HomeMy WebLinkAbout939 W 5th St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. _<;;<1 S-.r
;;,//J /7?-
DATE
ELECTRICAL PERMIT
Site Address:
'73. W. S
~
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
DetailslDescription:
7:"IlIS 4//
o RISER
~ OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: /2O,k~f?
;JZl q\ 0 3 ~
SERVICE SIZE .;wo AMPS
o TEMPORARY SERVICE FEEDER SIZE AMPS
~/!t'-e cf( /4A~ 67~.
( /
R~ (!)// ~/
M RESIDENTIAL
/[5 COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
ELECTRIC HEAT
o BASEBOARD KW _
~ FURNACE KW ~
lX HEAT PUMP KW----'--
b FAN/WALL KW
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W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
A~~*Final O.K.
Site Address:
'73
tV,
~~
~
Permit/Receipt No.
S<ls- S
Installer: G
New Meters
.
Dal?'
--- '//.3
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. .#
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 'fi6 ,.s. 0
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept" Bottom: City Hall
OLYMPIC PRINTERS INC
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
M RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
"jiC! SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
PERMIT NO. 30190
DATE S ~.(',? L
/
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
~ OVERHEAD SERVICE
o UNDERG~27lo/ICE
VOLTAGE: :.2
~ SINGLE PHA E
o THREE PHAS~
SERVICE SIZE 0 AMPS
~ /JfIh1$/
I
IJ1.
rflu.-S [.
//u
k((S'E
.
~ /Ns;;I/~ryo.
B/MOt/f
1190
.
W.S. No.
SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
d/-.1
'L Cu/
;].;20
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
A lJ1Af/>.o.K. to connect service
ill' 0 Final O.K.
Installer:
Site Address:
Permit/Receipt No.
J 6tlD
~
New Meters
-
Notify Port Ang es City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on ei!her,Jhe Wiri'W Report
or on the Building Permit. PHONE 457-0411, EXT. 224. UEJr+-lI-tfO f-e1(.:IF- 0
--r-:2 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 0.3 J S J
II9-w\ $ -
Electrical Inspector Permit Fee
.
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
GREEN - Top: Meier Dept., Bottom: City Hall
& 1- ~3
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A-D0027L
PERMIT NUMBER
.
.
TOTAL FEE 2b "2 2-'i>Sf)J 30M5 /, tz,SS I {) ttJiiltJ.
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
WSL..H - IN A-z-~~-I
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner WI'Tr-'TJ:; (' tZAS hi V.ss ~tJ Installation By <9i-1-YY1~ / c;... El-I: c: 7"Y1 c
Owner's Address A-s Pt-I:lJuv'J:! Installers Address ' Sf) J $(). 1-1 ^,eo~w
Day Phone .lnstallersPhone &./~7 -.5:"'; O~
Application is hereby made for Permit to install Electrical Equipment as follows: / P1) I"nt1f'S #tz.t/icJ:...J
t-t/I ielL ~AGIE
Site Address
, ry,;,'9
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Wiring Method !ZtJ"n 1:5""
.'
. NUMBER AMP -12QV 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOL T5
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 AMP 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 with the N.E.C. Electrical Code.
Date Application made
S'-7
.19 ~~
By
::re /1N
f1} 01..t, ~ j4
.
Date Permit Issued
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.
- ~ZCTOR OF CITY LIGHT ,
s- 7~r-') ~~NS~ED' ~~
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.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
~ .: .~~~l.: \; ~~
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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S--If}-1r ~ ry O.K. FOR COVERING
5- (0 -1 <( .1 77 O.K. TC? CONNE.CT S~RVICE ,
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FINAL O.K.
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