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Home My WebLink About1122 B St - BuildingPREPARED 9/16/10 8 09 31 CITY OF PORT ANGELES ADDRESS 1122 B ST TENANT NBR DWIGHT J ROMERO CONTRACTOR DAVE S HTG COOLING SRVC INC OWNER DWIGHT J ROMERO PARCEL 06 30 00 0 3 5295 0000 APPL NUMBER 10 00000972 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/16/10 INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE MECHANICAL FINAL September 15 2010 3 36 15 PM 1pangrle DAVE 460 2030 MECHANICAL FINAL HEAT PUMP PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE MEET YOU THERE COMMENTS AND NOTES (360) 452 0939 (360) 457 8524 PAGE DATE SO HE CAN 9 9/16/10 Se b0_2030 Mi CP-Q-DC(r /00 e)r- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Circuit for heat pump Owner DWIGHT J ROMERO 1122 S B ST PORT ANGELES (360) 457 8524 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Special Notes and Comments September 15 2010 1 05 25 Fee summary Permit Fee Total Plan Check Total Grand Total WA 983637246 173393 73 50 9/16/10 3/15/11 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH Charged 73 50 00 73 50 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00001022 833638 1122 B ST 06 30 00 0 3 5295 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES (360) 457 0198 73 50 00 73 50 Plan Check Fee Valuation CIRCUIT WO /FEEDER PM Brian 417 4708 OK INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 Paid Credited Due Date 9/16/10 WA 98362 `t 856 RESULTS cfiiata si/L,/,/f) 00 00 00 00 0 Extension 73 50 INSPECTOR. Date REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) SEP -14 -2010 10 20 PM E JANSSEN City of Port Angeles Permit Application Building Division/Electrical Inspections 321 East Filth Street P.O. Boa 1150 Part Angeles Washington, 96362 Ph: (360) 4174735 Fay' (360) 41T -4711 2 Single Family Dwelling Multi- Family or Commercial" Commercial Addition I Alerotien Remodul Rear Plan Review May Re Required, Please Co mli e n ?eel, ca Pier Review Information Sheet Job Address 1 �"L.a a I3_ '`itrc.E:.E..r.— Building Square Footage Description of ahnvr• ;)caner Information Name. l�.W.•1 cf. t e.c, L �i m.g.lt�c:. Mailing Address: iL.3_P _1. 'S._.. 7 S r City ?..Alt Slate' Ida.. 7.in. (1./3 c Phone. 417 Fax License fl Sap Unit Charae S 119.90 S 145.50 204.60 3 262.20 S 312.50 2.60 3 73.50 1 2.60 1 62.70 1 10.30 S .46.70 1 67 90 S 95 90 S 60.20 S 95.90 S 63'.90 S 63.90 Y 119.60 S 102.30 11030 S 35.20 S /2.50 S 110.30 S 56.00 glY 4 a.Li:..L.r6o.r Owner as defined by RC W.19.26.26f (1) Owner will occupy Inc Structure for two years after thls electrical permit is finalizes'. 7i Owner Is required fo hire an Gleetdcel controller /r above said property Is for sole, rent or lease. Permit expires after six months of last Inspection. Alter reading the above statement.'I hereby certify that I am the owner of the above named property or a licensed electrical contractor. i am making the electrical installation or alterellon In compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility SpecifiCalbns. Signature of owner electrical contractor or electrical administrator [_l :ash C �c cnV 1D ui? \J'L =lJ u LS 360 452 2982 L: 15 2003 ELECTRICAL ONSPECTIONS Total (Qty Mulliplied by Unit Charm Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp .oe.rvire/Feeder 401 -600 Amp. Services eerier 601 1000 Amp Se/vice/Feeder over 1000 Amp. 5 Branch Circuit W/ Service Feeder S 23. $'c._ Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp Service /Feeder 201 -400 Amp. r amp. Service/Feeder 401 600 Amp Temp ServirpJFeeder 601 1000 Amp Podal lc Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Addition& S. b i Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling S Manufacnued Home Connection Renewable Electrical Energy 51w4 Systwn or I. ens S -irst 1300 Square Ft. Each Additional 500 Square Fl or Portion m Each Outbuilding or Detached Garage I•eeh Swimming Pool or Hot Tub I hemostat 5 ;t Total Credit Card ll 1 .1 rcitpi iitrwvoLown- lii 'Stan 44411 C ntractor Information re, Ect Mailing Address: `4 I l,�ty P A State: W A— ip' 12 3 (1 Phone' Y57- '6:23.2 Fax: _f C7 I memo /Exp. E54T /Utio7 7i h,(a .1,2 /„Z6 /2.0 /I P 01 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 2 ton heat pump 58 3 lra furnace Owner DWIGHT J ROMERO 1122 S B ST PORT ANGELES (360) 457 8524 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983637246 ELECTRICAL HEATPUMP 172924 56 00 9/08/10 3/07/11 10 00000980 455900 1122 B ST 06 30 00 0 3 5295 0000 ELECTRICAL ONLY Contractor Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Special Notes and Comments September 8 2010 8 28 38 AM Brian 417 4708 OK ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Charged Paid Credited Signature of owner or Electrical Contractor X DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 09 9 Permit Fee Total 56 00 56 00 00 Plan Check Total 00 00 00 Grand Total 56 00 56 00 00 DATE. Plan Check Fee Valuation h p L71 JID PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 9/08/10 Due RESULTS 00 00 00 00 0 Extension 56 00 INSPECTOR. Date REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 0 Sep 07 10 11 14a Dave s Heating Cooling City of Port Angeles Permit Application Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 41744 77 Fax: (360) 4174711 Date: 1 71( V 1 2 Single Family Dwelling Multi Family or Commercial` Commercial Addition /Alteration 1 Remodel i Repair' Plan Review May Be Required, Please Complete Electrical Plat, Review Information Sheet Job Address: 1 i v.. S.0,..:41, L. .b .S -e..f Building Square Footage: eq Pr ✓ale' f. 6 0 0 r Description of above I r i 0- On a --C 41.2-1, rn c> ..5-4 —%r .^2.- cES P of 1 Owner information Contractor Into ation Name: Dui r °f' P� o m�,rt� Name: 1� t t�'S Y(.�?�n h 4 if n 5t car Mailing dr 5 Main Address 1). X 3 City' yr StateW Zip: 43- City' b Slate: Zip; `75.94,2_ Phone: 4 /1'7- !Si? LFax: Phone P-t9o r n 7 Fax. L l License #1 Exp. License #1 Exp. _at) 1' t 4 I f Unit Charoe S 119.90 S 145.50 S 204.60 S 262.20 372.50 S 2.60 73.50 S 2.60 S 92.70 S 110.30 148.70 5 167.90 S 95.90 8&20 S 95.90 S 63.90 63.90 S 119.90 S 10230 110.30 S 3520 S 73.50 $110.30 S 56.00 Owner as defined by PCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement,' hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468,. The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Chec te:1 /o SEP 7 20E Total fOly Muttinlied by Unit Charge) S SeruiicetFeeder 200 Amp. e Service/Feeder 201 -400 Amp. c Service/Feeder 401 -600 Amp. Service/Feeder 601 -1000 Amp. S Senrice/Feeder over 1000 Amp. Branch Circuit WI Service Feeder S Branch Circuit Wi0 Service Feeder c Each Additional Branch Circuit Temp. Service! Feeder 200 Amp. Temp. Senric !Feeder 201 .400 Amp. S Temp. Service /Feeder 401 -600 Amp. Temp. Service!Feeder 601 -1000 Amp. Portal 10 Portal Hourly 5 Sign/Outline Lighting Signal Circuit Li ited Energy Commercial. Additional 1500 $5.00 Signal Circuit/ .invited Energy I 2 Family Dwelling S Signal Circuit/ jilted Energy Multi -Family Dwefiiing Manufactured Home Connection g Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft Each Additional 500 Square Ft. cr Portion of Each Outbuilding or Detached Garage. Each Swimming Pool or Hot Tub Oafhermostat 56.m7Total Credit Card A %1 ELECTRICAL INSPECTIONS 3604520939 p1 D Cash ```�0` vOR .11 ,r'i Application Number 10 00000972 Application pin number 126756 Property Address 1122 B ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5295 0000 Tenant nbr name DWIGHT J ROMERO Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A HEAT PUMP Owner DWIGHT J ROMERO 1122 S B ST PORT ANGELES (360) 457 8524 Permit MECHANICAL PERMIT Additional desc INSTALL A HEAT PUMP Permit pin number 172833 Permit Fee 64 80 Issue Date 9/07/10 Expiration Date 3/06/11 Qty Unit Charge 1 00 Fee summary 14 8000 EA Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 TForms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983637246 Per Charged RS7 RESDNTL SINGLE FAMILY 6135 Contractor BASE FEE ME FURN /HP /FAU OR DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 64 80 00 64 80 S7//a f l ad zcL_LCYZele„, Date 9/07/10 Plan Check Fee 00 Valuation 0 5 TON Paid Credited Due 00 00 00 Extension 50 00 14 80 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 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. REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T /Building Division /Building Permit FINAL Date Accepted by (1_,1610 FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By Sep 07'1008 52a PROJECT ADDRESS Parcel Number Dave s Heating Cooling 3604520939 p1 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant .DAkie. a- k Phone Property Owner -0w i c o� 0 ,ns34 Phone Property Owner's Address I se) R +r Contractor 1:).%., s" �(,e c Phone Contractor's Address k d, y /3 ,4, /-1r, cSs C2 License j K Gq�i 1 c.Expires i e E -mail fject Type Brief Description: iKResidential o Multi family Check all that apply o New Construction o Addition o Remodel o Repair o Demolition o Re -roof 'Heat System o Other Floor Areas Existina (so. ft.) Proposed (sa. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load WU a fire sprinkler system be installed? Construction type ciO4 >y�6.ai l I So Lz- A ,--fre.a_2E G$ Lot For City Lisp Only Date Received Permit# I,0 -11 z Date Approved ciCS7Z".5 Zoning o Commercial o Industrial per sq. ft. TOTAL VALUATION r l .3 5 of bedrooms of full baths of half baths o House o garage o other o tear off re -roof o lay over one layer X Heat pump a wood- burning stove a gas fireplace o pellet stove o other Total footprint of structures sq. ft. Lot size sq. R 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 I have read and completed this application and know It to be true and correct I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date (7 (1 0 Print Name .-5 b y 0 I T:FommslBuilding Division/Bldg Perrnit.doc J Signature I: -er J 1 Clallam County Assessor Treasurer Property Details 59641 DWIGHT J ROMERO f. Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 59641 DWIGHT J ROMERO for Year 2010 2011 Property Account Property ID 59641 Legal Description LOT 20 BLOCK 352 Geographic ID: 0630000352950000 Agent Code Type. Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space. N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Township Range Location Address: 1122 S B ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID 2 Neighborhood CD 10955130 Owner Name DWIGHT J ROMERO Owner ID 49412 Mailing Address. 1122 S B ST Ownership 100 0000000000% PORT ANGELES WA 98363 -7246 Taxes and Assessment Due Property Tax Information as of 09/07/2010 Amount Due if Paid on i I Year' Statement ID I Taxing Jurisdiction 2010 42533 ST SCH STATE SCHOOL 2010 42533 CC -GEN COUNTY 2010 42533 PORT PORT Section. Exemptions: First Half Second Half Base Due Base Due Penalty Interest y Base $154 60 $154 60 $0 00 $0 00 $1E $82.27 $82.28 $0 00 $0 00 $E S $11 57 $0 00 $0 00 $1 2010 42533 PORT ANG PORT ANGELES $190 48 $190 50 $0 00 $0 00 $15 2010 42533 SD #121 SCHOOL DISTRICT #121 $200.25 $20_0.25 $0 00 $0 00 $2C 2010 42533 NTH OLY LIB NORTH OLYMPIC LIBRARY $23 90 $23 91 $0 00 $0 00 $'c 1 2010 42533 HOSP #2 HOSPITAL #2 $33 75 $33 75 $0 00 $0 00 V. 12010 42533 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10 74 $10 74 $0 00 $0 00 $1 2010 42533 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $Z 2010 42533 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 9 2010 42533 TOTAL. $744.37 $744 41 $0.00 $0.00 $74 2009 596412008 ST SCH STATE SCHOOL $176 52 $176 52 $0 00 $0 00 $3E 2009 596412008 CC -GEN__ COUNTY $89 34 $89 33 $0 00 $0 00 $17 1 2009 596412008 PORT PORT $12.65 $12.66 $0 00 $0 00 $2 2009 596412008 PORT ANG PORT ANGELES $195 94 $195 97 $0 00 $0 00 $36 2009 596412008 SD #121 SCHOOL DISTRICT #121 $218 30 $218.28 $0 00 $0 00 $4. 2009 5964120_08 NTH OLY LIB NORTH OLYMPIC LIBRARY $2_5 96 $25 96 $0 00 $0 00 $E 2009 596412008 HOSP #2 HOSPITAL #2 $36 64 $3664 $0 00 $0_00 $7 2009 596412008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $7 http. /vpn. Clallam. net: 8084 /propertyaccess /Property. aspx ?cid =0 &year= 2010 &prop_td =5 9641 9/7/2010 / rc ?aRT.v... ...O~~<O . $~~?~ 'p~ if 'EM ....~ ~ .......-;-v? CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000649 Date 7/08/03 1122 S B ST 06-30-00-0-3-5295-0000- RE-ROOF 2200 ~, ' Owner Contractor ROMERO DWIGHT J 1122 S B ST PORT ANGELES WA 983637246 ALLEN ROOFING 197 PLAIN JANE LANE SEQUIM WA 98382 (360) 681-6528 Permit Additional desc Permit Fee Issue Date Expi~ation Date BUILDING PERMIT TEAR OFF, FELT, 106.75 7/08/03 1/05/04 - NO PR FEE COMP Plan Check Valuation Fee .00 2200 Qty Unit Charge Per Extension 92.75 14.00. -- --- BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 ~ ~ Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Penli t Fee Total 106.75 106.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 111.25 111.25 .00 .00 VJ ~ OJ ::::: (/J ":-l 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 ordinance verning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gi authon to violate or cancel the provisions of any state or local law regulating construction or the performance of c . ~ 8' ,.- c) Date Signature of Owner (If owner is bUilder) Date T IPLANNINGIFORMSII102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD -' CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 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 DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS . , FOUNDA T~ON DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB I ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineenng DlvlSIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA- PARKING/LIGHTING ESA LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 4J7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 I r PLANNING DEPT BUILDING 417-4815 If} 11,,/ 11"'2., ).1-. BUILDING { { I I T \PLANNING\FORMS\I 102 15 [412002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: L Date O~ . olo~ { / Time /D~ 1<)"u Received by S~ epersonl Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin~sewer Excav. Other J~r?cv-r INSPECTION NOTES: ~ Inspected: Date 1.. 0 Time~ By -d G Remarks: J I 'J 2--- Su Cc~ ~,1 1J-11~rJ f/ i\? RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) ~TRI=I=T ~I JPI=RINTI=Nnl=NT (DATEl () :; ~ F ~.r ~CEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A OOLJf1l PERMIT NUMBER ( " T< 'TAL FEE 30_r~ .' .,))f.) JI I -t" iLl' LEGAL OCCUPANCY CONT. Lie. NO. TIME TO COMPLETE NO. STORIES ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .0 i-d- Site Ad, -ess / / ;).;L S/, IJ . -d:; _ _ ~'..GOARECT ADDRESS IS ~?SPON~BILlTY 0.. F APPLlCAI;lT PERMITS WITH WRONG ADO:~ES;AE CANCELLED Owner alLo~, Z'(: ~(t,t<'~ {I",..;-r ~ Installation By ,lJ,-ij [r fl Owner', Address Installers Address / <f 'j I I.t,.. / Day Ph, ,e ~. ("2- -- ,::; 7' ~- i' Installers Phone ,( J ]_ /y/ 'Cj / Applica on is hereby made for Permit to install Electrical Equipment as follows: ~v ~ )/l.i.."-' .f.",v<..-<. q/rc,/ /", /1'1 /-' -,f.:;I'. . , / ~'"f. ) I Wiring Method ~-- " - ,/ - . _. AMP 240V AMP 240V USI OF CIRCUIT NUMBER PEA 120V 100R FEE USE OF CIRCUIT NUMBER PEA 120V 10QR FEE CIRCUITS CIA '0 30 CIRCUITS CIA 10 30 - UGHl SIGN ~ 1 50 VOL TS L1GHl OR LESS ~ CON\' NIENCE MOTOR CONV' NIENCE MOTOR r--- :1- MOTOR APPlI NCE r--- FIRE ALARMS DISHV ~SHER ~ BURGLAR ALARM QISPC jAl r--- I MISC. RANG - OVEN r--- I WATE HEATER - I lAUNI RY - { REINSTALLATION LIGHT FIXTURE # DRYEI "'FiJ'AN; :E SUB TOTAL FEE GAS. ill ""RJRN;::;E I I MfA <-" ENERGY FEE ~tlC BASIC FEE ElECl HC HEAT - TOTAL FEE ElECl llC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER - ..'jr (, AC U' IT "'"") 1 AMP --' / t.,-G. PHASE -::-- SIZE OF SERVICE ENTRANC&CONDUCTORS FEEDE I t-- 13"....' 41 'Ii. ,;I./r. SERVlf E J..(II,," A.W.G I SUB-TOTAL t30,tS'<I S;{E OF ~ouNrf-;iil SIZE OF ENTAANCE SWITCH ;;l t:C J.. " I certify that the work to be performed under thiS permit will be done by the Installer and In co~rm~~ce WI~"h the N.E.G. EI~ctncar Code. Date Ap Jlleatlon made )u--z.;, If, 19. ~< '-/ By ~ ~'-c( /ONTRACTOR OR OWNER (OR AUTHORIZED AGEND Per'nlssion is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specific,ltions pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. /./_ Ice, _ <'Lt By /Y1~<fDI€i~FCITYLIGHT late Permit Issued I.J ~ ~ ~ PLANS APPROVED C I 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. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER- WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD .nspector's Report OLYMPIC '11INTERS.INC. ,.. :, . ,.~t , .~:-,:,,- .:. ,,:.l~ f.J. ~:j .-0/' :1';:;' to-, . . n' _ .~_;,~" DATE OF VIS!l'(; " -- ,,' 'Rt::PORT OF.I:N'SPECTOR -',' -ro' r .- ,." . ....1 " MADE BY REMARKS tifi'I-'7" ",' ;'iiiicAf ":<""'>Jc,; "y, . ,"""<.:/ -V -l--f '-", ,,'/ ~'l~.....,~'.) I I ..;'_ - - ~ ;1:,,- ' ,"_.r"" .. .,< X :; " ) \. ~- , , 'V " -1'\ \ , \- ,"'\ u""'\ ) ,;" .. ~l J: , -- "\::"',::-... .~ ,,': ."; 'J .:'1;. ,'1' '!'. ?- ".'~ , , "', ! " ,-:. ,y ! !'.' ..-~ , , t. ! i~> i(; . ., >. ~ (:,-,-, ;~:~'i~.. :. _3 ~; '. ,., ;.:.".. ',' 'f:",;ff,~ :~~:'~;;;. bY:.:\ ,>' ,.f,/~Mt , '1.""- , r rJi ,~.t , '" "L' " .;I'..:i't." , " : .. ~---:.":7', ~--:;;,r / ) . ",ii" , ' [ .......:' ;'" "il :1. " Ii ~:VJ" . ,!,~ " 'CO,: O,l!.-CC<I,II/i/} - - - ~ \- 'I C('(5'5 . .:~ .' ,..,. . \'~ \_L' '?lJ ,. ,. " '1. \ 1:\ \-,. "\ 1 '. 'f . \... \ \ _:~ ~ \':'_J')~\ \ \, \- '\, ... '\ ~. , ;-, ",'f. ",- , \....., 'E' l. , ~ \.. V V ".: , ~ " . I.: ! '~- ;-' ~ ~! ,.\ , f . , ; , , -' " !:.. .. '.! .. , ., f ._...'~ '. "; '! ",,<', ,. ; iI- ) ~,,~- ':S-~~"';:"" .., ::1I1'1'-""'l,.,~.t , 1f!I r: ! ". ; " )/L~t~}~~:'~;,lii{:I' .~ .'V/ .. _ .,~_ '(b 'fJ~ '" It Tl Ir. C (7"fJ ..~~ ',~ , , l'i , ._i,.; , -j:-:-.. 'j ~ '. , ' ,. s;. ,\,-,[~ \-" .. (. i,\,\r . ; , ...:- :'''01 " " ., ~\\ \ \ , ,\' \- , , " )'. ',., ~\~",;' .,1 ~'. ", '\.'" " ~:'':,., ...."\~:.~ ~ ".. "'" ....:f __ .. -- ~' '. . "j\~~*i'i,:'); ~.~- , II- 1-tP,-ftiJ-- 11- )<!J- ~4- \ " ~ ." +~~.:>< ~. , '{'l: ~ ., '. v~ '," ...,~ \> ,) c' " ", 1;/.% 4./:2 " \ \' .~, J'- i a,K:'FOR COVERING ~C' e II is" _' iL-. .. "'. .~ OK TO CONNECT SERVICE ,'... '. '. \ ~ ~ \ \ ~FINAL O.K. I '. c . .";)1, ....' , .....,il J j\....~ .' ,-" ,. Cr<' ".-.., ?-J ,1'rrep~ f',,;:es r "1.--' j", l~'~') )......\ ,- $'.,,1 \ . ~.' j'. '. ,~-~ ""':'J.h;v6' '..\-..' ~;,. ~" ",r" \ ,I.J.. :.. '~\ ' ,_ "',S ~ ',' ;ViP'rl' ,., )':\ - ;:,'. 1\.):' \. \ ( I\-.\. " -"l ~..... \ ,-, , . " , \ \ \ \ I ''-', ;J.' I!Co-il-.-/)/""'" . ( \ \ ~ " ,,~ ')'1 "'c ...-t ~ ,- J J ." .', -j J " ~;. . .. , "'. {J ;"- " . '.\ z Cl rr: c( :E !!! ::r: I- z W I- {) l- e z e c ). . ~ 'I ' , "", . \{") ;' !.._y , "Clrr-' OF PORT ANGELES- LIGHT DEPARTMENT BlLL-YES 0 NOD Job. Loc~tion illrZ. AUJ?-Y 'N. 0 ~ 'B' Pro~ct No. ViIS. No. 55 3~ FPC 3108 3G:,OJ f El19ine...~.cre~ Checked / OraftsmariB. "0::f'd1"-Df Date issued /1- (3 - 8"\- Foreman Revised Start date. Complete. .~~te .D.?W. TEL_ T.V._CrflW'J..;.,.~Totcil ~ n;JJI~ -..2f. Reason for Work Xflv'iB l.HA~.E.-c<..J1 . d- 51/:'. I!J~TA' J A; TID~,1 Copiee to : Fi Ie --l-5w'vey ~=L:::. 3"Z.J.'\VA... v.y, XfM~dL~ IN '?1l"I.I:.:.-L.::-. 50. "'VA- D,I). OF.,. ?ZOO Y . '.xfMEC'ff~, . . .. - . 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