HomeMy WebLinkAbout127 S Lincoln St - BuildingtiJ�p pORT 4
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DATE PERMIT q INSPECTOR
/O/3/ 08 -P9I
OWNER/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
hLQ M' 1 L Ez-o_ G J 2,1 L
ADDRESS
1 2 L,t r,I c.a ter.( y Z{, zif I
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED' Eat \PM 7' T 6.48 pN Ui p'L o
cop W c.:7 RE_QO t 2 t11 gc 2o. 3 Z 131
OLYMPIC PRINTERS, INC. (360) 452 -1381
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
C O 9
,tit n pr
28 lillnetoheIIon description
Job wired by GD'ilectrlcai Contractor CI Owner
Electrical contractor name License number B roa
D/ c 4-- fir 69‘..r/11, Fri
Purclerlrf malting address
7/7 T(i tdle 4'
Clt State ZIP
16r7 'r er/c7 �JJ62
Telephone number FAX number
/j7 -s 3 4/ 52
Premi owner's game
ILoogo
Address or Inspecrloo .4 1 g s!, 43
4
ca• 7 To C C oIn
City ear..- 4n e y
Pboae number to scbedule inepeetiont Li 5 7 S3 o3
Owner as defined by RCW.19.28.261 Owner will occupy the structure for two
years oiler thbi electrical penult is finalised. (2) Owner It required to hive on electrical
contractor (f above said property is for sale, rent or lease.
Alit Tending the above statement, I hereby ccnit t that I am the owner of the above
coated property or a licensed electrical contractor. I am making the electrical instal-
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
Dote
Due
Inspection
Date
Apptvred Dr
FINAL
Approves ay J
RECEIVE
pet.
DITCH
900 /Z00 133dSNI A113 Vd F o3 ot,11.bat3-o'CdwAt3
Utility Specifications,
/Slgoature of ner, electrical contractor or electrical administrator Expiration Dale
f card
X s Date:
gleptrlcal Losd Additions aasigj subtrr Arta
ONO LOAD CHANGES
O Baseboard —KW
O Furnace _KW M.Overhead Service
O Neal Pump Ton LAR O Temp Service
O Fan•Wall KW O Underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360 -417 -4735
ROUGH -IN THERMOSTAT
Pete Amored DV
Area, Building or Equipment Inspected
TRICAL WORK PERMXTAPPLICATION
O Commercial Residential
O New Altered/Addition
Re PIA a- M—
A i 2 l oG- Sery ALL,
Ohs
OM
41,1 v-4.1 Seel/ ci.;1-
O Cash 0 Check
C Credit Card Visa Mastercard Discover
Card
Apptovea ay
N Dote
4?-
C tripe toe
Service Intoimeti n
Phase �1 0 3
Service Size. v a
Feeder Size:
Voltage
SERVICE
Action Taken
pue Approved or
ED
Approved ey
Electrical
Inspector
8617E Z90 09E XVJ lb El 8002 /EZ /L0
Application Number 08 00000891
Application pin number 691946
Property Address 127 S LINCOLN ST
ASSESSOR PARCEL NUMBER 06 30 00 6 4 5500 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
Application valuation 0
Application desc
Pole service
Owner Contractor
MC DONAGH ESTATE OF ALYDANE P OLYMPIC ELECTRIC
C/O PATRICIA M NORRIS EXECUTOR 4230 TUMWATER
PO BOX 459 PORT ANGELES
IVY VA 22945 (360) 457 5303
(434) 996 8866
Date 7/25/08
WA 98363
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 130708
Permit Fee 225 00 Plan Check Fee 00
Issue Date 7/25/08 Valuation 0
Expiration Date 1/21/09
Qty Unit Charge Per Extension
3 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER 225 00
Fee summary Charged Paid Credited Due
Permit Fee Total 225 00 225 00 00 00
Plan Check Total 00 00 00 00
Grand Total 225 00 225 00 00 00
dir
.JQ
r
{NSP h;CTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
ffl1ZR /to iNi(
ELECTRICAL
RESULTS INSPECTOR
/a)"g 1)6 -AV
�OQ PORT,NO(
Sw F
't etC A0
Qty Unit Charge Per
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00000401 Date 4/20/07
Application pin number 388714
Property Address 127 S LINCOLN ST
ASSESSOR PARCEL NUMBER 06 30 00 6 -4 5500 0000
Tenant nbr name TIM MCCORMICK FAMILY TST
Application type description COMM MECHANICAL PERMIT
Subdivision Name
Property Use
Property Zoning
Application valuation 2081
Owner Contractor
PAT MCCORMICK FAMILY LLC ALL WEATHER HTG COOLING INC
PO BOX 459 302 KEMP ST
IVY VA 22945 PORT ANGELES WA 98362
(425) 367 2585 (360) 452 9813
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 99770
Permit Fee 75 35 Plan Check Fee
Issue Date 4/20/07 Valuation
Expiration Date 10/17/07
BASE FEE
1 00 14 7000 ECH ME INSTALL 100- FAU
1 00 10 6500 ECH ME -GAS PIPE 1 TO 5
Special Notes and Comments
04/19/2007 04 35 PM PERMITS
Combustion air per code Vent pipe required per code
Fee summary Charged Paid Credited Due
Permit Fee Total 75 35 75 35 00 00
Plan Check Total 00 00 00 00
Grand Total 75 35 75 35 00 00
00
2081
Extension
50 00
14 70
10 65
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
L. f'G� a4 c.(Jf�
Sign of Contractor orAuthorized Agent/
T. \Policies \1102_15 building pennit inspection record05 wpd [1/4/2005]
2/0 d
Date
of Owner Signature (if owner is builder) Date
9
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENG VEERING 417 -4807
FIRE 417 -4653
1 PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \1102 15 building permit inspection record05 wpd [1/4/20D5)
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 4] 7 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAN FUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
IA'SPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES
I I I
kNAP \red 1 o3 -3(t 0`1
NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.1
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
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
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
FINAL
FINAL
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE I ACCEPTED
1 YES 1 NO
04/18/2007 02 33 13604525177
Applicant or Agent 41) WOitt r /lah i('/ e. OW I (N
Owner I 1 Wl m MIKA r.�!.. �J
Address: 1-- 5 Li h f I -Pdv+4nJi1
L I Phone:
Contractor f avitulr f l et u7�n State License f l k) 041,5D k ik Exp. none/. 5/-9615
Address: p S^Qek J Cit C Zip
PROJECT ADDRESS•] 2-1 _S Lin h f 4- tne t s NING
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLA.LI M COUNTY PARCEL NUMBER. L5 (Q: c C0 L/ 55 00000 C
Arehitect/Engineer•
TYPE OF WO
A Residential
Multi- famt7
Commercial
0 Repair
B v. DESC
I1IA 1 VW
If
CO 1 Fr CIA,L/RESIDENTIAL. Occupancy Group:
No. of Stories: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wctland(s). Yes 0 No SEPA Checklist required? Yes No Other
VALUATION OF CONSTRUCTION In all cases, a valu.atinn amount must be entered by the applicant.
This figure will be.reviewed and may be revised by the Building Division to comply with current l ee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. W a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance,
EX'I'YRATION OF PLAN REVIEW If no permit 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 written request by the applicant (see Section
1105,3.2 of the International Building/Residential Code, 2003). No application can be extended more than on.ce.
1 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 det ermine what permits are required ,not the City's, and that I
must obtain such permits prior to work,
T: IFORMS\B1dg.Pennitformwpd,App)i c
Till out COMPLETELY and in INK.. Your application and site plan MUST' B tic
COMPLETE to be accepted. for reNICVT If you have any questions, call
PERMITS (360) 417 -4515 FAX(360)417 -4711
BUILDING PERMIT APPLICATION
I:IC.
New Constr. 0 Re -roof Stove
Addition 0 Move Garage
O Remodel 0 Dem.oliti Dccic
Sign Other
TION OF TUE PROJECT
ALL WEATHER HEATING
Phone: X0 ,E0
Phone: `tZ5 3/ 7 -Z 3-5
Zip: _ID& 2-
SIZEIVALUATION
SF @,'S /SP'
SF S /SF
SP @.g /SF
T TAL VA T UATION 0.12t1 O D
On
Occupant Load:
Proposed Sr; Ft
Date:
Construction Typc.
TOTAL Sq Pt
7
FOR OFFICiA.L USE oNL1'
:Rcc. 0 4 t; w -o
it 4" 0 '7
Dot: Approved:
Date issued;
PAGE 01/02
APPROVALS
PLAN
BLDG•
DPW-
LI-ME.
OTHER.
ELECTRICAL PERMIT Al"D INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pln number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivlslon Name
Property Use
Property Zoning
Application valuation
08-00000477 Date
976294
127 S LINCOLN ST SPACE 22
06-30-00-6-4-5500-0000-
ELECTRICAL ONLY
4/23/08
RESIDENTIAL TRAILER PARK
o
Appllcation desc
Like to like 200 amp meter main
Owner
Contractor
MC DONAGH, ESTATE OF ALYDANE P
C/O PATRICIA M NORRIS EXECUTOR
PO BOX 459
IVY VA 22945
(434) 996-8866
ANGELES ELECTRIC
524 E 1ST ST
PORT ANGELES
(360) 452-9264
WA 98362
Permit ELECTRICAL NEW COMMERICAL
Additional desc
Permit pin number 125104
Permlt Fee 91 00 plan Check Fee .00
Issue Date 4/23/08 Valuatlon 0
Expiration Date 10/20/08
Qty
1 00
Unit Charge Per
91 0000 ECH EL-COM 101-200 NEW SRV FEEDER
Extension
91.00
-
!J
Fee summary Charged Pald Credlted Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 91 00 91 00 00 00 \j\
Plan Check Total .00 00 00 00
Grand Total 91.00 91 00 .00 00
\
.-
I
8
r
L
~1
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
~ Z3/r8
d'OIt'~.
Jti~~
Dfi
"'--;:-,...
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANGELES. WA 98~62
Applicatlon Number
Pln number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning .
Application valuation
05-00000234 Date
.552806
127 S LINCOLN ST SIGN
03-63-00-0-8-6222-7000-
ELECTRICAL ONLY
4/05/05
UNKNOWN
o
Owner
Contractor
MC DONAGH ALYDANE P
127 S LINCOLN ST APT 38
PORT ANGELES WA 983622901
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permlt
Additional
Permit Fee
Issue Date
Expiration
ELECTRICAL NEW COMMERICAL
desc SIGN SERVICE
78 70 Plan Check Fee
4/05/05 Valuation
Date 10/02/05
.00
o
Qty
1. 00
Unit Charge Per
78.7000 ECH EL-COM 0-100 NEW SRV FEEDER
Extension
78.70
"-
~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ------..--- ----------
Permit Fee Total 78.70 78 70 00 00
Plan Check Total .00 .00 .00 .00
Grand Total 78.70 78.70 00 00
~
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COMMENTS! ACTION NEEDED
ELECfRlCAL PERMIT INSPEq'.I0N RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.Il02.1~ 14196)
cJ,,",.I~_
clfi~~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
12\ EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type descr~pt~on
Subdivision Name
Property Use
Property Zon~ng
Applicat~on valuation
07-00000398 Date
372126
127 S LINCOLN ST
06-30-00-6-4-5500-0000-
ELECTRICAL ONLY
5/01/07
o
Owner
Contractor
MC DONAGH, ESTATE OF ALYDANE P
C/O PATRICIA M NORRIS EXECUTOR
PO BOX 459
IVY VA 22945
(434) 996-8866
OWNER
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
ALL WEATHER T-STAT
99721
ALL WEATHER
35 00
5/01/07
10/28/07
"-
~
""
HTG & COOLING INC
Plan Check Fee
Valuation
.00
o
~
Qty Un~t Charge Per
1 00 35 0000 EC EL-LOW VOLTAGE
Extension
35.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 00 35.00 00 00
Plan Check Total 00 00 00 00
Grand Total 35 00 35.00 00 .00
EXPIRED
~
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~
~
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COMMENTSI ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
DiTCH
ROT T(TH-IN / COVER
~.t=.K vICE
I I
-
GENERAL COMMENTS:
PW-II02.1S (4'96]
d'~'~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TJJ STREET. PORT ANGELES. WA 98,62
ELECTRICAL PERMIT
PERMIT NO 6915
ISSUED: 4/10/2000
OWNER/APPLICANT
CITY CENTER TRAILER PARK
127 SO. LINCOLN
Port Angeles. WA 98362
360/000-0000
T: S:
PROPERTY LOCATION
127 LINCOLN S
Lot: 10
Block: 30 ~ Long Legal
Subdivision: NR SMITH
Parcel No: 063000512960
CONTRACTOR
ELECTRIC SERVICE
924 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
ARCHITECT
N/A
, 98360-0000
360/000-0000
COML. MISC.
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
o Baseboard
o Furnace
o Heat Pump
o Fan Wall
Project Value: $0.00
Construction Type: ADD CIRCUITS
Zoning Use: CBD
o KW
o KW
o KW
o KW
o Riser 0
~ Overhead Service
o Temp Service
Underground Service
Voltage: 120,240
Phase: ~ 1 0 3
Service Size: 100
Feeder Size: 0
PROJECT NOTES
ADD DRIER CIRCUIT IN LAUNDRY BUILDING
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
COMMENTS/ACTION NEEDED
$56.25
$0.00
$0.00
$0.00
$0.00
$56.25
$56.25
$0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVEll,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPIt DATE ACCEPTED COMMENTS
I YES I NO
I UllU1
D :ffifCUVEK
SERVICE
~ . I
0../ Iiff-:5.9Jl.~ I
, I
GENERAL COMMENTS:
PW.tl02.U!4'96J
d'~'~
$~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. pORT ANGELES. WA 98,62
ELECTRICAL PERMIT
Issued: 6/24/99
Permit No:
6675
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CITY CENTER TRAILER PARK 127 LINCOLN S
127 SO. LINCOLN Lot: 10
Port Angeles, WA 98362 Block: 30 Long Legal:
360/000-0000 Sub: NR SMITH
T: SPACE #35 S: Pare No: 063000512960
CONTRACTOR-----------------------------DESIGNER---------------------------------
ELECTRIC SERVICE
924 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
Prj Type: RV PARK prj Value: $0.00
Occ Type: Cnstr Type: SERVICE INSTALL
Occ Grp: Occ Load: Land Use: CBD
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
INSTALL SERVICE FOR RV HOOKUP IN SPACE #35
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Mise RV SERVICE $42.50
TOTAL FEE:
Amount Paid:
$42.50
$42.50
-------------~-------------------
---------------------------------
TOTAL FEE:
$42.50
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
-n- -IN I CUVER , ,
~ ti? hd IA,-} ~
I T 1
GENERAL COMMENTS:
PW'-II02.U I~J
, -
"(I
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT
Issued: 5/27/97
Permit No:
5939
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CITY CENTER TRAILER PARK 127 LINCOLN S
127 SO. LINCOLN Lot:
Port Angeles, WA 98362 Block: Long Legal:
360/000-0000 Sub:
T: space #40 S: Parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ELECTRIC SERVICE
924 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: COML. MISC. prj Value: $0.00
Occ Type: Cnstr Type: SERVICE CHANGE
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
100 AMPS
DAMPS
PROJECT NOTES-------------------------------------------------------------------
INSTALL NEW METER BASE FOR CABIN. REMOVE SERVICE FROM MASTER METER
THAT FEEDS OTHER R.V. SPOTS
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $20.00
Additional Feeders: $0.00
circuit Wiring: $0.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$20.00
$20.00
=================================
TOTAL FEE:
$20.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I ns NO
lJ1TCH
I{( II JI iH-IN I L,VV J:\K
SERVICE 5/z. 7/1/7 ~
~ I I I
GENERAL COMMENTS;
PW-I 102.15 14196]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 12/06/96
Permit No:
5750
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
CITY CENTER TRAILER PARK 127 LINCOLN S
127 SO. LINCOLN Lot:
Port Angeles, WA 98362 Block: Long Legal:
360/000-0000 Sub:
T: SPACE #24 S: Parc No:
CONTRACTOR-----------------------------DESIGNER-----------------------------____
ELECTRIC SERVICE
924 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
,
000/000-0000
PROJECT INFO-----------------------------------------___________________________
prj Type: MOBILE HOME prj Value: $0.00
Occ Type: Cnstr Type: FEEDER '
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-I -3
200 AMPS
200 AMPS
PROJECT NOTES---~--------------------------------------_________________________
MOBILE FEEDER ONLY
PROJECT FEES ASSESSMENT--------------------------------------------_____________
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc MOBILE FEEDER $40.00
TOTAL FEE:
Amount Paid:
$40.00
$40.00
---------------------------------
---------------------------------
TOTAL FEE:
$40.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
IU"lTTr.J-I_IN / CUYhK
~VICE I Z.1d1f'1~G, :t'D"k-,
J;'ThI A I I I
GENERAL COMMENTS:
PW.ll02.15!4'96J
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411 PERMIT NO. c,J,;;L7J-.
Site Address:
ELECTRICAL PERMIT
~;r'~
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Ie--
Owner/Business Address:
I RESIDENTIAL
COMMERCIAL
BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
~ TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
DATE
Sq. Ft.
i'1J OVERHEAD SERVICE
{5 UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE...
SERVICE SIZE /{.Io() AMPS
/jdl?! f .::tJ dtPk../LLc-e_~
'/4L.~/ J A:/ /2 he-mf41 r
~ ,
.
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.
A,p.!'rIJ. O.K. to connect service
o Final O.K.
Site Address:
Installer:
Permit/Receipt No.
tf{)'7~
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 Permi!. PHONE 457-0411, EXT. 224.
--;;/# NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;3 ~ 0 a
Electrical Inspector Permit Fee
.
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PAINTERS INC_
GREEN - Top: Meter Dept., Bottom: City Hall
<.'
'.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
18355
Port Angeles. washlngtolL.m.._.u.....2:=:::'mm.2::.Lu.........__n..... 19P:.?/
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 belOj' t
Address mmCntm~L~lm.l!.e..7Ll.~.I!,...n1;Lrl.!..!~.!...t!1 d-ccupancy..__.-:J.,.'tI.C2.J:1.,..jl9.u?~!.u~
I' .
Owner ...__.u____u.__..__U__n__.....nm....nn..umuuumnuum Tenant..mmm.mm......u.....____.m..mmmnmuum..m.mm
Wiring Contractor q,f(<I...:I.i..:.(nu;;:'e.A.y..U.L..!.~.(u BY..u--::LC.7!L.m.!/.r.i!.A...7.1..B./? m.Uu
~_" .. _. _. _. L~
Light Outlet................................_.._.....
Service, volts .h._._.__.............................
No. wires .......................................
Receptacle Outlets...____.u.________......__....
Dryer, KW........hU............h..__._._.._.....
Range, KW u.._..hu.....h.__.__.______._..._.
Water Heater:
Size wlres..................__.nn.nn....._..
Main fuse ___.___.___.................___m..___
Enclosure ______m___.__......_____..........___
KW....um__m..n....mm...nm....
Type of wIring:
Entrance Cable ...._.___________............
Heat: KW.............__............____...........__
Motors: sIze, volts and phase:
Rigid Conduit mmm._..........m......_
MetalUc Tubing ..._mm.......
Current transformers:
No. & Size..._........._......___.....
Ser. No.__..._____.______.._............_________.....
Ser. No. ..___........______.......__.................
Ser. No....____........____.._.....__...._____........
Type of Wiring:
Armored Cable .......__.......__............
Non.Metalllc ........____.....___.._..........
Knob & Tube..__............................_
RIgid Conduit .....m.......................
Metallic Tubing .mm_..._...m.........
Raceway __.....____............_......__..._
CircuIts, LighL;..............____...................
Utility.._....____.......u______..._______....____
lIeat __..____....____._....._.............._.._
Range ........_______.__.._...____....____.........
Water Heater ...............................
Motor ..._........u...__u__.._.___.______..____.
Dryer ..._._..................._........_______..._..._
Furnace ......__.._...........__.._............__.....
Total ~ad________......_.......__..... Ser. No. ...._............_________................__ Total ....._.._.............__.........______
Remarks: ...u...,c:;;.k.J.L..---.....!.!-(;J.:c""u...e......__..__,C€'-__~..(/J2./!.....mmm................m...m......m..___.__
u....~u...n.uunnu~n.h.._nn__.nnuhnnnnn.u__.h__n.__...u.nn.n.nnu~..nnu.n____u.~.n._____n__n._u_.______n.n__h_nu__unnuun.hn..
--....U.Un_n...nu.__UUnn.....nnnu_._n..nuununnn_nnnnn...n.U--n_._.._____.._____._.nUU__...~.n_______n____..__.n_nuu...nnnn__u___uU
Permit Fee Treas. Receipt .
$....tg;~~~~~~:~.::~t not ~~.;9~~?_~:_:~:;.~~rl1f1cate of ~:.;~~~~~~.~;:;~~:~:.~~~.~~..~~::
cealed due noUce must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N~ 1 8 3 5 5
ELECTRICAL PERMIT
I --- j f - c. "'t/
Addre.B....Q..L.I.:..?/......(;.~..~.L.n...n~.A.....7P.....1..t5:i..::-!-'!:.'...jyJ!:... 'n.te..._...._..!_..=....~.!....._=.__~......
Owner __........._......-'_L...._........_......_.._......!._~_...______..................___.....~.:...........___..._.~...:.... Tenant............___.............._____..-::::?..:.:...__.______.........
Wiring Contractor.....;~/t9..c.."......5.!9...L.\Ji....!.J/......]-?:~..~......m.m...._......... B2~...C?:!.1-!........?:.:..~~:!::!.n0.~~:~
NOTICE--Current must not be turned on until Certificate of Inspection haa been issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected betore concealment.
1M Olympic Printers, Inc.
..
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
18354
Port Angeles. washlngton..._____.______.__..j.=.:::__Z....~________...___.___. 19P"!!:!
In aooordance 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 ~ereby gran;ed to do electrical work as listed be~ow. i
Address (;Lf';l:__I*-2!__I..iY..!L.]!<-'1..':"':':..~..n.!!z!.!....( occupancy....:.1:1H?/!..!..___!!CJ..?:.L.~
Owner '11!.!d.JJ..i-______.;jf!.L7.L.5:!2.~..------.n.n... Tenant.__.__-11hL.A./____l?/.l.-zJ...~.r,,__?;L________
Wiring Contractor .f:..fe.c.__I:J!,.!..r..__2.f.P..J!.::!..~_____[,..'.,.c By..__.___!../.:.J?2:(.I.....i./.::.!.J.-:2~.~_..=.
v
Light Outlets..............................._.._nn.
Service, volts ......n.....mn......__.............
No. wires ................___hh................
Receptacle Outlets...............................
Dryer, KW......u.n........._.............__._____
Range, KW __.._n_hh......__h_______
Water Heater:
Size wlres..m.............__m.___........_..
Main fuse ...............______......_______..._.
Enclosure ...............________...___..........
KW........______........___.......______n...__..
Type of wiring:
Entrance Cable ......._._..__.............__
Heat: KW.__..........____.........................__
Motors: size, volts and phase:
Rigid Conduit m...............
Metall1c Tubing ..__..____.......
Current transtormers:
No. & Size..n__.......................
Ser. No............____..............__.____....__....
Ser. N'o.....................____...........__........
Ser. No. .__.................__..............__.......
Type ot Wiring:
Armored Cable ..__m.........__............
Non-Metallic .....m....................__m
Knob & Tube................................_
RIgid Conduit ...............................
MetaUlc TubIng ................__.........
Raceway ..............................._......_
Circuits, Light.......................................
Utility .............................__.......____...
I1eat ......................................._......
Range .............................................
Water Heater ...............................
Motor ..................__.__......................
Dryer ..............................................__
Furnace .........................'_..................,
Total Load.n..__.____................. Ser. NO.....n..__n____.........................n.. Total __................................__...'
Remarks: ......-;..0.Q....d.2!.!....p...___....Ce..@..c!.@.i.L......:[d......:<;(LI.L.f.....l1.9...7d.L.e...................
UU.U'hn.._nnnunu...n__._nnnn_uu...n.__n_nn_nnn".U.'h.'U.n_nnnnuh....n...nnnun__.UUnn_nnnuuu..._nnn_nnu._hn....hnn
......nnh.nn_.nn_nnuu..nu...nn.nn..uuh_..n..nuu.nnuuu.h.n_hnnnnu.h.....n.._nnnuu._.nnn.Un.nh...._nun..u...unnnnuun
;e.:;;.~................ ::~.~~!2.~;t.!..... By 5~.~e~__~~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cf~aled 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~ 1 8 3 5 4
Address C'..-'...l.t;.---...(t"?__?:.<___I..!.~f.L...__.1.!__cz,:..J..!1......0i:.(I...:t............... Date..._......j.=_:_...?..}...=.;......~...
Owner ..-2.I!!L..............._......____.............____h..................__......................_______ TenanLn~?!I.Y.AI?.I....__Zt?..L'!!...;(<:'."Z--,,'
WirIng Contractor....t:../I2.L./A.::L....:..P..i'.,.I!...,J..::.........!.."',...C.......__..___.............. Byh./r:!h!.!......;{>:L.f..:(.f.-k..h<::
NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. It work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO.
3cf / ?
;; ,PO:ff Z-
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
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
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
~~
~I RAI-i IJ(
.
c
C:.fjJr<-.._ -e..
l)'15h~t
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.K. to connect service
o Final O.K.
Site Address:
f~)
permitlReC38t ?
Installer:
Notify Port Angeles City ight 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 $ --:I I"l -
I &P/A_ J cx..V
Electrical Inspector Permit Fee
.
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC_
GREEN - Top: Meter Dept., Boltom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
PERMIT NO. .3 7?S"
DATE ~~;;/f Z.
Installed By:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Owner/Business Address:
D RESIDENTIAL
D COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW
D HEAT PUMP KW_
D SIGN
D TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
~ ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription:
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
~o ~ 7lecltL to Airlc
~.
.
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.
~;gJ O.K. to connect service
o Final OK
Site Address:
Installer:
Permit/Receipt No.
--
;;j> 7?.>
L
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 eitherthe Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224. ~
~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ (I' c2. 0 ~
Electrical Inspector Permit Fee
.
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
, .
GREEN - Top: Meter Dept., Boltom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
D READY FOR
INSPECTION
License Number:
}(WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Owner/Business
D RESIDENTIAL
D COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW _
D HEAT PUMP KW_
D SIGN
D TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
,.;, ~ ~
DetailslDescription: ,~$1!.
~~
~~
::tr
~uf
PERMIT NO. r-::."5 ~&-/
DATE 1'0 -/7- "l ~
Phone:
Sq. Ft.
D OVERHEAD SERVICE
D UNDERGROUND SERVICE
VOLTAGE:
D SINGLE PHASE
D THREE PHASE
SERVICE SIZE AMPS
.
W.S. No.
DATE
SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
~rjJO.K. to connect service
D Final O.K.
Permit/Receipt No.
New Meters
-
&-J
Date:
h-/7 -9 :J-,
.
Notify Port Angeles City Light by Street.": dress and Permit Numberwhen 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 eitherthe Wiring Report
or on the Building ermit. PHONE 457-0411, EXT. 224.
-?0
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
YELLOW - file by number
OLYMPIC PRINTERS INC
~.n -: t"iJ ::10.t:>O
Permit fee
GREEN - Top: Meter Dept., Bottom: City Hall
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. .:?r:P?~
/<</S-/?o
I ,
DATE
Site Address:
/~
D READY FOR D WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o New Construction
o Remodel
~ Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
'J!! Overhead
o UnderQIQu~10
Voltage /~'2
~10 03.0
Service size .:2610
o Temporary
Amps
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)
Detai islDescription:
.
W.S. No. Service
Capacity: 0 OK 0 Not OK
o Ditch inspection O.K.
o Rough-in/cover O.K.
/IA~ O.K. to connect service
{~"f'J Final OK
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up tor service/meter
o Meter Department notified for instaliation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
So.
Permit/Receipt No.
~6''1
Site Address:
.
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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / fti2!!!!-
InspeCtor A aunt paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS, INC.
>
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
";?6.;lS
y~~o
.
ELECTRICAL PERMIT
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
X WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~ Overhead
o undergroungp
Voltage /~
-~10 03:0
S~rvice size ,....;;)t:J-i) Amps
o Temporary
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)
o New Construction
o Remodel
l!t Service update/alter/repair
Detai is/Description:
.
R V
.
_G~1 ~ ~
~(
Nr.u.A-
\
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
,s Finai O.K.
~
Size
Comments
Date
Hoid 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:
/'
Site Address:
.
D
Notily the Department 01 City Light by Street Address and Permit Num er when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT (JJO
,%~;.;:
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
Site Address: C l
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
;?:<0-3
~4~/
.
ELECTRICAL PERMIT
DATE
~Mf:
o READY FOR
INSPECTION
~'LLCALLFOR
INSPECTION
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)
o New Construction
o Remodel
o Service update/alter/repair
)i::l Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
~ 10 0 0
Service size ;Lt9-CJ
o Temporary
Amps
Detai I s/Descri ption:
Jot) ny ""~~ -;-
:7 Ie 1/ /t9&/(~
.i
#Q2c,
-r 4~O
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
:2 ---- EJ1)itch inspection O.K.
~Rough.in/cover O.K.
o O.K. to connect service
o Final 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
Permit/Receipt No.
;2;;203
.
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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
I Q/vv"\.. NO OCCUPANCY OR USE ESTABLISHED UNDER THiS PERMiT #" Lifo !!:!2
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.
.
.
;tP
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. Ol J 7 q
s / -^s I .f 9
,
ELECTRICAL PERMIT
DATE
Site Address:
;f C~-k+'Z- r;-'"'-;'J~ c,u.r--r-
c'::. -/ ~LAv",- c s::
D READY FOR
INSPECTION
D WILL CALL FOR
INSPECTION
Phone:
Installed By:
J.i<-~
License Number:
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)
I3'6verhead
o Underground
Voltage / ....~/"L<fo
I!:J.....t1Z 030
Service size L.OO Amps
o Temporary
o t:/.eW Construction
if Remodel
o Service update/alter/repair
~/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetallslDescrlption:
12-kd
Add ...3
...) .... S' h e...(. S
."....u P""-"'-.lL.L
t',' tt' (!! u..; f- .s -f!.r, 12
s ",.
N~
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
/
o 9-K:40 connect service
S"Final 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/pendl ng
Site Address:
C/_.
c ~ fc-r 7:-4 ;I.e.
c-/~ fr; <... S~te u )C-e./
Installer:
~
Inspector
WHITE - file by address YELLOW - file by number
PINK - Top: Eng, Bottom: Customer
I~
Amount paid
GREEN - Top: Inspector, Boltom: City Har/
OLYMPIC PRINTERS. INC.
Site Address: c", /
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
,;2/ /'Y'
S//7#7'
ELECTRICAL PERMIT
DATE
.
~EADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
[J Heatpump 0 Other
IJ Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Detai IslDescription:
,
"
.al.{;~
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
Jif'- ~al O.K. CX-"-'-I'r f,-'t"---'---
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
~tJ
.
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 Inspector 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 lfi' .;;) () ~
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,
~
.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. ! & z <f-
DATE . 1/f/'1f
Site ~ddress: /2-7 ), [WCo!,J o READY FOR 7:WILLCALLFOR
INSPECTION INSPECTION
Installed By: [aCT/lIC- Stl!-tJlc t- I License Number: Phone:
!
Owner/Business: el-At [EN fLIC..- 1I.1J.1/vr... Co,)~ f- . Phone:
1~ ~O'fz--
OWnerfBusiness Address: Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
'rf Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
~ Remodel
~ Service update/alter/repair
Cl(Add/alter circuits
10 'Auxiliary power
(list below)
o Special equipment
(list below)
Details/Description:
ju~(A7lL '5H.UIc'E. ON fV..:lO f?.<CNTkL 'Du ('i.)c
}JOt. 0 FIe. D /J 1JD~TI4 S I DL o'F ifA/+-f) .
PI- oj2. ?-'7. ~fMOVL OV'V'Ll+tA-O SI"1 It. u,f'JcL <..- ~tL lJ.-lILl..
. A-i-,)v<i..- ~\ll L011V'i J
#.~ of:... ~ ~"_U)cA'1"Y 5' st/lUIC't.--r ~M... Oe...O
^-J'iJ.,N Pol f J ~ I tv 1) I v I IN,4-ft.'1 ~ ^""'" L LOL4-</WJUS.
.
Overhead
o nderground
Volta
o 10 3.0
Service size
o Temporary
Amps
Uf'l'G
).6~
~M)
q>DLto
g~
/~
n
1f1/~
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
P4r~O.K. to connect service
}J-~Flnal OK
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
Site Address:
/2-1
{(,vet;IJ ~[!/lN1tL W\1tllL
5',
Installer: t{ f(rlt IC- 5" {/tv Ic.L New M~
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 Inspector in Writing on the Wiring Report or the Building Permi!. PHONE 457i411. EXT. 158 or EXT. 224.
M r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /f>1/ ~
I 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.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. / Z Y 1-
DATE ~/?~I j' 7
Site~ Address:
s, ~/NCa{/
[{ tC-
READY FOR
INSPECTION
D WILL CALL FOR
INSPECTION
Phone:
ownerfBusiness:{!1
Owner/Business Addr s:
Phone:
-
Sq. Ft.
o sidential
tKW
o Ba board 0 Furnace/Boiier
o Heat ump 0 Other
o Com ercial/lndustriai load
Total nnected load
(attach eakdown)
Total Mot r ioad
(attach brea down)
New Construction
o emodel
o S rvice update/alter/repair
o 0 erhead
o Un erground
Voltag
o 10 030
Service si e
o Tempor
Amps
o Add Iter circuits
o Auxill ry power
(list be w)
o Special e uipment
(Iisl below)
DetailslDescription:
'L-JJM!
SfLU/Cl ~
A-
A-
((rc)-t:
/J/U.7
/
u ,t/J ~ L c1..PJD
10 Uf /ttc Ii. .
~ ~!&-
.
W.S. No. Service
Capacity: 0 OX 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
)l'fI Final 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 Pian Review approved/pending
Installer:
PermitfReceipt No.
29f
Site Address:
I L-
New Meters
-e?-
.
Notify the Depa ment 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~in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
r NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT I O~
. Inspector . Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
/)( 2---
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
1 ~EtNuMBER
.
TOTAL FEE
/t~.
NO. STORIES
~A/;';'~
LEGAL OCCUPANCY
UPA SE ESTABLISHED UNDER THIS PERMIT
Site Address S ,q c.. e :z..<ir iT: IV' k< ~A ,,' /v... ~
. ,.vf R~CT AODRE~S IS RES.PONSISI Y OF APPLICANT PERMITS WITH W.RONG AO~~SES ARE CAN ED
Owner I r~ Installation By ~ 1 ~""'/I-'A ~I'J
Owner's Address S t'A c.... :2 ~ C;;r;.. C...v r-;.~ Installers Address .2.315 ""-" zy R
Day Phone ~~2 8"'?<Y,5". Installers Phone ~~..s-~g9
Application is hereby made for Permit to install Electrical Equipment as follows: _ 74 A / ~ ~ Hoo k
j,;J7,5tJ,
nH~
(/Jj
,
.
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. I f'7. M-O U'L &'C/c ....AI lA.;1-wt.-> Wiring Method
I
USE OF CIRCUIT '- fNYMBER AMP 120V 240V NUMBER AMP 120V 240V
PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
.
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER I REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENEAGY FEE
ELECTRIC .. BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDEA SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
.
I certify that the work to be :~formed under this permit will be done by the installer and ~anc~e with t~ N.E.~ical Code.
Date Application made /V" V I '2- , 19 B"(C By '---CJ ~-~
". CONTRACTOR OR ER (OA AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining;;r~:':!bje;~omPliance with the o::nances th c~n~e~ HT.
Date Permit Issued (I PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned 01] before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457.0411 Ex!. 158,
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Repor\
OL YM~LC PRIN.TE:.Rp,tNg.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY . REMARKS
, ,
"
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((I [1H~ '1Ot-'\ O.K. TO CONNECT SERVICE
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
10;'
PERMIT NUMBER
.
TOTAL FEE -
fr.
CO NT. UC. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Address
- --
NO OCCUPAN.?l2R USE ESTABLISHED UNO~R THIS PERMIT
~3 - -
REel ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
O{r/Ji~/L ftlCnuL
I
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~
Installation By
Installers Address
~
Owner
Owner's Address'
Day Phone Installers Phone
Application is hereby made for Permit to instafl Electrical Equipment as follows:
- - _ /-/rsoJ - Up -/r.)r...J -
Wi~ing_Method
.
NUMBER AMP - 12QV 240V NUMBER AMP 120V 24QV
- use OF CIRCUIT- PER ",00A FEE USEOF CIRCUIT PER' 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOL IS ..
OR LESS
CONVENIENCE - - MOTOR -
CONVENIENCE. .MOTOR .
A~PLlANCE -- - MOTOR
OI.~HWASHER .- FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN ,
WATER HEATER
lAUNDRy ,
DRYER . -- REINSTALLATION LIGHT FIXTURE #
FURNACE - ~UB TOTAL FEE -- - ,
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC - . . -
BASIC FEE
ELECTRIC HEAT -.
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
- --
A_C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
---
SERVICE A.W.G.
, ,
- I SUB-TOTAL - .
SIZE OF GROUND . SIZE OF ENTRANCE SWITCH
I certify -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 1/!-&/ fir; _ ,19 ByYj3if.J
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above. described wor~, accord.ingt9 the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinan.ces of the City of Port Angeles.
By 111 j~. D p\;f~Y;GHT
Date Permit Issued 7/1.8 ff/, _ PLANSAPPR~ . . ,
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.
WARNING
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.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
,-
O.K. pen SQ\'E::DUIC__
\<\" OK TO CONNECT SERVICE
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FElf.CE~Tfu:R 593
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
03S-
PERMIT NUMBER
.
" 'IV 0-0. , " - ",7/C-1l--t ( L<-
TOTAL'FEE " " '" " d, , , " , , Ii '"
-
CONT. LIC. NO. TIME TO COMPLETE , .NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY
NO OCCUPANCY OR USE ESTABLISHED UNO~A THIS P RMIT
3
C J Tl1 C tJ CC!) v /I- -r,:
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner~RLI'tIIR, RITA Hr.A-Tlffil.S Installatio'nBy "')..47V\L
Owner's Address 7 2- ~ €. '1- 't1o Installers Address
Day Phone 7 -17 f}, Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
. 1/-00 k U,/l TIUh /f.~
-M ~ -ri.fl.- t\:- 0 't 3 5 ro
Site Address
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA to l00A FEE USE OF CIRCUIT CIRCUITS PEA 10 l00R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
-:- -
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE .MOTOR
DISHWASHER - d FIAE ALAAMS
,
DISPOSAL BUAGLAA ALAAM
RANGE , MISC,
OVEN "
,
..
WATER HEATER I",
lAUNDRY
DRYER REINSTAllATION LIGHT FIXTURE #
FURNACE {:JUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
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.
T SUB-TOTAL' SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be perfor
Date Application made ~
er this permit will be done by the installer and In conformance with the N.E.C. Electrical Code.
,19
By
c-
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pen:nission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertainin/2~t~;ject to compliance with the o::nances ~;;J3R7r>==
. Date Permit Issued r (/'! PLANSAL~'- < .. ~
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 Piacard, A" Permits Phone: 457-0411 Ex!. 158, .'
"
WARNING
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.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
. jjd- STt.,4~ U";c / ,REo tvAnlU / hJk~ 8US/f/1U6/7-#1'1 &/4"
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AA.~fJV
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A I ~ .....- SS.f:nlnl,;j -
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&7~/1/.t. It fir O.K. TO CONNECT SERVICE
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT.
A
55''))'
PERMIT NUMBER
.
TOTAL FEE
\:o~\
,
b\ Ie hoi"\.-2..-
..~ 'LEGAL OCCUPANCY
~\\ CONT. LIC. NO,
TIMET9 COMPLE'rE~ .... ,NO.'STORIES
Site Address
ELECTRICAL-PERMIT QNL Y NO 'OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
1'21 s" l-'",~d., (,'.+" (....."+e,,, '-:r-T'~;~U' ft-", .
J'. CORf!ECl AOpRESS IS RESPONS.!.BILlTY OF APPLICANT J~ERM1TS WITH WRONq, ADDRESSES ARE CAN?ELLEO .
. ~ 4"'V'Yl~ Installation By ~le~+y\(., ~Y-V\C:"_ :r........
. '=f . ;:r~'~ r <i '3;(() . fnst~lIers:"'~d;e~s :- lie... 'K ~-t P\..."S"",t- f?r(
, ' . -. ',' . Installers Plione 4s 2 h '-I 'j '-f
Owner
Owner's -Address
Day Phone
Application is herebY,made for Permit to install Electrical Equipm,e;nt a::~/ollows: .\
, , '( ,. . . h
. . ...'. ,0 t, '. ..'..
__". . ' t..
"
Wiring Method
--
.'
NUMBER AMP 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER , \...120V 100R FEE USE OF CIRCUIT PER l00R FEE"'
CIRCUIT~ 'CIR "- 10 30, .,' " t '-J CIRCUITS CIR '0 30, '
.....\ , -
LIGHT 1- \ SIGN
" '
.. 50 VOLTS
LIGHT OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
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
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ~. f\r\ AMP I PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE HIt) AW.G.
I SUB- TOTAL SIZE OF GROUND SIZE OF ENTRA~CE SWITCH
, certify 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.
f\1 'l V'
"2(,
,'9~b
By
Date Application made
CONTRACTOR OR OWNER (OR AutHORIZED AGE T)
permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances"of he ,City of Port Angeles.
-" REC:OR r~YL~GHT
Y2t/~C
Notify Department of City Lightby 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 ser'Vicehas been given by Inspector in
Writing on Permit Plac'ard. A. - Permits Phone: 457.0411 Ext. 158. ' c
~\ "
,-
r ("". -
.. -. ~
. 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
OLYMPIC PRINTERS. INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
. "
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
00022,1
PERMIT NUMBER
.
)0. of) .."'G-t!.l.c./fl.6 ell S (./" I 80 IV! e
TOTAL FEE
CONT. lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY EST~~D UNDER THIS PERMIT
Site Address YV / / -
Owner .: I0f~ {RRECT~ DR~);.: P~5'~~PLlCANT 1~::::~:t::HB:RONG A RESSES ARE CANCELLED
Owner's Address } 7 <\. 'Ad d /1/ :s 6 Installers Address
Day Phone 4.::;- 7 - 6 '1 () Installers Phone
Application Is hereby made for Permit to Install Electrical Equipment as follows: ~
hl'l 8 u. V"C -e.....
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER '0 100R FEE USE OF CIRCUIT CIRCUITS PER '0 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOL T5
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS .
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
ELECTRIC HEAT - :70 CO
TOTAL FEE
ELECTRIC HEAT \:\. SIZE ~ERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT B AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE V J.,DO i7 IO.OO AW.G.
1 SUB-TOTAL Irill. DO SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that ihe work to be performed under this permit will be done by the Installer an,T~ance wlt~ N.E.C. Electrical Code.
.. 3- ~ ;L 7 rS' 7./f7"d. ILJ JAA//J/}
Date Application made ,19 By;.)
{/ ~~CTO~ 0 (OR AUTHORIZED AGENT)
Permission is hereb iven to do the above described work accordln to the conditions he on and acco;;<<n to the a roved lans and
y 9 - , 9 9 pp P
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. }.. '.. '\
rz ~ "') 7 - <:r j By ak. '.. 4'R~~IT,YLI~~~ '. -. '
Date Permit Issued ./ /- V ~L ~
PL.ANS 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'()411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
.
WARNING
WHITE. OrigInal CANARY. Duplicate PINK. Triplicate WHITE CAAD - Inspector's Repon
OLYMPIC PRINTERS, INC.
.'" ....- J"
. "'"
'~ .:;;.......;
REPORT OF INSPECTOR
-,.'
,
~
DATE OF VISIT MADE BY REMARKS
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FINAL O.K.
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
N~
18229
ELECTRICAL PERMIT
Port Angeles, washlngton.......~....._.._i:m.......mmm....m.m, 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. I
Address ........I.!i..']m..m.t........L...!~.:J:!....L.......................m occupancy.....~.t.!..f.1..m/~.-:?:1.1...~
Owner ..c....,..7-mry......./3t9.=..l-e.:&.................m Tenant.m...............m..........._.....m.....m..m...........m....
Wiring Contractor me::L1?-.C.....S~.,lL.u..:.~.'f...k.(~ By.........................m..m..m....m.m.......m...........
Light Outlet................................_.._.....
Service. volts nn.j.1=P...:=...""!-::...q:..D
No. wires .....,.3.Z.. ......................
Size wlres.......H.. JL............._..
Main fuse ..__.n:1...(!:.c:?....(0'_~~
Enclosure ..._____'b..'?.~.....u.~!.._...n.
Type of Wiring:
Armored Cable .............___hm......._
Non-Metallic ................---............-.
Knob & Tube......._................__......~
Rigid Conduit ...............................
Metalllc Tubing ...........................
Raceway ......................._......_.__._
Circuits. Light.........__........................_..
Utlllty......................._....................
Receptacle Outlets..______.............__........
Dryer, KW...........nn..__.__n__...h.....______
Range, K\V....__nun.h......nh_
Water Heater:
KW.....uu.mmmmmm.um..
Type ot wIring:
Entrance Cable ..m""_
Heat: KW...................................n..............
Motors: size, volts and phase:
RigId Conduit ............
MetalUc TubIng ..mm.........
Current transformers:
No. & Size.........m..m......................
Heat .......................................-......
Range .............................................
Water Heater ...............................
Motor ..._...................................n...
Ser. No...............................................
Ser. No...............................................
Dryer..................................................
F urnace .....................--..,~......_..... ......
Ser. No...............................:'..............
Total I..oad....n..._................... Ser. 1\'0.................._.......................... Total ................-......................
Remarks: ..n....1J2.t?....iZ:-.r.!k..Pnn-;11C!..Ln./IP...2!'L.e....,5:i2.fi-k!..Lc>Z.....~..2!....~L~..
........:..._n...........-;....~~....j2..t/...J!...........n......n........................................m...........................................................
_.uuunn__n_._...__u_un__nnn..~__.n__un__.nu___..______n_..h.__U.____.n.u.......u.u_.nn..__n_n__.__uunnnun.U..u.nnnnun..n~.uuunn
\
Permit Fee Treas. Receipt
$:.....I-[f;:.~~........... No............................. By......................................................................
NOTICE-Current must not be turned on until Certificate of Inspection has been lssued. 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
/'
r~,
----
Site Address:
oM
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
c!:< s~r:?
I /.;2 S'/0't7
.
ELECTRICAL PERMIT
DATE
OwnerfBusiness:
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
01.0 03.0
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Details/Description:
(J1J;1, ~ ~~
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
o Rough-in/cover O.K.
___A O.K. to connect service
- ~ Final O.K.
Date
Hoid 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
.;ltW
Installer:
Permit/Receipt No.
OlS,;l;?
Site Address:
ew Meters
o
I.
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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224.
'---) ~ NO OCCUPANCY OR USE ESTABLISH EO UNOER THIS PERMIT ~ ~
Inspedor Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS, INC.
/d- 7- h rf!!-:~"elj
CITY OF PORT ANGELES
LIGHT DEPARTMENT
'I
Ii
ELECTRICAL PERMIT
N? 15665
'",-
port Angeles, washlngton.__m._...1.m:=-LL.m..____._..._.....m_m. 197.r:
~
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.
, ' {3-7/ /7l .'- -or,-' , 0 ~ . /J( ~
I~ r ~~' Q OJ, ~
",Address __. ,..'(,.~:.:d;..\.:&-;;;.:;/:i,m....{A.r.Y.:..{;.~-~--mm . occupancy~>73_'-...dkm__.f--. __...ne,d2,..
~:=~~~;~=;::~:~:;~.m~:=:::::::::::.h.~~:~~~;::::::::::::::.....:..:::::::::::=:::::::::::::::::::::::::::::::::::::::
LIght Outlets____nn.n.___.__________________.___.
Service, volts ......m...__.._m....___...___......
No. wIres ....................................___
Receptacle Outlets.....___._____.......___.......
Dryer, KW un.......u.......__......____._________
Range, KW h__.hmm____mh_______
Water Heater:
Size wires._................._.............._..
MaIn fuse mnmhmum___.......____.......
Enclosure h.....................................
KW"nn.nm____nmhn.___nh
Type of wIring:
Entrance Cable ......_____..___.....__
Heat: KV,T.h...n...........................................
Motors: size, volts and phase:
Rigid Conduit ..u......nm................
Metallic Tubing ....m....................
Current transformers:
No. & Size................u..m.m............
Ser. No...............................................
Ser. No. ...................................u........
Ser. No...............................................
Type of Wiring:
Armored Cable ..............................
Non.MetalUc .................................
Knob & Tube................................_
RIgid ConduIt m"___m__h.______m______
Metallic Tubing ...........mm......_..
Raceway ........................_....._......_
Circuits. Light.......................................
Utlllty __________________m_____.___m____m___.
Ileat ......................._.............._.._..
Range .............................................
Water Heater ...............................
Motor .............................................
Dryer u..................._...........................
Furnace ..........................w......_...........
Total Load----;?J.--------71.o Sec. NO.-----.;;--~---h.---.7'l Total ._________________mm___.n______On
Remarks: --.-----7~~...----~..n--~.~.-------m--~"~::..m------.-----........-------------
Permit Fee
Treas. Receipt
NO.__...__.....__m...........
By Il.t?.;l~-.t/~d({~
$__.......______________m__m__.___.
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?
15665
Address........................................................................................................................................Date..._......_......_.._.........._......_......_.........
Owner ..................................._......_.._......_......_.._........................................................... Tenant....................................................................
Wiring Contractor...................................... ....................................................................................By................................................h............
NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment. '
.--...-".
'\
1M
Olympic Printers, Inc.
~ .'1
-
CITY OF PORT ANGELES
WGHT DEPARTMENT
ELECTRICAL PERMIT
N~
18229
s-- y' %</
Port Angeles. WashlngtolL..m._..........._.._.mm...mmnm.m...m.m.. 19mn-,-
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~o dO electrical work as listed below. . .,
Address ._nnhl.!::n.!..m.m...LnmnLnL::!:z.n.Cn.m_.nmmn.h__._n occupancy._m-:J,11f2./fL._nl-!:?.2'1:L.e.
Owner ..r.?__'.__-!..!.e!nnnf!"eo."'.'n~6!.'&.nnm.nmmm TenanL_..h_m__nmm...._nnm_.m.mnmmnn__mm_.mmn
-'//'./';-
Wiring Contractor mf;;:-m..p.C-.'.mn,)."'.A..LJJ...:.L_e...J~'L. By....n_m.._m__mmnmm.m.mnn__m_.nmmn.n_n..
LIght Outlets__n_______mm________.m______nn.
Service. volts ....l:l:.Q...::::~..-?:--!:LP
;I:'e w;::s:::::::~Ze:::::::::::::::~::
Main fuse _......"1...(2.::.....(-i.-:1:'.t7'./
Enclosure ___..___J::.Q.g___n.n~!.........
Receptacle Outletsu..___m_...___m......_....
Dryer, KW n.nn...........................__......
Rllnge, KW h__mUmhhmm__._
,~;rater Heater:
KW__n.hmnu_un.hmnhhmmu
Type of wIring:
Entrance Cable ..................____.......
Heat: KW.......................__n_.....__n_n....
Motors: size, volts and phase:
RigId Conduit ...............................
Metallic TubIng _........__............__u
Current transformers:
No. & Slze.....__...____..u.__..................
Ser. NO..____..h....____............................
Ser. No. ...__.h..............................hu...
Ser. NO...____......______.....................h....
Type of Wiring:
Armored Cable ..m..n....mm...........
Non-MetalUc m.....m.......n.............
Knob & Tube................................_
RIgid ConduIt nnmmnmm.nnnnn',
Metallic Tubing ...m.....m__......__...
Raceway ..............................._.__._
Circuits, Light.......................................
Utility nm_nm.uummnm.__n..mmnm
I-Ieat ............__........................._......
Range .............................................
Water Heater .................__............
Motor .h.............h__h......_.__....uu.....
Dryer 00..____00________.........__.................__
Furnace .........................'_00.................
Total :Load.nn__...................... Sec. No. ...__.00........._....................__.... Total h..______....__.......................
Remarks: h_nn_:z.!2.t2m~Z"".!Ll?__...:t(J.Q__!___.!.!Q.:?"f:..1L.__C..:U.1.'_!..L(...L....C..:I::<nm7';!;~~n___
/..... " . ~ _." l-
" )L/(/)
n..mn..---m.mm.1-'_____..--)-m nm."==..n__m___m__m___.m___.____n__m____n...__nm____.m______.._______.mm____..nmmmnm___n
._nnn__un____u___nn__n.__n_hnd_...._nud__.._nn_.__nn_.....n...d__..n-__.____~d___.n_.._..n__.n___.__n__n______d...n_nnn___n...nn......nn_
Permit Fee Treas. Receipt
, .__oc...
$.-----(-.I;.....=-:::.m.----_____ NO..mmm................__ By __m...nnmm__m'__..______nm...h___n.m.m.......______
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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 8 2 2 9
Address .m.umjl:.m.~(,h____n_.:;.~:m.mmL.;:.n?.~___~.mu..n_nnmn.n.nnu_mmnnmnn Date.n___.mJ:._=.m~L.__::h..!.U__~C.
Owner nmh_mhD__,:mmf..-7-~m._u/!~h:ZLn/?..g,-.mnn--.humhumhmn--.m TenauLhmm.nm_mnm__mm__m_mu.n______hnuuu.
WirIng Contractorm.nl;:::..n./Qu[::._nn___h.:;;..r?..J2nL!..!.~n(_f?unm=={.-f.nunmm By..::::7.:;:.j'z1L'hz:0:.d",!.!l.~
~- . .. . - I .-
NOTICE-Current must not be turned on until Certl!lcate of Inspection has been Issued. It work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
1M Olympic prin~r8, Inc.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date <{-/3-07
Time
7 A IV\.
Received by Ve.." . S C. (phone, person)
Location of Work to be inspected /2-? 50. L"vLLO (.-1.
Name of person requesting inspection f)e 0" '" ('s E.
Address of person requesting inspection c-.:>rp Vt,-,d '7 <t-6
Type of Inspection (circle appropriate one):
Phone No, .; ( 7 -<(9({'1
Sewer Foundation Framing Chimney Plumbing Final
Permit No.
Sewer Excav. Oth~A+e.!) '>
INSPECTION NOTES:
Inspected: Date <(-, '5 - D 7 Time -3 171'-". By t/<""'1,5 C-
Remarks: f<e,tJI<:,c"d (;,0 ( of) " ('( 6':"{vu...i-z.e..J ~it?e.. w'+L.. I" I!E..
;Je..v I,,'L:'" i'S ;:"'st b<?L...,.....d-r~ l'lo.--rL. c:"','b (,'''''<.
'-.J
~ \..i
V
\x, ~
~"u
0;- ~ (" PE ~ (,0'.'/ ,.... )
1(-35" ~'- I" Pc/ ^
Did 64/11.'1
-{ I"
- 2,")
,) E 5 -r .
\J
;:
-
-..J
~
RESTORATION REQUIRED . . . . .. YES X NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
3>< f2..'
~'Asphalt D pcc D Other
Work Order # 303L{e:. -( "-'8
~ COMPLETE W
D INCOMPLETE
,
.~
? r
(~ontinue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
02/18/2005 09:23
3606830869
KIRSCH ELECTRIC INC
PAGE Bl
CJ Electrical Contractor
DOwner 8
ELECTRICAL WORK PERMIT APPLICATION
.
o Request Inspection
o Annnal Permit a Alarm 0 Carnival 0 Commercial
csidr.nl:ial CI Residential Maint. Q Signs I:J Thermostat I:J Telecom.
Job wired by
DOwner
Installation dcscr;ption
;"n~ ~D3ddvJ
tJ\DP/\~~
~\.. __' '0~
ft6D6~
S1Jv..-
o Cash
CJ Credit
Card #
ii1~L:SC
"
I bereby certifY that I am the owner of the above named property or a licensed
electrical c('mtractQf (or the finn's authorized agent) and <.lm making the electrical
installation or alteration in compliance with the c1cctricallaw, QlaptCr 19..28.RCW.
Ins eo'
WALLS
InSlllati(lTl On'>'
CEILING
Insulation Only
IHERMOSTAT
Onto
AM"m\l~l Ry
SERVICE
c7"f.D". /o€
~ ^rrMve<lRy
Dote:
^l"flfftvC'lt ~y
Onl!;
Appmve,l ~y
DITCl{
FEEDER
Cover
Cover
O.to
^/'rro"eU By
D~(c:
^Jlflmvelll:ly
Dnl!:
^rpmve~ Sy
Dntt'
APl'f(Il/c(1 By
Electrical LO.e.<l.Addltlons and or subtractions
o NO LOAD CHANGES
CJ Baseboard _ KW
o Fumac~ _ K.W
o Heat Pump _ Ton _ LA~
o Fan.Wall KW
llervlce Information
C Overhead Service
Q Temp Sel'Vice
o Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection
Date
Area., Building or:- Equipment Inspected
Action Talccn
Electrical
In!OpcctoT
A;nJ?
2hz.. In .;
04/18/2007 02:33
13504525177
ALL WEATHER HEATING
PAGE 02/02
~
~
ELECTRICAL WORK PERMIT APPLICATION
,rob wired by
.t4.E1eetrical Contractor 0 Owner
[nsl:llhnion d~scription
~ Commereial D Residcmflul
o New
a Altered! "'Idltton
LV -f-Sffd rAkflYlq
~t:hedu c ins ec.tlnn:
_ Z,
Owner a.i defined by RCW.19.1!U6J:(l) dv,"Il!1' will occupy Ih~ ,urucrurr.!or two
yenrs tJj/el' thi.., e[ech"iclIl permif Is .finalized. (2) Owner 18 "l!tluired to hire em efcclrlctJl
r.tJPllraClnl' if abol-'e said propf!rry if for salc, rent or lea.re.
Atlcr reading the above stRtem~nl I hereby certify that I :1nl the owner of the above
named pro"crlY or ;\ licensed electricnl contnu:tnr. I am mIlking the electrical in...ul-
latinn or altcratiofJ in compH"ncc with the electrical ltlws, N.E.C., RCW. ChElpler
19.28. WAC. Chapter 296-46B, T~c City of Port Angeles Municil'Ql Code. ;'l1ld
Utility Spccificiltion!!:.
Signature of owne~, elcctrlcnl cnn :r.dnr or electricol nd Inlstrntor
Date: 1, f& 61
o Cash 0 Cheek #
~Credjt Card Visa Mast~rcard Discover
Card II
------:-..---- ~--- ----
Expiration Dote
of card
In!ll'cction fee
$.3S-~
~~rYJ.Cl!Jlllonll<rtl.Oll.
Q Overhead Service
a Temp Service
o Underground Service
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
Voltage
Ph.sea 1 a3
Service Size: _
Feeder Size:
ROUGH-IN TRERMOsrAT SERVICE
IlMe ^flr'f'llv"d Dr Dl\l~ MI1'O~e'dBy '- IJnlc ^flpnlv~lI Dy
FINAL ,r DITCH liEEDER
'- O~l~ ^flrw(lvcd By DMe ^flf'"lved Ry Onlc ^pprllv~d Dy
InApcclion Area. Building: or Eq1.1ipmcnt Inspected Electrical
Dale Action Takon
. Ins:pcctor
.-
...\fo\Rt.U
to'" .'
04/22/2008 07:55 FAX 360 452 9265
Angeles Electric
~ 0001/0001
Q3-(i-l,(
.
ELECTRICAL WORK PERMIT APPLICA1):ON
Electrical contractor name
LiceIise number Date Expires
ANGELES ELECTRIC, INC.
. 514 EAST fiRST
PORT ANGELES. WA 98362
Insta~'-de8CTiption
[]""'"Commercial 0 Residential
~. ~AddltlOn
Job wired by
leclrical Contractor 0 Owner
Purchaser's mailing address
City
Stale ZIP
:~ ~m~ 2bD~
hW~ ~ ~,
,.2tL 2d)*7'.._~
awl ~V p~
Telephone number
FAX number
~. .woer', ol!/ tv:
, ~ 117ft- .
Add e.. of 10eftlDO c> J . . . )
(17 ~, J-IN(!QI.../V
City ~......
In
PhODe Dumber to schedule iDlpec i
S/T~ 1/22.
Owner as defined by RCW./9.18.26J:(J) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contrac't!'r if above sajd property is for sale. rent or lease.
After readiog the' above statement, I hereby certify that I am the owner of the above
Damed property or a licensed electrical contractor. I am making the electrical.instal-
lation or alteration in' compliance with tbe electrical laws, N.E.C., RCW. Chapter
19;28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utilitj Specifications.
Signatun or ower.. electrical. contracto
o Casjy-D Check #
~dit Card VIS8
Mastercard,
Discover
Card# _____ -ON _"_Pu...1t:.--____
Date:
Expiration Dale
of card
~etfU
I Itl
[J NO LOAD CHANGES
[J Basoboard KW
1:1 Furnace KW
[J Heal Pump Ton
[J Fa~-Wall KW
r
. LeNice
(J Temp Service
o Underground Service
SerVice Information
VoIlage . /141 j,,'tD
Phase ~
SeI'Vice Size: ~
Feeder Size: ~_'
LAR
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
/ ROUGH-IN THERMOSTAT .Jfz~~VICE
"- Dale Approvod By D... Approved By Dde ~y
/ FINAL DITCH FEEDER
~/ 2- ?Iff? ~ . Date ........ By ./
_ Date Appmved By "- Dol. Aflpmved By
Inspection A=. Building or Equipment Inspected Action Taken Electrical
Date Inspector
(!1M 15<' I'l>\I2. L-. UvtL -n. , . ~e- . -=.c.
.
.
I -
10-31-206 9,26A~
FRO~ ANGELES ELECTRIC INC 360 d52 9265
P_ 1
~.
~
ELECTRICAL WORK PERMIT APPLICATiON
f
Electri.cal contractor name
Liccn:;c Tlumboc
Date Ex.pire::;
lnstalla. dl::SCTiption
~om~ 0 Residential
~ D Altered/Addition
Job wired by
EleClrical Contractor 0 Owner
Purcha:;cr's dlililing address
AI~GFI FS FI FrTrlr INr
52,1 EAST FIRST
PORT ANGrl is WA qRlhl
State liP
Teicphonenumber
FAX llUoobcr
4/Jf)
. flu';'
~ 4y /211
-;:; /P~
t'
.
City
(h#~L N
5, LJNf>W
'PA-
Phone tJlunber to ,chedulc in pection:
premi~wnerlS name
_.~~
Addrc!5 ut ins-pee 011
- JZ?
elt,..
Owner as defined hy RCW/9.28.261 ;(1) Owner will occupy the structure for two
years after lh~. eleclriro.! pennil is finali.2ed. (2) Owner is required to hin~ un clutrjcal
C0I11raCf(JI' !l ch()ve. .'.aid pTOpt'yty is jor sak renl OJ" leuS('.
After reading tbe above statement, I hereby certify that lam the: owner of lbe above
named property or a licensed electrical contractor. 1 am making the electrical inst3.1-
.lation or alteration in compliance with the electrical 13.wS, N.E.C., RCW. Ch.aptcr
19.,28, WAC. Chapter 296-46B, Tne City of Port Angeles Muni;ipaJ Code. and
Utility SpecifIcations.
Stgnature or 0 Or electrical administrator
o Cash 0 Check #
o Credit Card Visa Mastercard Discover
Card# ____-~ _-fJ~_-____
x
- Date:
Expiration Date
of card
Electrical Load Additions and or s traclli!rni
o NO LOAD CHANGES
D Baseboard KW :? [) 4z....,g tA.I
D Furnace KW . (r
o Heat Pump _ Ton _ LAR
D Fan-Wall KW
~ad Service
D Temp Service
o Underground Service
Service Info.rmallQll
Voltage /0-
Phase cr1 D 3
Service Size: .--LRE
Feeder Size: ~
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
/ ROUGH-IN / THERMOSTAT '\ SERVICE
D~IQ AWOl:"'l;tl8y Dnle ^PllmVOal:ly Dal~ AW",wl)J B;-
/ - '\
,k FIl'lAl, DrrCll FEEDER
......~ I, .Jrr;],
/011':/ jlpro'Vc Dy/ '- D~\~ Al"j.'>rcIved ~y D;&t~ A~llra\'t'o.IBy ./
Insp~ctiOll Al'ea, Building or Equipment Inspected Action Taken ElectricnJ
Date Inspector
""
.
-
/kJ~ 10 /~) /..../
/:"ff;{
I /
..."
C€~oreY
~ IE C IE I V IE ~CrRICAL WORK PERMIT APPLlCATION
fjJ If!~ Y ~210X
w1:1ectrlcat Cootractor CJ O,J,U~ 2 3 20
LJeense number Lt\:itt>iuUija1,.
'if C
In~l!lllllllon d(l~orlption
o ,ComnaerctpJ ~ ResJdea.tl.al
o New )i[A_lIerecl/AddlrlOIl
Job ,./red by
Cf' rao.iHl'li DddreSJ
lJ 2. h? TC/-#a/t"9 r/5/1'
CHb SUl.lc ZIP
ffirr -11(/'/../ U7 7,5-...752
Tell:"phone 1\lJmb~r FAX nu.mbcr
;a' -f ?
P..mhu ow...., ..m. -rt L. 0 V r "'I
AddrelJ or lo.pc:eUOD C / -#
I;}..""" So L,' /I t7 'l" loe
City
(J/~CL- S~r;/Cc./ /J, k.
fM~k
fftf-~y~.{ ~Vl/"U--
@
~
.-J:
PbODe number' II) lobedule IQ,pectlon:
OW"',. os d(/lnld by flCw'J9.28.J6/:(J) Own",. wfll PCCl/p>, Ihl ltruCtlJrt/or two
ymr1 qflu tJlI.s ~Jecl,lCllI pemUI Lr j1na/lzed. (2) OW/ler f.1 r<<quJrtJ ID }dre an IIler;'''{cal
cOfltl'Ql;lol' ff Qboy, .saId propertY IJ /or sole. ren' (Jr fQaJt,
After madipi the above "l&uomcnt, I hDrcby ocl1lty th.t I am \hc owner or \1\0 l1bo...e
WIled property" or I licco6cd ele~uical conlnlii:tor. lam muk.ing (he elcl;trical instal.
IlIion or alteration lp (;Iomp\lance with lhCl electrical Jaw,. N..E.C.. RCW, Chr.P'IOf
19.1~. WI\C, Ch.p..r 296-46B, The Ci'y of po.' /\R;.I" Mu.lclpal Cod" and
Ullllry Spo,ln,adoos.
Slevaturt or aer, eJectrh:.1 contractor or elec:t..-lcll adaltnlrlr.lllOr
X l Date: 7/.):J;" e
o Cpsh 0 Chock 1/
o Credit Card VISa
Card #
Mastercard
Discoyer
. .
----'-------------~
E.xpintion Dale
of card
o:lpcelion foc
$ 7-5"." 0
flnctrleftl LOl!ld AddltlO"R 8"d or subt'rJu~tlont:l
~D I.DAD CHANGES
o aooeballld It:iI
a Fumace _KW ~OYe'hea.d Sarvlce
C He.1 o"mp _ Ton _ LAR C Temp Service
o Fen-Wall _ 'f;!I/ 0 Underground Sarvloe
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417.4735
Servlct\ IntormBtlon
Voltag. I~ 1:2 t{:B
Pt"... (M 0 3
Service Size: 2-" h
Feeder Size:
ROUGH-IN ( THERMOSTAT ( SERVICE
10 /3!1f3 ~/
DI.. ^ppI\lW~~ P)' D~" A~lVfO$eJ
FEEDER "'
FINAL DITCH
~~
D.(o AlIIWw..;D D~lc flIYSdDy
Jnlp.clion Are.. Building or Equipmenl JnspOClod AClion TAlon elllcmoll
Dalt In!pcctor
t'
/
/
/ I
l=
DO J'-tX:)q;
. O-VCD
&
RIECIEDV~D
ELECTRICAL WORK PERMIT APPLICATION
JUL 2 3 2008
Job wil'.d by
lll1i:lectrlc.. CODlractDr
Cl OwuerUGHTD
LIcense numbel Dlle e:r;plre1l
/7LV /11 P/F-CMs--.oJ
ElectricDll;lon!tllcwr name
OIH/714d_ c:"/,....."rn;-
P\lr;:hsC$er:l" ItllliHfli addn:s.s
tj 2.:/ /'J Tu.#1u/1"9 rh/?
Cilb SUl.lc ZIP
/t)rr ~rt-/ U7 7FJ6''z
TdCl'honc: number FAX number
-eJ' -; 7..
prtmhu owner's Dlrnll ~ lo () r 't
Addrell of lo'pceUoD C / 'fr'.
I~"'" SO L- ,~ 1'1 t7' 'l - UlYI\ll)~
City
i'boDt nurabor HI .c:bedule lIupectJon:
OWII_r dS dej1",d b)l /l.Cw'J9.28.J6J:(J) Ownar wUl QCCJlPJ' 111, Jlruct,u'ejo' 'WO
~ qf/U' t/its ele:trICD/ ptm/J/ U /ltlrJltzed. (1) Owll~ tJ rrf9uJ~d 10 Jdre an tslcr:u'/CQ{
cont~tD' 1/ (Jb.ov. J,Q{ci propurty IJ lor .IDle. 1'(!If' ur (g(l1t,
Alter felIdins the: lIbovc swomonc. I hD~b)' oonli)' lh..~ I 1m \hc owner or 1M l1bo"'e
DOmed propol"t)' or I li~cll5c:d cl~~rricaJ con\nlglOr, I am making lhe. c\clOtrical instal.
IlIion 0' allent/on In oompllllloce wilh LhCl elcQtrlcal law., N.2.C.. RCW. Chapler
19.2S. WAC, Chapter 296-46a, The City of Port AnSISIC-$ MunIcipal Codet and
UIIIIll' Speelfioadm.
Slsga(ure ot 'tr, electric,1 eontrattor or ele:c:trluJ adln'1I16'lrator
X I Date: 7/';3/" 9
In'11I.1lAdon dO!Or\l'lion
Ptl ,ComlDercti1l ~ RtsJdcD.tbol
o New
Ji1.. Mitred/Addition
M
l
~
\f\
fJlac.e.-- 5..o.ry~ f?,. k
(M~~
;:;tT~Y-'.{ ~I'I/'.U-
Cl CjlSh 0 Check 11
o Credit C...d VISa
Card #
Mastelcard
Discover
- .
---------~-----~
Expilation Dale
of card
Dlpc~tion fcc
$ 7.s-.~O
~trleBI LO!ld AdditIon.. and or 8ubtr..etlone
D LOAD CHANGES .
o s""eboord _ toN
o Fumace _ KW
CJ He.l Pump _ Ton _ LAR
o FllIl-Wall _ toN
SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735
~nr\l'lc" IntONnBtlon
Voltag./~/':;''f4
P..... ~ CJ 3
Se...,lce $1%.: at) ~
Feeder Size:
4l' Overhea.d $6rvlce
CJ Temp SOIVI""
CJ Underground Service
.
ROUGH-IN r THERMOSTAT ( SERVICE
D~lt '1/3?J / riP.> ~
'\. D." "p"I\l~IC'~ (I)' AftllO~,d 87 ~ j)M~1
,,- DITCH '"" FEEDER
FINAL
IV itl ~ ~n I
"- Clio AlIP/'O~.q~ Dale rvn>> BY../
In.peclion Are., Building or EquipmenUNpoclod Aclion TakllD E!lllctrioal
Clue In!pcotor
--
. ....,~- ~
c
0E '2.(;'!~
OWNER/CONTRACTOR
L.t?,.,,'V\C.
ADDRESS
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
ces-ogg S
C-
2.7 ? LCNCOL
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D.. . . . . . . .. . . . .. . ROUGH IN/COVER. . . . . . .. . . . .. . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . .J;li.
D. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
.S~rz.V\L..E- h"'''::>, Su7?012., 10 'iSE--
t2.1c..l[7LL( SUl'?"'?O /Z-Tre:....D
. r.JFtc '2.9(;,-4(0(3, -z. -y) - 28
oe, Vtc'_Tl.J~E.'7
~ 10/. E:...la'2- IE to <;
-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
-~s-
L1ZL-T"~ C
ADDRESS
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . ~
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . .. . . . . . . . . 0
CORRECTIONS NEEDED:
~~a,\J'(c:..~
Coh"Y1-Y
!)lZ-AwIIJ fL
L.tf:(_
/vI-p,.s'l
l,.) 1'\ I-{
'lL - 10 2....
~()1i'~"12:.\ "'TCl
I.lJAc.. 7!'7/,-Ljt-. -g- 2.~;
Z. SjJ2Al's -+- >tl~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
6"
ADDRESS
L
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D.. . . . . . .. . . . ... . ROUGH IN/COVER. . . .. . . ... . . .. . 0
D.................... SERVICE...................~
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
o1'Z-
"
'"?l iZ.vT
C. Fu 'VlZVTE-C1 t'>UTS) bg:
N~c.... 21()'~ A""">
l2is::rm +'C \:F
Covl'<:.-IL
-
1- 0 CZ-
OL-r ['[.0\2_
'i2-1l<"-<::'r~""'1 ~
^)~ LfO(,.8
uf 'lil2-nTlF-,r.:f Inl\.J "'F~Y\ 7.jif'1S.ICN ht\Jl.:(~
NIfL 3~~':iSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
i
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10/08/2008 13:41 FAX 380 452 3488
Olympic Electric Co.
. PA CITY INSPECT ~001/."01
....
D8- 13tO
.
ELECTRICAL WORK l'ERMIT APPLICATION
lob ..".d by
lJI'tlectrlcll CODlractor C Owoer
JDSlaUllion doJeriptioQ
o ,COlDlIlorcllll 0 Roald.allal
E.lecUiC;:11 oont~cto' ntmO LI;aDK "umber DIlle Sxplro.l
~;r" ~/....."fr;;'_ /!1lV/,?/,/?CM'r"O/
p at' raailins: addle..
'121/7 TC/'#~"'r~/?
c~ Slate ZIP
'lJ),..-r 4t;;,.?f U7- /J-Jt52
Ttlephonc number FA.X number
?
5, *5 t:f-). 0 ....
ji(AllorecllAdcUU..
ON...
~
~ I
r .,--
\N
8
~ ~/".o ~~ /C/tI
#Mp /tv ,~~ ~'v- -r-
Poi.F'I1'/AA~ h1~ LDoI'.s
Preadte. o~.e,.l. Dime
Add,... .r 10'p'.UOO
-1J. 7 S /":11 f'. 0 L n
Clly II I 1-1 J.), "J /]
--Yllyf fin !J-( 1..0 V'" n "/ CJ ,
Pb... ....b.r ,. "bedu', lDlp..,I.., L( 5 7 5 J 0 J
Ow."., dljln.d b, RCw.J9,2a,16/;(J) Own., ...11I...." ,h, "rv.....t.r '....
1fIlU7 4fW Iltls .'""ri=U pent'" u jlftd/imJ. (2) aw,," i.r rtqwlf'fd to IIIrt an elt(:lrical
~tDr 1/ ClIbow $414 JII'OPfI''' U lor Jot., rUff or 104M.
~ tadi", the .boYe '~Lmncnt, I hort:by oenilY that I am !he oWtler of the above
D4a'1ed prap6l't)' at . llcmled aloettioll eon\rlOlor. Ilrn maklna ,he Cll00trlClllnltal-
lalion or .lro~ion ill COlDpli.... wilh tho ol.Clri..1 lawI, N.!.C., RCW, Chapt.r
IP.21. WAC. CJI,op'" 296-4411. Th, Cily or Pan "'.0'" Munlolp.1 CodD, and
Utility SpecUI.,ti....
Slcaalur. OW1lIf. Ilectrlc.1 un.ne or or cletlric.1 Idlllln"II'ilor
X Date: liJ/~1 08
q Ca8h C Ch~ek#
C Cl1dil Cud YISII
Mastercal'd
Discover
Canlll - - -
---- ---..,....-----'--~
'5"00
Expiration Dale
ofcard
SBnll108 InformatIon
Et8drICRI Load AddltlDn. I!Ind 0' BubtrB~tlon&
o NO LOAD CHANGES
C Butboard KW
o Furno.. _ KW 0 o...arh..d Se"'co
C Hoal Pump _ TO/l_ LAR C Temp SeMco
C Fill-Wall _ KW 0 Urulerg,ound Satvlc.
SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735
Vollllge /;o/'1.4'D
Pnll8G B-1 0 3
SOMco SlZ.e:MJoO/F
Feedor Size: 71M'<--
"
. .
ROUG8-IN THEllMOSTAT ..., SERVICE
Ooi. AprpwvoI (lr D.II AJlPlUVal8J 'oh.;>dl'~' ~.,
FINAL DrI'OI FEEDER ....,
/Ot~[rYO ~ .... A.4>>O~1ld By Pale AIP,..RIII B
InspeelioD
Area, Building or EquipmellLlnspcclcd Acti.n Tot.. 1l1,wI,.1
Dlle InJpeCtOf
10-10-0"6 AL~ll:-, hoNii- - SI&..Jfi(:. q<'F 81 T.lI.iI IW /o-Z.-tR. !212-J'(;wd:. EX ", \.7
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10/08/2008 13:41 FAX 380 452 3498
Olympic Electric Co.
. PA CITY INSPECT ~00"'001
.....
CB--I301 .
ELECTRICAL WORK PERMIT APPLICATION
Job IIIl1'ed by lit'f.ectrleo. Coolroeror 0 OWller
IDstella,ion desllription
Q .COllllllorcW 0 Rolldo~tlal
!Ia~criell oorllt.~tgr nlmo /...I.uo" "umber DaLe I!xplre.
U'~d""'d- C=/.....", 1-/7;"_ /!/LV/l1..PI?CU-r-.///
Pure IIr' rDoilinj" Ilddteu
tJ21/? rC/~6L/;"Jr~/f
O~ S.... ZIP
'C'rr r11;,../-f Ul. 7rJt5"z
Tc'ephonc number FAX number
- ?
~/*S" (FJ-
@
ONe..
tl(AltoredlAddlttoo
~ J1'/40 ~d1 /C/d
..fMp ;( V -f1~ ~ t.> ~ .N-
~
~Lr: /?A",,Jr' /Hntll- LoD~
Pread'" oWDlllr1. Dlmel
Addre.. 0' lo.peeUo.
12- 7 S L.:n {, 0 L n
~ I
flY r 11 /1 !J -(1..0
Pboae Dll JUber to .ebldult IlLIp.clloDi
IP[ g3t'3
530J
1/"11
LfS7
0"'." '" d(/l.'d by RCII'.J9.2&.26/;(I) Ow." ",III Dee.,)' ,hI ""'''.''/0' ''''''
~ QjJu thl.s ,I,,,dQilJ pent"' U finalized. (2) Ownrr i.J f'fqlilrtd Ip IIlrr tin tltelrl~1
r:tHI,,"tDr 1/ obG-w MJJd pIOJIfI'ff LlI'" JoI" '~n' 0' 'WI.
After tQldiRllhe ebovG naLcment, J hm:by oonifY that I am the owner of the above
aamed propart)' Clt . llcmlcd cllar:trioal con1rlOI.Ot. I 1m mak1na ,he eloatrlCllllnltll..
lalion .' .iloralion in ....pli..c. willi Ih, eleclri..1 law.. N.8.C.. RCW. Chapter
lUll. W"C. ClIapler 296-4611. Th. Cily .r P." Ana.l.. Munlolp.1 Collo. and
UUlil)' Speolficotioos,
SICDauuI owtalr, electrlcll conIne or or cleClrinl Idllllnlllr.tor
X Date: /tJ/~1 0 B
o Cash 0 Ch~ek#
t:I Credit Cllld VlSll
MllSterelifd
Discover
Card II
. . .
---- ----- ----_._-~
Expiration Date
of card
SBnlloe Informstlon
E\RdtICBI Load Additions and or subtractions
Q NO ~OAP OHANGES
o Booeboatd _KW
o furnaoe _ KW 0 Overhead Sol1ll..
o Hool Pump _ Ton _ LAR 0 Tomp Sor.olce
o fan.Wall _I<W 0 Underground Service
SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735
VOlreoe/;.o/wc
Ph.... B- 1 0 3
SONI... Slzo:.2.Aloc,<Jt
Foedo, Size: ~'--
, .
r ROUGH-IN " THERMOS'l'AT ) r SERVICE 1
loIt3/CE, \PAl
.... A.pPPI'YoilllY -/ DIIf AppruvDd ., \. cuc ^ppIO~tcl a)'
FINAL DITCH FEEDER
/()j,.~/Lfl ~ D... ApOfOVod By PalC AppraNl b
Duo "-
In.pectioll Arc.. Building or llqulprnCllUIISJlC<:lcd Action Taken IlI.eni..i
Ollf Inlpe:tOT
10 -1O-0'!:; AU!&t4iJ'I 1Jn,.;E' -.5/frl$iJ <;=;: LJ l' T.II.I.. 4,.) 10,2 .0'8 Rev/~EJ:, tx &
.
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(;--2..0
(i
J(Eleclrical Contractor 1:1 Owner ...._...~W
Q Annual Permit [J Alarm 0 Carnival Q Commercial
ELECTRICAL WORK PERMIT APPLICATION
~eQUcstInspeCtion
.
o Residential a Re~idl!:nd:al Maint. 0 SJgns D Thermostat 0 Tetecom.
Job wired by
~Ieetrleal Conlraclor Q Owner
License number
Installation dc:sl:ription
0;0 Z7 -+.A9
~
Clly
2.-
~jJtKBJ .'31
'5cn:J
.-
75'qJJ
$/$7)
1 hereby certify thar: I am rhe owner o( the above named pro13erty or a licensed
electrical conl'r.\etor (or the firm'$ authorized agent) and am making the electrical
installation or alteration in compliance with lhe clcc!riC3llaw, Chapler 19.28 RCW.
Q Cash 1:1 Check #
Q Credil Card c9
Card #
Mastercard
Discover
owner, eiectrlcnl eon~r etor 01' cletfrlul admlnlstntor
ExpinlllOn ate
of card
InspcClion fee ...."
$ /5lJ, crO
x
WALLS
Insulation Only
CElUNG
Insulacion Ollly
THERMOSTAT
SERVICE
Cover
APJI'l'O'tCd Dy
011,
OllIe ^llfWO"cd Dy
DIu! Apem)\'Cd Sy
0..
Cover
Approved By
DITCH
FEl!I>ER
....
Approved 8,.
O'le
"'proved By
Ollie
Approve'll Dr
D.le
Al'proYCd D,..
EJectrlcalload Addlllons and or sublraelio'lli
q NO LOAD CHANGES
q Baseboard ICW
IJ Furnace = ICW
IJ Hea. I'llmp _ Ton _ LAFl
IJ Fan-Wall _I<W
a Overhoad Service
Q Temp Sarvice
q Undergro d S ""
Servlca Information
Voltege
Phase Cl , Cl 3
SeMce Size:
un e ee Feeder Size: -
Inspection
; Dale Area, Uuilding or Equipment Inspcc:tcd
Cj-'-I-a '7 AClion Taken Electrical
NO Q,~"'f"'7 P~T InspcClor
AfJ &U.
Bh/ Irp ~/H-
/ I ,4y'? 4zcS)
ll"IllI":''''.. '.. --
lTu....-........ 'U"'I!;;&,p
~ AUG 2 2007 r
UGH' UI:PT.
Gd Wd~G:,0 L00G GG '6n~
~1766 GS17 09~ ,
'ON ><~eJ
~ 1-l'~"13 5 ,aoa
WO<:ieJ
f
.'~.
.t .
~ ;
~..El ctrtcal Contractor 0 Owner ~~...-:s-'"
o An \121 Permit a Alarm a Carnival ~COlllmerciftl
ELECTRICAL WORK PERMIT APPUC"'-TION
o Request Inspection
"
o Residential Q Resldentlal MaWt. 0 Signs a Tbermostat a Tel~coP1.
lnstallation i1escriptlon
Electrical Contractor 0 Owner
3 tl k""r .s....r-v\. ~
+0 ~1'fJn
....eil15~5
Add
ell
I be eby certify that r am the oWner of the above p.amed property or a licen~eu
elec ical contractor (rrr the finn's authorized agent): and am making the electrical
ins nation or alteration in compliance with the e1ect#callaw, Cha.pter 19.28 RCW.
o Cash 0 Check /I
o Credit Card VISa
Card #
Mastercard
Discover
\J
01
I
lJ
ViJ
~
- - -
-----~-...,..---------
Si lItur@ of owner, ehdrical contractor or electrical administrator
,
Expiration Date
of card
x
WALLS
Insulatiol\ Only
bnlNG
In~uls.tion Only
THERMOSTKf
SERVICE
Dale
Appro"~BY
D~(e
Approved By
Dat~
AoPfQ'ied, By
lnle
Approv~li ~y
nITal
FEEDER
COVl:r
Cover
Dll'
ApprOved B)'
Date
App1<>ved 8)'
Dau
..u.p,l,lved By
i Oll.[e
AppKlvod B:<
Ele ad A and
o N LOAD CHANGES
DB board _KW ..
OF mace _KW
o H af Pump _ Ton _ LAA
o F1n-wau _ KW
ServIce Information
o Overhead Sel"\l'ice
o Temp Service
o Underground Sarvice
Voltage
PhaseD1D3
Service Size; _
Feeder Size:
lnspection
Date
Area, uiIding or .equipment Inspected
Actio1 'raken
Electrical
Inspe~
e
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