HomeMy WebLinkAbout1010 Spruce St - BuildingApplication Number 05 00000885
Application pin number 463500
Property Address 1010 SPRUCE ST
ASSESSOR PARCEL NUMBER 06 30 08 5 8 0712 0000
Application type description RES ADDITION
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6000
Owner Contractor
OWNER
BECKETT SUTTON
1010 SPRUCE ST
PORT ANGELES
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 98363
TOTAL I LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDING PERMIT RESIDENTIAL
T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
61234
148 75 Plan Check Fee
9/28/05 Valuation
3/27/06
Qty Unit Charge Per
BASE FEE
4 00 14 0000 THOU BL- 2001 -25K (14 PER K)
Special Notes and Comments
Building address sign shall not be less than 6 not more
than 12 in height Numbers colors must contrast with wall
color they are mounted on (Ord 14 36 050 E)
09/21/2005 10 42 AM SROBERDS The proposal will result
in a 360 sf addition to a sf res in the RS 7 zone for total
lot coverage of 211 No land use issues are anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES convert service to
u/g or reroute
09/19/2005 02 04 PM GMCLAIN
09/19/2005 02 05 PM GMCLAIN
Electrical load calculations and elctrical permits are
required
Public Works Utility Engineering has no requirements for
this plan review
Charged
148 75
59 50
4 50
212 75
148 75
59 50
4 50
212 75
Signature of Contractor or Authorized Agent Date
00
00
00
00
Date 9/28/05
Paid Credited Due
20 50
1 00
1080 00
7000 00
360 00
1440 00
1 00
59 50
6000
Extension
92 75
56 00
STATE SURCHARGE 4 50
00
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.
Signature of Owner (if owner is builder) Date
INSPECTION TYPE
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
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
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
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
I PLANNING DEPT
BUILDING
T \Policies\! 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 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 IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
DATE ACCEPTED
YES I NO
I I
SEPA.
ESA.
SHORELINE.
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
417 -480" PW ENGINEERING R.W
417 -465: I I I I FIRE DEPT
417 -4750 I y.p�e& i I I I PLANNING DEPT
i....
417 -481. I X]0) 1 I I I "I O- !IQ I BUILDING
Applicant or Agent: eNn1 1Q_C \e(q_ l�
Owner
Fill out COMPLETELY and in INK. lour application and site plan MUST
COMPLETE to be accepted for review If you have any questions. call
PERMITS (360) 417 -4815 FAX(360)417-4711
KA .p..) 82
BUILDING PERMIT APPLICATION
Address. 0 10 5 P f e City t r Architect/Engineer C) W N 'L r
Contractor C W
Address City
PROJECT ADDRESS 10\ 0 5P C` v C,
LEGAL DESCRIPTION Lot: 3 Blocic:
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stones: Lot Size: I OOO Existing Sq. Ft. MAO
Total lot coverage
PLANNING USE ONLY
State License Exp
Subdivision.
CLALLAM COUNTY PARCEL NUMBER. 140 36 0 5 g O 11 2
ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other
T•\Policies\BL 1102_13 wpd Applicant: /eIGt Date: 9— 6 5
OR OFFICIAL USE QI dLY
ale Rec.
emit /4:
to Approved.
ate Issued:
Phone. 3 Cp O 1 1 S Q t
Phone.
A o
Phone.
Phone.
Zip
ZONING
AId\l SVL \/A i■lA PrK A.N
Credit Card Holder Name:
Billing Address: City
Credit Card Type VISA MC 4 Exp. Date:
TYPE OF WORK. ST7E/VALUATION
Residential New Constr Re -roof Stove SF /SF 5
Multi- family 0 Addition Move Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign Other TOTAL VALUATION Cop vc')_
BRIEF DESCRIPTION OF THE PROJECT 429.0. r7,-. o fee r 0P In 6U SL
Occupant Load. Construction Type:
Proposed Sq Ft. 3( c7 TOTAL Sq Ft. /f/
APPROVALS.
PLAN
BLDG
DPWU
FIRE
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. LE 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 If no permit is issued within 180 days of the date of apphcation, 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 R105.3.9
of the International Building/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 ,not the City's, and that 1 must obtain such permits prior to work.
30
Feet
1018
1019
1Q15
I If
II!
c
Vertical Datum =NAVD 88 N
Horizontal Datum NAD 83'97
1014 g
SpruceSt
F- 7 rC 1
S L�
1 011
Area Map
1001
1010
1006
4020
4008
Thi map is not intended to be used as a legal de iption.
This map /drat iog is produced by the City of Port Angeles fol its ann use a id purposes. -it)
Ant' othe use of this ap /drat ng shall of be the spo ibilitv of the C itt
The City of Port Angeles
Building inspections Dept.
Upon reviewing the single family residential plans submitted for permit, the
following are some of the items that will need to be taken in to consideration.
Foundation Footing. The minimum size of a footing in Seismic zone D2 are as follows.
(1 Story 12" W/ 6" min. thick) (2 story 15" W/ 7" min. thick) (3 story 23" W/ 8" min. thick)
(Load bearing value of soil 1,500 (psf). With 2 4 bars horizontal continuous 3" off the
bottom of footing. The minimum specified compressive strength of concrete in basement
walls, foundation walls, exterior walls and other vertical concrete work exposed to weather
in moderate weathering table R402.2 of the IRC is 30001bs with a min. of 5% air entrained,
but not more that 7 Foundations in seismic categories D2 that exceed 50' -0" in either
direction are required to have a continuous footing per section R403.1.2 including support of
an interior braced wall line. Locating and marking the property boundary is required for a
footing inspection. Tables in chapter 4 of the IRC. Will be applied for soils that are heavy in
moisture (hydraulic) in nature or foundation wall over 5' -0" in height. Verify site conditions
and unbalanced back fill at time of application. Foundations Drains are required as per
section R 405.1 (see exception for soil classification)
2- Foundation walls. Vertical steel in foundation walls as of July l 2004 Vertical bar reqd
to be 'A" #4 bar with a hook and tied to the footing steel in place at 4' -0" O.C. at footing
inspection. One #4 bar horizontal within the top 12 "of the wall. anchor bolt with a 3" x
3" x'/4" steel washer is required at 6' -0 "OC for a 1 story and 4' -0 "OC for a 2 story, along
and within 12" of each end the pressure treated sill plate. Crawl space ventilation is required
at (1') s.f. of vent per (150') s.f. of area per sec. R408.2. 2003 IRC. 6 mill black poly is
required in crawl space as a below grade moisture barrier per section R406.3.2 2003 IRC.
Finish grade shall be a 6" slope away from foundation within 10' -0" of the foundation wall
measured horizontally as per sec. R406.3 2003 IRC.
3- Framing. All connections from a pier to a post and beam are required to have positive
connection per code. In addition any connectors/ fasteners in contact with treaded wood are
req'd to be hot dipped zinc /galv (See manufacture details.) All floor joist are required to be
blocked with 2x material at the beam support. 7/16" OSB sheathing is required to be nailed
to pressure treated sill plate and bottom plate or sole plate of wall. (or other approved hold
down's). Attic ventilation is required at (1') s.f. of vent per (150') s.f. Of area with an
allowable 50% of ventilation can be located in the upper portion of the ridge if applicable
per 2003 IRC. Truss design and calculations are required upon submitting an application,
lateral connections are required to end walls where truss rafters are perpendicular to end
walls. A truss /rafter tie shall be required to prevent uplift per code.
4- Braced Wall Lines. In Seismic category D2 exterior and interior braced wall lines
cannot exceed 25' -0" Wall bracing must start within 8' -0" of a transverse wall or a designed
collector Standard wall bracing methods are required as per section R602.10.3 of the 2003
IRC. If the wall bracing methods cannot be met, then refer to "Alternate Braced wall panel"
Section 602.10.6 of the 2003 IRC. If any of the aforementioned methods cannot be met,
engineering design will be required for the "SHEAR WALL" design. Section R602.10.9 for
interior braced wall line support for 1 and 2 story buildings require a continuous footing
supporting a braced wall line, interior and exterior not to exceed 50' -0 "intervals.
5- Egress. Rooms used for sleeping are required to have one window with 5.7'S.F of openable
space and a sill height of not more the 44" above finished floor for emergency escape per
2003 IRC.
6- Energy and Air Quality Insulation, Heating, Air conditioning, Lighting, Windows and
Appliances to meet 2003 WSEC VIAQ New single family structures are required to have
a whole house exhaust fan with a 24hr timer per table 3 -1, 3 -2, 3 -3 of the 2003 VIAQ
Mechanical fresh air intake (FM) is required to have a 24 hr timer or windows in all
bedrooms and living, dining area may have intake ports for fresh air per 2003 VIAQ if zone
heat is applicable.
7 Dry Wall. (Gypsum wall board) 5/8" type "X" sheets rock is required in the accessible
usable space under stairs and on ceiling of a garage only if a habitable area is located above
the garage. The rating of the sheet rock nail pattern must be visible to the inspector Nail
pattern for all sheet rock 'A" and 5/8" to be 8" on center and 12" OC if drywall screws are
used. Per table 702.3.5 of the 2003 IRC. Interior braced wall panels are to be inspected prior
to tape, bed and texture. Moisture resistant wallboard is required around w /c. A cementuous
backer board is required for tiled areas at tub and showers. Vapor barrier is required. A
perm rated paint may be substituted for a poly vapor barrier on the warm in winter side.
8- Plumbing. Water heaters are required to have two approved seismic straps in the upper
and lower 1 /3` of the tank per UPC. T &P valve to be 3 /e" I.D and directed to the exterior and
turned 90 degree downward not less that 6" 12" above finish grade. Water heater s are
required to have a 26 ga. Pan of other approved drain pan with a' drain line from pan to
exterior Impact protection for w/h and mechanical equip are required to resist 6,0001bs
impact if located in the garage area. All DWV are req'd. to be tested under water pressure
per 2003 UPC or air test (consult manufacture recommendations for air test) Min. test
pressure in Residential LPG is 30 lbs.
9- Smoke detectors. shall be located in each sleeping room and in the hall leading to each
sleeping area. One smoke detector is required at the top of each stairs, and at least one
smoke detector is required on every floor level. Smoke detectors must be within 6" to
12 "from the ceiling if mounted on wall. Smoke detector shall not be less than 36" from any
air return. Power supply for smoke detectors shall be from the main house supply that is not
switched and required to be battery back up. Smoke detectors to be inter connected so that
if one smoke detector alarm will start a chain reaction to all other smoke detectors as per
code.
10- Maximum building height allowable is 30' -0" based on an average grade plain per 2003
IRC. Property pins shall be located and marked for a footing inspection to verify zoning set
back requirements.
11 Safety glazed tempered glass required within 24" of any doorway edge, along with other
requirements as per 2003 IRC.
12- All water, sewer, gas, electrical, drywells, downspouts and footing drains are required to be
inspected before cover
This letter is not intended to cover all items required by the City of Port Angeles, but is to serve
as a guide to help you understand frequently asked questions, "ALL WORK IS SUBJECT TO
FIELD APPROVAL" 4/05.
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ELECTRICAL INSPECTION
WIRiNG REPORT
457-0411 Ext. 158
IN~
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ADDRESS
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER........... ... 0
o .................. SERVICE .................. 0
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CORRECTIONS NEEDED:
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (206\452.1381 .~~.
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WIRING REPORT
457-0411 Ext. 158
PERMIT #
INSPECTOR
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OL YMPIC.PRJNTERS. INC. (206) 452.1381
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
.~-
Site Address:
Installed By:
AJ
Owner/Business:
Owner/Business Address:
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
gRemodel
o Service update/alter/repair
M Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
l/'-t hl~A>> 1; ~-~
DetailslDescription:
1-,-
PERMIT NO. /1't.:j
DATE It /f~/' r
/ I
o READY FOR ILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
010 03.0
Service size
D Temporary
Amps
tLf-~
.~
Size
Comments
Date
Hold for: D Easement D Letter
W.S. No. Service
Capacity: D O.K. D Not OK
D Ditch inspection OK
-;;J:t Rough-in/cover O.K.
,
D O.K. to connect service
1A Final OK
/Wi''''':
o Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
PermitfReceipt No.
95
Installer: Daft I b I r?"
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work ~
must not be covered or electricaily energized before inspection and O.K. for covering or service has been giver:-
/
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 27
Z Icf A7 NO OCCUPANCY OR USE ESTABLISH EO UNOER THIS PERMIT /10. 0 D /
-- !lSP'~;,r- Amount paid I
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom
(.
Site Address:
/:0/0
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.
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OLYMP'IC PRINTERS. INC.
r
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
00037D
t) S- 2. -'0
PERMIT NUMBER
.
00 ~ <---- ~ !tOM e
TOTAL FEE ]tJ,
CONT. Lie. NO. TIME TO COMPLETE NO. STOAIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
Site Address ! (JJ /0 51 If. t( ( E'_
CORRE~DORESS IS RESPONSIBILITY OF APPLICANT
Owner ~AtQ.R"I {'. 'PI~6.
Owner's Address 81S- W
J1.S7r fB=>i 15'2--11/0
,
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By
Installers Address
Installers Phone
Day Phone
Application is hereby made fa
Wiring Method
12... fC
I
.
NUMBER AMP .120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 10QR FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT b '0 50 VOLTS
OR lESS
CONVE"IENCE C f MOTOR
CONVENIENCE \\ MOTOR
-
APPLIANCE MOTOR
DISHWASHER ( FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUND W
DRYER REINSTALLATION LIGHT FIXTURE #
FURNA :::E SUB TOTAL FEE
GAS. C IL
FURNA :::E ENERGY FEE
ELECTrIC BASIC FEE
ELECTI IC HEAT :)0. cH.J
TOTAL FEE
ELECTIIC HEAT SIZE OF S~RVICE SWITCH OR CIRCUIT BREAKER
A.C. UI\ IT AMP PHASE
FEEDEf I SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE ( 2t?O ~ l?tI. ~p AW.G.
I SUB-TOTAL" I.,,,, </'<> SIZE OF GROUND SIZE OF ENTRANCE SWITCH
. .' ,',
j certify that the work to be performed under this' permit will be done by ~he installer and in conformance with the
Date Application made
g. . I:L, R'5
,19
By
.
CONTRACTOR WNER (OR AUTHOR END
Permission is hereby given to do the 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 City of Port Angeles.
1 ~ P ry~~y LIGHT
D I P 't I d By (!/rr ~~ 7-
a e erml ssue PLANS A PROVED
cr _(1 r- r ~fY Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
f) tf--. be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
. '1 Writing on .Permit Placard. A. - Permits Phone: 457-0411 Ex!. 15B.
WARNING. PERMIT PLACARD MUST BE KEPT POSTED DN THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC )RINTERS, INC.
DATE OF VISIT
"
.~ :
MADE BY
REPORT OF INSPECTOR
REMARKS
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FEE RECEIPT NUMBER
CITY OF. PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
00037;k.
PERMIT NU ER
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TOTAL FEE
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TIME TO COMPLETE
N.o:STORI,ES'
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLlSHED,UNDER THIS PERMIT
.. ,. .. ~ .
!p I 'rJ' 5f'X'tfc.~. -. -. .
.. ~ {) CO~AEC1"tDDRESS IS _RESPONSIBILITY,OF APPLICANT' PERMITS WITH WRONG. ADDRESSES ARE CAN~ELLED
Owner ' r;;,AR{N. C ' .vI< I tV ~ LJ~. In5tallati~n By _
Owner'sAddress . 8-( R- ft\J .[f.tl;;....,. 'I.. 'Inst~lIersAddr;ss
Day Phone h S '1. S S 2., I -- .., : 'In5taller~ .Pho;i"e. ;,->
Application is hereby made for Permit to install Electrical Equipment as follows:
TeN/f'r; . (.''o/llS r .f"-et?M 1/ 30 PAy
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Site Address
ONLY
Wiring Met~od
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
120V
'0
240V
100R
30
FEE
USE OF CIRCUIT.
NUMBER
CIRCUITS
AMP
PEA
CIA
120V
'0
240V
100R
30
FEE
LIGHT
-
SIGN ^
50 VO',.",:-S '-- '-- h
OR LESj;L ............... -- I
MOT~ ~IJ
MO~ t.fJ)
M~~I
~Ef,\~S
Bi)f!GL~fALAAM
t:.. ~Mlsc.;:I _ .<
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~l.7/
-/1''::-- :
.;:-:..;.
,....,
t::::- If)/
-/:'-....--/
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.-
,LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE
DISHWASHER
DISPOSAL
..
RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE _
GAS. OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
REINSTALLATION LIGHT FIXTURE #
, SUB TOTAL FEE
ENERGY FEE
BASIC FEE
ELECTRIC HEAT
TOTAL FEE / L fP c>
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT
. AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
FEEDER
SERVICE
A.W.G.
. "SUB-TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
I certify that the work to be perform: ~nder ,th~5 p:mit :'~e done by the installer Banyd in con for ance with the N.f{. Electrical Co
Date Application made 6 ;- i5 2. ,19 . f..I
CONTRACTOR OR OW ER (OR AUTHORIZED
PermissiC?':l is hereby gjv~n to do the above described work, according to the conditions hereon and accord I g to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles,
. DIRECTO OF CITY LIGHT
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Date Permit Issued
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WARNING 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Oupficale PINK - Triplicale WHITE CARD _ Inspector's Report
nl Vt.APIC: PRINTFR!':. INC:
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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?-Jr eM MH'/ Nee Il< Il- S'U~f};t> To C() A LL
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O.K. FOR COVERING
-1-I;"--6S- 11?f O.K. TO CONNECT SERVICE ? '0- tf) ,N oll/Ly
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FINAL O.K.
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