HomeMy WebLinkAbout315 Forest Ave - Building
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
.:26 'It
.s-/-0't/
..
ELECTRICAL PERMIT
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ Residentialr r
Heat KW ",.-S
o Baseboard 0 Furnace/Boiler
o Heatpump 1'j(Other~
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
)iCRemodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o undergr~6. {)
Voltage tf. y.; ~
o 10 030
Service size .::J~ Amps
o Temporary
Detai I slDescri pt ion:
l?~r/
dc#;u~
I
s:r;tcU /-~ /41.
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
f O.K. to connect service
~ Finai 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:
permit~cZPf6
New Meters
.
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 Insp~ Writing on the Wiring Repor~ or the Building Permit. PHONE 457' EXT. 158 or EXT. 224.
/ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~t9f!LO
Inspector Amount paid
WHITE - file by address YELLOW - fjle by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLY~4PIC PRINTERS. INC.
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000115
PERMIT NUMBER
..
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.({ELt=cilSJ ,
TOT At FEE -. JDt 0,0 ~ ( H 0 II S '<.
- CON')'". Lie. NO. TIME TO COM~LETE NO. STORI ES LEGAL OCCUPANCY
ELECTRICAL PERMIT'ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Si'teAddress3iS FO.eEST . .1f~E' \ .
_ /J ~O.RR,..ECT ADDR 55 IS RESPONSIBILl~Y OF APPLICANT PERMITS WITH WRON.G A.wR~SSE~RE CAN?ELL.ED_
Owner !4 r/dJlf/;;LES ~ CLot{ . Installation By,.. t1. V- K- #ECJ;e/G
"JrlO .A~- il- Jt E S ., .''':-:;'' r r7T# IC> ""
Owner'sAddress i C/;r:oxl'w.n . "rlAlv l-b Installers Address v~b7 ,=, ., - , Fr'
Day Phone -4h!J-~IS- ,Io-rl.il -;?#L S Tcvtl Installers Phone 45 j, ~ 2-:-.
Application is hereby made for Permit to ihstall'Electrical Equipment as follows: fA.; I ~ e 5' "Al G L ~
--E4~~Ly #Oq5~
Wiring Method i5 (J NJ-t'y..
.
NUMBER AMP 120V 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
LIGHT - 50 VOLTS
OR LESS
CONVENIENCE - . MOTOR
CONVENIENCE. MOTOR
APPLIANCE . . MOTOR
DISH\VA:?HER - FIRE ALAAMS
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
..."
E~ECTRIC ~EAT .) ;).lft V TOTAL FEE ](J. 00
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AC.UNIT ~ odJ AMP 1 PHASE
FEEDER t/ V SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE V- V/. j61.~ 4-10 -!I / u p/( A.w.G.
1- SUB. TOTAL 10.00 SIZE OF GROUND ~ Ir. SIZE OF ENTRANCE SWITCH ~ 004/11
r
1 certify that the work to be performed under this permit will be done by the installer and i
Date Application made / / ~ ;). 7 - ,19 71'
(
C. Electrical Code.
.'
C TRACTOR OR OWNER (OR AUTHORIZED AGENT}
PBrmissi9n is hereby given to do the above described work, according to the conditi ns reon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
/1-?7-=-.'L BY'/Y1 7Y~
r jj ., PLANllee.f::(, ,.', '
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.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD -Inspector's Report
OLYMPlC PRINTERS, INC.
i ,\
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DATE OF VISIT MADE BY
"1- -;l<;-$', /jf~
"2 _ ~'b,rS- 71/R
t,-). 7 - ~s- $ ,t:Y
A/J
7 '(S~'$o ".
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3- :l (- 1"
7-IY- "15'
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t;'flj
1/1' ~
REPORT OF INSPECTOR
RE~~KS
,p,rrsrtJe CCkl(!kO(4/~~"e/J .PROM .
g~r~rRot>/VI GAlc- I Ale';:; ov/ -r-D IAie</
c,rv o/?JJ,,,,, ~;:: J
/.:-/l~f> /ltre Of sF' fr'o r Hoo j(~,j? 'if --J.fI/JJ
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
.
r )0303
V FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
QaDi'LL
PERMIT NUMBER
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
:3 IS' Pt11f'85 TAtE
CORRECT ADDRESS IS RESPONSIBllIT~F APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ' WC.StE. :()~.s (.i-' InslallationBy ----Lt+,f iG"-fcr.eiC
Owner's Address p()J30jr /1OS" 'IZ'/ A4Iw6U!5.Jp InslallersAddress 53" E,' '71:..# RlRT /tv;'6Uf
Day Phon" -15t)-~~fJ5 - -...jOiJAI RJ4<-Sl'",/I/' Installers Phone 4::1'-:;;1-'7992-
Applicatlor:! is hereby m.ad~ for Perl11i~ to install Electrical Equipment as follows: re,A'( ~
.
TOTAL FEE
1 s-;OCl '
.--
(,
eJI(S€-
TIMETOCOMPLETE
NO. STORIES
LEGALQCCUPANCY
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
FEE
240V
100A
30
120V
10
LIGHT
LIGHT
CONVENIENCE , "
,
CONVENIENCE
APPLIANCE I";:" '\~
DISHWASHER ~l\/) \'
DISPOSAL ./ ~\ \\6'
. RANGE ~\? ).: V
OVEN )~ \. \. 'V"
WATER HEATER // ~\.
VA /; ,
LAUNDRY
DRYER "'\:'-' :;';
FURNACE - fi /
GAS. OIL
FURNACE V '/"'
ELECTRIC
ELECTRIC:;; HEAT
ELECTRIC HEAT ~
A.C. UNIT "-
,
FEEDC~R <
~Le.
Wiring I ~thod
't1 ~'
USE OF CIACUIT~ 'i:Ni;J~~~'I A' ~'20V
". .' CIR Ul., ;..:.,' r\.' 10
, , I",
SIGN / ./"'\,~\ 1\\ \>
50VOLTS _ \\ \IL.. '". I>
OR,lESS ...-, \ ~["' ~ \
MO~ \~ . \\ \.}""
!~tg,...... '\. '--
240V
l00R
30
FEE
!N?ALAAMS
BURGLAR ALARM
MISC.
f.e.N1fcAV
t.---
Is.o 0
So
IS. 00
REINSTALLATION LIGHT FIXTURE It
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE I ,).I:>-t:l
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
SERVlCE .. ~ ~ \"'~J f'.. AW.G.
I SUB-TOTAL Sl~'OF'-" SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the i~lIer and1n::;;;-fbfma.nce withA111 Dr.1t.eY.'Electrical Code.
co TRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission ishereby given to do the above described work, according to the cond ions reon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles,
~ ' DIRE~O~ CIT~ LIGHT
Date Permit Issued I/~, '/, 7 - Q--LL By -~~r ?~~
cI'- 0---, PLANS AP ROVED
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.
Date Application made
1/-
;).7
.
~ARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
('II VMgll~ PRINTERS, INC.
WHITE. OrIginal CANARY. Duplicate PINK. Triplicate WHITE CARD, Inspector's Report
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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//2'1'';(<[ .4fEJ ; O.K. T~ CONNECT SERVICE
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