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Home My WebLink About217 Motor Ave - Building ---7> AL. ~A N ELECTRICAL PERMIT APPLICATION fOR OFFICIAL USE QNL Y DitdRcc: f'=it ~: Dale Appro\lcd" The Electrical Permit Application must be filled out comDletelv. Please type or reprint in ink. If you have any questions. please call (360) 417~ 4735 Fax number: (360) 417-4711 REQUEST INSPECTION 0 Owner or Elec. Contractor Agent: RA'-I UI~{,S Property Owner: -- ~ j...1-- Address: 2 n I/lrJTD rr f)-ll0- , Electrical Contractor: HIlLiJoRSf)./S Address: 14 ? I. IAI II rl-) Phone" Fax: Phone: City: Porff Ii N r; f/./; <; HtlLVO<:Ltl4'lCi... License #: Ex:p: 2.//3/01 , Zip: 9{5 ?k2- Phone' -I t; 7. 7~f) ., Zip: QB3{n"" EI.ECrRlc City. P/)RT AIJGfLES INSTALLATION WIREO BY: 0 OWNER \t,ElECTRICAl CONTRACTOR Credit Card Holder Name' /11JL/J/JI<'SFi/ S PI.E c T R I C- Bi/lingAddress' l'i('(. W 11ii. City: PtJRT /lA/r-ELliS Credit Card Number- ; Exp. Date: () Zip: gin;;,.J VISA' V MC=-- PROJECT ADDRESS' ;)./ 7 /7h?TO,Z /WL . TYPE OF WORK: Check all that apply: 0 New t8( Alterationi Addition IJll. Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Heat Load Additions PERMIT FEEf/ /3 , >? 2J Service Information o Baseboard o Fumace o Heat Pump o Fan-Wall _KW _KW _ TON lRA ~KW- o Overtlead Service o Temp Service o Underground Service Voltage: Phase: fil" 1 0 3 Service Size: Feeder Size: ,?,pA I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: ~U(~ 4J Date: r/Z/b2 Date: tP//C:/IJ2... Dt::-. Owner or Elec. Cont.Signature: C:/ELECTRICALPERMITAPPLlCA TION &tit.. C {J.~~ 7 ~ IZ. .oz- L 7!~0z..- .~.~¢. o~ ~ CITY OF PORT ANGELES ~°(~,~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 5/24/2002 PERMIT NO: 13420 OWNER/APPLICANT PROPERTY LOCATION 217 MOTOR AVE RAYMOND T. HIGGS 217 MOTOR Lot: 31 &32 Port Angeles, WA 98362 Block: 8 [] Long Legal 360/417-0451 Subdivision: FOGARTY& DOLAN ADDNT. T: S: Parcel No: 063009520880000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $32,000.00 SFD Units: 1 Commercial: 0 Project Type: ADDITION SFD SQ FT: 1,492 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES CONSTRUCT NEW 320 SQ FT. ADDITION CONNECTED BY 70 SQ. FT. BREEZEWAY RECE,PT#gl0g FEES ASSESSMENT Building Permit: $462.45 Misc Fee 1: $0.00 Plan Check: $184.98 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $730.68 Plumbing: $48.00 AMOUNT PAID: $730.68 Mechanical: $30.75 BALANCE DUE: $0.00 Radon: $0.00 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 build~r)' Date T:\PLANNING\FOKMS\I 102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. 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 DATEIACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING ? -- 17 - t)~_ ~/' DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHINffNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERYNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. T:\PLANNING\FOHMS\I 102.15 [4/2002] FOR. OFFIC~L~L USE ONLY: BUILDING PERMIT- APPLICATION P~m~t#:~ I The Building Permit Application must be.filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: /~/4/~/ATotl/~ ,~'-~/~.~ Phone: ~/ ~- Owner: ~ { Phone: ~ ~ Address: ~/7 ~O~a~ City: ~r ~N~L[~ Zip: ~cMtect~ngineer: Phone: Contractor ~B.D, License~: Exp:. Phone: Ad,ess: City:. Zip:. PRO,CT ~D~SS: ~ / 7 ~ V ~ ZONING: LEG~DESC~PTION:Lot: ,~[ ¢~ Block: ~ Subdivision: ffo~ff~ 4 ~L~ CL~L~ CO~TY P~CEL N~BER:~redit Card Holder Name: / ~ o ~ Billing Address: ~17 ~0To& City ~gT~ff~ ~z gs Credit Card g: Exp. Date: ~SA MC T~E OF WO~: SI~UA~ON: ~ Residential ~ New Cons~. D Re-roof D Wood-stove ~ O SF. ~ $. /SF. =$ m Mulfi-fa~ly ~ Addition D Move ~ Garage SF. ~ $ /SF. = $ ~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = g ~ Repair ~ Sign ~ TOTAL VALUATION $ ,~ B~EF DESC~PTION OFTHE PROJECT: ~0~O0~ ~ ~T~ ~ ~ 5 Cd~ COMMERCI~SIDENTI~: Occupancy Group:. Occupant Load: Co~ction T~e: ~o. o~Sto~: I ~t si~: ~ ct% ~otCo~: ~[, 3 ~xi~ti.~ ~ot Co~: / ~a ~/~. ~. + ~rovo~a ~ot Co~e~: ~/~. ~. = ~O~ ~O~ COWman: PLANING USE ONLY: ~PROV~S: PL~ Netes: BLDG. DPW F~ ES~etland(s): D Yes'No SEPA Chec~ist required? D Yes~ No O~er: OTHER B~LDING PE~IT ~PLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for r~iew. ~e Bulldog Division can provide you with more detailed ~o~tion on ~e application and plan sub.ual requirements. Your completed application, site plan (for addition) and building cons~ction plans are to be subn~ed to the Bulldog Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e applicant. ~s fig~e ~11 be reviewed and ~y be revised by ~e Building Division to comply ~ c~ent fee schedules. Contact thc Pe~t Coordinator at 417-4815 for assistance. PL~CHE~KFEE: Yo~plancheck feels due at~e ~e ~e building pe~t application and co~ction plans are sub~ed. Allother pe~t fees are due at ~e ~e ofpe~t issu~ce. E~I~TION OF PL~ ~EW: If no pe~t is issued with~ 180 days of~e date of application, ~is application will expire. ~e Building Official can extend ~e t~e for action by ~e applicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of · c U~fo~ Building Code, cu~ent edition). No application can be extended more ~an once. I hereby cert~ that [ have read and examined this application and know the same to be true and correct, and I am authorized to apply for this pe~it. I understand it is not the Ci~'s legal responsibi]i~ to determine what permits are required; it remains the applicant's responsibili~ to determine what permits are required and to obtain s~. T:WO~S~PPS~uildin~e~it ~ 2002 1085766 coum ZOH~G LOT I/WE the undersigned owner(s) of the following described property: do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot~ be ~moved through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heh'(s), assign(s), and successor(s) in interest and is for the fin-ther purpose of compliance with s~ate and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance· / (Owner) (Owner) c~M~ ~(~ (Owner, STATE OF WASHINGTON ) COUNTY OF CLALLAM ) ss I'~/lfl ~O~, ~'~e-c~S ,NotatyPublicinandfortheStateofWashingtgp, do hereby certify ~at on ~ day o~.. h/a~ y ,20~_Z pe,.o.ally .ppeared before me Y'qO-~..~-~o.~/ · ~e ?w~ to We me m~v,dual(~) des~ibed ~/~d w~o e×e~uted the w.~m m,t,.,mant and a~.owledged ~at ~ signed and sealed the same as t_..,~i r- free and voluntary act and deed for the purposes herein f'///;/t~:lm_..... Washington residing at Port Angeles ATJ'DITOR' S CERTIFICATE Filed for reeord at the request of ~O~,~,~O~d//2/(~/ h4/~S this ~qdayof /Tqoq 20 CLALLAJ~ COUNTY AUDITOR CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ '~J ~//'- ~:~)'~' Time Received by ~-~ V (phone, person) Location of Work to be inspected ~,/ "~ Name of person requesting inspection /'/-~-~:~ ~ ~,~_ Address of person requesting inspection Phone No. Z/,~) Type of ~;}ect!o~rcie appropriate one): Permit No. Sewer(Found,a. tion'~Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date , Time By Remarks:. RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt [] PCC []Other [] Repaired by City Work Order # [-] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ ~ ! ~-)~ 0'7~ Time Received by /~ J (phone, person) Location of Work to be inspected ~ I '7 ~[/L~T_~ ~-C~V~- Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. / Sewer Foundation ~ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~~//~ Inspected: Date ~'~ -- / ~-- (~'~ Time By Remarks: ~/~,. RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt []PCC ~]Other [] Repaired by City Work Order # [] Repaired by Permittee ~ COMPLETE [--] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date~ Time Received by (phone, person) Location of Work to be inspected / / Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): .~--~ Permit No. Sewer Foundation Framing Chimney Plumbing Final ~Sewer Excav. Other INSPECTION NOTES; Inspected: Date ~'~'~' ~ ~ ~ Time By Remarks:. RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ~-~Gravel [~Asphalt I--]PCC [-'lOther [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) .... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 E. AST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 7/23/2002 PERMIT NO 7753 OWNER/APPLICANT PROPERTY LOCATION RAYMOND T. HIGGS 217 MOTOR AVE 217 MOTOR Lot: 31 &32 Pod Angeles, WA 98362 Block: 8 [] Long Legal 360/417-0451 Subdivision: FOGARTY& DOLAN ADDNT. T: S: Parcel No: 063009520880000 CONTRACTOR ARCHITECT HALVORSEN ELECTRIC N/A 1426 W. 11TH PORT ANGELES, WA 98363-0000 , 98360-0000 360/457-7803 360/000-0000 PROJECT INFO Project Type: RES. ADDITION Project Value: $0~00 Construction Type: SUB-PANEL Occupancy Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 240,120 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES ALTER SERVICE MAST. ADD SUB-PANEL AND CIRCUITS TO ADDITION. FEES ASSESSMENT Service: $113.80 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $113.80 AMOUNT PAID: $0.00 BALANCE DUE $113.80 COMMi:2NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417..4735 FOR ELECTILICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL.4 WFUL TO CO VER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ! ROUOH-I~ / COWR ! '7/,a-/,a2 .~.0 SERVICE ~/,.aq~/~z/ff~-~ / / GENERAL COMMENTS: of,; ~ORr 4""0 !...4,,~<< ,r__" _ ~ Ufff~""!!~ lL =.s ;~~ 1'1"'(' Uc,'I"- ELECTRICAL iNSPECTION ""'WiRING REPORT 457-0411 Ex!. 158 DA"~ 7 Q [PERMIT' Ozgl'NSPECTi5RJ1 J.-- 3 Z-JL!? _ ~ I ~rr OWN 'CObUtqtzuJ t[L <-true- ADDRESS "/- :21 ? /)1"D (1j rL APPROVED G:T APPRO~ o ................... DITCH ................... u o .............. ROUGH IN/COVER.............. 0 o .................. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. ~ . CORRECT~7 6SI~ b I (i;E.<i:CP7. 8f~it./d f<}..~'L QA-;-J ;.J6'/ [3t A-C'CESSfP. . i/f[tJ S to {!, L 0 L~ J d It-A.- v--.f-ir . 0 'j)~3 tL [:2;d f V:"F/tiV/ CL f.J D T / A..J TT'I+1..( LP Jf'iIL~. S7U~P IN 60Y:_ . 0. (J t 'h~ ~ ~ \:L .lil'- /Iv"? I ~J 4r- >-Ir:J1 (IV 5/f7" @ j(rctr Alf.C4VO % uf\l B~ ~~ eA.,.O - S L b NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (206) 452.1381 I/SQJ/ I FEE REceiPT NUMBER I / / . . - -I - ---- ----....., CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION.AND ELECTRICAL PERMIT ) A 9/7 -PERMIT NUMBER . . , , . I . TOT ilL FEE 1t-,iN) , , CONT. Lie. NO. TIME TO COMPLETE NO. STOAIES LEGAL OCCUPANCY ... . ELECTRICAL PERMIT QNL Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address JL C RRECT ADDRESS IS RESPONSIBILITY OF APPLICANT P~RMITS WITH WRON~S ARE CAN~El~~~ a -... Installation By ~_ ef~ Installers Addn3"ss - Owner Owner's Apdress Day Phone I Applicatio,n is hereby made for Permit to i~stall Electrical Equipment as follows: ()UUL f~MS}...fJ A-{)/{,)J Installers Phone pvu-.,-f-:tt t> '718 Wiring Method I - NUMBER AMP 240V NUMBER AMP 120V 240V USE QF CIRCUIT PER 120V 100R FEE - USE OF CIRCUIT. PER 100R FEE' CIRCUITS CIR '0 30 CIRCUITS CIR '0 30 LIGHT SIGN L1GI-IT I .. 50 VOl: T$ ^ OR LESS CONVENIENCE JI~, '.. + $'-q ~ UATAR 3-0 ~ - CONVE~IENCE O. VL /)~ 1.. "ATAR 16 ~ , APPUAf'lCE MOTOR OISHW~SHER . fJw." r '" FI""n' MS /.,(~, '/ !JJ j, I-~ ffL DISPOSAL BURGLAR ALARM I RANGE MISC. , OVEN I WATE~HEATEA LAUNO:RY DRYERI REINSTALLATION LIGHT FIXTURE # FURNACE .. SUB TOJ AL FEE GAS, OIL FURNACE ENERGY FEE ELECTRIC BAStC FEE ELECTRIC HEAT I TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER. A.C. U~IT AMP PHASE FEEDE~ SIZE OF ~ERVICE 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. I " Date Application made ,19 By CONTRACTOR OA OWNER (OR AUTHORIZED AGENT) P~rmi~sion is h.ere~y given to do the above d~scribed w.ork, acco.rding to the condition~hereon and according to the approved plans Cl:nd specifications pertaining thereto, subject to compliance with the Ordinances 0 the City of Port Angeles. , . . CTO F CI IGHT I //~!11 , Date P~rmlt Is~ued By PLANS P 0 EO . - Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on bef9.re inspection anc;t O.K. for covering or ;:iervice 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 OLYMFJC PRINTERS, INC. . . -" ---. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS " ~ " , " (...~ " " , ' I ; , , ; , , , . , , " ; ... , ; .' , , P, C ; , " ',. , " , - , . O.K. FOR COVERING -, O.K. TO CONNECT SERVICE .. ( ~ " ; FINAL O:K. , - , \) z Cl a: ct :!E ~ J: I- Z W l- . l- e z e Q . (5'/ot FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND..'f-ECTRICAL PERMIT A '12-S PERMIT NUMBER .e A TOTAL FEE 30~ . /(?), CONT. Lie. NO. TIME TO COMPLETE NO. STORIES lEGALQCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /Wf- CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH W~ONG ADDRESSES ARE CANCELLED .J Owner Installation By {(/'i-e 9 /l~ 1;/11 ?'( ,c n ( L Owner's Address Installers Address Day Phone .Installers Phone Applicatlon is hereby made for Permit to install Electrical Equipment as follows: )JrW H /!t>1J5 t . . . . ;2.trtD A-MfJ S ~ u I U_ f Site Address JJ7 Mo7JJtf.... 10. 1-1, Wiring Math,ad e- NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV USEfOF CIRCUIT . PER l00R FEE USE OF CIRCUIT PER l00R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT .1- .1 SIGN . LIGHT I, ~.~ 1m" 50 VOLTS OR LESS - CONvENIENCE 1)- ~ MOTOR CONVENIENCE A VTW ........ :::;::::- MOTOR APPLIANCE 1!'7 ./ V MOTOR DISHy-lASHER ./ V FIRE ALARMS DISPOSAL I? BURGLAR ALARM RANGE. MISC. OVEN . WATER HEATER LAUNDRY I , . DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE . GAS - OIL FURNACE . ENERGY FEE ELECTRIC BASIC FEE ElECfRIC HEAT TOTAL FEE ELEC-rRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER - A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONQUCTORS 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 confor~ance with the N.E.C. EI"ectrical Code. Date Application made ,19 By . ", CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Pc:jrmission is hereby given.to do the above described work"according to the'conditions hereon and according to the approved pla,ns and specifications pertaining there:, SUble/c.t t~omPllance with lh.e orBdyinaj} of tt/,t~~~;:;An:~;T!' LIGHT Date P~rm't Issued I (f 7 'p (:; -::L- C-0 -- . _ '. PLAN~ APPROVED 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.1or 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 Ol YMP1.Q PRINTERS, INC. . .' ..' REPORT OF INSPECTOR h,.. \ ~ . I .,. . DATE OF VISIT MADE BY REMARKS , , . , , r ~llvlC.t 0-\11 v~.Sr " '''' ~ f~ 10~ O.K. FOR COVERING \ .' /1.1 1\ 't i 1(, 10'1\ \ O.K:,TO CONNECT SERVICE , " r l /ill'.,' "\,'. '. \ FINAL O.K. , , Vv ( ....---') (, ,J(.L IIi l . - . Z <:J a:: < :E !!! :I: t- Z W t- ~. t- o Z o o . 1/60; FEE REceIPT NUMBER CITY,OF PORT ANGELES, 1 I '"' I DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 88i PERMIT NUMBER . TOTAL FEE Gfi[) ,- fS. C9NT. Lie. NO: TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY z.17. ~~ CTRICAL PERMITrONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 0 n CORRE~T AOORE~S IS RESPONSIBILITY OF A Owner 'f/OUr.- EG(",P:f21 Owner'sAddress //'53 e. FIRST: 45 2~ 2-363 L1CAN PERMITS WITH WR~NG A,OORESSES ":~E CA~C:U~D /. _ . . ') Installation By C,;oRJJI2:R.5TDNB Bu>e.., 0/:-N. CDNTQ. 'Installers Address 10)7_ WASi-l/.:)L~ToN -I-IMeHcR-. S""qUI/'1 Installers Phone - (083.,.. B4-1"1 -rP"M p, HoOf::- - u...p Day Phone Applicatl?n is hereby made .for Permit.to install, El,ectrical Equipment as f.o_"ows: Wi!ing Method. USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR .120V 10 240V 100R- 30 FEE~ ~~~ OF CIRCUIT ,\ ",IICL"" O"e$\ NUMBER CIRCUITS AMP PER CIR 120V 10 240V 100R 30 FEE LIGHT LIGHT CONVENIENCE CONVENIENCE APPLIANCE DISHWASHER DISPOSAL . RANGE OVEN WATE~ HEATER LAUNDRY DRYER FURNACE GAS - OIL FURNACE ELECTRIC ELEc1'RIC HEAT _ ELECtRIC HEAT A.C. UNIT FEEDER SERVICE , - . I""~ I~"-;"', MO~ \.) j FI~_EALA~":;::';\ BURGL{f{A~~) I MISC. \~(/\\ ........)F ~,) "~/. " REINSTALLATlON~l\'fIXTURE # SUB TOTAL FE~ ' . ENERGY FEE --",'__ . , BASIC FEE TOTAL FEE --- SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE A.W.G. I SUB- TOTAL . SIZE OF GROUND SIZE OF ENTRANCE SWITCH . Date Permit Issued . . _. . I certify that the work to be performed under this permit will be done by the installer and' Date Application made ~ /~ ,195"..c, y . CON ACTOR OR 0"'1} Permission is hereby,given to d9.t~e above ge.sc.ribe9 work, according.to the conditkins her on and acco@fr to the approved.plans and specifications pertaining thereto, subject to compliance with the Ordinances. of the City 9f Port Angeles. . . ., ...' -'... DIRECTOR OF CITY LIGHT Bp..~ .:,::L PLANS APPROVED- , ..'. ' , , . .. _ .;' . r f 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. fbrcovering or service has been given by Inspector in Writin-g on Permit Placard. A: - Permits Phone: 457-0411 Ext. 158> - - . .. Electrical Code. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE. Original CANARY. Duplicate PINK Triplicate WHITE CARD. Inspector's Report _, .n....... """"TCC", "..,,:'_ REPORT OF iNSPECTOR DATE OF VISIT MADE BY REMARKS . . (;:.(o"",.b. (L,1 /VOr- If" rh~ "tv, LI~h - J . , .j ,,-~ , i ';::::-, :-IJ . . ........ '-S: -- .:'1 ,'- / ... ',,-)' _ J :~ :::-.."" ~' :-::J . .~ - '-1 ..... , , , . .. .' V ~l,.LIlLC.t. U-.r.. ~ vu:-r '. 0." .' ~ -1 W\ O.K. TO CONNECT SERVICE ~,.... , . . 11\ \'0\ q(p . .\, . r\I,- [ ~d u2 \ v, ... I I . . z Cl a: <I: :::E !!! J: I- Z w ie l- e z e c .