HomeMy WebLinkAbout222 E 11th St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~(,2
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000140 Date
.634300
222 E 11TH ST
06-30-00-0-3-4220-0000-
ELECTRICAL ONLY
3/01/05
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
KITZ
222 E 11TH ST
PORT ANGELES
OLYMPIC ELECTRIC
WA 98362
SEBRING
FL
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
100A CIR./ BOILER
OLYMPIC ELECTRIC
48.10 Plan Check Fee
3/01/05 Valuation
8/28/05
.00
o
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
~
~
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
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COMMENTS! ACTION NEEDED
ELECfRICAL PERMIT INSPEgJON RECORD
Yj
CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 1T.1S UNLA WFULTOCOJlER,
INSULATE..OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
NO
GENERAL.COMMENTS:
COMMENTS
PW.II02.1S (4196)
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. 3( 7/
7,/Z/P c
DATE
ELECTRICAL PERMIT
Site Address:
:<.;<
8ob5
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Owner/Business Address:
~IDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW ~
o HEAT PUMP KW_
o SIGN
Details/Description:
.
/J-dd
dcyi (X
o READY FOR
INSPECTION
license Number:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
~ PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
)1'l OVERHEAD SERVICE
D UNDERG~OUN~ER~E
VOLTAGE: 20 <f v
D SINGLE PHAS~
D THREE PHASE
SERVICE SIZE ~62-D AMPS
;;uJO Aw-j S Ut/ fCL
&J cO..;? 1'dusf
/Z1 8- J,/,u?
I
/9c1c1 ~~tUl
l;t'Hr
~
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----
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
D Final O.K.
Site Address:
d-.;)..:L
~? I/A
permi~biP71
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.
I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $
Electrical Inspector
.
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
4-1
1f)~
Permit Fee
GREEN - Top, Mete' Oept" Bollom, City Ha~
OLYMPIC PAINTERS INC.
02/28/2005 09:12
3504523498
OLYMPIC ELECTRIC
PAGE Bl
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a Owner ........l<"
ELECTRICAL WORK PERMIT APPLICATION
CJ Request Inspection
o Eleetrical Contractor
,
1:1 AD-D'lat Pennit Q A.larm Cl C2trni""nl CJ Commercial ri.e~ideDti81 0 Residential Maint 0 Signs Q Thermostat 0 TelcculD.
Job wired by
Q1:lectr;cat Contractor 1:1 Owner
In:!ltallalinn descriptio"
A(Jd".ny ~n;d,r ~r g/?,!rT
Blectrical contractor nl\rnC Licen!iC l1umbcr
~~//- r/",,/n/_ CJ/./l1f/rl" ..hf~P/
pu . mniling: address. -f?
Lf 2 :10 Win t,/;7 '1'r"
City State ZIP
J:br-t-I1..,. ""/r:( 1A/..1. Cf g-? h 3'
TeleJ:lhone n~'mbct . FAX number
<:::>
Premi~es owner's name
I{, rZ
Address of inspection .n
~~Y- c=- //,~
Clt~
1:1 Cash 0 Check #
o Credit Card Visa
I bereby certify that J am the O\\o"Tlcr or the above named. 'Pfoperty or a Bcet'lsed
c1cctricat contractor (or the finn's aumon7..ed ...gent) and am making me: electrical
installation or altcr.\hon in complillnce with the electrical law, Chapter 19.2& RCW.
X' .
~ilnAt'.re or owner. elc:drlcal ~ontnctor 4'lr dectricll Jldmininr:t.tor
w..\LJ,S "
Insulation Only
Dole ^llpHlV1:d Oy
CO'\fcr
UIlLO ^'Ptll'Clvcrl9y
/ CElLING "
IJ:lsulalion Only
D~le AftImvedBy
Covcr
Dote Apl'l't'ved 9)'
"-
Electrical Load Additions and oll!!.!1.tractlom;
o NO LOAD CHANGES
o Basgboard KW
CJ Furnace KW
o Heat Pump _ Ton _ LAA
o Fan-Wall KW
;'!J5
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['-/I~\/}'~~-~=~~,l r~') \1
\ ('"If.:!? -_/..'-::.,/
Mastercard
Discover
Card # .
--.---:-.------
----------~-----
./
Expiration Date
of card
THERMOSTAT
DII\e ^'Ppr<:wcn By
DITCD
"- DDta ^pprt'''e~ By
CJ Overhgad Service
Cl Temp Se:rvlcQ
o Underground Service
SERVICE
"- DAle MflfO\'!!dBy
FEEDER
" D~'c A"!l~"ed By
ServIce Inlormallon
Voltage "J..l{ tJ
Phase 1iY1 0 3
Service Size: ~
Feeder Size:
lnspcction Area, Building Q'f' Equipm~nt Inspected Action Tokcn Electrical
Date Inspector
#~ 3/; ~5'
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