HomeMy WebLinkAbout1536 E Front St - Building 09/12/2013 10: 14 FAX U001/001
RECEIVED
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections ELECTRICAL Q
321 East Fifth Street—P.O. Box 11501 Fort Angeles Washington,9$§; _C`10NS
Ply: (360) 417.4735 fax., (360) 417-4711
Date: a p1 M ulti-Family ommeril �}}
*Plan Review M e qui�l, Pleale r plate lectrical Plan Review Information Sheet
dobAddress; I g� • t�"n
Building Square Foola e:,,_,_
Descripiian or above PL
Owner I f tin �y� Contrac nforn o 1
Neme: I Name: (ern r e C e-
Madin dtl o Yt Mailin d re�,�1
City. 51dt8, Zip: C(4Y: f�"1'I tale1 zip
PhOn Pa%: Pha a Fax:
License#I Pxp- License I Exp,
Item Unit Charge ofty _Total(Qty Multiplied by Unit Charge]
ServicelFeeder 200 Amp. $13200 5
Service)Feeder 201.400 Amp. $160,00 $
ServicelFeeder 401.600 Amp $225,00 $ _
ServicelFeeder 601.9000 Amp. $268.00 $
SerVoalFeeder over 1000 Amp S 410:00
Branch Circuit WI Urvics Feeder S 500 $
Branch Cirouit WIC Service Feeder 5 74.00 $
Each Additional Branch Circuit 8 5.00 $
Branch Circuits 1-4 $ ae.00
Temp.Service!Feeder 200 Amp, $102.00 $
Tome,50rvice/Feeder 201.400 Amp $121,00 $
Temp.ServicelFeeder 401.600 Amp. $16400 $
Temp.ServicelFaeder 601-1000 Amp. $16500 S
Portal to Portal Dourly 5 96.00 S
5 gn10ul4ne Lighting $ 8800 S
SgnalCircult)LimitedEnergy–Multi-Family $ 64.00 S
Sjgnal Circuill Limited Energy I First 1500 sf–Commercial $ 96.00 S
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-W/A Syslern or Less $113.00 S
Thermostat $ 56.00 $ ��
Nore,$5 00 for each additional T•Stat
�;K—IjI-rh-tj
Owner as defined by RCW,19,28.261:(1)Owner will occupy the structure for two years after this electrical pert Wit is finalized,(2)Owner is requiPed' �
to dire an electrical contractor if above said property is for sale rent or Isaspi Permit ex Tres aftzr six months of last ins ection,
p P Y P p
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 instsilation or alteration in compliance with the electrical laws,hl.E.C.,RCW.Chapter 19,28,WAC.Chapter 296.468,The City of Port
4Munlclpa� ode, and Utility Spec' bon s and PAK 14.05 050 regarding Electrical Permit Applicadons,
,electrical contr ctor r elect al rtlinistrator: 0 Cash ❑ check, }J Gredlt Card 0___ L/
Dated 0110112012
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ELECTRICAL PERMIT
CITY OF PORT ANGELES �7
360-417-4735
Application Number . . . , 13-00001046 Date .9%13/13
Application pin number , , 013674
Property Address 1536 E FRONT ST REPORT SALES TAX
ASSESSOR PARCEI, NUMBER: 06-30-00-7-0-0260-0000-
Application type description ELECTRICAL ONLY On your excise tax form
Subdivision Name , , , , , to the City of Port Angeles
Property Use _ �e
Property Zoning . . . . . . . COMMERCIAL ARTERIAL (Location Code 0502)
Application valuation . . . , 0
Application desc
Lighting change
Owner Contractor
WILDER DANIEL C SHAM.P ELECTRICAL CONTRACTING �"•.
C/0 .OLYMPIC VOLKSWAGON PO BOX 383
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-1689
-----------,-,--------_ --
_ _--------------------- ------------- V�I
Permit , . . , ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee 56.00 Plan Check Fee 00
Issue Date 9/13/13 Valuation , , , . 0
Expiration Date 3/12/14
Qty Unit Charge Per Extension
BASE FEE
----------------- ' ---- =
-------- --86-00
Fee summary Charged Paid Credited Due
Permit Fee Total 86,00 86.00 .00 .00
Plan Check Total . .00 .00 .00 .00
Grand Total 86.00 86,00 .00 .00
�1
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 17 1
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCIIANGBIBUILDING
Application Number 07 00001388
Application pin number 005480
Property Address 1536 E FRONT ST
ASSESSOR PARCEL NUMBER 06 30 00 7 0 0260 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 0
Owner Contractor
WILDER DANIEL C
C/O OLYMPIC VOLKSWAGON
PORT ANGELES WA 98362
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452 9264
Date 11/28/07
WA 98362
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 116384
Permit Fee 58 00 Plan Check Fee 00
Issue Date 11/28/07 Valuation 0
Expiration Date 5/26/08
Qty Unit Charge Per Extension
1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00
Fee summary Charged Paid Credited Due
Permit Fee Total 58 00 58 00 00 00
Plan Check Total 00 00 00 00
Grand Total 58 00 58 00 00 00
INSPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Owner/Business:
Owner/Business Address:
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
)& Remodel
o Service update/alter/repair
g Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai I s/Descri ption:
PERMIT NO. /8 s-r
gko/??
. ,
DATE
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
.
INSPECTION
Phone:
Phone:
Sq. Ft.
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
.'
s~w hJOM IIrlfL&-V\
I,;) ,t L,( I ( 6 rJ1A,t! rzf
/l-,./jc)
.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
I . .,&,1 Rough-in/cover O.K.
1t"'.i:;J O.K. to connect service
~rrv~ Final O.K.
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
IC-. .e.....-.
Notify the D~partment 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.
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Site Address:
tol e,e
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
J~
I Inspector
WHITE - tile by address YELLOW - file by number
PermitfReceipt No.
Iss-I
New Meters
()
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLVMPIC PRINTERS. INC.
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
FEE RECEIPT NUMBER
.
g2{::. ?JO RP;lVblllj 17'lpj ~
TOTAL FEE
CONT. lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
I S"~ L> ~. P-c-c.,,'-\-
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner 'i)"" \..:)', \A~ InstallaHonBy KC'..:"'how (lJeo" S''1.''\
Owner's Address, IS"'"), l.P .€., \='<G ^ -\- Installers Address .:l:2 '), 'Yet ~ e.. 1l..ci_
Day Phone' ", g";).. ~ 'i ;I.I~ .'0 Installers Phone LI $".). - '5 :l.;). <-)
Application is hereby made for Permit to install Electrical Equipment as follows: ::L .-'\...~_ .~~ ,~~jrl 'f..t ~ed l'a.("- \ I I' t41 t:tII k-.'.
+0 F:xisf. C.rL :]:"'$'\.<<'\\ .4'&>" X17' R",,,- '9""''''.. I-ro.--. i3IJ';i.' -\-0 <;:,~"'- 0.-
C<l,~e<.:\-_ "rAil N;<<n"\'\<';'i."~' Wiring Method ~n^A"A:.\-
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN 3 A . ?-IP 00
'1'///5
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 4J J.l, =-
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
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 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 Angeles.
~ !7 DIR~EC:OR y CITY LIGHT
Date Permit issued By 72/../ c ~ ~/
. PLANS APPRO ED
~/ ~ 7!>?--; Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
o C/ .... / be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
I I 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 Reporl
OLYMPIC PR1NTERS,INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
'1/.
~ I II In ru No Vi~i1. It.... ..sw"J. t! "A.J .4.0 .. ~
. . . .5JCr.u' I
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ud/~/ L{r-I/ E~ ./, ~ .$'A-fd Jj ",
utA"-'" , A.-A. ,n /flf In. f),,-, 1, I (j ~ \;, ,:ff:.-I '(
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""lllJA 7 ~ Sr" .:/ ~, ~ J. . Y j'y,!/
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
'712/t7 ,-.rl!,~.
fen/? : . FINAL O.K.
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
d?~
P RMIT NUMBER
..
TOTAL FEE
--'2& q:
5761J
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES'
LEGAL OCCUPANCY
NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT
Site Address
Ib36
PERMITS WITH WRONG ADDRESSES Af\E CA~CELLED
Owner Installation By I2:A1 ~ l'\l /J
Owner's Address Installers Address ').~ , p ~_ (l.[)
Day Phone -'107 ' q 2-(n ~ -. Installers Phon~Z2-+l \
Application Is hereby made for Permit to install Electric'\( Equipment as follows: 11.'I"7'"ft >t"1."-" tJ~ s 1 G-t...
-=+v iLL~.;:, _ -<:31.--0 <;;; I ~ . _
Wiring Method C~ J I q-
.
NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 120V 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
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT 9-""l AMP I PHASE
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
Date Application made - 6' J (3 ,19 ~ By
I
ith the N.E.C. Electrical Code.'
CONTRACTOR OR OWNER (0 AUTHORIZED AG'ENT)
Permissio':! is hereby g!ven 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 Angeles.
DIRE~CTOR ~ITY LIGHT
By { ---1:J -- "
Date Permit Issued PLANS ~ ~__ . ~
.6;13/4" S-
I WARNING I
. .
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 _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
,
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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is. ,3{ - 'tT /yl/j O.,K. TO CON~ECT SERVICE
'D'i . *~ .J. , ,
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
18156
f3V
Port Angeles, washlngton..mm..u..J1~qm...m.~.t.mmm, 19000..00.
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment ln, on, or about any bullding or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address l.>3h~umu~'u.~.C_nU.n_dhnnn__..umu VcCU~anCYn---hu5.l____~_mmmu__
Owner u._.J)~.mm~uml~umf':~,uhhu.und' fenant.muumu~.::.]ufuL.!)._Lm._m__um...u.uu
Wiring _ Contractor ___f..^__-,_NfxJ.LJuuu__N.f.0f.\,L__m BY_.mm(?~::~iJ.__J;;~~gl.:t~._..______._.__.u
Light Outlets..................................._.....
Receptacle Outlets_______.._______.___...........
Dryer. KW o__......_nu...__.........._...._.u....
Range, KW ___nnn_....__........______...________.
Water Heater:
KW_mm____n__hmmnnn___u_u__
Heat: KW......................uu....un....n.....
Motors: size, volts and phase:
Service, volts __..............................__.____
No. wires ______n_n_n___......................
Size wIres.........__........................_..
Main fuse n_.__...________.....__n.............
Enclosure nmnnn___n......___........__....
Type of wIring:
Entrance Cable __",,"__u..m__...
Rigid Conduit uum___m___uu__uu_uoo
Metalllc TUbing .................
Current transformers:
No. & Slze..............m.............
Ser. No...............................__.....__.......
Ser. No. ...................__...............h..__h.
Type of Wiring:
Armored Cable ...m......................_
NonMMetaJUc .................................
Knob & Tube..........................n...._
RIgid Condnlt Omm_mmmm_mu.m_
Metallic Tubing h...f1j1~b'=
Raceway ..............................._......_
Circuits, LlghL.........~-:.tJ.&....._....
Utility umu_u___m.mm_.o_m..._.ommu_
Heat ...............................................
Range .............................................
Water Heater h..m__m"'''''''''',,'''__
Motor ..._........................................
Dryer ................................__............__
Furnace .........................'_...................
Ser. No............................__.................
Total Loadmuu&m_.ituuooo Se'_ N~___mou__...uu_o..u....umumm.... Total ..__.._Q_~mm..oo_m
Remarks: ---k.K.L~..".JD.____.____.5._:c6:tJ._______.Cd.((oJ..LC...~__.tU_____.5..L.~__.___du._______
---u-----.o:tJnn-m.m~~."'.-----{;Y.)S:;L~___.m,B_g;tb.lGtL__m::ET2&H
m--m.--L::;A::Y.A.n______mkL6_~.L.L-'-tJ__&::____u___.m___m.m__________...__m.000..000__.000____..::::__:::::::::::::::::::
;~.:.yQ---~------:---- ::~~.~?~~f(fL~ By u~__;$..&tu-~~
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work is to be conM
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
v
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15065
{' - ~ - )y
Port Angeles, Washlngtonuoo_oo___________um_m_mm_oo__moo_moo____m__m, 19_'ooo_u
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 do electrical work as listed below.
Address oout{i~/uqooo-8../i1:.~7i;----ooou--ooo---oooooou-u-------- occupancy------ooil~--!:,~-oo------------u--u--
Owner __.(:~nA'~:'l:.,.~_-ll_!:~~l._____:~h~m~:f__g:!:::~:.~!'!::_::'l.t2rnenant....Oh_UUhU.________...____mmmm______mmn___nh___.u__.
Wiring contract~r oo_t1?,_,9!t:,~9.""'!._u::.33_:!~_[fu____________ By_____oo______oo______________________________oo_________ooooooo___U__
,,,r '/
.;
Light Outlets___.___...___.______..............._.....
Receptacle Outletsm.___m_..hd.___..........
Service, volts .............mhnmm.____........
No. wires .....h._nnn____._____..............
Dryer, KWj.....n_nn__nu..un__n._______._
Size wires.____nonmmm....n......m._n
Range, KW huOa.nnOmhm_________.
Main fuse ....uh"...mn________.'..o.________
Water Heater:
Enclosure hnhu.n__nm__________........___
Type of Wiring:
Entrance Cable h......_......______
KW.______________
Heat: RW...h.........n.n.nnnnn.nnn.nn.n...._.
Rigid Conduit ....n.___..___.m.___.___....
Motors: sIze, volts and phase:
/ '1-______;r._~___.?X]Zd___::?8:::.-.. {,pc Mett.tlllC TfUbing ---------------------------
. ...,..... urren rans ormers:
.------n.---.------hL.:...I..4...":..~.j!!.~."::.~.:... No. & Size....h.........___..___................
7' r
Ser. NO.......n.......h.......n..n...........h..
Ser. NO................h............................
Ser. No...............................................
Type of Wiring:
Armored Cable ..m
Non.Metallic ..m....
Knob & Tube........_________...___....nm..
Rigid Conduit _______m_m_________________
Metallic Tubing ..___m..______....n.....
Raceway ..n___....n......___.......___..___.....
CircuIts, LighL.mn..m.....m..mn..m___...
Utility h.....n............h..h..................
Heat
Range .h...h........h..h......h......h.......
Water Heater ..hn......nn......h.....h
Motor ...n........................................
Dryer n................................................
Furnace .n......................._m.nm
Total Load.......n..n................ Ser. No. ................._....nn.._.......h.hn Total .....n.........h..h.................
r;" p I -- -r- , 7::- 12.;..i. (J .
Remarks: _0000_.I:~_,___:'._:_':!_'-"-:::L-:::_<:",_,_ooo_00:_1t'm'00-'''__::~~ooooo_::'-::'-:::"-11-----------------000----------------000000-00000000000000--
n~n.~..n.nn~~h.n~~.~d~.n.hhnUU.hn.nhn.n~hnnnn_nnnnnn.unh..nnnunhuhnnn.nnunuuddnhnnnnu.h.___hn.n.n_.nn...un.
-;:;::~-;::m--oo----------------------;~e--~~.--~-e-~eoo;pootooooooo0000000000-------00------------)-7;;:;--"';700-----:----00000000----;--000-000000
. '''';( rl-, ....'t. -' . i".-',
$..............._..................... N 0._....__..................... By ...~(.....~C:.~_....._!~~..~(~:..:'r.~:€._d.."2.~~.]:~!':.--::!_.~_~..:._:.
r. .... ,.
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 berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15065
Date called for inspection..h....h..........n............n....n....n......n..n..._............h...nn......hu........n...............hn....h..........h..n..............................
Preliminary InspectIon dates................................ .............................................................................................................._..._..............._
Inspectioncompleted..._..:..._...............................................................................................................................__...........__......._......._......._
Total Load ...nn.h...n..........................................h.....h...n.h..nn........_ ....
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Olympic Printers, Inc.
3-72
SERVICE REQUEST
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IS,OOD~.;:>t~.." I
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I \}G~~DEPT. DATE /1- IV.- Ii' 3-
I New/>I.~ RewireLI Temp. Svcl /
I OtfuerL./ c: nD Pfr7ih1-e~ R ~A-'
I Address FeONr sr
I
: O"mer IAlJ/Q">r tJe37- :J1lIC. 11g'1I tJ~ Fle~#2oj
I (j€Z....VLlc-, IVF+-,
i Bldr/Elec.
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i Tel.
~~en Avai 1. .I
i l~ / / 3~ J::( Vol tage 2 ~/;.? 0 3w! / 4wbO' :
~ad w-~ / ~&_ S'cJ;f;.:.-
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,CAPACITY OK / / Noi; I S'/I-;~-U--'1,'<l."""
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I W,'S.# S/O-;) Svc. Size 3-tt< Date II-Itf
: Comments o~ - PA-D f'1T:r><'iJi!e.- 300 'Kv/t-
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ON 1l!J..1?", B'~ <''S ORpt:7) / J2'/zKI#
I AP~o'L 10.- 2'f",,?':J J;;e 1=e3I'lf'f' Pt."?..
'Hqld for: EasementL~ LetterLj
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. Comments
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ELECTRICAL iNSPECTiON,
WIRING REPORT
417-4735
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OWNER/CONTRACTOR
ADDRESS
, <7'5k
APPROVED NOT APPROVED
o .......... . . DITCH. . . . . . 0
D. . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. .. .. . . . . . . . . . . . . 0
D. . . FINAL . . . . . . . .. 0
CORRECTIONS NEEDED:
~~Q.. Ac..C-~~INT~
!::tiC:, rJ l=bs~
01--(
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 0152-1381
, , -27-207 3, 38PM
FROM ANGELES ELECTRIC INC 360 452 9265
P.2
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$
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
~ctrical Contractor 0 Owner
In:l:t3113 . de$cription
Comrriercial 0 Residential
Electrical conlrdclol" name
License nLlmber
Date Expil'c~
[J New
[J Altered/Addition
Purchil.l>~t's m<iiling address
AN,,1'! rS 1'1 Fc:-rmC IN~
524 EAST FIRST
EORLANGELfS._W.~ J.8J62. __u_
Stale ZIP
Telephone number
FAX number
1!1. I!IfltT)? -ILL!tU#;it1.~___
{J~ J;}1k;'
~S~./IIIU
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('-'JI?..(/~ E:# t..b,
City
PTemijJi~, ,1'(
Address of in.spection 1_
/~(, /J!.. ~N'- ~
Ci,yPIJ- - 7"J-36;'
Phone oumber to sched.ule in . _ 7
Owner tiS dl!fim:cl by RCW.J9.28.261:(J) O.....m.:r wi1/ occupy In" .slruCfUrt: for two
year.~ aJur lhi~ electrical permit ;.~ fin.alized. (2) Owner is required to hi,.e an rdeelri.caJ .
,~untraC:lor if above .su)t/ propaty is for sale, rent Qr ICCl.Se.
After reading the above ~11&tcmcnt, J hereby certify that I am th.e owner of the above
oamc:d property ur a Iict:nsl'd dt'clrit:al cont....dclor. I am making the electrical instal.
brioll or altcratiOil in compliance: with th~ electrical laws. N,E.C., RCW. Ch3J)tt:"
19,28, WAC. ChaplC'T 296-46D. The: City of Port Angeles Municipal Code. and
Utility Specification~.'
Signature or,. IU:r, elecr
o Cosh. 0 Check #
~t Card Visa Mastercard Discover
Cai-d# ____-__tY./_-_hLb-____
x
Date:
Expiration Date
of card
lL2allAltllmQliunclJ
NO LOAD CHANGES
o Baseboard. KW
D Furnace _ K\N
o Heat Pump Ton LAR
Cl Fan-Wall KW
~head. Sel\'icc
D Temp SQrvie&
U Underground Service
Service Information
Volt.geR~
Phase 1 [J 3
Service Size: ~
Feeder Size: _._~_
" THERMOSTAT
"- (I;IlC Appro;>v~lIy
DITCH
"- D:tIC Awrvved By
Inspection Area, Building or Equipment Lnspceted" Action Taken E1ectrj'cD.l"
Date In!:pcc1or
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SAME DAY INSPECTION. CALL BEl-ORE 7:00 AM 360-417-4735
(, ( J ,~OUGH-1N
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Approved Dy
SERVICE
FlNAL
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FEEDER
D.><
Approved By