HomeMy WebLinkAbout1206 S B St - Building
~~{tUMBER
. CITY OF,PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERM!T
A
7/g
PERMIT NUMBER
.
TOT AL FEE
/~r 00
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CONT.lIe. NO.
TIME TO Cd'MPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
S"r-,
Owner
Owner's Address -/.;2tbL S.,/{.
Installation By
Installers Address
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Day Phone Installers Phone
Application is hereby made f.Qr P~rmit to install Electrical.Equipment as fol.lows:
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Wiring Met~.od
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NUMBER AMP 120V 240V NUMBER AMP 120V. 24QV
USE OF CIRCUIT CIRCUITS PEA 10 ',00R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT SIGN ,
LIGHT 50 VOLTS
OR LESS I
CONVENIENCE - ., MOtOA
CONVENIENCE MOTOR
MOTOA ,
APPLIANCE , ..
DISHWASHER FIRE ~AAMS --
DISPOSAL BURGLAR ALARM
-
RANGE MISC.
,
OVEN .
WATER HEATER
,
LAUNDRY
DRYER REINSTAllATION LIGHT FIXTURE # ,
FURNACE - S~B TOTAL FEE
GAS. Oil
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEA,,! . 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 a
,19:~?
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Date Application made
By
.
CONTRACTOR 0 OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above d.escrib~d work, accordir)g to the conditions hereon and ac.cording to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the Ci.ty of Port Ang'eles.' " .. \'
,. D2:;IRECTO OF CITY LIGHT ,
By '/J;r;1"L . n~ ~
Date Permit Issued PLANS APPROVED . l "
. ..' 1> '
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 _
WHITE - Original CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
.o~ YMPI~ P~~~~S, INC.
- ---- -----
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REPORT OF INSPECTOR
"
DATE OF VISIT MADE BY REMARKS
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( . , . O.K. TO CONN~C! SERVICE
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I..~~UMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
717
~
A
.
TOTAL FEE
y.....-e /;;~
CO NT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
.----1 /J S' 'I
1::;"..,;/ ~ (~
DRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONHRoR.ESpeS ARE CANCELLED I'
Owner Installation By tnc.... lp .L. A.I A ~U I "\. F _ c
Owner's Address 1-:20 Co 5. l3 Installers Address :'9.~ ~ \"J 'i?T'-I .
OayPhone Installers Phone '-I.s-7 ,I\~g q
Application is hereby made for Permit to install Electrical Equipment as follows: lV\.o ....,<~ I^r'\.r; T't.'" ~ Lee #4 'r; 0 "-J
hou (L
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Wiring Method
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.'
NUMBER AMP 120V 240V NUMBER ' AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 , CIR 30'
LIGHT SIGN
LIGHT .. 50 VOLTS
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 A.W.G.
I SUB-TOTAL ..
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
Date Application made
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I
,198'1
I certify that the work to be performed under this permit will be done by the installer and i
CONTRACTOR OR WNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described. work, according to the conditions hereonand according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t City of Port Angeles.
01 CTOR CII
.
Date Permit Issued
t!r If?
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
,
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I
REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
<30/1-:/
PERMIT NUMBER
000016
FEE RECEIPT NUMBER
TOTAL FEE
( I;;' ~
1\1.
LEGAL OCCUPANCY
TIME TO COMPLpe
NO. STORIES
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
_ + PERMITS WITH WRog;ADDRESSES ARE CANCELLED A a A
Owner Installation By _~n-..J: ~ J:'LJ("',ftj. c-c....<..-
Installers Addres .
Day Phone fU ~ 10 i Installers Phone d fTJ 9
^";~~.''''me'~<Q4''~ "~:"...~- 1<}, . T ,J"~)
-U>t'xf: h~ ~ ~~ --P :~r - Wiring Method "f ~
.-
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT C'./t:- I X' SIGN
LIGHT , "- 50 VOLTS
OR LESS
CONVENIENCE 6'J!Z ..l /. l- x.. I .:;:- MOTOR
CONVENIENCE '<1'- 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 HE!,"!" TOTAL FEE /.5,.
-
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP. PHASE
. .
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
-.
SERVICE A.W.G.
, - -I SUB. TOTAL /1 SIZE OF ENTRANCE SWITCH
SIZE OF GROUND
-' /t7 17:
I certify that the work to be performed under this permit will be done by the Installer and ('C for ance with the .~.C. Electrical Code.
7 - .' . -,p #
Date Application made - I 1 .19 :YSt By ,~ - h ,~ ,c
.
Date Permit Issued
- ;rCONTRACTOR 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
speciflcatlons pertaining thereto, subject to compliance with the Ordinances of the, Cirof Port Angel~s. . ~ .
. DIRECTOR OF'CITY. LIGHT
By tfrltf;( ~ P 4/"& ()~
PLANS APPROVED '. .. ;~',.'
. .
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 -
WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
- -
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,
-.
- '.', ....),..
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REPORT OF INSPECTOR
.
DATE OFVI'SIT 'J' i J MADE BY REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
18219
Port Angeles. Washlngton___.......:2(::._....I.__{:____....._____......___..__. 19__Ef:-'"
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 ~____._ ___.___qJ~______...,.~.nn____gs~.nnn_n______.___.n_____nn__. OCCUPanCY.n____~_.!.n.___n___.________n.nn
,.' /J n- n rl
'. .....n ".J'~ (/ v'
O~~er tl::. --.":.L~.,...f'l....::<0.e.1--(il{---:'L TenanL_______.__ --- ----;9n.---~;7=.;..----- ._____00
Wmng Contractor n__n~--~d;---n.'_;-"".n4.4_.'------.---. BY..np nr-___.___nr.~._n=__....,__;z..n______
Light OUtlet8..._........__~___........_.._..... Service, volts ........___..........___............... Type of Wiring:
Rec~ptacle Out1ets____3~_~...._........ No. wIres ......:::l.........__..........___... Armored Cable ......._-~....-
Drye" Kw.....L?!....t!.t:?----.mm-- SIze wlres____..%__m...m.m__m.__.__ Non.Metalllc _________m________.__..______..
({' ",,,,, / () -
o ..... l./ .;;J. () A . Knob &0 Tubem___.........___m..m.___...
Range, KW _n__ ....____......____.___u______...n. Main fuse ..n..........................____.....
Water Heater:
KW......____tj..,L.t?P.__m.
Heat' KW.../D..m.KW_______.........m
Enclosure n_..........._..___....__._____.......
Motors: size, volta and phase:
Type of wiring:
Entrance Cable ...'#-'O.mnom_.......
Rigid Conduit ....m.......___
Metalllc Tubing h_.m...m.m.
Current transformers:
No. & Slze..__.mm.......m_........
Ser. No..._...._..............._______......______....
Ser. No. ...._._..____..........__..........._n...._.
Ser. No. .h....__..__...........___.........__...__..
Total Load...............__............
Ser. No. ..----...........-.............--...........
Remarks: _________nn.___.___n___________..______.________n__n___n____n.._..___.__________.___________________.___---.------..--------......-----------.---.---
Rigid Conduit ___..m....m................
Melalllc Tubing ........................__.
Raceway .....__...~............_.-...-
Circuits, LighL.-d............................
~
Utillty...............................___...........
Heat ......~---.................---....-....--
Range .....!...__.....................m..........
I
Water Heater __..__......m........_.......
Motor ............h_.......__..........__.........
,
Dryer ___......._____...........__.........._...........
Furnace . ......I..~_..........._.,___.._........._.__.
Total......_.._______........____........___
.u..n..~....~nn.n__.nnn.__._.unnn_n___.u_nunn__unu_nn._nnnnuuunnnn__dunun__nn.n_n.nuu.n_n_n.n.n.nnn__.u_.nn.n__'un
.._n.__.u___un_______uuu_nuuuuu.n._______.u.u.nnn_uun_u.uun_n_n__nuun__n.___d_._nnun.n____nn.nnnn____nuu_nn_u;;.'"..:.~.n-nu
Permit Fee
$.o2t:.---.~,;:,.-------------.--.
Treas. Receipt
No.C.2..?..C....f...=..
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By u~~?:.._t[:_.;.m{!.::.:nhnm';;.__:~_m.h_.'!:.~::/~!.:~__~u r. t
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NOTIC~urrent must not be turned on until Certificate of Inspection has been Issued. If work is t6 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 82 1 9
Address ...../j;;A:-~.~..~m::~J1p...Z;;7.....----................ Date..._i_..=/..?....=...l..._~...........
Owner ......a............................:;..........z,--.......---.............:;a....................---.............. TenanL..74.m..7/...~....,------.mm....
WIring Contractor....~.'if.~..______Q...Ad.....................m__............................ B~..~..!.:._..0.~Z
NOTICE-Current must not be turned on until Certificate of Inspection has ~een 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.