HomeMy WebLinkAbout221 S Peabody St - Building
'(jf)
o
Lical Contractor
DOwner
o Annual Permit 0 Alarm 0 Carnival
Job wired by
o Electrical Contractor 0 Owner
1
License number
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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.
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~~ctororelectr;
/ WALLS
Insulation Only
Dale Approved By
Cover
Date Approved By
\.
CEILING
Insulation Only
Dale Approved By
Cover
Date Approved By
Electrical Load Additions and or subtractions
f!!( NO LOAD CHANGES
o Baseboard KW
o Furnace ..z..t:;)KW
o Heat Pump -$- Ton LAR
o Fan-Wall KW
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
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o Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Installation description
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o Cash 0 Check #
o Credit Card
Card #,
Visa
Mastercard
Discover
Expiration Date
of card
THERMOSTAT
Date Approved By
DITCH
Date Approved By
/ SERVICE
"- Date Approved By
/ FEEDER
Date Approved By
Service Information
o Overhead Service
o Temp Service
o Underground Service
VOltage~'~
Phase 3
Service Size: _
Feeder Size:
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.nl EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000313 Date
552037
221 S PEABODY ST A
06-30-00-6-5-0021-0000-
ELECTRICAL ONLY
4/12/06
COMMERCIAL ARTERIAL
o
Owner
Contractor
DANIEL R/GERALD G MANGANO
1731 W 14TH ST
PORT ANGELES WA 983636809
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
THE ELEC COMPANY 100A FEEDER
73817
THE ELECTRIC
78.70
COMPANY
Plan Check Fee
Valuation
.00
o
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10/09/06
-
Qty
1. 00
Unit Charge Per
78.7000 ECH EL-COM ALT 0-200 SRV FDR
Extension
78.70
,
'l>
Fee summary Charged Paid Credited Due
---------------- ---------- ---------- ---------- ----------
Permit Fee Total 78.70 78.70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 78.70 78.70 .00 .00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC'I10N TYPE DATE I ACCEPTED COMMENTS
I YES I NO
III "I"H
III II l'yH_IN / COVER
s....~1l v I( ~H
l<TN 4. T 1j..f-r1-D~ A.-.- If"') I
GENERAL COMMENTS:
PW-II02.U (4'961
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CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT
PERMIT NO: 13076
OWNER/APPLICANT
DAN/GERALD MANGANO
221 SO. PEABODY
Port Angeles, WA 98362
360/000-0000
T: SUITE-C
S:
ISSUED: 11/06/2001
PROPERTY LOCATION
221 PEABODY S
Lot: 10-12
Block: 57 D Long Legal
Subdivision: LEIGHTONS SUBDIVISION
Parcel No: 063000650021000
CONTRACTOR
MILLER SIGNS
1190 CARLSBURG RD.
SEQUIM, WA 98382-0000
360/683-6790
PROJECT INFO
Project Value: $285.00
Project Type: SIGN/WALL
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0 Commercial: 0
SFD SQ FT: 0 Industrial: 0
Garage: 0
MFD Units: 0
MFD SQ FT: 0
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PROJECT NOTES
INSTALL 24 SQ. FT. WALL MOUNTED SIGN
RECEIPT#8227
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$0.00
$0.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$0.00
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Misc Fee 1:
Misc Fee 2:
Misc Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$30.00
$30.00
$0.00
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
con~.
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Signature of Owner (if owner is builder)
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN T I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATIOJ'l;
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING 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 BUILDING
CIAPPL.WPD
:fI'ORT~
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec;.:
Pennit #:
Date Approved:
Date Issued:
The Building Permit - Pre-application IIIIISt be filled Ollt completely.
Please type or print in ink. H you bave any questions, please caD 417-4815
Applicant and/or Agent: /~:4-1 /' ~~ t{/
Owner: /t:' /~ Lb'72 be C7 /1-. /5-
Address:
Architect/Engineer:
Contractor m L/ j I~ v- S~ J-J~
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City:
Zip:
Phone:
License #:
Exp:
Phone:
Address:
PROJEer ADDRESS: d-~ I C
LEGAL DESCRIPTION: Lot: 10- "'# Z
CLALLAM COUNTY PARCEL NUMBER:
BilliDg Address:
Credit Card #:
City: Zip:
.r? L)4 r'v t;)c:; ZONING: C A-
";--'2 . . . L J -L I =,' ))' · ,
Block: ~ SubdiVISion: Q.i~11 rOt.; ~ ~~o I 1/ . <;;." 0 I.(
D6<: ~~~tI02JCredit Card Bolder Name:
City:
Exp. Date: VISA MC
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair ~ Sign
BRIEF DESCRIPTION OF THE PROJEer:
o Woodstove
o Garage
o Deck
~r~jt&'-1U
SIZEIV ALUATION:
SF.@$ ISF. = $
SF.@$ ISF.=$
SF. @ $ ISF. = $
TOTAL VALUATION $
/?101/"'vvf-r)'") b /c;"v
e-~~~~
COMMERCIAlJRESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: Lot Size: % Lot Coverage:
Existing Lot Coverage:' , Isq. ft. + Proposed Lot Coverage: .
Construction Type:
%
Isq.ft;:o;; tOTAL LOT COVERAGE: Isq.ft
~PROV ALS: PLAN /1 It, It. i k<<
BLDG. I /
DPW
FIRE
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTIIER
BUILDING APPLICA nON SUBMITI AL: Your application fOld site plfOl must be fl/letl Ollt completeq to be accepted for review. The
Building Division can provide you with more detailed information on the application and plan submittal requirements.
PLANNING uk ONLY:
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Notes: . ~
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BUILDING PERMIT APPLICATION SUBMITI'AL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to the Building Division.
V ALUA nON OF CONSTRUCTION: In all cases, a valuation an10unt must be entered by the applicant. This figure will be reviewed and
may be revised by the Building Div. to comply with current fee schedules. Contact the Pennit Coordinator at 417-481 S for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are'submitted. All other
permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application wiD expire by
limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see
Section 107.4 of the Uniform 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, and I am authorized to apply for
this permit. J understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility 10 determine what permtts are requiTed and to 0b,ai. such //. / /1J / .
PW-Il 02_13 I=SJO I] APPlican~ ( 'I:2t btf_ Dale: 't~/
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Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
~
ELECTRICAL PERMIT
PERMIT NO. c2S 7?
:J // J /1;0
, ,
DATE
Site Address:
EADY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
license Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o New Construction
o Remodel
o Service update/alter/repair
~Add/aiter circuits
o Auxiiiary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
01"," 03.0"
Service size
o Temporary
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commerciai/lndustrial load
Total Connected ioad
(attach breakdown)
Total Motor load
(attach breakdown)
Amps
Detaiis/Description:
ce
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
,~rA Final O.K.
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
--5&.
permitl~eS-7~
New Meters Date:
Site Address:
-
()
Notify the Department of City Light Y Stree ;ll.ddress and Permit Number when ready for inspection. Work
must not be covered or electrically energized efore inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ (!:!! I
Inspector Amount paid /
WHITE _ file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall/I
OLYI'IPIC PRINTERS. INC. /
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO.
DATE / "..
117~
2 , -1f8
Site Address:
Instalied By:
?{A~DT>Y
'EUc7Yttc..
~4-l.M.4c
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
S;k 1-2-00
Phone:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
~ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/aiter/repair
~Add/alter circuits
o Auxiliary power
(list beiow)
o Special equipment
(iist below)
Overhead
Underground
Voi ge
o 1
Service s
o Temporar
Amps
DetallslDescription:
A-I'.>O
o u,e ~
ANO
LN"FUL
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-In/cover O.K.
/1 ({,O.K. to connect service
,/ ~~FJnal O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pendi ng
Site Address:
6 ~ L~)
'POt ~O\j)
tLE e-7t-L L-
Permit/Receipt No.
If7S-
2-2.1 S.
Installer:
New Meters
-B
Date:
-II-I'I
.
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 Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
AI--- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I? ~ _
, Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLV.....IC PRINTERS, INC.
lj~UM.EA
A
/00 3
PERMIT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LiGHT
APPLICATION AND ELECTRICAL PERMIT
. .
.
TOTAL FEE
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Owner
'S lM ~
ELECTRICAL PE
5, '1''iA-
CO~ECT ADDRESS. IS RESPQNS1BILlT
J' hAA I'-\.k<.I
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
OF APPLICANT
PEAMITS WITH WAO:.A;;jSES fAE CANCtlD :/-,..
Inst.ll.tion By f ~-<r ~ C- I L
Installers Address
Owner's Address
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
f.),..I JJ4A1 CUt.. .~. .r(7~ (jl--'yl+/Ir.L
;Wl'l M.V. L~k+ 'I-"' ~Ac..k..
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Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER '0 lQlOR FEE USE OF CIRCUIT CIRCUITS PEA '0 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS . .
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
1-----.
LAUNCRY
DRYER REINSTALLATION LIGHT FIXTURE #
1-----.
FURNjIICE SUB TOTAL FEE
GAS. OIL
FURNjIICE ENERGY FEE
~~IC BASIC FEE
ELECT~IC HEAT
TOTAL FEE
ELECTMIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT PHASE
AMP
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZEO AGENT)
Permission is hereby given to do t~e aboye described work, according to the conditions hereon and according to the approved plans and
specifications pertaining t:r(eto~, S7~ct to compliance with the Ordinances f the City 0 =nn~~e CIT LIGHT
Date Permit Issued (} 7
, PPRO
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in.
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WARNING
WHITE - Original CANARY. Duplicate PINK - Triplicate WHITE CARO -Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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2//[//1 /llLdr O.K. TO CONNECT,r-"~ "
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BUILD!NG DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
62..)../ S' ' If,{ol" 0 7
Job Located at '3. 1M f pflAA-MA C (
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
07"/ (/Us~ I!A-h-^--':-
Q (!pJ-L,+ ,.voJ,- r1t\.lH Svfl.~4/L'/
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AM 0 All" JL [ .fT'fI.--A p(? I tv-i .
M'I-h./ 'fV~ 10' t j' F'fl;>"'1
Wf'lI.f'.;1l 1L11V ,
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call
for inspection.
Date
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Inspector for Building Division
DO NOT REMOVE THIS TAG
i //'1 $-,
FEE RECEI NUMBER
CITY.OF Pl3RT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
I
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A
911
PERMIT NUMBER
.
TOTAL FEE
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CO NT. Lie. NO.
TIMETOCOMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address:::::Tl1-1 f
COARECT ADDRESS IS RESPQNSI
Owner~H ~I,~
Owner's Address "5?1l+1b .
Oay Phone t. ,,-....., 7. '.6/ Lk-z -42CJcJ
.
Application is he eby ma.de for P.ermit to install Electrical Equipment as follows:
I
Wiring Method (7/1 AI; tJ Iq--
.
NUMBER AMP 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PEA 120V 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA '" 30 CIRCUITS CIA '0 30
LIGHT SIGN .J 5r w _//~
LIGHT 50 VOLTS I
OR LESS
CONVENIENCE' MOTOR ,
CONVE.NIENCE MOTOR
,---.
APPLI,A NeE . . .. MOTOR .
DISHWASHER FIRE ALARMS
DISPO:;AL BURGLAR ALARM
RANGE MISC.
"--.
OVEN
"
WATEF- HEATER
LAUNCRY "
DRYER REINSTALLATION LIGHT FIXTURE #
FURN.ACE SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTnlC BASIC FEE
ELECTRIC HEAT -"?../~ ~
TOTAL FEE
ElECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT.BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL" SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
rmit will be done by the installer and in
<6" ,19~ By
I c'ertify that the work to be performed under this p
CONTRACTOR OR OWNER (0 AU.THORIZED AGENT
. _Permission is hereby giveQ to do the above described work, according to the conditions hereon and according to the approved pI
specifications pertaining thereto, subject to compliance with the Ordinances of. the City oJ Port Angeles.
. 2:;DIRE OR OF CITY LIGHT
B; ~./...L ~ - d7
Date Permit Issued PLANS APPROVED .;
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Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned 9n before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. ! Permits Phone: 457-0411 Ext. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD - Inspector's Report
OLYMPIC PRINTERS, INC.
.,.~ 1. ~ .
REPORT OF If:4SP-ECTOR
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
I , . O.K. TO CONNECT SERVICE
1.1 I 'i I 1~'1 i.rA .JV'"'. ... O.K. ()./ / {!"., tL~ r f7"~ f
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
. APPLICATION AND ELECTRICAL PERMIT
A
000408
PERMIT NUMBEA
.
.. .. .. [1 c tV! IV)
TOTAL FEE ':;Jt. <:s>O_ f}~e/ t:-l.I..{Go .-<: (
. e,gONT. Lie. NO. TIMETOCQMPLETE NO. STORIES LEGAL OCCUPANCY
/1 ELEC~~ICAL PERMIT ONL~.. NO OCCUPANCY OR USE ESTABLISHED UND~R THIS PERMIT
SiteM'dress' /-71->00-1;- ?)..{ S;:6ut~ ,?e.CJocd,;..
'M'. - CC:~RECT AD~RE.SS 1$ R~SPONSIBILlTY OF APPLICANT PERMITS WITH WRONG'AQDRESSES ARE CANCELLED
Owner ~ 'dno, d no M lY\) ;>:;-I-cY{-~af1.-. Installation By r-+ ~ ~j",.'5 ~rJC/
Owner'sAddress . V I$;. (-.0" E:r"""l'L V~" lit), ~ IristallersAddress <.f).t/. JSt
Day Phone. li<)..J - .e;~.lE>3 v Installers Phone '4.C::;:;l. -c;,;zC t.{
Application is hereby made for Permit to install Electrical E;quip.ment as follows: .... C; e_~v ,-U- <:L-. I t\t't. hiQ..
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Wiring ~ethod v-<. Tl'~ C2-\(
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NUMBER AMP 120V 240V NUMBER AMP 120V. 240V
USE OF CIRCUIT PEA 100A FEE USE OF CIRCUIT - PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT SO VOLTS
OR LESS
CONVENIENCE - . . MOTOR
CONVENIENCE MOTOR
APPLIANCE - MOTOR
DISHWASHER - FIRE ALARMS -
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY ... -
DRYER - REINSTALLATION LIGHT FIXTURE # ,
FURNACE .. SUB TOTAL FEE ..
GAS"- OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT .
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT &'0 AMP It! PHASE
FEEDER SIZE OF S.ERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB:TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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I certify. that ihe work to be performed under this permit win be done by the installer and In cont:ma;CjWith th~ N.E.C. Electrical Code.
Date Application made q 19 / ~ 5 ,19 By ~~~
../ .1" t" - . C~RACTOR OR OWNER (OFfAUTHORIZED AGENT)
PerlT'ission is hereby given_ to, do the above d_escribed work, according to the conditions hereon and according to the-approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the.City~of Port Angeles. \'. : ~ ~.'. \ . \ ')
. ~. ~IR~R ~CIT_Y(~IGHT,. " , '
By 17l_____~J~' , ,
Date Permit Issued PL.ANS APPROVED .
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WARNING I
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be coyered or current turned on before inspection and O.K. for covering or service has been given by,lnspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE" Original CANARY. Duplicate PINK" Triplicate WHITE CARD "Inspector's Report
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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C(-;L 7-<{) 11/"Y' .
O.K. FOR COVERING
"7 -j}- (~ 7?1'3 O.K. TO CONNECT SERVICE
FINAl. O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
18022
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Port Angeles. wasbJngton..___cg___::::.____!___Z.:::::___.___......_______. 19.Ft
In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec-
trical equipment In. On. or about any building or other structure In the City of Port Angeles. per-
mission is hereby granted to ~electrlcal work as listed below.
Address ..;!cl.L....~__....l:i._r2.~____..__.nnm.... O. ccupancy.nL~__.....___n.n____.
- [-.:.- ,..) ""~ i .. ~
~::: ~.~.:~::~~~.::zth~::::::~--n~~::~~;:~-2.~::::::::::=::::::::::::::::::=::::::::=:::::::::
, I ' -;). (, .
Light Outlets....n___mmm................._m.. Service. volts ....._.1...:.....__.................... Type of Wiring;
.., 57
Receptacle Outlets..........................._u.. No. wires .....00.00.....0000.................... Armored Cable ..............................
D .yer, KW nn..::-.n..n""'''h,,,,,,uhn.._...
Size wlres...._.._nn............_n........_..
Main/fuse ....!..C.(..~..).......h_.......
Enclosure ?m}..:._~.-..n=..'.n:.mm_
R mge, KW...._n.n__........_
'Hater Heater:
,,' /., -' !/v'
KW.....Oohnhh.hhh.OoOoOoOoOo.
H ,.t, KW.mm..2.l'/..!..<m.m.mh'h
. ,.
Type of wiring:
Entrance Cable n"n"'_h,,"_"m'
h-'otors: sIze, volts and phase:
Rigid ConduIt ..nnmnm..m..
,
Metallic Tubing ___L.___2___
Current transformers:
No. & Sizem____mnmmmm.._..n
Ser. No.
Ser. NO.._.n__........................nnn_...n___
Ser. No. ..0000_....0000___.___..00..._...............
Total Load._...m....m________m_..
Ser. No. ...._.00000000__._.......0000...............
Remarks: .00.___.n__m____n.nn___n________.n.nn______.______..m.n.___n________________________.______________.nmn._______._____....________.___...__
Total .............__......_.................
Non.Metallic .................._..........___.
Knob &: Tube......._.n._.nh..h_...n....~
Rigid Conduit OoOom.OoOom.Oo...mOoOom
Metallic Tubiug "OoOo'~Oom..
~
Raceway .._.._........................._._..._
Circuits, Light._..............mm_.._________.....
Utility Oo.......mmmmm.m........mmm
I-Ieat .__.___......................._.._...._.._...
Range .....mh..m...Oo.....7".."m
Water Heater ...m_nm...................
Motor ................_._0000.000000__00..____.....
Dryer..._._...._________.._.._.____.__.____.___.__.....
F urnace ._._......._..............~___.__....___..._..
.....................-..........-...........---.--....-...........................................................................__._.__.._.___._.............~__..__....u~...
Treas. Receipt
NO.n_______________.______.___
Permit Fee
1 . ,.
$__~ __:....~:::"..___.mn______...
--. "
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected berore concealment.
By ..nom___.___m._____m___.......___nn_____nn_____________....
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N~ 1 8 0 2 2
ELECTRICAL PERMIT
/
Address m.c2..~...L....._2h!...l[22d...c.t~..n___....n.m.m.m Date.r2...=:...!...7.-.-:J::'ionm__.
Owner !).~.rJ.~:":"?.-.:.!.......:_:.:..s-...l._..u..-::....:.:.-...::u..u:....-1.~..L:"':_______'n..n._m.....n.... Tenant__nn..m......:;.,L_m.m..mmm_m___...n__m____....
Wiring Contractorn~J.7~.t:.~.:......~~.__.........m..m..___m......n....n.m By...f--t!~...ff~
NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. If work is to be con.
craled due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.