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Home My WebLink About2012 W 7th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001459 Date 12/30/11 Application pin number 776768 Property Address 2012 W 7TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-6-8- 0140 -0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Us e Name Property t the City of Port Angeles Pro et Use s Code Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 6240 Application desc HEAT PUMP Owner Contractor WESLEY R AND SHAWNEE R HATHAWA DAVE'S HTG COOLING SRVC INC 2012 W 7TH ST PO BOX 413 PORT ANGELES WA 983631618 PORT ANGELES WA 98362 (360) 452 -0939 y Permit MECHANICAL PERMIT f i �uM i 3' IX Additional desc HEAT PUMP SYSTEM Permit Fee 64.80 Plan Check Fee .00 Issue Date 12/30/11 Valuation 0 Expiration Date 6/27/12 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 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. /230 iwtcf L 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 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 NS FOUNDATION: Footings Stemwall Foundation Drainage Downspouts A 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 3` !a' Accepted byTI---t- MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: 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 Q T:Forms /Building Division /Building Permit W N HI M r W W 0 H a (2 01 r1 01 0 N Ln H V' 0 .0 H 0 CO F 0 44 a) H 0 N -HI H 0 CO R H r, N 0 r, 7 C 4 FI 0 4 0 m d' H Z O 0 0 a H w w a'0 0 H Ozz V) W V) EA O O 0 N O W X W x x N M Z 0 E-■ U X cn KC io 0 H rj 0 k 0 1-1 d' Z Hsi a' H O c +1'W 0 Z CO c a) ••w Z H H O H m a 0 r W 0 O a 0 S H H H H /1 H 0) N H ,C RC 4 rn uu E mx H W W a Ea Z00 o04Z 1 FI N H CO Z a s W w 0 a) C W N (4 V) V) W a Z 0 t11, O 0 X ZZ U W O 0oc' Io a0E X H H Z ,Z H O H 4 H 0 (4 0 0 H3 a H� 0 a) 0 U g a a Cn H 4 3 H d' 0 x a H H F, v FI m r, >cn 4 as 4mC raC RC a a 07 X' Mt aW cn�0,a cn cn U G ro 4 C 0H H 0D1ou EQik 0)004 h GZh4 H� z S a W O r.G E O H u a H -1 u oW as H H cn cn( a, v)xU 0 z W a rC a rn x 0 0 0 0 H. IX h 0 h o, E. E. •,P rH W En 3 np I f 00 N W N W x 0 0 Z H H H 0 H H 0 ■-I H V) W z 0 Q 0 0) 0 G.1,-.1 0 0 0 rn N O x o H 0 a a H 0 O w0 H i C- r- a a0 a 0 o co 4 H Z w w V) L.) a H N a O cn .0 a Z F O' o 0 00 a H WU a m m W H OZZa W P' i m m au a H Z 0) CITY OF pOR W A S H I N G T O N U. S. A NMENV COMMUNITY ECONOMIC DEVELOPMENT June 27, 2012 Wesley Shawnee Hathaway Ochs 2012 W 7 Street Port Angeles., WA 98363 RE: Expired Building Permit #11-1459 Dear Mr. and Mrs. Hathaway Ochs: I am writing this letter to inform you of the status of the above permit. The permit expired on June 27, 2012. If the work has been finished, please call to have the work inspected. If we haven't performed the inspection by July 13, 2012, we will close the permit entirely. After that time, you may request an inspection and pay a one -time inspection fee. If you have any questions, do not hesitate to contact us. Sincerely, IAMIL(2A- n Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo @cityofpa.us 360- 417 -4817 PROJECT STATUS UPDATE Permit 1 1 I 1-00- Date: I phoned the: Applicant at Property Owner W 1'ShO,U✓16 452 Contractor at eft a phone messa or discussed): The permit (has expired, r will expire so What is the status of this project? Please call and schedule a final inspeQtion. (fir -rl Submit a "permit extension request" letter. Or Let me know if the project is abandoned. H0111/ T:Forms /Building Division/Project Status Update Clallam County Assessor Treasurer Property Details 63217 WESLEY R AND SHA... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 63217 WESLEY R AND SHAWNEE R HATHAWAY OCHS for Year 2011 2012 Property Account Property ID: 63217 Legal Description: LOT 14 SEAMOUNT ESTATES DIV 4 Geographic ID: 0630016801400000 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 Multi Family Redevelopment: N Township: Section: Range: Location Address: 2012 W SEVENTH ST Mapsco: PORT ANGELES, WA 98382 Neighborhoocl: PA Sublots Res Map ID: 3 Neighborhood CD: 5201000 Owner Name: WESLEY R AND SHAWNEE R HATHAWAY OCHS Owner ID: 210032 Mailing Address: 2012 W 7TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: 1 Taxes and Assessment Details j Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History [Payout Agreement Website version: 9.0.32.2200 Database last updated on: 6/5/2012 3:51 2012 True Automation, Inc. All Rights AM Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =63217 6/7/2012 N0 H 0 H H J GI CO W q 1 fl m 0 A N In H C 1.. 3 m a M a a 10 H a qzz a cn U W En x Ox N E. U 0 n a a z Q 0 a m E H 0 H Cr) a N to a U u X Z Z o O N co 0 0 a 0 F I N 1 }I Z Z Cr) co Z 4 a 0 0 w -v 0 0 0 z a o U r H a m 0 HU H x a H U 0 H a a 0 H U g a H H SA a) a x 0 0 Z O O CO a o 4 0 0 U C rt* o 00 w ro a)* 0000 Hfa 0h HZ, Z oaax 0 x H U a H N U 0 o w a.] N 0 iQ 0 ■■7 0 z o U 0 0 a d' .T. C7 K 0O 0 H a o 0 x a H 0 H V) 0 0 O Z0?- o 100 a w o o 000 0 00 N W r7 o O H H H 0 U' 0 co f f (n CO 0 o H 00 a o o g 0 0 0 3 0 0 0004 H H a E H W 0 0 H a a a 0 as 0 CO 0 0 0 0 0 Z0 C Z H 01 0 0H 000 0 0 r w 00 g U 0 0 KC a H 0 --4 De c29 11 12:51p Dave's Heating Cooling 3604520939 p.1 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) i Date Received tZ Zg- t( Permits llb 1454 City of Port Angeles i Please print in ink. Date Approved t2- Attn: Building Permit Technician I Approved by AV 321 E. 5th St., Port Angeles, WA 9E362 I 360- 417 -4815 fax: 360 -417 -4711 j Credit card payments are accepted Mon -Fri 6 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm I Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm I Contact person: Phone: „e�vx n.-2-- A sa- 093 g Property owner: I V-Es 5 k a.w n-e-e- Oc k P hone: 7 _5o"�0 c� 6 cf- Property owner's mailing address: i I CA-) :S ±Y` Contractor's business name: Pa &5, H-*--. kk� I Phone: t (or property owner's name if he/she is doing /overseeing the we ..i..5.-.:,5_c_) y3 Contractor's mailing address: Contractor's L&1 license number: Expiration date_ I Project Address: q 1 o 112- s.-r `7 S fr es�t Project Type: Residential Commercial o Industrial Multi- family Project Business Name: l I (for commercial, industrial, or multi family projects) The following permits are usually issued over- the counter immediately, without the need for plan review. Complete only the portions of this permit ttiat are relevant to your project. Re -roof: house o garage other c tear off re -roof o lay over one layer (i) Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re side: o house garage other Project Valuation (labor materials, not including sales tax) Repair. (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building/Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 I Dec 29 11 12:51p Dave's Heating Cooling 3604520939 p.2 Swimming Pool or Spa 24" deep): For orefabricated swimming pool or spa projects that do not require plan review (J) Obtain the City of PA handout entitled "Pools Spas' follow the requirements. Project Valuation S Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house a garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that al utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City o PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Subm' the map with this application. Obtain (from the City o PA) a copy of the Olympic Re ion Clean Air Agency (ORCAA) tY pY 9� 9 cY Demolition Permit Ap Iication. Contact ORCAA at 361 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. II yes no Will the debris be going o the Regional Transfer Station in Port Angeles? Q yes No If yes, will a licensed c ntractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit th- waste disposal application to the Building Permit Technician, now (or later if asbestos t:.fing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) Project Valuation !O! 4-( 0. I have read and completed this application and know it to be true and correct am authorized to apply for this permit and understand that it is my responsibiity to determine what permits are required, and to obtain permits pnor to working on project Date l2• H Signature Print Name Page2of2 ~ VORT ~Q ~...~~<;. ~r'Ciii~ L~ ~ -'tti:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 05-00000280 Date 001320 2012 W 7TH ST 06-30-01-6-8-0140-0000- SIDING 4/25/05 RS7 RESDNTL SINGLE FAMILY 14000 Owner Contractor SHAW, LYLE/GAIL 2012 W 7TH ST PORT ANGELES (360) 452-3028 OWNER WA 983631618 ---------------------------------------------------------------------------- Permit BUILDING PERMIT - NO PR FEE Additional desc REPLACE LP WITH HARDIE PLANK Permit pin number 47829 Permit Fee 168.00 Plan Check Fee Issue Date 4/25/05 Valuation Expiration Date 10/22/05 .00 14000 Qty Unit Charge Per 12.00 14.0000 THOU BL-2001-25K (14 PER K) Extension 168.00 Other Fees STATE SURCHARGE 4.50 ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 168.00 168.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 172.50 172.50 .00 .00 - F> ~ ~l \" "0 ~~ ~4'1 2~. ~ 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. @,11/ /-~~ Signature of Contractor or Authorized Agent Date " Signature of Owner (if owner is builder) Date \ \ T:IPoliciesll 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL INSPECTIQNS. 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS 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 I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING 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 ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W,/ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 .'" //1).. / t9~ c:; ~H-v BUILDING T:IPoliciesll102 15 buildin ermit ins ection record05,wpd [174/2005] gp p tJj >-3 '0 :t''Oon:t' n'O t:" >< ~ 'O:t':>:otJ H", '" '0 'O",ZZtJ >-3'" '" '- t:"n"'>-3~ ><'0 Ul H "'~~'" :t' 0 10 >-! ~~ :t'Ul 0"' I-' nUl .,,'" >-3 tJ i tJj 0 '0 t "', ~. 0 n",o ~ ",V1 0"''0 >-3'- 3:10 I-' 'OC::O OOUl N ~~ t:""'O V1"'~ 0 "'Ul , , :t' I-' Glo >-3>-3tll ow:>: N "'V1 gJtJ S 00- t:"- 0' :>: '" , g; oot:" Ull-' 01-'>< .., w {! H N' t:" >-3 ~ ill CD"'''' ~ ", "'HCi"J 0' '- V1 UlZ CDGl Ul C::Ul'O Ul' :t' >-3 I-' ~~~ H 0 H '" tJl-'t:" H'" H Zo >-! Gl' 0 '"0 L'O to ~tJl 0 tIjK;lJ1C:: "'''' 0 ::ot"'..........H UlUlill 0 3:1;I11--'t"' c::no , H I-'tJ t:"~ >-3 '-H >-3H'O ",NZ Ul'O~ n ):>IVlOC) '->-3 0 >-3NO nH'>;l ZZ 3: , V1'" oot>:! 3: nw Z 3:Zt>:! UlUl '" 00 3: '0'0 Z ~NO:t' '" "'''' >-3 CD",t:" Z nn Ul >-3 >-3 >-3>-3 '" ", Ul OH ~ "' I-' ",0 .. Z tJ ." 0 '0 '-<>-3 Z ~ 3: ~~ 0 'O'OUl >-3 tJ gJgJ~ "'" '" '" '-< Ul'" Ul t:" t:" ZZtJ ..., H H "''''H t:" <: '" <: '" ~ t:" ~ t:" H >< >< '" w ~ >-3 '" t:" 0 0 >< Ul H ", >-3 V1 '" N , W 0 N CD tJ'O :t':t' >-3Gl "'''' V1 '- I-' N '- 0 V1 '" BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec,: H -~.s-- 0-6" Permit #: t?J. <) - :}-KJ Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site pIan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: \...., ffi ,,~\-\ ~ L0 l., (\1\ ,St\- ~ W ~ t 3 SOU\ \k t-.J ~ City: Architect/Engineer: Phone: A Contractor ....-r--r c.. Q-nf\)'\; l2-IAC.TI....oc.. State Lice~fCO 7'^-?:o ~ EXP:~ "i;Sk. Phone:.-:tbo- 600<2) Address: Q.~ 'll So Oz,dI ~\J-L City: S'~QultM. -> U{t- zip:q9>3~'A. PROJECT ADDRESS: ~1) \?. W$.'3""T '1..\\- <S, ZONING: Phone: :?k>O - '-\ '5 A -"3 D ~ ~ Owner: Phone: ~1:>12."\ (:\ ~6~l,...&-S. Address: Zip:~'3 '0 fa 3 LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: Credit Card Holder Name: Billing Address: . Credit Card Type VISA ~ MC TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition )ti Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ~€.\'L..AC.~ ~ \.)' t~ c;.. l,Ms:tt~w City: Exp. Date: # o Stove o Garage o Deck o Other SIZEN ALUATION: SF.@$ /SF.=$ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ \ 4..000. , ......". l\' StVtvJC.TO \{~fi.ih~L~lo\,) V\ COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAfW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International BuildinglResidential Code, 2003). 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 correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are re' t the City's, an hat I must obtain such permits prior to work. T:\RVESS\BLDG-fonns-brochures\2004-Buildingpernrit.wpd Applicant Date: Jt CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. ~9 ~ DATE /~;:;17 QtS Site Address: Installed By: ~ o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: ~ Phone: Sq. Ft. o Residential Heat KW o Baseboard jl(l Furnace/Boiler 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) DetailslDescription: V..bL (f?tJ"q _ J4Xf~ - %New Construction o Remodel o Service update/alterlrepair o Overhead 1$ Underground~.y; Voltage /",2I$;.z D ~ 10 03.0 Service size ;::;}t90 Amps o Temporary d-L..-J /W--I '-i ~ /~, ( rn/iMP tct/-1111-c E j,J ~0 - . ('....4. , :..:;. tIof fu.J{ . /J Z I . iAL /s-A/ .. (~) LP /( (j) W.S. No. Service Capacity: 0 OK 0 Not OK o Ditch inspection O.K. -1ft,Roughoin/cover O.K. 19 OK to connect service Final OK Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: . Permit~Receipt No. /7 Installer: Date I /; ',,:)7 'i"'r 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.n Writing on the Wiring Report or the Building Permit. PHONE457-0411, EXT. 158 or EXT. 224. ~ lnsp tor WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~DrJ() Amount paid GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS, INC. Site Address: ;;<0 Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. /'9 /<}I /&/c>JS;/J-? DATE o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: OwnerfBusiness: Phone: OwnerfBusiness Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead ~Underground / . Voltage / .:ltJ/..lVO ~ 10 030 Service size I fa.F) Amps ,Al'TempOrary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Details/Description: ft~ f/?VIo/7 {kc/~i'R'ML,('~ ~ . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough.in/cover O.K. ~ O.K. to connect service ~ Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: New Meters I Site Address: ;;20/:;J.. . Notify the Depai ment of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. / NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT # J' (~ &//1/1 . / (p Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall J