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HomeMy WebLinkAbout903 S Valley St - Building CITY OF PORT ANGELES E2NE DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 11? 321 EAST 5TH STREET, PORT ANGELES, WA 98362 i 1• Application Number 12- 00000731 Date 6/07/12 Application pin number 326554 Property Address ASSESSOR PARCEL NUMBER: 06-30- 00-0-2- 9440 -0000- REPORT SALES TAX Application type description RE -ROOF on your state excise tax form Subdivision Name f Property Use to the City of Port Angeles Property Zoning PUBLIC BUILDINGS PARKS (Location Code 0502) Application valuation 4500 i Application desc TEAR OFF REROOF Owner Contractor HENKE JIM OWNER 903 S VALLEY ST PORT ANGELES WA 983627638 fi nal 847)4• 19- Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF REROOF Permit Fee 137.75 Plan Check Fee .00 Issue Date 6/07/12 Valuation 4500 Expiration Date 12/04/12 Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL- 2001 -25K (14 PER K) 42.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 142.25 142.25 .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 r 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 whether specified herein or not. The granting of a permit does 1 not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. t g -72 50 6n Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit Q BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS (n Building Inspections 417 4815 Electrical Inspections 417 4735 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. rt Inspection Type Date Accepted By Comments FOUNDATION: (n 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: r—� FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 1.1� Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 j 'df LL, T•Fnrmc /Rn ilriinn r)ivisinn /Ruilriinn Permit ON H H CO WW U F <KC 0 C‘40 a H H H Z W U) 000 w o x x F us aa °z F h q 00 �a H O 0 F F F 0 U U z F w w w z a a 0 w z z P4 0 o a 0 w H U R[ 0 F Z U 0 a U H a HE. a 0 ZZ 0 0 41 41 ,1 o 00 0 o W 0 H O O H v m m w W a a am Z co u1 W ry H O H (.0 o o ri Z a r HH n j h o o .7 W t O H 0 0 a U) W O O 000 0 041 xri W FF H H 0 0 ,7. V) Z o 41 o 0,1 w cr1 0 000 000 N N 00 COF 000 0 0 a x o a u o 0 w z a 0 a 07 q F W 0 U) U H a o �0 ,1z 0 0 o a 0000,1 H g 0 WE. 0ZZO0. fY a m WU 003 aa W F BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: T. VR. Attn Building Permit Technician Date Received (o 1'a Y... 321 E. Fifth St., Port Angeles, WA 98362 ermit (360) 417 -4815 fax (360) 417 -4711 pate Approved (o I" Y Applicant j r r J e't 1 4, Phone Property Owner j,, /ifilfrre Phone Property Owner's Address 9'0 3 a (.1c4 //K f Contractor Phone Contractor's Address License Expires E-mail PROJECT ADDRESS qc :3 Uei Y r Pc Parcel Number C (,.15 0 tG)L A fi:.? 00 00 Lot Zoning Project Type 8, Brief Description: Residential n Multi- family Commercial Industrial Check all that apply New Construction n Addition Remodel c Repair Demolition Re -roof House o garage other tear off re -roof lay over one layer u Heat System Heat pump o wood- burning stove gas fireplace n pellet stove other n Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 5 per sq, ft. 1 Flcor 2nd F ;oor 3' Floor Garage Carport Covered Porch Deck Shed Other fecloi= COO 30 6 6 .5 CA) TOTAL VALUATION 5 Total footprint of structures sq. ft. T Lot size sq, ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage °lo 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 t have read and completed this application and know it to be true and correct. f am authorized to apply for this permit and understand Mai it is my responsibility to determine what permits are required, and to obtain permits prior to w •rki o projects, Date 6/6// Z.- Print Name ii+'1 1't t' /t Signature +:Forms /Building Division/Building permit, application j RECEIVED 1 JUN 7 2012 CITY OF PORT ANGELES BUILDING DIVISION Y CITY OF PORT ANGELES o rj! DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000039 Date 2/02/12 Application pin number 628092 Property Address 903 S VALLEY ST RePORT SALES TAY, ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 9440 -0000- Application type description RES REPAIR on your state excise tax form Propertpery Use Subdivision N Property to the City of Port Angeles Property Zoning PUBLIC BUILDINGS PARKS (Location Code 0502) Application valuation 3000 Application desc Move door, replace deck, replace bottom 36" of sid Owner Contractor HENKE JIM OWNER 903 S VALLEY ST t %f 1W f),14-1.1°/ f n 4 4 .4 1 PORT ANGELES WA 983627638 �7 Permit BUILDING PERMIT RESIDENTIAL Additional desc SIDING, REAR DECK, MOVE DOOR Permit Fee 109.75 Plan Check Fee 71.34 Issue Date 2/02/12 Valuation 3000 Expiration Date 7/31/12 Qty Unit Charge Per Extension BASE FEE 95.75 1.00 14.0000 THOU' BL- 2001 -25K (14 PER K) 14.00 Fee summary Charged Paid Credited Due Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total 71.34 71.34 .00 .00, Grand Total 181.09 181.09 .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 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, 4 /OZ 014 e,. ie -41. Q..�LGe -LCD v� 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 PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 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 V Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 1 FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Dec*. rya. r 1 317.A is- Joists Girders Under Floor J Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by 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 Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 dd Building 417 -4815 Q -2)4 z. 0 0 'b 0 H z k0 w ro l Z Z 0 H M iD r n tr1 Hro K tri 0 0 0 y 'z t >En Oro H n m ro M H C7 w 0 ro ww O t+7.. 3 0 N N N t 0 NI 0 H O x 0 Z .P m m r M 0 Ni 01 Z 11 0 M to Z w t7 H HH HH o wyC M N N N N M M(' o O M (n r 070 0 tri 6 0 0 to CG 0 0 H b SD H 0 3 r 4 Y' 4 X7 z w o r o 4 2M ro r En �N K tr 4111111' r ro W M �D !n tr n o H X 0 H ro o 073 w43 X717 0 0 r N 0 N N r M M H 0n on n 0 to X70 G1 n >r n G) C n 7 N O r .ro N H NiO ro H H H N iD H N (.n ro d 0 T- 0- 3 n0 z 0 0 3 r 0 0 0 0 0 -3 Z Z N M Z X Z H (n (n t'1 0 l0 0 0 X hi hi z Z H M M (11 N O N H H y n 7 w [n 0 H `G v1 C a �n z U w N o 4 H 7. W f1 1( O O w(D N ro ro n O i 0 H- v 0 0 CO t=1 l L1 m (0 P (0 Z Z l7 H (D (D b7 O H r n 0 C H u. x• ,7 M H n X7 H. r G G N r N (0 0 K 1 N N 1-.11 0 N (D T1 O n 0 rt H r- r O n 7 N r H. 0 N 0 En N O 0 H S H G) M M N N H PROJECT STATUS UPDATE Permit Z� q o-5 S Vc I (ej Date: /23I12 I phoned the: Applicant at Property Owner i i m Hence at 4 to b g9 Contractor at eft a phone messag), or discussed): The permit (has expired, or will expire soon What is the status of this project? P q -21/111- Please call and schedule a final inspection. er Submit a "permit extension request" letter. Or Let me know if the project is abandoned. Um-to call mc.> 4-c, CI 1.5 CLASS 1 T:FormsBuilding Division/Project Status Update r K ro� o ro ro 00 zd H 0 0 0 0 K ro o p y z r O fn M H C7 10 0 0 ro ro M• .'b• O w O LT 1 y� IO 1 N N ro GO roX t.o 1 yam m 000 00 o M Ul 1 z w 1 Gl H H H H0D o00 MN N M M q 0 0 0 VI r- H o o 4 C pJ o o H i W H 4110 C 0 H 0 00 'O 0 r o O N N (n a H H H M ro o U1 4 r 0 H o 0 N N r M M H o o n n t7 C cn 0 ',O x7 N X 47 r x1 0 w0 Tl HH lD 'r N [J'0 d O 4 m O H H H O o 0 3 z H ro ro H ON z trl n U 0 H H H N o m cn O H G n z (D tr o N N C H H O N N ro 'b fn zn H d 0(l x x G' M m a< Z Z O m y ID CD MMH r n C H tY n 0 r N C VI rt G b N N ro ro o n ■c3 rt r 0 n w rt H. 0 7' 0 (0 d ro H (0 M M w N cr■ H i i N i N i BUILDING PLUMBING /MECHANICAL PERMIT APPLICATION LONG FORM (To be used for projects that require plan review.) Date Received t``t' (7-- Permit 1. —0'3 City of Port Angeles Please print in ink. Date Appr• f L Attn: Building Permit Technician Approved i• jt 321 E. 5 St., Port Angeles, WA 98362 360 -417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no A erican Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri s:30 -12:30 pm Contact person: J k. A• O 50 d1, p C Phone: 3 40 Z37 xi 6 q Property owner: ji; frt I- be el IA Phone: 360 it 4, D (99 Property owner's mailing address: T Cas 2d Sr^✓, OI�,Ay,1)4 Litt �(�5/2 /01 Contractor's business name: �jw /i.er. Phone: (or property owner's name if he /she-is doing /overseeing the work) Contractor's mailing address: Contractor's L &I license number: Expiration date: j Project Address: q03 5. (la -e/ Parr 4nf1r /4' 5 G.A 73 3G'Z Project Type: ix Residential 0 Commercial D Industrial ti Multi family Project Business Name: 1 Zoning: (for commercial, industrial, or multi family projects) Parcel Lot 0/93000v z� �hor /3 I Q ilN 29 Complete. only the portions of this permit that are relevant to your project. (7) Pay the plan check fee .(based on the valuation of the project) at the time of submittal Residential Projects submit: (7) Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) (7) Prescriptive Approach Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: (7) Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Paperwork confirming conformance.to the Energy Code For large projects, a pre- construction meeting with various City department personnel is highly recommended. To schedule a pre construction meeting, contact the Planning Manager at (360) 417 -4750. (1) Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing proposed), curbs, sidewalks, storm water.plan, etc. For Additions New Structures also submit: Site plan (8 1/2" x 11 showing all structures (existing proposed), setbacks, new driveways *.If an architect or engineer drew the plans or calculations, include at least one "wet- stamped" set of plans and /or calculations. T:Forms /Building Division/Building/Plumbing/Mechanical Permit Application Long Form (Revised 2011) Page 1 of 4 Repair Solar Panels Miscellaneous: explain the ro'ect .7 S Project Valuation S 3 O00 Remodel: (explain the project, including how the building space is currently being used and what the new. remodeled use will be) Project Valuation If the space will change from commercial to residential, submit: "Checklist Converting Commercial Space into Residential Space" Addition: (explain the project and complete submit page 3) Maximum height of the new addition feet Project Valuation New Structure: (explain the project and complete submit page 3) Maximum height of the new structure feet Project Valuation PLUMBING PERMIT Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check one: No Yes If yes, complete submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check one: No Yes If yes, complete &,submit page 4- "Mechanical Changes" 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 *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials 1 5' x 2 Project Valuation g 00 0 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 obtain permits prior to Vvorking on projects. Dote l f Yo Z_ Signature 441 Print N e Ja c(/f 4, D /6m1 Page 2 of 4 Floor Areas Existing sauare New square Price per new footage footage square foot Basement x 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck 30" high)'" 162 0 r 005P y 20 gc)5P 4/2 !0D CEO Deck 30" high)* Shed Other 12.4 I O a c t"r 2 a t pro 3 40. Oc7 Other 1247,1c e-r Cbtel 5 r4 ti g eoo. co Remodel project valuation 560, 00 TOTAL VALUATION Walking surface of the deck above ground For residential building projects the minimum square foot valuation we accept is: D $85.00 per sq. ft. garage /utilitylmisc.structure $30.00 per sq. ft. porch /deckicarport $12.00 per sq. ft. LOT COVERAGE SITE COVERAGE Lot coverage is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than 30- inches, uncovered decks or porches having walking surfaces higher than 30- inches off the ground, etc. Total footprint of structures sq. ft. lot size sq.ft. Lot coverage Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions) Does the project include a new driveway? co yes ef'no If yes, what will the driveway be made of? o cement asphalt o gravel m other (NOTE: 18 feet is the recommended minimum driveway length for residential protects) 1 Does this project include a new parking pad? D yes eno 1 If yes what will the parking pad be made of? cement o asphalt o gravel o other U) Total footprint of structures sq. ft. (existing'& new) b) Total concrete, asphalt, other impervious surfaces sq. ft. (existing new) c) Add lines "a" "b" above to get the total impervious sq, ft. (existing new) f Total impervious sq. ft. ict'size sq. ft. Site coverage Page 3 of 4 4. V 3 [sa FILE A 1.,..- Q i. 1=jT" v_� CITY OF PORT ANGELES Mole The Issuance of this permit based upon these plans, sprcifi- cations and other data shall not pr gent the building official ill from thereafter requiring the_correctnn of errors in said Q plans, specifications and other data, or from preventing 0 building operations- being carried on thereunder when in j Z N„ violation :::'codd or" .ences ofthirisdin pproval BY X l --4:z-- 1 k7 .4)13r.)e-c., i er 3 p 6 j\ ii vo c 1 l c� I —1 i ...4 t 0 q' I' I t I ii. ,s. r 1 f a I 1 1 I k I 7. I II 1 :1 .4 4, r_rcUj 11,' la I ,,:ktt I II I'I S. c,. I R.. fl.tk■Nt- F ii; It. N.. kk kv0 C Ii. C.I. k I I II '1I1I kt. s.Z "Nz N n,I It t d i -...4 •••5" I 0 -.I. N, -Q, c., .`:t ...1 "..,.....!_i 4.-- r I k '4), 1 l 4 4. r q I L 1 ..,----1 8-1 ilk eltane el i /05 ryfi) TA'- t n--ent:a P T -1.-- 2 .2c Lt- 2a i 1 in iti/ x, Z P i Y:r.:, 6 e, .1 c Vilt Ail- ctekb- i' 7 VT -1- 2 q z_AF 1 el/4 J 0 i5r fe-e 5 /1 ..,,,..e 2 6 (20 Jai-sr 47 40 /1"t-)4er,evX e '0/c. i -1-0-7,..--prqr— -,1. 1! 1 .1) i cop) e_rerte! cfidri /le 4'/ 2- V"f(ay 9 0 3 5 vc? 4t 4 .ec eJ a (l s t q d v ..."7:. cam iNJ S: Z. tr to a R i 1fir. o Professional Engineering Services, Inc. 6.15T i1 Jack A. Olson, PE Professional Engineering Services, Inc. r y 3541 Carson Ln NW Olympia, Washington 98502 iolson08 @comcast.net January 10 2012 (360) 866 -1875 City of Port Angles Building Permit Technician 321 E 5 St Port Angeles, WA 98362 RE: Building Permit for Deck Replacement, 903 S. Valley Building Department: 1 am assisting Jim Henke (my nephew) in obtaining a building permit for the replacement of the rear deck and relocation of the rear door on his house at 903 South Valley. Attached is; a building permit application, a plan of the new deck, an elevation of the deck, a section through the deck, an elevation of the door replacement and a photo of the rear of the house. The existing rear deck/porch was removed to facilitate some repairs, with the roof structure being temporarily supported off the rear of the house. The design of the new deck is prescriptive in nature from the IBC and therefore no engineering calculations have been attached. Likewise, the proposed relocation of the rear door will go into an existing window opening and does not require the installation of additional. headers or flaming. Please contact me at (360) 239 -4619 once the plan check fees have been developed and I will give you a credit card number. If you have any questions or require further information, please contact me. Sii cerely, a C .,(e Jack A. Olson, PE. Attachments C 9 Y z_ QTY ,L _r__ yo D z rn O .4.....,,,.. J P s, h AY) v t c� O cu f 1 ,m r1 4 mil j O i a ;t 4 'f rn r a h ...5••••;''.-.',- [(q O o m \V K n ens oo s yr C a m b x rn m CO'''' 'g 't an" _rn i U o ,r. a�. Z iv c) lima ZM1 rte R F '7i '•A AA 0 j h 7 3 a l t' t . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO rs 33 .3 hhr DATE ELECTRICAL PERMIT InSjalled By: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Site Address: OV\ner/Business: Phone: Ow:ner/Business Address: Sq. Ft. ELECTRIC HEAT ~ SASEBOARD KW _ t6- FURNACE KW _ o HEAT PUMP KW_ ~ FAN/WALL KW ~ o RESIDENTIAL o COMMERCIAL' o NEW CONSTRUCTION o REMODEL 'l>l: ADD/ALTER CIRCUITS tJ SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1~ D3~ SERVICE SIZE FEEDER SIZE AMPS AMPS Detpils/Description: . ~ A-)j tftl~ ~ L' A~({f /3, ? 4.( / /Z..-H'tj<~ I ! {,(/,#/ Grt/ 2=" f W.S. No. SERVICE SIZE CAPACITY: . 0 O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service M~ 'jQ final O.K. Installer: () New Meters Site Address: . Nolify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the B~permit. PHONE 457-0411, EXT. 224. #' ~. .~ / cf./'-'I.--- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ r rl-O ~ Electrical Inspector Permit Fee WHl'fe - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall oLvlJl'IC PRINTERS INC /: CITY or PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nl! 17118 /1-::50 ?? Port Angeles. WashlngtolL__...___...______..::._........_..._........................ 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 is hereby gra:gd to do electrical work as listed below. Address .@.i!.1~..-<y-~~-...--......-......mh--..m Occupancy.._/.1~c_~..._..._hn_m__h___.._ ~::~~~~~~~~-::=~::Jit:~::~~n~~::~~;::::::::::::::-----_-_~~::~::::::=::::=::::::::::::::::::::::=::::::::: Light Outleto.......................................... Service, volts .../..-'?...';/..~'.t.:'q.. Type of WlrIog: Rec(,'ptacle Outletsm_m_..__..._..._........... No. wires ....~m_...........__........,_...._ Armored Cable ......___..................... Dryer. KW........._..................___........... SIze wlres..~~...... Non.Metallic ........---.-.-...---............ ''''';.~ .A, Knob & Tube___...._........................_ Main ruse ...~~n.:............. ..... RIgid Conduit .............................._ Enclosure m...mm..........._........m.... Rangt, KW ___nnn.hUh___n___u__n Water Heater: /;:W___........______....________..___ Metallic Tubing ........................... Heau KW.............__..._.......................... Motors: size, volts and phase: Type of wiring: Entrance Cable ........m Ser. No......____....__..............._....__._....... Raceway ....__._....._........._.....___ Circuits, Llght..._................nh............... Utllity..........___.........._.............._.... lIeat .....__.._._._._......................._..__ Range ......._....................__............... Water Heater ............m.._..._......... Motor ..._........n..._..._...................... Rigid Conduit _......_h_..m..____......... Metalllc Tubing ..____. CUrrent transformers: No. & Size.....__...........m___...._ Ser. No. ..___......_..........._...................__ Dryer _.._.._._...____._.............._.........._...._ Furnace ...._....................._......_..__...... Ser. No............................._................ Total wad_.........._n...._.......... Ser. No........._.._....._.._......__........_..._.. Total ...........___.._.._................... , Remarks: .......L2:\d;:o,!...~-::____..._....h~~~:/?::........h................__..........................m............. -.._.___._.____.____.__.______.___u.......__.__.......___............_.._..........._.._......._._.._..........._......________._...._.._..._.......____..._.._..__._......._. .........--u..uu.-.nu..hnunnh...._nuh_....unu...n...unn..nu.h'_hh.'UUU'U'UUh'"u,uun'.n'~~_."'U.h..n..nU__n__nuu...hn.nnn PEirmit Fee Treas. Receipt . 7/~...J tJIi. die. ~ $...______......._____._.....______.... NOh...._........____........_ By ----..-----------....Z.._~..____:~f,.____...:.@.-:-'-L~:.'__.. NOTICE-Current must not be turned on until CerUflcate 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? 17118 Address._..._......._.__..........____.........._.._................_..........._...__......__..___..............._.............._.............Date..._.....__.__.......~.........._._...._.........._...... 01Vller ....-......_.....n................_.........._...._.........__.__n....._.................._......._.n...............__... Tenant...._............._........................u..__...._._.hn..... WiringContractor._............___.........._._........_..............___...................__....._......____..........___._._......__..__By....___...........____.._.................................._.. ''\. NOTICE-Current must not be turned on until Cert1fJcate of Inspection has been issued. If work Is to be con. \ cOaled due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers. Inc.