HomeMy WebLinkAbout309 S Washington St - Building pf ,ORT 4 N
O c.,
FOR FOR OF :CIAL t!SE UAL}
Fr "palz.3 ELECTRICAL PERMIT APPLICATION I,,,,,R,
Fermn n:
V Dare Approved:
Dale Issued
t e The Electrical Permit Application must be filled out com leY ?ly.
'mows Please type or reprint in Ink. If you have any questions, please call (360. 417.4735
Fax number: (360) 417 -4711
1 REQUEST INSPECTION
E
Owner or Elec. Contra tor Agent: r f d r j e i ,k Phone:'j 2 Li Fax: 5 1 (0
Property Owner: n, 1 1 Phone: u,
Address: 3 t J7 W G i :h i r, City: tot Zip: 9 <53C2.
E 4 cL .Sr Contractor: Y L. (Y t C. P. �y- License j S-A 1 Q I Ex t t `7//02. 2 40
j'� r i p: Rhone:
Address: S 2 Off' ;,r ,d C( L l J2 Q CityPfl r A ftn l J D Zip: :IkR
INSTALLATION WIRED BY: 1' D OWNER ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address: City— Zip:
Credit Card Number: Exp. Date: VISA MC
PROJECT ADDRESS: 3 ,5`. 471/4.5/1i,v fl 5
TYPE OF WORK: Check all that apply: Li New .LI Alteration/Addition
G Residenta! LI Multi- family Commercial FE; Mobile Home Sq. Ft.
Li Remote Meter Detached garage Hot Tub Swim Pool C' Septic Pump 7 Low Voltage E Telecom. E Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:, r e-
9 «.ul -I-
Electrical Heat Load Additions Service Information
0 Baseboard KW Voltage: ca t-t
0 Furnace KW Overhead Service Phase: E 1 3
0 Heat Pump KW emp Service Service Size: 2ro 0 cev.,n
S
O Fan -Wall KW Cl Underground Service Feeder Size: (lJ
PAMC 14.05.060(B): For industrial, commercial, residential projects larger than a duplex, a one line drawing of the Electrical Service
Feeders, building size (sq. ft.), load calculations, and the type 8. of conductors and/or raceway is required and shall accompany the
Electrical Permit application.
I hereby certify that l have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature: Date:
1 1 -1 1 2 4 2
Owner or Elec. Cont. Signature: &L° n.1 C &A"' Date:
PW -9019
"S CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~~
-
BUILDING PERMIT ISSUED: 10/17/2001 PERMIT NO: 13046
OWNER/APPLICANT PROPERTY LOCATION
KRISTI KNOWLES 309 WASHINGTON S
1896 LITTLE RIVER RD Lot: 6&7
Port Angeles, WA 98363 Block: 4 0 Long Legal
360/457-9298 Subdivision: DOYLES
T: S: Parcel No: 063000730410000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $10,000.00 SFD Units: 0 Commercial: 0
Project Type: REMODEL SFD SO FT: 0 Industrial: 0 V'
Occupancy Type: RESIDENTIAL Garage: 0 C
Occupancy Group: MFD Units: 0 -\
Construction Type: MFD SO FT: 0 Y'
Zoning Use:
~
PROJECT NOTES NO P l (\.I At..-- ~
REBUILD STAIRWAY, ADD 2 DORMERS, ADD 1/2 BATH UPSTAIRS ~
4=
-
C.
RECEIPT & 8187 6;'
FEES ASSESSMENT ~\
0
Building Permit: $181.25 Mise Fee 1: $0.00 C
Plan Check: $0.00 Mise Fee 2: $0.00
State Surcharge: $4.50 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $219.75
Plumbing: $34.00 AMOUNT PAID: $219.75
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether speCified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
1{)A~Ll. I~{-Vl-- 10/17/6/
Signature of Contractor or Authorized Agent Date Signature of Owner (If oWner is builder) Date
-ill ~."".,.... ~.....,
~ BUILDING PERMIT - APPLlCAT.ION ::n~: iO.17-01
Dale Approved:
~ The Building Permit - Pre-application IIIIISI be fi/kIl ollt completely. Dale 1ssuecI'
~~ Please type or print in ink. Uyou bave any questiolU, please caU 417-4815 f:,f'" t ~() Lf (..,
Applicant and/or Agent. Ii.. n s -h ,j 1-< VI Ch.,j \ e s Phone: '1 C; I ,. q d- <j f?
Owner: k (' 1 '7 -j,' ,.1 1<' V1 lJ"W ( e <: Phone:
Address: 12'110 Ll1fle..... el~'Y rc:.( City: I')-/-. i~(f If~ L0C'L. _ Zip: 9~JG3
.J
ArchitectlEngineer: Phone:
Contractor License #: Exp: Phone:
Address; City; Zip:
PROJECf ADDRESS: 301 SOlA. it--. CU Q ~ M I '....') ~ <::,f---. ZONING: "
LEGAL DESCRlPTlON: Lot b ,,'1 Block' <1 ~ Subdivision: c~ 1!,"hICY bam l~f;;2(.) r:::,o'~ U", ~\
CLALLAM COUNTY PARCEL NUMBER:C\"~cn'v ',>0"/ I 'c,J/I'w Credit Card Holder Name:
BilOng Address: City,
Credit Card #, EIp. Date: VISA MC
T)'PEOFWORK: SIZElVALUATlON:
16 Residential 0 New Constr. 0 Re-roof 0 Woodstove SF. @ $ ISF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @$ /SF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ (SF. = :I>
o Repair 0 Sign 0 TOTAl, VALUATION :I> I Drm()
BRIEF DESCRlPTlON OF THE PROOECf: C.'" tlAA <' ""hi;, )A) "'-<A '. "tf J. :l /A 0 V"A'-/)A_ / _
. . A h b I'J? tl'.A-T 4l-i . ,
COMMERCIALlRESIDENTlAL: Occupancy Group: Occupant L08a:" Consln1ction Type:
No. of Stories: Lot Size: % Lot Coverage: %
Existing Lot.Coverage:, . ./sq.ft.+ProposedLotC" ,,""..:: ",. /sq.ft."'TOTALLOTCOVERAGE: Isq.ft
PIA. 1_'," I ~ USE oNLy: APPROVALS: PLAN
Notes: BLDG.
DPW
.FlRJl'
ESAlWetJand(s):oYesoNo SEPA Checklist required? 0 Yes 0 No Other: ~.......
BUILDING APPLICATION SUBMl'ITAL: Yourapp;L ,,,J,,, fIIIdslteplon must befi/kll oItt completB,y to be """."" !for ntlrew. The
Building Division can provide you with more detailed infonnation on the application and plan submittal requirements.
BUILDING PERMIT APPLICATION SUBMlTfAL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to the Building Division.
VALUATION OF C~_ I.).....JCflON: In all cases, a valuation amount must be entered by the applicant This figure will be reviewed and
may be revised by the Building Div. to comply with current fee schedules. Contsct the Permit Coordinator at 417-481 S for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
pennit fees are due at the time of pennit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by
limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see
Section 107.4 of the Uniform Building Code, ClUTent edition). 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 c01Tec~ and I am authorized to apply for
this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such. .
PW-IlOU3(rev5JOl) Applicant: IUu-~' ~. \~~te: IO/~ 17/6/
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: Rr/
Date / / - .c;- -() f Time~: 3::) Received by (phone, person)
Location of Work to be inspect"'! s"D'7' So lUtA-.S Ii 1,1 t'\ 'A,
Name of person requesting inspection Krr-; ~-J..;. K.f)~1 ""
Address of person requesting inspection Phone No. 'Y52.- 3(;':?y
Type of Inspection (circle appropriate one): Permit No. 1<0 '1C-.
Sewer Foundat~on ~aminv Chimney Plumbing Final Sewer Excav. Other
~~ - ?t.u+>b'j \,~
INSPECTION NOTES:
Inspected: Date / i ,:). ()-1 Time I
By (--
Remarks: () ,b'
., ..-/. 1-- .
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: cF~erson)
Date II-C1-0 / Timp Received by <;' C;'
Location of Work to be inspected ~Oq S IJJ4SH
Name of person requesting inspection f(. fli <,+1-
Address of person requesting inspection Phone No. q n- "5 b 5<t
Type of Inspection lcirc ropriate one): Permit No. t 30 "f (."
""" Plumbin~Fin~sewer Excav. Other
,
Sewer Foundati Framin Chimney
INSPECTION NOTES: /
Inspected: Date // . /;: 1..--.'
'j .Timp By ,.-
f
-
Remarks:
/) . I
. . r
t ."
,-
RESTORATION REQUiRED...... YES NO
fu[ Ati /I-f~-ul
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
"~ CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 9R162
""'r...'"
ELECTRICAL PERMIT ISSUED: 11/13/2001 PERMIT NO 7461
OWNER/APPLICANT PROPERTY LOCATION
KRISTI KNOWLES 309 WASHINGTON S
1896 LITTLE RIVER RD Lot: 6&7
Port Angeles, WA 98363 Block: 4 0 Long Legal
360/457-9298 Subdivision: DOYLES
T: S: Parcel No: 063000730410000
CONTRACTOR ARCHITECT
ELECTRIC SERVICE NIA
924 DRAPER RD.
PORT ANGELES, WA 98362 , 98360-0000
360/452-6424 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00 \)-:
Occupancy Type: Construction Type: ADD CIRCUITS ~
Occupancy Group: Zoning Use: .J::l
Electrical Heat:
D Baseboard o KW D Riser D Underground Service V
D Furnace o KW D Overhead Service Voltage: 0 .
0 Heat Pump o KW D Temp Service Phase: 0 1 0 3 t
D Fan Wall o KW Service Size: 0
Feeder Size: 0 t.
PROJECT NOTES ;S
-
remodel 4 circuiuts . add 3kw heat ,
J
1
~
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $45.50
Temp Service: $0.00
Mise Fee: $0.00
TOTAL FEE: $45.50
AMOUNT PAID: $0.00
BALANCE DUE $45.50
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE I DATE I ACCEPTED I COMMENTS
I YES I NO
I DITCH
I ROUGH-IN 1 COYER I tlnh I ;~
I SERVICE
I FINAL I II /2.(~(,,\ I .J.A I
I
I
I
I I 1 .
GENERAL COMMENTS:
. _PW-I I02H 14196]
:
.S CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
.....~
BUILDING PERMIT ISSUED: 1/04/2002 PERMIT NO: 13143
OWNER/APPLICANT PROPERTY LOCATION
KRISTI KNOWLES 309 WASHINGTON S
1896 LITTLE RIVER RD Lot: 6&7
Port Angeles, WA 98363 Block: 4 D Long Legal
360/457-9298 Subdivision: DOYLES
T: S: Parcel No: 063000730410000
CONTRACTOR ARCHITECT
ALL WEATHER HEATING & COOLING NIA
302 KEMP STREET
PORT ANGELES, WA 00009-8362 , 98360-0000
360/452-9813 360/000-0000
PROJECT INFO
Project Value: $2,759.00 SFD Units: 0 Commercial: 0
Project Type: LP-GAS/STOVE SFD SO FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0 \.N
Occupancy Group: MFD Units: 0 0
Construction Type: MFD SO FT: 0 j)
Zoning Use:
PROJECT NOTES (J\
INSTALL FREESTANDING STOVE 1 GAS PIPING 1 TANK PLACEMENT ~
RECEIPT # 8661 G
FEES ASSESSMENT ~
Building Permit: $0.00 Mise Fee 1: LP STOVE $35.00 Y
Plan Check: $0.00 Mise Fee 2: $0.00 . .
State Surcharge: $0.00 Mise Fee 3: $0.00 lJ
House Moving: $0.00
Manufactured Home: $0.00 -4
Sign: $0.00 TOTAL FEE: $35.00 0
Plumbing: $0.00 AMOUNT PAID: $35.00 :>
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct, All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
con~~ction. /l~
/ I t1IJ(j~~Pf;t1 ~
Signature of C ntractor or Authorized Agent ate Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVEll,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION;
FOOTINGS
WALLS
FOUNDA nON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # I
ROUGH.JN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL
.';i",
WALLS I ROOF I CEILING
DRYWALL
I-BAR
INSULATION
SLAB I I I I
WALL I FLOOR I CEILING I
MECHANICAL I
HEAT PUMP I
WOODSTOVE I PELLET/CHIMNEY I INSERT I
HOODfDUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'s: I
WATERLINE I METER I
SEWER CONNECTION I
SANITARY I
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING I I I ESA:
LANDSCAPING SHORELINE:
r-- FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCVIUSE
I RESIDENTIAl.. I DATE YES NO COMMERCIAL DATE I ACCEPTED
YES NO I
I ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL I
LIGHT DEPT
I CONSTRUCTION R.W.I PWI CONSTRUCTION. R. W.
ENGINEERING 417-4807 PW I ENGINEERING
[FIRE 417-4653 FIRE DEPT.
Ij{cr:t ~' PLANNING DEPT.
PLANNING DEPT. 417-4750 /'
BUILDING 417-4815 l-'" BUILDING I
( /
C:\APPL. WPD
'ROM : ALL WEATHER HEATING & COOLING FAX NO. : 350 452 5177 Dec. 14 2001 02:35PM Pi
. - , , - ,.....',. -;.'....:..Lt.:... : ';;~Cl... \ 7ol"!, 1
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S .bll~lIVtlitylElectriclFirc Pumlt ApplkadllD _0I'f1C1AL lJ8E am.y,
DoIaIloo.-
"_ 8lJ 0lIl: .1 lob. 'I)pc or pial iu illk. If)Dll bllYe'llalious -"
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pJ_...u CUll) 417-4115 .... Flw (360) 4174711 lIWIlm_y~
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-..II: www.c:l.port....eles.WL. BW._,..", -
II.P. .....,
~ f,P#"13/?i">
A{lpfi~,:,'jf;.:SJ.;' J4t; l1t(rH /1" /Ut. F't4;~1f52 403 _ ."'
0.-. /30~t:J ~ ~5 l'Jq L.f~2 ~~9
Addniu:. :12' tfr rA.U1~ CIly; /7/. Ih1fCJ~ :.-- Zip: qR';~v?-
~1t7J7/J;fI: , i'bGIIc-
nVllnIl1rr' dtur jj-/(~ ~tt/J1J1JJhlYliftlf.'.. qlt/f7-:..p.-- i~2~
Addr-. ?;/}l. Kek!fJ fJr:~f' ('Cil)': Ityt-tlnfd/":; ,~ tlg;~7
PIIOhKT~PJWI'r 3~1 '/7,J-!, If.~rivl'/,,/~n .-......,
UG.U.lJISCJIU'nOJ(.1.t.c: llIookt' SuIIdi\Uiaa.
~'''I'''M.'''.',I~.II.',:P~,:I.,,,w:~~,,, QaIIr c.rd......Jlf_
BIIIIIlII &~1 4*r ,Qt)': . I ~
ClIdIt c.na ., ~D* VISA Me
TYn:O'W~ SlZIIVALII411ON'.
o D.-i'.._.... a NnIo..w. Q lIauor ~Sto~ SF, @ ~ ISF.-'
CI I.6IlIi Aa:ai.b CI ~ ......~~~ <> Mow C1~ SI".8' I:J:P.-'
Q ("---alai Q 'D_ ..i 1 <> o....tit;".. QI)- SP.8' IlIF.-,.
Q EI&uictI g LP... C Sill> C UST TOfALVAWAnON J: Jlk '"ZI"76CMY/J
BaIU~on;anaOIKT: ;;iI''', ?landrlfY SmtJ, vqt1~ lcimg; 1ildtk~
CO~'WDIt$h\JN'l'JAL: ~tftup, n."r\ Loa4: ..c:aa '. . .,;1, _ ~
Na. ofSlllrill: I.4lI Size: % LDI Q"" #M %
....'.me Lar Cowrap: IIq.ft. + Prupcscd Lot C. .",,,,, IIq. a. ~ TOTAL LOr COVE.RAGJ!, IsqJl
.~ lliIOM;Y: . AI'nOVALS. I'1.Wf
hnIdII...... ..' .NtlIQ: ILlIG
ll4u. ...,:. SedIal:IIi:: Zoaiag: DPW
SilcPIID -UNA"" ...1 br. .D~ J'lJII
IlScVW.-1-lW:OVwoNo SBPAClll,klilllrG/,llircd?Q Vag No Odlcr 011II0Il
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~'QQI"'lQIMITrAL: Y-IIIJI&-*" DIII_". --"*JIIIU.", .....,.,..... -..-fiw,..... 1'be
Bo';"';",tIMliI:tI_lJIVYide)W witla lDDle cIcuiled iIIJiJrmaIioD Oll.lbc lIIIIIIicadoD IIId pia ........,.'" .. , "..:. ..'". ,,' .
BUlLDlNGrzIIMR'.oVI'UCA11ON~...........u.: Your.." ,'"" , "",1;.."n"'1.litejUa(lllr ,"",;oI..)IIIdJaaildiDa~
piau 8llID 1111II I. ,..;".. 10 1Ile llWldma tlivilioa.
VALUA.'I'I)llfOJ'.....OolI..... .",:.1.'; IIIl111C1lN11, IwllIIIicG_mllllbeeDllnSlIydle, ",,;., ". 1lia8pnwillberiMen1
_....,belMMllby* _1"",,, Oiv. to UIIIlllIywi1b. wm:IIUI:D!ldlaluleL Call1a:I1IIc l"8'Illi1 ..., , . ,," .. C 417-4B15 lllr ......""ot
PLAN .......... DI: V_ pia duo:kb ill dIl...llIK u-Ibo buiI4iIl& pumi.\ lIIJllliallioo 8Dd """" ,..- .', plIas Ire '""""lied. All
odler pcaulI_ ... due CIbe time of pa-mi& iBlIlIIIIce.
XXl'fBA11ON OJII'LAN UVlEW: liDo pcnui\ ill inua1 wiIbia 1110""" oftbedate oftFl'N...q...., lbia Ifflll"llUlIR wlIl CIfIB
by 1Uni~. .''lbtMd~ 0IIkiaI1:lID eataId lIIelime lbr ~ by Ibo Ipp1ieat up 10 1811_.. UII wriIIall!:llllllllly 1bc 1pJlIicaQ,
(ue llcaiGa 101.4 otllle 1Jalbm 8>.".....1 Code, _1__). No wi.-c'"" _ k ""'",dcd -.-1IIa ~
I....., CIIll'6' ..,....IN4_ CUI""" dW./IIIUIiiI,. 11IIII"'", ilia _ t. HIIw .""..,,"," ..1_ ~ Ie
tIIP6r h, '*6_11. 1 NIIIImtMti It is ..t . aty's /qIl rapDlJIibJIlry Ie Mc",.""wJJIt ~fIIlia _ "fllilrii it,.. dw
qp/iaM'" 'It' r~.'IiO' ,. tk,c...w "'''''' ,cfllJlIIJ 8rrr ,.,"'nfl MtI ,. ....... _l.
-,,,- -'t-~1l(jWks - I~'(fl.
. ' .'
,
I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: ' /"1
\ ' .-. C) -:;l ~
. ' - ,
. - .' f \ -..- .
Datp' .. Time Received by c: "- (phone. person)
/] .J1!\ C? .-.:.:::....... i \ 4.c 1-/ / /\ J/J- )
location of Work to be inspect"''! ~ U' c..: VJ f' : ....) , 1 " '-'"1 / 0 ;......
Name of person requesting inspection I
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one):, . Permit No. ! ~ i "';
Sewer Foundation Framing Ch~mne:. Plumbinli~~-)ewer Excav. Other L~ <~72>I/t.,
q 6,_) .! J,.. >i.J'JCf
/ ~ -~: i
INSPECTION NOTES: " !
Inspected: Date Tim" By
Remarks:
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
o Repaired by City Work Order #
o Repaired by Permittee 0 COMPLETE
[] No Damage Found 0 INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
II
II ~ VORT .<IN,
..o~.. CITY OF PORT ANGELES LIGHT DEPARTMENT
~~ <",
"II"" ".'" 321 E. Fifth Street
L..~ Port Angeles, WA 98362 Lllcf /
r:;~",~ (206) 457-0411 PERMIT NO.
. }' uG tt/;2:Y.4")
OAT"
ELECTRICAL PERMIT
" (A)I1-L~~ o READY FOR o WILL CALL FOR I
Site Address: 30<1 SfJ.
III INSPECTION INSPECTION
Installed By: d!e", ftu S~ A~0(', d I License Number: Phone: I
Iii
I Orner/BUSineSS: Phone: I
I Orner/BUSineSS Address: Sq. Ft. I
0 RESIDENTIAL o TEMPORARY SERVICE o OVERHEAD SERVICE
0 COMMERCIAL o PERMANENT SERVICE o UNDERGROUND SERVICE
0 BASEBOARD KW o NEW CONSTRUCTION VOLTAGE:
0 FURNACE KW o REMODEL o SINGLE PHASE
0 FAN/WALL KW ,lcfADD/ALTER CIRCUITS o THREE PHASE
0 HEAT PUMP KW o SERVICE UPGRADEIREPAIR SERVICE SIZE AMPS
0 SIGN o SPECIAL EQUIPMENT
(LIST BELOW)
DJtails/DescriPtion: i ( L~
II (j) IJ
II K~ ~ '"
II I? (A~ /) ('
. II .Kl-#kf? K~.--rL
II I (
II
II
WS. No. SERVICE SIZE DATF ENGR.
II
CAPACITY:
Ii 0 O.K. NOT O.K.
ACTION REQUIRED: o CHANGE TRANSFORMER o CHANGE SERVICE WIRE
I o INSTALL SERVICE POLE o OTHER
II
II
o Ibitch Inspection O.K.
"
o Ifough-in/cover O.K
o IO.K. to connect servic"
~I
.. t'nal O.K
I' {U~~ I permitW! i I
Silte Add~70 9 01,
I" (/'0)!u;" ~A//tU. I New Meters I D~ehj3 I
II[t81Ier: ,19
" I
No~ify 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 eitherthe Wiring Report
or pn the ~-permll. PHONE 457-0411, EXT. 224. e>O
i! ) ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~o ----
!i El~ctricallnspector Permit Fee
WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall
il
OLYMPIC PRINTERS INC.
II
.
CITY OF PORT ANGELES N? 16266
" ELECTRICAL PERMIT
LIGHT DEPARTMENT
[I
}>-/3 PP
Port Angeles, Washlngton.........I."..........__.................,.........,........, 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 granted to dO. electrical work as listed below.
. rL.;;J;:.1
Address ..,.~~:?-;f/r!d!::..'~y.~,~.j({!.................,.........".....,.. Occupancy..A..~,........."............,..
Owner .........f~~..i/jf~ee..~...",....................o.,..,... Ten~,.........................,.......,..............,...............,..
Wiring Contractor ....,{~'f.:~~.../Y.cflk.~.. .,.,................,......,.....,......................................
'(/ (/ . ~
Light Outlets..............................._.._.... Service, volts ..!.?...()L:!I..f!!..~..... Type of Wiring:
Receptacle Outlets........................___.... No. wIres ____~....~..:......._...!.:.:...... Armored Cable .....----..-----............-
SI I }(I/;' a;.-I/ Non.Metallic ........................"......,
Dryer, KW ___uu.____.__d__..._.u...._Uh.___... ze w res..._.__,_...~__-.____...........-..
. /~o/I.. Knob & Tub...................................
Range, KW ___nnnun___________.h.________ __0__ Main fuse.... .___.__m__....__...___........
..s: Rigid Conduit ......,........................
Water Heater: Enclosure ._....._m_._______.___mm......... M t 11' T bi
e a Ie u ng ....._.....__...____.......
KW.........h...'...."".......hm........... Type of wIring: Raceway ._____.........................__..._
. ~!J /:jB Entrance Cable .............n....... ...... CIrcuits. Light................m.............__._..
Heat: KW......Z_..................................___...
Motors: size, volts and phase: Rigid Conduit m.m....m............."" Utility.............................................
Metallic Tubing .................. "'00'" Heat .......................................-......
...........................................................
Current transformers: Range ....................:........................
'h"",,,,,,,,,,,,.,,,'''....._.......n...n............
No.. & Size....................................... Water Heater ...............................
.................n........................................ Motor .....................u......................
Ser. No...............................................
........................................................... Dryer ........................................--......_
Scr. No. .............................................
........................................................- Furnace .........................'_.........._.......
Ser. No..............................................
I
I Total I..oad............................. Ser. No.................._.......................... Total.......................................
-
Remarks: 'n...'n..''''......4jf~~_.R.'.....n..n............'u",..........'.....n..uu'u....,.....u............".........u...
,. . ,/
...........-.....................--.....-............--......--.....................--.....................--.............................................................-.....
I
............'mm....m..............UU"..""n.......'uu......m.........nm..........'...,.."..,............................u.....u~u
Pebit Fee Treas. Receipt /% ;;;( )< ~ '7
., - ., ,. lI'u . -../
$U".....,......'....'...mn......... No..................,.......... By m ,~u......u...u...'r'..'.......::::'......m.......u.........
NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT N? 16266
Address..................._.....................................................__............................................................Date..._......_......_.._.........._......_......_......._
Owner ..................................._......_.._......_......_.._.............._n.............n......un...........n... Tenant.........................................n.........__..............
Wiring C~mtractor............................... .................................'...h............m............m........ By..hh....n................................,...............h
I, 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.
\ ~ 1M Olympic Printers, Inc.