HomeMy WebLinkAbout1321 S Laurel St - Building
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Sito Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Ins1alled By:
Owner/Business:
Owner/Business Address:
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
PERMIT NO. .;;3'70 f
7 ;1,ff~
DATE
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
w-vte
f>>-o.iI
;:z~
(
cf
(
!9-1/
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
~, kJ
~
Installer:
New Meters
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
~ $
,
Electrical Inspector
WHrTE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYM?IC PRINTERS INC.
tU/
c:::20~
Permit Fee
GREEN - Top: Meier Dept., Bottom: City Hall
'\~
......
15CJ~
FEE RECEIPT NUMBER
- CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION'AND ELECTRICAL PERMIT
A
9/9
PERMJT NUMBER
, '. '.~ ~
'( 'J(j,'
.
-- +_.. . _u. -- - --- - -~~
TOTAL FEE /6,6JO - . - . -- -
CONT. LtC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
.... -- -
Owner
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
I
Site Address
Owner's Address-
E~S ~s RESPO~SIBjL~!Y OF ~P~lICAN:. .PE~MI!_~ ~I.:H .WRO.NG .AD~a:;...z:ELLE~ C- J
Installation By (.. ...) -< ~ (.
- --Tnstallers~Addfess
-~
Day Phone - Installers Phone
Applica~i9n is he_reby rT:lade ,for:.fer[!1it to install Electrical EqujPrpent as follo~~s:
___ __ __ . a/h/_~__ __
--1
.Wi!Jn~ Meth_?~
.
NUMBER AMP 120V_ 240V NUMBER AMP . 120V , 240V
USE OF CIRCUIT -'PER - --100R FEE-" USE OF CIRCUIT - -PER , 100R 'FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
UGHT , SIGN ,
- - -- - u -- -.- - - -- 50 VOLTS -- "( - -
LIGHT OR LESS ,
CONVENIENCE - - - ,_.- MOTOR --- +--- t--- -P ..-. - ,.
,
CONVENIENCE-- -- - -- --- -- -- - -- -- MOTOR.- -- -- j --- -- --
!
APPLIANCE + _ - -- - -.-. - - ---_. -- - .-- --- -- . .MOTOR .+_.._~ .. ----' -- - .
DISHWASHER_ - -- --- - - FI_~~ A,!\RMS - - . - -
DISPOSAL BURGLAR ALARM
- --
RANGE MISC. ,
-
OVEN !
WATER'HEATER !
LAUNDRY - -- ... - h -- r -- - --
DRYER; -- - - -- --- -. .... - RE1NSTALL'ATION'UGHT FIXTURE'# - ,
FURNACE S~~ !9~~L ff~ ,
GAS - OIL - - - - .- - - - - - - ----- ---
FURNACE ENERGY FEE .
ELECTRIC - -- - -- .- - - -- -
ELECTRIC HEAl BASIC FEE
., --- - . --.- - -- -- - -- TOTAL FEE .... -- - -
ELECTRIC HEAT SIZE_OF SERVICE SWITCH OR CIRCUIT BREAKER_ ,
" n_ - _. n -- - .
A.C. UN'iT AMP PHASE
-
FEEDER SIZE OF ~ERVICE ENTRANCE CONDUCTORS
,
.... - - u - - --- - -- -- - -- ..+_. , -- -.
SERVIC,E AW.G.
--- -- TSUB-TOTAL -- -- --
SIZE OF GROUND SIZE OF ENTRANCE SWITCH I
I certify that the" work to be 'performed un-delr:-thls'permit .will'be done by the inst-aller and in conformanc.e with the- N.E:C,' Electrical Code.
pate Application made
,19
By
. ;;:;;~;ued
I WARNING
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereqy.gil{en.(oqoJh,e at?ove described work, acqording !othe.c.onditions h~reon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. '
_" , '_ __DIRE" OF CITY LIGHT
B; ~ ,r;4?
PLANS APPROVED' . ',\ \\' ., ,
Notify Department of City Light by Street Address and Permit Number ~hen ~eady'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
...... vuo,"" OO'"IT!:I'l''' ,,,,,...
11"'"
DATE OF VISIT
I
I
...- !
I
" .
REPORT OF INSPECTOR
ELECTRICAL INSPECTION
WIRING REPORT
457-0411 Ext. 158
.5~LCL
(IV-Lf {
APPROVED NOT APPROVED
o ................", DITCH '.""""".",." 0
o .............. ROUGH IN/COVER.. ,.. ......... 0
c:J ~..,........... SERVICE .................. 0
~'&i(,i,iC.7i~ 'Mi" Ii~1\.O 70' "N7'C7b~ 0
CORRECTIONS NEEDED:
;fJA-S-rf/l 1> ftDt'mM
At 41- ftAN.J s,Jt. cd
((5' u~ fLJUJ a.( /vL, Ir" .
I 7
: f?tc.~
,
V~lry
FY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WI 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (206)452-1381
l
KtV~"-- O.K. FOACQVEAING
'&:K..IO CONN1=/'-T "iR 'IBE
'FINAL.O.K.
()~
n4,
.
,
I
I.
I
I
I
I
I
I
I
I
\.
t
I
I
I
I
z
C)
a:
<t
:!!
!a
J:
I-
Z
w
ie
I-
o
Z
o
C
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16388
f / ;rr:- r,....
- -/
' '/
Port Angeles, Washlngton..............mm...._...m.m..mmm.mmm....... 19I:m...
In accordance with the City Ordinance tQ 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 electrical work as listed below.
Address ....../:J.:i?:(mmg...~::J/k!l......mm..m..... Occupancy..............m...............................
y) .. ,1-)'
~:~:~~.~:::~::~.:~?~:::::~~i~[:~;i1?:[;2~:~~;::::::::::::::.........~~~::::::::=:::::::::::::::::::::::::::::::::::::::
V' ~J /d6/:} !yl,.
Light Outlets......................._.......____..... serv:c:. ;~::: ::::::::~~:::::::::::::-.=:::::
Receptacle Outlets___.___..___.........___.......
("/I.~ ...,...p
SIze wires...L..__...::.._.............._..
Main tnse /'..:;~..t?...c1............
.-';;1"....'
Enclosure "'''~~'''''''''''h''''''___'
Dryer, KW ___u.u...............n...._n.___.._._.
Range, KW ____...u_______..___.__._______u__
Water Heater:
KW...mmmm..................... ..... ......
/"". r 8fJ
Heat: KW........ ...:':d...._::.L_'!.o:.!::..o.._........
Type of wiring:
Entrance Cable ........._...__...____.......
Motors: size, volts and phase:
Rigid Conduit .................
MetalUc TubIng _____________
Current transformers:
No. & Size.___........_......_..._...._.......__.
Ser. No...............-.....................---.......
Ser. No. ........................................._...
Ser. No..__....__...___..._...........................
Total :Load.__.....___........_......_..
Ser. No......,..........._.........._..........____
Remarks: mmm.m..~~.e..d~.:.............................mm................m....m...m..mm..........mm.......m......m
Total _........................_....._.._____
,..
Type ot WIring:
Armored Cable ..._..._u..._................
Non-Metallic ._.....___.__._.___.._____......_
Knob & Tube.................____.............
Rigid Conduit ...............................
Meta1l1c Tubing ...........................
Raceway ___...___...__.................__..._
CIrcuits, Light......................._...............
Utllity .............................................
!feat ._______..__._.................................
Range .....___..........__.....__......___...___._.
Water Heater ....................._.__...._.
Motor _..____._____..________________..__.........
Dryer .___..______........._....._n.............__.._
Furnace .........................'___.._.___._._..._..
_UU__U_h__...__u__.n__u_nnnu__nu.___.___....n.nn.u___u__uuuuuuuuu___..._..._..____.......__n___u_u._u......u..u.u_nuuu___uu.h__'U__._
.m...m.h..h.....hmuu...mm.mum........Uh..um...u....uuu...umhuuh........mumh...-.:.....u:rmu7...mu...mhhhuu.umh
Permit Fee Treas. Receipt 9hz :J:/, IJ .-Jl.
$..u.....muuumuhh..m...m. NO.mm...........u...._.u By .........:.:Ur:.:h:'h..!-.%:...!:::r...,~~.~."!!....m~r".~~"-..l
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con.
cealed due notice must be gIven the Inspector so that work may. be Inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~
16388
Address..............______._......._..........................._............_...____..___........._._......._....................._....._....Date..._...____.___.___._.......____......__.....__........
Owner.._..__...............__..........._......_.._....______...__._.__.............._..............____...__..........____...Tenant...________.___.__...___._._..............._...._.__________..____..
WirIngContractor.!..__...._.............................................._._......................_....____..__.______....__.............By____.._......___......_.........._...................._.._..__
\
NOTICE-Current must not be turned on untn Certitlcate of Inspection has been issued. It work Is to be con-
ce"led due notice mus,e given ~h~. I,n.."pector so that work may be inspected betore concealment.
.., "'Iv...."..",.. PiintSr:R Inc.