HomeMy WebLinkAbout1417 Evans Ave - Building CITY OF PORT ANGELES
1, PUBLIC WORKS UTILITIES DIVISION
+ 321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 08 00000934 F Date 8/05/08
Application pin number 521348
Property Address 1417 EVANS AVE
ASSESSOR PARCEL NUMBER 06 30 00 1 0 7510 0000
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RESIDENTIAL MEDIUM DENSTY
Application valuation 0
Application desc j
Remove 2 tree s from A/W along Evans Ave
Owner I Contractor
I
DOUG LINDE/ALISHA PARRISH OWNER
1417 EVANS AVE
PORT ANGELES WA 983635127
Permit RIGHT OF WAY
Additional desc REMOVE 2 TREE S FROM R/W e
Permit pin number 131326
Permit Fee 50 00 Plan Check Fee 00
Issue Date 8/05/08 Valuation 0
Expiration Date 2/01/09
Qty Unit Charge Per Extension
1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 }�
Special Notes and Comments
Applicant to complete ,Waiver and Release prior to removal
All debris to be removed Have traffic closed during
activity
Fee summary Charged Paid Credited Due
Permit Fee Total 50 00 50 00 00 00 / ^
Plan Check Total 00 00 00 00 V J
Grand Total 1 50 00 50 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 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
i
I
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T-\Po1icies\1102.15R[1/05]
PERMIT rINSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A.MIN_IMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT.IN A CONSPICUOUS LOCA'T`ION.
KEEP PERMIT CARD AND APPROVED PLANS.AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE/METER
SEWERCONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION-CONTROL
PARKING-
SIDEWALK 1`
CURB&GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
r
u
FINAL,INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL' DATE YES NO` COMMERCIAti' - '- DATE 4YES
D
NO'
CONSTRUCTION RW /PW/ CONSTRUCTION R.W
ENGINEERING, 4174807 PW/ENGINEERING
FIRE' 417-4653 FIRE DEPT
PLANNING DEPT 417-47:50 PLANNING DEPT
BUILDING 417-4815 BUILDING
T•\Poiicies\1IO2.15R[1/05j-
CITY OF PORT ANGELES
° T PUBLIC WORKS ELECTRICAL DIVISION s,
121 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 05 00000353 Date 7/01/05
Application pin number 180166
Property Address ! 1417 EVANS AVE
ASSESSOR PARCEL NUMBER 06 30 00 1 0 7510 0000
Application type description RES DETACHED GARAGE
Subdivision Name
Property Use
Property Zoning RESIDENTIAL MEDIUM DENSTY
Application valuation 18775
Owner Contractor
DOUG LINDE/ALISHA PARRISH TWETER GROVES CONSTRUCTION
1417 EVANS AVE 163 MARITIME DR
PORT ANGELES WA 983635127 PORT ANGELES WA 98362
(360) 670 3156
Other struct info TOTAL % LOT COVERAGE 3 00
CONSTRUCTION TYPE V N
NUMBER OF STORIES 1 00
EXISTI-NG LOT COVERAGE 1782 00
LOT SIZE 94293 75 \
PROPOSED LOT COVERAGE 1080 00
TOTAL LOT COVERAGE 2862 00
NUMBER OF UNITS 1 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc OWNER WIRED/ GARAGE
Permit pin number 52928
Permit Fee 1 78 70 Plan Check Fee 00
Issue Date 17/01/05 Valuation 0
Expiration Date 112/28/05
Qty Unit Charge Per Extension
1 00 78 7000 ECH EL RM 0 200 1ST SRV FEEDER 78 70
00 48 1000 ECH EL R OUTBD/DTCH GAR SEP 00
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
05/12/2005 04 50 PM SROBERDS
The proposal will allow the construction of a detached
garage for total lot coverage of 3% in the RMD zone No
land use issues are noted
Electrical load calculations and elctrical permits are
required
Public works utility engineering has no requirements for
this plan review ^�
Other Fees STATE SURCHARGE 4 50 �`p\
Q
Fee summary Charged Paid Credited Due
Permit Fee Total 78 70 78 70 00 00
Plan Check Total I 00 00 00 00
Other Fee Total 1 4 50 4 50 00 00
Grand Total 183 20 83 20 00 00
i
COMME-NITS/ACTION NEEDED
I
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M 404 M 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
DITCH
ROUGH-INI COVER S-,Z6 -0 5'
PCNs
SERVICE
FINAL
GENERAL COMMENTS:
PW-1102.15(4961
PREPARED 6/29/05 12 55 09 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/29/05
ADDRESS 1417 EVANS AVE SUBDIV
CONTRACTOR TWETER GROVES CONSTRUCTION PHONE (360) 670 3156
OWNER DOUG LINDE/ALISHA PARRISH PHONE
PARCEL 06 30 00 1 0 7510 0000
APPL NUMBER 05 00000353 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 6/03/05 JLL BUILDING FOUNDATION FOOTING
6/03/05 AP 06/03/2005 11 19 AM DYASUMUR
DOUG 670 3156
06/03/2005 04 17 PM JLIERLY
BL3 01 6/27/05 JLL BUILDING FRAMING TIME 17 00
6/_27/_05 DA 06/-24/2005-05--00--PM—DYASUMUR
DOUG 360 670 3156
06/27/2005 04 19 PM JLIERLY
brace ridge splice w doubled beam and strut/ridge ends to
be suported by strut or cripple/jll
BL3 02 63/29/05
JLL BUILDING FRAMING
2005 11 AM DYASUMUR
DOUG 67
DOUG 670 3156
COMMENTS AND NOTES
PREPARED 6/27/05 12 37 33 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES �:, 'INSPECTOR JAMES L LIERLY DATE 6/27/05
ADDRESS 1417 EVANS AVE SUBDIV
CONTRACTOR TWETER GROVES CONSTRUCTION PHONE (360) 670 3156
OWNER DOUG LINDE/ALISHA PARRISH PHONE
PARCEL 06 30 00 1 0 7510 0000
APPL NUMBER 05 00000353 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ELI, 01 6/03/05 JLL BUILDING FOUNDATION FOOTING
6/03/05 AP 06/03/2005 11 19 AM DYASUMUR
DOUG 670 3156
06/03/2005 04 17 PM JLIERLY
BL3 01 6127/Q5 - BUILDING FRAMING TIME 17 00
06/24/2005 OS 00 PM DYASUMUR
DOUG 360 670 -3156
COMMENTS AND NOTES
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at tql � Ey s
I
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
7-5� r
I
I
These I orre-tions must be made and are not to be
covered until reinspection is made When corrections
have been made, please call 0:2 -- t/&< -
for inspecltion
Date i o
Inspector for Building Division
I
Inn NAT IRFIMAVF TNIR Tef:
A/ d�°''°"''"� ELECTRICAL WORK PERMITAPPLICATION
❑Electrical Contractor >(Owner T
r
❑ Annual Permit ❑ Alarm ❑ Carnival ❑ Commercial )(Residential O Residential Maint. ❑ Signs ❑ Thermostat ❑ Telecom.
Installation description �r
r_ I Job wired by ❑Electrical Contractor ,Kowner 1
0
Electrical contractor name License number zee Purchaser's mailing address
City State ZIP
Telephone number FAX number
Premises owner's name
Address of inspection
city
❑ Cash ❑ Check#
I hereby certify that I am the owner o f the above named property or a licensed ❑Credit Card Visa MasterCard Discover
electrical contractor(or the firm's authorized agent) and am malting the electrical
installation or alteration in compliance with the electrical law Chapter 19.28 RCW Card#
----------------
Signature of owner, electrical contractor or electrical administrator Expiration Date
X ��~ 'Y/yof Card Inspection fee
tv j
WALLS CULING THERMOSTATEDate
VICE
Insulation Only Insulation Only
Date Approved ByApproved ByDate Approved By Date Approved ByCover Cover DITCH DER
Date Approved By Date Approved By
Approved ByApproved By
Electrical Load Additions and or subtractions Service Information
❑ NO LOAD CHANGES
❑ Baseboard _KW Voltage 0
❑ Furnace _KW ❑ Overhead Service Phase 9 1 ❑ 3
❑ Heat Pump _Ton LAR ❑ Temp Service Service Size:
❑ Fan-Wail _KW underground Service Feeder Size:
Inspection
� (C Area,Buildingor Equipment Ins ected Action Taken Electrical
Date
Inspector
-_ Dl�
I
PREPARED 6/03/05 13 02 25 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/03/05
ADDRESS 1417 EVANS AVE SUBDIV
CONTRACTOR TWETER GROVES CONSTRUCTION PHONE (360) 670 3156
OWNER DOUG LINDE/ALISHA PARRISH PHONE
PARCEL 06 30 00 1 0 7510 0000
APPL NUMBER 05 00000353 RES DETACHED GARAGE
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 BUILDING FOUNDATION FOOTING
06/03/2005 11 19 AM DYASUMUR
DOUG 670 3156
COMMENTS AND NOTES
'o IL-
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 05 00000353 Date 5/18/05
Application pin number 180166
Property Address 1417 EVANS AVE
ASSESSOR PARCEL NUMBER 06 30 00 1 0 7510 0000
Application type description RES DETACHED GARAGE
Subdivision Name
Property Use
Property Zoning RESIDENTIAL MEDIUM DENSTY
Application valuation 18775
Owner Contractor
DOUG LINDE/ALISHA PARRISH TWETER GROVES CONSTRUCTION
1417 EVANS AVE 163 MARITIME DR
PORT ANGELES WA 983635127 PORT ANGELES WA 98362
(360) 670 3156
Other struct info TOTAL % LOT COVERAGE 3 00 r
CONSTRUCTION TYPE V N
NUMBER OF STORIES 1 00
EXISTING LOT COVERAGE 1782 00
LOT SIZE 94293 75
PROPOSED LOT COVERAGE 1080 00
TOTAL LOT COVERAGE 2862 00
NUMBER OF UNITS 1 00
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 1080SF DETACHED GARAGE
Permit pin number 49171
Permit Fee 330 75 Plan Check Fee 132 30
Issue Date 15/18/05 Valuation 18775
Expiration Date 11/14/05
Qty Unit Charge Per Extension
BASE FEE 92 75
17 00 14 0000 THOU BL-2001 25K (14 PER K) 238 00
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
05/12/2005 04 50 PM iSROBERDS C
The proposal will allow the construction of a detached `
garage for total lot coverage of 3t in the RMD zone No
land use issues are noted
Electrical load calculations and elctrical permits are `^
required V"
Public works utility engineering has no requirements for
this-plan review- - -
Other Fees STATE SURCHARGE 4 50 C
Fee summary Charged Paid Credited Due
Permit Fee Total 330 75 330 75 00 00
Plan Check Total 132 30 132 30 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 467 55 467 55 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 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 `
I'
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T-\Policies\1102 15 building permit inspection record05.wpd[1/4/2005]
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 UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS �LL
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
FRAMING
JOISTS/ GIRDERS 47 lab V
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING �ij juL
DRYWALL(INTERIOR BRACED PANEL ONLY)
T BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
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 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 FIRE DEPT
PLANNING DEPT 417-4750 1 PLANNING DEPT
BUILDING 417-481.5 BUILDING
T-\Policies\1102_15 building permit inspection record05 wpd[1/4/200
FOR OFFICIAL USE ONLY
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK.Your application and site plan MUST BE ate Approved.
-mum COMPLETE to be accepted for review If you have any questions, call
Date Issued.
J PERMITS (360)417-4815 FAK(360)417-4711
Applicant or Agent: D 71el) S� Phone. 6 7-0 `"S Z5
Owner- / l Phone. 7 7T,740
Ci oY/ � Zip
Address. �'�
Architect/Engineer, Phone
ContractoriwC;-�Q� 7✓1�11�5 1257. State License#• W O Exp Or-C&-C-6Phone67d-
--
Address —City I/(f Zip
PROJECT ADDRESS 7 E ONING M_D
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
Credit Card Holder Name:
Billing Address: City
Credit Card Type VISA MC # Exp.Date:
TYPE OF WORK. SIZE/VALUATION
❑ Residential E3 New Constr. ❑ Re-roof ❑ Stove SF @$ /SF =$
❑ Multi-family 11 Addition ❑ Move , Garage -�-��—SF @$ /SF ou
❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$ _
11 Repair ❑ Sign El Other TOTAL VALUATION $ 73
BRIEF DESCRIPTION OF THE PROJECT ed2gder P� r� e. a 6
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type:
No. of Stories: Lot Size:q z33j5-Existing Sq.Ft. _&Proposed Sq Ft. 16W =TOTAL Sq Ft.
Total lot coverage
APPROVALS.
PLANNING USE ONLY PLAN
I BLDG
I DPWU
FIRE.
ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- OTHER.
VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed
and may be 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 tune the building perimt application and construction plans are
submitted. All other permit fees are due at the time of penmt issuance
EXPIRATION OF PLAN REVIEW If no pern-dt is issued within 180 days of the date of application,the application will expire. The
Building Official can extend the true for action by the applicant up to 180 days upon written request by the applicant(see Section R105.3.2
of the International Builduig/Residential 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 required i
t the ZZ -
' hat I must obtain such permits prior to work.
�RVF-SS�BLDG-forms-brocliures�2004-Buildingpermit.wpd Applicant: Date. Of '� �
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Vertical Datum=NA VO 88 N This ma/drawn isproduced by the City o Port An eles,or its on use nd u ses. 1
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RESIDENTIAL CONSTRUCTION GUIDE
2 8
2x TOP PLATE TEXT M-OH
HEAD •I:I I•I'
PAKTEN W Ad LQ#1CN
;i:� I:I; •9 Oa.EACH Mkr
I' W] .STTDS
APA RATE)SIEATHINS
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Ed C.OhfiON 2 j'OL.
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NOTE,
r R.
FOR L5E IN GAPA6L'am K41S AS WOM
IF A FLOOR IHTLRVEB EE NEM FOLMATION
Am mA im PA18..FLYHWD SHALL OVB4AP DOLIBL-E STIVS o All
RR1 jAISTO AND M.L PLATES FRO1/IPE HMM" 06 SEARS AMU 194"
COLTS AND PLYHOOD NAQJNS AS 9HOHl PROVIDE
5PECIAL DETAIL IF ABOVE FIRST FLOOR.
a
ABP PILL All HOLM
@SENT
WALL AS PER K4 PALTLR9tS
SFfLIFICATIONS 54FVSM N75A APPROVM HOOK-EM 11OLOO1,M
TYPICAL.. W SS"MN.CAPACIT'C
W 2 x PLATES
AT 24'TO 4D'PAS REDUCTION TO AT 2 18•TO 4D'PARFAICTICH TO g
A1EATHNISi TO EACH STLD
HD]A HOUX"45 A11.014". HD2A"MXMn"6 AUD64V.
MXTW HOLVC"6 ALSO ALLO1®.
ALL OI}4R c.Ni-a T5 ST"APPLY
AC-UPTID ALTHtNATE
SST I =i?F
MINIMUM LATERAL RESTRAINT PANEL 1"KP,,a
56ALE AS NOTED
r
o� PORT q�c� CONVENTIONAL BRACED PANELS
RESIDENTIAL CONSTRUCTION
U CmA
� O
SHING
BP (Braced Panel)
4' WIDE, 3/8" WOOD STRUCTURAL PANEL,NAILED 6d @ 6" 0 C , NO HOLD DOWNS
IBP (Interior Braced Panel),
4' WIDE %2" GYPSUM BOARD (Both sides of wall),
NAILED 5d @ 7" 0 C BLOCK ALL HORIZONTAL JOINTS OR
NAILED 5d @ 4" O C WITH UN-BLOCKED HORIZONTAL JOINTS
8' WIDE PANEL REQUIRED IF SHEET ROCK IS INSTALLED ON ONE SIDE.
NO HOLD DOWNS REQUIRED
�AP'(Alternate Braced Panel) SINGLE STORY RES I
2'-8" WIDE, 3/8" MIN WOOD STRUCTURAL PANEL,
NAILED 8d @ 6" O C BLOCK ALL EDGES,
TWO ANCHOR BOLTS @ QUARTER POINTS, 1800 lb CAPACITY
HOLD DOWNS @ IPANELEND (SEE ATTACHED DETAIL)
ABP (Alternate Braced Panel)FIRST STORY OF A TWO STORY RES
2'-8" WIDE, 3/8" MIN WOOD STRUCTURAL PANEL BOTH SIDES OF WALL,
NAILED 8d @ 6" O C BLOCK ALL EDGES,
THREE ANCHOR BOLTS @ 1/5 POINTS, 5000 lb CAPACITY
HOLD DOWNS AT PANEL END (SEE ATTACHED DETAIL)
T•\ROGER\BLDG-FORMS-BROCHURES\BRACEDPANELS.WPD
IL..
of poor 4NC
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362 ,/
® o�t (206) 457-0411 PERMIT NO. Z�t<f Y LIG
DATE
ELECTRICAL PERMIT
Site Address: ❑ READY FOR ElWILL CALL FOR
7J7L INSPECTION INSPECTION
Installed By: License Number: Phone:
Owner/Business: / ' ' Phone:
W. ^
Owner/Business Address: Sq. Ft.
RESIDENTIAL ❑ TEMPORARY SERVICE ❑ OVERHEAD SERVICE
COMMERCIAL ❑ PERMANENT SERVICE UNDERGRO�1�1 S VICE
C BASEBOARD KW C3 NEW CONSTRUCTION 'VOLTAGE' �C
C FURNACE KW ❑ REMODEL SINGLE PHASE
C FAN/WALL KW ❑ ADD/ALTER CIRCUITS THREE PHASE.
❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS
❑ SIGN D❑ SPST IAL LEQUIPMEN/T
Details/Description: /Zs `telfhG e
•
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. NOT O.K.
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
l Ditch Inspection O.K.
❑ Rough-in/cover O.K.
fAt&&3&O.K. to connect service
/L ❑ Final O.K.
Site Address: Permit/Receipt No.
i fL�., cup 3 96
Installer: New Meters Date:
/8 9�
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must of be covered
® before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
_ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /749
Electrical Inspector Permit Fee
WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPIC PRINTERS INC.