HomeMy WebLinkAbout1007 S Albert St - Building
ELECTR!CAlINSPECTION
WIRING REPORT
457-0411 Ext. 158
DATE I -/ PER71~ f
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ADDRESS
/001 S,/kpfILC
'NSPECT;1;z r
APPROVED
o ................... DITCH ...................
o .............. ROUGH IN/COVER............
o .................. SERVICE .............,.....
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED:W IJ,J / ,( S ItJ /<'. (ro-tvl 'ki. H-lt...J 0
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9-J1^ NOTIFY INSPECTOR WHEN CORRECTIONS
{.Ol ~> ~ ARE COMPLETED WITHIN 15 DAYS
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~",..,. - DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (206) 452-1381
.
GITY os: PORT ANGELES
LIGHT DEPARTMENT
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Site Address:
I
Installed By:
001
o READY FOR
INSPECTION
PERMIT NO. /2-0 ~
DATE ~/z 0/ 7
~WI LL CALL FOR
I-INSPECTION
Phone:
ELECTRICAL PERMIT
Owner/Business:
5'. Lbvcr
(..LEc..-!wIL S"i.JCU/GL-
o bffL f
License Number:
Owner/Business Address:
Phone:
Sq. Ft.
..t:' Residential J
r Heat KW 'rK
o Baseboard 0 Furnace/Boiler
o Heatpump l&" Other I/JA-II
q Commercia(/I~dustrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
00' New Construction
b Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground I
Voltage (2<>, 2..'PD
1)(10 03.0
fse'rvice size Amps
o Temporary
Details/Description:
lJw
,
9' Ktv
j.J,(Jf~
ilfff
f~07. iouo-()
~ bVA-Itt h~~
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
Vl1J- ~Rough.in/cover O.K.
~.K. to connect service
~.1;i5 Final 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 Pian Review approved/pending
.
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Notify the Department of City Light by Street Address and Permit Number when ready for i spection. Work
must hot be covered or electrically energized before inspection and O.K. for covering or service has been given
,
by the Inspec,t1r Yr 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 I:~() ~
. Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
Installer:
Site Address:
OL.YMPIC ~RINTER5, INC.
1Ft. Tl.f _
/t3(P
FEE RECEIPT NUMBER
CITY OF PORT ANGELES.
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
/;1 Or,.,
PE Mil NUMBER
.
. H~,
TOTAL FEE ~o-O .
&' ,- CaNT, Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
.... -
Site Address
Owner
Owner's Address.
D~y Phone Installers Phone
Application is hereby_ made for permJt to install Elee.trieal Equipment as follows:
. Tf#tAf- S c:..cl.h C {.
, -
Wiring Method
.
! AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT- NUMBER PER 10'OR FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30-
,
LIGHT SIGN .
LIGHT -:- . 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE - MOTOR
APPLIANCE - - MOTOR r .
.
DISHWASHER I//" rl7r', /' FIRE ALARMS .
DISPOSAL "./, Ct / [IV-' V BURGLAR ALARM
RANGE V l? 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.
.- I SUB-TOTAL -
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be pertormed}Jder this permit will be done by the installer and in, co
Date Application made 7/ q f 7 ,19 By
.I.. '
CONTRACTOR OR OWNER {OR AUTHORIZED AGENT)
Permission ~s hereby given to do the above ~escribed work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the .9ity of Port Angeles.
- - DIRECT OF CITY LIGHT
WARNING
Notify Department of City Ught by Street Address and Pe it Number when ready for inspection. Work must not
be covered. or current turned on before inspection and O.K. for 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 -
.
Date Permit Issued
7/f/t7
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
- -
J
REPORT OF INSPECTOR
DATE OF VISIT
MADE BY
REMARKS
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O.K. FOR COVERING
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......~TO CONNECT SERvICE
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