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HomeMy WebLinkAbout1510 W 10th St - Building Gam,. CITY OF PORT ANGELES U... gym/ DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001046 Date 9/22/11 Application pin number 925104 Property Address 1510 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 1308 -0000- Tenant nbr, name C L JAYNES on your state excise tax form Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3915 Application desc INSTALL A MINI -SPLIT HEAT PUMP Owner Contractor CHARLES D LILIBETH U JAYNES PENINSULA HEAT INC 1510 W 10TH ST 782 KITCHEN -DICK RD PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 452 -1911 (360) 681 -3333 Permit MECHANICAL PERMIT Additional desc MINI -SPLIT HEAT PUMP Permit pin number 193060 Permit Fee 64.80 Plan Check Fee .00 Issue Date 9/22/11 Valuation 0 Expiration Date 3/20/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .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 provision f any state or loca J reg lating construction or the performance of con truction. C�� .l. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit i BUILDING PERMIT INSPECTION RECORD Q 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 I Date Accepted By Comments 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 FINAL Date Accepted by AIR SEAL: 0 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet /Chimney ^1�,' y�� Commercial Hood Ducts FINAL Date O� Accepted b MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting 1 ESA: Landscaping I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 C Fire 417 -4653 Planning 417 -4750 C. Building 417 -4815 0 r•cnrr.,c /R, iilriinn niuisinn /Ruildina Permit H N H 0 0 M W W 0 H a a q 0 H 0 H M a (1 H H N CO N l0 W 0 N 0 O O 0 -0 H N 0 i0 1.) a) N o N o 0 al U rd 0 a U E .,4 H ro (.k ,f. H -1 U W 0.�.H .0 H L H A zz HN C Z m (44(3) w o o -c a o a w UX as roU a 40H 0 H N H z F h r0-,m o 40H ca 0 i o a o CO Sa N RC H O E u) H H w O .-1 a' N U U S Z ZZ N N NIP Z N H W W a W HH(nH HH 2 a s CO Z O, o cr o.o P. o 4 CO VI UI a z N i N (d N N E zz (1) 0o a a a1 H H W H U a W 1 E o Z a F\ 04 4) 40 4U4o 0 04 la. U) H (3 0 (3 4) 4- 4 0 I0 a H F z m 43 a u5 x uhurt x u 0 o mu) c_.)-, (4 U N H o FC CO W 40 (4 (4 (4 0 40 (4 4 3 sou FQa xzzz C£z'U 4 0 o H H Z )11 411 H O N F F H rn W a a a H (n rC a 2 m a H F2 b oa H 'hQ r] o Q 1 o co H 4 o H 41 a mw o 0Q ..)40..)00 W W N N N N W 0 -4 a M n X F. F+ H H H -I H 11 2 v1 W \,7. w x W ow a 40 r, M 2. H U a U O H o 0 a H H N N Od Z Ma a a 12 a o z 0 CO Q W U] U H N ao cn E a2 F a o 0 a CZFwua 1 4 c, o, 1. wF 0 (zzaa 04 o, o, au a( HOoag a H PROJECT STATUS UPDATE re l Permit 1 l' I 0 1,510 W 1O t Date: 3'1' I phoned the: Applicant at Property Owner at Contractor )W h $(,&1a f -/2G,r at if PI I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. .p&rckla wo rk /5 Irnpl milli G12fq mine) 3/ 6 i16 'Ica n Ten. no s Lowed ap pIftrTv1 X1 T:Fonns /Building Division/Project Status Update c lam 3 nn r1 N H H W M W W a a a Ll rn H r1 H rl H r H V H N CO N W a' O N O O 7 k.0 io ai Ol r1 t N a U E IX 0 H JJ a H W W E, (.1) pQ o o w pi X P- rt H CJ W as r, o CF hp w .j r, H 0 z ••H z Oro 0 c H O F Vl a H H U U E 2 2 N N F as w z Wow W W 2 En a o o a N y O z F\ U d' N U a a V1 HH F [J h a U 0 x u b 0 o a cn vl U S x E [XX H o H H U W �Hox w ar,U a H r1 F E H ri W a s o u) Qa E 8 cnp cn W r1 2 W a m 241= W H W N [O 2 o a' H a' o N a 0 i o oo In a rj U o O W a W W O 1 a 0 a a'a■oo NWW N 0 0 x z 0 tnn w z u, W x w H o W a 'o io 00.10O -4 0 N H OE H W o r1 r1 0 0 W' a U o a z o a 0 H W G. r11 H 2 U) E a H 0 0 Wu 44 S O a a P4 F E Sep 21 11 02:11p PENINSULA HEAT 3606812086' p.1 BUILDING l PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) -2 i I I Date Received 1 Permit 11 -1 O'4 City of Port Angeles Pease print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5' St, Port Angeles, WA 98362 360 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30- 12:30 pm Contact personal J I Phone; Property owner: C' let S J ul 2 Phone: 6.? /�f/ Prope owner's mailing addre owner's L -y f7 Contractor's business name; l ;9 I- Phone:. 1 (or property owner's name if he/she is doing /overseeing the worK) e6ki 3:3 72 Contractor's mailinc ac•res 7 q;2 k.1 /r. .h 0/4 14— 724j l✓i 7 /C/1 Contractor's L8,1 license number: Expiration date Project Address: Project Type: esidentiai o Commercial to fndustrial Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: house Q garage a other tear off re -roof lay over one layer (J) Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: t house garage tc other Project Valuation (labor.8, materials, not including sales tax) Repair: (explain the project) Project Valuation S *Homeowner: if you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T :Forms /Building Division/Building /Plumbing /Mechanical Permit Application— Short Form (Revised 2011) Page 1 of 2 //t) der hi/ Se Ave) L- A fern-71/5 ct r-e rPIIC U, ,1 GL Sep 21 11 02:11p PENINSULA HEAT 3606812086 p.2 Swimming Pool or Spa 4z 24" deep): For prefabricated swimming pool orspe protects that do not reaulre plan review Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? o house a garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. (V) Agree to ensure that all utilities are/will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Can Air Agency ORCAA) Demolition Permit Application. Contact ORCAA at 360.417 -1466 to discuss whether or rot an ORCAA Demolition Permit will also be needed. zr yes d no Will the debris be going to the Regional Transfer Station in Port Angeles? pi yes p No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: ;explain the project; Project Valuation 5 Mechanical Permit: (explain the project) Lt 7 1/ /77 '770/ 7" 9 (.2 170 Project Valuation have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibilit o determine what sermits are required, and to obtain permits prior to working on projects. Date Signature Print Name �z 7L k- rsn Page 2 Clallam County Assessor Treasurer Property Details 59088 CHARLES D AND LIL... Page 1 of 1 Clailam County Assessor Treasurer Property Search Results 59088 CHARLES D AND LILIBETH U JAYNES for Year 2011 2012 Property Account Property ID: 59088 Legal Description: W2 LOT 2 ALL LT 3 BL 313 TPA Geographic ID: 0630000313080000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township. Section: Range: Location 1 Address: 1510 WEST TENTH ST Masco: i j j PORT ANGELES, WA 98363 A f Neighborhood: PA West Res Map ID: 3 If Neighborhood CD: 5151000 Owner i Name: CHARLES D AND LILIBETH U JAYNES Owner ID: 210068 Mailing Address: 1510 W TENTH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 L) fi Exemptions: Taxes and Assessment Details Property Tax Information as of 09/21/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. Year Statement ID First Half Second Half i 1 Base Amt. Base Amt. Penalty Interest Base Paid Amount Due 0 Statement Details 2011 153705 $1126.17 $1126.09 $0.00 $0.00 $1126.17 $1126.09 Statement Details 2010 41992 $656.03 $655.94 $0.00 $0.00 $1311.97 $0.00 Values Taxing Jurisdiction Improvement Building E Sketch Property Image l Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 9/21/2011 4:12 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =59088 9/21/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001115 Date 10 /11 /11 Application pin number 805445 REPORT SALE' ALES TAX Property Address 1510 W 10TH ST our excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 00- 0- 3- 1308 -0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Ductless heat pump Owner Contractor CHARLES D LILIBETH U JAYNES OLYMPIC ELECTRIC CO INC 1510 W 10TH ST 4230 TUMWATER PORT ANGELES WA 98363 PORT ANGELES WA 98363 v (360) 452 -1911 (360) 457 -5303 Permit ELECTRICAL ALTER RESIDENTIAL 0 Additional desc Permit pin number 194100 Permit Fee 76.10 Plan Check Fee .00 Issue Date 10/07/11 Valuation 0 Expiration Date 4/04/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60 Fee summary Charged Paid Credited Due Permit Fee Total 76.10 76.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.10 76.10 .00 .00 (S\ INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 10 1 I FINAL b c u A COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 10/06/2011 09:51 FAX 360 452 3498 Olympic Electric Co. PA CITY INSPECT Z 002/003 o RECEIVED oci .-.:::..;.,,..,..4tee., PORT CITY OF PORT ANGELES PERMIT APPLICATION U\ Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL Date: /04,/ INSPECTIONS _1/1 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: _L. 7J2 c-' /,7lZ Building Squire Footage: Desoription of above i 7 r -c �J str.7Z t F I Owner Information Information G40.--/p G�/r a 4tJ Name: OLYMPIC ELECTRIC Melling Address: i e Melling Address: 4230 TUtIWATER City r Slate: L/r7 ZIP: _9_,C, City: PORT ANdET State: wA Zip: 98363 Phone: vs °/9// Fat Phone: 451 $303 Fax: 452 3498 License it/Exp. License Exp..Q .LyMPEC2 a5D2 Item Unit Charge fell TotalMultipli b y Unit Chums) Service/Feeder 200 Amp. 119.90 Servlcn Feeder 201 -400 Amp. 145.50 San/ice/Feeder 401.600 Amp 204.60 Service/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp_ 372.50 Branch Circuit W/ Service Fender 260 Branch Circuit MO Service Feeder 73.50 —L—` 77.f Each Additional Branch Qlrcult 2.60 _L__ 2. Temp. Service/ Feeder =Amp. 92.70 Temp. SeMoalFeeder 201 -400 Amp. 110.30 Temp. Service/Feeder 401-600 Amp. 148.70 Temp. Service/Feeder 601 -1000 Amp 167,90 Portal to Portal Hourly 95 Slgn/Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ limited Energy 2 Family Dwelling 63.90 Signal Circuit) Limited Energy Multi-Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft $110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110,90 7‘,. As Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years attar this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property Is formate, rent or lease. Permit expires after six months of last inspection. After reading the above statement) hereby certify that I am the owner of the above named property or a licensed electrical contractor. I em making the electrical installation or alteration in compliance with the electrical laws, N.E.C„ RCW. Chapter 19.28, WAC. Chapter 298 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Slgneture of owner, dec rkal contradtor or electrical administrator: Ceeh Chock X t /a///7 Cndlt Card N wtov2alo OF poRT,k fi �N Imo' v 14 te NCO Application Number 05 00000004 Date 1/03/05 Pin number 570096 Property Address 1510 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 1308 0000 Application description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY' Application valuation 4900 Owner Contractor FRENCH LIV TRSTSALLY -JO 1510 W 10TH ST PORT ANGELES WA 983635506 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR -OFF FELT COMP Permit Fee 134 75 Plan Check Fee 00 Issue Date 1/03/05 Valuation 4900 Expiration Date 7/02/05 Qty Unit Charge Per Extension BASE FEE 92 75 3 00 14 0000 THOU BL 2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 134 75 134 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 139 25 139 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 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 Aut rized Agent T•\PLANNTNG\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 TOPNOTCH ROOFING GUTTER 1235 W 9TH PORT ANGELES WA 98362 (360) 457 0066 EXPIRED 77z Ar Date Signature of Owner (if owner is builder) Date 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. I YES I NO FOUNDATION: FOOTINGS I I I WALLS I I I FOUNDATION DRAINAGE/DOWN SPOUTS I I I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I I I PLUMBING UNDER FLOOR SLAB I I I ROUGH -IN I I I WATER LINE (METER TO BLDG) I I I GAS LINE I I I BACK FLOW WATER I I I AIR SEAL WALLS I I I CEILING I I I FRAMING JOISTS GIRDERS I I I SHEAR WALL/HOLD DOWNS I I I WALLS ROOF CEILING I I I DRYWALL (INTERIOR BRACED PANEL ONLY) I I I T -BAR I I I INSULATION SLAB I I I WALL FLOOR CEILING I I I MECHANICAL HEAT PUMP I I I GAS LINE I I I WOOD STOVE PELLET CHIMNEY I I I HOOD DUCTS I I I PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT 4's: WATERLINE METER I I I SEWER CONNECTION I I I SANITARY I I I STORM I I I PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING I I I LANDSCAPING I I I CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. RESIDENTIAL ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE ACCEPTED CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T\PLANNING\FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT SEPA. ESA. SHORELINE. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15114 , .... :// /-...;' rY' Port Angeles. Washington........c:.......C:........................................... 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 work as listed below. Address ....m.l$?~~.(:~..I.t/..::~:.......m..m....................n...... Occupancy.....m.................m.................... , . .,~,.' , .-/ Owner ........,..".,;..",./,....;,<.L:.,:,,:..I.'=::.......m............... TenanL.....................................................m.............." , "i: ' '/' Wiring Contractor m'.:::.::..;....".L.,...:...:..~:,~...!.:::m..m.m... By.........mm................................................m.... I') .. Light OutletBm_m_n...___..nm_mhu_._____n' Receptacle Outletsm6:_Qmnm_._....... i. Dryer, KWl_h..__':"n__n__.._.n__m_________ / ' Range, KW ___'n_ _____noo______oo__n Water Heater: '/ ' KW..............!..L........... Heat R W./'Y....P.IJ............. Motors: size, volts and phase: / , _.(.____~_._-':::.:.~____n._____.,.___......._...._..._...... /' ,-I ., I --!--.-.(..-.~...-,r:.-.---.---.-.--------.--------------- I Total Load....m_mmnm_m...... Service. volts .l:?..c'l..&:..t(............. No. wires .oom_1m..mm___.._...______. . . yjf\r> , SIze wIres._._....._..........................._. Main fuse ..._;~\:-:Q.1___.m_nmm 5 Enclosure nhh............'h...____........... Type of wiring: Entrance Cable ._____m_mmn_nn______ Rigid Conduit m_mm__mm__m_m____ Metallic Tubing m___.______m__mm___ Current transformers: No. & Size________._.______..______n____..n____ Ser. NO..__.____n..............__........._.._..._n Ser. No.,______.__.._.___...___....................... Ser. NO.._n__.________..____.____________________n__ Ser. NO....__.________..n.._.___n___...._.__..._... Type of Wiring: Armored Cable _ Non-Metallic __m___m__n_._m__mm.m Knob & 'l'ube...n__m__m_oo__mm__m... Rigid Conduit m_mm__m__._...__.._.m Metallic Tubing ..__m.....___m..n..... Raceway ..__...n_....._____n_...h..__.oo.oooo_' Circuits, LighL_ru.......__um....mmn..__ Utility.X....................................... r Heat ....__......___._____________._........._.____ Range ~____.___oooo__n.oo____.oo.......___noo 'Vater Heater dmmm__.........__m.. Motor ____________,________._.__.__n.....________ ~. Dryer, .oooo:_~~.oo...____._....___.oooo_oo.....u...... Furnace ...........hm___.moo'_ Total ......:.:.2......................... Remarks : nn__w___~:?._"::"_<;__h_~_,_l:....._n_nr_w:.:..:.n.~~.._;_?;,~_n_nd.__h_.n_'nn__~__nndn_n_____~___dn___~_____h_h..nwwn......n.u__n__.nn Permit Fee Treas, Receipt '1/"/ '{(' " / $...m...IL3.0..mm.....m. NOh.....___.......h....._m By .h..~:.~.L:.....!L~,:..,:::...:,~/.!,,c-".',.~~............. 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 J). d /1 r;. ,I.J ...- ~.1rv. ... - -- ,,"-,...- /j,c,~,,-- ,-.... ELECTRICAL PERMIT N? 15114 ( Date called .f;~)ji~~fb~./..l!.nTf..........n.......m.........-...................mnmmn ......m............C.:..:::?.2:..::::...?.E'C......m ~::;~::::yc::::::...d~~r~:~~:~=.:.;:::;:~:::?'r_~.::::::):".:::::::::::::::::.:.:..::::::::::::::::::::::::::::~~::::::::::::::::::~:~:::::::::::::::~: 1M 3-72 Olympic Printers, Inc. Total Load .nn___noooooo_oooo.___._.._.._'oo_oo_.oo._oo__oooo__.oooo_n_...,...