HomeMy WebLinkAbout1220 Caroline St - BuildingElectrical Permit
1220 Caroline St
12-1627
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00001627 Date
12/14/12
Application pin number . . .
205293
I RESULTS: INSPECTOR:
Property Address . . . . . .
1220 CAROLINE ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -5 -3 -1020 -0000 -
Application type description
ELECTRICAL ONLY
OAF
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Furnace, Heat Pump
----------------------------------------------------------------------------
Owner
Contractor
SCHOENFELDT,TTEKAREN JO
BLACK DIAMOND ELECTRICAL
CONTR
1220 CAROLINE ST
502 BLACK DIAMOND RD
PORT ANGELES WA 983624206
PORT ANGELES
WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00
Plan Check Fee
.00
Issue Date . . . . 12/14/12
valuation . . . .
0
Expiration Date . . 6/12/13
Qty Unit Charge Per
Extension
1.00 5.0000 ECH EL-ECH
ADDNT BRANCH CIRCUIT
5.00
1.00 63.0000 ECH EL -R-
BRANCH CIR WO/ SER FEED
63.00
----------------------------------------------------------------------------
Fee summary Charged
Paid Credited
Due
Permit Fee Total 68.00
68.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 68.00
68.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
nw 171n rz --
INSPECTION TYPE
DATE:
I RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
OAF
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
N
O
N
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation oral ation in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Munici al e, d tility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature w r, el cal contractor or electrical administrator: ❑ Cash Kch
eck
❑ Credit Card ##
X /� I Dated: ` Z `(3 "(� 01/0112012
L'r�/( � .0
l``1yo� ';' 4 4 �p gn�r
CITY OF PORT ANGELES PERMIT
APPLICATION�
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
�—
Ph: (360) 417-4735 Fax: (360) 417-4711
EL2C-1i1lul;�
Z"
Date; l Z
3 -
_ 1 & 2 Single Family Dwelling
INSPECTIONS
* Plan Review May Be Required, Please Complete
Electrical Plan Review Information Sheet
Job Address: 1220 CA ofr.�C Sr—
Building Square Footage:
Description of above AA -.-IAC.
&4. D
Owner Information
Contractor Information
Name: Lw xo� Se -W. � n� I;= e-wr-
_
Name: `& D fc
Mailing AdAss:
Mailing Address:
-S'bz &Ac..fe DI AN'%ft,0
City: State: Zip:
City:
State: Zip:
Phone: Fax:
Phone:.p
Fax:
License # / Exp.
License # I Exp.
LAC04 PA jn�
Item
Unit Charae Qtv
Total (Qtv Multiplied by Unit Charqe)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00 l
$ 6 3
Each Additional Branch Circuit
$ 5.00 1
$ s
Branch Circuits 1-4
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$ i (v �—
Q
$ Total
Owner as defined by RCW.19.28.261: (1) Owner will
occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property
is for sale, rent or lease. Permit expires after six
months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation oral ation in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Munici al e, d tility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature w r, el cal contractor or electrical administrator: ❑ Cash Kch
eck
❑ Credit Card ##
X /� I Dated: ` Z `(3 "(� 01/0112012
L'r�/( � .0
Electrical Permit
1220 Caroline St
12-1567
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
12-00001567
Date 12/04/12
Application pin number . . .
175645
Property Address . . . . . .
1220 CAROLINE ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -5 -3 -1020 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
T -stat 2 ton heat pump
----------------------------------------------------------------------------
Owner
Contractor
SCHOENFELDT,TTEKAREN JO
ALL WEATHER HTG
& COOLING INC
1220 CAROLINE ST
302 KEMP ST
PORT ANGELES WA 983624206
PORT ANGELES
WA 9-8y3-672
-------------------------------------------(360)
452-9813
C
I e _16 -_1-----
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 56.00
Plan Check Fee
.00
Issue Date . . . . 12/04/12
Valuation
0
Expiration Date . . 6/02/13
Qty Unit Charge Per
Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT
----------------------------------------------------------------------------
56.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 56.00
56.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 56.00
56.00 .00
.00
I
49
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
IINSPECTION TYPE I DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
po;
r
f�
s
`I
11/30/2012 12:20 13604525177 ALL WEATHER HEATING
CITY OF PORT ,ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Boat 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
pate: 11/30/12
x 1 & 2 Single Family Dwelling
PAGE 04/05
"Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1220 Caroline Street _._ .......
Building Square Footage: 908 _
Description of above - --
Install heat pump and sir handler —
Owner Information Contractor Information
Name: Karen Schoontbldt Name: All weather Heating & cooling
Maliing Address: i 72n r w o— qr-, Mailing Address: V2_Kemp_sur-t
City:Port n„gges State: ..—Zip: 95362 City: Port AngeloR Stale:WA Zip: 98362
Phone; 45i-zt10 Fax: Phone:452-9813 Fax: 452-5177
License # I Exp. License # l Exp. ALLWEJC 150rcu 9/113
M
ServlcelFeeder 200 Amp.
Service/Feeder 201-400 Amp,
Service/Feeder 401-600 Amp
Service/Feeder 601.1000 Amp.
Service/Feeder over 1000 Amp,
Branch Circuit WI Servloe Feeder
Branch Circuit WIO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1.4
Temp, Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. ServicelFeeder 401.600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T�Stat
NEW CONSTRIICTION ONLY:
Flrst 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
fit Tota( (Qty Multiplied by Unit Charnel
$120.00
$
$146.00
$
$ 205.00
$
$ 262.00
$
$ 373.00
$
$ 5.00
$
$ 63.00
$
$ 5.00
$
$ 75,00
$
$ 93.00
$
$110.00
$
$149,00
$
$168.00
$
$ 96.00
$
$ 64.00
w $
$120.00
$
$102.00
$
$ 56.00
I $ 56.00_
$120.00
$
$ 40.00
$
$ 74.00
$
$110.00
$
$ 56_oo Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration In compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatureof wner, electrical contractor or electrical administrator: ❑ cash O cheek
❑ creast caro p
Dated: 11130/12 o1ro1@o12
u
OF pORi.y_CITY OF PORT ANGELES
/�'" DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
'rte 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 03-00001160 Date 12/10/03
Property Address . . . . . . 1220 CAROLINE ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -1020 -0000 -
Application description . . . ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
SCHOENFELDT,TTEKAREN JO OLYMPIC ELECTRIC
1220 CAROLINE ST 4230 TUMWATER
PORT ANGELES WA 983624206 PORT ANGELES
WA 98363
(360) 457-5303
----------------------------------------------------------------------------
Permit . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc MOVE O/H SERVICE TO GARAGE
Sub Contractor OLYMPIC ELECTRIC
Permit Fee . . . . 76.30 Plan Check Fee
.00
\
Issue Date . . . . 12/10/03 Valuation . . .
. 0
`
Expiration Date . . 6/08/04
(}�
Qty Unit Charge Per
Extension
1.00 76.3000 ECH EL -RM -0-200 1ST SRV FEEDER
76.30
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 76.30 76.30 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total 76.30 76.30 .00
.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
T \PLANNING\FORMS\1102.15 [11/14/20031
Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPEI DATE I ACCEPTED COMMENTS
I` YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH -IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
I BACK FLOW / WATER
IAIR SEAL
WALLS I I I
I` CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALLMOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
WALL / FLOOR / CEILING I I
IMECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
I
HOOD/ DUCTS
i
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA:
PARKING/LIGH
SCA ING TING
LAN ! I I SHORELINE
FINIAL INSPECTIONS REQUIRED PR]OR TO OCCUPANCY/USE
RESIDENTIAL DATE YES I NO COMMERCIAL DATE
ELECTRICAL - LIGHT DEPT
CONSTRUCTION R W. / PW/
ENGINEERING
IFIRE
PLANNING DEPT.
BUILDING
T.\PLANNING\FORMS\1102 15 [11/14/2003]
417-4735 3
417-4807
417-4653
417-4750
417-4815
ELECTRICAL
Ac LIGHT DEPT
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE DEPT.
PLANNING DEPT
BUILDING
ACCEPTED
YES NO
d rwr
" CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST" 5TH STREET, PORT ANGELES. WA 98362
Application Number . . . . . 05-00000116 Date 2/22/05
Pin number . . . . . . .758500
Property Address . . . . . . 1220 CAROLINE ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -1020 -0000 -
Application description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use. . . . .
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
SCHOENFELDT,TTEKAREN JO OLYMPIC ELECTRIC r
1220 CAROLINE ST 4230 TUMWATER
PORT ANGELES WA 983624206 PORT ANGELES WA 98363
(360) 457-5303
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc OLYMPIC/ HOT TM
Sub Contractor OLYMPIC ELECTRIC
Permit Fee . . . . 48.10 Plan Check Fee .00
Issue Date . . . . 2/22/05 Valuation 0
Expiration Date . . 8/21/05
Qty Unit Charge Per Extension
1.00 48.1000 ECH EL -R OR RM 1-4 ALT CIRCUITS 48.10
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS- PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE- ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFOREIT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPIC DATE ACCZFM CoNau NTS
I yES I No
DFrCH
KUUUH-IN / COVER
SERVICE
FINAL
GENERAL COMMENTS:
PW -1102.1514"
s
CITY Or PORT ANGELES
LIGaT DEPARTNOW ELECTRICAL PERMIT M 17171
. .
Port Angeles, Washington ------- _.......... .-- ------- •.......
-.•---_•_.._...,
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 electri� work as listed below.
Address ..... ..I��. s - - _ .------ Occupancy.------ ------ -•----. --.... -
Owner....--- ... �. r_. - •------------- enall--•-----------...._---•------•..-_------------------------
Wiring Contractor,Vy.. - --------
Light Outlets..._ .......................... .._.....
Receptacle Outlets-.... ......... ......... ......
Dryer, KW.....--..
Runge, KW........
Water Heater:
KW............ ------- y---
Neat: KW.....L..�_
Motors: size, volts and phase:
Total_
Remarks: _.
Service, volts/
No. wires ...............................:^...
Size wire
Main fuse
Enclosure ...
Type of wiring:
Entrance Cable
Rigid Conduit ..------- - ..................
..
Metallic Tubing --- _------ .......
.-._.....
Current transformers:
No. & Sim ----------------....................
.
Ser. No...... _ ....... .._.... ......... __........
Ser- No_-_____ ... ...... . . __ ...... ... -
Ser. No ..... ............ ....... .....................
.
ell,
Type of Wiring:
Armored Cable ......- ......................
Non -Metallic .......... _._........ ___
Knob & Tube... ........ _ ------- -._._..--
Rigid Conduit ...............................
Metallic Tubing ... .. .........
........._..
Raceway ...-_....
Circuits, Light ------ __.................. ..........
Utility... .......... ......... ........ .............
Heat---- ......._---- ___ _.._.__.m.....
Range .............. _............... ............
.
Water Heater ...............................
Motor_._. ... .__.... .... ........... ._......
Dryer.................. ......... .............. .------ -
Furnace.... ....... __........ ...................
Permit Fee Tress. Receipt )// , /% t W 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
Address
N° 17171
..................... __.......
Owner............... .------- _.......... ....... ........ -....... _.._...------- __.......... ................... ....... ........ Tenant ...... ........... _....... ........... .......... ......_............
-.4
firingContractor_.....:......._--..............------._.............._........_........_......---......_...._-.........---..... By ................... .......... ................... ....._......
r
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. it work is to be can-
eealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Prinierak Inc.
`i
02/21/2005 15:19 3604523498 OLYMPIC ELECTRIC PAGE 01
ELECTRTCAL WORK PERMITAPPLICATION
' p ❑RequestTnspection
@'�leetrieai Contractor ❑Owner Z q.r^"` _�/
�- Annual Permit O Alarm Cl Carnival 0 Commercial OYResidential 0 Residential Maint. 0 Signs 0 Thermostat O Telecom.
I s/Installation description
>Job rPired by Electrical Contractor ❑Owner
P„Iectrical contractor name License number
Purol ase mailing address
Cites State ZIP
Telephone numbei FAX number
Premises owner's name
Address of Inspection
17 Casb 0 Cbeck #
I hereby certify that I am the owner of the above named property or a liconsed
electrical contractor (or the firm's authorised agent) and am making the electrical Crcdi[ Card Visa Mastercard Discover
installation or alteration in compliance with the electrical law, Chapter t9.26 RCW. Card #
00 Signature of owner, electrical contractor or electrical administrator \ Expiration Dateon -
X %J7p,. �� �1 ,. /,of Dara �$ apy K jp
. %// //
WALLS C TIMING
Insulation Only Insulation Only
CTriERMOSTAT SF,R"CF,
Dnoe APPrvrcd err J Dne A,1 1 ay J
on,n amrorrn ay Dn,c nPnroKd \ /� \
Cover Cover Dy DTTCMJi I` J
i
Dnin nwrv•cd BY nn,e nPM^ved ay `–
� Onoe __ - Arvmved Dy Dam Apmnrad DY l�
Electrical Load Additions and or s-ubt[21et14D€ Service Information
0 NO LOAD CHANGES gAl
0 Baseboard _ KW
0 Furnace —KW 0 Overhead Service
0 Heat Pump _ Ton _ LAR 0 Temp Service
Cl Fan -Wall _KW O Underground Service
Inspection
Date
-/Z"9Igo
/n
0k— —
/% /' 1.4-L
Area. Building or Equ+pmcntl!Inspp/ect__ed
Voltage Z va
Phase M 0 3
Service Size: -1
Feeder Size:
Action Taken I Electrical
inspect t
12/0412003 11:55 FAX 3604523493 OLYMPIC ELECTRIC Q)01
ELECTRICAL PERMIT APPLICATION �.,cva usEo cv
C�
The E leGbtotl Pemc,tAPPliMtban must be filled Out mmdehh.
Pigs** type a rspAnt In kdi. if you hew any avestkme. pies" call (16) 4,7.1713 /'t /�"• �� a
Fax cumber. (3011) 417d711
o.wturElseConrtacumAgent Olympic Electric Co. , Inc. Phone: 457-5303 Fax 452-3498
Prapanyoww� (C'areti-1 ShoeyrFelc(�- Phone: 41-5-7-31S_7
Address: /¢eles _ zlw. gp3to 2 -
Olympic
Olympic Electric Co., Inc, Lkeneed: ELY4`EE2B5D1E.p: 3/31/03 Prime: 457-5303
Addraa 4230 Tumwater rJM Port Anqeles aP: 98363
INSTALLATION WIRED BY: ❑ OWNER it ELECTRICAL CONTRACTOR
Credit Card Holder Mime: Charles I. Burkharct, Olympic Electric Co., Inc.
61111ing Address: Same City:
Credit Card Numbrr: 2209 Exp. Data:
ZJp:
VISA: x AfC:_
PRojecTaoDRF.ss: 2 20 C .ovIl-n e.
TYPE OF WORK: Check QH that appy: ❑ NOW �AlterOUWAddltion
7,ReSldentiai O Mutt-famfty ❑ Commoicial ❑ Mobile Horne sq. Ft
A O Remota Meter O Detached garage ❑ Hot Tub ❑ Swim Pool ❑ Septic Pump ❑ Low Voltage O Teieoom. o Slg
cNumber of Circuits aWad or altered:
C DESCRIPTION OF THE ELECTRICAL PROJECT: %n-sr<a ntsw 0lk gieterbase on qa-*4e, , -twO
V Mass , Mefcr pass on exisfi" mf -{ . /k/v_
Electrical load
A MMons and or aghtracdonr
�
$�tYl� Infortrlation
❑Baseboam
o Fumam
_KW
�- KW
`640varhaad Service
VWhige: 1 1245
Phase: IR 0 3
O HOW Pump
TON— LAR
O Tamp Service
Setvioe ha: 2 0 A
❑ Fan -Wali
_ KW
❑ Undetgrcurd Service
Feeder Size:
PAMC 14.05.Wo(B): Far tndusolei. can mercW, 6 "m1danaal p octs larger than a duplex, a one - Un s drawing of the Eleci rical Service 8
Feeders. bualdhg stze (sq. ft.). 10517 eaicuWans. and Me ly Pe b of mnducirm andtor raceway Is required and shag seam parry the
Elegcd®a Permit eppilcatiar,
1 hereby certify that I have read and examined this application and know that same to be true and Corred, and t or
authorized to apply for this permit J understand it is not the City's legal responsibility to determine what permits
are required, it remains the applicants resp/o^nnsibifit to determine
determine what permits
er mitsr�am required and to obtain such.
14016 3 t� �r ,.C�—/�� qA5
�\
/ cndlt Card Holders agrcabe.: /l Harv: / z �I ° 3
Owner WElec. Cemt Monsters: [ �} I �/%, ""1r Date: /Z-/ 4 D 3
PW-9ptaRJ0.9 L1 �r PERMIT FvEE.$ 7(o. 30
GUork SCltedola -Pvr� 12110103
Xe1CV 19'►se,
�,t Ur>!! hPPai �r`�Lf fa reconrlecf 174 nese