HomeMy WebLinkAbout111 W 3rd St - Building
I.....
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. .;<~Y
(,/~/?O
DATE
/
o READY FOR
INSPECTION
License Number:
~ILLCALLFOR
INSPECTION
Phone:
Installed By:
Owner/Business:
cOw
Phone:
Owner/Business Address:
Sq. Ft.
D New Construction
D Remodel
~ Service update/alter/repair
D Add/alter circuits
D Auxiliary power
(list below)
D Special equipment
~beiOW)
~ /cHJ
AI""!
~ Overhead
D UndergrOUn~yO
Voltage /~
Dt10 D3~
~~rvice size Amps
D Temporary
~ Residential
( . Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
D Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor ioad
(attach breakdown)
Detai islDescription:
~;;
4'~A4r
..:2tJtP ~
I1IcJ
.
W.S. No. Service Size
Capacity: D O.K. D Not O.K. Comments
D Ditch inspection O.K.
D Rough-in/cover O.K.
A/J"'fB- O.K. to connect service
~~ Final O.K.
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Site Address:
w
Permit/Receipt No.
d<h8'/
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.
/ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :f:!f '!f2
I 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.
~3~~
/tJ//~ 'tfr
.
.
ELECTRICAL PERMIT
DATE
Site Address:
/1
~EADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
pcResidential
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
o Overhead
o Underground
Voltage
010' 03.0
Service size
o Temporary
'J! Add/aiter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Details/Description:
~ Ru.~
.
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.
.51 O.K. to connect service
AI" 1f'l 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
Installer:
New Meteo
Site Address:
.
lldress and Permit Number when ready for inspec ion. Work
must not be covered or electrically energized b fore 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.
~l~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / [ !f2
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,
FEE !:ZLMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
;}o~
PERMIT NUMBER
.
TOTAL FEE It tY!- -------- -- ~,. j)Wt- II! "'9 .
CO NT. lie. NO. TIMETQCOMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
Owner
Owner's Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
InsiallationBy O/.C/".'Z/tf( !{~C7'1t,lC-
Installers Address
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment C!5 follows:
fltMtJG/f. old tiN /Js-~bt(
S.E:. C A- h Ii l/U-k, be.{ r-i>/ !' Ij,A./d IA/ fI.o>lo/L, f
I Jf.AY;(;: I
M t. 7l-IL~ AAJ Q
I
Wiring Method
-hL
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR '" 30 CIRCUITS CIR 10 30
SIGN., -c- "
UGHT , , . "J '-', . '. ,
- 50 VOLTS
UGHT
, , 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 AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
"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. Electncal Code.
Date Application made S-/ ~ 'f t. ,19 By X ~I/ /
I - . - ' CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission Is h~reby given to do the above d.escribed work, according to th_e conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the CIty of Port Angeles.
-, t/i'- )'~IRECT F CITY LIGHT
~'~t . By ~/~j<7
Date Permit Issued 0, 0; .1-
PLANS P!lt"PRQ D - r
Notify Department of City Light"by Street Address anci'~ermit Number when ready tor inspection. Work must hot
be covere:d or current turned on before inspection and O,K~ for covering or service has. been given by'lnspector 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
...., vur::Ilt""'.,.,'UTr::.,(> '"'I"'''
REPORT OF INSPECTOR
DATEOFVISIT MADE BY REMARKS
, ,
. , "
'.
.,
',' " " '. "
~h/H Wl.}-- k~[ ~ Tn <; t. A-<- eo...OV1./ 1,t.,f)1 /..
I I T\I.),.. -r ,
}JOT' ...,,'T"'Il. SSA-f
,
. '
O~RCOVERINO
. .O.K'J9-00NN'~T SERVICE
I F~. "
. .
K 'fJjH / /JIrJl ()f::.
'I v { , l
.
z
o
a:
<
~
!!.!
J:
I-
Z
W
l-
.
I-
o
Z
o
Q
.
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Service and circuits
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/9/2022 21-1606 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
111 w 3rd St.