HomeMy WebLinkAbout1128 E 5th St - Building
,.\
-
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
Installed By:
o READY FOR
INSPECTION
License Number:
PERMIT NO. {j.3.&:J.j-
DATE /O~n
/
[\tWILL CALL FOR
I'INSPECTION
Phone:
.
ELECTRICAL PERMIT
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
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)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
01003.0
Service size
o Temporary
DetailslDescription:
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(iist below)
~:u
Amps
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.
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.
o O.K. to connect service
~Final O.K.
Date
Hold for: 0 Easement D Letter
D Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Site Address:
~
Notify the Department 01 City Light by Street Address and Permit Number when ready lor 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 Buiiding Permit. PHONE 457-0411, EXT.158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :$/';;J..O,. 0 C)
fnspecto Amount paid
YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
OLYMPIC f>RINTERS. INC:.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
17185
J-- (; po
Port Angeles, Washlngton__m_____m__m_____._......._...m__mmm_mm_. 19m__m
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-
:~;::: 1~//~~_;::2_~~~~::~;~--:~-::~~-e~--~~.IO:~cupancy--.._________..________._.__._________________..
Owner --m-J:.-?kll:-~""'''''--'''-m-a-~--i::J;? rel}anL____m..m_....._______.m___m_mm.m___m____mm__m__
Wiring C~ntractor -m.--~'7!fJ!".eQ.~..!::.-m~m By.--m-..-m..-m..----m-m-m-----------------m-m--.mm
Light outlets____.._....___.._.h._:..____.______. Service, vOltS..!.ff-~4...I'f!.h. Type of Wiring:
Receptacle Outlets__...__...___.................. .t No. wIres ..............:._.......m.....C.'!... Armored Cable ...------.....................
Dryer, KW___h_____.h________..___m__.m_______ .;islze Wlre8...h'Y&'~~" Non-Metallic .0....0.__0.....____0.____0.___._
Main fuse ~~c?.d__.... Knob & Tube..___h.__.__________..._________
::::'r K:..~~~~.:___---...------------------------. Enclosure .......___..... ..b_________.... RMlgltadllCt onTdUbl,t ......--.......................
e c U ng 0..___0._____.___...0._____
KW...._____.h__h__..h________....____.________.
Heat' KWhrfl.._Y.A~
Type of wIring:
Entrance Cable ______...._________..........
Motors: size. volts ~nd .phase:
Rigid Conduit .......__....___...............
Metallic Tubing .........__................
Current transformers:
No. & Size......____...___..______..........__...
Raceway ......................._.....__..._
CIrcuits, Light.....__............................_..
Utlllty 0.0....______.____________0.0........___....
Heat ......................................._..__
Ser. No...____........:..............................
Range .............................._..............
Water Heater .....____..._..................
Motor ................__...__........____........._
Ser. No...__.________.....__.........................
Dryer __.__...................................__....__
Furnace ............._._.........._......_____........
Ser. No. __..____..____......_.._........__........_..
Remark:~t:::.;:!~~~,_~q~._::_..~Z:._mm__m_~:::..~~_..::_...:~.::.__._.:::.:::~_:~::
Permit Fee
$:'__.___..m__mmm__....._..___.
Treas. Receipt
NO..__.._m______m__._____.
By ___m_mmm_mm____mm__m_m_m_mm__m__.__._.__._
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 INSPECTORt-BY PERMIT NUMBER WHEN READY FOR INSPECTION
~-'
ELECTRICAL PERMIT
N?
17185
Address'..................._....................._.............................................__..............................................Date..._......_.._.._.._.........._......_....__......._
(
Owner .........____...__.........nn...._..n.._.._......___...._.._...n....n......n..._.................................... Tenant.__............................................__....__._...__.....
WlrIngContractor..................................._......-.............................................................................l}Y..............................................................
II
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be COD-
<: ceale'd due notice m~sf be given the IDspec~or so that work may be inspected before~DCealment. ..'
...., / '
'" \ -" .
\. - ... ....i.__,_ n..;_.~.._ T.." ,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REOUEST:
Date 4- (0-010
O-e",vu; E
(phone. person)
Time 7 It """- Received by
-:it..
Location of Work to be inspected (( Z g E. S" -
Name of person requesting inspection LJ.e........ ; 5 E.. .
Address of person requesting inspection ~~r.J Yif) {I q.-t<;
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. 117 - 'f 8<1 "'/
Permit No.
Sewer Excav. Oth~ w,,-+<-0
INSPECTION NOTES:
Inspected: Date 'f -10 - 0 b
Remarks: 12.. eiJa..,..d 2-"
I
c.-x.
Time
hA..",,- f '"
QA..-1.
b,e.....{,...
By j)e'1Vl. /'S E:....
w;{-t.... 4: 5-S - ret,,,'r h..!!I.d.
2.38 - L. b~ o.!) .
RESTORATION REOUIRED . . . . .. YES
NO K
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.
,
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # -5031./2.- 081
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)