HomeMy WebLinkAbout2104 W 12th St - Building
~
O~~
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
(f)(OtA:fJ~r
PERMIT NUMBER
.
TOTAL FEE
&<J
'00 -~c
~ Is'
.."'" ..:.
(
)'.
,../
,
\)'"'. - \.
C',
,
r-'.
CONT;,LlC..:"!O.,,, T!~ETOCOMPlETE . NO_~TORJES
NO OCCUPANCY OR USE EST~BLlSHED UNDER THIS PERMIT
LEGAL OCCUPANCY
- .
ELECTRICAL .~~ONlY
Site Address ;:2/0 sf 0, /-2
__ "1'... r C~R~EC_T ~DDRESS IS RE~PO~SIBILlTY O.F APP~ICANT
Owner -.JU/I\iV H A-Alf..<(
Owner's Address S~' ..
Day Phone
Appllcation is hereby
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
(): {~
~detof Perm.it 19 install Electrical Equipment as follows:
t t!U)VVL
- Installers Phone
~.~
~"'.x /;r ,.Hf'/&P1J
.
. . / m
Wiring Method -
, - /'"
NUMBER AMP 120V 240V - NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS 'PER 10 100R V/EE USE OF CIRCUIT CIRCUITS PER 10 100A FEE
CIR 30 CIR 30
LIGHT a r_q11 SIGN
liGHT I /oLV I'-' .~ 50 VOLTS
OR LESS
CONVENIENCE / ao , . MOTOR
CONVENIENCE MOTOR
APPLIANCE .. . MOTOR
DISH\oVASHEA . FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY -
DRYER REINSTALLATION'UGHT 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 SER~~NCE CONDUCTORS
SERVICE 6 ~ "----. AW.G.
. I SUB-TOTAL tr ~) SI~E OF ~ND - "-
/ , SIZE OF ENTRAN~ITCH
j
- -,~ I .~.
I certify that the work to be performed under this permit will be done by the installer and'
", 6'~.f? - gr
rmance with the N.E.C. Electrical Code.
Date Application made
,19
By
CONTRACTOR OR OWNER (OR AUT RIlED AGENT)
Permisslon 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 Ange~s. \ , ,.... \ -"1 \. . '\
- By - ~ AJRECTOR OF CIT~'~IGH'T~ . ~'j . \:
Date Permit Issued P - '10- f? C/ Zd3-
Q J () r PLANS APPRDVED
.
/ "" I
WARNING
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 -
~,\P'CPR'NTERS.'NC.
WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
~
REPORT OF INSPECTOR
l
DATE OF VISIT MADE BY REMARKS
71-7 -({Y 1t42-- . /:. .PlY - 0-'
/' L- , 'Sh..' W.P<-/ --..v: 1.Ut UJm "'.
~ ,.
-1 (/ t/ "
IIJ, J ,?t-.L, iiI fi/::J-= O.K. FOR COVERING
',t- J..]-;/t.L '/I{ fl O.K. TO CONNECT SERVICE
tJ-."I-J-'H 11J)J FINAL O.K.
.
z
c:J
II:
<C
::liE
!!1
:r.
I-
Z
w
l-
.
I-
o
Z
o
C
..
~
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
16784
~ - :2 c; :>7'
Port Angeles. Washlngton__m.mmm..m__......m.m..m...............m.m. 19000";-'
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 .____r::;.!..??m?!..._4r.:.l.~__t:/.__n____.nn.n_..__n___. Occupancy___._____--:L,f:m<..-"~----..-.--m..--
Owner ~Ww.~;;...~.;;~--...--.<:~J1Tenant..---mmmm------...-n-----.------.---m---.m.m__.........__
Wiring ~.~:~:~~~~.:_:..7.t;~d!K'!:._!1dmt;.~~T.~.____m. By...____m.m..mm.mm__.mm.m.___m_.....m.______.__..
Light OUtlet8.__________t.::s.:::,,~~..____.. Servlce, volts ../.;;;':?!./:/..f!.:4.--- Type 01 Wiring:
Receptacle Outlets....~.:?................. No. wIres ..m..?.~................_..::::' Armored Cable ..n........................_
. C .t././cJ ~?/
Dryer, KW......_......:...__.n......n............ Size wires.....-.:<<._......................_..
Range, KW ___.nn/.C<~__n_.____n____ Main luse ------~t!.-/1.--..-----
Water Heater: ____ 'Enclosure ..~............................
KWn-----.Yr..n~J7-----_--,Jj
Heat KW_____.hh~h?...(/{-orhl.o._
Type of wIring:
Entrance Cable .__......
Motors: size, volts and phase:
1/11 -.
..r....~.-..h.-.......................
Rigid Conduit ........_............
Metalllc Tubing ...~...............
Current tTanstormers;~
No. & Size......_.....;~.:.....___.....
Ser. No..................,..___.......................
Ser. No. .............................................
Ser. No.................__..__.......................
Non-Metallic ............_..................._
Knob & Tube......................_n.......~
RIgid Conduit ._________h____________.___.n
Metallie Tubing ........................._.
Raceway ........C.................--...-
Circuits, LighLj::_....__.......n............._..
~ :~ti ty ..~~~~~~::~~:=~:::~:~::::::::~:~::~~
"'1
Range ......~.':.;..................._............
Water Heater ....;(,....................
Motor _._.....................n___..............
Dryer .........~~..h__.U....................__
Furnace ...........................,_......_...........
Total Load............................. Ser. No............_....._.......................... Total ._<7...r.:.n...................
Remarks: ___..._____,~~,~__r.=:=~~_____n_C~::!...,,--.,""'..~---c.:------m--...m--------...m----.m......:....__.__....__mmm
t ;~.'.
-;~~;ii~--------.mn-.m.m----.;~~:~.n;~~~;~~m.--.m----.--n---.----m----fi!rz.Jl~;tm.m.~zm...
$.~m......m__m.m.mm__ NO.__.............__m....m. By -7fm__...__m.mmm____-"-m.~~e:...,!.-t!.'7!..~_-
NOTICE-Current must not be turned on until Certificate ot Inspeetion has been issued. It work is to be con.
eealed due notice must be given the Inspector so that work may be inspected betore concealment.
- ,-
--
ELECTRICAL PERMIT
L.,
N?
16784
Address................_................................._.................................................___.........__.....................Date..._......_.._.._.._.........._......_...______....._
.. . . ~
Owner ..................................._.....n..._......_......_.._................._n....._................................. Tenant........................................_.......................__..
Wiring Contractor........................uu.._...............";............._...............................__............................ By............._................................................
/
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
p'1 eealed due notlee must be gIven the Inspector so that work may be inspeeted before coneealment. '.
\ 1M 0IY';:;" "'inl.,.. Ino.