HomeMy WebLinkAbout1215 W Hwy 101 #17 - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:\21 F..ASTSTH STREET. PORT ANGELES. WA 9113(.2'
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00001141 Date 11/17/05
840612
1215 W HWY 101 #17
06-30-08-5-1-0200-0000-
ELECTRICAL ONLY
RESIDENTIAL TRAILER PARK
o
Owner
Contractor
WELCOME INN TRAILER PARK
1215 W HWY 101
PORT ANGELES WA 98363
( 36) 457-1553
OWNER
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Permit ELECTRICAL NEW RESIDENTIAL
Additional desc OWNER/ MOBILE
Permit pin number 65599
Permit Fee 36.40 Plan Check Fee .00
Issue Date 11/17/05 Valuation 0
Expiration Date 5/16/06
Qty
1. 00
Unit Charge Per
36.4000 ECH EL-MORE THAN 1 ADD INSPECTION
Extension
36.40
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Fee summary Charged Paid Credited Due
----------------- ---------- ------- ---------- ----------
Permit Fee Total 36.40 36.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 36.40 36.40 .00 .00
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COMMENTS! ACTJON NEEDED
ELECI'RICAL PERMIT INSPEcrION.RECORD
CALL 4174735 FOR ELECTRICAL INSPECnONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOnCE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORI BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPKCTIONTYPI DATE .ux:..... UI COIOONTl
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GENERAL COMMENTS:
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ELECTRICAL WORK PERMIT APPLICATION
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Job wired by
o Electrical Contractor ~wner
Installation description
o Commercial ,(ReSidential
Electrical contractor name
License number
Date Expires
;eN ew
o Altered/Addition
Purchaser's mailing address
City
State ZIP
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Telephone number
FAX number
pre~~ owner';...p.a-me
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Address of fliction fi
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Phone number 0 schedule inspection: 7
7 - (, / S - 4S" - '11
Owner as defined by RCW19.28.26I:(I) Owner will occupy the structure for two
yean after this electrical permit is finalized. (2) Owner is required to hire an electrical
colllructor if above said properly is for sale. rent or lease.
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 elcctrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapler
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of 0
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ctG'3 &'3
3
)fCash
o Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Date: /1-/7- 0.5
Expiration Date
of card
$nsP3Z; :c~ [;)
Service Information
Electrical Load Additions and
CI NO LOAD CHANGES
o Baseboard KW
Q Furnace KW
Q Heat Pump Ton
CI Fan.Wall KW
subtractions
LAR
Q Overhead Service
Q Temp Service
o Underground Service
Voltage
Phase CI 1 CI 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/ ROUGH-IN THERMOSTAT /' SERVICE
"- Dale Approved By Dale Approved By "- Dale Approvcd By
/ DITCH FEEDER
ai. FINAL
. 2./"~ AcQ ,
Dale APProvcdB~ "- Dalc ApprovcdBy./ Dale Appro,"cdBy/
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
.
/l"AJ II/. '1 !tj~
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ELECTRICAL INSPECTION -
WIRING REPORT
417-4735
INSPECTOR
At:D
OWNER/CONTRACTOR
/'"c It!.
ADDRESS
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . ..0
j( . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . .. . . .. . . . . . . . . .. . . . FINAL. . . . . . . .. . . . . . . . . . . . 0
CORRECTIONS NEEDED: 8'eh/Z.L
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381