HomeMy WebLinkAbout1028 W 9th St - Building
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Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /~ 0
DATE 62/R /R~ .
, ,
.
Site Address:
~READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
. /. j'
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
ij;H'!emodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
l!3'Add/alter circuits
o Auxiliary power
(list below)
o Speciai equipment
(list beiow)
%-t- ,.-(/-!A'/~
Amps
Details/Description:
Ub--4/--L /7A!// ~~ ~/.;~~ c1-7~~/
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
1 (71 Ditch inspection O.K.
{J1JJ'- "'/51 Rough-in/cover O.K.
A .!1. O.K. to connect service
/'g--!'I I{Y Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
~~
~
Site Address:
.
Notify th Department 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 451.0411, EXT.158 or EXT. 224.
';2Z'. j ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT It.. OD
. Inspect~r . ~:ount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC:.
/1/ "(
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
.. ," ,
DEPARTMENT OF LIGHT
.APPLlCATlON .AND ELECTRICAL PERMIT
A
loA> (,
PERMIT NUMBER
.
TOTAL FEE
&()
c:2 & ;.--
~
I
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
. .
ELECTRICAL PERMIT ONLY /~o OCCUPANCY OR USE ESTABLISHED UND~R THIS PERMIT
/0;2 g LlJ~ ~ 'fG\ ... . , . . . .
CORRECT ADDRESS IS AESPONS BILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner _J/JIJ?f:-'I ff 71<(JMA/) Installation By fhJll.lQ
Owner's Address "Al /111/= Installers Address
L/.t;2 -/7/3
Site Address
o
A
Ph
I stall
Ph ne
-.
ay one- , n ers 0
PPlica~:::;r~y lade for p;tmit to inst:~ Ele;t~IPment;~lowS: /J' / /J'J' 1-c:edrA""
M:f'[-6~.I;~r/' ,
~
I ( - Wiring Method (11kz ~ I? /
/
NUMBER AMP 12QV 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PEA 100R FEE USE OFcrRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT . . - / 50 VOLTS
OR lESS
CONVENIENCE """ -, ('/1 ,1 ':> (/ /&~ MOTOR
CONVENIENCE ' , - MOTOR .
APPLIANCE - . MOTOR .
DISHWASHER FI RE 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 f, AMP PHASE
FEEDER -"Ti , 17' IO':? 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 performhnde~permit will be,done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made 'f1 i d11 ,19 By
, / - . . - CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby give'1 to do the a~ove 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,
. .. DIRECtOR OF IT L1G
WARNING
Notify Department of City Light by Street Address and Permit Number wh ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or servic.e 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 _
.
Date Permit Issued
1 If fit
WHITE. Original CANARY, Duplicate PINK, Triplicate WHITE CARD - Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
,
'.
..
.
,
,
.
,
, .. .
IIAy' O.K. FOR COVERING
,
O.K. TO CONNECT SERVICE
FINAL O.K.
,
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
17480
d -/1' dlr7/
Port Angeles, Washlngton..m.....mmm._....m.m...m....................m, 19.000000.
In aooordance 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 electrjcal work as listed below.
='~~~~.~:~::~-~~:~:=:~?=:~~~=
",0 /:.?o/~ft'()
Light Outlets.................~..o...._.._..... servi~e, volts ........:s...............;,......
Receptacle Outlets............................... No. wires .............................-.........
n,y", KW G Size wlreL.E?'~:.-;..........
::::~ K:..~~~;?2;................--............... ::~~o:::: :::::t.:~~.::.:::.::::.:::
KW......__...~__~.__.___.....____.......... Type of wIring:
Heat' KW.......I.1(L.:~1"~llfJ' Entrance Cable ------.------.------...
pF
Total Load............................. Ser. No..........................................._. Total ................n.....................
Remarks: n_n_'.q.'-~.~dd::mC--&!~.~#r...Lmm..__oomoom.mmoo__mm.m.mmm__mmmmmm.m.m.m.m__mn
MOUlTS: size. volts._and phase:
.. I..,.f! c.:.~.p
...............--.....V"..................n.............
___/___&r.,.~:...........................
Rigid Conduit ...................___...___...
Metallic Tubing h..m....................
Current transformers:
No. & Size.......................................
Ser. No..............................................
Ser. NO.............n.................n.............
.J.
Ser. No. .....n........n....n..........n..........
.-
Type ot Wiring:
Armored Cable ................h.........._
Non-Metallic .....u..........................
Knob & Tube..................................
RIgid ConduIt ..................__.__........
Metallle TubIng ...........---.............
Raceway ......................._....._......_
C
Circuits, Llght........hnh....................._..
Utillty.......ce.:__......_______..................
Heat ...../0................................
Ji.-
Range .............................................
:7...
Water Heater ...............................
:r::::. ..~~~~..~~~.;~~..~~~~~~....~....~~~~~~~~~~~~..~~='
Furnace .........................._...................
-:~j;~~..~_.___.~._oo..__-__~m--.m.::~.~.~:~.:~.~:~~.~~~~~~..mm---oom---::.__1{i:f~~~:i.~;~
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?
17480
Address..................._...................................................................................................................Date..._......_.._.._n_.........._......_......_......._
Owner..................................._.........._......_......_.._...........................................................Tenant.........__............................................_........
Wiring Contractor............................................ .................................................__...........................By..............................................__..............
NOTIC~urrent 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.
1M Olympic Printers, Inc.