The URL can be used to link to this page

Home My WebLink About229 Whidby Ave - Building 06/05/2008 13:47 FAX 360 452 9265 Angeles Electric el0001 /0001 ter..: ELECTRICAL WORK PERMITAPPLICATION 6g r o6b Installation description Job wired by lectrical Contractor 0 Owner Commercial e sidential Electrical contractor name Date Expires ANGEL e UJ, INC. O New Altered/Addition Purchaser's mailing address 524 EAST FIRST 7 -1446 FORT ANGELES, WA 98352 a n City State ZIP v Telephone number 1j115 v tsi j X number rb l.3 1R ts1-4s- R r Premises ow is dame e'.) Address of ins cti n o City L .4...11.,/ p4- -Z JUAl n 5 20 Phone number to schedule inspection: u8 U8 Owner as defined by RCW..19.28.261 :(1),Owner will occupy the structure for two L!! years after this electrical permit is finalized. (2) Owner is required to hire an electrical °c contractor if above said property is for sale, rent or lease. Ca 0 Check 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 electrical instal- Credit Card Visa Mastercard Discover 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 Card J" Utility Specifications. (Signature of ow electrical ntractor or electrical admini rat r Expiration Date \X Date: 4 y Ot� of card G flSPCCsiPnr t J Electrical Load Additions an or s' tra tons Service Information NO LOAD CHANGES Baseboard KW Voltage Furnace KW Overhead Service Phase 3 Heat Pump Ton LAR O Temp Service Service Size: CI Fan -Wall KW O Underground. Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 ROUGH IN THERMOSTAT SERVICE 6�6� Da te By Date Approved By Date Approved By FINAL DITCH It>N:t'DER 6 1 0 Date Approved By Date Approved By Date Approved By Inspection Area, Building or Equipment Ins Inspected Electrical Date 8 p Action Taker Inspector FROM Electric4S FAX NO. 4526424 46,3 ,3 Jun. 17 2002 OB:06AM P1 y OHY 4y e� E LECTRICAL PERMIT APPLICATION +a ,4 ./-6. '4,....er The Electrical Permit App.i...fion must be tilled out completely. Please type or reprint in ink. It you have any Questions. please tali (360. 41714735 Fax number: (360) 417.4711 REQUEST INSPECTION E Owner or Elec. Contractor Agent: �J y ,Ija,s— Phone: 4 s Z- f 2'( Fax SC[ Property Owner; A Pnono: 4 /5...- 7' I Address' 1 Lily: 1 .i1Q r Zip: et- -r f Electrical Contractor: l!- LA C il��• i C-- License c t 1.3') wrt Exp 1 Y_ e 3 Phone:.f5'"G'+ Address; GL2 rr ptu V ei Cit P r k 41 nyAkir Zip: Ct c-"; c, INSTALLATION WIRED BY: OWNER *LECTRICAL CONTRACTOR Credit Card Holder Name: 0 e r Q Billing Address: City: Zip: Credit Card Number: 698Y S 75-57 -06 98 770 3Exp. Date:_ 3 VISA MCA- PROJECT ADDRESS: Z l&//2) BY TYPE OF WORK: Check all that apply: D New )QAlteration/Addition rJ Residental 0 Multi family Commercial Mobile Home Sq. Ft. )(Remote Meter D Detached garage ri Tub Swim Pool 'J Septic Pump Low Voltage E Telecom. G Sic Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: \A) 1.fit CL IXCA "C a n C 04.1 Lx-i EXp 11 i vbw D r) •e r '12ar<tQ gery ‘C,(9 (03, `mo ,447-re 5t. l Electrical Heat Load Additions .5 v /a-714 y ok. Service Information /D8, El Baseboard ____KW Voltage: 2`t0 /)2aD U Furnace KW 0 Overhead Service Phase: r .1 3 U Heat Pump KW Temp Service Service Size: to J' Fan -Wall Z= KW Underground Service Feeder Size: PANIC 14.05.060(B): For industrial, commercial, residential projects larger than a duplex, a one line drawing of the Electrical Service Feeders, building size (sq. ft.), load calculations, and the type of conductors and/cr raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and la authorized to apply for this permit. t understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. /F 0 K 45 Thi- C ireArto EX 51 57 0 7 4 Credit Card Holder Signa D ate: 41 II 1 17 Owner or Elec. Cont. Signature: Date: PW -9019 1 I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000680 Date 613000 229 WHIDBY AVE 06-30-10-5-0-1460-0000- ELECTRICAL ONLY 6/05/08 RS7 RESDNTL SINGLE FAMILY o Application desc Hot Tub Owner Contractor Schwagler, Stacy 220 Whidby ave PORT ANGELES WA 983620333 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 127878 46.00 6/05/08 12/02/08 Plan Check Fee Valuation .00 o N N --1J Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date EL-HOT TUB Qty 1. 00 unit Charge Per 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 ft - '0 \fJ -c ""- .- INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE - ROUGH - IN , L -fn -08 c:W - ..-rJ __ \I FINAL 6--(0--08 ~ .~ COMMENTS: e~,% CITY OF PORT ANGELES °(~7- DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ' 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 6/18/2002 PERMIT NO: 13491 OWNER/APPLICANT PROPERTY LOCATION f~,3L ~,I~OC~L,~ 229 WHIDBY 229 WHIDBY Lot: 17,18 Pod Angeles, WA 98362 Block: 14 [] Long Legal 360/452-7473 Subdivision: PSCC 2ND ADD T: S: Parcel No: 06301050146 CONTRACTOR ARCHITECT COZI HOMES N/A 324 E. 9TH STREET Pod Angeles, WA 98362 , 98360-0000 206/452-9906 360/000-0000 PROJECT INFO Project Value: $39,000.00 SFD Units: 0 Commercial: 0 Project Type: ADDITION SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES add 12 x 36 to north end Building Permit: $533.15 Misc Fee 1: $0.00 Plan Check: $213.26 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $750.91 Plumbing: $0.00 AMOUNT PAID: $750.91 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $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. AIl 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 S~gnature of Contractor ~ Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOKMS\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB BOUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING z K[. JOISTS / GIRDERS SHEAR WALL 2-2~ - d~ ~ ~ ~ DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHINfNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPAEATE PEP-341T #'s: WATEP~LINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOP]EL[NE: 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. EU,LD,NG BG,LDING T:\PLANNING\FORMS\I 102.15 [4/20023 . o~ ~-~-~r ~ FOR OFFICIAL USE ONLY: BUILDING PERMIT- APPLICATION P~t ~: ~e Building P~it - Pre~pltcation ~t be ~d o~t co~lete~. PI~ ~ or prat in in~ ~yo~ bare ~y qu~Uo~ ~a~ eau 417~815 Applic=t m~or Agent:~~ ~k~ Phone: ~t~n~n~r: Phone: o ~si~nfi~ .;:'O,N~ ~. o R~f n Wo~ SF. ~ $ /SF. = $, ~ Mulfi-~mi~ ~fi~ o Move ~ Gmge SF. ~ $ ISF. = $. ~ C~m~M o ~odel ~ ~olifion · D~k SF. ~ $ /SF. = $ o ~ = S~ u TOT~,V~UA~ON S ~-~' ' CO~R~~; ~ ~up: O~up~f L~: co~ ~: E~g L~ ~g:; [q~q* /~.. fi. + ~s~ L~ Corse: - '~' /~. ~:= ~T~ LOT PL~G US~ O~Y: ~PROV~: Not~: ES~s):OYcsnNo SEPA~e~~?n Y~o No ~' Buil~ Div~on ~ p~ y~u ~ m~e d~il~ ~fo~on ~ ~e ~Hc~on ~ p~ ~i~ ~. B~G P~ ~PLICATION S~~' Y~ compl~ ~p~fioff, s~pl~ (f~ ~difi~) ~d bufl~g ~on pl~ ~ to be s~Red m ~c Buil~g ~i~ V~UA~ON OF ~NS~U~ON: ~ ~! ~ a ~ ~t m~ ~ m~d ~ ~e ~H~L ~ may be ~vi~ by ~c Buil~ Div. m comply wi~ ~t ~ ~e~es. ~n~t ~e~ ~amr at 4 ! ~815 f~ ~s~. PL~ c~ ~: Yo~ pl~ ~ f~ ~ ~c at &e ~e ~e ~ ~li~ ~ co~ p~ ~ s~miR~. ~1 o~ pe~it f~s ~ ~e at ~e ~e of p~it ~su~ce. . ~ · , ~ ,, ~TION O~ PL~ ~W: If no ~it is issu~ wi&~ 180 days of&e ~ of ~licaflon, ~ application w~ expire by I~itafions. ~e Build~g O~c~ ~ e~d ~e ~o for ~0n by ~,~ up t0 l~ ~' on wfi~ ~que~ by ~e applic~t ~see S~fion 107.4 0f ~e U~o~ Build~g Code, c~ent e~)~ No ~plicafion c~ be e~d~ mo~ ~ I ~e~ c~ t~ I ~e re~ ~d ~mi~d th~ ~plic~ion and ~ow t~ s~e to be ~ ~d co~t, ~ I am ~t~r~ed to app~fo~ th~ ~rm~t. I un~st~ it i~ not t~ C~ leg~ ~po~ibili~ ~0 ~te~i~ w~ ~rmits ~e ~uir~; it ~mai~ the ~plic~t~ x~po~ibili~ to ~t~mi~ what pe~i~ ~e r~ui~d a~ to obtain ~h. , DEPARTMENT OF I~BLIC WORKS, B~ILDING Di~'I~ON See Ptlg~ 4for instnu:Kont oncm~tting the $'~t pla~ Form°m it~onm~n, call 457-0~11o ~nfension !~5. PAGE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date "~'"//~'~-(::~-~ Time Received by //~l//j (phone, person) Location of Work to be inspected ~ Name of person requestng nspection /~C ~'/ ~LC~-~ <:~/~7-~z-;~'~ ~ Address of person requesting inspection Phon~ne No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: /~ Inspected: Date '~/c~''-'4:::~'~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel ~-IAsphalt I~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date / '-- Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othe~_~'~ INSPECTION NOTES:~ Inspected: Date "~7~ q ~;-~"~-~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~IPCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... ~ REQUEST: Date ~- Time Received by '~phone, person) Location of Work to be inspected · Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle a~p~_propriate one): Permit No. / '~/'/~'/ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ' INSPECTION NOTES: ' ~ Inspected: Date ?~' ~' ~ ~- Time By L · Remarks: ~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~'-]Asphalt I--IPCC [~Other [] Repaired by City Work Order # El Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~ ~'~ Date T ~*'~' '~'*? ~* ~y ~* ~'* Time Received by ~ , (phone, person) Location of Work to be inspected · v * ,J.~ -· Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NO~E~: , Inspected: Date ~~ '~-(~-~ Time By Remarks:. RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved r-]Gravel []Asphalt J-~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST:~.~ '~ ' ~,~ Date ?~ ~' Time Received by ~i,,/~ (phone, person) Location of Work to be inspected '~I~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. / Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other .~ .... INSPECTION NOTES: Inspected: uate .~ ~ -~' Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC ~]Other [] Repaired by City Work Order # r-] Repaired by Permittee [] COMPLETE I--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: L Date ~- ~ ~- ~) ~ Time_ Received by t/'~// (phone, person) Location of Work to be inspected ~'~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ~/,~ ~/'~/ Sewer Foundation Framing Chimney Plumbing ~ewer Excav. Other INSPECTION NOTES:~. _ Inspected: Date ,~ '~ ~: , · Time. By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC ~]Other [] Repaired by City Work Order # [-] Repaired by Permittee [] COMPLETE ~--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) .... CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUiLf.,ifiiG ~"~,~MI~ ISSUED: 4/10/2002 PERMIT NO: 13344 OWNER/APPLICANT PROPERTY LOCATION PAT WOODS 229 WHIDBY 229 WHIDBY Lot: 17,18 Port Angeles, WA 98362 Block: 14 [] Long Legal 360/452-7473 Subdivision: PSCC 2NDADD T: S: Parcel No: 06301050146 CONTRACTOR ARCHITECT EVERWARM N/A 257151 HWY 101 Port Angeles, WA 98362-0000 , 98360-0000 360/452-3366 360/000-0000 PROJECT INFO Project Value: $2,400.00 SFD Units: 0 Commercial: 0 Project Type: ADDITION SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES SIDE WALL POP OUT FOR BOOK SHELF RECEIPT~/8942 FEES ASSESSMENT Building Permit: $83.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $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 ced;ih/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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING~CORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES [ NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS [ CEILING WALLS/ROOF/CEILING ~.. ]'2. (..~.. ~../~--,/.~ BUILDING 417-481S ; -- ~Z~O&,~ ~'-t'~f BUILDING ~PR 09 ~02 ~D:3~M EVER~P-N BUILDING PERMIT- APPLICATION Pleu. ~ or p~t la ~ ~ye~ b~o any qu~m, M ~ 41T~IJS ~ ~O~. . ...... ~ ~G: ...... ~ hbt ~ ~, MC _ CO~~~: ~ ~:= ~~.. ,. C~ No. of S~. .. ,, ~ S~:' % ~Co~e: : % ~t~: : /~,~+~~:_ ~ . I~,~-~'~~QB: B~G ~ ~P~ON ~-vt-~t Y~ ~p~ ~ s~ p~ ~i~. ~ ~ ~ ~ ~ ~e ~e ~ ~on by ~e ~pl~t up m !~ ~ ~ ~ ~um by ~* ~p~c~t (see ~ ~t~ r~ 1 ~ ~ ~ ~ ~U ~a ~ ~w ~ ~ :o M ~ ~ a~t. ~ l ~ ~ to a~p~ for CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... Date : ~ ~ Time Received by ~ ** (phone, person) Location of Work to be inspected : Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. /3-~~ n Type of Inspection (c~priate one): Sewer Foundation ~n~g/ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOrThS: Inspected: Date '~/' /'~ · ~ ~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved I~Gravel I-]Asphalt F~PCC [~Other [] Repaired by City Work Order # ~-1 Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) {5 s-c9D FEE R :eEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A D. (J. ~ n"~ "1; 'U.Q ,ad. 03'i/ PERMIT NUMBER . , /t(~/", "'~ / ~$. TCTAL FEE /.$::7 C'L CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Add 'ess \......0 CORRECT ADDRESS IS R ON IBI IT OF APPLICANT H.c..dl L' Nq Owner's Address ~-:cJ C/ E: \ I \ 1.... J. <3. ) Day Pho 18 Applicat on is hereby made for Permit to install Electrical E , PERMITS WITH WRONGA')pDAESSES ARE CANCELLED Installation By , V \.c.. t C ."-/ V /.1 IV f ~ .=731'1:- I L.J. 'i?'1l, '-1,<;/ ,\t:-.R9 [j<r <- Installers Address Installers Phone Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 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 LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT - TOTAL FEE ELEC'!" RrC HEAT SIZE OF SERVICE SWITCH OR CIRCU?EAKER A.C. U 'lJT PHASE --' 0 C AMP / FEEDER / I:J SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE l VV /ftJ 1- ,. .;]{)? '7"h 4<70 /7J A.W.G. I SUB-TOVAL SIZE OF GROU~D ~ ~ZE OF ENTRANCE SWITCH ~OO 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 '..\ LJ) r 9' ,19 <is- By:J> ~ ~ CONTRACTOR 0 OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described 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 ngeles. DIR R OF CITY LIGHT . Date P umit Issued ,,-- 7 - (~g5 By PLANS A ~RNING Notify Department of City Light by Street Address an ermit Number when ready for inspection. Work must not be covered or current turned On before inspection an 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 _ WHITE - Original CANARY. Dupllcale PINK - Triplicate WHITE CARD. Inspector's Report OLYMPI; PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT M,ADE BY' REMARKS 7 -1-7s- ?!?..J MOd <: -f- (l'fsrIJt ~ tV~c.J 5 'TKl k'-< IKIVoA' U/esr tJ~ Vt<> /lJ /) O?O tv.elfrt.e/{.- 1-(5'.f6J "7 HO,tJ , '// YU- , '7-(:>--1" l- --::1} /J O.K. FOR COVERING 1-/1-1, ~.,g O.K. TO CONNECT SERVICE 6-;p..-tS- /j/j2 FINA.LO.K. . z CI II: CC ::E !a J: I- Z W l- . I- o Z o o .