HomeMy WebLinkAbout1227 W Lauridsen Blvd - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. .;;J VJ Z.
DATE~~~/
Site Address:
r~EADY FOR 0 WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
'!5t Add/alter circu its
TI Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
Amps
DetailslDescription:
W~1
~~.
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
.I1.MJ ~ Rough-in/cover O.K.
. 1"" 0 O.K. to connect service
J1f" lf1i Final O.K.
Date
Hold for: 0 Easement D 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:
Ii
Permit/Receipt No.
.3 '1J Z-
Site Address:
New Meters
.......---
.
Notify the Depart ent of City Light by Street Address and Permit Number when ready for inspec ion. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the InspeS!,g.L.in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ::l tl ~
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.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N9 15895
Port Angeles. Washingtonu___.___.-Z......;(....___..u_m___..___n.._mmu. 19)...(
In accordance with the City Ordinance to 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 .ool.2._2.Z.un_.2f...,::IjL&<-~'~~:"""_m_.n.mm. Occupancy_/~.~...:::-oom___.__._.__..________..u
v
~:~:~~.~~~~:~~~.::~l;.::~==::::7.:k:;::;;:;::::::oooo~~:~~~;:::::::::::::...:.....~::::::::::~::::~:::::::::::::::::::::::::::::::::
;jeJ ;,;;'0/.5'16
Light OuUets..............h..........__m_.._..... Service, volts __,.-mm.__.........._________......
5/0 --
Receptacle OutIets.........._m__............_.. No. wires m.1.........m___..m._..........
Dryer, KW .....u._~___.n.......m......u...... Size wires;;l;:t!!?:/!___..........._..
Range, KW hoo/:5::mmmnnm..m Main fuse m'-?12.~.'-4m.mhhh____._
Water Heater: ,/ Enclosure ...::$._...........m_____..........
1, )
KWoo__mmnm______m____mnn__
Heal' KW.m__ll.U2<hh__mm__h
Type of wiring:
Entrance Cable ..mm.m__........
Motors: siz~. volts and phase:
I /Q,. .<l_1J
.~..........-.-..i...............-........................
--!__fQ-;-___=mm.__m.__u__mmmmh__
!m6-&rr.'i".--.m--mum.-.-m--uu--.
Rigid Conduit .__uu.m.mmm.______u.
Metallic Tubing ........mm.............
Current transformers:
No. & Size..__.._____...__...........__..........
Ser. No............____..._.................____......
Ser. No. ...._.__________..........__............__...
Ser. No...........____.__..........__...._....____..__
Total Load.....................___.....
Ser. No. ...__................._____.__.____..........
Type of Wiring:
Armored Cable ..........._.___._............
Non.Metalllc m_mmm.m.m.__.m____.
Knob & Tubemn.m.munu.___.mmu.
Rigid Conduit m.m.m__...mhmm.m
Metallic Tubing .mm.........m____....
Raceway ........................................_
Circuits, Light.__G...........___............_....
Utility .h.<::i,nnu....m_u..__m...mum
V-
If eat ....//.....__.........................._......
::l.
Range ................................_............
Water Heate~:mm..........m.......
Motor ..._..._nu__..........._.___..........__..
Dryer....:::?:..____............____..__..............
Furnace .............___.........._......_...........
;)C.
Total ._.................._.n...............
Remarks: ......___.moom...?.".,.R..'...y_moo____..-;.-..=~_"""d1t..~uu_oooo.._.m.___u......._unm..........___._..m___..m......___.___u
_;~~;~--;~~--oom-.m---u---.-.--...---moooo..n....--...m....-m.oo.---...u...u------..oo-I.oo.../i~..m...-.moo....mmm.:---.-...m.
$m.3.t.r2.9...u___m___.um. ::~_~::u~.~.~.~~:~___.___. By _>uu/I'!/2.-?~:7.J2&LL:"..,.._.~=--
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?
15895
Ad(:ress................_n_...........................................................................................___...._....._..........Date..._.......__._.._.._.........._......_......_.........
OW:ler ............................_._._n_.........._......_......_.._........._n..................nnn.nnn.........n..... Tenant.....__......n.nnnnn.hn................n..nn._nnn.....
WlrlngContractor..........................__............................__._...............__......................................_...By....................................n_.......................
NOTICE--Current must not. be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed d~e'not1ce mUst be given the Inspector so that work may be Inspected before concealment.
1M Olympic Printers, Inc.
~'d:""""_
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a'~,
1-~'l
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-..
ELECTRICAL WORK PERMIT APPLICATION
Job wired by r Electrical Contractor 0 Owner
E~~cal cortra~tor name _ License number Date Expires
Ji:;.~Mnc-.sl1.;rV\ "I }"l.- ELEClSfJ'3..)b
Purchuser's ma~ng add1'\s I } xJ J
~ 2- Dr (',<...(& v- Vct. -'~ 0':0-
City 0 {} 1 State ZIP
PV r i H Vl ell ~ti" 'w A OJ '8'"'3 G,
Telephone numb~ U FAX number
'1 J 2- - 0 Lj'7J:
Premise
Installation description
o Commercial )0CResidential
}! New
o Altered/Addition
Address of inspection
il'L-l
ffl:
t" 4""(';.;;
st -rv-lCL
w
City
Phone numbej-t_o schedule ins
Lj loR -
Owner as defined by RCW19.28.261:(l) Owner will occupy the structure fol' (WO
years after this electrical permit is finalized, (2) Owner is required to hire all electrical
contraclOr if above said property is for sale, rent or lease.
After reading the above statement, I he~epy-certif:ithat I am the owner of the above
named property or a licensed electric-a:l~c~tor:)' am making the electrical instal-
lation or alteration in compliance With the electrical laws, N.E.C, RCW. Chapter
19.28, WAC. Chapler 296-46B. Tpe City of Port Angeles Municipal Code. and
Utility Specifications. i,
Signature \'n r, electr' 'iil co actor or electrical adminllitra"to..rc'..
X U I ~- Date: \ \'"
o Cash 0 Check# D - J
o Credit Card r\'is,^ Master\'fd L ~ver
Card # li -' l - -
~ -,~ -------------
"
Expiration Da~'~
of card ' ,
\\
'.
Service Information
Electrica Load Additions and or sub ractlons
o NO LOAD CHANGES
o Baseboard KW
o t:urnace KW
(. Heat Pump Ton
c.." Fan-Wall KW
---
""
~ Overhe~d Service
?(..T emp Service
o 'Underground Service
Voltage :l- '-t Z>
Phase~. 1 0 3
Service Size: .f.aQ.[)
Feeder Size:
"
LAR
SAME DAY INSPECTION, CALL nEFORE 7:00 AM 360-417-4735
'-
, ;
/ ROUGH-L"I THERMOSTAT SER"lCE
"- Date Approved By Dale Approved By Dale Approved By
/ FEEDER
FINAL DITCH
"- Dale Approved By "- Date Approved By Date Approved By
lnspection Area, Building or Equipment Inspected Action Tuken Electrical
Date Inspector
D~'-f (0 G
OWNER/CONTRACTOR
'fZ... <-l'LC.- "'\'Q
ADDRESS
ELECTRICAL INSPECTION
"--:--
WIRING REPORT
417-4735
PERMIT #
CIt3 -621L
,,-lZ.. \J l C-
I 22 <=7 \.>J
'"
~
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . .. . . . . .. . . . .. . ROUGH IN/COVER. . . . . .. . . .. . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . Ji?l;
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
5ffiM:Y
,. IT'"
'-/i-(P
SElZV Ic..J:z_ ';>O'-~ )Z,l'L:F~:P
(~IlID~ L.lNE..S. (.iZ,l.JO\
"f-r>
i:s.lS ~()'
N-tL
-S.:;.fZ, " I c.. JZ:.. -snz \ ~ 1Z- 6 HALl
10 fuJiO 1\ D"F 'VlZ iY u'dP
2"3() . '2,t...\ 161..1
'e:,P-~"'''1E."R 6'-^t4 \(~ .\>-I'\> vt-..\.oS>tL\) d?1EN.\~~S
N~c... 110" /2 A-
Co,..J\)\JLT6G1.. 1:'V~T' fi C-Nj (0 N. ,.]€vTrz. ....c
N h..(' 2('{'). ~ g
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
.'j
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