HomeMy WebLinkAbout209 W 4th St - BuildingApplication Number 08 00001177
Application pin number 930139
Property Address 209 W 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 7170 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
100 feeder for garage
Owner Contractor
Hutcheson Kim
209 W 4TH ST
PORT ANGELES
Fee summary
WA 983622807
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
Qty Unit Charge Per
1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER
Charged Paid Credited
Date 9/18/08
WA 98363
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 134619
Permit Fee 75 00 Plan Check Fee 00
Issue Date 9/18/08 Valuation 0
Expiration Date 3/17/09
Due
Permit Fee Total 75 00 75 00 00 00
Plan Check Total 00 00 00 00
Grand Total 75 00 75 00 00 00
Extension
75 00
III SPECTION
TYPE DATE RESULTS
DITCH
SERVICE
ROUGH IN
FINAL
'COMMENTS:
1P-43fi 147
2J i
ELECTR T CAL
INSPECTOR
09/15/2008 11 45 FAX 360 452 3498
OS— 17`7
1 deeoription
Job wired by lflectricat Contractor weer o eommenial Criteatdenttal
Electrical oontracwr name License number Date Expires
!�/q m0, 4 /e trie "it e Sf�.L.
Pw ddser mailing Wilma
r of
sit State ZIP
A- -7 e L r 4,/7. 7J fj
Telephone number FAX number
Premises owner's name
,l',;97 H/f_I,g./
Address or Iaspeetloo
•2f Ili 5' f7
City,?
4r.1' 4'/
Phone number to i bedule Inspection:
inspection
Date
y /l7 /or
AvProva BY
Ov
y f..2
Owner as defined by RCW..19, ?8.161: (l) Owner will occupy the structure for two
Yea= Or lhLr clectria l pennlr Lr finalised (2) Onnter is required to hire on electrical
contractor If above sold property b jo ,tale, rent or loam,
After reading the above statement, 1 bereby certify that I in the owner of the above
nn cd property Or licensed electrioal contractor. I am making the electrical Instal-
lation or alteration M complicacy with the electrical laws, N,E.C. RCW, Chapter
1948, WAC, Chapter 296 -465, The City .or Port Angeles Municipal Code, and
Utility Speclficatioos.
/Signature of oweer, electrical contractor or electrical adminlatrator pjoratjonDate
`X Date: /T- f card
gigkigiUMSUSISMIMULOSIMalignatratna
O NO LOAD CHANGES
6aaeboaid —KW
O Furnace _KW
O Heat Pump _Ton_ LAP
O Fait -Wall KW
SAME DAY INSPECTION, CALL BEFORE
ROUGWIN
c ritg/ 08
WI.
FINAL
Olympic Electric Co PA CITY INSPECT la 001 /001
.d3a1HOR EC El V E D
OZ 9 Z d3S S
O Overhead Service
O Temp Service
O Underground Service
7:00 AM 360417 -4135
THERMOSTAT 1'
usu
ApPlor 87
DITCH
Area, Building or Equipment Inspected
j .�r��
t F_EJ/TVR
0 Now 0 Attorod/Addlttoo
Q
Cash O Check it
Elat<ditCard Visa Mastercard Discover
Card ti
Us c
Approve by \psIv
Voltage
Phone Et O 9
Service Sire:
Feeder Slze: t:2
SERVICE
Approve' ay
SIT
Action Taken
Inspection lee
S 7s7
service Information.
Electrical
Inspector
P54
1
Application Number 08 00000741
Application pin number 137917
Property Address 209 W 4TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 7170 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 0
Application desc
Detached garage
Owner Contractor
Hutcheson Kimberly
209 W 4TH ST
PORT ANGELES
WA 983622807
OWNER
Date 6/25/08
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 128603
Permit Fee 46 00 Plan Check Fee 00
Issue Date 6/25/08 Valuation 0
Expiration Date 12/22/08
Qty Unit Charge Per Extension
1 00 46 0000 ECH EL R OUTBD /DTCH GAR SEP 46 00
Fee summary Charged Paid Credited Due
Permit Fee Total 46 00 46 00 00 00
Plan Check Total 00 00 00 00
Grand Total 46 00 46 00 00 00
N
C
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
Z/3/7�9l,c>
ELECTRICAL
RESULTS INSPECTOR
CYg —b
Job wired by Electrical Contractor 'U Owner
Electrical contractor name
Purchaser's mailing address
2O' w 4 s
City y f
f Arof.do
Telephone number
3w- 452 39.17
Premises owner's name
IC fi e,► -��1 u tt5�� fc4, _k 1 -eves$
Address of inspection
209 w y
Cit
Oot.4 w4 9362
Phone number to schedule inspection
3-69 4 52- 3217
Owner as defined by RCW 19 28.261 (I) Owner will occupy the structure for two
years after this electrical permit 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 1 am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter
19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and
Utility Specifications.
/Signature, of owner electrical contractor or electrical administrator
ElectricaLLoad Additions and or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
SAME DAY INSPECTION. CALL
ROUGH -IN
Date Appr ved By Date
FINAL
e
2
Da r proJld By
Inspection
Date
4,,, ttas too
License number
State ZIP
95 36
FAX number
Date
Date
(Installation description
Commercial Residential
Date Expires
ew
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATIQN
°a3 67 \f card
Overhead Service
Temp Service
Underground Service
Expiration Date
BEFORE 7.00 AM 360- 417 -4735
THERMOSTAT
Approved By
DITCH
Appr ed By
Altered /Addition
r ,C
(7,0-4=-A w rn1
z17— C�> LE-- S 437
G- Xcr.rr�t, I.t c 02) 5.,., ,rLbl s
JUN 3 8 2003
Cash Check
Credit Card VisJJG And
Card
Inspection fee
s
;service Information
Voltage
Phase 1 3
Service Size.
Feeder Size.
SERVICE
Date Appr ed By
FEEDER
Date Appr ed By J
Action Taken
Discover
Electrical
Inspector
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
08-00000340 Date
222660
209 W 4TH ST
06-30-00-0-0-7170-0000-
PATRICK HAYES / K. H.
RES DETACHED GARAGE
3/26/08
RESIDENTIAL HIGH DENSITY
12000
Application desc
400 SQ. FT. DETACHED GARAGE
Owner
Contractor
PATRICK HAYES / OWNER
KIMBERLY HUTCHESON
209 W. 4TH ST.
PORT ANGELES WA 98362
(360) 452-3217
Structure Information 000 000 400 SF DETACHED GARAGE
Other struct info . . . . . HARD SURFACE AREA
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc 400 SF DETACHED GARAGE
Permit pin number 122994
Permit Fee 235.75 Plan Check Fee 94.30
Issue Date 3/26/08 Valuation 12000
Expiration Date 9/22/08
Qty Unit Charge Per Extension
BASE FEE 95.75
10.00 14.0000 THOU BL-2001-25K (14 PER K) 140.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
March 25, 2008 6:09:09 PM sroberds.
The proposal will result in a detached 400 sq.ft. garage for
total lot coverage of 26% in the RS-7 zone. No land use
issues anticipated.
Electrical load calculations and electrical permit are
required. Customer must contact Qwest telephone to re-rout
telco wires.
March 19, 2008 3:01:03 PM gmclain.
Public Works Utility Engineering has no requirements for
this plan review.
Permit Fee Total 235.75 235.75 .00
.00
??
~/
/0 ~
~
y-
a
~
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited
Due
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 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 construction or the performance of
construction.
. .;l?,-O~
Date
\<U1\W~ Utdn~llj\...
Print N me Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:Forms/BlIilding DivisionlBlIilding Permit (10101/07). wpd
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, 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
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACfURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED I'RIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T: Forms/Building Division/Building Permit (I % 1/07). wpd
I
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Plan Check Total
Other Fee Total
Grand Total
94.30
4.50
334.55
08-00000340
222660
94.30
4.50
334.55
Page
Date
2
3/26/08
.00
.00
.00
.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
for a 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 construction or the performance of
construction.
Date
Print Name
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:Forms/Building DivisionlBuilding Permit (I % I /07). wpd
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 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.
o
rf)
I
uJ
..J:
o
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS y-,....q-oZ ""JLL-
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING ~-7q...-",g -:TLJ-
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA TION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEA T PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
I)LANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
Y~:S NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
.
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT. ~
PLANNING DEPT. 417-4750 PLANNING DEPT. /'.."
BUILDING 417-4815 In -ILl r(}~ -j("L__ BUILDING ~
N
o
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T:Forms/Building Division/Building Permit (1010 1/07).wpd
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BUILDING PERMIT APPLICA TION Print in ink
Applicant or Agent
Property Owner
Property Owner's Address
Contractor/Engineer
Contractor/Engineer's Address
License #
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360)417-4815 fax (360)417-4711
For City Use Onl~
Date Received '3 - r $ - 08
Permit # o~ -'34 e
Date Approved-J/2 t~ ~
45:<- 3iZI7
YS.z - 3..<17
>
Phone
Expires
PROJECT ADDRESS 0
\1< 71 RHV
Parcel Number
Lot Zoning
Proiect Tvpe & Brief Description: !J:flesidential o Commercial o Multi-family o Industrial
Check all that apply rl, }."r 1'1 rr 1
~ew Construction \ LOv ClCl.VEto,R
o Addition u (/
o Remodel
o Repair
oRe-roof
o Demolition
o Heat System o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o Other
Floor Areas Existing (sq. ft.) Proposed (Sq. ft.)
Basement @$ per sq. ft. = $
1 sl Floor II S':l
2nd Floor
3rd Floor 1330
Garage '100 ~
Carport
Covered Porch , i.5
Deck IS;t.
Shed
Other ~ IL)ooO
TOTAL VALVA T/ON $
Total footprint of structures 'K;lq sq. ft. Lot size 700:3 sq. ft. = Lot coverage U %
Max. height of proposed structures '3 ft. Occupancy group # of bedrooms fd
Will a lawn sprinkler system be installed? ~ Occupant load # of full baths l'
Will a fire sprinkler system be installed? ~ Construction type # of half baths ()'
I have read and completed this application and know it to be true and correct. I 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 working on
projects.
Date 3::/2 -0& Print Name ~... btv~ Hl.I.hiefw^- Signature '1U- ~ ~
T:Forms/Building Division/Bldg Permit Appl.-2006 Code. oc
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CITY OF P6RTANGELES - C~nstruct;on Planll
Thp Issuance df this permit based upo~ these plans, spedfi-
c~tions and other data shall not prevent the building official
from Ihpreafler requiring the correctibn of errors in said
pbs, specifications and other data,; or from preventing'
builr1ing operations being carried on !thereunder when in
violation of all codes and ordinance~ of this jurisdiction.
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Approval Date! ~ Z. By'....rr:c
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PRoPOSEO cqARAGE If 00 sq FT
FoR PAT~ I</M. }.IAyES
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D~TE; 3/tlO/08
5 H~Fr Lj OF 5
2003 INTERNATIONAL BUILDING CODE
CONCRETE FOUNDATION WALL & FOOTING DETAIL
Q/} . ,-.,."
GOVF.Rr<1Ji
BENT VERTICAL REINFORCEMENT
TIEO IN PLACE TO HORIZONTAL
REINFORCEMENT
WALL THICKNESS
6" THICK FOR WALLS UNDER 6' HIGH
8" THICK FOR WALLS OVER 6' HIGH '/, ANCHOR BOLTS FOR 1. STORY @ 72" O. C. & 2. STORY @ 48" O. C.
~.. PLACE BOLTS WITHIN 12" OF EACH PLATE END & USE 3"X3"X1/4" SQ. WASHERS UNDER NUTS
",.
PRESSURE TREATED SILL PLATES
#4 HORIZONTAL REINFORCEMENT PLACED WITHIN 12" OF TOP OF WALL
FINISH GRADE
ANCHOR
7"MIN.
EMBEOMENT
CRAWL SPACE
HORIZONTAL
REINFORCEMENT
VERTICAL REINFORCEMENT
BEND =12 X BAR DIA.,
#4 BAR = 6" BEND
#4 @ 48" O. C.
#4 @ 48" O. C.
#4 @ 24" O. C.
#4 @24" O. C.
(1) #4 TOP BAR
#4@24"O. C.
#4 @ 18" O. C.
#4 @ 10" O. C.
" ENGINEERS ANALYSIS WITH
STAMPED & SIGNED PLAN REQUIRED
. VERTICAL REINFORCEM MUST BE BENT & TIED TO FOOTING REINFORCEMENT.
- REINFORCEMENT SHALL BE OE 60...HYDRAULlC BENT ONLY.
FOOTING WIDTH
12" 1.STORY
is'' 2-STORY
23" 3-STORY
#4 REINFORCEMENT 2-PIECES CONTINUOUS
FOOTING THICKNESS
i-STORY 6"
2-STORY~"
3-STORY 8 1/2"
MONOLITHIC CONCRETE'FOUNDATION DETAIL
NO SCALE %" ANCHOR BOL TS(SAME AS ABOVE)
PRESSURE TREATED SILL PLATES
:-------#4 REINFORCEMENT i-PIECE CONTINUOUS
FINISH GRADE
.' ,
;'
MIN. FOOTING
DEPTH BELOW
GRADE INTO
UNDISTURBED
SOIL
12"1.STORY
..
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3" CLEARANCE t ' :. ". I. fi
I,! ' 'l:1i"- "-------
. FOOTING WroTH '--------- #4 REINFORCEMENT - 2 PIECES CONTINUOUS
12" 1-STORY
is'' 2-STORY
23" 3-STORY
10" 2.STORY
BL-1102_0BIRC.WPD
Owner/Business Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. /SJ'S
DATE ..3/~/J.?
Site Address:
. ;;lor
Installed By:
o READY FOR ~ILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
~
Sq. Ft.
o New Construction
o Remodel
o Service update/alter/repair
1 Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
o Residential
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)
Amps
Detai IslDescription:
p~
~/~,
(
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~~~nal O.K.
Size
Comments
Date
Hold 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:
0. '711
tbm~~5 permj?e;;:-
N w Meters
o
Site Address:
.
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.
I &M/! NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;t: /6 !!!!2-
~ Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTE:RS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
NI!
16908
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Port Angeles. Washlngton......._L........~_._.................___................, 19C/.:.
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.
~i f) (7 J- 1/-r/ . ,
Address .m.''1~.j7..~.........::-.t:.~..m---.....m...---..---...mm---.. Occupancy..n..~.-:L.-.C,:.,..."'.....n.------......n
Owner ----;~:--/.;Gf~L.":':~~~--xc"::-~~-i~:.;.-..U-i~-~:-----:~-i-:;,Co";.._ t. !enant.____......___.______.....____.__________~_______._.~.____.__.__m_..
Wiring Contractor n._~:.;_~_:.:.J.:_~~.;;_:!:~__~___.:.:~:~.:_::.{~~_3tnh..n By_nn__._.mnnmm._n_nnnnuu_mmn_h_mnmnn___.
Light Outlets..................................._....
Receptacle Outletsm...........__...............
Dryer. KW....m.m.m..n.........__n____......
Service, volts ......_._______........_...............
No. wires .____..........._n..________..........
Size wires......._______...._................__.
Range. KW ____n.h_nn__.__n_nn_...
Main fuse .__.__...............__._______........
Water Heater:
Enclosure _n..............._____......_.........
Heat~:~..:::.~:~:::...;~i~:::
Type of wiring:
Entrance Cable ..m___......___.....
Motors: size, volts and phase:
Rigid Conduit ...............................
Meta1l1c TUbing ..._m..._....._
Current transformers:
_N.c. & Size_............_...___..__..__....._.....
Ser. NO............_______._.................__._._n
Ser. No.._______..................__...__.............
Ser. No.........___................__...._..._________
Total Load_______..___.__..............
Ser. No. ._.._.____._____.__u..............._.._._.
Remarks: .__.____.__n__n_:~.._'::u~___.~_.~h~_n___n.nn___nn.__.__u.__._n.nn_n....nn__nn_nn...n.nun_n_nn._....n.__n___nn....n_nnn.
Type of Wlrtog:
Armored Cable .......-_____........._....._
Non-Metallic ..............................._.
Knob & Tubs.................................
RIgid Conduit ...........................-..
Metallic Tubing ...........................
Raceway .__.___................_......_._..._
Circuits, Light........._______.........__..__........
Utility ........00...................................
Heat .__.___........___....._.....__......._......
Range .....______..........._._............._______
Water Heater ............----.............-.
Motor ..._........_..........___...___.............
Dryer _.._______......._..._.____........_..____....__
Furnace ............_............._........_._._......
Total ....._.._.__._..........___..._........
.__.__...._.___......._____n__._______.___.._..__..__..._.._.__._.__________.......____._.___________._.__._.______.._.._--..-----------..-....------~--..-------.....-.------
.:~.::.~..:~_:___.__.::...~.:....:....m-..m::~:.~:_.:.~.~~~:.~::::.~:...m..m..-----.::.:~:fZ~.~f.:~:;:;:;:~!.:.:::::::::.
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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Nt:?
16908'& /'-'
Address....____._______.____._......................._.......__.....................__......._...........................................__....Date..._....___.._.._.._..........-.-....-......--........
Owner___......._.____________.__........_......__._......_......_..___.....__.___.............._................._........_.__.Tenant.._.___________.._.._...............n_.________________....._......
WiringContractor.........._.....___..__.....___..............__.___........_...___......................_..............._____.___________By____.___.__.._...................---.....----..............-..
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 before concealment.
"',
1M Olympic Printers, Inc.