HomeMy WebLinkAbout1309 O St - Building
ELECTRICAL WORK PERMIT APPLICATIdi~
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Job wired by
j;I'Electrical Contractor 0 Owner
Installation description
Cl Commercial -4 Residential
Electrical contractor name License number
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purc~cr's mailing address
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City State ZIP
PN~ ~I..' W....
Telephone number
, -
Date Expires
DNew
iJ'l\itered/Addition
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Premises owner's name
C'1~.R,~ Sf 11..11,,1<'1
Address of inspection
130'''[ "'0 ".)y.....:/-
City Pur A..~(,.)
Phone number to schedule inspection:
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Owner as defined by RCW,19.28.26/:(J) Owner will OCCIlPY the structure for two
years ajier this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if ahove said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am thc owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws. N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
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o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
Signature of owner, electrical contractor or electrical administrator
x
Date: 8 -II-oft,
Expiration Date
of card
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heal Pump Ton LAR
D Fan-Wall KW
o Overhead SeNiee
o Temp SeNiee
I:) Underground Service
Voltage 12'fo
Phase/l:ll D 3
Service Size: ~
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN ;' THERMOSTAT SERVICE
Date Appnwed By " Dale Approved By Date Approved By ./
FINAL / DITOI FEEDER
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Dal .. Approved By "- Dale Approved By "- Dale Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
.
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CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdlvision Name
Property Use
Property zoning
Application valuation
06-00000887 Date
008828
1309 0 ST
06-30-01-5-9-0090-0000-
ELECTRICAL ONLY
8/15/06
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HARRIS LORRAINE M
1309 S 0 ST
PORT ANGELES
WA 983631218
S & J ELECTRIC
PO BOX 2233
PORT ANGELES
(360) 461-9380
WA 98362
Permit
Addltlonal desc
Permit pin number
Sub Contractor
Permlt Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
S & J / KITCHEN DINING LTS
84699
S & J ELECTRIC
48.10 Plan Check Fee
8/15/06 Valuation
2/11/07
.00
o
~
<::).
~
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
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
ELECfRlCAL PERMIT INSPECfION 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
INSPEC110N TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
I
PW.II02." 14'961
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELEC:fRICAL PERMIT
Nt?
17436
. /..:2 - /~. r6
Port Angeles, Washlngton........._.__m.________.__._......_._......_....____..__m' 19_______.
In a<lCordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, oJ;!, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address ./.3.f?-i:..__m~"9...~-m..---m....m---n--------m..mm- Occupancy..74e.:~_m______m..__m______._..
Owner nd-~af:(.:'-~&mm_____'j/'?_ TW~t----mm--m...m--.....m--m-.------m..-..m--.----m....--
Wiring Contractor ..,,~.~~__.e!ff!!.~__ Byn_....m______mm_____m___...___m__h_____.______h._........
/ff
Light Outlets_...____.__.______.____......___.._.....
3C:
Receptacle Outlets__..______m___.....__........
C;
Dryer, KW nn_un...un~_..u......u._....u__..
/,:2..
R:lnge, KW BOo._.....___.._________________________.
'r/ater Heater: .....
Yd
KW....h_________nnn_hnnh____nn 00___00.
H,." Kw..........._/..}~_.~_.!!..Il
l\:otors: size, volts and phase:
hhh_n.I.&.hm.._.mnmn.__...h
.nnn__.!.&..,r..>-..._mn................
Service, volts ..............._..._.._........._.....
No. wires .........................___._..___.___
Size wlresm..mm.mm__mmmm..._..
Main fuse n..____________......_.__.............
Enclosure .......................................
Type of wiring:
Entrance Cable mm_mmm__n..
Rigid Coudult .00000000000000.00000000..
Metallic TUbing ....._...._..............__
Current transformers:
No. & Size.._________.__....__...................
Ser. No...-........................--...-----.-------
Ser. No..-..-..............--...--.----...............
Type ot Wiring:
Armored Cable ..............................
Non-Metallic ...............................__
Knob & Tube..................._...n.......~
Rigid ConduIt ............__..mmh.._...
Metallic Tubing hnhhh._...............
Raceway ......................._n..._._n._
Circuits. Llghl..h.Ehhn.h.n.................
~:~:ty..::::::i:::::::::::::::::~::::~::::::
Range ....._._~........mm_..._h..hn_m_
;;:2.
Water Heater ....h.........................
Motor .._...........__........................_.....
Dryer _.m_nm'!:n______.____m.___hn.h..__
F urn ace .........................,~.___________.._..
c:P(
Total wad__...__....................... Ser. No..._..........___....._________.._............ Total -....--.--.............................
Remarks: hn_.___'.~:-'::~~nmn__60_.p:;;;;P._4,(.________.._______mm____m_....h_.nm_.m___mm..m___._m_m_m
Ser. No....-----.------...............................
_;~;;;,;~--;~~m.h----------.---------m;~:~~.n~:~:;~~m---mmm----.---m-----/);::zY?;..---~:---m-2
$____~.i?..Qm____m_m_._.. NO._______m_____m______m By __.dm_m_....r.:.___(m(&"_.~:1.-:_._mm~_~...<-__
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NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBEFfwHEN READY FOR INSPECTION
, ELECTRICAL PERMIT
'-..
N?
17436
Address__..__..._........__......................_......_...__....................................................._.....___..................Date..._......_.__.___._.........._......_......_.........
Owner.._..__..._.........._._____..._.___._...._.._......_......_.._._..................___..._................._......___.....Tenant..____.............______...__..___..__.___.........._..._______..._
Wiring Contractor ......................_........_.._......_.................._.............._..._..._...............____._..._.._._._.. By .___.............................._........_..................
NOTICE-Current must not be turned on untn Certificate ot Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.