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Home My WebLink About1415 W 5th St - BuildingApplication Number 08 00001283 Application pin number 914413 Property Address 1415 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 2270 0000 Tenant nbr name QWEST Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 30 buried phone service in alley Owner Contractor DANIEL HOLLY DUANE COON 803 7TH AVE S EDMONDS Fee summary T \1102.15R [1/05] WA 98020 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Charged Paid Credited Date 10/07/08 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452 1110 Permit RIGHT OF WAY Additional desc 30 BURIED PHONE LINE IN ALLEY Permit pin number 135970 Permit Fee 00 Plan Check Fee 00 Issue Date 10/07/08 Valuation 0 Expiration Date 4/05/09 Due 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 J PW UTILITIES (Engineering•Division) WATERLINE /METER. SEWERtONNECTION I SANITARY STORM SITE DRAINAGE SITE EROSIOkdONTROL n ;likdk; FLOW DEVICE •DRIVEWAY APPROACH CONSTRUCTIONR-Wt ;-ENGINEERIKr I iPLANNING DEPT: :BUILDING 6I1cieS`0f02l512.411115i PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COER; INSULATE OR CONCEAL ANY WORKBEFOREINSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PER.NIiT,CARD AND APPROVED PLANS .AT JOB SITE INSPECTION TYPE DATE ACCEPTED 1 YES 1 NO 1 .1 .1: PARKING 1 CBGUUEI 1 I I n 41, k.. 1 1 1: 417-A807 417zA653 I 41-7-4750 1 417-4815 3x A ;1; v.. •-•"4. i it.:. ..-44 i4.- s iF FINALTNSPECTIONS REQUIRED PILIOR.TQ.00CUPANCy/USE' V.. -w- i-i.b*r 'c YES NO CoiviiviEiteidii..4 .t- --•-0,i10 -----ikeciiiiii,7" 1 4,- id A 1 N ill .4 .i .ij. 1 ..-R 1 4 it i Eg`q, '.P '•i'le5' e-- LVit 4, .,;,4- t „1"-. 4 y A.,. A-A r. COMMENTS CONSTRUCTION R.W PW1 ENGINEERING' I FIRE DEPT. 1 .4 1 1 I PLANNING DEPT 1 :1: 1 BUILDING .1„ t 1 ..a.Of~ORT~ t~~ nta 11:: -- ~~ CITY OF PORT l\NGELES DEPARTMENT OF COMMUNITY DEVELOPMENf - BUILDING DMSION 321 EAST 5TH SlREET, PORT ANGELES, WA 98362 Lasered CEO Application Number Appllcatlon pin number Property Address ASSESSOR PARCEL NUMBER: Appllcatlon type description Subdivision Name Property Use Property Zonlng . . . Application valuation 06-00000653 Date 558171 1418 W 5TH ST 06-30-00-0-1-2110-0000- DEMOLITION 6/20/06 <a ~ I RS7 RESDNTL SINGLE FAMILY 500 ~ V'l Owner Contractor GETCHELL DUANE/MARY M 1141 E 7TH ST PORT ANGELES WA 98362 (457) 5299 OWNER Permit . . . . . Additional desc . Permlt pln number Permlt Fee Issue Date Expiration Date DEMOLITION 80622 50.00 Plan Check Fee Valuation .00 o 12/17/06 Qty Unit Charge Per BASE FEE Extension 50.00 I Fee summary Charged Pald Credlted Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 50.00 50.00 .00 .00 '- .J:. ~ ~ 0: "''2' ~~- c:r~ ~ t 6'\ J ~\ 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 orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requ~sted 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. Z ~ b"~2-0 -oC Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policlcs\1102_15 buildmg peroul mspection record05.wpd [1/412005] BUILDING PERMIT INSPECTION RECORD 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE/DOWNSPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL , WALLS I CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHJMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNG/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE 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 417-4653 I } , FIRE DEPT. PLANNING DEPT. 417-4750 J I PLANNING DEPT. BUILDING 417-4815 II I~ 1m j J BUILDING _._ .' _ _ _\. tn''\ 1 C. ....mlA.-.... YUOY'Yrnt 1ncnP:chnn record05.wod f1/412065] , ~ , ~ ~ .......... [! \11 Q PREPARED 1/03/07, 9 21 42 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 9 1/03/07 ---------~-------------------------------------------------------------------------------------- ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1418 W 5TH ST SUBDIV. PHONE PHONE (457) 5299 Lasered CEO GETCHELL DUANE/MARY M 06-30-00-0-1-2110-0000- 06-00000653 DEMOLITION , ---------~-~---------------~-------------------------------------------------------------------- PERMIT: DEMO 00 DEMOLITION REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS BLDE 01 1/03/07 \( ~ BUILDING DEMOLITION 01/02/2007 10 34 AM PBARTHOL MARY 457-5299 DEMO FINAL, PERMIT ON SITE IN BAGGIE -------------------------------------- COMMENTS AND NOTES -------------------------------_______ f ~ORT ~ I...~O~~ ,,~<t,. 1!" -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000835 Date 978185 1415 W 5TH ST 06-30-00-0-1-2270-0000- RES REMODEL 9/26/05 RS7 RESDNTL SINGLE FAMILY 4343 eXA~et? 3/79lo~ Owner Contractor WRIGHT CARLA KAY 1030 LAWRENCE ST #4 PORT TOWNSEND WA 98368 OWNER Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL ~ \Jl 60590 134.75 9/26/05 3/25/06 Plan Check Fee Valuation 53.90 4343 o ~ rn 2. Qty Unit Charge Per Extension 92.75 42.00 \j\ \:1 BASE FEE 3.00 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project applicat10n and has no comments MAINTAIN CLEARANCES FROM SERVICE WIRES. 09/09/2005 09:52 AM JHEBNER ---------------------------- Electrical permits are required.$O Connect Fee. 09/09/2005 09:51 AM JHEBNER ---------------------------- Any modifications to the electrical facilities will be at the customer's expense. 09/09/2005 09:52 AM JHEBNER ---------------------------- Public Works Utility Engineering has no requirements for this plan reV1ew. ~ ~ C' Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 134.75 134.75 .00 .00 Plan Check Total 53.90 53.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 193.15 193.15 .00 .00 Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authonzed IS not commenced within 180 days, if construction orwork is suspended or abandoned for a penod 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 authonty to violate or cancel the provISions of any state or local law regulating construction or the performance of constructIOn. Signature of Contractor or Authonzed Agent Date T \Pohcles\1102_15 bulldmg penTIlt mspectlOn record05 wpd [1/4/2005] /., 'Q ApplIcant or Agent. lr~ C~Qr\ / l~l\.7 Dt7v\~A Phone:(3~ 0"') i~ 1- Lfl(j''L Phone: 6~ CIty:_P~' ~r..~~ trJ~ ZIp. Phone: BUILDING PERMIT - APPLICATION Fill out COJ\1PLETEL Y and in INK. Your applicatior. and site plan MUST B COMPLETE to be accepted for review. If you have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 Owner ~ r.?\ ~. Address'~ I ":) {rJ \ ~ iL i\rchItect/JSngIneer Contractor Ov.p..) ~ ~~!I"~ State LIcense #. Exp. Phone: Block CIty. r,A. IN "'" d-.L 0630 OA() J ~d-/O ZIp: ZONING: R 5 I Address PROJECT ADDRESS:-.-L:l \ '5 -- ._- LEGAL DESCRIPTION: Lot' trJ) S-1h. ,~ SubdIVISIOn' CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA Me # TYPE OF WORK: o ResIdential 0 New Constr. 0 Re-roof o MultI-family 0 AdchtIon 0 Move o CommercIal 0 Remodel 0 DemolItion o Reparr 0 SIgn BRlEF DESCRIPTION OF THE PROJECT: ~~ City: Exp. Date: SIZEN ALUATION: SF @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION COMMERClAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stones' Lot SIZe: EXlstlng Sq. Ft. ~ & Proposed Sq. Ft. Total lot coverage % ConstructIon Type: = TOTAL Sq. Ft. ~ ESAlWetIand(s): 0 Yes 0 No SEPA ChecklIst reqUlTed? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTBER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applIcant. Tills figure WIll be revIewed and may be reVIsed by the Buildmg DlVlslOn to comply WIth current fee schedules. Contactthe PermIt Coordlllator at 417-4815 for aSSIstance. PLAN CHECK FEE' IF a plan check fee IS due It must be sub1llltted at the tlme the bmldlllg permIt applIcatIOn and constructIon plans are submItted All other peTIDlt fees are due at the tune of permIt Issuance. EXPIRATION OF PLAN REVIEW: If no permIt is Issued WIthm 180 days of the date of applIcatIOn, tile application will expire. The Buildmg OffiCIal can extend the time for actIon by the applIcant up to 180 days upon wntten request by the apphcant (see SectIOn Rl05.3.2 of the International Bmldmg/ResIdentIal Code, 2003). No applIcatIOn can be extended more than once. I '" '. ~ . '. Of~ . &{ . 1401 ". ~ 40 J' .Ical Datum =NAVD 88 no,;zontal Datum = NAD 83/91 Area Map Tills map IS not mtended to be lIsed as a legal descnptlOn ...~~ This map/drawmg IS produced bv the OIl' of Port Angeles 101 Its own use and purposes (~ Ani' olhef u~e of thiS map/drawmg shall not be the ret;pollslbl/U)' of/he ON .~ Feel rV1 ~W~:J5 bs-}~.k ~ ~'OVY4-~ M.Jb~r J I 2J ' \ (0- J:.b (}vi' '\ -\ IS- I/0J-,::> VVI .,.\ (), H ~ \o.o'\.y \...'"""'.~ '-J ~ , 'C:cAch. 1'<' 0 hj <-.t '/.; ,5 '-0 'y" . / ~ .-. L_ /I ~2. 8 '-I \ 1 cl S-s- \'7-0 11..10 s: .s.-o 15 Stcu'\l-:" I .1,\ \ \ / v ''e..'"t-C\. \ r',. - 0 ,;; \ \ D b \.t , J Oc c J ",' c ~ W"'1' ,'\ at \ Schh~ Duo (' \ r ,,-_ ,- t' . l-:'\lOo ~ Ij - ).st.,'l"'l~ k.-'1~ 'F' ~ . 'CtC\C\ '?f../}~ \0 4- ~ I "\ !vo..' S \00 \' '(.)C.t- V I - v \' -t- B Cjv\ I)' r\ '" .::J hec.,c,', 'Ie) ./ -' 'i " 0 \J ...; 1:, C:y'c.:,v :~~ - We,.., \..\.-S J GCA.lV\~ Ooor \. () rc.\p Tr<:cJ-c&. 7-Y0 Sd~ PIU:\C ~- ~ ,- I \ ',:)~V,,:~~ P \U\l ( . L'/ LI T r'\A$5 5 L-f /r?_ @.. ;2..<-j FT G - \\ t, '''('\f'''C''~<- \jCO)' !-;-(0\.\.":'1- 1'. \\ T' ,\ 0 \..70\f"C\'Jc. voor _ ns let' l..Cc:~ l. ! 2.. 3(:-0 looC) ') ~', ,." ~:.. \,:, ,/ t ~ G ,LJv\ y ! 7f-')' I '-.2- '0 M..-f>- ~5 t..L/t ';00 '-:" i ,-:; ? L/).cl f) r, IIOo'"\" "'j T\.,-:.,:\ :.,' ..: - 1"].0 SC(. For::: 1:3 sf: I\oo+-- $.h(G'\.~;J 3.1.~ .J/ L! "!>"/:3 0' ,.. """\-- " ~ "~I, (:;.0"""",," <"",~.""J' ;.; '>ii.tr' '''''~:"'\ I~~\ {It "I ,_~ -~J,i .If;,... ~_..;!i,/ , '/ ~=-71 f(,~'(,~ BUILDING PERMIT - APPLlCA TIO~~t~\) Fill out COMPLETELY and lJ] INK. Your appl1cation and site plan MUST BE COMPLETE to be accepted for reVIew. If you have any questions, call PERMITS (360) 417-4815 F}'.J~(360)417-471l 1 Applicant OJ Agent. Owner V.;lJn.r :UP'lr C;~.y..,j( C...JeW ( Ell!;! /~ Phone. L{~7 - S:-2..q~ Phone: Address: II q I Crty: /f:rf /trg-J-e-> ZIp: erg'!. {. ? Phone' Exp: ArchitectlEngmeer: Contractor State License #. Phone: Address CIty: Zip: PROJECT ADDRESS' 1t.{/51 0""-.3>"" S.J:.b.- ZONING: fZ. 5. -"( LEGi\.L DESCRIPTION Lot Block:_ _ SubdivIsion: CLAlLAMCOUNTYPilliCELNUMBER:, tJG. 30 gO e;; 1 ''':;-110 TYPE OF WOl'.K: o ReSIdential 0 New Constr. 0 Re-roof 0 Stove D Mulb.-family 0 Addmon 0 MoveD Garage D CommercIal 0 Remodel ^ DemohtlOn 0 Deck D Reparr 0 SIgn D Other BRIEF DESCRIPTION OF THE PROJECT. Clivt<c h.. SIZENALUATION: ~ SF @ $ ISF = $ S 0--0 SF @ $ ISF. = $ SF. @ $ ISF. = $ TOTAL VALUATION $ COMJY.[ERCIALIRESIDENTlAL: Occupancy Group: Occupant Load: & Proposed Sq Ft Cousrmctlon Type' = TOTAL Sq. Ft No of Stories: _ Lot Size' Totallot coverage ExistIng Sq. Ft % ESAlWetland(s)' D Yes DNa SEPA Checkhstrequired? DYes 0 No Other: APPROVALS: PLAN: BLDG: DP,VU: FIRE: OTHER: PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tills figure will be revIewed and may be revised by the Buildmg DIvision to comply WIth current fee schedules. Contact the Permit Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee is due 1t must be ~ubmitted at the time the building permit apphcatlOn and constructlOll plans are subIDltted All other pemt fees are due at the trme of peIIl11t Issuance. EXPIRA..TION OF PLAN RKVIEW: Ifno perIDlt is Issu~d Vi'ltbin 180 days of the date of apphcatlon, the application will expire. The Buildmg OffiCIal can extend the tlIDe for actlOn by the apphcant up to 180 days upon wntten request by the apphcant (see Section RI05.3.2 of the Jntemational Buildmg/Residentml Code, 2003). No applicatlOn can be extended more than once I hereby certify that I have read and exammed this application and know the same to be true and correct. J am authorized to apply for this permit and understand that it is my responsibjjity to determine what permits are required ,not the City's, and that J must obtain SUGh pennits prior to work. ~ / / T,\FDRMSlBldgPomitfurmwp,App1icant ~~~ Dare, (.. a~ ~ I I ......-..._- . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 Site Address: ELECTRICAL PERMIT ~fJ.- D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: ~ ~~ a1f ~ ;{p~ ~ ~/t Le ~p/ w/I{ , . I Installed By: Owner/Business: Owner/Business Addr ELECTRIC HEAT D BASEBOARD KW _ D FURNACE KW D HEAT PUMP KW_ D FAN/WALL KW _ ~. RESIDENTIAL D COMMERCIAL D NEW CONSTRUCTION ~ REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D TEMPORARY SERVICE DetailslDescription: - /.IJ~ . ~ PERMIT NO. 'SzsR 9'/<//YJ- DATE Phone: Sq. Ft. D RISER D OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D1~ D316 SERVICE SIZE FEEDER SIZE AMPS AMPS AI2-~ . W.S. No. SERVICE SIZE CAPACITY: D O.K. D NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANG!;: SERVICE WIRE D OTHER J. D Ditch Inspection O.K. ./V6M~oUgh-in/cover O.K. D O.K. to connect service ~)&Final O.K. Site Address: Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be cover'" \ before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring'p/ or on the Building Permit. PHONE 457-0411, EXT. 224. #"' IT c!:,w,\;\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ . ~F Electrical Inspector Per" Installer: . , \ ~\ WH ITE - File by address PINK - Top: Eng, Bottom, Customer OLYMPIC PAINTERS INC permit/R?L'% New Meters ~ '/ ~- ~ (!J /t J CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A OOOAH;:~ PERMIT NUMBER FEE RECEIPT NUMBER L -. TOTAL FEE It. ,,() '",- ~C-/~-.... <: CONT. Lie. NO. TIME TO COMPLETE NO. STORIES lEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address / '/ /,5-- Vf./ 6-7j CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSE ARE CANCELLED Owner A- ~f- ~.-e 7(;....- _ -- Installation By - ~.-",L//..;A./f..5 Owner's Address /'1' /.~ u./ ,../-1' Installers Address .;;><~_~ u/ ~/ '" D~y Phone <<'-7,- J '-I &. ( Installers Phone "".s-7 --6.-~ S? Applic~tion is here~y made.for Permit to in.stall Electrical Equipment as fgHaws: /C') / u...-' h/~ (' T~ /( ;:-"~/'-. /'2K Wiring M~thod _ , NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PEA 10 100A FEE USE OF CIRCUIT CIRCUITS PEA '0 ' 00A FEE CIA ~ CIA 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS - - CONVENIENCE MOTOR CONVENIENCE - MOTOR APPLIANCE - MOTOR DISHWASHER FIRE ALARMS , . -- DISPOSAL BURGLAR ALARM RANGE MISC, OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE - - .. SUB TOTAL FEE GAS. OIL FURNACE I . . V /(;"0 ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT -, II (10 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 It. {iO SIZE OF GROUND SIZE OF ENTRANCE SWITCH .~ 1 certify that the work to be performed under 'this permit will be done by the installer and i onformance with the N.E.C. Electrical Code. Date Application made ;U,",.; '-I ,19 'irS' By . CONTRACTOR R OWNER (OR AUTHORIZED AGENT) Perr:nission i~ hereby given to do t~e 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;<~itv" of Port Angeles. -r'". . I \ ~\' ~ _ DIRECT>JOR O\CIT~ ~IG, HT .. . _ --" ' \ ~,7P ~._". ", \ O P By /,. - ~. ate ermit Issued PLANS AP ROVED ' ,.. /{- tI,..- rr Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not / I' , ',' , be covered or current turned on before inspection and Ox. for covering,or service has been given by Inspector in I 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 - Inspector's Report \" , . . REPORT OF INSPECTOR , DATE OF VISIT MADE BY REMARKS 7/- /~. 15' J ^ O.K. FOR COVERING / / " r ~ - fj- y If! If .J O.K. TO CONNECT SERVICE 1/ .. fJ- .. 0- ' u FINAL O.K. . z Cl a:: <I: ::E ~ J: .... Z w .... . .... e z e c .