HomeMy WebLinkAbout115 Orcas Ave - Building
PREPARED 7/06/06, 12:32 49
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
11
7/06/06
------------------------------------------------------------------------------------------------
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
115 ORCAS AVE
DEBRA WILSON
THE GENERAL HANDYMAN
WILSON DEBRA L
06-30-10-5-0-2460-0000-
06-00000216 RES DETACHED GARAGE
SUBDIV:
(360) 808-3239
PHONE
PHONE
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
------------------------------------------------------------------------------------------------
BL3 01
BLI 01
BL99 01
4/17/06 JLL
4/18/06 AP
6/08/06 JLL
6/08/06 AP
6/13/06 JLL
6/13/06 AP
7/06/06 ~
tt
BUILDING FOUNDATION FOOTING TIME 13:00
04/17/2006 07:55 AM DYASUMUR ---------------------------
VERN
04/18/2006 01 27
BUILDING FRAMING
06/07/2006 11 57
GARY 808-3239
06/07/2006 11 58 AM
06/08/2006 04 51 PM
BUILDING INSULATION
gary 808-3239
06/13/2006 07 59 AM
06/13/2006 03.45 PM
BUILDING FINAL
07/05/2006 12:50 PM
gary 808-3239
PM JLIERLY ----------------------------
TIME 13 . 00
AM DYASUMUR ---------------------------
DYASUMUR ---------------------------
PBARTHOL ---------------------------
TIME: 13:00
DYASUMUR ---------------------------
JLIERLY ----------------------------
-------------------------------------- COMMENTS AND NOTES ------------------------------------__
PBARTHOL ---------------------------
PREPARED 6/13/06, 11.26,35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
11
6/13/06
ADDRESS
TENANT, NBR.
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
115 ORCAS AVE
DEBRA WILSON
THE GENERAL HANDYMAN
WILSON DEBRA L
06-30-10-5-0-2460-0000-
06-00000216 RES DETACHED GARAGE
SUBDIV
PHONE
PHONE
(360) 808-3239
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
4/17/06
4/18/06
JLL
AP
BL3
BUILDING FOUNDATION FOOTING TIME: 13:00
04/17/2006 07 55 AM DYASUMUR ---------------------------
VERN
04/18/2006 01.27
BUILDING FRAMING
06/07/2006 11 57
GARY 808-3239
06/07/2006 11 58 AM
~ 06/08/2006 04 51 PM
J L BUILDING INSULATION
gary 808-3239
06/13/2006 07,59 AM DYASUMUR ---------------------------
------------------------- ------------ COMMENTS AND NOTES --------------------------------------
01
6/08/06
6/08/06
JLL
AP
PM JLIERLY ----------------------------
TIME 13,00
AM DYASUMUR ---------------------------
BLI
01
6/13/06
,1
DYASUMUR ---------------------------
PBARTHOL ---------------------------
TIME, 13 00
'J
PREPARED 6/08/06, 8 58-56
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
6/08/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
115 ORCAS AVE
DEBRA WILSON
THE GENERAL HANDYMAN
WILSON DEBRA L
06-30-10-5-0-2460-0000-
06-00000216 RES DETACHED GARAGE
SUBDIV-
PHONE (360) 808-3239
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 4/17/06 JLL
4/18/06 AP
BL3 01 6/08/06 -;p
ttfr
BUILDING FOUNDATION FOOTING TIME: 13 00
04/17/2006 07 55 AM DYASUMUR ---------------------------
VERN
04/18/2006 01 27
BUILDING FRAMING
06/07/2006 11 57
GARY 808-3239
06/07/2006 11 58 AM DYASUMUR -------------- ------------
PM JLIERLY ----------------------------
TIME 13 00
AM DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/17/06, 12 31 35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
11
4/17/06
ADDRESS
TENANT, NBR'
CONTRACTOR
OWNER
PARCEL
APPL NUMBER'
115 ORCAS AVE
DEBRA WILSON
THE GENERAL HANDYMAN
WILSON DEBRA L
06-30-10-5-0-2460-0000-
06-00000216 RES DETACHED GARAGE
SUBDIV,
PHONE
PHONE
(360) 808-3239
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
~*
BUILDING FOUNDATION FOOTING TIME 13,00
04/17/2006 07 55 AM DYASUMUR ---------------------------
VERN
-------------------------------------- COMMENTS AND NOTES --------------------------------------
)iI( Electrical Contractor
o Annual Permit 0 Alarm
~
...~..
~'t'~..t"'~
DOwner 'ItOiiii.....
o Carnival 0 Commercial ~ Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
'N!rl) to ~LECTRICAL WORK PERMIT APPLICATION
~Request Inspection
Job wired by
P4' Electrical Contractor 0 Owner
Installation description
nErACII-J3'D ~ARfJG &
Electrical contractor name
License number
jlAL1IIJ/f<;;:;.jil:r; rZEC TRI c.. I/AI VOEr/>44cL
Purchaser's mailing address
24~Z Pl..l1CrE lUJ
City State ZIP
Polff 1t/J6/2.LES
Tele~hone number
[;"7-
/~,'
Premises owner's name
JJF.i 13RR WI/"'sI?#
Address of inspection
IJ5.;ORchS
City
TV
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Cash 0 Check #
JZiCredit Card f!!i;) Mastercard Discover
Card # __.bIILEiJ./Z-_~-____-____
Signature of owner. electrical contractor or electrical administrator
X ~
Expiration Date
of card
/ WALLS
lnsulation Only
Dale Appro,'ed By
Cover
Dale Approved By
,,- CEIUNG
Insulation Only
Dale Approved By
Cover
Dale Approved By
"-
,,- THERMOSTAT
"- Date Approved By
,,- DITCH
"- Dale Approved By
SERVICE
Date Approved By
FEEDER
Dale Approved By
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
!ill. Fan-Wall '5..'J- KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage /20 /1".4t>
Phase;gl1 D :i
Service Size:
Feeder Size: 70 A-
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
6'-31- CJ(, hA/ IH-- Af+:7 A-n
.
7/&) "....;2- PC?
~ pORT ~
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~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
06-00000216 Date
922592
115 ORCAS AVE
06-30-10-5-0-2460-0000-
DEBRA WILSON
RES DETACHED GARAGE
3/22/06
Application Number
Appllcation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Appllcation type descriptlon
Subdivision Name
Property Use
Property Zonlng . . .
Applicatlon valuation
.,.,
, ,
..-) ~.....
RS7 RESDNTL SINGLE FAMILY
22250
Owner
Contractor
WILSON DEBRA L
115 E ORCAS AVE
PORT ANGELES
THE GENERAL HANDYMAN
417 SOUTH H STREET
PORT ANGELES
(360) 808-3239
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
WA 98363
Other struct lnfo .
28.00
1. 00
850.00
7000.00
576.00
1426.00
1. 00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permlt pin number 73239
Permlt Fee 389.75 Plan Check Fee 155.90
Issue Date 3/22/06 Valuatlon 22250
Expiration Date 9/18/06
Qty Unit Charge Per Extenslon
BASE FEE 95.75
21.00 14.0000 THOU BL-2001-25K (14 PER K) 294.00
Speclal Notes and Comments
The Flre Department has reviewed the project appllcation and
has no comments
03/09/2006 04:30 PM SROBERDS -- The proposal will result
in a detached garage in the RS-7 for total lot coverage of
28%. Rear setback MUST be a minimum of 10'.
Electrlcal load calculations and elctrical permlts are
required.
Public Works Utility Engineering has no requirements for
this plan review.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credlted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 389.75 389.75 .00 .00
Plan Check Total 155.90 155.90 00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 550.15 550.15 .00 .00
/ill 1rLe:J::J ib!)
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$
Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, jf 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
constructio .
Date
Signature of Owner (if owner is builder)
T:\Pohcles\1102_15 bwldmg penmt mspeCllon record05.wpd [114/2005]
"
BUILDING PERMIT INSPECTION RECORD
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS 141(~(o, Tk/
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS .
WALLS I ROOF I CEILING (,/)( /~C -P'b
DRYWALL (INTERIOR BRACED PANEL ONLY) II I
T-BAR
INSULATION
SLAB . I
WALL I FLOOR I CEILING IW(~/~ IVv
MECHANICAL I
HEAT PUMP / FURNACE I DUCTS
GAS LINE
WOOD STOVE / PELLET I CHIMNEY FINAL DATE ACCEPTED BY'
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 4174750 / , PLANNING DEPT.
BUILDING 417-4815 -ij't: //J(, p~ BUILDING
T:\Poltcles\1102_15 bwldmg penmt mspection record05 wp [1/4!2ti05]
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE l
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
~
~
~
Ul
~~
~
,
lOR OFF1ClAL SE ONLY
BUILDING PERMiT - APPLICATION DateRec ':?> 'Z-/~~
rrmt#~'" '"'-~
Fill out COMPLETELY and in INK. Your application and site plan MUST Dale A TOved 'iD
___ ____~_, , ,r PP
'~t)lVlYLJ: lJi. ro ne accepL.eu lUY 1 eVjeV\. If VOli have any qucst1Gn5~ c~ll I ':2. z.z, "tJ
r'\~~r> lro,..,,,,,,rJ ~
PERMITS (360) 417-4815 FAX(36o)417-4711 1.u'HC'OOU~u" ;-
Apphcant or Agent ThE bG1Of3f..A Phone: S!.ec) --fl6?J -ErJ-39
Owner -::De'Bg. A. W lL.S6 (lJ Phone. .34; 0 - q.!J-~ - Iv 1.::,'-/
Address- /I:F O~{!'A5~. A-tJ~.. CIty ~e..T ANCJ~ ZIp Qf?_'1/()d...
iuc1l1tect/Engmeer c..IAA~j:F0. Klt2 K. (A-/tJJ) Phone. g4~-'f17-99t;3
Contracto~ Y. 0.oN5~ State LlCense # ~ef.1I ~3 Mp. M~ =l.e Phone. i?O'? -~3f
Address: ~ Jd ,sT CIty: 't6e:r: A1'-fJ6"u:5.- Z1p'c:t'ro~'3
PROJECT ADDRESS' I \S- O~cA-~ AUE: ZONING:
LEGAL DESCRJ}>TION' Lot
CLALLAM COUNTY PARCEL NUMBER:
Block
SubdIVlslOn'
TYPE OF WORK:
o Res1dentlal ~New Constr 0 Re-roof
o Multl-fannly 0 AddITIon 0 Move
o CommercIal 0 Remodel 0 DemohtlOn
o Reparr 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT
fJeW ~1 'x. .;.~I c:'l ~~e.. GAR.af!Je-
o Stove
)~('Garage
o Deck
o Other
SIZENALUATION:
SF. @ $ /SF = $
SIll SF. @ $ /SF = $
SF @ $ /SF = $ .",.
TOTAL VALUATION $ ~~ 1~l7> -
COMMERCLA.LIRESIDENTIAL: Occupancy Group'
No. of Stones ~ Lot SIZe. SO X 1t.J/) EXlstrng Sq Ft ~5D
Total lot coverage Q).? %
Occupant Load Constructlon Type-
& Proposed Sq Ft ....17 ~ = TOTAL Sq Ft /~~
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wetland(s) 0 Yes 0 No SEPA Checkhstrequrred? 0 Yes 0 No Other
VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant Tills figure ,vill be revIewed
and may be revIsed by the Buildmg DIVIsIon to comply WIth current fee schedules Contactthe Permit Coordmator at 41 7-4815 for assIstance.
PLAN CHECK FEE: IF a plan check fee 1S due It must be sub1llltted at the TIme the buildmg pemut apphcaTIon and construCTIon plans are
sub1llltted. All other pemut fees are due at the trme of pemnt 1ssuance
EXPIR.t\.TION OF PLAN REVIEW: lino pemut IS Issued within 180 days of the date of application, the application will expire. The
Buildmg OffiCIal can extend the trme for actIOn by the applIcant up to 180 days upon wr1tten request by the applIcant (see SectlOn RI05.3.2
of the Intemahonal BuildmglResldentlal Code, 2003) No applicatIOn can be extended more than once
I hereby certify that J have read and examined thiS applicatIOn and know the same to be true and correct. I am authonzed to apply for thiS permff and
understand that it is my responsibility to determme what permits are reqUired ,not the City's, and that I must obtam such permffs pnor to work.
T'\Pollcles\BL-1102_13 v.rpd
~~~
Date:.... ?-/ -ZJ~
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General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assIgnment
of account and carry general liabIlity insurance.
License Information
License GENERH*963LW
Licensee Name THE GENERAL HANDYMAN
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602404475 Verify Workers CompJ:ceJT1ium
S_ta_tllS
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 417 SOUTH H ST
Address 2
City PORT ANGELES
County CLALLAM
State WA
Zip 98363
Phone 3608083239
Status ACTIVE
Specialty 1 OTHER (SPECIFY)
Specialty 2 UNUSED
Effective Date 6/16/2004
Expiration Date 6/16/2006
Suspend Date
Separation Date
Parent Company
Previous License
Next License
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License
https://fortress.wa.gov /lni/ /bbip/Detai1.aspx?License=GENERH*963 L W
3/3/2006
Look Up a Contractor, Electrician or Plumber License Detail
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Business Owner Information
Name Role Effective Date Expiration Date
JENSEN, GARY P OWNER 06/16/2004
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received I
Bond Name Number Date Date Date Date Amount Date
Until 1
#1 CBIC SF6041 OS/27/2004 Cancelled $6,000.00 06/16/20041
-
Savings Information
No Matching Information
=
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
#2 CBIC C11SF6041 OS/27/2005 OS/27/2006 $300,000.00 OS/24/2005
#1 CBIC C11SF6041 OS/27/2004 OS/27/2005 $300,000.00 06/16/2004
Summons I Complaints Information
No Matching Information
SJaI.LiLt-l~w S~arcll Er:ioJ~LfJ:iendly. Version
About L&I I Find a job at L&I I Informacion en espanol I Site Feedback I
1-800-547-8367 ,.
<0 Washmgton State Dept. of Labor and Industnes. Use of thIs sIte IS subject to the laws of the . 1': 'c shingto..
state of Washmgton.
Access Agreement I Privacy and security statement I Intended use/external content Dolley I V1Sll access.wa.gov
Staff only lmk
https://fortress.wa.gov/lni/ /bbip/Detail. aspx?License=GENERH*963L W
3/3/2006
-.::.,
9
25
Feet
(;~
~
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"
J dJl
Oreas Ave.
,~'""
~~""~~",,':1'>
Verl,cal Datum ~ NA VD 88
HOrIZontal Datum ~ NAD 831'J1
N
Area Map
ThlS map IS not intended to be used as a legal descrlptlon
ThIs map/drawmg IS produced by the Cuy of Port Angeles for Us own use and purposes
Any other use ofthlS map/drawmg shall not be the respollSlblllly of/he Cay
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
32\ EAST 5TH STREET. PORT ANGELES. WA 98362
6/11/06
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Appl~cation type description
Subdivis~on Name
Property Use
Property Zon~ng
Applicat~on valuation
06-00000216 Date
922592
115 ORCAS AVE
06-30-10-5-0-2460-0000-
DEBRA WILSON
RES DETACHED GARAGE
~
\t!:!Y
RS7 RESDNTL SINGLE FAMILY
22250
Owner
Contractor
WILSON DEBRA L
115 E ORCAS AVE
PORT ANGELES
THE GENERAL HANDYMAN
417 SOUTH H STREET
WA 98362 PORT ANGELES
(360) 808-3239
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98363
Other struct info
28 00
1. 00
850.00
7000.00
576.00
1426.00
1. 00
Permit
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expirat~on Date
ELECTRICAL NEW RESIDENTIAL
HALVORSEN/ GARAGE
78915
HALVORSEN ELECTRIC
48 10 Plan Check Fee
6/02/06 Valuation
12/05/06
00
o
Qty Unit Charge Per
1 00 48 1000 ECH EL-R-OUTBD/DTCH GAR SEP
Extens~on
48 10
Special Notes and Comments
The F~re Department has reviewed the project application and
has no comments
03/09/2006 04.30 PM SROBERDS -- The proposal will result
in a detached garage in the RS-7 for total lot coverage of
28% Rear setback MUST be a minimum of 10'.
Electrical load calculations and elctrical permits are
requ~red
Public Works Utility Engineering has no requirements for
th~s plan review
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 48 10 48 10 00 .00
Plan Check Total .00 00 00 00
Other Fee Total 4 50 4 50 .00 .00
Grand Total 52.60 52 60 00 00
COMMENTS/ACTION NEEDED
"
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ELECfRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE IT IS UNU WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
,,' ".
INSPECTION TYPE DATE ACCEPTED COMMENTS
I; .: I YES I NO
I .
un C11. I
lUll TCTH_ThlI CUVbK
SERVICh I
I
J.<TlIJ AT \ I S';!i 1_ ()~ I L--( ) I
I
I
I
I
I
GENERAL COM~ENTS:
1
PW-II02.I5(4'96)
.
ELECTRICAL PERMIT.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
Site Address:
Installed By:
Owner/Business:
OwnerlBusiness Address:
o Residential 0 New Construction
Heat KW 0 Remodel
o Baseboard 0 Furnace/Boiler ;p{ Service update/alter/repair
o Heatpump 0 Other
o Commercial/Industrial load 0 Add/alter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
Details/Description: ~AUU:I'~ /~~/~
PERMIT NO. {29/7
DATE /.;2j;K,l?o
o READY FOR XWILL CALL FOR
INSPECTION INSPECTION
License Number:
Phone:
Phone:
Sq. Ft.
Pi! Overhead
o Underground
Voltage
010 03.0
Service size [p/Ja Amps
o Temporary
.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
. d O.K. to connect service
AJJ' -t' Final O.K.
o Signed up for service/meter
o Meter Department notified for installation
o Fireo.epartment notified of inspection
o Plan Review approved/pending
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in W iting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
710, OiJ
Ins ctor Amount paid
WHITE - file by ad ress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
Site Address:
Installer:
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
OI.,YMPIC PRINTERS. INC.
Permit/Receipt No.
New Meters