HomeMy WebLinkAbout420 W 2nd St - Buildingof kju
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
TEAR OFF RE ROOF SOUTH SMALL BLDG
Owner
LAWRENCE J /IRENE E BOURM
802 E 6TH ST
PORT ANGELES
Qty Unit Charge Per
10 00 3 0500 HND
Other Fees
Fee summary
Date Print Name
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983626404
Structure Information 000 000
Permit BUILDING PERMIT NO
Additional desc TEAR OFF RE ROOF
Permit pin number 122929
Permit Fee 80 50
Issue Date 3/12/08
Expiration Date 9/08/08
Charged
Permit Fee Total 80 50
Plan Check Total 00
Other Fee Total 4 50
Grand Total 85 00
T Forms /Building Division/Building Permit (10 /01 /07).wpd
08 00000334
516832
420 W 2ND ST
06 30 00 0 0 5010 0000
LARRY IRENE BOURM
RE ROOF
INDUSTRIAL LIGHT
1500
Contractor
ACE MICHAELS INC
1329 W 10TH ST
PORT ANGELES
(360) 460 6172
TEAR OFF RE ROOF SMALL BLDG
PR
BASE FEE
BL -501 2K (3 05
STATE SURCHARGE
FEE
Plan Check Fee
Valuation
PER C)
Paid Credited
80 50
00
4 50
85 00
00
00
00
00
Date 3/12/08
WA 98363
00
1500
Extension
50 00
30 50
4 50
Due
00
00
00
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 has 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 re4vlating construction or the performance of
construction.
e
Signature of Contractor olAut!erized Agent StgAature of Owner (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT 417 -4735
YES I NO
FINAL
FINAL
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING I I ESA.
LANDSCAPING I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
BUILDING 417 -4815 I3 -n-6 p I -CI V I I BUILDING I
T Forms/Building Division/Building Permit (10 /01 /07).wpd
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE ACCEPTED
YES I NO
PREPARED 3/17/08 9 53 19 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/17/08
ADDRESS 420 W 2ND ST SUBDIV
TENANT NBR LARRY IRENE BOURM
CONTRACTOR ACE MICHAELS INC PHONE (360) 460 6172
OWNER LAWRENCE J /IRENE E BOURM PHONE
PARCEL 06 30 00 0 0 5010 0000
APPL NUMBER 08 00000334 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 3/17/08 L BLDG FINAL
March 17 2008 9 52 23 AM jlierly
COMMENTS AND NOTES
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent f\,Le kalAi
Property Owner
Property Owner's Address 4/ tAe_vr
Contractor/Engineer c_e c 1/1/a—it
Contractor /Engineer's Address
License
PROJECT ADDRESS 'r/ (2-0 (Jesd- S
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel Nee
Repair
-4e -roof
Demolition
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
T Forms /Building Division /Bldg Permit Appl. 2006 Code doc
BUILDING PERMIT APPLICATION Print in ink
}(Residential
sq ft. Lot size
8 (L
Existing (sq. ft.) Proposed (sq. ft.)
ft.
Commercial
.5 v I 1.,r
Occupancy group
Occupant load
Construction type
Phone
Phone
Phone
Expires
Lot
Heat pump wood burning stove gas fireplace pellet stove other
For City Use Only
Date Received 12- 8
Permit pa_ S39
Date Approved
Zoning
per sq ft.
TOTAL VALUATION 5-IC)°
of bedrooms
of full baths
of half baths
6o -(.0
Multi- family Industrial
sq ft. Lot coverage
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtalh permits prior fo working on
projects. n I
Date 3 -1 D (R Print Name I C' b�.. Signature C Q
Cc.)
~
4.~EC~Ni
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
(!yO I 0
PERMIT NUMBER
TOTAL FEE
). r-:YJ I...
J:JrEJ(, l? .
J
.
~~
ELECTRICAL PERMIT ONLY
Site Address :4 Z c) f.A...) z /\.J 10
./1 CORRECT ADDRESS IS RESPONSIBILITY OF. APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner "brrlhiJ77f i0C.",SSD Installatio~BY E/-JEt<''6R~~ ELEc'. .
Owner's Address S ~ ) 11'7- Installers Address .0, 8)< ~3 ~U/ In
Day Phone Installers Phone 6> 8 5-4/ 9.~
Application is hereby made for Permit to install Electrical Equipment as follows:
/OO4Ihr? Sv8 "::?t9A/t::' ~ ,(/tvrl CIRCuiT kB~ ,(/OtX,C ;41/V-€-L
/l,PT #-6 -
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PER 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 10 30 CIR 30
LIGHT -z..- I SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE ~ 1 MOTOR
CONVENIENCE MOTOR
APPLIANCE. . MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER . I ,/
lAUNDRY .
DRYER .. REINSTALLATION LIGHT FIXTURE #
/
FURNACE . SUB TOTAL FEE /'
GAS - Oil
ENERGY FEE , /'
FURNACE
ELECTRIC BASIC FEE /
7-
ElECTRIC HEAT ~ / U)...-.O;CJ
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.
A.C. UNIT / / 0 () AMP I PHASE
FEEDER ~ 1/ SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE "'~..I eJI PUt"' AW.G.
I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH /I?-O -
.
Date Permit Issued
. . .
I certify that the work to b~ performed under this permit will be done by the Installer and in c~or~ance with the N.E.C. Electrical ~ode.
Date Application made Il> ~ 2-- ,19 %1 By------7t~ N_ ~
~ CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is her.eby given to do the above described work, a<;:cording 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.
, . DIRECTOR O'F CITY LIGHT
By /1 rlLt;; vrJ .~ t .e 9
_ PLANS A~PROVED ~. '. --.J.
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.
I'
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.
\
REPORT OF INSPECTOR
-, 'j
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\
,
DATE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
!O-).- '51J IJdl-IC~,.Ji(l/JdL O.K. TO CONNECT SERVICE
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, FINAL O:K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17978
f
/.,,' -. /' --,
i/ . - 19( .
Port Angeles, Washlngton_______________.__.__.....______..______...___....._..___.___, .__..n_
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.
,. . 4.'
.,,--- .. I
., . U /, r ). / ..".? '[./,..
Address ____:.__::___.___________:::__.____:?:::::_______.::':.'__________.mn._______.___n_____ Occupancy__n__n_~___nn..nnnm__.__7.!:_______.;
~:7:~~~.:~~:~~~.::::Z::~::::;Z::~~::;:::~~;::~:::~::~::::..,__::::~~~::::::::::::::-.-.....~::::::::::=::::::::::::::::::::::::::::=:::::::::
Light Outlets............................____.._.....
Receptacle Outlets__..___.......___..__..........
Dryer, KW._........................................
Range, KIV n....__I.?..................
Water Heater:
KIV....n.............................
Heat: KW..__..........__...........____.............______.
Motors: sIze, ...volts and phase:
.7..{~;0_.<...5:.i~....................___
.1 ~. ,.J
/ " .4~.:~J:!?..:~.-..--j----..-...7:.....r-:...:.......
.J I[; .. r" /J IJ ^"-,,,,;/
r-' .i....................................-.......-............
/r-::J-.1/ ~"f .0:.- >
Service, volts ......__';;;__.;.-.......................
:)
No. wires __________..................____...__..
Size wlres......".~~:~~____~.__........._..
. J ) -"I-
Main fuse ......':____.__................__.......
5
Enclosure ........___.....___..................__
Type of wIring:
Entrance Cable .................
Rigid Conduit ...............................
Metallic Tubing ...........___.............
Current transformers:
No. & Size...................__..................
Ser. No................__..__.............__....__....
Ser. No. ...__.__.....................................
Type of Wiring:
Armored Cable h.........................._
Non.Metallic ..........___.......___.__...___.
Knob & Tube__...._.___......._____........._
Rigid Conduit ___....._...............____,..
Metallic Tubing ...........................
Raceway .................._............___._
Circuits. LIght....................................._.
UtiUty.................._.____.........._..........
Heat __..........................h......_.._.._
Range ............................................_
Water Heater ....h......______....__.._....
Motor ..._._......................h..__......__..
Dryer __....__...______......................h.h...._
Furnace --.......................-w...................
Ser. No...__.......................____...............
Total :Load............................. Ser. NO...........h....._..:......................... Total ............__............_............
,. -"
Remarks: -u.mm.n{.:u:!:~n':._n_..~n..~.!u_J.!....!..m.m..nu_.':_./.n[!~~~:..nn~.:..:::~.~~-~..~mm::_22_:_~.~:~00./m.mm_u___
t' ;-_/
.-_nnuuu_._.nn.n_nu__..nnn.nn.h..n____.n___...nnn.n..nn_.hn.nu-..n...nnnn___..oonnnn__._n___.nn...nnoo.n____...___oonn__n.~..n__
...h__._nu.u_un_.___.___.u________n._.ooh_nnnn....hnn_....u..u_.h-n.--noouh.__oooo.___._...unu__._..oonoo.__n.noou..._nnnnnh.nnn00__.0000
Permit Fee Treas. Receipt ) './ " '. r /
/// ...j' ..
, ....,../. .//, .
$.n__n_..noooooooo_nn_n.u.oooo.. NOhnoon..oonn~__noo_..... By h?~-'n----~~n-~oo-~.-..f.~!..-:u-~::n:-!::oo-:.-:.!:-..__n~-oo._n.'. '--"
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7978
Address..................._._.................................................................................................................Date..._......_.........._.................._......_.........
Owner .........h........................_.....__.._......_.................................................................._.... Tenant............................................................h......
Wiring Contractor ....h...h..................._............................_..........................h.............;.................... By..............................................................
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment.
1M Olympic Printers, Inc.
",
i
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17654
Port Angeles. Washlngtonoom/.!?...:._.:::__~m__m___.moom__moom. 19ft.
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 nnn.nn_.nm_mnmnm_nm.._..mm1)-f!1!'t...~{__nmoom Occupancy.n./(L-.::-:?_mmoom..oomoommoo
Owner n_.~y;,..e.~___.~~_~O::_'"_Coooooom Tenant..mmmm__moo__moom._.oohoom.mh_oo___.ooh____.oo__oo
Wiring Contractor oooo:;)j('?oo.;.f!:-2::"!:::!-:_'::'!?~~:_n_oo.________.oo By._.oo__..________.oooomoom.mooh__mmnoooo__mmhm___oo
Light Outlets_...hm..........____........_.._n...
Receptacle Outletsn..___mmm....n_.m__..
Service, volts ............____....__.................
No. wires ........................._..._..._.....
Dryer, KW..nnn..n...........___h.___,__.__..,.
~
Range, KW ..._..:/..~h__.__._.__..______.
SIze wlres........................n...n...._..
Main fuse n..___..................._____........
Water Heater:
Enclosure ..................__._______._._.......
KW.mmn.nmSk.--mnnn.nm
Heat KW.......t.n...u.zt"'~i3_
Type of wiring:
Entrance Cable hOonU....._____n'_____._.
Motors: size. volts and phase:
Rigid Conduit "mm'mhm..nu
Meta111c Tubing m.u...
Current transformers:
No. & Size........hhmu
Ser. NO.n.u..u....u............huu..nn......
Ser. No. ..nn....nn...............hn...nn.....
Ser. NO....................nnnn..................
Type of Wiring:
Armored Cable h..nu.....n.m...........
Non.Metallic ........hh.......___n.n...h.
Knob & Tube.......n.........................
Rigid C<>uduit ...................._.mum.
Metallic Tubing ...........................
Raceway ......................._......_._..._
Circuits, Light........mm...___...................
Utility nn'mmn'mm._nmnmnn.mnn
Heat n...n................_.............._......
Range .............................................
Water Heater ....n..h...___m............
Motor .............................................
Dryer ................................................_
Furnace ..u.....................'_.nnnnn..n....
Total :Load.................n..nn.... Ser. No. ................._.......n................. Total .................................nnn
RemarkStf:.C1i~~-~~-:nn.-~.\~-d:.~:'='mm7!!.Z:~=:ni)~L~~.--.-:::!.7?f~~~
~.-e;!'""'_e..-:---h---G.---m---~~=~_mm__muu_.hoooooom_.mm____m_____.n__.m____mU_m_mmm___h.__m_m________oo
-~~:;~-;~~m----u.h---------m-hn;~~~~.n;~~~;~~nnm---uoo-nn-------.hn-~-1Z---njJ=?l:4---.-~n/!~nmnuh
$____________....000____000.0._______.. N 0._...______________0000_..... By ;</oo.!n.fI..(___.c..ff:,,___~.:'?!.;::...{.!.~'#::2r.\_'___m_
NOTICE-Current must not be turned on unW 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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
......h.nn....................................................h..n...........................................................0.....
Owner .........nn..hn......................h_.........._......_.._.......n...........0...................................... Tenant....n...n.n.......n.....n.......hnnn..n..........hn.....
Date..._.........._.._.._.................._......_.........
WirIng Contractor ..................................._..................................................................................... By..............................................................
\ NOTICE-Currtnt must not be turned on nnUl Certitlcate at Inspection has been issued. It work is to be con-
~ cealed due notice must be given the Inspector so that Wo,rk may be inspected before concealme.nt.
~. \ ~
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1M
Olympic Printers, Inc.
N~ 1 7654
...:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17605
Port Angeles, Washlngton.....Z.:m...~..J..mm......mmm...m.m.. 19n'1;l
In aocordance 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. ~ o-1J
Address ..~L.2nQm.0L. .~.=:~_,.mnnm..nnnnnmn... occupancYm.mc.~t:..n.m.nmmn
Owner n21t-#.":'],~"_L17.d.~..u.nL;Lb.:t:= TenanL..nnn.mnnn.......nn.nn.nnnn.mmnn..n.nm.mm
Wiring Contractor ...?J:1~.n.;;;...-t_""."-"".;:{,~::.nnm_m By........._nmnmm_mm.n.:...nnmmm.nnnnnnnnn
--
Light OutletB---.......l...5............._..... Service, volts ../...i3..Q..:::.:.?...'f.....9..
Receptacle Outlets.....::Ln.h............ No. wires ..............?..---.--............
,:;l..
Size wires........_................un....._..
Malu luse ...j..O....I2...~t.........
Dryer, KW......___.._u...__.nn._.nn____.n.___
Range, KWn........./..2::...
Water Heater:
Enclosure h..._.................mn._._.......
KW.n..............n...........................
-
Hea" KW.......l:i..i......,:\..........................
Type of wiring:
Entrance Cable ......mn
Motors: size, volts and phase:
RigId Conduit m.............nn......_....
Metallic Tubing ....m....................
Current transformers:
No. & Size......__....__....__...................
Ser. NO............................h.................
Ser. NO....................................n..u....
Ser. No...............................................
Total wad........h..h......h.......
Ser. No. u....un......._............n............
,
Remarks: m..D....!.d..6~..........................mn..m.........m......-...mnnnmmmmm...n.........................
Total ....h..h..h......n.................
Permit Fee
Treas. Receipt
No..._................._.......
By ...m....~..J~nmn.....mm..m................
$:.______........___.........m..m..
Type 01 Wiring:
Armored Cable ..............................
Non.Metalllc .................................
Knob & Tube.nnh.........:..............._
RIgid Conduit ...............................
Metallic Tubing ...........................
Raceway ......................._....._._..._
Circuits, LIght........h.......h....................
Utility.............................................
I-Ieat ...............................................
Range .............................................
Water Heater ...............................
Motor ..._........................................
Dryer................................................_
Furnace .........................'_...................
NOTICE-Current must not be turned on unttl 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 NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT .
N~ 1 7 6 0 5
Address....~.........................................n........................................................................................Date..._......_.._.._.._.........._......_......_.........
Owner .h................................_.........._.h..._......_.._..............................u..................n..... Tenant..................n................................................
WiringContractor..................................._......................_.............................................................BY....................h........................................
NOTICE-Current must not. be turned on until Certificate of Inspection has been issued. It 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.
'-.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt!
17325
d ""'\ . 'Ii'
Port Angeles, Washlngton..mL...7..L"';;"~'....m....m...m..m...m.m.' 19.~.lJ.:>
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.
=~~~-~~::==:::~~~:'~~==~==--::::=~=~=:=-
Light Outlets............_.................._.._..._
Receptacle Outlets...............................
Dryer, KW __..nn.....__............____....__.....
Range, KW.n...__.......n.........................
Water Heater:
KW.........mm................mm
Heat' KW.........2......K...0J.................
Motors: size, volts and phase:
Service. volts .../...2..9....:..?::..'i.....lJ...
No. wires ....._...__..3..m...___.........__
Size wires...1t:.u~.~~............_..
MaIn fnse ...jfr::'>.....!.4:::::..........
Enclosure ....____________..____...mn.........
Type of wiring:
Entrance Cable _,U__."mmn..__m..___
RIgId Conduit ...............................
Meta11fc Tubing """mm____','mm__
Current transformers:
No. & Size....................____n____......__.
Ser. No..__..............._...____.____..............
Ser. No. ..____.__.__...........______.__.............
Ser. No....__..____________...........................
Type of Wiring:
Armored Cable .....h.m...................
Non-Metallic .................__...........h_
Knob & Tube................................_
RIgid Condnlt .........................._...
Metalllc TubIng ...........................
Raceway ............__................._......_
Clrcnlts. Llgh!.................................__..
Utlllty.............................................
Heat ................................._....__
Range ........................................_....
Water Heater ..__.........m..........__.n
Motor ..._......................................._
Dryer ..............u_............._.n.............._
Furnace .........................._......_.._.......
Remark:~ta:__~~~...;;~.~~..mm~~ot~~.......~::~:::~.
._._...__..._.___u_____.__..__._____._________._uu_________'___.'''.__'____.__'_'''_'___''_''_''_____'.'_.'__'______.__________._..__..____..__________......__....._..._.._
:E::~..~:::::::::......::::...--...m::~.~.~:::~~.~.~~~.~:..:::::...mmm.m...:~..:Jji!l;;;~G
NOTICE--Current must not be turned on until Certificate of Inspection has been Issued. If work Is to be con-
cealed due noUce must be given the Inspector so, that work may be Inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
Address
ELECTRICAL PERMIT
._____.__.n......._...........____n...........n._.......__......................__.____......................__.___.................
/
N'?
17325
Owner..................................__.........._......_......_.._.............._.u........._..............................Tenant................................................_...................
Date..._......_.._.._.._.........._..._.._......_......._
WJrlngContractor..............................._.._......................_.............................................................By..............................................._..........._
NOTICE-Current must not be turned on untJl Certificate or Inspection has been issued. It work is to be COD-
cealed due noUce must be given the Inspector so that work may be inspected berore concealment.
1M
Olympic Printers;, Inc.
.!
-......
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17201
. 3-~/ ~
Port Angeles, Washlngton..m..___m.m..____....m....m....m.___...___..___. 1900.0000.
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in, on, or abont any building or other structure In the City of Port Angeles, per-
missIon is hereby granted to d6 electrical work as listed below. .
7',5)0 ~ ~
Address m___oo. mm..m.oo.___... 00 .m.,oooomoomoomoooo.oo.m.moomm.oooo.m Occupancymoom.____oooo.oooo___oooooo._.oooo___..oo.
Owner ?jl",,~. W~~..__~~,...;renant..oooooooommm___m.oo___._mm.m.mm__oom_________.__oo
Wiring ~.~:~:~~~~.::::::~~m__m:::~oooooom By...oo__....oomm.oo.m.oooo.moo.oo.mm.._.oomm.oo.oo____
Light Outlets....___......___........._______......... Service. volts "'/i'f:/..<?.~q.. Type ot Wiring:
Receptacle Outlets............................... No. wires ..n..........._................._..... Armored Cable ..............................
Dryer, KW.........___.....__..___._..;.:__.___n____
?)' Range, KW,---ooT~~d? ..
Water Heate~/ ..~
KW.___oo..............__._________..___..
.P'Y~Z>
Heat: KW.............m..../~..(.J....__.m_
Motors: size, ?~1tS and phase:
f~~~~=~~
Total, Loadn.....n....mm..........
Size wires..................................._..
cJ)( Main tuse ....t:.o....~___.....______..___..
Enclosure n........................___n........
Type of wiring:
Entrance Cable ..m..mm.mm.
Rigid Conduit ....._._.......__
Metallic TUbing ..._.......................
Current transformers:
No. & Size..._.._................_.._............
Ser. NO.....__._n...._._._.___...........____.......
Ser. No. ....................__......__...__..__.._...
Ser. No. .....____..._........._..................._._
Ser. ]\'0. ._........__....._................_......_..
Non.Metamc .__.....___...__..__.__.__.......
Knob & Tube................__...............
RIgid Conduit ...................___.........
MetalUe TubIng .mm...__.m...........
Raceway ....._.............._._.._..___._
Circuits, Light.__...............__........._.........
Utlllty......___...__..__....._.________.__........
Heat ......................................._.._..
Range ......................._____...._.__.__......
Water Heater .....__mm.._m............
Motor _._...............n_............__........
Dryer__.__.___.__...........____....................._
Furnace .........................'______._.._.......
Remarks: oooo.oo__m.moom.__oooo...m...m.__.oo__.oooooooooo.oom.oo...m__oooomoo___oooo.mmoo.______...m___.______________________________________
Total.......................................
h____~nn__un__uu___..nn~n____________U.__.~d..h____.__n___n___________n_u._____n__uun__...._~__._.______n_____un__~......n..____________________._n._
.___uu.n____nu__u__n__u__.u..nn___u__nu___u...~n..nnn____nn._________.____nn_________.__...u_~__~_nnn_.___u_~__..._____n_n_u___u___..._n.n...
;~.=.~~__~::......__mm.m. ::~.~.~:__~.~.~.~~~.~__..... By ..__~YI;~~k~?~~
". Ii'''' ,
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?
17201
Address........nn...._..___................_.._.n.............................nn_..._.................n........._...................n_.Date..._...____n_.._.._.........._._..._...____......_
:::::\~~~;~~~~:~:::::::::::::::~::::::::::~::::::~::::::~::~::::::::::~::::::::::::::::::::::::::::::::::::::::::::::...~:~a.not.:;::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
F ! '
NOTICFr----Current must not, be turned on untU\Certlfleate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspeeted before concealment. ~
~\
1M Olympic Printers, Inc. \