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HomeMy WebLinkAbout1629 W 13th St - Building"HIVa/A8 7ID3H3 313118 C2sj L 111wH3d 0) 62. W :NOLLM3011 apart 00932,L100 amps ama pieffand 1 O 1 JMQ pl7 apgw uopoenO0 =3 po3daoos mew wo y S(LLV.US .M31411103 •1N3WW00 NO N3Hy1 NOLLOY 30 133HS l M 6 S4(Y� Ho7. 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(j~"'l<' I~l#;> b Address of person requesting inspection ,Ii, Type of Inspection (circle appropriate one) ~I'T ,or ~';f .. I - " Phone No .. '" Permit No ,,:-..--z ,", ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other .3s-0 INSPECTION NOTES Inspected Remarks Date ~" ~ Time By P '" ! I" ,..;" _ y /.,8 il . , :5( Jt- l,. t ( 1 f,. RESTORATION REQUIRED . YES NO v - (.t -, \ 1-- i ~ - ,-- -;: ( l l) (' -' >1 .......--....~._'.........,._- !f ---. ,- ,~ 'I SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC D Other D Repaired by City [] Repaired by Permittee o No Damage Found Work Order # ~'.,' , '-.... I'" "_"! o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) -:- :y~ORT~ , l"O~~~ ~ L~ :==- ~~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUll-DING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00001188 Date 12/18/03 1629 W 13TH ST 06-30-00-0-3-6464-0000- MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 1920 Owner Contractor OWEN, JEFF 1629 W 13TH ST PORT ANGELES (360) 457-2933 WA 98363 PA SWIMMING HOLE & FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360) 565-1163 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT PROPANE FREE STANDING STOVE 57.65 plan Check Fee 12/18/03 Valuation 6/16/04 .00 o Qty Unit Charge Per Extension 47.00 10.65 \l" rJ ..n BASE FEE 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 ',Grand- Total 57.65 57.65 .00 .00 <' <. W + ~ ,.. - I':' _" 0.....-,,~ 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 wlthm 180 days, if construction or work is suspended or abandoned for a penod of 180 days after the work as commenced, or If required inspections have not been requested within 180 days from the last inspection, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied With whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ON FILl? Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date Date T IPLANNING\FORMSll102 15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD 't .. CALL 417-4815 FOR BUILDING INSPECTlONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFOjlE 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 FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE , 7.-'2.5~05 JLI WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEP ARA TE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMlT#'s SEPA PARKING/LIGHTlNG 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 PLANNING DEPT. BUILDING 417-4815 j2.~2,:?-Q~ \U~ BUILDING T.\PLANNING\FORMS\1102.15 [11/14/2003] ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec ) Z -/5- D '3 PermIt # t L ca <2> 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 (360) 417-4815 Apphcant or Agent: J e:f=-~ (') LA) ~f\( Owner: Z\ E t=+- () W l-=; ~) Address: llo 2- g W. l "6+0. CIty: Phone: LI~I - Q'd7 ~ LfS7- ~433 ZIp: q 8-3ln3 Architect/Engineer: Contractor Phone: State License #: Exp: Phone: Address: PROJECT ADDRESS: llo ::2.. q City: lAJ I 'Dtb S+. ZIp: ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: SubdIVIsIOn: Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: g ResidentIal 0 New Constr. 0 Re-roof '8S Stove o MultI-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 DemohtIon 0 Deck o RepaIr 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT: ? rn pc IV1R City: MC # Exp. Date: SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $JI/9a.D. tJY S+ryv'C' ~ II e' e =" f-CtV\ ('l'l ".,; G COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load. Construction Type. = TOTAL Sq.Ft. % No. of Stories: Lot Size. EXlstmg Sq. Ft. & Proposed Sq. Ft. Existmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetIand(s): 0 Yes 0 No SEPA Checkhst requIred? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building DIVISion can provide you With mformation on the apphcation and plan subrrnttal requIrements If you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. Tlus figure wIll be reViewed and may be revised by the Buildmg DiviSIon to comply With current fee schedules. Contact the Perrmt Coordinator at 41 7-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tlme the bUlldmg perrmt apphcation and constructIOn plans are submitted. All other permit fees are due at the time of perrmt Issuance. EXPIRATION OF PLAN REVIEW: If no perrmt IS Issued Within 180 days of the date ofapphcatlOn, the application will expire. The Buildmg Official can extend the tlme for action by the applicant up to 180 days upon written request by the applicant (see SectIOn 107.4 of the Uruform Building Code, current edition). 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 perrmt and understand that it is my responsibility to determine what permits are required ,not the CI y's, that I must obtain such permits prior to work T \FORMS\APPS\BUlldmgpermlt wpd Apphcant: ate: 12 -12 -O'~ PREPARED 12/18/03, 13 54 58 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 10 12/18/03 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1629 W 13TH ST PA SWIMMING HOLE & FIREPLACE S OWEN, JEFF 06-30-00-0-3-6464-0000- 03-00001188 MECHANICAL APPL PERMIT SUBDIV PHONE PHONE (360) 565-1163 (360) 457-2933 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~;;--;;---;;;;~~---~;~~;;;;-;;;-;;~;--------------------------------------------- -------------- ---------------------- COMMENTS AND NOTES --------------------------------______ ~~ ~ 1\1 0 ~<;..SV~ , 'DU ~~}- '< bD \~ , }VL U.J Gzlj u1b" +eSJ- ~I.f 1-1.2.- S ~ PREPARED 12/23/03, 12 35 05 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 12/23/03 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER' 1629 W 13TH ST PA SWIMMING HOLE & FIREPLACE S OWEN, JEFF 06-30-00-0-3-6464-0000- 03-00001188 MECHANICAL APPL PERMIT SUBDIV PHONE PHONE (360) 565-1163 (360) 457-2933 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 01 12/18/03 12/18/03 12/23/03 ME6 JLL MECHANICAL GAS LINE ~ no pressure guage 30lbs mln/Jlm L MECHANICAL GAS LINE Jeff owen 671-9273 ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- ME6 02 \~~~ .....--- J ,/ r 1/ . /~ I , I.'-'" :;-~ c.,. ~ ~f Of-A. J.4~ So ~J-q . o . J' /. "lIIIl tj"-;l!o". .; ..,. PUBLIC WORKS CONSTRUCTION and RIGHT-OF-WAY PERMITS ~ City Phone: 206-457-0411, ext. 124 ~CANT/OWNER:jc-((h i eLl ( f, ADDRESS OF JOB: I (t':?~ r:; U-' /-;>-> H, APPUCANT ADDRESS: PHONE ,;)- -j;),[' 1 LEGAL OF JOB: f,1 k 0lr'1- L -1 1'$ WORK IS 0 OUTSIDE or 0 INSIDE OF TRAVELED ROAD VALUE OF WORK IS:S (If work is outside roadway and is equal to or less than $2,000, then permit may be issued to other than licensed and bonded contractor,) PERM:ropO-6-~ 9'6- PLANS REQUIRED 0 YES 0 NO CONTRACfOR: DATES FOR START & FINISH PERFORMANCE BOND REQUIRED 0 YES 0 NO AMOUNT: S PROOF OF INSURANCE: 0 Work $2,000 or leSs: $50,000 personal injury, $100,000 per incident, $20,000 property o Work over $2,000: $200,000 personal injury, $500,000 per incident, SIOO,OOO property o Right of Way Use: $300,000 personal injury, $300,000 per incident, $100,000 property Permittee understands that no street may be closed to traffic unless approved by tho City EnBinoer and Chief of Police in advance of the closure: that thero is a 24 hour minimum notice prior to inspection, and to call 48 hours before digging 10: 1-800-424-5555, .. .. 4b...~dII PIIdac~dlk'-"II" ""lpIdbytbl ~ IIlIIm.CIo'dPort~ _lIlfdlttct!bn Ol'~ Iba1I bl N'#IIId b&rmIDM tGb IIJlPlbaI rf'lmlq' 1lahillty0l' RlIp(Dlbl1Ily fotlllfll:lCldla.btOl'~lopo_ Ol'propc;I1y, bappc:Dlqorooeurrln&ulbe pl'I:IIWmWl_uholany ...ori:lDkrUbl:nlDkr~ ICl"IN olthU Ipplialtion W ~ pl'rmil orpl'mUu ....h1dtmll)' ~ &rsnlod iD_~ 7 ,..ol....~On.--'..""""u_. ~)(q S- IL' ...l- - ~ - Signed:' DATE:_ f .... ~ ? .... " .., omD I I I I I 'lYl'E FEE 'AID TYPE FEE REQ'O PAID RJGHT OF WAY EXCAV. ....00 L-- U()- ~~lE'NER (SFRJ (6' \.0 PIL. 6'.4' "',00 ~ x/ 0-(; 'lEWAlX "".00 SAN, SEWER (MFR,). 1.1 mil '-.00 wotI17EP. 112HO SAN SE'NER /'MFRI. ADD. UNIT ".00 DRIVEWAY 112.5.00 SAN SEWER OTHERS . MIn-m.o>, $O.00.s111 Mu-S7.so 100o:x>.flSO.OO2Jox..-a DWY C\JLVEIn' ....00 SEWER TAP. BY CrTY /110 SI2.s.Ol>>JOO.OO ""'"' .- WYElMANHOLE TAP srREEI' cur. ~ 1200.00 SE"NER CAPIWATFlI. MlrrER. S22.5.OO REMOVAL OTHEJllJOHT OF WAY WOllK ....00 ALTERATIONI SJO.OO REPAIR TO SEWER FIlE HYDR.OO' DEPOSIT STORM ORA[f<oI T....P SJ2.s.00 m, WATER SERVICE I- X SII" SJ.so.OO l- /: /..;/' C&:' C....TCH B....SINS IN LOTS PER EACH ....00 lES, WAT'EIl. SERVICE I" X )W SJ7.s.00 SECONDARY SEWER ASSESS $410.00 in $6lj 00 ou..ldI:: <---- 4 II ol.'-( RES. WATER. SERVICE I" X " """.00 SEWER SYS. DEV. CH....RGE ~32<1.00 iEWM L- ,3;< U <"- COM"'. WATER SERVICE I" - SI,OOO MILWAUKEE DR_ SE'NER ASSESS. SI'so.ooIEWM ~~:-I~~ WATER SER.VICE. OTHER EmMATE RIGlfT OF w....Y USE PERMITS VARIES s.s. SIOO WATER SYS, DIN. CHAJl.OE S7.so.00 IEWM L~ 7~JL't'{ TOTALS s ..2 141-- ~ lbiIlIIfl1tIM IbI1 tt. dxJw ___applic:anl II &ftlIICd 1m pomliu 10 do U. 1OIOl"k dcKn'bod in IlllI fOf 1m purpoM lhoovn in u. Ipplic>olKln, Each pcr'rT\ll ia ~ lubj<<lIO the Iel'TT'll of \hi: I&-~ oor'IL&~ 1IlU. .pphC'l.IIOO ItdMjDclIo"~dtt.C1l)'olPm. Anp_ M\mkipIlCodc.. NWlin&pcrm.il1odh=leIDkrwU~doell'llld 10~rrid.a u.pt'l.7ViIi<.rII 0(111)' Ippliolble II"" ofw ClI~. Coo.nr}. Sla~ Of F~",I Ga.oern-nonl COMMENTS/CONDITIONS: o Install 0 Repair o Walermain o Sanitary Sewer o Storm Drain '1 Underground TeIephonelEIectricaJ ,~ : "KM!T TOTALS $2::.1 S4 RECEIPT # (/icr3 ISSUED BY: JeW a DA TE:.si1(s~- WORK ORDER No. ~ OFFICE COpy. CANARY PEIU.1IT '- " , lNSPEcrION FEEs $ PW-0209,03 (12193] INSPECTOR'S COPY - WHITE APPLICANT'S COPY, PINK ~ ' ~ti' PUBUC WORKS CONSTRUCTION _ '.. and RIGHT-OF-WAY PERMITS ~ City Phone: 206-457-0411, exl. 124 . ?t:t1 ......UCANTIOWNER: (JSWesn::'Oy;,n-; ADDRESS OF JOB: /CtZCf I ~~- APPUCANT ADDRESS: PHONE LEGAL OF JOB: (f rst?cf WORK IS [J OUTSIDE or [J INSIDE OF TRAVELED ROAD VALUE OF WORK IS:$ (If worle is oUlSide roadway and is equal to or I... than $2.000, then permit may be issued to other than licensed and booded conlraClor.) PLANS REQUIRED [J YES [] NO CONTRAcrOR: DATES FOR START PERFORMANCE BOND REQUIRED [] YES [J NO AMOUNT: $ PROOF OF INSURANCE: [] WorIt $2.000 or leis: $50.000 perscmal injury. $100.000 per incidenl. $20,000 property [J Worle over $2.000: $200.000 penoaal injury, $500.000 per incident. $100.000 propeny [J Right of Way Use: $300.000 perscmaI injury. $300.000 per incidenl. $100.000 propeny Pentiittee UDdentaDda that DO _ may be cloaed to traffic unJ_ approved by the City EDciD- wi Chief of Police in advmco of the c10aur0; that there ia a 24 bour nUn;",,,", notice prior to inspection. and 10 call 48 boun before digging 10: 1-800-424-5555. PERMIT fln4~7 & FINISH k .~.. .....~Mi~..1I ..........,..... .... a, fI....... .. ...,......,--.-.............................. ....,......." far.,...... be............ .......,...... --............. fI.,. __...... ___ __ fill \WI.._... w...... -,..... ......,.. If-'........... .............,............-.........-....~ 1 Sipd: ~ JS U )-1Jx7~ QD\rnrn 'I~ DATE: .... . .-.-.;.>;.;.:.:.; .::'1'" .~ ,..... .~"O I TTI'I! F!I! TYrE FEE 'AID IJOKT Of WAY EXCA.Y. ...... /ilI7 __ ~EWE1 Mal (6",,'/L e"..- ...... -.. ""... t lAM -~..'.'- ..... """"'""" "".. lAM lEWD. tufa" ADD. UNrr .... llI/VEW AY 112UD IAN IBWE& OTHDJ . w._ln_ ~~i.w.cms _ .....", DWY CULyar ...... IEWI!1 TAl- IT arY JrfO 112S.III4]CIOJD rn.IEI' cur . ....... DD.OIl SEWEI CArIWATO. MEI'EI SZZS.. WIOVAL 0T1IEI. U2IIT 0' WAY wax ...... ALTDATIOHI "".. lEPA'" TO SEWn P18ll1l\'tlllAMT nEPOSfl' STOU' OUIN TAP 111HO lJ!S. WATD IBVICI I- X 511- '"'.. CATCH B.uINS tH LOTS PD. EACH ....00 lD. WATElIDVIC! I- X 3/4- 1m.. SECONDARY SEWD. ASSESS. SoaIO.CIJIn UU.ClO....._ i I~WA- 'y,' ....... . n",. "'''0' n1t.oo~ I COWN, WAT'EI JD.Ya 1'..II,C1ll1 MELWAUKEE OK. JEWD ASSW. IUO.oo IEWN \.M:-J~ WATEllIDY1C2. 0THEJl EmMATl! aJOKT OF WAY USE PnMITS YAAIES U .1\00 WATEllIYS. DEV. CK.UOE mOJlD IEWW TOTAU . . ? II PVG san S-e<<;eF 1/7 a //j # ISSUED B~tJ.~/?1Zinr DAm~ WORK ORDER No. "}t 00457 orneE copy. CANARY PElUdlT PW.0209.Ol 1111931 lNSPI!CJ'OR'S COPY . WHrn; APPUCANT'S COPY. PINK ~ TEL:36o 452 8660 1-- ..?b,{.l... f/Yf5 - J~J~r- (0- :]44 U BURIED SERVICE WIRE #: WORK ORDER DATE: -U/If...!'..J 1?9/, / ~ CONTRACTOR'S ACCEPTANCE Firm Signature Title USWest group doing work Bill to: USWest CommuniclJtions Attention: Address: City: L. -23' 96 ITUEl 10:30 ... US WEST FA}.'! Wire Center W26 J/~-.2. 1.9 tl:/' t'/",Pb411- StJJte w.o. WORK LOCATION Addr8U /(,:;9 w. Clly 6}.t.-fo"'q"l~ County Name ~JJ~ Subdivision Cust. Signature 10ptionall Customer may refer questions to: BOO-737- 0477 Submitted by(jl..-b- u/70CB _ P'f/fN 4~~ -oPll.3 INSTALLATION/REPAIR New l{I CF CJ SO/l Rearrange CJ Add line CJ Repelr CJ ODS CJ TN# TTN# CBRII ylf(N 701.:1.960.3 .L/S.2.. <; 0.3 9 Found Temp Temporized? [] a PRE.PROVISIONING Pre Bury [] Conduit Placed Partial 0 Complete 0 BSW in Open Tr. Partial [] Complete 0 Extend BSWon partial conduit or open trench 0 Home Ready for SNUGND a Not Ready a L ..nL :J:L JJL. ~ T ..JJL (L I ( Add $ to right if sketch sen. '0 contrsetor I Is there additional customer billing? Does Tech need notified? MAP It [] Yes q:t Yes ltI CJ No No eBL PAIR COLORIBP TERM ADDRESS /(J 119..1 owlvtJ R f':J 11 W IJ. , P.002 Date: Zip: Recommended: Date: Approved by: Date: ~ PERMIT REQUIRED? ~ Yes 0 No Received from Verbal ' 0 Jurisdiction No. Datil: COMPLETED BY: Call Date: for service connec:1ion ~ , W ~ ~ J::: No f€ .' RdliD PUSH /i' e (j) j!: ~A ~jt~' 6lmBS IV Sketch Wor1r Requi",d -Include nearest cross .streel and wire length u..r""" R.O 41-0017-1 ifodditi_l...... isRqJiRd Indiate North i- N W' 1.3 .JJ ~ ED I I€>-........ I L D ~ .~ Not(: This skt"tCtl1'1l..y no! hi!: In aoo.ualll ~(es.ntaian if1 fill delaihl. rt rernahs lhe cont~ctO(s rettpanslbilily 10 po-operty klcale wtlrk tn (IMld. :;:'=95% 360 452 8660 07-23-96 09'4ZAM POOZ ~16 . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: !(j?,;2 f {;c/, /, cff OCUev" Ownerf8usiness: OwnerfBusiness Address: ELECTRIC HEAT o BASEBOARD KW _ Il'1 FURNACE KW ~ -pg. HEAT PUMP KW ~ o FAN/WALL KW ~ RESIDENTIAL o COMMERCIAL ~ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE DetailslDescription: PERMIT NO. S,/:S c? d-/;? ff& DATE Phone: Sq. Ft. o RISER o OVERHEAD SERVICE P UNDERG'2-0_U~ SERVICE VOLTAGE: I~ ~1 111 03111 SERVICE SIZE c;I.&-D AMPS FEEDER SIZE AMPS ~:4 ~zd'7 tu . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. J./~Rough-in/cover O.K. ("'" b O.K. to connect service o Final O.K. Sire Address: Installer: Permit/Receipt No. $'1::18 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. '1: ~ . Electrical Inspector NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ WHITE - File by address PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC ,I~o Pe'm;tFee 7'~ GREEN - TW Mete, Dept., Bonom: 7~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. s2<f' 7 /;9/1.$/p..s- I ~ DATE Installed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW ~ ~ FURNACE KW --1.12- ~ HEAT PUMP KW ~ tJ FAN/WALL KW ~ ~ RESIDENTIAL o COMMERCIAL ~ NEW CONSTRUCTION b REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE .m: RISER 6 OVERHEAD SERVICE tJ UNDERGROU~ SERVICE VOLTAGE: /ZtJ Rr/O ~1~ D3~ SERVICE SIZF ::190 FEEDER SIZE AMPS AMPS DetailslDescription: M~~ 6o_u~ t.1 Dv :~~ ~ 19CA~_ ~ ~J ~~tM.t . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~O.K. to connect service o Final O.K. Installer: New Meters / . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and OK 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 OA USE ESTABLISHED UNDEA THIS PEAMIT ~ $0 I $ Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. . Site Address: Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW Details/Description: . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. -SV::J (: .J/Z( ~S- DATE o READY FOR INSPECTION License Number: o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR f TEMPORARY SERVICE o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o RISER ~OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1f6 D3f6 SERVICE SIZE FEEDER SIZE AMPS AMPS W.S. No. SERVICE SIZE CAPACITY: o OK 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~ O.K. to connect service o Final O.K. Site Address: 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 Building Permit. PHONE 457-0411, EXT. 224. ~ Electrical Ins actor " . WHITE - File by address OLYMPICPRINTERSINC NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ PINK - Top: Eng, Bottom, Customer Permit/Receipt No. SO 3' c.. #30 Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall