ 1. 3 j g 11- -15 ff,„ t s' 4 i a a 7 11% 1 °0 4 r." D~9 FEE RE9EIPT NUMBER f CITY OF PORT ANGELES '. DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A co 95 PERMIT NUMBER . I TOTAL FEE I , :.1 . p. Site Addiess I 1ttfR 00 LEGAL OCCUPANCY PERMITS WITH WRONG ADDRESSES ARE CANCELLED L> ,"_ .In~tallatlon BY.' 12' ~~ t~;c U4.eivJ IJE{L. I );(;7 (.'?,c;t/~ Installers Address ~--~ ~;,'~ ---:- Day Phone 451,- :,o-t'h Installers Phone ' .4.S Z- "l ,')"Z. Application is hereby made for Permit to'lnstall Electrical Equipment as follows: ";0\3,- "AN E:-L I N St\o~ (VJ ,'toJr ~O~T.l!~. NO:.:>.. . TIME TO: COMPLETE NO; STORIES ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT \'';' -, Owner . II 2.;;' Q';,.,;-\- I I"M- L\'(W;:";.lzc O\J\\..J.,c..~H.~'\.\s ') , , Wiring Method -~ /I ~L)' . . .' / USE OF CIRCUIT~' NUMBER AMP 120V. . 240V NUMBER AMP 120v, 240Vl CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT I &, ..-r /b ,,. SIGN LIGHT 50 VOLTS OR LESS CONVE;NIENCE' '2 -z.o ./' MOTOR ,. . - CONV~NIENCE . MOTOR I . APPLIANCE I. 30 /' ,- MOTOR . D1SH'hI~S.HER FiRE ALARMS . OISPO~AL BURGLAR ALARM RANGE MISC, OVEN WATEFA HEATER LAUNQRY . DRYER REINSTALLATION LIGHT FIXTURE # FURNlfcE SUB TOTAL FEE GAS-OIL- FURN~CE ENERGY FEE ELEC AIG .. BASIC FEE ElEC'JfAIC HEAT TOTAL FEE ELEctRIC HEAT , SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .. A.C. UNIT / / AMP PHASE FEEOItR V V SIZE OF SERVICE ENTRANCE CONDUCTORS " . . SERVICE AW.G. I SUB-TOTAL ;t .!!- SIZE OF GROUND SIZE OF ENTRANCE SWITCH . , I certify that the work to be performed under this permit will be done by the installer and i Date Application made Oc..-\b~ 'Z. <), I . .19.E:f:- By o TRACTOR OR OWNER (OR AUTHORIZED AGENT) Pqrmlssion Is hereby given to do the above ~e5cribed work, according to the conditions ere n and according to the approved plans and specihications pertaining thereto, subject to compliance with the Ordinances of the City ~t Port Angeles. .....,. , DIRECTOR OF CITY LIGHT B~ PLAN APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or qurrent 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. . , " . Date R;ermft Issued WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OL_YMPlC PRINT':RS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS J / ~'i? -.y-C/ Y-;;A/, fJ:ftv JI_ I,J ',.J., ,; P..... " . ;Y.M.A ~A' ~A, A N.fv7 ~ :l2P-4- JA . " J #J/~ ~ k"~ .,;. " ~,/".':tA A .A ,11, ~ J-..A ",;fl- .,' , . .' Y0JA" J- d< A / ?~ .; : ~.~z... . ." ^0'1.. ./1. /l-,~ /P.<<- A-" ~ d A"l ,4 T _ J) ."F/I\. J "#- A-. <L,?,. / , / .. / .n ;fl r, ~ -:-'~ ~D4.." I- . . / r?r-7 ,. ;.1 !I ~" ~- 7F71 ! J:7' a.. (/ /V.J~ " , I , I //";'1 -1'1 /11/ ..P O.K. FOR COVERING 11- ;,.(. -{ if /jJ ;f 5' O.K. TO CONNECT SERVICE IJI.l,?-fjQ /jJj"~ FINAL O.K. . z Cl a: 00( :::!: !!? :J: I- Z W l- . I- o Z o o . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? L6396 ~- - ....., "-.. ..... -. t'--' (I' ... Port Angeles, Washlngtonmm__...:::mm....~:__:mm__m...m...m.m...__. 19__000:.. II). 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 m!;~;1?:.--.}E..m--!.~--LtL--..---:;i..--..'--'m--'mm.m. Occupancy.__~,,~__:~m.__.__,___..nmm.m.__ ". (.' "./.' / ~7:::~.~;~~~~j~t:~~;?;.::::::::j~.;.:dh\~~>.r:6~;~~;~::~::::::::.,~,..'.~~:::::::::~::::::::::::::::~::::::::::::::::::::: Light Outletsm_....m./.................._..... Service, volts ....!..n:.:.::.~n..':.....~:..~:.... Type of Wiring: : (> '1 Rece~tacle Outlets.m....jm___............... No. wires ..n...!........................"";;...... Armored Cable ................----.......-.. C SI 1 ~"./",.; 0 ( 4-' Non-Metallic ................................- :::::. ::.,'.'.')...:;::.'..:.'.'..:....--........::.... M:~n ;u::sZ;::~:::::'::?:::::::::~:: Knob & Tube.....,........__..........__,__. Water Heater: " I '11 i ~W...........~:!-...~......h._..._.. . J"' ,,-:11< Heat: 'KW.h..n..O;::.....~.n.!.':.".?...::............. Enclosure ........:........n._...n.....___.._..... Type of wIrIng: Entrance Cable .m.'h' Mot~rs: size, volts and phase: Rigid Conduit ............................... Metalllc Tubing ....____...__.__........... Current transformers: No. & Size.n..n.....__..n........... ~.......................--.............................n.. Ser. NO........................n..................... Ser. No. ....h..............................h..._... Ser. No. un..n._nn..n..n.h..............n.... Rigid Conduit ......................__......' Metallic TubIng hn.n.....h............. Raceway ..........,..~............_._..._ CirCUits,. LlghU'J:f......--..................... ~:~:tyjlE:::::::::::~:::::::::::::::::::: Range ..:::?____...__........................__... @ Water Heater ..._...............m..mh. Motor _......................nn...n....n...... Dryer n..~n.......u............n................. Furnace ..n.....un.__......n.'_........_..._...... ,'~ Total Load....m...................... Ser. No. ................._........h.._............. Total .t2~~:~......._......h........... Remarks: __mumm__<::!"-__1..:!..:.,!:::.m___../__,-!.1:'!,'__,,~.__t(,._m.u__=u__mmummmmu__um.mmummmmuumm__. m--_.m-----.----______'u__mm.mm.-fly.~'______j/9--~le,..f.kA).!.:uD.Tmm.m--m--m__mmmm________m__.m__ .;~~~';~~.m----m.--.umuumu;~:~:.;:~;~~m.~J~-<!~~~yu--m:~--mum000__ $,<u__ZL;,~l::L.m.mm.-- NO.m......................... By ,jz.,::,:,:____,~;.__.~.::~'.:.m:__:__:'~-::~/!.u::__:__:,...., NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cea.led 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? 16396 A,ddress..................._..................................................................................................................Date..._......_.........._.........._......_......_......._ Qwner..................................._.........._.................._......................._...................................Tenant..........................._........................................ Wiring Contractor ..................................._..................................................................................... By..............................................._......n...... NOTICE-Current must not be turned on unttl CertIfIcate of Inspection haa been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. .....,.._-,~ t:l..;..t",T'''. Ine.