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Home My WebLink About3510 Wabash St - BuildingOWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT t w►S O Ti le,l, C, ADDRESS 3510 i;SAc:A--) �y APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: jSPECTOR (F -4 Ku-- %u, 14t7 rays Jam' 6`&=' 31 C� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE 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 Application desc HEAT PUMP INSTALLATION Owner WILLIAM L TIDERMAN 3510 WABASH ST PORT ANGELES (360) 457 1756 Permit MECHANICAL PERMIT Additional desc INSTALL A HEAT PUMP Permit pin number 157677 Permit Fee 64 80 Issue Date 12/04/09 Expiration Date 6/02/10 Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total 14 8000 EA T:FormsBuilding Division/Building Permit WA 983622717 Per Charged 64 80 00 64 80 09 00001265 326870 3510 WABASH ST 06 30 14 5 1 0150 0000 WILLIAM L TIDERMAN MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee Valuation BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited 64 80 00 00 00 64 80 00 Date 12/04/09 Due Extension 50 00 14 80 00 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 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 regu ating constr the performance of onstructi I[3 /L e l �Gt(Z p I I L 1�1P-b -A Iff4 Date Print Name Signature of Contractor or Authorized Agent 00 0 Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 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. Inspection Type Date 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T /Building Division /Building Permit //cam //D PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping I SHORELINE. Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted By Comments iFINAL Date Accepted by 6 Ka S /GG/L I FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By P cC7 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 3 circuits 15 kw furnaace 3 5 ton heat pump Owner TIDERMAN WILLIAM L 3510 WABASH ST PORT ANGELES Qty 1 00 2 00 Unit Charge 57 5000 2 0000 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983622717 Permit ELECTRICAL Additional desc Permit pin number 157651 Permit Fee 61 50 Issue Date 12/04/09 Expiration Date 6/02/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 09 00001263 380497 3510 WABASH ST 06 30 14 5 1 0150 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ALTER RESIDENTIAL Plan Check Fee Valuation Per ECH EL BRANCH CIRCUIT WO /FEEDER ECH EL ECH ADDNT BRANCH CIRCUIT 61 50 00 61 50 Paid Credited Due 61 50 00 61 50 00 00 00 Date 12/04/09 WA 98363 DATE RESULTS 4,112,10 t.1IZz 00 00 00 00 0 Extension 57 50 4 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 7 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 3 5 ton heat pump Owner TIDERMAN WILLIAM L 3510 WABASH ST 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 983622717 157628 43 75 12/04/09 6/02/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 09 00001260 919960 3510 WABASH ST 06 30 14 5 1 0150 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 43 7500 ECH EL LVT THERMOSTAT ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee Valuation Charged Paid Credited 43 75 43 75 00 00 00 00 43 75 43 75 00 Date 12/04/09 DATE RESULTS 147 (ng ;Y 1 P 9 4 0 0 0 Extension 43 75 Due 00 00 00 Signaiure of owner or Electrical Contractor X Date INSPECTOR. RECE DEC 4 zuu City of Port Angeles Permit Application ELECTRICAL Building Division /Electrical Inspections INSPECTIONS 321 East Fifth Street- P.O, Sox 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 4174711 Date: 12-10b l Y X_1& 2 Single Family Dwelling Multi -Family or Commercial' Commercial Addition Alteration Remodel Repair* Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address; °3511) 1.4, r2Pl Building Square Footage: ()Ascription of ap ovJ CA4 tit tkThJ 2C1-k" 7 fl Qd at 12/03/2009 10 06 13604525177 Owner Information Namee L) Mallin. Address: City i Phone: License I Exp. Unit Charoe 93.75 $113.75 $160,00 $205.00 $291,25 2,00 57,50 2.00 72,50 86.25 $116,25 $131.25 75,00 69,00 75 °00 50.00 50,00 93.75 80.00 86.25 27.50 57.50 08.25 43,75 ner man State: 1A1_ Zip: _ataiG 'Fax: r.0 c aty Owner as defined by RCW, (9.28.261 (1) Owner will occupy the structure for two years after this elects cal pemnit Is finalized, (2) Owner is required to hire an electrical contractor If above said property Is for sale, rent or lease, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor- I am making the electrical installation or alteration In compliance with the electrical laws, N,E,C,, RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator Datez D Contractor Information Name. OA\ U. Y YZ O 14'1 --t r9 Mailin Address: 7 City° QState: Zip: Phone: Fax: License Exp. 11 U )c t,Ot L 7 Total (Qty Multiplied by Unit CtilEgel Service/Feeder 200 Amp, Service /Feeder 201-400 Amp. Service/Feeder 401.600 Amp. Service/Feeder 601.1000 Amp, Service/Feeder over 1000 Amp, Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp, Service/Feeder 401 -600 Amp. Temp, Service/Feeder 601 -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 5KVA 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 4315 Thermostat $_43 Total Cash Check CreditCerd# ER HEATING PAGE 02/04 h�v 12/03/2009 10 06 13604525177 ALL WEATHER HEATING 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 11 Applicant P O\ Q,( v i 0,0 Dl-{ Phone I- 1 Property Owner x0,4.4 t1' 1)3 01.Jn CVLX MCI Phone a1Q0 L15 Property Owner's Address M11 P Contractor I rrl tt q_ Phone —U -(2 1'1:51 Contractor's Address 2. .P fY\P License all0 tMttCA5DV U Expires E -mail PROJECT ADDRESS ?,a"5\ h I c j -Y-PP-- Parcel Number tin?- 1114xl LaiiM M Lot fact ape Brief Descrfation: o Residential -o-Multl- family o Commercial Check all that apply o New Construction ,o Addition X Remodel a Repair o Demolition o Re-roof o Heat System a Other Dm-aka 1 tort F or Clty Use Only, Date Received 2- 5 -09 Permit 19 -12.4 Date Approved Zoning o House garage o other o tear off re-roof o lay over one layer o Heat pump o wood burning stove o gas fireplace pellet stove n other Floor Areas Existing (sa. ft.Z dosed (Fa. ft.l Basement per sq. ft. 1 Floor 2 Floor 3' Floor Garage Carport Covered Porch Deck Shed Other ho'vi X" R oy TOTAL. VALUATION it 011- Total footprint of structures sq. ft. 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 of bedrooms of full baths of half baths PAGE 04/04 o Industrial 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 1 have read and completed this application end know it to be true and coned. I am authorized to apply for this permit and understand that It Is my responslb►lity to determine t permits are required, and t o btain permits prior to In n role Date1l`QIR Print Name ./M4 -7•fct+ /N Slgnatur T;FormGlBUIIdIng Division /Bldg Permit.doc City of Port Angeles Permit Application Building D1v1s1onlElectrical inspections 321 East Fifth Street- P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 F5x: (360) 417.4711 Date: 1 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition 1 Alteration Remodel Repair` Plan Review May Be Required, Rime Elec ical Plan Review Job Address: O____C,._& St- Building Square Footage: 1 Description of above i� L.t y am. 1 C'' /f Owner Infprpatipn Name: W i 11 t G4Y% Mailing Add .3 0 Lt) A 5f-' City 1 State: [4) Zip: :st2j' 2- Phone: —f 75 Fax: License Exp. Unit g h 93.75 $113.75 $160.00 $205,00 $291.25 Z.00 57.50 2.00 72.50 86.25 $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 Sign of owner, electrical con Owner as defined by RCW.1928261_ (1) Owner will occupy the structure for two years sferthis electrical permit is fnatized (2) Owner is required to hire an electrical contractor if above said properly Is for sale, rem or lease. After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical Installation or alteration In compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296.4613, The City of Port Angeles Municlpay Code, and Utility Specifications. r or electrical administrator 3 RECEIVED DEC 4 2009 ELECTRICAL INSPECTIONS Information Sheet /5K1/1) rit.Ma Contractg1formatl Name: o?J E Mailing Ayr s: Co City: State: Phone :01,240 Fax: License 1 Exp ,..57C- Total (Qy Multiolied by Unit Cheer Service /Feeder 200 Amp. ServicelFeeder 201.400 Amp, Service/Feeder 401.600 Amp. S Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder $,5 'T Branch Circuit W/O Service Feeder Ati& Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp. Service/Feeder 601.1000 Amp. Portal to Portal Hourty Sign /Outline Lighting Signal Circuit/ limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Famlly 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 Thermostat $O Total Cash L7 Check RI Credit Card Ik '7 r C. LLB /01 3. 6a_ Application Number 07 00001097 Date 9/24/07 Application pin number 418283 Property Address 3510 WABASH ST ASSESSOR PARCEL NUMBER 06 30 14 5 1 0150 0000 Tenant nbr name BILL MIMI TIDERMAN Application type description RE ROOF Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 18020 Owner Contractor WILLIAM L TIDERMAN 3510 WABASH ST PORT ANGELES WA 983622717 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF AND RE ROOF Permit pin number 111567 Permit Fee 333 75 Plan Check Fee Issue Date 9/24/07 Valuation Expiration Date 3/22/08 Qty Unit Charge Per Extension BASE FEE 95 75 17 00 14 0000 THOU BL -2001 25K (14 PER K) 238 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 333 75 333 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 338 25 338 25 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 hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinan •verning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give ity to violate or cancel the provisions of any state or local law regulating construction or the performance of constru tion. Signature of Contractor or Authorized Agent Ip t Date T \Policies \l 102_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 LARRY S ROOFING 352 AVIS ST PORT ANGELES (360) 452 2215 WA 98362 00 18020 A \b 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 01? CONCEAL ANY WORK BEFORE 0 INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS. PLUMBING UNDER FLOOR SLAB ROUGH -TV 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 PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE I PLANNING DEPT 417 -4807 417 -4653 417 -4750 BUILDING 417 -4815 I t' v'A 1 i T \Policies11102 15 building permit inspection record05 wpd [1/4/20 5] BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED 1'ES 1 NO FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. ACCEPTED YES I NO I /0./ I I h I I I I I DATE BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8'h" x 11" site plan MUST BE COMPLETE to be accepted for review (360) 417 -4815 FAX (360) 417 -4711 Residential projects: submit two sets of plans Commercial projects. submit three sets of plans Applicant or Agent JOm t./` Owner V�+1 IlilMi 1■ Phone Owner's Address SS1O 9i Contractor/Engineer ��`li 'J of 1 Contractor/Engineer's Address Z,- l U4�� S� PROJECT ADDRESS 3I0 WA bad) LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK New Constr Re -roof Addition Move SF Remodel Demolition SF Sign Other TOTAL VALUATION ctS BRIEF DESCRIPTION OF THE PROJECT t s ae r nl i4 h inAkY6, COMMERCIAL/RE IDENTIAL. Occupancy Group. Occupant toad. Residential Multi- family Commercial Repair Existing Structure(s) basement 1St floor 2 "d floor 3r floor Accessory Structures Existing Structure(s) TOTAL LOT COVERAGE Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage Stove Garage Deck (Divide Total Structure(s) Sq Ft. Footprint by Lot Size Sq. Ft.) Phone Subdivision. Sq. Ft. Proposed Structure(s) basement Sq. Ft. 1 floor Sq. Ft. 2nd floor Sq. Ft. 3' floor Sq. Ft. Accessory Structures Sq. Ft. Proposed Structure(s) TOTAL TOTAL of existing proposed structures Maximum Height of Proposed Structure(s) /152- zzrs State 4enst �r �t L Expires I l ib/ TT1lIlC/1 Phone 4 T21 ZONING SIZE/VALUATION SF /SF /SF /SF Construction Type: Are you planning to install a lawn sprinkler system? FOR OFFICIIAaLL l USE ONLY Date Rec. l 2-1 N J-0 Permit l Y7 1 091 Date Approved: CA -L9 -O' Date Issued: Sq. Ft. Sq Ft. Sq Ft. Sq. Ft. Sq Ft. Sq. Ft. Sq. Ft. Ft. 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 The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued, except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC /IBC 2006 105.3.2) I hereby certify that I have read and examined this application an n the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsi lity to .det=, ne what permits are required, and that must obtain such permits prior t'i work. Date Applicant T• \FORMS \BUILDING DIVISION \BldgPermitAppl. -2006 CODE backup.wpd or2F 601 1 622. '21 —0I 021 G52 0 GC‘ Q2' N U4 02.-d 11(i L (v-R 1,1 itolA 4.; NIVW )5 )31 7) 3 ia 2 2 -1 SWAIM 2 VT% os 23 Si i2 . Site Address: In51alled By: OwnerfBusiness: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN DetailslDescription: ~JI_ ,-UP!-LUJA: . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. ,5 b 0:;:- DATE 5- / / - '9 ':J- o READY FOR INSPECTION License Number: ,. o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR WILL CALL FOR SPECTION Phone: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: ~ SINGLE PHASE o THREE PHASE SERVICE SIZE -P~ t'J AMPS A!y /'1-( ~ ~ o SPECIAL EQUIPMENT (LIST BELOW) ./-"A?/JIf;-m /J1"L/,.;o/ 'P//A/.#J1 p~t') /J/11 jJ j~ EX; '~[ 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. ~'iiCO.K. to connect service 'b Final O.K. Site Address: Installer: Permit/Receipt No. .:3 O~ New Meters Date: _ /1_ ? 'l-- 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. V :2S /0/ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ /0 ~ ,lElectricallnspector Permit Fee . WHITE - File by address YEllOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. GREEN - Top: Meter Dept.. Boltorn: City Hal CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16176 3 "'"' /5-'- Port Angeles. Washlngtonnmn_mnmm...._..m..m.............m...m.m. "Jr 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 w~ as listed below. Address m5.'_"i':..(Qnm.fidtJ!~t:;~~em..mnm.nnn... Occupancy......n.."...~..~.~..n................m Owner n.;f.2!.~.~~?!~...~~=:.fi-AhI}enanL....nn...n.nn-.......m~.n~..............................nn Wiring Contractor ...:;;;.4."""ff......'.......nn...'.....h..nnn.;........ By.............nnnnn..................n.......n.......nhmnn " J Light Outlets....................n........._.___.... Service. volts :..m__...mn...._m............... Type of Wiring: Armored Cable m.mmm__._____m____.. Receptacle Outlets__..m_.....m............... No. wires ..0......_............................. Dr)"cr,KW.....__.._........_..__n_.___n.___ Size wlres..._..............................._.. Range, KW....._._..__......__ Main fuse __..nd....n..nnn__....__......... Wa.ter Heater: Enclosure mm...hnmhmn... Kw.mmnmn.n..nnhn__n..n. --. Type of wiring: Entrance Cable ............ Heat: KW..n........................._........._........n. Motors: size. volts and phase: Rigid Conduit 'hm'_'h__.m Metallic Tubing .m.__mn__m Current transformers: No. & Size....................n_h...h......... Sec. NO....._........n...._._.............____...... Ser. NO.........__n__............__._............... Sec. NO._n__..n..n.nn.n__._.n___.._.__........ Total :Load............................. Ser. No. 00_.0000__00.0000_0000.00__..___._.00___.... Non-Metallic ........_....._....hn_..nhh_ Knob &, Tube......___n.nn....h.........._ Rigid ConduIt .____h.____mmm____m... Metallic Tubing ......._......00_.......... Raceway ........................................_ Circuits, Light___..............._................_.. Utillty.__.______.______..__________m____m____.. licat ________.___................................... Range ......_..................____..._____..______ Water Heater ___m..hm.................. Motor ........0000....000000_.00_.................. Dryer ..00_................_......._.00._..0000..00__ Furnace .........................__......_........... Total ..._._.._______..______................ Remarks: ..nnmn...mn[n<.~:~g.,..nnnq~"(!!:--dJ..A::?=,,...=:......nn.............nm......n..........n.................... - ~ ft(! (J n_..~__._____n~____.___.____.n_nn_nnn_nn..u.n_u_n___~.. Uh____uu.nn_uh_dUn.__nn_nnnnnnu_n.nnnnn.__un..n_nuu_u...dUhU......__ Permit Fee Treas. Receipt No............................. V '.. 2 L.~2- , R~~. _ . :/1 /' h .,1 /~<".f!.ftt:...!--.z,J:~-'< By uu'.uml....<.>..n....mmm.munmmm..........mu.... $.......mm...m.mmm...mu. 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 betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION "-- -.---- ~- ----~~ H..."...._....... ELECTRICAL PERMIT .., ~-._. N--?----16176... . -- -. Address.....................___......___.~......__......n._.......____..___....._________..___....._........................._.....__.........Date..._......_.._......_.........._......_......_......... o wner _n................................__....._.._......_......_.._............................___...00__.......00............ Tenant..n.nn..._n._......................._...................hn__.. Wiring Contractor ..._.n....hn_.....n.__.................................................__........._.._..........................0000_. By_n...n._....._.__.............n.................._...____.. NOTICE-Current must not be turned on until CertIficate of Inspection has been Issued. If work is to be con. oealed due notice must be given the Inspector so that work may be inspected before concealment. . \ . I U lilvrn...,.... Prmters Inc.