HomeMy WebLinkAbout305 W Ediz Hook Rd - Building y' CITY OF PORT ANGELES
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DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000442 Date 5/10/11
Application pin number 797142
Property Address 305 EDIZ HOOK RD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-0400-5001- your state excise tax form
Tenant nbr, name PUGET SOUND PILOTS on Y
Application type description RE -ROOF to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning INDUSTRIAL HEAVY
Application valuation 10930
Application desc
TEAR OFF RE -ROOF THE PILOT HOUSE
Owner Contractor
PUGET SOUND PILOTS DIAMOND RFNG ENTERPRISES INC
101 STEWART ST STE 900 1295 BLACK DIAMOND RD
SEATTLE WA 981011022 PORT ANGELES WA 98363
(206) 604 -5766 (360) 452 -9518
Structure Information 000 000 RE -ROOF THE PILOT HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc RE -ROOF THE PILOT HOUSE
Permit pin number 185421
Permit Fee 221.75 Plan Check Fee .00
Issue Date 5/10/11 Valuation 10930
Expiration Date 11/06/11
Qty Unit Charge Per Extension
BASE FEE 95.75
9.00 14.0000 THOU BL- 2001 -25K (14 PER K) 126.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due h\
Permit Fee Total 221.75 221.75 .00 .00 1 ,1
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00 2
Grand Total 226.25 226.25 .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 has 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.
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Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
TForms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD �-ry
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling f Al
FRAMING: V im+
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION: 1
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Stocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 (-p
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
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61/4, BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician Fev Use Only:
Date Recei 5 -0-1J
NIUNNW 321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 D
fax (360) 417 -4711 Date Permit p
Da Approved
Applicant IN`d �c 5 Phone 3b() F
Property Owner u Sc c \o�� Phone aob (00 —S
Propert Owner's Addr s '300
Contractor w iv.ce‘ t ry �sP� j N( Phone (_,n_t-j5 tSkad
Contractor's Address (a �la l�«d hSek_es
License A 0RE c b 1 'Expires. I_ -mall
PROJECT ADDRESS ;SOS �8,; z 1- P f 6T h ouse.
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi family )(Commercial o Industrial
Check all that apply
New Construction
o Addition
Remodel
Repair
o Demolition
Re-roof House o garage other 1Cear off re -roof lay over one layer
o Heat System Heat pump wood burning stove gas fireplace pellet stove other
o Other
Floor Areas Existing (sq. ft.) Proposed' (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
a
TOTAL VALUATION `b o
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. I am authonzed to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to, working on projects.
Date.S' -\O Print: Name a\c: t0�S Sign ature s b. o✓
T:Forms /Building Division /Bldg Permit.doc
DIAMOND ROOFING
Cliff Duffy Fors (360)452 -9518
1295 B {k. Diamond Rd. 592632
Port Angeles, WA 98363
CUSTOMER'S ORDER NO. DEPARTMENT
DATE
1(_
NAME
2A GL kcatS
ADDRESS 4
30 VA S \S (2
CITY, STATE, Zik
1..... l.jtR 1k�
SOLD BY "GASH J C.O.D. CHARGE ON ACCT. MDSE RETD PAID OUT
QUANTITY, DESCRIPTION PRICE AMOUNT
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11 ckc,. �j
12 6C I0 9. 0
15
16
18
ro n< ec
19
20
RECEIVED`BY
KEEP THIS SLIP FOR REFERENCE
5805 5.:..'
1
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001383 Date 11/27/07
259020
305 EDIZ HOOK RD UTIL
06-30-00-0-0-0400-5001-
ELECTRICAL ONLY
UNKNOWN
o
Owner
Contractor
PUGET SOUND PILOTS
101 STEWART ST STE 900
SEATTLE WA 981011022
DISCOVERY BAY ELECTRIC, INC.
PO BOX 3531
SEQUIM WA 98382
(360) 681-5194
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 116285
Permit Fee 58.00 Plan Check Fee
Issue Date 11/27/07 Valuation
Expiration Date 5/25/08
.00
o
Qty
1. 00
Unit Charge Per
58.0000 ECH EL-COMM ALT <5 CIRCUITS
Extension
58.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58.00 58.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 58.00 58.00 .00 .00
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OCNSPECTION ELECTRlCAL
TYPE DATE: RESULTS: INSPECTOR: .
DITCH
SERVICE
ROUGH - IN
l'Z./oz..1 {e( ArY" ~
FINAL
tOMMENTS:
.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32 I EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001323 Date 11/13/07
676797
305 EDIZ HOOK RD UTIL
06-30-00-0-0-0400-5001-
PUGET SOUND PILOTS BLDG.
COMM REMODEL
UNKNOWN
1600
Owner
Contractor
PUGET SOUND PILOTS
101 STEWART ST STE 900
SEATTLE WA 981011022
(360) 457-7944
Structure Information 000
Construction Type . .
Occupancy Type
CUSTOM BUILT DESIGN LTD
PO BOX 1101
SEQUIM
(360) 683-4542
000 BATHROOM REMODEL
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
WA 98382
Permit BUILDING PERMIT - COMMERCIAL
Additional des'c BATHROOM REMODEL
Permit pin number 115253
Permit Fee 83.55 Plan Check Fee 54.31
Issue Date 11/13/07 Valuation 1600
Expiration Date 5/11/08
Qty Unit Charge Per Extension
BASE FEE 50.00
11.00 3.0500 HND BL-501-2K (3.05 PER C) 33.55
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
ADD TWO VENT FANS
115261
64.50 Plan Check Fee
11/13/07 Valuation
5/11/08
.00
o
2.00
BASE FEE
7.2500 ECH ME-VENT FAN
Extension
50.00
14.50
Qty
Unit Charge Per
Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 148.05 148.05 .00 .00
Plan Check Total 54.31 54.31 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 206.86 206.86 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permitbecomes
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 has 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.
/1
Date
-i{lfCUlr-o t., tls ~I /1/LiA--- uv
Print Name
Signature of Owner (if owner is builder)
T:FormslBuilding DivisionlBuilding Permit (10101I07).wpd
BUILDING PERMIT INSPECTION RECORD
0'
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CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR/ SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING 11--79,-01 :JLL-
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONt Y)
T-BAR
IN~ULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL lz.-1-O-7 DATE :fLL ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS.
SKIRTING
PLANNING DEPT. SEPARATE PERMIT /I's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
.'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING 12=},.6 ""\ i I......
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BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Applicant orG;;t [l1f4fa;'L- K)!/{f(JJk'--l/Jv,
Owner P~vij.l!{!- ~r,) G\~ ~,' l D1:r
Qwn_~.[s~dd(e~s 'S, I $ r "~_7bv
ontr tmfEngineer Cu.fi4 vv--. (f6I.L{ l,f-/2f'flf''''1 W)
".' Gfltractor ngineer's Address I. 0/ ps::,... If (,It ....c.e'~C~(hr
License # (1..( j"-ro ~() 17-1 0 z:...
For City Use OnlY:
Date Received \\- r.:$-o'l
Permit # Oi- ''323
ate Approved "II i; J? 7
Phone 61"..2.--1./ fl/L..
Phsme 3{,o - '1.0- '",Y ~
..'. /c:...- C}8Io/
Phone 3(;0 - .,(:;0 -6'MS. 1-;Y3-45~L
{,<'/ t?-", ~lt.;; J'-:L
Expires \(9 -18-()(&
PROJECT ADDRESS
Parcel Number Ofo 3 0
Proiect Type & Brief Description:
Check all that apply
o New Construction
o Addition
ib--Remodel
o Repair
oRe-roof
~emolition-~IMW.
o Sign
o Heat System
o Other
Lot
Zoning
o Residential
J.yCommercial
o Multi-family
o Industrial
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s ,ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas Existinq (sq. ft.) Proposed (Sq. ft.)
Basement @$ per sq. ft. = $
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALVA TlON $ ~ {wl)),--
Total footprint of structures
sq. ft.
Lot size
sq. ft. = Lot coverage
# of bedrooms
# of full baths
# of half baths
%
ft.
Occupancy group
Occupant load
Construction type
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to 0
projects~ It L " ~ ' I' '/. Ji
Date /I (3. Q'7 Print Name iA I.{fbi fAr.... . /lLy( l~1 ilttl. f/ Signature
T:FormsJBuilding Division/Bldg Permit Appl.-2006 Code.doc
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number.
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . .
Application valuation
07-00000434 Date
136206
305 EDIZ HOOK RD
06-31-00-0-0-0000-0000-
ELECTRICAL ONLY
5/11/07
UNKNOWN
o
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
SIMPSONI 2- 200A SVC
100206
SIMPSON ELECTRIC
150."00 Plan Check Fee
5/11/07 Valuation
11/07/07
.00
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~
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Qty
2.00
Unit Charge Per
75.0000 ECH EL-COM ALT 0-200 SRV FDR
Extension
150.00
~
Q.....
Fee summary Charged Paid Credited Due
----------------- ---------- - - _. - - - - - - - ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 150.00 150.00 .00 .00
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COMMENTS/ACTION NEEDED
ELECfRlCAL PERMIT INSPECfIONRECORD
CALL 417-4735 FOR ELECTRICAL INSPECnONS.PLEASEPR0VIDE A ~ 24 HOUR NO,nCE. IT IS UNLA WFUL TO COVER,
INS~L;t.TEOf!: C;:~f\lCEAL ANYWOm(:BEFORE IT IS INSPECTED AND ACCEPTED. .
-: ,- T':" .~. .~, :_v' '_ ,,'. ' ~
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
. ~', .;~ '~'-
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INSPECTION TYPE
DATE
COMMENTS
NO
.,. ,,- ,,'
GENERAL COMMENTS:
, ~: " . -. 't~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 9R162
ELECTRICAL PERMIT
PERMIT NO 7459
ISSUED: 11/13/2001
OWNER/APPLICANT
PUGET SOUND PILOT'S ASSOC
305 W. EDIZ HOOK
Port Angeles, WA 98362
360/457-7944
T: S:
PROPERTY LOCATION
305 EDIZ HOOK W
Lot:
Block:
Subdivision:
Parcel No:
7 ~ Long Legal
Ediz Hook
063000000400500
Project Value: $0.00
Construction Type: SERVICE CHANGE
Zoning Use: CA
CONTRACTOR
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000
360/452-9264
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
o Baseboard
o Furnace
o Heat Pump
o Fan Wall
COML. MISC.
ARCHITECT
N/A
, 98360-0000
360/000-0000
o KW
o KW
o KW
o KW
o Riser 0
o Overhead Service
o Temp Service
Underground Service
Voltage: 0
Phase: 0 1 0 3
Service Size: 400
Feeder Size: 0
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PROJECT NOTES
400 a. service
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$173.80
$0.00
$0.00
$0.00
$0.00
$173.80
$173.80
$0.00
a:
~
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FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
T em p Service.
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
II
GENERAL COMMENTS:
PW-II02 IS (4196]
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
$VS-L
..3// -;19.:::
DATE
ELECTRICAL PERMIT
Owner/Business:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Sile Address:
;;3 0 S- CU, C ck,'
S~rft de-7~:rC--
ff S;u.-,/
Phone:
Installed By:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW _
o RESIDENTIAL
or COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
pr SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
~ UNDERGROUND SERVICE
VOLTAGE: I zc? ~yo
J.l(1rjJ D3rjJ'
SERVICE SIZE <7<90
FEEDER SIZE
AMPS
AMPS
Details/Description:
At/I'"
CA/s-r/;vc;
/
7"'m 4-uy cSEA?V'/'Cz
07,;;2f ~~ ..J CAI.~U{ ~ /Ur~r6~
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W.S. No, SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
1 tiV\:'4hO. K. to connect service
!V' 0 Final O.K.
Site Address:
Installer:
~z.. o-C
4-krL
Permit/Receipt No.
~sz.....
New Meters
f.e.
.
Notify Port Angeles City Light by Street Address and Permit Number when 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 on the Building Permit. PHONE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I / ~ 0 ~
. $
Electrical Inspector
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OlYM?ICPRINTERSINC
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Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
J .:II Z.
/& -3 -'i' /
ELECTRICAL PERMIT
DATE
.
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
D New Construction
D Remodel
D Service update/alter/repair
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
D Overhead
D Underground
Voltage
D 10 D 3.0'
Service size
D Temporary
D Residential
Heat KW
D Baseboard D Furnace/Boller
D Heatpump D Other
D Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Amps
DetailslDescription:
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o.!?s-"tv A- c;P1 ~./JNr.f l..t?H ~
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W.S. No. Service
Capacity: D O.K. D Not O.K.
D Ditch inspection O.K.
D Rough-in/cover O.K.
-1~ O.K. to connect service
~~ Final O.K.
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan R,eview approved/pending
Site Address:
Id--L
;~;
I-
Permit/Receipt No.
.:?'::J/"'Z.
New Meters Date:
/t9 - ..r-?/
.
Notify the 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 457'O~1, EXT. 158 or EXT. 224.
7~ NO aCCUPANCYOR USE ESTABLISHED UNDER THIS PERMIT ,. ;;;2(7 d!l
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLVMI"IC PRINTERS. INC.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
~~17
g/~107
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
)<0vILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
Phone:
OWnerfBusiness Address:
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~verhead
/0 Underg OUJl . /1J
Voltage l,;Lu, Q 'f/'-"
'0'10 0 0
(SEirvice size /{W Amps
o Temporary
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
~Commerciall1ndustrlal load
(' Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
)8. Remodel
o Service update/alter/repair
DetailslDescriptlon:
.
QAt. Plj~
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.ln/cover O.K.
o O.K. to connect service
o 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:
New Meters
Site Address:
.
Notify the Department of City Light by Street Address and Permit Number when ready for ins ection. 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 457.0411, EXT.158 or EXT. 224.
/t~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~r
WHITE - file by address YELLOW - tile by number
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
.-
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. .621 J I
r/;{ /gr
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard D Furnace/Boiler
o Heatpump D Other
o Commercial/Industrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
D Remodel
o Service update/alter/repair
o Overhead
D Underground
Voltage
D 1.0' 03.0'
Service size
o Temporary
Amps
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
(list below)
Detai I slDescri ption:
W.S. No. Service
Capacity: D O.K. D Not O.K.
D Ditch inspection O.K.
D Rough-in/cover O.K.
D O.K. to connect service
iiYFinal O.K.
Size
Comments
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Site Add'?ti &-lMl
Installer:
Permit/Receipt No.
c:2/J
New Meters
Notify the D a ent 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 457.~j1, EXT.158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT (;C.;;<O !..fJ!'
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
&3/'1
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
. DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
t!)oc? ,2 '3'3
PERMIT NUMBER
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TOTAL FEE ,
CONT. Lie. NO. TIMETOCOMPlETE i .~. NO;STORIES LEGAL OCCUPANCY
Site Address
.~
PERMITS WITH WRONG ADDRESSES ARE CANCELLED .
;'nsta"~ti~nB~ .,' ,c~~ h~
l,nstaVers Address ' ~ ~ - ------.%1':
Insiallers Phone ' 'il'r;z -J.1~ '
, .\
ELECTRICAL PERMIT ONLY
Owner
Owner's Address
P#,)~
-
Day Phone
Application is hereby made for ~ermit to inst I Electrical Equipment as fOllows:
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Wiring Method I1I"W
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NUMBER AMP 12QV 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 SIGN
UGHT 50 VOLTS
OA LESS
CONVENIENCE , MOTOR
CONVENIENCE MOTOR
APPLIANCE , MOTOR
DISHWASHER FIAE ALAAMS 1/ /~,.
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
ELECTIRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UII~IT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
,
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE swnCH
.
e with the N.E.C. Electrical Code.
I certify that the work to be performed under this permit will be done by the Installer and in conforma
, d . /, L., A:;> .....~
Date Application made ~ - /' / ~
,19
By
.
CONTRACTOR OWNER (OR AUTHORIZED AGENT)
. Permission is he~eby givEJ!n 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 Angeles. . .,....
_ _ 5- By ~1 ~~;(:OF J}Y LIGHT
Date Permit Issued f:L I (/ ~ ~~
o . PLANS APPRO ED ' ,
No ify 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. .
I WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
~
DATEOFVISlr MADE BY REMARKS
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4- 1- S'S' ?1fg O.K. FOR COVERING
{,-(7 -'D'S' -?1l'z O.K. TO CONNECT SERVICE
1/'-f7 -<J( 'J/f% FINAL O.K.
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FEE RECEIPT NUMBER
CITYOF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLICATION AND ELECTRICAL PERMIT
A
00'0'"'4-
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fw ..!_ t...J
PERMIT NUMBER
-e
TOTAL FEE'
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TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SiteAddress or-I'f:}.",' e.. eS QJoht-. Sh:"h~'iE k
_. CORRECT ADD S .IS R~SPONSIBILlTY OF APPLICANT PERMITS WITH WRON~ ADf}.B.EfSES ARE CANCELLED ,....
Owner <;p..o/..y.... Q"'S'ha~'d"""~ InstallationBy. o:-n.<l e/e.S ~/ &a-
Owner's Address ~d r7' JIo6K- Installers Address . s:;il./ 'fii}j:'l!Sr /.sr .'
Day Phone . Lt S 7 - 7~ "'ILl Installers Phone ~.c:;:a. <o/..:U:;i:/ .
Appr allan is hereby made for Permit to inst?11 Electrical Equipment as follows:
~ 0 d ,b( ~...f- b: 'i >.T.."..u .J ,. /, f "'"
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Wiring Method fJ, f' e..
.
AMP 240V . . AMp. 24QV
USE OF CIRCUIT NUMBER PER 12DV. 100A FEE USE OF CIRCUIT NUMBER PER 120V 100R FEE
CIRCUITS CIR '0 30 CIRCUITS CIR '0 30
LIGHT SIGN ,
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR ..
CONVENIENCE MOTOA .
.' ,
APPLIANCE , , . MOTOR , I . .
DISHWASHER FIRE ALARM'S
"
, . BURGLAR ALAR!'A "
DISPOSAL, .
RANGE ., MISC. , .\' \
. , ,
. ,
OVEN " !
. ;. , '-
.-
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELEC'f:RIC HEAT
TOTAL FEE
ELECTRlp HEAT - . i/;E OF SERVICE SWITCH OR CIRCUIT BREAKER
"
A.C. UNIT . '&0 AMP.. /_~ PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE r q~ ':V"" 0-,,) A.W.G.
I SUB-TOTAL ,. SIZ.-OF ENTRANCE SWITC~ - ;)()D
SIZE OJ:: GROUND Lf.'
.
I certify that the work to be performed under this permit witl be done by the installer and in conformance with the N.E.C. Electrical Code.
. . .. 3/ '-'I 6 -zfl ~.
Date Application made , I '/ Yr ,19 By./ ..... - ,,;~ 1
. . - - . - , - CONTRACTOR OR OWNER (0 AUTHORIZED AGE~T)
_ P~rmission 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 Angeles. '
/YJ . DIRECTOR OF CITY LIGHT
Date Permit Issued 3 -I tf ~ V'S- ~cA:.ad t:/~ "
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 -
WARNING
WHITE.Or/glnal CANAAY - Duplicate PINK, TripJicate WHITE CARD ,_Inspector's Report
OLYMPIC PRINTERS, INC.
.(, .
REPORT OF INSPECTOR
.1 \;.
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DATE OF VISIT MADE BY REMARKS
'3- ). 'Tr''tS-' 1f"'J ''II;::''; tPH (!ontf. ! sr 'FL.""./? I.34'Nk /f'o</YI!: ~HLu
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tf-/7-!f; 110 U/4!. (., 7::< If t(
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LI- /f~'60 /J1.r J) . LJ k" /1'." " R IT, rC,(" A,; 'l-c-6'lJrjRt)o~s
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ti'f~-'Fr //If:> .-R "(Jr (/ova /Ifeu) AtJP, 'TiDN
, - !7 ... rr;- lIfY r[)!< r;:rrC IN 8ft r;(,foc?/V\ 'oc..{7L~T.5
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0'- )c;, n- /jff~ It.,) 1/ 5n Ll N~ef} eFt(:. I AI tIc,! t< BkrJ. fi ooMS
r;r... ft-);' " 7I(Y ()C(-r/<-.TJ .. ,
'IVI?""j}, )j /Joe R...' I fit T() 'rIf.At{ 5'rOI(MP I< ' '
q ... 'rl ' '1',,- -11/~ -< //,(.t( L 'I "f,('5 15 13< ,NC. t<! ~ P, J(R f7 0 1'1 8'v
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Ur ~- 15') '7JE-3 ' O.K. FOR COVERING
.6-17- -10' ./l't..:;; O.K. TO CONNECT SERVICE .
I ~ '.ff. fr;- , /j;f:J'" ~ ... .1 ' "\'\ " . ~ ,
FINAL O.K.' \ . \
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1,1 dAd
NO ~OAD CHANGES.
lJ Baseboard ,^-W
o Furnace _ KW a Overhead Service
Q Heat pump ._ Ton __ LAR 0 Temp Service
o Fan-Wall _ KW 0 Undergrouncl Service
SAME DAY IN_SPECTION. CALL BEfORE 7;00 AM 360-417-4735
'ROUCH-IN (T"tlliRMOSTAT
Oute Artl<QVIlU By ~ Appn>~...ll:I)'
{)>J.Mi
-- -''i.' ;,"(
:.J <.....- {-
d ( /,V1")('--o
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$," ' "
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Job wired by ~ Electrical Conlractor 0 Own.r
Sit~ cuso;,lln8~~.J~.i ~ 'SEi;:/p5-GL ~ 3'Pires
p~aq.31~3 adt"'s 1.Jw y /0/ t"J
Cily IplLf-/Htg-eI-eJ.lal"LVI4 9R3W
TelephoS,umbe, ~ i c) FS;~e. #--
promise, rr/i/G'F-T S Dund f/ols S'-Itt;/-''ctn
Addrcu; of Inspectiun . I ~ J:.".
~;z.. !"fe}O^,"- ~():S
City fl~;ef- lJ()q-t le.s J uJA- 1..<; ~
Phone &lumber tu ~chedule in~peciron: l./57---zi..r i '7
o <ib-f--
Ol'nllir ~,\' dt:fim~d b)J,RCW,19.28.26J:(1) OWIH:r will OCCt.pJ' tke .\'tl'u(.:tun:ful' two
yean uj(r.r lhi:i dtT(ricaJ permit U' finali:ed. (:1) OWII!:r U' requin:d to flir(:! an t:/~c:lrjr;al
CCHlcraClor if aboY\: said properlj it .for .jail!. refll I)r leos/::.
After re:u;lins tbe ~Ibove SUlemcnl. J hereby certify that I urn lhe owner of Lhe above
naJllCd properly or a licen~t:d el"ctrical cLJull'aclor. 1 urn 11l&kinS the dl:Cfrical lnslul-
lation or alteration in cumpliance with Ihc clcclrilAll laws, N.G.C.. RCW. Chapfer
19.2&, WAC. ChOlptcr 196-468. Thc Cicy uf Port Angdes Municipal Code, and
Utility Spel.:'ifications.
Slgnatu . r owner. electrical c:
x
o
fINAL L +:
ArIiJ
App,....wcJ J:ly
DfrCll
ELECTRICAL WORKPERMlT APPLICATION ,
lnshlllation description
;1/ COUWlercial Q Residential
a N"ew
y: Alten~dl Addldou
'fd4~ Se-r,;;,e,e!s
.;< _ ~ ~ ,SCW....ruV
----rr- IC ;;I.
.1$ ~ <'<0
o Cash 0 Check#
o CleditCard @ ,:vraSlercard Discover
Card# __~p_-____-____
Expiration
Inspection fee
$ /S'O -!/!!E
Service Information
Voltage
Pha..a llJ 3
,;._ Sorvlco Size: ~ml
Feeder Si~9: __
/.t.f.J.II,
SERVICE
Dbll:
Apprv\/coI B)'
FEEDER
DIII~ }.J'fIIOWed 9)'
Inspection
Dale
Arc:a, Buildin~ or Equipmt:nt Inspcctt:u
O~lC Apl'fOnuJ By
Action Tuken
EI':Cll'icBI
Inspector
~
8Ia183l3 NOSdWIS
0U:6LS~
SE:0Z L00Z/SZ/E0
3604172733
ST OF WA L&I
08:22:20 a.m. 04.04-2007
5/9
!~:t~
',.1.;
El3/3ElI2Ela7 12:El7
36a4174729
PCRT AHGELES CITY L T
PAGE Ell
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;:' .~;~;;CITYL~~:?~~I~~GNELES
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Date:,..' i -~:;3730l07
, . ~J-;..._~:..;:;_~~3.;':!.:
'To:'! -<"Labor & Industries
FAX TRANSMISSION COVER SHEET
Fax: 417.2733
I
;" Re: Inspections I
Sender: Kathy Trainor I,
Phone: 417-4724
Fax: 417-4729
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360)417-4724.
Please Inspect for:
L
q'
Gate Is locked, please call first to arrange for someone to meet you there.
Station: 457-7944
Robert (mechanic): 460-3780
Kathy
"
.
#f( fftl#j
y fj!;!f~)~ iff-::-
Thank you,
*
Nov 26 07 07:45p
Timothy Harrison
360-681-7152
p,1
Job wired by
(i"~'-~
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- Ii
\'S.....O;.O~."
\~ Electrical Con~ractor
ELECTRICAL WORK PERMIT APPLICATION
.
DOwner
Installation description
:a Commerdal 0 Residential
Eh;ctrical contractor
Date ExpiICS
CI New
)ii Altered/Addition
City
> vi.....,
Tel~h~,,-ne nurn "
31cO- CoC'
~mise:;+ers:;j..,\~ ~: lots
Ad~ ~[ in,pec.!!.o;il' , I .
?,oc, E. t:. 'f7J HooK
~' A '
or-+ Vt~pJes
Phone Dumber to 5cbed'u . hnpcction'
. .3 () _L
tate ZIP
<63'62-
FAX num, b~ r _
3<00- w<6i-'
,
AJ +f> 'v:- !is' e,X I~~ i Yl5
a.... -\- ti.\O+ S-tO-1- jOV\. ,
, ,
Cl rC.Dd::s
/52-
Owner as defined by RCW.J9.28.161 .0(1) Owner'" will occupy the structure for two
)'CQrs afler this elec.trical permit is finalized. (1) Owner is required to hire all e1c,.tricaf
cantractor if above said prbperlY is for sole. re1/1 or lease.
After readins the above statement, 1 hereby certify that I 3m the owm:r of the abo.....e
named property or a lic~nsed elcctrical contractor. I am making the el~ctrical instal-
lation or alteration in. com'plianee with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and
Utility Specificalions. '
Si.gnatt.r:t of Ol\'n tractor or electrical adminislrator
o Cash 0 Check #
JilCreditCard C~sa) Mastercard Discover
Card # ~~
x
Expiration Date
of card
Elect.. oad Ad Ions and
IJ NO LOAD CHANG
o Baseboard KW
(J Furnace KW
o Heal Pump _ Ton ~ LAR
o Fan-Warl KW
Service Information
:J Overhead Service
:J. Temp Service
:J Underground Service
Voltage
PhaseO,03
Service Size: _
Feeder Size:
SAME DAY INSPECTI01". CALL BEFORE 7:00 AM 360-417-4735
/' !ROUGH-IN THERMOSTAT SERVICE
1J/Z1l~ ~ Dlle:
0" Appro'.n!. By "- Dalt' ....ppr03...cd By "- "'-pplO...ed By
FlNAL /' DITCH /' FEEDER
, ~
r:i J2l.ltn
" 'D:.le Appro"..:! By "- D;Jlc Appro"oo Ily Dale .....pprovu19y
Inspection Area, Building or Equipment Inspected Action Takcn Electrical
Date lnspectoT
, -
.
.
,
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
\/1 07-1~'"3
OWNER/CONTRACTOR
7c:.c.VE..'!2.,~ ~
ADDRESS
305 ~ ~c:... H.bDl<
:-t1Z 1 L-
APP~OVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
\ l1:>.~ t>rL
~. . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
\
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
0" . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTI<:lNS NEEDED:
C) '" ~ ^,) PZ:.. f"l-. , "\ U:>-is
~~~,
PY.::4"'. fL~ I c:..,.
I
~1Q'A1Tz. 60T'?1'PE
AlA I L- VL-fT.T~
~v.f!;(2.., tyl.-J:l.\fL ""FOR-.
..,.J~~><S
1-/ b,.:r:r c.oNDo,~
~1~"T'lN f_ e:;~Jt
NOTI,FY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
, - DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452~,~381
-