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HomeMy WebLinkAbout115 Orcas Ave - Building PREPARED 7/06/06, 12:32 49 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 11 7/06/06 ------------------------------------------------------------------------------------------------ ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER 115 ORCAS AVE DEBRA WILSON THE GENERAL HANDYMAN WILSON DEBRA L 06-30-10-5-0-2460-0000- 06-00000216 RES DETACHED GARAGE SUBDIV: (360) 808-3239 PHONE PHONE ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 ------------------------------------------------------------------------------------------------ BL3 01 BLI 01 BL99 01 4/17/06 JLL 4/18/06 AP 6/08/06 JLL 6/08/06 AP 6/13/06 JLL 6/13/06 AP 7/06/06 ~ tt BUILDING FOUNDATION FOOTING TIME 13:00 04/17/2006 07:55 AM DYASUMUR --------------------------- VERN 04/18/2006 01 27 BUILDING FRAMING 06/07/2006 11 57 GARY 808-3239 06/07/2006 11 58 AM 06/08/2006 04 51 PM BUILDING INSULATION gary 808-3239 06/13/2006 07 59 AM 06/13/2006 03.45 PM BUILDING FINAL 07/05/2006 12:50 PM gary 808-3239 PM JLIERLY ---------------------------- TIME 13 . 00 AM DYASUMUR --------------------------- DYASUMUR --------------------------- PBARTHOL --------------------------- TIME: 13:00 DYASUMUR --------------------------- JLIERLY ---------------------------- -------------------------------------- COMMENTS AND NOTES ------------------------------------__ PBARTHOL --------------------------- PREPARED 6/13/06, 11.26,35 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 11 6/13/06 ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL APPL NUMBER, 115 ORCAS AVE DEBRA WILSON THE GENERAL HANDYMAN WILSON DEBRA L 06-30-10-5-0-2460-0000- 06-00000216 RES DETACHED GARAGE SUBDIV PHONE PHONE (360) 808-3239 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/17/06 4/18/06 JLL AP BL3 BUILDING FOUNDATION FOOTING TIME: 13:00 04/17/2006 07 55 AM DYASUMUR --------------------------- VERN 04/18/2006 01.27 BUILDING FRAMING 06/07/2006 11 57 GARY 808-3239 06/07/2006 11 58 AM ~ 06/08/2006 04 51 PM J L BUILDING INSULATION gary 808-3239 06/13/2006 07,59 AM DYASUMUR --------------------------- ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- 01 6/08/06 6/08/06 JLL AP PM JLIERLY ---------------------------- TIME 13,00 AM DYASUMUR --------------------------- BLI 01 6/13/06 ,1 DYASUMUR --------------------------- PBARTHOL --------------------------- TIME, 13 00 'J PREPARED 6/08/06, 8 58-56 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 8 6/08/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 115 ORCAS AVE DEBRA WILSON THE GENERAL HANDYMAN WILSON DEBRA L 06-30-10-5-0-2460-0000- 06-00000216 RES DETACHED GARAGE SUBDIV- PHONE (360) 808-3239 PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/17/06 JLL 4/18/06 AP BL3 01 6/08/06 -;p ttfr BUILDING FOUNDATION FOOTING TIME: 13 00 04/17/2006 07 55 AM DYASUMUR --------------------------- VERN 04/18/2006 01 27 BUILDING FRAMING 06/07/2006 11 57 GARY 808-3239 06/07/2006 11 58 AM DYASUMUR -------------- ------------ PM JLIERLY ---------------------------- TIME 13 00 AM DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/17/06, 12 31 35 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 11 4/17/06 ADDRESS TENANT, NBR' CONTRACTOR OWNER PARCEL APPL NUMBER' 115 ORCAS AVE DEBRA WILSON THE GENERAL HANDYMAN WILSON DEBRA L 06-30-10-5-0-2460-0000- 06-00000216 RES DETACHED GARAGE SUBDIV, PHONE PHONE (360) 808-3239 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 ~* BUILDING FOUNDATION FOOTING TIME 13,00 04/17/2006 07 55 AM DYASUMUR --------------------------- VERN -------------------------------------- COMMENTS AND NOTES -------------------------------------- )iI( Electrical Contractor o Annual Permit 0 Alarm ~ ...~.. ~'t'~..t"'~ DOwner 'ItOiiii..... o Carnival 0 Commercial ~ Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. 'N!rl) to ~LECTRICAL WORK PERMIT APPLICATION ~Request Inspection Job wired by P4' Electrical Contractor 0 Owner Installation description nErACII-J3'D ~ARfJG & Electrical contractor name License number jlAL1IIJ/f<;;:;.jil:r; rZEC TRI c.. I/AI VOEr/>44cL Purchaser's mailing address 24~Z Pl..l1CrE lUJ City State ZIP Polff 1t/J6/2.LES Tele~hone number [;"7- /~,' Premises owner's name JJF.i 13RR WI/"'sI?# Address of inspection IJ5.;ORchS City TV I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Cash 0 Check # JZiCredit Card f!!i;) Mastercard Discover Card # __.bIILEiJ./Z-_~-____-____ Signature of owner. electrical contractor or electrical administrator X ~ Expiration Date of card / WALLS lnsulation Only Dale Appro,'ed By Cover Dale Approved By ,,- CEIUNG Insulation Only Dale Approved By Cover Dale Approved By "- ,,- THERMOSTAT "- Date Approved By ,,- DITCH "- Dale Approved By SERVICE Date Approved By FEEDER Dale Approved By Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR !ill. Fan-Wall '5..'J- KW Service Information o Overhead Service o Temp Service o Underground Service Voltage /20 /1".4t> Phase;gl1 D :i Service Size: Feeder Size: 70 A- Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 6'-31- CJ(, hA/ IH-- Af+:7 A-n . 7/&) "....;2- PC? ~ pORT ~ 84.0~~~ ,. 11::.-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 06-00000216 Date 922592 115 ORCAS AVE 06-30-10-5-0-2460-0000- DEBRA WILSON RES DETACHED GARAGE 3/22/06 Application Number Appllcation pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appllcation type descriptlon Subdivision Name Property Use Property Zonlng . . . Applicatlon valuation .,., , , ..-) ~..... RS7 RESDNTL SINGLE FAMILY 22250 Owner Contractor WILSON DEBRA L 115 E ORCAS AVE PORT ANGELES THE GENERAL HANDYMAN 417 SOUTH H STREET PORT ANGELES (360) 808-3239 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 WA 98363 Other struct lnfo . 28.00 1. 00 850.00 7000.00 576.00 1426.00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permlt pin number 73239 Permlt Fee 389.75 Plan Check Fee 155.90 Issue Date 3/22/06 Valuatlon 22250 Expiration Date 9/18/06 Qty Unit Charge Per Extenslon BASE FEE 95.75 21.00 14.0000 THOU BL-2001-25K (14 PER K) 294.00 Speclal Notes and Comments The Flre Department has reviewed the project appllcation and has no comments 03/09/2006 04:30 PM SROBERDS -- The proposal will result in a detached garage in the RS-7 for total lot coverage of 28%. Rear setback MUST be a minimum of 10'. Electrlcal load calculations and elctrical permlts are required. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 389.75 389.75 .00 .00 Plan Check Total 155.90 155.90 00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 550.15 550.15 .00 .00 /ill 1rLe:J::J ib!) ~/a f' ~ ~ \ ~ ~ ~ ~ ~ V) $ Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, pnvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, jf 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 constructio . Date Signature of Owner (if owner is builder) T:\Pohcles\1102_15 bwldmg penmt mspeCllon record05.wpd [114/2005] " BUILDING PERMIT INSPECTION RECORD INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS 141(~(o, Tk/ WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS . WALLS I ROOF I CEILING (,/)( /~C -P'b DRYWALL (INTERIOR BRACED PANEL ONLY) II I T-BAR INSULATION SLAB . I WALL I FLOOR I CEILING IW(~/~ IVv MECHANICAL I HEAT PUMP / FURNACE I DUCTS GAS LINE WOOD STOVE / PELLET I CHIMNEY FINAL DATE ACCEPTED BY' COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA PARKINGILIGHTING 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. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 4174750 / , PLANNING DEPT. BUILDING 417-4815 -ij't: //J(, p~ BUILDING T:\Poltcles\1102_15 bwldmg penmt mspection record05 wp [1/4!2ti05] 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 l INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~ ~ ~ Ul ~~ ~ , lOR OFF1ClAL SE ONLY BUILDING PERMiT - APPLICATION DateRec ':?> 'Z-/~~ rrmt#~'" '"'-~ Fill out COMPLETELY and in INK. Your application and site plan MUST Dale A TOved 'iD ___ ____~_, , ,r PP '~t)lVlYLJ: lJi. ro ne accepL.eu lUY 1 eVjeV\. If VOli have any qucst1Gn5~ c~ll I ':2. z.z, "tJ r'\~~r> lro,..,,,,,,rJ ~ PERMITS (360) 417-4815 FAX(36o)417-4711 1.u'HC'OOU~u" ;- Apphcant or Agent ThE bG1Of3f..A Phone: S!.ec) --fl6?J -ErJ-39 Owner -::De'Bg. A. W lL.S6 (lJ Phone. .34; 0 - q.!J-~ - Iv 1.::,'-/ Address- /I:F O~{!'A5~. A-tJ~.. CIty ~e..T ANCJ~ ZIp Qf?_'1/()d... iuc1l1tect/Engmeer c..IAA~j:F0. Klt2 K. (A-/tJJ) Phone. g4~-'f17-99t;3 Contracto~ Y. 0.oN5~ State LlCense # ~ef.1I ~3 Mp. M~ =l.e Phone. i?O'? -~3f Address: ~ Jd ,sT CIty: 't6e:r: A1'-fJ6"u:5.- Z1p'c:t'ro~'3 PROJECT ADDRESS' I \S- O~cA-~ AUE: ZONING: LEGAL DESCRJ}>TION' Lot CLALLAM COUNTY PARCEL NUMBER: Block SubdIVlslOn' TYPE OF WORK: o Res1dentlal ~New Constr 0 Re-roof o Multl-fannly 0 AddITIon 0 Move o CommercIal 0 Remodel 0 DemohtlOn o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT fJeW ~1 'x. .;.~I c:'l ~~e.. GAR.af!Je- o Stove )~('Garage o Deck o Other SIZENALUATION: SF. @ $ /SF = $ SIll SF. @ $ /SF = $ SF @ $ /SF = $ .",. TOTAL VALUATION $ ~~ 1~l7> - COMMERCLA.LIRESIDENTIAL: Occupancy Group' No. of Stones ~ Lot SIZe. SO X 1t.J/) EXlstrng Sq Ft ~5D Total lot coverage Q).? % Occupant Load Constructlon Type- & Proposed Sq Ft ....17 ~ = TOTAL Sq Ft /~~ APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s) 0 Yes 0 No SEPA Checkhstrequrred? 0 Yes 0 No Other VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant Tills figure ,vill be revIewed and may be revIsed by the Buildmg DIVIsIon to comply WIth current fee schedules Contactthe Permit Coordmator at 41 7-4815 for assIstance. PLAN CHECK FEE: IF a plan check fee 1S due It must be sub1llltted at the TIme the buildmg pemut apphcaTIon and construCTIon plans are sub1llltted. All other pemut fees are due at the trme of pemnt 1ssuance EXPIR.t\.TION OF PLAN REVIEW: lino pemut IS Issued within 180 days of the date of application, the application will expire. The Buildmg OffiCIal can extend the trme for actIOn by the applIcant up to 180 days upon wr1tten request by the applIcant (see SectlOn RI05.3.2 of the Intemahonal BuildmglResldentlal Code, 2003) No applicatIOn can be extended more than once I hereby certify that J have read and examined thiS applicatIOn and know the same to be true and correct. I am authonzed to apply for thiS permff and understand that it is my responsibility to determme what permits are reqUired ,not the City's, and that I must obtam such permffs pnor to work. T'\Pollcles\BL-1102_13 v.rpd ~~~ Date:.... ?-/ -ZJ~ Look Up a Contractor, Electrician or Plumber License Detail Page 1 of2 Wo,s,hinpn &are Dcpamn<:nt of Labor and Industries Topic Index I Contact Info I Search Home ;f Safety ~ Claim~ & Insurance ! Workplace Rights l' Trades & Lice':1sing 1 I Find a Law or Rule I I Get a Form or Publication I Look Up a Contractor, Electrician or Plumber J Printer FriendJy: VeJ:sian General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assIgnment of account and carry general liabIlity insurance. License Information License GENERH*963LW Licensee Name THE GENERAL HANDYMAN Licensee Type CONSTRUCTION CONTRACTOR UBI 602404475 Verify Workers CompJ:ceJT1ium S_ta_tllS Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 417 SOUTH H ST Address 2 City PORT ANGELES County CLALLAM State WA Zip 98363 Phone 3608083239 Status ACTIVE Specialty 1 OTHER (SPECIFY) Specialty 2 UNUSED Effective Date 6/16/2004 Expiration Date 6/16/2006 Suspend Date Separation Date Parent Company Previous License Next License Associated License https://fortress.wa.gov /lni/ /bbip/Detai1.aspx?License=GENERH*963 L W 3/3/2006 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of2 Business Owner Information Name Role Effective Date Expiration Date JENSEN, GARY P OWNER 06/16/2004 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received I Bond Name Number Date Date Date Date Amount Date Until 1 #1 CBIC SF6041 OS/27/2004 Cancelled $6,000.00 06/16/20041 - Savings Information No Matching Information = Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date #2 CBIC C11SF6041 OS/27/2005 OS/27/2006 $300,000.00 OS/24/2005 #1 CBIC C11SF6041 OS/27/2004 OS/27/2005 $300,000.00 06/16/2004 Summons I Complaints Information No Matching Information SJaI.LiLt-l~w S~arcll Er:ioJ~LfJ:iendly. Version About L&I I Find a job at L&I I Informacion en espanol I Site Feedback I 1-800-547-8367 ,. <0 Washmgton State Dept. of Labor and Industnes. Use of thIs sIte IS subject to the laws of the . 1': 'c shingto.. state of Washmgton. Access Agreement I Privacy and security statement I Intended use/external content Dolley I V1Sll access.wa.gov Staff only lmk https://fortress.wa.gov/lni/ /bbip/Detail. aspx?License=GENERH*963L W 3/3/2006 -.::., 9 25 Feet (;~ ~ ~ " J dJl Oreas Ave. ,~'"" ~~""~~",,':1'> Verl,cal Datum ~ NA VD 88 HOrIZontal Datum ~ NAD 831'J1 N Area Map ThlS map IS not intended to be used as a legal descrlptlon ThIs map/drawmg IS produced by the Cuy of Port Angeles for Us own use and purposes Any other use ofthlS map/drawmg shall not be the respollSlblllly of/he Cay ~ ~ s~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA 98362 6/11/06 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Appl~cation type description Subdivis~on Name Property Use Property Zon~ng Applicat~on valuation 06-00000216 Date 922592 115 ORCAS AVE 06-30-10-5-0-2460-0000- DEBRA WILSON RES DETACHED GARAGE ~ \t!:!Y RS7 RESDNTL SINGLE FAMILY 22250 Owner Contractor WILSON DEBRA L 115 E ORCAS AVE PORT ANGELES THE GENERAL HANDYMAN 417 SOUTH H STREET WA 98362 PORT ANGELES (360) 808-3239 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 Other struct info 28 00 1. 00 850.00 7000.00 576.00 1426.00 1. 00 Permit Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expirat~on Date ELECTRICAL NEW RESIDENTIAL HALVORSEN/ GARAGE 78915 HALVORSEN ELECTRIC 48 10 Plan Check Fee 6/02/06 Valuation 12/05/06 00 o Qty Unit Charge Per 1 00 48 1000 ECH EL-R-OUTBD/DTCH GAR SEP Extens~on 48 10 Special Notes and Comments The F~re Department has reviewed the project application and has no comments 03/09/2006 04.30 PM SROBERDS -- The proposal will result in a detached garage in the RS-7 for total lot coverage of 28% Rear setback MUST be a minimum of 10'. Electrical load calculations and elctrical permits are requ~red Public Works Utility Engineering has no requirements for th~s plan review Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t 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 " "'- ~ R g ~ '. ELECfRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE IT IS UNU WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ,,' ". INSPECTION TYPE DATE ACCEPTED COMMENTS I; .: I YES I NO I . un C11. I lUll TCTH_ThlI CUVbK SERVICh I I J.<TlIJ AT \ I S';!i 1_ ()~ I L--( ) I I I I I I GENERAL COM~ENTS: 1 PW-II02.I5(4'96) . ELECTRICAL PERMIT. CITY OF PORT ANGELES LIGHT DEPARTMENT Site Address: Installed By: Owner/Business: OwnerlBusiness Address: o Residential 0 New Construction Heat KW 0 Remodel o Baseboard 0 Furnace/Boiler ;p{ Service update/alter/repair o Heatpump 0 Other o Commercial/Industrial load 0 Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (list below) Total Motor load 0 Special equipment (attach breakdown) (list below) Details/Description: ~AUU:I'~ /~~/~ PERMIT NO. {29/7 DATE /.;2j;K,l?o o READY FOR XWILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. Pi! Overhead o Underground Voltage 010 03.0 Service size [p/Ja Amps o Temporary . Size Comments Date Hold for: 0 Easement 0 Letter W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough.in/cover O.K. . d O.K. to connect service AJJ' -t' Final O.K. o Signed up for service/meter o Meter Department notified for installation o Fireo.epartment notified of inspection o Plan Review approved/pending Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in W iting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. 710, OiJ Ins ctor Amount paid WHITE - file by ad ress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall Site Address: Installer: . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT OI.,YMPIC PRINTERS. INC. Permit/Receipt No. New Meters