HomeMy WebLinkAbout303 Rhodes Rd - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
PATRICK C /MICHELLE M DEVLIN
203 RHODES RD
PORT ANGELES
Permit
Additional desc
Permit pin number 68452
Permit Fee 60 65
Issue Date 1/06/06
Expiration Date 7/05/06
Qty Unit Charge
Per
1 00 10 6500 ECH
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
60 65
00
60 65
06 00000021
363529
303 RHODES RD
06 30 15 6 1 0227 0000
CRAIG DEVLIN
MECHANICAL APPL PERMIT
2600
Contractor
THURMANS SUPPLY
1807 EAST FRONT STREET
WA 98362 PORT ANGELES WA 98362
(360) 457 8591
MECHANICAL PERMIT
BASE FEE
ME -OTHER APPL N/R
Plan Check Fee
Valuation
Paid Credited
60 65
00
60 65
00
00
00
Date
1/06/06
00
0
Extension
50 00
10 65
Due
00
00
00
),Ng 0 0
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 t -t I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordi ances governi this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume t9�'g)ve authority o violate or cancel the provisions of any state or local law regulating construction or the performance of
constructi
Sign of Contactor or Authorized Agent Date Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /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
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
(•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005)
BUILDING PERMIT INSPECTION RECORD
YES 1 NO
1 1 1
1 1 1
1 1 1
1 1
1 I 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
1 FIRE DEPT
1 PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
1 1 1
1 1 1
1 1 1
Phone F 4) 5'
Owner C��i�cr. L .4,_ v A .A Phone 4 2, 3 Si 7
Address S
Address City />r a/4 .-97;___C. Zip 91
Architect/Engineer Phone
Contractor i Of1, /,,A u, (4_ c State License 9 S�Exp Phone 4S" 7 g r7 l
Address. P �'�.�r L aH-7 City. r 7 CO, c- Zip -Z
PROJECT ADDRESS 3(7 t) 4 riec ZONING
Applicant or Agent: 460//in,/'i3OWL
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK. SIZE/VALUATION
Residential New Constr. Re roof Stove SF /SF
Multi family Addinon Move Garage SF /SF 5
Commercial Remodel Demolition Deck SF 5 /SF 5
Repair Sign Other TOTAL VALUATION 2 C, r°. p
BRIEF DESCRIPTION OF THE PROJECT �/o -,1 i4 S --e 1/ e.4 s1I G c'o LiU J '6 k-e
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
I hereby certify that 1 have read and examined this appl
understand that it is my responsibility to determine wh
T \Policies\BL 1102_13.wpd Applicant:
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be aL ep ed w ar e v ew If i. ve air" qucstio. ^.s. Cull
PERMITS (360) 417 -4815 FAX(3601417 -4711
ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit apphcation and construction plans are
subnntted. All other permit fees are due at the time of pemut issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued wrthm 180 days of the date of apphcation, 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 R105.3.2
of the International Building/Residential Code, 2003) No apphcation can be extended more than once.
ion and
rmifs ar
Subdivision.
Occupant Load. Construction Type
Proposed Sq Ft. TOTAL Sq Ft.
w the same to be true and correct. I am authorized to apply for this permit and
ired not the City's, and that I must obtain such permits prior to work.
Date. 6 d 1
FOR OFFIC S ONLY
Date Rec. 1 6o 010
Permit 4-
Date Approvee it
Date Issued. /P/%
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER.
'(
cfr ,ORT ~
'0;;
~~
CITY OF PORT ANGELES
,DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000270 Date
134000
303 RHODES RD
06-30-15-6-1-0227-0000-
RE-ROOF
4/19/05
3968
Owner
Contractor
PATRICK C/MICHELLE M DEVLIN
203 RHODES RD
PORT ANGELES WA 98362
AFFORDABLE SERVICES
258663 HI - WAY 101
SEQUIM WA 98382
(360) 683-9619
Permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR-OFF; FELT; COMP
47399
120.75 Plan Check Fee
4/19/05 Valuation
10/16/05
.00
3968
Qty Unit Charge Per
Extension
92.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.75 120.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 125.25 1,2 5 . 25 .00 .00
~
Q,
()J
." 7J
- ;s-
Z C
:.l>
r fl-.
It'
V~
/0
CL
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
pres to g.ve . to violate or cancel the provisions of any state or local law regulating construction or the performance of
onstructl n.
Signature of Owner (if owner is builder)
Date
T:\Policies\1 102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING T I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 4-2:Z..-~r; J I...t. BUILDING
. .
T:\Policies\1 102_15 bwldmg perrmt mspectlOn record05.wpd [1/4/2005]
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I
Affordable Services
258663 HWY 101 West. Sequim, WA. . Since 1971
(360) 683 9619 (360) 385 2724 (360) 452.0840
~~.. 2rp house perimeTer TO protect landscaping
~R:moYe oid roofing haul to landfill
'lS l a! :
Suure / Locate S::ptlC - Drain Field Location
~r!ce Includes Building Permit
n",~~,;:omec 10 See"" Building Pecmll . .
~ . 'r~~fAJJ 9(1 y r/;1J71iAlIJIf?t'}
/<"~ $39 (P'K, Q)
I i,"S UlII
i IlSla!1
i rlsta I:
I nSlal1
inSUl11
! nstal!
~nsUlli
ns ta II
n s: a I!
. nSla I'
; nSUll1
Plywood'
Roof Felt
Pipe Flasrung
Ex.ha ust Vents
Ridge Vents r.
Al1ic: Vents
Sun Tube
Skylights
S8
Ins ta II
Insta II
Install
Install
Cut In
I nsta II
I nSla II
Dnp Edge Metal
Metal W-Valleys
- Roof 10 Wall Flashing
- Roof to Wall Step Flashing
- Chimney Counter Flashing
= Chimney Step Flashing
_ Skylighl Flashing
~
~
t/ ib S~-)()7
PZ) (J} . )( )
- (,
f"
Bid prices are subject to reasonable increases due to any necessal)' alterations, additions, increases in material and or
Labor [0 complete work. Homeowner will be noti.fied of any necessary changes, whid1 may affect cost, before hand
n(}.fj ! 0 y,,, I n';" II" ion W ma nry
--:Z::I' Seme,,"' Repe""''';ve
'--'-St0mer's Sigoature of Acceptance
Y e 8 r
Color
CUJlornen lnltiBll
A.f!"ord~ble Servicel Lnltiall
Date
7-9-ov
/
Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Property Mdress ...... 303 ROODES RD
ASSESSOR PARCEL NUMBER: 0630156102270000
~pplication description . . . ELECTRICAL ONLY
Property Zoning .......
Application valuation .... 0
Property owner ....... PATRICK C/MICRELLE M DEVLIN
Owner address ........ 203 RHODES RD
PORT ANGOLEE i, WA 98362
()
Contractor ......... OLYMPIC ELECTRIC
Permit ...... EL-HOTTUB
Additional desc . .
Sub Contractor . . OLYMPIC ELECTRIC
Permit Fee .... 46.70 Plan Check Fee . . ,00
Issue Date .... 1/03/03 Valuation .... 0
Qty Unit Charge Per Extension
BASE FEE 46.70
Fee summary Charged Paid Credited Due
Permit Fee Total 46.70 46,70 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.70 46.70 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PL ANNI2qG'ff'O RM S\ 1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANF WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PEKMIT: #
PLUMRING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS/ GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
ELECTRiCAL - LIGHT DEPT. 417-4735 ~/CO,~ ~ ELECTRICALLiGHT DEPT
a~ CITY OF PORT
ANGELES
!21 EAST 5TIt STREET. PORT AN(}ELES. WA 983¢,2
ELECTRICAL PERMIT ISSUED: 1/03/2003 PERMIT NO 7~
OWNER/APPLICANT PROPERTY LOCATION
CRAIG DEVLOND 303 RHODES RD
303 RHODES Let: 10
PORT ANGELES, WA 98362 Block: Long Legal
360/452-3467 Subdivision: DIV 2
T: S: Parcel Ne: 063015610227000
CONTRACTOR ARCHITECT
OLYMPIC ELECTRIC N/A
4230 TUMWATER
PORT ANGELES, WA 98362 , 98360-0000
360/457-5303 360/000-0000
.0JEC iNFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: HOT TUB
Occupancy Group: Zoning Use:
Electrical Heat:
~ Baseboard 0 KW i' Riser ~ Underground Service
Furnace 0 KW [7 ] Overhead Service Voltage: 0
~ Heat Pump 0 KW I J TempService Phase: ~ 1
Fan Wall 0 KW Service Size:
Feeder Size: 0
PROJECT NOTES
HOT TUB INSTALL.
RECEIPT # 10039
FEES ASSESSMENT
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $46.70
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $46.70
AMOUNT PAID: $46.70
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-~735 FOR ELECTRICAL [3/SPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL/I R~FUL TO C~)VEI~
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEp PERMIT CARD AND APPROVED PLA~S AT JOB SITE
INSPECTION TYPE ] DATE ] yEsACCEPTED] NO COMMENTS
DITCH
ROUGH-IN / COVER
SERVICE
GENERAL COMMENTS:
; 3;;;001.1 7.1.71 ,
. liT&;1
9 ,/
12/2;/2002 16:49 FAX 36045;5303
"'-......-U.L; I...... .:.""...Mi....: I I, '-U>"ll "",r,,(:,I:::.l...l:::.6
OLYMPIC ELECTRIC
(j
ELECTRICAL. PERMIT APPlICATlON
FOR.~u!t()lll1..Y
-,
1Iloa-raio.r.:
~r AplMNll;
--
TM ~ PGrmb AppIi:.BDon mu.t bit ftl., ftUt l:IDIftDIatafV.
? 79 Sk5<'s' (\
_ typo Of reprint In InlL U you ...... ony q.-on., plea.. 01111 (iIIIIl. .17-4735
"IX numtor. (Hal 417~71l
Owno'~f""'_~~ Olympic Electric Co. ,
p_o-or: tn:U!] f)fV/Ohd
_: 303 Rhodes /2ocu:/
EloctrieaI 0..',,",,,,,, 01 ympic Electric Co., Inc_
~~: 4230 Tumwater
Inc.
Pt1000: 457-5303
FlU:; 452-3498
P-.: .t;62- 3<1t. 7
21p: q If' 3 b 2-
3/31/03 ~: 457-5303
Zip: 98363
City:
Pbr+ ItnJe/es;;
Uc8......: OL YMPEC28~:
Port Angeles, WA
City,
INSTAllATION WIRED BY:
DOwNER
C!l ELEctRICAL CONTRAC"TOA
Burkhardt, Olympic Electric Co.,
Inc.
CledIt OIrd HokMv Nfl"",: Charles T.
SUlIttg Addtew: Same City:
Cmlr Card Number. Exp. OIItIl'
PRO.IECT _&s, 303 I<h .cfe.... f!.oC<.rI /
ZIp:
VJSA:~MCi_
)l(Me'a~AdtJflion
/
-y(ResldentaJ 0 Mulll-femlly 0 Commercial 0 719 Home Sq. FI.
o Remote Mete' 0 Detached llB"'llB ~o\ Tub 0 SWjim Pool 0 Septic Pump 0 '-ow VollBge 0 T Blecam. 0 SIg.
Number 0' Cin:utra .deled 0' 01_:
DESCRIPTlON OF"IllUt.EC11UCAl PROJECT: COJ1Y/ec-h'CY] 10 Iw-f 7zf6
/
/
c!L/6.76
~ /(/(J3'j
TYPE OF WOAK:
Check ill that apply.
o New
EIeclrIcaI Heat LCNId Addltlona
88rvlee Irmvm.tlon
o Basabollrd
DFu"""",
o Heal PumP
o Fan-Wall
_KW
_KW
_KW
_KW
o OWtf18ad $erv....
o T.",~ 58""",,
o Urdlt~urcf Se rvice
V"I8~:
Phase: 01 03
Servlcw Size:
Ftlllder Si28:
PAMC 14.05.060(8)0 For inQAlrial, earn", . & _n1l81 prt>j9CtllIarg.... than a duplex, a one - IIna dr1IWlng or !he EJ8ClIiCaI SeNfe8 &
F-ws. building 8~ (oq. ft.), ICMId CllIIcula 8n<l1he type & 01 ~ and/or .-ayls 19quiracl and .....11 QC:CoI!lpIlny1he
EllICIlioaJ P8llTlit ilPP!lcadon.
, hereby ~rtify that' haIlS rsat1 snq exsmlned this application and know chat same 10 be true and COfT'BC1, and 1M
authorized to apply for this pennlt,/' understand it is not !he City's /egBJ respons/oillly to del9fmine what parmits
ara required; it remains /hs sppficsnrs responsibility to dst8m1/ne what permits af& required and to oblaill SIJCh.
L
PW-901e
er.dlt Caln:l Holder'a Slgnatu..:
am- or Elec. Cont. Slgnlltll...:
Datil: /2 -Z-1-{J2...
DtIta:!p- 2-1- {J ?-
ta~e~.
I :2.pt?A2-
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N9 16315
r;- -I r
Port Angeles, Wasblngtonoooooomooo..mm...m__..m._____._..___.oooooo.ooo.ooo.,
,. ,
, .
/" ,.
19m.ooo_
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to dO electrical work as listed below.
7J I --
Address m?_9.__?ooom(,_j__~.'-:~:JJe.'!?.m/:.~2n___nn__________m. Occupancy____~1_,s?_~?m.m__nm__nn_.__n__..
Owner m(~~~;::f~~~~~~...__~=~.~_:.:_m:_~~:L.;::__nm___..__.__ Tenantm___m~__mnnn__.mmn_m__mm_.__n..m_n.___n___nm
2."" ,.~..,',1.1 'y
Wiring Contractor __..m-::~~r..:::"d6;.,:::~.~~_::~_::_:~_:..'"nm__._m.____n By........mnn____uu..mmmuh_mn_mnn_mnm___....u
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Light Outlets............:~......____..___.._.._..... Service, volts.....:.~:....;..:..:.:......~:~~......
1-<::> :$
Receptacle Outlets.m...:'....................... No. wires ....._...........h.....m.~....":.....
Dryer, KW .._..mm...~__.m.._..u...__u..u. Size wires..;;..:..~...!:.:..:...~~......h._..
/..., -;',,;,-" .4
Range, KW m.mmm..":~......__.m.___ Main fuse .~:.~.::..~.~__.~.u~~mn
Water Heater:
f" 5
KW.h.h........!*........__............... ....
. /J;~' Ifft
Heat. KW....._...................'.......~.....__..u
C
Enclosure ..._.:::i'...mm....u.u...........
/
Type of Wiring:
Entrance Cable _...........
Motors: size, volts and phase:
I u.
/{t.e~..~
m-;/i?;~!_n...m....m......n--
.-,...........-.-.......--...--........................
Rigid Conduit ................._.............
Metallic Tubing ...........................
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No. .............................................
Ser. No.............................................._
Total Load........................h...
Ser. No. ................._...............h.......n
Type of Wiring:
Armored Cable ....h........................
Non-Metallic hhm_hh_mh_h_.hhhhn
Knob & Tube....__............................
RIgid Conduit hum_nUnOU'h_OUnOUn
Metallic Tubing ""'''''h......m.._....
Raceway ........_....................._..........
,..~
Circuits. Light....::.::..............................
Utility unh0...._.OU.hh...h.......m....
/::2
Heat ............................_.........._......
. ,
Range .....C...................................._
"'j
Water Heater :'.~...........m.......m
Motor ...._........................................
...."
Dryer.....d......................._...............
Furnace .........................'_...................
-:>0'
Total ....-?;................................
Remarks: __.___~_..a~-'f!._._._.~__.._._._.._(~_~}__~_:._____~~:r~.._____f.______.___._______._____..._..._..___n_._.____..__________._.____._.___._
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n.uooom.__uu.U_______n___n.nm_ooomum__u_u___.______nm_m_m____nun._m___u.uu-hm;j?,--mm.iT--",------------;____m__ooo_m.mmm
:~.::r{{~:._____.____.._.._.__ ::~.~.~:..~.~.~.~~~.~......__ By ._.~~~:.._.l:j~~:_:~.t_{!:_.'_/l~~___~_~._,~
,
NOTICE-Current must not be turned on until Certificate of Inspection 'has been issued. It work is to be con.
cea.led 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?
16315
Address...................................._..........................................................._................_......................Date..._._........_.._.._.........._......_......_...__....
Owner ............_......................_......_.._...h._......_.._h.........................._.............................. Tenant...................h........................._.....................
WJring Contractor .........................___.............__............._.._.........................................................._... By..............................................................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
ce3Jed due notice must be given the Inspector so that work may be inspected before concealment.