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Home My WebLink About214 Hancock Ave - Building ELECTRICAL PE .11" AND 11%' reEt 1aU1/ itt;;LUICII CITY OF PORT ANGELES 360 -417- -4735 Application Number 08- 00001553 Date 1/05/09 Application pin number 012338 Property Address 214 HANCOCK AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-2- 2408 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 600 amp service and garage Owner Contractor ALAN C OMAN /NANCY J OMAN OWNER 214 HANCOCK AVE PORT ANGELES WA 983622522 Permit ELECTRICAL NEW RESIDENTIAL Additional desc ALTERED SERVICE Permit pin number 139360 Permit Fee 137.00 Plan Check Fee .00 Issue Date 1/05/09 Valuation 0 Expiration Date 7/04/09 Qty Unit Charge Per Extension BASE FEE 91.00 1.00 46.0000 ECH EL- R- OUTBD /DTCH GAR IN /SEP 46.00 Fee summary Charged Paid Credited Due Permit Fee Total 137.00 137.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 137.00 137.00 .00 .00 ORT ELIECINCiat NSPECTION 'MMIG ,1* 6,4cN 417-4735 DATE: PERMIT INSPECTOR 91>i 653 —1553 OWNER ALA ts-1 6 1 1 CONTRACTOR ADDRESS 2, I j-4 AN. CO C...14 APPROVED NOT APPROVED 0 DITCH 0 0 ROUGH IN/COVER 0 SERVICE 0 ?RIM INL FINAL 0 CORRECTIONS NEEDED: Otrr 1 NOTIFY INSPECTO WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DYS DO NOT EMOVE RECEIVED o µcg DEC 2 3 200JLECTRICAL WORK PERMIT APPLICATION bE 553 i Installation description Job wired by Electrical Contractor Owner Commercial rii Residential Electrical contractor name License number Date Expires x New Altered /Addition V' Purchaser's mailing address Convert 320 amp. Service to 1 City State ZIP (1 600 amp. C.T. metered service. Telephone number FAX number (existing) 400 amp. to existing structure Premises owner's name Alan C. Oman 200 amp. to new detached garage /shop. Address of inspection 214 Hancock Ave. 100 amp. sub panel (feeder) City Port Angeles, WA. 98362 Ri"i"13cf7$D 5FERAYIC l 11 00 Phone number to schedule inspection: 4 57 3230 o Owner as defined by RCW.19.28.261:(1) Owner will occupy the structure for two Qu�'T31� 1 L�1 i�lto y G 13� years after this electrical permit is finalized. (2) Owner is required to hire an electrical I contractor if above said property is for sale, rent or lease. Cash Check 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 instal- Credit Card Visa Mastercard Discover lation 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 Card Utility Specifications. (Signatur• of owner, electri .1 contractor or electrical administrator E Date 1 Inspection fee D I I X Date: /,2 -,,,v O n of card L 3 7 m c1_ Electrical Load Auditions and or subtractions Service Information NO LOAD CHANGES Baseboard KW Voltage 240/120 Furnace KW Overhead Service Phassa 1 3 Heat Pump Ton LAR Temp Service Service Size: 200 amp. Fan -Wall 8 KW Underground Service Feeder Size: 4 /0_al, SAME DAY DAY INSPECTION,C BEFORE 7:00 AM 360- 417 -4735 BEFORE 7:00 AM 360- 417 -4735 UGH-IN THERMOSTAT SERVICE Date 1 c p per 2l co Approved By Date Approved By Date Approbed By FINAL 3.70 6095 DITCH FEEDER t I A p. A Date Approved By Da e Ap.r red By Date Approved By Inspection Area, Building or Equipment Ins Inspected Electrical Date g p Action Taken Inspector 1 4 a3/o1 QkL /1( 13.3 S f z 10 PARTI, s 1-t, P (.0111- L_ 14 F I 8/7/ 12 7 ��IV( )6 A 0 0A-j--2_, Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 100 amp temp pole Owner ALAN C OMAN /NANCY J OMAN 214 HANCOCK AVE PORT ANGELES Permit Additional desc Permit pin number 139352 Permit Fee 46 00 Issue Date 1/05/09 Expiration Date 7/04/09 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983622522 08 00001552 936992 214 HANCOCK AVE 06 30 09 5 2 2408 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER ELECTRICAL TEMPORARY SERVICE Qty Unit Charge Per 1 00 46 0000 ECH EL TEMP SRV 46 00 00 46 00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Paid Credited 46 00 00 46 00 DATE Plan Check Fee Valuation 2113 0 100 SRV FDR 00 00 00 Date 2/13/09 RESULTS ftf) 00 0 Extension 46 00 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. w I, Job wired by Electrical contractor name Purchaser's mailing address City Telephone number Premises owner's name Alan C Oman Address of inspection 214 Hancock Ave Port Angeles WA 9 Phone number to schedule inspection 4 57 323 0 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. 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 instal- lation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Card Utility Specifications. /Signature ti; owner, electrr• al contractor or electrical administrator City Baseboard Furnace Heat Pump Fan -Wall L IG HT 6( allation description Electrical Contractor a Owner +I.d�7 Commercial XI Residential KW KW Ton LAR KW State ZIP FAX number Electrical Load Additions and or subtractions NO LOAD CHANGES X Date License number Date Expires a New c),fcard Overhead Service Xi Temp Service gic Underground Service Expiration Date SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360- 417 -4735 Inspection Date I e' 3los ROUGH -IN 7 THERMOSTAT Date Date Approved By FINAL Appr ed By c -I4S Date 7- Area, Building or Equipment Inspected RECEIVED ELECTRICAL WORK PERMIT APPLICATION DEC 2 3 2008 DITCH Approved By Date Appr ed By Altered/Addition 100 amp. temporary service Cash Check Date 7 Date SERVICE FEEDER Action Taken AP Appr ed By Credit Card Visa Mastercard Discover Inspection fee q 1 Service information Voltage 240/120 Phase 1 3 Service Size: 100 amp Feeder Size: #1 al Appr ed By Electrical Inspector "" pORT ~ ((~~~ hii L~ ~ ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000824 Date .916280 214 HANCOCK AVE 06-30-09-5-2-2408-0000- RES REMODEL 9/17/04 RS7 RESDNTL SINGLE FAMILY 2000 Ft NA L-'E;t::::> 4/Z6/tJ5 Owner Contractor ALAN COMAN/NANCY J OMAN 214 HANCOCK AVE PORT ANGELES WA 983622522 OWNER ----------------------------------------------------------- permi t . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL RESIDENTIAL REMODEL 92.75 Plan Check Fee 9/17/04 Valuation 3/17/05 37.10 2000 Qty Unit Charge Per Extension 47.00 45.75 BASE FEE 15.00 3.0500 HND BL-501-2K (3.05 PER C) ----------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 92.75 92.75 .00 .00 Plan Check Total 37.10 37.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 134.35 134.35 .00 .00 '}> -. ~ }. -r1 ~ - (3 'Z ~ .~ ~ r Y:> c ~ 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 construct;on t2L L' {~ tl%'/ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 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 DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING I,_I....-__<A JI L DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 t../ - 28-05 'I LL BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] '" '" >-'l 'tl ;;~~8E; n'd t"' t"' ><: ; H" '" w 'd 'd"ZZO >-'lOJ '" , t"'nOJo-J" ><:'d Ul H OJ ""OJ P 0 0 0 >-l Zt"' Pul 0" .... .... !j1. nUl "'OJ >-'l 0 III III 0 'd ~ 'tl OJ. ". 0 .... .... n"~ " ".. .... .... OOJ >-'l' " 3:0 N ........ 'dCO oop N ~~ "'Ul t"'OJO .."'t"' .... " OJul ~~~ .. G)o 00 >-'lo-Jlll OJUl .... 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Z[f) t'l '" ~ 3: ~ [f)'d Z rT t'l 'dt'l o-J '" H Z t'ln [f) " "" Z o-J n>-'l lJlQ [f) o-JH ~ ........, 00 .... , "'Z 0 w '0 "'o-J <=-<>-'l Z W H ~n 0 3 03: 'd'd[f) o-J t'l 8861 t'l:>: t'l [f)t'l [f) ZZti o-J .... t'lt'lH t"' ...., <: t"' 0 H 0 t'l '" t"' ><: ti'd :>>:>> o-JQ t'lt'l .... .... , .... lJl , o ""'" BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONL '( Date Rec.:-r - S '.0 :""'__ ermit #: 0 ~/ - e'i. ~ Date Approved: 91 ~ I) Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: /lI ~ Owner: ~~~ Address: ~I -Y' ~Ct!l6r c,. 0/17 rl7v Phone: Phone: City: Aar A h~-/.s'5 M/JI/ 4S"? -.3'2-.30 /IY~I Architect/Engineer: Contractor Phone: Zip: 95'367 -Y5'7-!JZ-30 State License #: Exp: Phone: Address: City: Zip: ZONING: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: .x Residential D New Constr. D Re-roof D Stove SF. @ $ /SF. = $ D Multi-family D Addition D Move D Garage SF. @ $ /SF. = $ D Commercial )('Remodel D Demolition D Deck SF, @ $ /SF. = $ D Repair D Sign D Other TOTAL VALUATION $ 2,<::::c.c~ BRIEF DESCRIPTION OF THE PROJECT: ~#J/~ ~~ .$A~P ~ .NU7Z> B/J:L)~! /?7Dr/e - /'~j:J/fU6 1?9:1V,<, /9u)RJ //Zon? H,pu~_. COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq, Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other: BUILDING PERMIT APPLICA TION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 4 I 7-4815 for assistance, PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are submitted, All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon WTitten request by the applicant (see Section Rl 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and t obtain such rmits 'or to work. C Date:~ Applicant: T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit. wpd ~ ~ ~J F ~ -t:.. ~ <J1 ~ ~ 'X ruW w ~ f'l '- tfl ~ r 0 o _ ~ - -I i: G'"' (, - - 11 G ~F IS '"'h 0 F to ~VJ ... :b '1 ~ Let' ~ :t>~ L1 c:::.. () ~ Vl ~E ~ ? U> ~S D ') - ~ ~ LA ~ :l ~ ~ ?~ ~ t C> () P 0 - - .~ /0 ~ ...t.. tJ ~ . '3 ? 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"" -' \ -:- :L~~ ~ ~~J (j.> ~:1 Ci ~ r ~ .t~ ~ ~(f1 ?\ ~ -0 f" 11'\ j (J ~ ~ I C J ~~~ tI\ - ...... ~ F :.' (jf \../ ." '" -l c! ,ORT ~ tS4.~~ ~ L~ :--=- ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000824 Date .916280 214 HANCOCK AVE 06-30-09-5-2-2408-0000- RES REMODEL 9/21/04 RS7 RESDNTL SINGLE FAMILY 2000 Owner Contractor ALAN COMAN/NANCY J OMAN 214 HANCOCK AVE PORT ANGELES WA 983622522 OWNER Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 1-4 CIRCUITS 48.10 Plan Check Fee 9/17/04 Valuation 3/17/05 .00 o Other Fees STATE SURCHARGE 4.50 \'J ('- --- ..... -\... ~ t 0 C- O ft (l (( 71 "i 1"1 ~ <:. L ('i\ t Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 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 DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ,/)/. RJr.'P- >0_:+ )~ ~ ROUGH-IN Irt",I_c":..{) (I A~~ I -~ PLUMBING . . t UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'8 SEPA: P ARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 iA~jp.5' ~ ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 PW 1 / CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. .3 ?cfS-- 9.8-'?:r- DATE ELECTRICAL PERMIT SitJ Address: o READY FOR INSPECTION License Number: ~WILL CALL FOR INSPECTION Phone: In ailed By: I Owner/Business Address: Phone: Sq. Ft. }o TEMPORARY SERVICE PERMANENT SERVICE NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o OVERHEAD SERVICE ~ UNDERGROUND SERVICE I VoLTAGE: X'f SINGLE PHASE /0 THREE PHASE SERVICE SIZE ~I'J~ AMPS 'K1 RESIDENTIAL /D COMMERCIAL o !3ASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ 9( ~EAT PUMP KW_ o SIGN DetLslDescriPtion: I ~ -I -I W.S. No. I CAPACITY: I 0 O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER I 0 INSTALL SERVICE POLE I I OOitch Inspection OK I ~ ljJ ~ough-in/cover O.K. ~ ~ ?K to connect service .A&"~ Final O.K. o SPECIAL EQUIPMENT (LIST BELOW) SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER In~taller: New Meters I ~ 9-8- '- Nollly Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered befbre 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. 5 Si e Address: WH;;rE - File by address 0"1C PR'N"" 'NC. Permit/Receipt No. :;? 1 es- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ss. D CJ Permit Fee YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept., Bottom: City Hall )if IflESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o fURNACE KW _ DEAN/WALL KW _ o 1 ,EAT PUMP KW_ o SIGN DetLs/DescriPtion: I -I I I I I w.1. No. CAPACITY: 10 O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER I 0 INSTALL SERVICE POLE ~ o lDitch Inspection O.K. I o Iflough-in/cover O.K. ~ ~ ?K. to connect service o Final O.K. I . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. :;:? 7cY:/ DATE 9-8-CJf)- ELECTRICAL PERMIT Sit Address: WILL CALL FOR INSPECTION Phone: o READY FOR INSPECTION License Number: In.:alled By: Phone: Sq. Ft. v( TEMPORARY SERVICE ~ PERMANENT SERVICE """ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o OVERHEAD SERVICE g UNDERGROUND SERVICE "VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS o SPECIAL EQUIPMENT (LIST BELOW) - ~;;'~'M-t ~- SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER In$taller: Date: r...8-Y'~ Si e Address: Permit/Receipt No. 37rf New Meters I No ify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered befbre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or 6n the Building ermit. PHONE 457-0411, EXT. 224. I ~ P NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ c:2 0, 00 ! EI ricallnspector Permit Fee WH E - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLY Ie PRINTERS IfIle -L ()I.-I- (5.;) <F . ELECTRICAL PERMIT APPLICATION ;:DE O!T!C!AL USE ()~!L 'r lMlul;oc' h",,,;! p .'_._'~-~.'_-=--=:==.\ [)~loAI'I"""',j _______~ Dal" 1~~uoJ ___~_____.___ The Electrical Permit Application must be filled out completelv_ Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: ".9 L4 A/ C-, l'),nA:^:l Property Owner: IE. ~L Address: dJq /i?;ueo~'c Phone: *7-.5';:)30 Fax: Phone: r?7/ 11_ . City: C7 /dl'Z-r Av/"€-ds. pJI/. Zip: fB~'7_ Electrical Contractor: License #: Exp: Phone: Address: ; City: Zip: INSTAllATION WIRED BY: }(bWNER Credit Card Holder Name: o ELECTRICAL CONTRACTOR Billing Address: /' City: Zip: Credit Card Number: Exp, Date: VISA: MC: ~ ~ \ PROJECT ADDRESS: K .t/~ ~"'.L>eff TYPE OF WORK: Check !ill that apply: o New ~--, p(Aiteration/Addition Number of Circuits added or altered: o Detached garage 0 Hot Tub 0 Swim Pool 1-<1 o Septic Pump o Low Voltage 0 Telecom. ~ ~ o Sign ~Residential 0 Multi-family \ o Remote Meter o Commercial o Mobile Home Sq. Ft . DESCRIPTION OF THE ELECTRICAL PROJECT: ~,... 0,0 LA- / BI€/.)~"h / mooD /Di5<f1- I Electrical Heat Load Additions and or Subtractions Service Information :J Baseboard ~ Furnace ::J Heat Pump )(Fan-Wall _KW KW TON LRA I KW- o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: , hereby certify that I have read and examined this application and know that same to be true and correct, and I am 3uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits 3re required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: i Owner or Elec. Cont. Signature: c Q~ - Date: ~ :JElECTR::R:!12 q (~ol b~ ~ L. "'. / m() 4//71, <I PERMIT FEE: $ Date: 0' f( Y$/o