HomeMy WebLinkAbout1417 Pacific Vista - Building North Peninsula Electric 928-9409 p.1
R -C IVED
E E
OCT
CM OF PORT ANGELES PWHT,4&pUCAn0N
Building UPhiSiGDfEI0CtriCM InspeeflonS
321 F-ot Fffth S"Tet—P-0-]BOX 1150 1POrt Angeles Washington,98362
Ph:(30)4174735 Fax: (360)417-4711
Date- a— '-'1'&2 Single Family Dwelling
*Plait Review WY Be Reqdred Please 30ripjete 1= trial Plan review
Job Address. ' 1,nformaqon Sheet
Building Square Footage:
005cliption of above
Owner Infornnation Contractor Info on
�'C'sk
Mailing A Name: " � a�
*pr,� Vaj11n&g!Are= :atc_-
City swe:N f Y-
PhDne'n .statp-\6-��
-�-LIA
Phone:
Ucense#/Exp.
Itn Unit Charge
ServicelFeeder 200 Amp, $12C.00 9!Z Total(QtV Mulfil2lied-bLILait Chargel
Servica'Fesder 201-400 Amp. $W.00
SeMceFeeder401-WAmp $205-00
ServicalFeeder 601-1000 Amp. $262-00
ServiceiFeeder over IGM Amp. $M.00
Branch circuit W1 Service Feeder S 5.00
Branch Circuit Vw)Semce Feeder $ 63.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00
1 amp.Sarv!W FeedEr 200 Amp. 93.00 $-
Temp.S--MceFeeder 201140 Amp. $110-00
Temp.SeRdcaFeedar 401-600 Amp. $149,00
Temp.5er%fice(Feader6(311-1000 Amp. $168.W
Portal to Portal Hourly = 96.00
Signal Circuit)UFdled Energy-1&2 Family Dwelling $ 64.00
Manufactured Horne Connection $120.00
Renewable BecMcal Energy-5KVA System or Less $102.00
Thermostat & 56,00
dote:$5.00 for each additional T-Stal
NEW 6blrsTRUcTjoN OnLy,
First 1200 Square R, $120.00
Each Additional 600 Square Ft or Portior,of $ 40.00
Gsch Cuthu-11ding or Detached Garage $ 74.00 $L—
Each SW Mmft Pcol or Hot Tub 11100 $—
$ Natal
Owner as defined by RCW.19.28'.261:(1)Owner will occupy the structure for hvc years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if p inspection.
above property is for sale.fentorlease, Permit expires after six months of Jastin n
After reading the above statement,I hereby certify that am the owner of the above named MP"Ora licensed electriod contractor.I am maldn
ft eie&cal installaton or albp�, or, incompliance with the electrical lam.N.E.C.,RCVV.Chapter 19.28,WAC-QWjer 296-A6B,The City of g
Angeles Municipal Code,and U(ility Specifications and PAMG 14.05.050 regarding EJ:ectricsf Permit Applications,
port
Signature of owner,electrical contractor or electrical acrtinIstratDr, ❑ Gash ❑ Chlx*
-9-IRtCard 9
• DUOUM2
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 13-00001135 pate 10/03/13
Application pin number . . , 776455
Property Address , . , , . . 1417 PACIFIC VISTA REPORT SALES TAX
ASSESSOR PARCEL NUMffER; 06-30-01-6-3-0050-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name , . , . , . to the City of Port Angeles
Property Use . . . . . , . . f� n
Property Zoning , , . , , . . RS9 RESDNTL SINGLE FIAMILY (Location Code 0502)
Application valuation . . . . 0
Application desc
1 circuit tar fireplace
Owner Contractor
- ---- - -
BINGHAM DAVID NORTH PENINSULA ELECTRIC
1417 S PACIFIC VIS 761 FRESHWATER PARK RD
PORT ANGELES WA 983631526 PORT ANGELES WA 98363
(360) 477-1764
----°__-- --------------------------------------------------------------------
Permit . . , , . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Perm9t Fee 63.00 Plan Check Fee 00
Issue Date , . , . 10/03/13 Valuation 0
Expiration Date 4/01/14
Qty Unit Charge Per Extension
1.00 63,0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
-_-----------------------------------
Fee summary Charged paid Credited Due
----------------- ---------- - - ---- ---- ------ ---------
Permit Fee Total 63.00 63.00 .00 00
Plan Check Total 00 .00 .00 .00
Grand Total 63.00 63.00 00 ,00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 10
FINAL r
Ali
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date;
G:IEXCIIANGE\13UILDING
PREPARED 10/06/09 8 27 56 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/06/09
ADDRESS 1417 PACIFIC VISTA
TENANT NBR DAVID L BINGHAM
CONTRACTOR ANGELES HEATING INC
OWNER DAVID L BINGHAM
PARCEL 06 30 01 6 3 0050 0000
APPL NUMBER 09 00001020 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 457 0111
PHONE (360) 452 8626
ME99 01 10/06/09 J L MECHANICAL FINAL TIME 04 00
October 5 2009 8 19 17 AM 1pangrle
NNN(ooJ BOB 460 2314
MECHANICAL FINAL HEAT PUMP
HE REQUESTED THE LATEST POSSIBLE AFTERNOON INSPECTION
COMMENTS AND NOTES
Application desc
INSTALL HEAT PUMP
Owner
DAVID L BINGHAM
1417 PACIFIC VISTA
PORT ANGELES
(360) 452 8626
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
T:FormsBuilding DivisionBuilding Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
WA 983631526
MECHANICAL. PERMIT
INSTALL HEAT PUMP
154559
64 80
10/05/09
4/03/10
09 00001020
752600
1417 PACIFIC VISTA
06 30 01 6 3 0050 0000
DAVID L BINGHAM
MECHANICAL APPL PERMIT
RS9 RESDNTL SINGLE FAMILY
10775
Contractor
ANGELES HEATING INC
2114 W 8TH ST
PORT ANGELES
(360) 457 0111
Plan Check Fee
Valuation
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80
Charged Paid Credited Due
64 80 64 80 00
00 00 00
64 80 64 80 00
Date 10/05/09
WA 98363
00
00
00
00
0
6_ 6
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 fora period of 180 days
after the work has 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 construct or the performance of cons ction.
Mtc-% J ii r
Date Print 'Name S
NS of Contractor or Authorized Agent Signature of Owner Of owner is builder)
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump I Furnace I FAU I Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Date Accepted By
FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting i ESA.
Landscaping I SHORELINE.
T:Forms /Building Division /Building Permit
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
Accepted by
J
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
to—N,- no) I LA
0
Q
Applicant ft( Gf S /ILf,- ,)j_. ,t/C
Property Ownef Dao r Teri.' ce (3IA, A a rvt
Property Owner's Address pin /Ja-c t', 1' r-t -A--
Gentraetor ,4j h F.4- T,'jt'
Contractor's Address c9// (J R.r) A,
License Expires
PROJECT ADDRESS
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Parcel Number
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
T Forms /Building Division /Bldg Permit.doc
BUILDING PERMIT APPLICATION Print In Ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Phone7-6,— ys d
w !1 9 f 3c
Pa- 1.. lb c /4 /4 An/.44-0.
Lot
Residential
House garage other
Heat pump wood burning stove gas fireplace
Existing (sq. ft.) Proposed (sq. ft.)
T
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
For City Use Only
Date Received (O /O 5/O9
Permit t^� 1
Date Approved
Phone
Phone 3 o L /S g40
E -mail es/
44
Multi- family Commercial' Industrial
TOTAL VALUATION
Signature
Zoning
tear off re -roof lay over one layer
pellet stove other
per sq ft.
of bedrooms
of full baths
of half baths
/7, 7 2 Se
sq ft. T Lot size sq ft. Lot coverage
Site Coverage the amount -of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage
I have read and completed this application and know it to be true and correct. l.am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to u o ects.
Date A 9 Print Name abeam J r �-r°
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
15kw furnace 3 ton heat pump
Owner
BINGHAM DAVID L
1417 S PACIFIC VIS
PORT ANGELES
WA 983631526
Permit ELECTRICAL
Additional desc
Permit pin number 154591
Permit Fee 43 75
Issue Date 10/05/09
Expiration Date 4/03/10
09 00001017
742052
1417 PACIFIC VISTA
06 30 01 6 3 0050 0000
ELECTRICAL ONLY
ALTER RESIDENTIAL
Qty Unit Charge Per
1 00 43 7500 ECH EL LVT THERMOSTAT
Special Notes and Comments
October 2 2009 4 11 27 PM Brian 417 4708
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Date 10/05/09
RS9 RESDNTL SINGLE FAMILY
0
DATE
Contractor
NORTH PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
(360) 477 1764
Plan Check Fee
Valuation
OK
Charged Paid Credited
43 75 43 75 00
00 00 00
43 75 43 75 00
Due
RESULTS
00
00
00
tofigk9
hli 4 4-e
0 0
0
Extension
43 75
Signature of owner or Electrical Contractor X Date
INSPECTOR.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
15kw furnace 3 ton heat pump
Owner
BINGHAM DAVID L
1417 S PACIFIC VIS
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983631526
154518
59 50
10/05/09
4/03/10
Charged
59 50
00
59 50
UN
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00001017
742052
1417 PACIFIC VISTA
06 30 01 6 3 0050 0000
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
0
Contractor
ELECTRICAL ALTER RESIDENTIAL
NORTH PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 98363
(360) 477 1764
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Special Notes and Comments
October 2 2009 4 11 27 PM Brian 417 4708
Paid
59 50
00
59 50
Plan Check Fee
Valuation
10 /b6C
DATE
OK
Credited
00
00
00
Date 10/05/09
Due
RESULTS
00
00
00
00
0
Extension
57 50
2 00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
2009 -10 -02 12 42 NORTH PENINSULA ELEC 36092 �G 4641
z U
ELECTRIC
City of Port Angeles Permit Application
Building OhbionIFJedrical Inspections
321 East FIRh Street P,O, Box 1150
Port Angeles Washington, 98362
Ph: (960) 417.4735 Fax: (360) 4174711
Date: r V 1
2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition 1 Alteration Remodel Repaid
Description of above
Owner Information
Name: C.' t( 1 l
Mailing Address: ■1■ c C v a 0
City' State: \.:w\ Zip: `'1't' La 7
Phone: Fax:
Ucense Exp.
Unit t;lmEgg
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
$72.50
88.25
$116.25
$131.25
75.00
69.00
75.00
50.00
50.00
93.75
80.00
86.25
27.50
$57.50
86.25
43.75
�lC
Signature of owner, electrical contractor or electrical administrator
Plan Review May Be R wired Please Cons ete Electrical Plan Review Information Sheet
Job Address: 1r' c,. ,S AN;
Building Square Footage:
?r_ t t/Lfti1.. h J
Contractor Information
Name: Mk, ilsA4!r1 Win. n: G,,, k‘, c
Mailing Address:
City: t" r-\ State: Tip: Y 31. 3
Phone: a '1'\- 1 1 47 Fax: 1 i4'. `1 t
License I Exp. 1ti, u r t (2. 74 1 t L
Total (i3 Multiplied by Unit Charge)
ServicelFeeder 200 Amp.
Service/Feeder 201.400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1000 Amp,
Swvice/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
1"7. 1 Branch Circuit W!O'Setvioe Feeder
g Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp,
Temp. ServicelFeeder 201 -400 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp, Service/Feeder 801.1000 Amp.
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy SKVA System or Less
First 1300 Square Ft
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
$S Thermostat
3 -Natal
Cash
Check 1 1
x l 1.•� L- Deco: i L p redit Cant Il l 7-
Owner is defined bar /Wit 2&261, (1) owns. will occupy the ahrrctm for Iwo yeas after this @Ncaicef permit Is fbralIzed (2) Owner Is squired to hire an
electrical contractor if above said property lx for see, roar or Nara
After reading the above etatemenl. I hereby certify that lam the owner of the above named property or a licensed electrical cordraetor_ I am making the electrical
installation or alteration In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296466, The City of Port Angeles Municipal Cods, and
Wiley Specifications.
/630
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
111'7
,'r~ "7
PERMIT NUMBER
FEE RECEIPT NUMBER
...
CONT. L1C. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
.
TOTAL FEE
~5 () I!fl-
. 'AYbi '--
17 KII
ELECTRICAL PERMIT QNl Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address /111'] PAC-j~i~'.~ fJIf;fA
I CO~ECT ADDRESS IS RESPONSIBILITY ~I~A~; P\RMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner I lY.~. /J.oAf: Installation By 1A'I/>'ililD $/.E-c.i"AIL
Owner'sAdd;ess ("wi.. 1- t:JEAi3,'P,</ Installers Address P, {fJ. 8l'Y (Ar,; -:JOYQ...
Oay Phone L./S';l. - J2 '" ~ Installers Phone tp';l~'- 3')1;. 1
Application Is hereby made for P~rmitto install Electric;:al Equipment as follows: . Nr.it-' ~ &:~:
~~-v;.
(;//JS /I
Wiring Method NH1-13
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA "100R . FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIR '0 30 CIRCUITS CIA '0 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE - MOTOR
APPLIANCE . MOTOR . J t--, ) :....- r J ;- '-1 }
OISH~~SHER FIRE ALARMS 7 7 INj/ 1'-1-/
.
DISPOSAL BURGLAR ALARM f
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 '4 Co AMP etf" PHASE
FEEO~R ilJE OF.lSERVIC.E ENTRANCE (ONDUCTORS
.. "r" ~() .y,;1 i/ If. f)
SERVICE A.W.G.
. I SUB-TOTAL SIZE OF GROUNb~ 4 SIZE OF ENTRANCE SWITCH ? t!J(J
Date Application made
JU,.j{ 7:?,
.,1951.-
. Electrical Code.
I certify that the work to be performed un'der this permit will be done by the installer and in c
.
ONTRACTOR OR OWNER (OR AUTHORIZED AGEND.
, .
Permission is hereby given to do the above descri.bed wo~k, accprdjng to. the condition hereon and accordin'g to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances, C?f th~.Gity of Port Angeles. .... \ .....:. ~\ ,.'.' .
By ,'7' :rTOR OF~~~lIGHT .,': ',"
Date Permit Issued .~ ~
. PLANS APPROVED I "
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered oq;urrent turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD Inspector's Report
OLYMPIC PRINTERS,INC.
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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t/ut II? T~ . . .. I
O.K. FOR COVERING
t ~, -
.~ ~ O.K. TO CONNECT SERVICE
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!~ FINAL O.K.
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT.
A
//37
PERMIT NUMBER
.
. TOTAL FEE
It,~
C->.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
17
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address
C AAECT ADDRESS IS RE PONSIBlllTY OF A PLlCANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner [, 13, /), e.j/,i.5'rA~~.'17"N Installation By .~AY/!'IR b ft./, r;t. '("If Ie-
Owner'sAddress tfl.- tf P~A &JI> y R -1, Installers Address PO. /l"H( t.,~ pie-If:. f,tlldll,
Day Phone I./<:"Z- - /2 eJ )" installers Phone q'Jq, - ~ 1)(.. 1
Application is her~by made for Permit to install Electric~1 Equipment as fOllOWS.: , ;fill }')
.. ... . .~
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER - 10QR FEE USE OF CIRCUIT . PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
liGHT - -- .. 50 VOLTS .
OR LESS
CONVENIENCE .. MO~A ) -
CONVENIENCE - . - MO:r~ /
APPLIANCE M OR ,
.. - /
DISHWASHER - F AL RMS -
DISPOSAL / l' I UAGLAR ALARM
..
RANGE / I // MISC.
OVEN J /
WATER HEATER ,/ V
LAUNORY .'
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 AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
- ..
. SERVICE AW.G.
- I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I
Date Application made
Ml-f
(?,r n0
\,0 ,19...::tL.f.- By
ectrical Code.
. - -
! certify that the work to be performed under this permit will be done by the installer and in co
.
SJjr:i7sjd
NTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Per!TIission is hereby given to do the above d~sc.~ibed wor~, according to the condition_s ereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
. DI::l;F CITY LIGHT
By CIJ~./ Ii . d
PLANS ~PROVED ' tf?
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turn~d on before inspection and O.K. Jor covering or service has been g,ivenby 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
nl VM~ PRINT~RK lNC.,__ _,_
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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-S i),\' \'/, l 1M O.K. TO CONNECT SERVICE
FINAL O.K.
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o
c
.
-,