HomeMy WebLinkAbout129 Viewcrest Ave - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
Wz 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000643 Date 6/23/11
Application pin number 720291
Property Address 129 VIEWCREST AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-2-2- 1025 -0000-
Application type description RE -ROOF on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning (Location Code 0502)
Application valuation 5590
Application desc
TEAR OFF INSTALL METAL
Owner Contractor
WATKINS, JR ROBERT /LYNN D DIAMOND RFNG ENTERPRISES INC
505 VASHON ST 1295 BLACK DIAMOND RD
PORT ANGELES WA 983626314 PORT ANGELES WA 98363
(360) 452 -9518
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF /INSTALL METAL
Permit pin number 188144
Permit Fee 151.75 Plan Check Fee .00
Issue Date 6/23/11 Valuation 5590
Expiration Date 12/20/11
Qty Unit Charge Per Extension
BASE FEE 95.75
4.00 14.0000 THOU BL- 2001 -25K (14 PER K) 56.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due \A
Permit Fee Total 151.75 151.75 .00 .00 X
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 .00 .00 1
0\ 1
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.
6 -:-.)_3--(( c... 4 \c.,_ t8 F:::2- Zt),.,,W
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
Q) 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 1
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:
L Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
\'•0 Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417-4815 P13
T:Forms /Building Division /Building Permit
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otv°"rg BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use Only:
v Attn: Building Permit Technician Date Received Pp ?3 ll
321 E. Fifth St., Port Angeles, WA 98362 Permit /3
(360) 417 -4815 fax (360) 417 -4711 Date Approved
Applicant 60,.cx_k8, ocS Phone -9 Ey'
Property Owner s k�v.s Phone '2 (,v S'ao
Prope Owner's Address tact t
Contractor �r�w a ri P r ∎sps j Phone 4_,0
Contractor's Address 149 k ,1 1%,,Sert,, LO 9 3 3
License `h I An E qy b ZZExpires; a E -mail
PROJECT ADDRESS c le c e-
Parcel Number L Zoning
Project Type Brief Description: ><Residential Multi family Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
kRe -roof 1r<House garage other Nr,tear off re -roof lay over one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION
Total footprint of structures sq. ft. 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
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
1 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 lo: working on projects.
Date (('a3't Print:N Signature b°
T:Forms /Building Division /Bldg Permitdoc
UTAIVIUNU KUUHIINU
Cliff Duffy Fors (360)452 -9518 2 v 9
1295 BIk. Diamond Rd.
Port Angeles, WA 98363
CUSTOMER'S ORDER NO. DEPARTMENT DATE
I
NAME
tQ Li iN. dk� P. �a k k;. c
ADDRESS
a V
CITY, STATE,
SOLD`BY
i .O.D =CHARGE ON ACCT MDSE RETD PAID OUT
ll
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QUANTITY D ESCRI P TION PRICE AMOUNT
1 e�r ski l c—o
111111111 ‘M
R 3C S k.--t l t.e Me 1
9
CI 10
14
16
18
19
20_ lin
RECEI V ED B Y
at e KEEP THIS SLIP FOR REFERENCE
5805
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000544 Date 6/01/11
Application pin number 892672
Property Address 129 VIEWCREST AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-2-2- 1025 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning (Location Code 0502)
Application valuation 6885
Application desc
HEAT PUMP
Owner Contractor
WATKINS, JR ROBERT /LYNN D DAVE'S HTG COOLING SRVC INC
505 VASHON ST PO BOX 413
PORT ANGELES WA 983626314 PORT ANGELES WA 98362
(360) 452 -0939
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit pin number 186866
Permit Fee 64.80 Plan Check Fee .00
Issue Date 6/01/11 Valuation 0
Expiration Date 11/28/11
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 clays 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.
6 I I O� -e AKo vh f
Date Print Name Signature of Contr for 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.
:Ts POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Y?
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 Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney 6-0--
Commercial Hood Ducts FINAL Date Accepted by w
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
.%4 Landscaping SHORELINE:
VJ
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
Building 417 -4815
T:Forms /Building Division /Building Permit
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May 31 11 12:18p Dave's Heating Cooling 3604520939 p.1
voRT :BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received 6
321 E. Fifth Port Angeles, WA
(36
(360) 417 -4815 15 fax (360) 417 -4711 711 Permit
'Date Approved 4
Applicant s a+ Phone -0 4 7
Property Owner R L e-r L• r s Phone c{5 ‘,2
Property Owner s Address V i�e vc J4 tre-q
Contractor Phone (-r
Contractor's Address P 0. c (/3
License f c K c Expires ot3 E -mail
PROJECT ADDRESS /c:2. (/l�r.��v -es f A ve.,h
Parcel Number Lot Zoning
.Protect Type Brief Description: KResidential Multi- family Commercial o Industrial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
o Demolition
o Re -roof c.House garage o other o tear off re -roof o lay over one layer
A Heat System Heat pump o wood buming stove o gas fireplace o pellet stove o other
o Other
Floor Areas Existing (se. ft1 Proposed (sq_ ft.)
Basement per sq. ft.
1� Floor
2" Floor
3' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION Q 5 7 5 .ctl
Total footprint of structures sq. ft. 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
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Willa 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. 1 am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are requiredd, and to obtain permits prior to rkvng on projects.
Date
rt Kay)-1 Signature i/ 9
431 1 Print Name f'
T:Forrns&Building DivisionBldg Permitdoc r
Clallam County Assessor Treasurer Property Details 67674 ROBERT AND LYNN Page 1 of 2
Clallam County Assessor Treasurer
Property Search Results 67674 ROBERT AND LYNN D WATKINS JR for Year 2011 2012
Property
Account
Property ID: 67674 Legal Description: TX #1914 OUT OF
#1206 &S260' OF
SWNWNW EXC RNV
.82A
Geographic ID: 0630152210250000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N y
Multi Family Redevelopment: N
Township: Section:
Range:
Location
Address: 129 VIEWCREST AVE Mapsco:
PORT ANGELES, WA 98362
Neighborhood: Cycle 5 Res Map ID: 2
Neighborhood CD: 10955130
Owner
Name: ROBERT AND LYNN D WATKINS JR Owner ID: 58608
Mailing Address: 129 VIEWCREST AVE Ownership: 100.0000000000
PORT ANGELES, WA 98362
Exemptions:
i Taxes and Assessment Deta
Property Tax Information as of 05/31/2011
Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
First Second
Half Half
Base Base
Year Statement ID' Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due
2011 161194 ST SCH STATE SCHOOL $324.45 $324.44 $0.00 $0.00 $324.45 $324.44
2011 161194 CC -GEN COUNTY CLALLAM $179.11 $179.10 $0.00 $0.00 $179.11 $179.10
2011 161194 SD #121 SCHOOL DISTRICT #121 $424.11 $424.10 $0.00 $0.00 $424.11 $424.10
12011 161194 CITY PORT ANG CITY OF PORT ANGELES $413.49 $413.47 $0.00 $0.00 $413.49 $413.47
2011. 161194 PORT PORT OF PORT ANGELES $25.21 $25.21 $0.00 $0.00 $25.21 $25.21
12011 161194 NTH OLY LIB NORTH OLYMPIC LIBRARY $75.12 $75.11 $0.00 $0.00 $75.12 $75.11 i
2011 161194 HOSP #2 H_ OSPITAL #2 $73.53 $73.52 $0.00 $0.00 $73.53 $73_.52
2011 161194 WSMET PK DIST WILLIAM SHORE MET PARK DIST $22.35 $22.35 $0.00 $0.00 $22.35 $22.35
:2011 161194 CITY_STORMWATER CITY ST_ORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00'
2011 161194 FIRE_ PATROL FIRE PATROL $8.70 $8.70 $0.00 $0.00 $8.70 $8.70 f
2011 161194 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81
2011 161194 FP Fee FIRE PATROL COUNTY FEE $0.25 $0.25 $0.00 $0.00 $0 $0.25 i
2011 161194 TOTAL: $1583.14 $1583.06 $0.00 $0.00 51583.14 51583.061
2010 49481 ST SCH STATE SCHOOL $321.20 $321.19 $0.00
$0.00 $642.39 $0.00
2010 49481 CC -GEN COUNTY CLALLAM $170.93 $170.93 $0.00 $0.00 $341.86 $0.00'
2010 49481 SD #121 SCHOOL DISTRICT #121 $416.04 $416.03 $0.00 $0.00 $832.07 $0.00
2010 49481 CITY PORT ANG CITY OF PORT ANGELES $395.76 $395.77 $0.00 $0.00 $791.53 $0.00
2010 4
2010 49481 NTH OLY PORT PORT OF PORT ANGELES $24.02 $24.03 $0.00 $0.00 $48.05 $0.00
T
Y LIB NORTH OLYMPIC LIBRARY $49.67 $49.67 $0.00 $0.00 $99.34 $0.00
2010 49481 HOSP #2 HOSPITAL #2 $70.12 $70.12 $0.00 $0.00 $140.24 $0.00'
12010 49481 WSMET PK DIST WILLIAM SHORE MET PARK DIST $22.31 $22.31 $0.00 $0.00 $44.62 $0.00
http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =67674 5/31/2011
~
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
;07
/'35D
PERMIT NUMBER
.
TOTAL FEE /b~ KrF, ..
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/ Z lRREcttof::. IS R(.!;,{.,CoF APPLICANT
Site Address
j PERMITS WITH ~_RONG ADOR~SSES ARE CANC~LLE9
Owner ' Installation By L'vl,(q;('r[A/
f. /
owner'sjAddress Installers Address ,.
Day Phore Installers Phone
Application is hereby made for P~rmit to install Electrical Equipment as follows: .
. . & 111 0 ck I 7?vf; r r I J f7 Ahf $/I"'f1fJ
,;v j M ( IV (;W IMI iJv/"',) r-'I J Tl ;V)
/- , .
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.(J,I//[. C/pJ . tJA/[
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Wiring Met~od
.'
, AMP 24QV NUMBER AMP 120V 240V
US~ OF CIRCUIT NUMBER PEA 12QV 100R FEE' - - USE OF CIRCUIT PEA 100A FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE . d, MOTOR I. -
I
CONVENIENCE. I / l.A?~ MOTOR ..,
APPLIANCE I { A} L' MOTOR
,
DISHWASHER IV'. FIRE ALARMS
,
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNQRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOT~L FEE .
GAS -'OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
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 certify 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 -'1 j-u j ({, ','9 . By .
( / CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
P~rmission is hereby giv~n to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of,the City of Port Angeles.~ ,,,
OIRECTOR OF CITY LIGHT ~ ,
, '~'.t
7(>( (ft
By
PLANS APPROVED
.
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 serviqe has been giv.en 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
OL YMPI~RINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
/
'I '1,[ q, ,Q O.K. FOR COVERING
, O.K. TO CONNECT SERVICE
FINAL O.K.
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
bb3
PERMIT NUMBER
.
.- !lES
TOTAL FEE It 00
;..;.--
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/2-9 /{j~wete["J.I-
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Site Address
_ PERMITS WITH WRONG A~RESSES ARE CANCELLED .... .
Installation By {;;j/U q Pffd" F'L .>cT)ZJC-
- I
Installers Address -----'"
----
Owner
Owner's Address
Day Phone Installers Phone
Applicat,ion is h~reby mat;te for Permit to install Electric~1 Equipment as follows:
A}f;-J 'n~ (ZM
A~" 1'1>0.0 (ufsm'l.r) Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
L1GH-r; SIGN
LlG+HT 50 VOLTS
OR LESS
CONVENIENCE - MOTOR .
CONVENIENCE _. MOTOR
APPLIANCE MOTOR
DISHWASHER / 1If. t<.! I'll II 1iJ~ G. "f FIRE ALARMS -
DISPOSAL / AlJ <V (} I?C. f"> r*,...,1 ,.,./ BURGLAR ALARM
.
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYE~ _. REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE -
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE 1/
-
ELECTRIC HEAT - /t?=
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
- -
I certijy that the work to be performed ider th~permlt will be done by the installer and in conf~rmance. with the N.E.C. Electrical Code.
Date Application made 4L2t> ab ,19 By It" III I:.!: .
/ ' CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. l' ; ; J:
, DIR CTO . crrv liGHT "
~/30/ft
~t-: of
\ I '11
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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.
.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPJQPRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
.J
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N? 15969
Port Angeles. washJngton...J.Q__.::'___?:-..ie._______....__...___.___....___.___. 19..J.Jc..
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 electrical work as listed below.
Address __J__1::___q.___...lIL~.~.~.!:_d..~.---..........---...----- Occupancy.________[__~......._.hh_______.
~7::: ~.~~~~.:::~~~~~~ T~::~~;::::::::::::::...........::::::::::=::::::::::::::::::=:::::::::::::::::::
Light Outlets..........................................
Receptacle Outlets...............................
Dryer, KW..........................................
Range, KW.................____..............
Water Heater:
KW..hhmn.mn...h.....nh.nhnmnn.
Heat: KWmmm3mO.K.fcJm.
~I"'"
Motors: size, volts and Ph'Be~
Total Load.............................
Service. volts ./.::I:../).::..1::::'I..7:J.m
No. wires ..4'1'.--.............................
Size WlreS.P.'1JL..';!6.m..
Main fuse m..i1.~n./.t::..m.
Enclosure .......C..J....t~..4......___
Type of wlrjng:
Entrance Cable ............._.........
Rigid Conduit 'mnmmmnnmm
Metallic Tubing .....................
Current transformers:
No. & Size...............................
Ser. No..............................................
Ser. No. .............................................
Ser. No..............................................
Ser. No. .............................................
Type of Wiring:
Armored Cable ..............................
Non.Metalllc 000000.0.......000000.0000.000
Knob & Tube................................_
RIgid Conduit ..0000.000..0.00'.00'000.000
Metallic Tubing ......_....000000..000
Raceway ...............................__..._
CIrcuits, Light................__.....................
Utility .n'.n..mmm.m.m.m...."'.
Heat ......................................._......
Range .............................................
Water Heater ...............................
Motor .............................................
{
Dryer ..................................................
Furnace .........................._...................
Remarks: _________________.___hm....____...___.._________..__.____.__.____._________.......__.........0........_____.___.______..______.._______________._________
Total.......................................
Permit Fee
.....__U.h____..du~n....n.nnn.u.uuh.~.......nu.n...U.hnh__.________~__~.n...u.__..n.~.....nuunn.unun...n.n.n__n.nnnun..u..u......n..
Treas. Receipt
No..........___.___.______.....
$:___._______.....__...___._________...
. .
By ------.--------..l~.L>,...._...n....n__________....n.
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 berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
./"~~~ '1rN,-t~,
I(W. Fv~. ELECTRICAL PERMIT
3{)
./""
N'! 15969
Address .mnm../tbuuq..........ll.~.'..n..m..............mm.-.. Dateu..m/..l2uu-:......::J...__.c.._._~_....2 tr
:::::~.~~;:-::~::~~=.::::::::::::::::..::::.::::.:.'~::~.~l.:~::::::::::::::::::::::;~:::::::::::::::
NOTICE-Current must not be turned on until Certlflcate of Inspection haa been issued. If work Is to be con.
cenled due notice must be given the Inspector so that work may be inspected before concealment.
""',.---'- D..1~.~.... Tn...