HomeMy WebLinkAbout723 E 6th 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.
,f3 70 I
,
7-/(P-9 :J-
DATE
ELECTRICAL PERMIT
Site Address:
~ E b"1lJ
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Sq. Ft.
~ RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
DetailslDescription ~-,/J u...,
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
.J! ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~r~Af- ~ ~
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE I f)(') AMPS
()~
,
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
4t9"'I~ Ditch Inspection O.K.
o Rough-in/cover O.K.
o O. K. to connect service
;/#1 Final O.K.
New Meters
-
Site Address:
Installer:
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.
Notify Port Angele City Light by Street A ress 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 either the Wiring Report
or o~e Buildjg Permit. PHONE 457-0411, EXT. 224.
75 / ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 30, 0 0
'€leClfical!pector Permit Fee
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WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, BOllom, Customer
GREEN - Top: Meter Dept., Soltam: City Hall
OLYMPIC PRINTERS INC.
Ily'?
CITY OF'PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND. ELECTRICAL PERMIT
A
FEE RECEIPT NUMBER
.
TOTAL FEE ... /6, C/O . ~
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
.. .'--
.
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
:.< L. .~%'. or!
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner L~2.. K"u "'I.'f~ - . Installation By
Owner's Address 7-:1 ~ ~. .(Q'1-4 Installers Address
Day Phone i.J,;)- 7711(, q:J. fl-~/7 >. Installers Phone 4~il- 77(,.t;.-
Application is hereby made for Permit to install Electrical Equipment as follows: J./ C ,'YCJ.t 11 On
K. '/. t. 40-
Site Address
0'" 9",8 - ..?I7S-
i?~&>Jc.-I" ":' 1
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Wiring Method
.,'
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT I SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR ' - - . --
CONVENIENCE - , MOTOR.
APPLIANCE :J- ,- MOTOR
DISHWASHER I FIAE ALAAMS
DISPOSAL BUAGLAA ALAAM
RANGE MISC.
OVEN
>
WATER HEATER
LAUNDRY , . -
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE - SUB.T.OTA.L FEE
GAS ~ OIL
FURNACE ENERGY FEE
ELECTRIC . .
BASIC FEE
ELECTRIC HEAT --/C.,Do
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
1-)'--/
.19~L
.
Date Permit Issued
~f/t-j?
WARNING I
By IV "'1 BaN' I)
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
, ,
Permissiorl is hereby given to do the ~bove. d~scribed work, a~cording to the conditions hereon and accor.ding to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OF CITY LIGHT
B~-/7bd~ .
PLANS APPROVED , ~
- .
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turne9 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
DATE OF VISIT
I. .
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- -
MADE BY
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REPORTOF INSPECTOR
REMARKS
-
O.K. FOR COVERING
~irIlU!eT r......".....
FINAL O.K.
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17249
/- -
Port ~ngeleS, Washlngtonmms:_=______.?:-.__.~____...________m____, 19_3__{.l
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
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 d6 electrical work as listed below.
Address ..n]__'J..__d_mG.nm/,p_..__l~._____..m__m__mm____m Occupancy__.._mm_.!l.,CZ-_m.m-m-..
Owner nE:_A_LlI..m_E.O~J6LA.Jl..J(________m TenanL__m____m._m_mmm.___mm___n___n.m___.n.__mm__
Wiring Contractor ____~".'~!.::r.1~m.m------mn.n...------.m. By..______.___mmmm_m_mm__mm___mn__________________
LIght Outlet....__...._.__.___.____....._..........._ Service, volts 1~.l>:::__2".<t..p........ Type of Wiring:
Receptacle Outlets.........................___... No. wires ........3..._.................~.... Armored Cable .............-..--.........._.
SI I J.// tJ - ;),/0 Non-MetBlllc ....-...........................-
Dryer, KW _.unn____.n_.......__....___hn_.____ ze w res..,fl.............:__....,........_..
Main fUBe ...~r.r.J!...__.A.:.,.._.__
Range, K\V.h.._n__.__....__________...____
Water Heater:
Enclosure ._______..._....___....__________
KW_nm__m..._........___..mm_________
Heat KW....]-'-.~......B....B-
Type of wIring:
Entrance Cable ......m..."................
Motors: size, volts and phase:
Rigid Conduit ____...___...............___...
Metallic Tubing ._____..____...____..___...
CUrrent transformers:
No. & Size......n.n._____...nn...............
Ser. NO.n.........................n................
Ser. No........__....................................
~~ Ser. No. ..00......000000.............................
Total Load.............................
Ser. )\'0........__00................00................
Knob & Tube..__..............................
Rigid Conduit ___..____..___............_.
Metallic Tubing ...m..m................
Raceway ..............................._....._
Circuits, Llght....n...nn........................__
Utlllty...._______....________......__..........____
lIeat ...............................................
Range .............................................
Water Heater .....0000......................
Motor .............................................
Dryer 00...0000.........................................
Furnace .........................._...................
Total ......n....n.n...n.................
Remarks: -m-J1.-t--tAl.mn.;lL__!2:7)_____A:_n____.~:C.A...e....'-m~-m--..&../..A-LM..9.------.JL~
............._....................hb..........................._..._._........._...._.........................................................................................
Permit Fee
Treas. Receipt
n.--.....uuu~h....__..u..nn..u..u......__ununu.u__.____un.nn...n...h.nnnu_u..u.h...h.hn.nnn.n.nnnhu....Uh..nn__..__u____ndhnh
.,........-....-.... -...: --"'" -.--___..t
By .m!.dJ~__.~&!:=~___
$:______.___000_______...._000________.
NO.m___._..__._._____________
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 NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17249
Address.........__.....................................................................................___....................................Date..._......_......_.._.........._......_......_.........
Owner .....nn...n................................._.............._.._n........n...........n..................n........n.... Tenant.....n......n................................n....n..nnnn...
Wiring Contractor ..................n..............._......................_................n........................................... By ..............................................................
NOTICE-Current must not be turned on until Certtncate of Inspection haa been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment. .
,..".._-;... 1),.;"1,,,,1"" Tn",.
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date \ 2-"3'- 01
Time
Received by ~ 16
(phone, person)
..
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
721 E &-fh
Phone No,
Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav, Other
INSPECTION NOTES:
Inspected: Date Time
Remarks:
2" ,^t1,.. '\'^ ~ F....n ' -==1_ \
~ U-L!& _!-J ~rA, l(" \ ~ ~) 'JT'... ,(\ e~"')
By J~ G<bV€:: ~
~~&,~-(' dC,<<If G." l(:t
RESTORATION REQUiRED...... YES NO J<.......
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C9\V\. 6~t
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0 ~
......
,
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue.on.reverse.side .if.necessar.v.l
~T.I:lI=j:T_~I,lgJ:gll\I:r.l:l\lnt:!\I:r.
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