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Home My WebLink About709 W 5th St - BuildingPREPARED 5/20/11 8 39 41 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/20/11 ADDRESS 709 W 5TH ST SUBDIV TENANT NBR DAVOD E HOGLUND CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619 OWNER DAVID E HOGLUND PHONE (360) 452 4434 PARCEL 06 30 00 0 0 9975 0000 APPL NUMBER 11 00000449 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/20/11 BLDG FINAL %1 May 20 2011 8 37 35 AM 1pangrle JANE 683 9619 BUILDING FINAL RE ROOFED THE GARAGE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 11 00000449 Application pin number 228309 Property Address 709 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 9975 0000 Tenant nbr name DAVOD E HOGLUND Application type description RE ROOF Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS PARKS Application valuation 1975 Application desc TEAR OFF RE ROOF THE GARAGE Owner DAVID E HOGLUND AFFORDABLE SERVICES 709 W 5TH ST 258663 HWY 101 WEST PORT ANGELES WA 983632247 SEQUIM (360) 452 4434 (360) 683 9619 Structure Information 000 000 RE ROOF THE GARAGE Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF THE GARAGE Permit pin number 185504 Permit Fee 95 75 Issue Date 5/11/11 Expiration Date 11/07/11 Qty Unit Charge 15 00 Other Fees Fee summary 3 0500 TForms/Building Division /Building Permit Per Permit Fee Total 95 75 Plan Check Total 00 Other Fee Total 4 50 Grand Total 100 25 Contractor BASE FEE HND BL -501 2K (3 05 PER C) Charged Date 5 /11 /11 WA 98382 Plan Check Fee 00 Valuation 1975 Extension 50 00 45 75 STATE SURCHARGE 4 50 Paid Credited Due 95 75 00 4 50 100 25 00 00 00 00 00 00 00 00 5 avu.k 51- 1A IJ IA oboe/ REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 has commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law re ing construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by Date Accepted By BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant U C Phone 5(ot' Zei ifq Property Owner f� it Phone %L (/C/3a Property Owner's Address 61._. Portefnleffs J r z Contractor I7/P Phone y,D/o04,giplce Contractor's Address 2_50 &03 ti (i c ii/11-610.307 *-74/2e0 License arc 0/!"» Expires E -mail J PROJECT ADDRESS `icyi (/U f Parcel Number d Y)/5'YY.) C r S P Type Brief Description: %Residential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition House )(garage other Iktear off re -roof lay over one layer Heat System Heat pump wood buming stove gas fireplace pellet stove other Other Floor Areas Existing (so. ft.) loosed (so. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage ok Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on pr 'ects. Date "'"1/ Print Name SA` e khii `M Signature T:Forms /Building Division/Bldg Permit.doc For City Use Only Date Received 11- l t Permit# 11 -449 Date Approved Lot 9 Zoning TOTAL VALUATION 10 t of bedrooms of full baths of half baths Name at th Address City, DEPOSIT A ffordable Roofing's Representative: Customer's Signature of Acceptance: See attached Warranty Statement. AFFORDABLE ROOFING 258663 Hwy 101 West Sequim, WA (360) 683 -9619 qr 5 r) Phone #1 3(,L Phone #2 State WV r Zip Code .,Tarp house perimeter to protect landscaping Remove old roofing and haul to Landfill OSB 9 Install Plywood Install Roofing Felt Install 'Pipe Flashing Install Exhaust Vents Install Ridge Vents Install Attic Vents Install Sun Tube Install Skylights Install Install Install Install Secure Locate Septic Drain Field Loci "on Price Includes Building Permit k C Customer to Secure Building PenT t •t Description With Soot Guard Aig: BIocI S ystem. w e Mi✓ `S Pik I Yv )0/A A; y i l Payment m full upon completion of project, unless other arrangements accepted We propose hereby to furnish material and labor, complete in accordance with the above specifications. All material is guaranteed to be as specified. Any alteration or deviation from the above specifications involving extra costs will be exeuted only apon written orders and will become an extra charge over and above the estimate. We are not liable for preexisting defects caused by others. All agreements contingent upon strikes, accidents or delays beyond our coniroL Owner to carry fire, tornado and other necessary insurance. A cceptance of Proposal the above prices, specifications and conditions are satisfactory and are baby accepted. You are authorized to do the work as specified._ Pa Y cnt will be made as outlined above. (360) 385 -2724 Install Install Install Install Cut In Install Install 1 Pr (360) 452 -0840 PROPOSAL Drip Edge Metal Metal W- Valleys Roof to Wall Flashing Roof to Wall Step Flashing Chimney Counter Flashing Chimney Step Flashing Skylight Flashing i SUBTOTAL. ti SALES TAX (p C TOTAL. 4 Note: this proposal may be withdrawn by us if not accepted within 30 days Brand ..3 C ear R C Color J6tX Workmanship 10 Year Warranty Lifetime Warranty Clallam County Assessor Treasurer Property Details 56443 DAVID E HOGLUND f Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 56443 DAVID E HOGLUND for Year 2011 2012 Property Account Property ID 56443 Legal Description. LOT18 BL 99 Geographic ID 0630000099750000 Agent Code Type: Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property' N Remodel Property N Multi- Family Redevelopment: N Township Section: Range. Location Address: 709 W FIFTH ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID 3 Neighborhood CD 10955130 Owner Name: DAVID E HOGLUND Owner ID 30872 Mailing Address: 709 W 5TH ST Ownership 100 0000000000% PORT ANGELES WA 98363 -2247 Exemptions. Taxes and Assessment Details Property Tax Information as of 05/11/2011 Amount Due if Paid on 7. NOTE If you plan to submit payment on a future date make sure you enter the date and click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid I Amount Due 2011 151186 ST SCH STATE SCHOOL $159.20 $159.20 $0.00 $0.00 $318.40 $0 00 2011 151186 CC -GEN COUNTY CLALLAM $87.90 $87.88 $0 00 $0 00 $175 78 $0 00 2011 151186 SD #121 SCHOOL DISTRICT #121 $208.11 $208 10 $0 00 $0.00 $416.21 $0.00 2011 151186 CITY PORT ANG CITY OF PORT ANGELES $202.89 $202.88 $0 00 $0.00 $405 77 $0.00 2011 151186 PORT PORT OF PORT ANGELES $12.37 $12.37 $0.00 $0.00 $24 74 $0.00 2011 151186 NTH OLY LIB NORTH OLYMPIC LIBRARY $36.86 $36.86 $0.00 $0 00 $73 72 $0.00 2011 151186 HOSP #2 HOSPITAL #2 $36.08 $36.07 $0.00 $0 00 $72.15 $0.00 2011 151186 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10.97 $10.96 $0.00 $0.00 $21 93 $0 00 2011 151186 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0 00 $0 00 $72.00 $0.00 2011 151186 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0 00 $0 00 $1.63 $0.00 2011 151186 TOTAL. $791.20 $791 13 $0.00 $0.00 $1582.33 $0.00 12010 39484 ST SCH STATE SCHOOL $157 60 $157 61 $0.00 $0.00 $315.21 $0 00 2010 39484 CC -GEN COUNTY CLALLAM $83.88 $83.88 $0.00 $0 00 $167 76 $0 00 2010 39484 SD #121 SCHOOL DISTRICT #121 $204 14 $204 14 $0.00 $0 00 $408.28 $0 00 2010 39484 CITY PORT ANG CITY OF PORT ANGELES $194.20 $194 18 $0 00 $0.00 $388.38 $0.00 2010 39484 PORT PORT OF PORT ANGELES $11 79 $11 79 $0 00 $0 00 $23.58 $0.00 2010 39484 NTH OLY LIB NORTH OLYMPIC LIBRARY $24.37 $24.37 $0 00 $0 00 $48 74 $0 00 2010 39484 HOSP #2 HOSPITAL #2 $34 40 $34 41 $0.00 $0 00 $68.81 $0.00 2010 39484 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10.95 $10 95 $0 00 $0 00 $21.90 $0.00 2010 39484 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0.00 i 2010 39484 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0 00 $0 00 $1.63 $0.00 2010 39484 TOTAL. $758.15 $758.14 $0.00 $0.00 $1516.29 $0.00 http. /websrv8 clallam.net/propertyaccess /Property aspx ?cid =0 &year= 2011 &prop_id =56443 5/11/2011 f- ~ORT ~ t-J,O~~~ ,. ...~ ~ 'ltiic~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number property Address ASSESSOR PARCEL NUMBER: Application descriptlon Subdivislon Name Property Use Property Zoning . . . Application valuation 9/15/04 04-00000821 Date .057242 709 W 5TH ST 06-30-00-0-0-9975-0000- MECHANICAL APPL. PERMIT PUBLIC BUILDINGS & PARKS 3082 Owner Contractor HOGLUND DAVID E 709 W 5TH ST PORT ANGELES ALL WEATHER, HEATING & COOLING 302KEMP ST. PORT ANGELES, WA PORT ANGELES WA 98362 (360) 452-9813 WA 983632247 Permit MECHANICAL PERMIT Additlonal desc PROPANE INSERT, LINES, TANK Permlt Fee 57.65 plan Check Fee .00 Issue Date 9/15/04 Valuation 0 Explration Date 3/15/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 ptIV/rl!5-0 C;/Z4A74 ~ ~ ~ ~ iIt 1 <<t) "':j 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. q Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [11/14/2003] Date BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. 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 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 DRAINAGEfDOWNSPOUTS ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT # ROUGH-IN 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 ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE q, I 'J-I} Ii I...J j.. 1" WOOD STOVE 1 PELLET 1 CHIMNEY I HOOD f DUCTS PW UTILITIES f SITE WORK (Engmeenng DlVlslOn) SEPARATE PERMIT #'s' WATERLINE f METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGfLlGHTlNG 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. f PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 q - {).rJ -OJ-! JLL- BUILDING T \PLANNINGIFORMS\1I02.15 (11114/2003] PREPARED 9/24/04, 13 12 26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 9/24/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 709 W 5TH ST ALL WEATHER, HEATING & COOLING HOGLUND DAVID E 06-30-00-0-0-9975-0000- 04-00000821 MECHANICAL APPL PERMIT SUBDIV PHONE (360) 452-9813 PHONE . PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 9/17/04 9/17/04 9/23/04 9/23/04 JLL AP MECHANICAL GAS LINE DARREN 452-9813 GAS LINE PRESSURIZED SINCE YESTERDAY MECHANICAL FINAL AMY 452-9813 tank lS In place but lnterlor appllance not connected flnlsh connectlng and recall /Jll MECHANICAL FINAL ME99 01 JLL DA ""-"'--~~--------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/23/04, 12:51 56 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 709 W 5TH ST ALL WEATHER, HEATING & COOLING HOGLUND DAVID E 06-30-00-0-0-9975-0000- 04-00000821 MECHANICAL APPL PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 9/17/04 9/17/04 JLL AP 01 MECHANICAL GAS LINE DARREN 452-9813 GAS LINE PRESSURIZED M"'_"__~:t:>f)_____~~'::::::::;AN' \\oO~ "f -'\ ~\l. 'L 1J~e ~ O{, \ n ",." \ -, If.(/rt' V I ~ , r-' I L J ~.tJ Yl, f)\fL" SUBDIV PHONE (360) 452-9813 PHONE . SINCE YESTERDAY PAGE DATE 7 9/23/04 NOTES -------------------------------------- \ .....(J,J \?(i~ ~ PREPARED 9/17/04, 13 59 01 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 9/17/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 709 W 5TH ST ALL WEATHER, HEATING & COOLING HOGLUND DAVID E 06-30-00-0-0-9975-0000- 04-00000821 MECHANICAL APPL PERMIT SUBDIV PHONE PHONE (360) 452-9813 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~;--;;--~-~---~~;:~::':'::!u!!:!v-"NC'-"""'A'---------------- -- - ------ -------------------------------------- COMMENTS AND NOTES -------------------------------------- Sep. 15 2004 08:54AM P2 // CIa. RIe.: C( - 15" - d..,. Pamit': 0'-[... A7_1 Date Approved: n.leI\lod: BUILDING PERMIT. APPLICATION City; 1>9( \ MO \es \J~ Phone: Phone: ~ (,,0 -c.(<,."2. ... '1'8' I ~ , Zip: ~ fA:;)... ZONING; .. ~ Me TR.OFWOJUC: Q 1....."1Il1 a New CoDs1r. Q WQlti.fuDily I:J Ac1diticm Q Cot..~ c P~l Q Repair Q R.e-root o~ Q DeblOliuOD Q Sign SIZEIV .ALUADON: o Woods1ovc SF.@S ISF''''$ Q Garage SF..@$ /SF.-$ o Deck SF.;@'S- - /SF. m$ c TOTAL VALUATION S~) t::'J n-:l.. 'I""~(i \\ ~'(()r(\1\q, '1^<;PV~. ~ Q., p.v ~ +flV\ I(: 'Z.'L qgr.~ON OrTBB PllO.mCl': .' CO~~ENTIAL: Occupmcy Group: Occupant Load: NQ. of Stat'i0l: _ Lot Sizo: % .l.()t Coverage: Exiatiq Lot Ccmnac: 'sq. ft. + Proposed Lot Coverage: PUNNJNG USE ONLY: No_ COnstruct10D Type: %. Isq. ft. ~ TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW J'Ul2 O'l'BER /eq.ft ESAlWcdaDd(.): Q Va a No SEPA Checklist required? 0 Yes C No Other: , '. I, -BIJIIJQNG JatMIT'A>>PUCAftON,StlBMlTTAL: Y.", tlpplJctl/ltla ..Illite pkut _JUt kJlllMl OlllU"""'" N ~f.r Ut1Iew. The '8uitdina DivwoD call pzovide you with more cIctailcd iDformation on the applicatiDD aDd plan submittal requirements. Your completed applicatioa. lite pIan (for additions) IDd buildiDg CODStJuction plans are to be submitted to the Building Division. V ALl1A.'DON,OI' CONSTR.UcnO~~ 'ID aD cua, . wluatiDD amount mlllt be entered by the applicant. 1bia figure will be revifted aDd may be revised by the Buildiq Division to comply with c:unent fee schedules. Contact the Permit CoordiDator at 417-4815 for assistazu:e. PLAN (!UClUJEE: Your plm cbec:k fee is due at the time the building pennit application and construction plana are aubmitted. AU other pem1it fea are due II the time of pcnnit issuance. EXl'IRADON OF PLAN REVIEW: If DO permit is issued within 180 days of the eta.., of application. this ,appUaUo.. will ezplre. The BuiJdiAg OffICial caD extend the time lor actiO.ll by the applicant up to 180 daY' upon wrincn request by tha applicllDt (see SeetiOD 107.4 of the UDifoun Buildmg Code. CUlTCIlt edition). No application can be extended more than once. . 1 h~ cerrth tIIlU llulYc read GIld Q41ItPted ,his applicatio1l aM mow the same 10 be InIe and correct, and I am lIfIthonza 10 apply for thh pennlL J UMerstllM It is not the City's legal re.lporuibiliey, to determine what permits are required; II 'smatru tlte appltCllnt'l re.fpolJSlbllltylO determine what permits are nquired and to obtain such. ApplicaDt o.u \ 1 \ - ~ Dalo:~' , T:\P.OJU4SWPS\8l1ilcSiAaPermlt ~ . '~'.' '. ., :.....,. ..f . l' 'j. /' . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 Site Address: ELECTRICAL PERMIT Sa o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: 7tJ , ~ Installed By: Owner/Business: Owner/Business Address: ~SIDENTIAL o COMMERCIAL o BASEBOARD KW ----cr- B-FORNACE KW ~ o ..fAN/WALL KW _ ~HEAT PUMP KW-3- o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS tJ SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Details/Description: PERMIT NO. rOb z.. 01-?/f'~ DATE Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS . R 'ih~ /i-fl ~cJ~ J~ ~! 1I-fJ. ( W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service 1/.!J^.1 Final O.K. Site Addre? & uJ r .s ..;..e.. 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 eiectrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. --r(~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ ElectricallnspeClor WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. t90 ~D- Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall