HomeMy WebLinkAbout706 S H St - Building q2 CITY OF PORT ANGELES
�l® DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
e
321 EAST 5TH STREET, PORT ANGELES, WA 98362
L
Application Number 12- 00000789 Date 6/19/12
Application pin number 649935
t,,•1 Property Address 706 H ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 4600 -0000- REPORT SALES TAX
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2845 (Location Code 0502)
Application desc
HEAT PUMP- DUCTLESS
r
Owner Contractor
Lovejoy Sarah AIR FLO HEATING CO INC
706 S H ST 221 W. CEDAR rYla (9' P
PORT ANGELES WA 983635417 SEQUIM WA 98382
(360) 683 -3901
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP- DUCTLESS
Permit Fee 64.80 Plan Check Fee .00
Issue Date 6/19/12 Valuation 0
Expiration Date 12/16/12
Qty Unit Charge Per Extension
BASE FEE 50.00'
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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
I4st 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)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD 8
E---
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735 CA
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
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date 8 �O Accepted by 01
MANUFACTURED HOMES:
Footing Slab
Blocking 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
I
Electrical 417 -4735 t
Construction R.W. PW Engineering 417 -4831
Fire 417 4653
Planning 417 -4750
Building 417 -4815
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0I rogr ^,1 BUILDING PERMIT APPLICATION Print in ink
i f, i CITY OF PORT ANGELES For City Use Only;
1 Attn: Building Permit Technician Date Received 1`t• 17-
321 E. Fifth St., Port Angeles, WA 98362 Permit I'
(360) 417 -4815 fax (360) 417 -4711 Date Approved a
Applicant or Agent tot( FLo vk E A' Psj cr.- Phone (a$3 -390\
Owner eATIRtC_l. L..bgssb1 Phone "191 4104 to
Owner's Address f(Ib(o si)t)TN 4 smeer0 pp T ik.ki LcL.GS VJ V n3G -A..I.
Contractor /Engineer #r1 a Pl.O E -eArr NJ 6- Phone t -3101
Contractor /Engineer's Address t EXEC I
License A l R 1 p to bc,- Expires 4 f IN.
PROJECT ADDRESS 10 (o 600 1 4 N S-rR.sic
Parcel Number 0(P30 00 O OD Lot Zoning
Project Type Brief Description: it Residential Commercial o Multi- family o Industrial
Check all that apply
New Construction
o Addition
Remodel
Repair
Re -roof
o Demolition
o Sign wall- mounted o projecting freestanding o awning o other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
pit Heat System pHeat pump wood- burning stove gas fireplace pellet stove bother t CTl rsS
o Other
Floor Areas Existing (sq. ft.) Proposed (sa. ft.)
Basement per sq. ft.
1 at Floor
2 Floor
3 Floor
Carport R C V lilt
Covered Porch (A• f4aI
Deck JUN 1.9 ZU1Z
Shed
Other CITY OF PORT ANGELES
BUILDING DIVISION rb
TOTAL VALUATION M'K•
Total footprint of structures sq. ft. Lot size sq. ft. Lot 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 a thorized to apply for this permit a
understand that it is my responsibility to determine what permits are required, a to obt permits prior to working on
project; p
Date (Q "l QQ I
11... Print Name ELLE1 4 M� V l E R-5 Signature
C/
T:Forms /B Iding Division/Bldg PermitAppl. -2D06 Code.doc
1 d I LGE 689 09E 01.E NUJ Wd80 :2 2100 6I unc
0
ELECTRICAL PERMIT i
CITY OF PORT ANGELES d
da
360 417 -4735
v
Application Number 12- 00000830 Date 7/02/12
Application pin number 270750
Property Address 706 H ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 4600 -0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
1 circuit ductless heat pump
Owner Contractor
Lovejoy Sarah ANGELES ELECTRIC
706 S H ST 524 E. 1ST ST.
PORT ANGELES WA 983635417 PORT ANGELES WA 98362
(360) 452 -9264
CD
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date 7/02/12 Valuation 0
Expiration Date 12/29/12
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00 1
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH IN -T °Igt62
FINAL 713 I
COMMENTS: 7
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ,4
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
06/28/2012 14:22 FAX 360 452 9265 Angeles Electric 1,0]0001/0001
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Cltygf :RofAnpaIM PirmltApplicatlon 4
E LECTRICf�
dil dinlib itifirgliO iat,Mipiouona Q7
::3 1t ut l tgot 1160 INSPECTIONS
::-Ppr 40.IetWi hlitiltg1
Pl ,j'3to).41r ./dd. 4174711
D <Y
1 2 Single FamlyDwellIrg
MulOarnlly_ tl
rCommerdal•
Coriiril.8e0etAddlotl)Maretloa' Remodel Repair'
PlanRev*MayBd Requir Plane Complete Electrical Plan RiMars In(omiation•Sheet
JobAddmsl: 706 '�-�l �r''
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el se w „qr .�..r,�
Noe, 't 71 i rt Name: its t4
drear %I� M row, ,524 A. T Sr
Cllyt State: y Dix %f.;t?SG City. State: ttdig
Phone 'jd "4: i'7. ac phone !ems -14 y Fioc ‘06
;Uconae41 EIS, t lcenae a> t,xp, r4M t 4' BPS
.1.1pI(Caarae ,2X Tote' (Q Y Mu1tlolled by unit Clime)
•8:1:1A:90'2 8 SenitelFoeder.200..Amp.::
.3':145 :60• Sarvb&Faedar201400A p.
;1:2 SeMcelFe$der401400Arm.
526220 SenlceVaaedtr001l020Arno.
:::3372.50 i Servcalnedar.vw
.''..i 2.60 BratnchCiadtWi kv1CoFfader I
S 173:60 T •i Branch Chunk W!b nk* Si Feeder
2.60 Each Adddond efildiODA
9210 SerVWFi
Tamp. adar200Amp. i
:•1110x0, i Temp. SonloelFiedr 40 At 401 p.
8 Te p. Bervics Fndor401a00Mip.
T Terrm.9entNFiader I
_4'15110 t P ond14PNitta* I
'8 8820 8 elsnlOuttimUphrng
.'95.90 _. dMatti tt nitad Cpmtnardd.Addlioaa11500$6.00
3; :60.110 Sand Gait Lilted -1I 112 Fun Magna :•03:90 Pool Ctitip UnitId•Enstoy-
:`S 11 .3:00 6hiritmly adi toiritrCoriiiec6ar I
10210 fit'3 Ofealdlfe r•51NA&Momcalms i
:1 :110.30 Fitt 1700 Squire Ft r
Eachmonoraf600SquasRorParton
::1`; 7360 SS or D ..Y.-
0, &3
brRCK.1 esr0l
1.l$J6f ;(1)On••• py the sa rrcerre for teorars arfer>I<ifs dfs
dirOoo la &ad PJ Oxmo rIngr t oMoanalre0falnnt retord
7 1 bOira F UfdpniD1 K0 MlatiMaf gf len& P.irmf gobs dbr demands ofk t hupecf
a ding fits above of meet 1 huaalgr amtlty that I am 04 owner of pu above named, pro' oor a Maned eteemat eontrxlar 1 am ugug oleatAoslinhl Or or
a twt�0o r lyn n P1r• bIna, NE. c„ RCW. cite pbrl9.: awAGchripbr n> lcdtrotFortA .rcoaem`aum
S1gnihirs:of ownar,_ahehial contractor or 'tactical administrator I l7 Cash
j Chaokt.. ,le �dadRCard= D�' 1
I
ELECTRICAL PERMIT
CITY OF PORT ANGELES 0
360 -417 -4735
Application Number 12- 00000080 Date 1/24/12
Application pin number 409200
Property Address 706 H ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 4600 -0000- on our excise tax form
Application type description ELECTRICAL ONLY Y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
DEMAND RESPONSE NO FEE LARRY DUNBAR
Owner Contractor
Lovejoy Sarah OLYMPIC ELECTRIC CO INC
706 S H ST 4230 TUMWATER
PORT ANGELES WA 983635417 PORT ANGELES WA 98363
(360) 457 -5303
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc DEMAND RESPONSE NO FEE LARRY D
Permit Fee .00 Plan Check Fee .00
Issue Date 1/24/12 Valuation 0
Expiration Date 7/22/12
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
INSPECTION TYPE DATE:. RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 3/c 11
FINAL 3 17 cf'"l.
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
N
f*tahr.t• 1
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CITY OF PORT ANGELES PERMIT APPLICATION L
Building Division /Electrical Ins ections Y4 0
1 4 41 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL
INSPECTION'
Date: 01/24/2012 X 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 706 "H" ST.
Building Square Footage:
Description of above DEMAND DRESPONSE DISCONNECT FOR WATER HEATER
Owner Information Contractor Information
Name: SARAH LOVEJOY Name: Olympic Electric
Mailing Address: 706 "H" ST. Mailing Address: 4230 Tumwater
City:PORT ANGELES State: WA Zip: 98363 City: Port Angeles State: Wa Zip: 98363
Phone: 360 797- 4846Fax: Phone:360- 457- 5303Fax: 360- 452 -3498
License Exp. License Exp. OLYMPEC285D1
Item Unit Charge Total (Qty Multiplied by Unit Charge)
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 1 0.00
Each Additional Branch Circuit 5.00
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 /Feeder601 -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
000 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.
Signature of owner, electrical contractor or electrical administrator: Cash Check
Zi Credit Card
x Michael L. Rutten Dated: 01/24/2012 01/01/2012
.... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING
DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 12/03/2002 PERMIT NO: 13889
OWNER/APPLICANT PROPERTY LOCATION
706 H ST S
KENT OSTERBERG
706 SO. H STREET Lot: 1
Port Angeles, WA 98362 Block: 246 [] Long Legal
360/452-9511 Subdivision: TPA
T: S: Parcel No: 063000024600000
CONTRACTOR ARCHITECT
ARMOR ROOFING N/A
2524 RYAN DR
Port Angeles, WA 98362 , 98360-0000
360/452-3667 360/000-0000
PROJECT INFO
Project Value: $1,600.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAR OFF, FELT, COMP
RECEIPT#0975
FEES ASSESSMENT
Building Permit: $57.05 Misc Fee 1: $0~00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $61.55
Plumbing: $0.00 AMOUNT PAID: $61.55
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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 Date Signature of Owner (if owner is build~r) Date
T:\PLANNING\FORMS\ ] 102. ] 5 [4/20021
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 1TIS UNLAWFUL TO COVEI[,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD/ DUCTS
PWUTILITIES/ SITEWORK (EngineerlngDivision) SEPARATE PERMIT #'s:
WATEKLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'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 FIKE DEPT.
BUILDING 41%4815 ! ~ BUILDING
T:\PLANNING\FORMS\ I 102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date /~ -~_~ --c~_ Time 2-'~/~-~'--- Received by (phone, person)
Location of Work to be inspected ?~/~ ~-'~'* ~/ ?~rT'--
Name of person requesting inspection
Address of person requesting inspection ! Phone No. ~'~--~-
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date /'~-~ Time By
.,
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [-]Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
FEE RECEIPT NUMBER
,
;
I
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
fot95
PERMIT NUMBER
.
TOTAL FEE Ib/~ k&{' .
CONT.lIC. NO. TIME TO COMPLETE NO. STORIES \ LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY : NO OCCUPANCY OR ~SE ESTABLISHED U,NDER THIS PERMIT: ,\
Site Address ~;:? ~ - 5l?' .fI' , ' C' " "
'! ., " .- '_ COARECTADDRESS.lS RESPONSIBILITY OF ~PPLICA:NT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner KEA/f (JS7P!RI3&RC, \ 'InstallationBy /lA-Lt/t?Rr~A/S E7Kc.TRjG'
Owner's Address 1fl:.6 f~-' /1' , - I~s;allers Address /42 G u/ /.1 ,Ii
Day Phon" :' .4. 1 ",' " Installers Phone ,,4s'}-9,tP/7 <?
Application,is hereby made for Permit to install Electrical Equipment as follo';s: -fEIt/ //?.F' I?FMIJIJELFJJ t::/tRME
:~ A/J;J<./ /"/ JC
'iY'1- 2'77
-
Wiring Method
.!
NUMBER AMP 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 120V 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIR 10 30
LIGHT I ,/ SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE I ~ F=,Z r....--/ " MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIAE ALAAMS
DISPOSAL BURGLAR ALARM
RANGE MISC,
OVEN ~L1./" 1/1 I ,~O ,/
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS-OIL::"'"
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
,
ELECTRIC HEAT I ")1)'0 v"
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 certifjl that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made ,;;;/6' ,198(;; By
~/rt
> "
. Date Permit Issued
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 _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
DATE OF VISIT
MADE BY
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REPORT OF INSPECTOR
REMARKS
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O.K. FOR COVERING
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FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15883
.y -c}-3 ;>.c
Port Angeles. Washlngtonmm__mmm______.__mm__m_m_m______m_._.. 19__mm
In accordance with the City Ordinance to regulate the installation, extension. or repair ot elec-
trical equipment In. on, or about any building or other structure In the City ot Port Angeles. per-
mission is her~y ~an~o wctrlCal work as listed below. A--'! ,
Address m.-2m_mm___._.m____.___________m________.______.._._____.____.__.__________ Occupancy____________""'=__m_.._..._______.______
~:~:~~.~~~~:~~~-:::~::.::;.::~~~;;.~::::::.---~~::~~;:::::::::::::::-:.'--:::::::::::=:::::::::::::::::::::::::::::::::::::::
/j -' ;.:'2-0/:5Y.6
Light Outlets....................n....n..._..___... Service, volts .00.00__00..00...............__.00......
Receptacle OuUets......2.C9............._.... No. wires .....J..................p........
Dryer, KW ___m..,d___...._..__........___....___ SIze WIres..7~;i........._..
Range, KW...n.I..~.hn._..n...__n......__. Main fuse .__.m........___.m___..n____n.___
S
Enclosure .........................0000..00
Water Heater:
Heat~:~:::::tZi{f.::::.:::::..:::
Type of wiring:
Entrance Cable ..mm.n.___m___
Motors: size. volts and phase:
i7&.t:;;;~::::::::::::::::::::::::::::::
RigId Conduit ..................
Metallic Tubing n___m.......
Current transformers:
No. & Size..m....n.mn.........n
SeT. NO.__...nn....................nnn..........
SeT. No. .............................................
SeT. No. ...00..............00...........00........__.
Type 01 Wiring:
Armored Cable ...nom.......n............
Non-Metallic .................._............._
Knob & Tube............_.n...n...__........
Rigid Conduit ......____.....................
Metallic Tubing ..m....n................
Circ:::~::;h.~::::::~?:::~~:::::::~~~::~=~~::~
UtilIty _......c::;...................................
c:.
IJeat ......................................__...._..
.:J!..
Range .......0000.........0000......00.............
Water Heater ..:::;1:............m........
Motor ..._h.................n...........n......
DryeT .......2:...............00.00.......00......_
F UTllace . ..........._._..._......'_......_...........
Total Load.....m....m.m._mn... Ser. 1'\O....m..........._...........nnn.......n Total mit-.)!___n....................
Remarks: n__.h....n._n.nnnnnn~!:.-:!.~~n.::-C~~~....4....!..n.nn.nnnnnn.nn.__n__nn_..nn___________________..
~ermit Fee
$_.__J/.:.!2__'=?m_m.________..
Treas. Receipt
NO..____m_____________m____
By Zclf..n'~~;;Z~dg,,,~~.--
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
N?
15883
Address..................._............................._..................................................._....__..........................Date..._......_.._.._.._.........._......_......__........
Owner n....................._................h....._.............._.._...........................00.....00..00...........00. .... TenanL..........n...nn.........._.__..n.nn_........................
WirIng Contractor..................................._............................................................__..00 .....00.00.00.0000 By.......nnn.......nn...........n...._..nn.........n...
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
-cealed due notice ~lUst be given the Inspector so that work may be inspected before concealment.
..
-''II,
1M Olympic Printers, Inc.