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HomeMy WebLinkAbout918 W 10th St - Building 5as�i;rl,�, acsr.� .................................. CITY OF PORT ANGELES PERMIT.APPLICATION f�1 Building DivisimVE,lertricaI Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 MAR 6 2014 Ph:(360)417-4735 Flax:(360)417-4711 f ELECTRICAL �..' bate,._:;!- i' ?!R &2 Single Family Dwelling INSPECTIONS *Plait Review May Be Required,please,Complete Electrical Plan Review Information Sheet Job Address:. -_ t .._- Bulidtng Square Frlage_.--__—. r fp m Desul0on of above 1 J r t vz _ AX Owner Information Contractor Information Name:_-�,i"L e gjr-a.. 5 _ Norge: 41gA t{# MCiatyi:ingAddress __... �. . MeingAdBrs5a: r g.✓ Zip:—fLLI city:j� Stata;..S dr Zip: kZ ..... Fax: Phone; Xn-F•'ax: License01Exp,Y_.._ iicenselixp. . t, 1drT �rti�. Item U Lit ChLrflga Tat I QWXftlied by intt Char Service/Feeder 200 Arnp. $120,00 _ $ _ . Service/Neder 201400 Amp, $145.00 $— -- _ SoMcePFseder 401. O Amp $205.00 $ , Service/Feeder 501-1000 Amp. $202.00 $ Service}Feeder over 9000 Amp, $373.00 Branch Circuit W/8ervice Feeder $ 5.00 $_ Branch CircuitWJ0 Service Feeder $ 53.00 , . $--4L Each Additional Branch Orcult $ 5.00 $ Branch Circuits 14. $ 75.00 $ _ Temp.Service/Feeder 200 Amp. $ 93.00 $ 'temp.8ervicelFeeder 201-400 Amp. $110.00 $� Temp.Service/Feeder 401-600 Amp. $149.00 $� — Temp,ServiceiFeeder601-1COO Amp, $158,00 Portal to Portal Hourly $ 86.00 _ $ Signal Circuitf Limited Energy-1&2 Family Dwelling $ 54.00 � $� Manufactured Home Connection $120.00 g Renewable Electrical Energy-5KVA System or Less $102,00 $� 'thermostat $ 56,00 Note:$5,00 for each additional T-Stat NEW d NSTRUCTION 014LY: First 1300 Square Ft, $120.00 Each Additional 500 Square Ft,or Portfon of $ 40.00 $--Each Outbuilding or DeVched Garage $ 74,00 _ $ Each Svuimming Pool or Hot Tub $110.00 - $ (d Z' Total Owner as defined by RCW.19.28,261:(1)Owner will occupy the&uctdre for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection, After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor,I am making the electrical lnstailation or alteration in compliance with the electrical laws,N.E,C.,RCW,Chapter 19.25,WAG,Chapter 296-46B,The City of Part Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: 0 c&sn 0 check CPediECarnitd ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , , , 14-00000267 pate 3/06/14 "`+J Application pin number 815502 .Property Address . , . 918 W 10TH 8T REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0 3-1920-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . , . . . . to the City of Port Angeles Property Use Property Zoning , , , , . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation , . . . 0 Application desC Ductless heat pump Owner Contractor HVASS, JEROLD L. EXTRA MILE TECH & ELECT, , LLC 918 W 10TH ST 418 N, RACE ST, h PORT ANGELES WA 983635730 PORT ANGELES WA 98362 �J (360) 457-5222 ¢,.. __.- ---- ---------- -________- ------------------------- -- --- �rY1 Permit , . , . , . ELECTRICAL ALTER RESIDENTIAL Additional �ti Tonal desc , , �✓�} Permit Fee 63.00 Plan Check Fee ,00 Issue Date 3/06/14 Valuation 0 Expiration Date 9/02/14 Qty Unit Charge Per Extension 1.00 63,0000 ECH EL-R- BRANCH C1R WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63,00 63,00 .00 .00 Plan Check Total .00 00 .00 ,00 Grand Total 63.00 63,00 .00 00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: I DITCH SERVICE ROUGH-IN FINAL 1 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contra_etor X Date: G:IEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . , . . . 14-00000267 Date 3/06/14 Application pin number 815502 Property Address . , . . , . 918 w 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1920-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City/of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 --------------- Application desc Ductless heat pump Owner Cantractor ------------------------ ------------------------ HVASS, JEROLD L. EXTRA MILE TECH & ELECT_ LLC 918 W 10TH ST 418 N. RACE ST. PORT ANGELES WA 983635730 PORT ANGELES WA 98362 {360} 457-5222 -----------------------------------------------___--- ____-_------------------ Permit , , . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . 63.00 Plan Check Fee 00 Issue Date . . . . 3/06/14 Valuation 0 Expiration Date 9/02/14 Qty unit Charge Per Extension 1.00 63,0000 ECH EL-R- BRANCH CIR WQ/ SER FEED 63.00 ---------_°----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63,00 .00 .00 Plan Check Total .00 ,00 .00 ,00 Grand Total 63.00 63.00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(b)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIB UILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HVASS JEROLD L 918 W 10TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983635730 EL DETACHED GARAGE OWNER/ DETACHED GARAGE 57125 48 10 9/30/05 4/26/06 Qty Unit Charge Per 1 00 48 1000 ECH EL -R OUTBD /DTCH GAR SEP Special Notes and Comments Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES The Fire Department has reviewed the project application and has no comments 08/12/2005 09 45 AM SROBERDS The proposal will add a 576 sq ft detached garage in the RS 7 zone for a total 30% lot coverage MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE Charged 48 10 00 4 50 52 60 05 00000727 186554 918 W 10TH ST 06 30 00 0 3 1920 0000 RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 6000 Contractor OWNER TOTAL LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE Plan Check Fee Valuation Paid Credited Due 48 10 00 4 50 52 60 00 00 00 00 Date 11/30/07 21 90 1536 00 7000 00 576 00 2112 00 00 0 Extension 48 10 4 50 00 00 00 00 Ili SPECTION ELECTRICAL TYPE DATE. RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS: ,„:4-4‘2 Of pORT ... ~: .......A.~~~ <'/'-"'t1!fij<!. L~ ~ ~~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 05-00000727 Date 186554 918 W 10TH ST 06-30-00-0-3-1920-0000- RES ACCESSORY BUILDING 8/15/05 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 6000 Owner Contractor HVASS, JEROLD L. 918 W 10TH ST PORT ANGELES OWNER WA 983635730 Other struct info . TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 21.90 1536.00 7000.00 576.00 2112.00 ---------------------------------------------------------------------------- permi t . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 57810 148.75 8/15/05 2/11/06 Plan Check Fee Valuation 59.50 6000 Qty Unit Charge Per Extension 92.75 56.00 F~ 4.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) -------------------------------------------------- Special Notes and Comments Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES The Fire Department has reviewed the project application and has no comments 08/12/2005 09:45 AM SROBERDS -- The proposal will add a 576 sq.ft. detached garage in the RS-7 zone for a total 30% lot coverage. Electrical load calculations and MAINTAIN CLEARANCES FROM SERVICE MAINTAIN CLEARANCES FROM SERVICE MAINTAIN CLEARANCES FROM SERVICE Electrical load calculations and MAINTAIN CLEARANCES FROM SERVICE required. required. required. required. this plan review. required. Public works electrical engineering has no Electrical load calculations and elctrical Electrical load calculations and elctrical Electrical load calculations and elctrical Electrical load calculations and elctrical elctrical WIRES WIRES WIRES elctrical WIRES permits are permits are requirements permits are permits are permits are permits are for .-S) - ~ ~ I'\~ i \~ ~ IV! + \) -.......;.. N" ~ ~. 1 ~"> 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 T:IPolicieslI102_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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I I CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOL~O~" WALLS 1 ROOF 1 CEILINl\. · ~ DR YW ALL (INTERIOR~CE PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\policies\11 02_ I 5 building permit inspection record05. wpd [1/4/2005] CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000727 Application pin number 186554 Page Date 2 8/15/05 ---------------------------------------------------------------------------- Special Notes and Comments required. Public Works Utility Engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 148.75 148.75 .00 .00 Plan Check Total 59.50 59.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 212.75 212.75 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 Signature of Contractor or Authorized Agent Date T:IPolicieslI102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 06 - 7 a-7 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 DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS ~/~/()j~ ~L-L WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING 9-1J./-o.s J ll.. DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKJR TING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. 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Z tl noz >-3Z "-<>-3 Z H '" ~8 0 03:0 'O'O(f) >-3 ZOJO "''''C:: OJ:>: OJ (f)>-3 OOto (f)OJ (f) '(f)H ZZtl >-3 * ~ Z OJOJH t"' *1;)1;) <: *OJ t"' H OJ i<l t"' >< t:J'O ~~ >-31;) OJ OJ 00 .... to.> m .... o \11m FOR OFFIC US"' ONLY: BUILDING PERMIT - APPLICATION /faltRec. 0 ~ of} (penllil #: <!':Js:, z:- Fill out COMPLETELY and in LN'K. Your applicatior. and site plan MUST Bi.1 ~ate Approved: COMPLETE to be accepted for review. If you have any qllestions, call I / PERMITS (360) 417-4815 FA,.x(360)417-4711 V, Dart Issued: I - Applicant or Agent: cJ e yo /v Owner: Sa ""'7 f-' hvass Phone: 3t::O - ~'::;-7 - ,$ 6'- '? C Address: 7' /f- Architect/El1gineer: Contractor w /o,y::.A City: Phone: d/ ,-1V1.7Pkj' Phone: Sc<- h7 P Zip: ?rS-J?6' 5 State License #: Exp: Phone: PROJECT ADDRESS: 9/r 4/ City: /c/h ) ~~ .17~~.5 Block: .5 /9 Subdivision: Zip: ZONING: Address: LEGAl DESCRIPTION: Lot: ~- CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: ;-y;;; VdIJ Billing Address: ?'/l~ Ie/' ../Q ~ SIZEN ALUATION: SF. @ $ /SF. = $ 3- 7.6 SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAl VAlUATION $ 6/ crt70- COMMERClAL/RESIDENTIAL: Occupancy Group: No. of Stories: _ Lot Size: 7.000 Existing Sq. Ft. \?~ Total lot coverage ~. 11 % Occupant Load: Construction Type: & Proposed Sq. Ft.?7f.o = TOTAL Sq. Ft. -:211 '2 APPROVALS: PLAN: BLDG: DP\VU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA 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 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 time the building permit application and construction plans are Section Rl 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 t permits are required ,not the City's, and that I must obtain such permits prior to work. ~ ~ate: g-k~s-- Applicant: T:\Policies\BL-II02_13.wpd 70~ &{ . 926 30 Feet V.rtical Datum ~ NA VD 88 Horizontaf Datum = NAD 83/9/ N Area Map This map is not intended to be used as a legal description, This map/dra\1.'ing is produced by the Ci~l' of Port Angeles/or its own use and p/{rposes.r:~ Any other use of this map/drawing shall not be the responsibility of the Ci~l'. '~ ------. I - - il.d- /~ Sca../( }-I/ey I' I i J__ __ __ ! 1- -- r------- - --- e---' 1---1-- -- I ! r== -F1 ~ ---- =--I~- --==,~~~ - ~~if!6- 1=,- -,- ~,I "~"~ .___,.__1" J1 1__,,'--,- f-,,_-t.'t _= -- ~'.-+- () I Tf r-- - c- - 'I! I +- t, '1 -_U-~--lrJ"- - . Ii 1-_-_L--1I ~1 J --- - I - I . I __ ,- - ,,-- e- r -" , i ,- -- -- -- '-- - - -- i-l-t, -1-1-- -, -S ,'7~ I - ;It --y~1 ~ ~, 'L. r r- I-lii-I--'-i - ;. -e- =- ----,- Le- - --=-' - ~' ::,i--~".!-~Jl--i-~~t--I-- __ ----- I- m - I-- --+-- - - - ~I_, T,I 'n - - + -- f--- -- 1-- --- - _L___ --- 1--- -- ---- -- -- _ _ _ _ f-- _____ _ ___ __ _ i--r-! -1--- '___ji ---~- \ 'f, < 7 ... ~ I I:. - -- r --L r-t-T- 1 -- --- --f-- ---- r- I -1-. __ I - --_ I ---- -'.- r f- I-- - 1-- i- 1,i~__ I -- --1! - l-~--- --- -~- --- : I ~________. i __ _ ~ . -. '[ .+ _ , _" ,~_. 1-__ r__ =~~~ ---- --- -- t-- i 1-- -- 1-- i-- ~ __1___ ~,- - v - - I-- I M Te-- H- j I--r-- . -- fIA~~j=-=-,- =t ==-~-- I I I J ! i;I' _._-_-_--,-11,1'_,1 1,,___ ~,-__-,.-_- - i --1 - I · -I + i-=-f--- ----- -l~- __ - -= 1--- -- -- -- i-~ -+-i- c-l=~ Ltll~ ll-- _ = --1--- - ~ I ' i--~ ~J il_u I:-~ j-- ~=l ---:-- 2Fn~ ~&Ifr 'ORM #1]1 Ill. YMPIC PRINTERS INC f\ -- r- l I I 1-_____ -- c---- ---- -- f---- t-- _u 1-- -- no 1-_ -- - -- I- --- , -- [---- I- -- f--- l----' --I- ---- =r= ==--- 4- , ~ ' ----f----, ___ - I ~' I \(l ~Ir -++' --r - L' f-= -- --.-- ---~ '\ . -- r- --r- , .." i II -I +--~, i J ~+q +-1.. ~--, +1 I ~j I I I ---- ---_our' -~'-., --- f----t.---- ---f.---.f '--~ --- --+--1---- - , I _______._i __n_o ,'_ . <, I t-l-+-~ It~~~-t~: rin!--i-- y --- -- -- _ ------ Street Lookup Page 1 of 1 Parcel Number 0630000319200000 Site Address: 918 W TENTH ST PA I Quit I Taxpayer: HVASS JEROLD L/CHERI Title Owner: HVASS JEROLD L/CHERI 918 W 10TH ST PORT ANGELES, WA 98363 918 W 10TH ST PORT ANGELES, WA 98363 Description: LOT 5 BL 319 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 24,000 Improvements Value: 116,565 Total Assessed Value: 140,565 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 1113 THREE BEDRM Land Size (acreage): .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Zoning Code: P _RS7 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg. # for more details.) _#Elldg.Iype __ 61djl.$t}'le TotaLS.F. _BDBA 01 House Two Story 1587 3 2 Tax History Sales History Other parcels at this address: [ Quit I http://65.161.10.164/website/sitis_s.pgm?address=918%20%20%20%20%20&street=TENT... 8/8/2005 cf."ORr~ ",~~"IlI__:t<., Grca~ 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 05-00000727 Date 186554 918 W 10TH ST 06-30-00-0-3-1920-0000- RES ACCESSORY BUILDING 9/30/05 RS7 RESDNTL SINGLE FAMILY 6000 Owner Contractor HVASS, JEROLD L. 918 W 10TH ST PORT ANGELES OWNER WA 983635730 Other struct info . TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 21. 90 1536.00 7000.00 576.00 2112.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT WOOD STOVE 61408 50.00 Plan Check Fee 9/30/05 Valuation 3/29/06 .00 o Qty 1. 00 Unit Charge Per 50.0000 ECH ME-WOOD BURNING APPL. Extension 50.00 "'t, ... ~ ~ ~ .......... o(J Special Notes and Comments Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES The Fire Department has reviewed the project application and has no comments 08/12/2005 09:45 AM SROBERDS -- The proposal will add a 576 sq. ft. detached garage in the RS-7 zone for a total 30% lot coverage. MAINTAIN CLEARANCES FROM SERVICE WIRES 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 C) -----'\.. "f ,,\ .,:) ~ S.)(h ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 54.50 54.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 I a regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PoliciesllI02_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 UNLA WFUL TO COVER, INSULA TE 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 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTlNG 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 t 0 -1.~ -tr/.~ BUILDING T:\Policies\1102_15 building permit mspeclton record05.wpd [1/4/2005] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: q 13 ()/(!)S Pennit #: Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan 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: Owner:~T; V'7 J-/I/'~S ::::" Address: 9l g- w /0 II, Phone: Phone: City: /?-r/' /~c7e)., s ./ 360- 5/0-7- 5b?'c Zip: 9'~5C3 Architect/Engineer: Contractor Phone: State License #: Exp: Phone: PROJECT ADDRESS: 7/g-- w Gty: Z~: /0//1 . ZONING: Block: -.S / 7' Subdivision: O{;-30'-c.,'1Q-O--..? -/?..zC' -60CO Address: LEGAL DESCRIPTION: Lot: ~ CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition D Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF.~SCRIPTION OF THE PRO~fT: -th 5).a. /1 WoceL X Stove D Garage D Deck o Other SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ~~ s- .h-JV( COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA 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 may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -48 I 5 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: Ifno 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 Rl 05.3.2 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 ff is my responsibiJny to determin/aJ permns a'U:::t the City's, and ~hat I must obtain such permits prior to worl< 2,"""0;,"IBL-1102_13.wpd Apphc""t, Y7 2 . Date, '7' h 0 k.s-- 1<.' , \F> c.. ~ \ 3J ~ f ~ J 3: ' .., t>l , >< 10 , '0 10 , , '[J) 0'0 ...., , ~!n~ ~ioo~ 1fl:"' : [:l H ~H '[J)Z ,C::[J) '1:"''0 ,.., '0 : ~ , H I~t:'~ 't>lt>l '[J)[J) ,c::n 'I:"'~ ,..,H '[J)'O "'" ,nH '00 '3:Z '3: 't>l 'Z ,.., ,[J) , , , , , , , , , , , , , , , , , , , n o 3: 3: t>l Z .., [J) ?;; o Z o .., t>l [J) "'....3: t>lot>l ~'n ~"';l: ><.:::?;; "'H on 0)> lill:"' ", lil 'tl -.]OH ,,,,z lil .. )> ,,",01:"' 10'" ""' '0 3: '0 tJ:l )> ~ .., ;l: o I:"' '" ~ H >-l )>'Oon)> '0)>::;:00 'O~ZZO t"I()tIjt-3:;d tI1::d::dtI1 ZI:"' )>[J) c:: ()[J) 3: . .., tJ:l 0 t>l. ~. ~ oo:I: \,() L110'0<: I-' I I ~ 00 OW[J) aD(/) :8 0' - 00 .... DOLl 0 ....JltIj t-3 t\Jo~ ::r: -.]'0 wI:"' [J) :;Olt:l t-3 01.... [J)\DI:"' '" . )>0 n' no t>lo [J)O [J)O 0' ~ >< tJ:l 8 I:"' o H Z G'l n'O H~ ..,t>l ><'0 )> o~ 'tlo1 o '0 0.... ~o .." IV ?;;~ G'lo t>llil 1:"' 01 [J).... '" lil 10 o -.] 'O'O[J) 88iii ZZO t>lt>lH < H H ZZ [J)[J) '0'0 t>lt>l ()n ..,.., OH ~o .. Z "'.., ~~ t>l:>: [J)t>l .., I:"' I:"' H t>l ~ I:"' >< 0'0 >'>' ..,G'l t>lt>l .... o , '" ex> , o lil\D 'J.'~. Sfid~~ De "I<ii..~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL 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 05-00000727 Date 10/12/05 186554 918 W 10TH ST 06-30-00-0-3-1920-0000- RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 6000 Owner Contractor HVASS, JEROLD L. 918 W 10TH ST PORT ANGELES OWNER WA 983635730 Other struct info . TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 21.90 1536.00 7000.00 576.00 2112.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date EL-DETACHED GARAGE OWNER/ DETACHED GARAGE 57125 48.10 9/30/05 3/29/06 Plan Check Fee Valuation .00 o ~ , \)t) C3" t ~ 0 '-..... ~.) ~ \~ ...... V1 '\ Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R-OUTBD/DTCH GAR SEP ( Extension 48.10 Special Notes and Comments Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES The Fire Department has reviewed the project application and has no comments 08/12/2005 09:45 AM SROBERDS -- The proposal will add a 576 sq. ft. detached garage in the RS-7 zone for a total 30% lot coverage. MAINTAIN CLEARANCES FROM SERVICE WIRES 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 Fee summary Charged Paid Credited Due ~---------------- ---------- ---------- ---------- ---------- Permit 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 ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 IU lIICTH:}N I CUVER ~~K Y lCh l/f)/" ~/I> <' I .hf) 7 , GENERAL COMMENTS: PW.ll02.l' (4196] .' CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E, Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 3 g 7S- t/- 17-9'J.-- DATE ELECTRICAL PERMIT Installed By: o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. "ril RESIDENTIAL o COMMERCIAL o BASEBOARD KW ~ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE B! NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~OVERHEAD SERVICE B UNDERGROUND SERVICE VOLTAGE: ~ SINGLE PHASE o THREE PHASE SERVICE SIZE ~OO AMPS DetailslDescription: . WS. No. SERVICE SIZE CAPACITY: o OK NOT OK ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. fl Rough-in/cover OK o O.K. to connect service o Final OK r0t.cJ &vv.ot, Jdd. c?v-L, ~ -fv,i~ ( Site Address: Permit/Receipt No. 76" Date: /I-/7-r')- Installer: . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not 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 BUi/d'ng Permit. PHONE 457-0411, EXT. 224. 7S ;.t., NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 40. ()t) llieclr~peClor Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PRINTERS INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 38'iz- DATE /0 -,;2/-9' C ELECTRICAL PERMIT Site Address: D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ~IDENTIAL D COMMERCIAL D BASEBOARD KW _ D FURNACE KW _ D FAN/WALL KW _ D HEAT PUMP KW_ D SIGN iW'fEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) ~HEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D SINGLE PHASE D THREE PHASE SERVICE SIZE AMPS Details/Description: I Vf ,,5.-e-w ~ . W.S. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. ~rp.O.K. to connect service D Final O.K. Permit/Receipt No. 3812- Installer: New Meters . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not 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 $ &><7 ~O~ Electrical Inspector Permit Fee WH ITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept., Bottom: City Hall OLYMPIC PRINTERS INC CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15238 Port Angeles, Washlngton_________________________________m_______________mm_____, 19__000:__ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. /> ,(...- I Address _____1___000______________000_______________::___________________000______________________ Occu pancy ______________________000_____________000_______ Owner __n_u:uu~u._n_n__..~.:._:__:::'n.:_:_.:.uln..!:__._~n:____uu.~..___ Tenantn____n________.hh_~.......____n____u.u.__n____.___uuoo__.___hoo / , Wiring Contractor ____,_.'__;__:_,_:____,______'_::000000__000_______________________ By______________________________________________________m_____________ Light Outlets____....__...._____._._...._..________... Service, volts nmmmm_._m____nmnmn___ Receptacle Outlets......___.mm_..._..._______ No. wires ........._.....n..._................n Dryer, KWjnn._n.n...._n__.n___n. Range, KW m_un. Size wiresm.......__..m.__..._._......____n -, Main fuse mn____~n::~.:m__~~n..mm.____ Water Heater: Enclosure _...___.:_:m.____n__...nm__m_n Type of wiring: Entrance Cable _mm___.m.........._.... KW_____m_m_ _...................._ /~ :-" /J d Heat: :RW..__........__..mnnm__'m__':"m_.___ Rigid Conduit m._______m_'__mm..___.. Metallic Tubing ___mm__m__m__....._ Current transformers: No. & Size___..._.____..._......__......n.__.__. Motors: size, volts and phase: Ser. No.,.........____.____________________.......... Ser. NO._..h....n____n._n____________________n.__ Ser. No..________._........._......_.............._.. Total Loadm___m....m..._........ Ser. No. ._.._n.___________________.._____........... Type of Wiring: Armored Cable Non-Metallic mmn____..__mmn_m_.._. Knob & Tube.. RIgid Conduit ....m....__mm.n.......__ MetallIc Tubing n__ m_....._____m...._ Race,vay n..mm..m._........mm_......_. Circuits, LighLm__.mm__mm_____.._..__m.. Utility nn_n.nn__.____...._._.nn.nn........_ Heat Range nn.n......._.__.__n..__.nn.........._.. Water Heater m_mmmm....._.___mn Motor ...__._______..______._......_.....,________ Dryer __n._nn__'____.n__h_....n__.n___._n_..__.. Furnace nn..._.....nnn_..n.___unm'..____ Total _________._.____________._......._..___ Remarks : __n___h__.....u____~un______.__.J~__-~_._~__.__~:.nn.n~~______.~____::__________.u_.u.__.__.__nh__n_.._______UH__~.__._________________.n.___~ ____.____h_'___......_...._.._____________________._U__~._..__._.__.._...____~.._.___.._..._...._.._...______________________________________.__~____._..__..._..._..___.~___. _____.uu...__n~._______________.u.__________.________~________uu.____u.nn______h_______________Uhhd____U_____..dun..._____unn~_.nnn_n.oon__.n.n.nn Permit Fee Treas. Receipt - ,; $____000______________000_____000_____. No..____ooo_______...._______ By __m_____m_L___;ooo:__________::________________________________ NOTICE--Current must not be tUrned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION /, , , .\" ELECTRICAL PERMIT Date calledlr{n,~~ect{o~m~n:_m..;~....m.mmn~mm.n.-----u......-m..-..-..............mn.m N? 15238 ..__nn__.....u....U_nnn_....n...__......_..___nn_...______nnn.._....... preIIminaryinSpec~iori-dai~s_._....:.........h~~._._____:-.----.___.~________._.._____..._____._______.___.______-.-...-....---........________....____........'.__h______.h_.._..______.......... Total Load _nnn_nnnnn......nn._.nn_n_..n__.............__.nn._n..n.n_.._n__...n.. Inspectioncompleted...____....._______...____...............____.___.__.h._.........__.~_...__..............__..._...__.__._________'_n_...._n_...........__...._._._________.._____..._.__......._ \ 1M 3-72 Olympic Printers, Inc. -......._____n.__.__._hnnnn.nn_...._n............uu................__...uu_......_ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15235 / .. -, T ).'" Port Angeles, Washlngton........~........:~.ooo..oooooo....ooo.ooo.oooooooooooom. 19.L.:'-: In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address .....1/.nr.ooo0.:.~~./!j..d....ooooooooooooooo...ooonn..........ooo..ooo Occupancy..n.d..r....'!L...n..___................n. ~:~::~.~:~~:~~~~.:J~:~:;:;::::=:;.:::e::Q:~::~:::y.~~~~:l~~:::::::::::::..~.....~~~::::::::::::::::::::::::::::::::::::::::::::::::: Light Outlets.......__n......____.............._..... Receptacle Outlets.._____......__....____.____... Drye" K\\1........n........................... / -, Range, KW .'hmh::~m. ___n___moo_ Water Heater: r'/ ~..., KW.______..ut_'-..I.__._ Hea', RW "'h:&..'z:~mj3.f3..'hh"hmh Motors: size, volts and phase: I:; () / :l- ".,') Service, volts .............h_.....__~.....___.....__ No. wires ..:?.................______m__...... ?j , Size wires___:'_.~_~..~...~._............_. Main fuse ____2:.~~:oo(.?.._...____......_ ..$ Enclosure .........___............___...__...____ Type of wiring: Entrance Cable ....._.u.................... Rigid ConduIt _m....._.....___.........._.. Metallic Tubing ........................... Current transformers: No. & Size.n..._______________________________.. Set. NO.__..______.n____..______._n_______.________ Ser. No....____...........................____..._____ Ser. No. .....__...................................._ Type of Wiring: Armored Cable ..........................__.. Non.Metallic .........__....d............m. Knob & Tube...............__...____.....__... Rigid Conduit .__...m__.................... Metallic Tubing ......____........__.._____ Raceway ........m... Circuits, Light..__.......................__...n__... UtilIty mm.m.m.h...hmhm"hhm.mh Heat Range ..........__......__....______n__.....____.. Water Heater ......_....................___. Motor h_................__....____.__.._____...... Dryer__..____n.....__.............____....n...._____. Furnace .......__................._m Total Load__..____________n_._____.... Ser. No.....__.......__............................__ Total ____________.______._.___.............. ;1 Remarks: ......o:.,.."..".....::.oooc::.?~.1....yn"':,"c[L,-!Zn.j::..~,"'2..Y.~___...........n...___.........................ooo........n........n. Permit Fee $..............................000.000. Treas. Receipt No......oooooo............_... By n.n...........mn......ooo..ooo.........oooooo..........___...___. NOTICE-Current must not be turned on until CertIficate ot Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION '- .- //' '/.-' 7//5 li",J 1-'-' ELECTRICAL PERMIT N? 15235 i, "" i 7 ,'AI It' .1' Date called for inspection....__...__.::........~.................................._...._................_........................._........n...............................__..__................... Preliminaryinspectiondates............................._.d..__...........__......~__.....__...........h.............................................___........_.........._......._......._ "'Z,/. W <.', ',- ~ c....'l'~.. ......n..i2- ( ... - ~ I . InspecUoncompleted..._.._..._.........._._d........................................................................................---....................---.....--...........-..........-.......- Total Load .........n............n..nn.nn.nnn.___.....n.__...___...n.n.nn__..n._un.' ...00__.......__......____..... " 1M ~3.72 Olympic Printers, Inc. \