HomeMy WebLinkAbout528 W Lauridsen Blvd - Building
?FA/J} INb flC.4N t:f U If u/
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
'"
. .,
--.l2-<{.-1
FEE A :CEIPT NUMBER
A
6'53
PERMIT NUMBER
.
TOTAL FEE
r2~
M;-1
T E TO COM PLETE
NO. STORIES
LEGAL OCCUPANCY
elECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Add 'ess
PERMITS WITH WRONG A
ESSES #fCELlE
Owner _
Owner's Address
--------
=-----
Installation By
Installers Address
Installers Phone
-----
---
.,
'o'j !(.,
"
.
,
.' f
.,\
\\
)\ '
I /
\P .
k
,
\,
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT L oA-ItJ (?) '-Ie. r . (
.
LIGHT 5~~ ViCE ~ ~ 50 VOLTS . AIV\ 4.-M/J 5z'/: ~
OR L .
CONV. :N1ENCE Sf- tZ-U I( t Q f\J flll( tThL5 . '7 ,
.
CONV :NIENCE 1t- Sub PA >-If S . ,~Jo ~.. ..MM : Gl 4: = 4V~
APPLI .NeE MOTOR
DISHV ASHER FIRE ALARMS
OISPC 5AL BURGLAR ALARM
RANG; ( 1\ :.. { { MISC. ~ ~ yi
1 ,
OVEN \ rw ,., "V" Yi';l I
,
WATE I HEAT;;( ,~/1 / I;, r.' ,
I t. V
lAUN( IRY k ''7 A-I 01' j'
DRYEF \ A _~ ~LDS' - .../1..< 11jlEI~L~ALel~.!-'GHT FIXTURE.
FURN, ,CE 4-3 409 141'1 I. "r P;pB W ALtFr I, ""
GAS. )lL
FURN, .CE A-if oK Pil<Vfl ~.RI'X f~'i-n ~ /r .r
ELEC~ RIC
A-5 -""I ( BASIC FEE n AAV'I
ELEC"' RIC HEAT CWi' {l;7ToTAL,FEe 7/- -
ELEC~ RIC HEAT It -c I. I. "
Size OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.U.JIT S<(AL W~U5' 0 c.,1'I !cQ'h,,..)l" AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVI ~E , AW.G.
1 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, Electrical Code.
Date Application made
,19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pe.mission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifi:ations pertaining thereto, subject to compliance with the Ordinances of th ity of Port Angeles.
D CT OF It LIGHT
105;f~
.
Date P, rmit Issued
I WARNING I
Notify Department of City Light by Street Address and Permit Number when rea y 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 -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
.. ..
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
, .
--c
,
,
\'~
1. "-
, ~ - c ~
\ , ~ ~
l "" ~
, ..
, \
,
,
\ "-
.' . \ '\
, \ ~
- ~~ .
1'-'
'- "...~
"- ~'\
>-+ "'-.\
g 1'- \,' ~ ~.
I '" """ ~
~\, .::.
~'\ -\
0f- '\, r t:-
\ \
~ .
~
~ -
....
~ ~
, .
I~ ~ /tlt O.K. FOR COVERING
I" IJ"J 'q I. ',1l'11 O.K. TO CONNECT SERVICE
.( .. V .
FINAL O.K.
.
z
Cl
a::
<
~
!:2
:I:
I-
Z
W
I-
~.
I-
o
Z
o
c
.~
/211
FEE RECEIPT NUMBER
ff,uIJ(tJl, ;J{M ~f{/lfcJ
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
&3>1-
PERMIT NUMBER
Site Address
TOTAL FEE
IfZ~
At,..,
.
CONT. lie. NO.
NO. STORIES
LEGAL OCCUPANCY
Y OF APPLICANT PERMITS WITH WAONG AD
C' Installation By
Installers Address
Installers Phone
5 ES~NCE~r( ~C
/0
O'wner
..------;~' ;
/' .'\
^ - l'-,J~
~IJ' \ . J
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT CIRCUITS PEA '" 100A FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT 1 Lo W 34i. ( r . 7
~
LIGHT :5~ ~Ui(t. S Zl --- . 10c A 5'U?:3. l-
DA LESS .
CONVENIENCE C, eUI :.c. ( I~. ..J c...-h4.. I. - . 7 - I
. .
CONVENIENCE -:dl -.\tJ P. W'i.L ,.Ifi oD ~. ..mnc . 6l ,re, 00fJE
J. .
APPLIANCE MOTOR
DISHWASHER FIRE A.LARMS
DISPOSAL BURGLAR ALARM
RANGE - _ 01 - MISC,
OVEN ~' t-_ 01
WATER HEATER 1\- - 0 <::
LAUNDRY 11.-< - 0 I<- 1//2~ I-
DRYER 1\- - 0 (<. REINSTALLATION LIGHT FIXTURE #
FURNACE ()-, - Ie SUB TOTAL FEE
GAS - OIL 0
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
SERVI:;E AW.G.
I 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. Electrical Code.
Date Application made
,19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above describ,?d work, according to the conditions hereon.and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of e ity of Port Angetes. ' I
/ () ;js;'l f 01 CTOR 0 ITY LIGHT , .. ,
Date Pormit Issued II J I tI
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service h~s been given by Inspector if!
Writing on Permit Placard. A. - Permits Phone: 457-041"1 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
9LYMP~RINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
,
I ~ ^
If l~ ~~ j~ O.K. FOR COVERING
/1. '3 H O.K. TO CONNECT SERVICE
I FINAL O.K.
.
z
Cl
a:
cl:
::!;
!!1
:J:
I-
Z
w
i.
l-
e
z
e
c
.
FEEl~TtlA
P(,f/()I-t!t jJ{A-4J ,fftJ/(w
. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
8s-/
PERMIT NUMBER
.
I
I
TOTAL FEE
7b~
CONT. Lie. NO.
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
I
I
Site Addr~ss
Owner I
I
Owner's tddress
Day Phon.e
APPlicati~n is hereby
----
--
A
~
~
rtj/f
TIME TO COMPLETE
NO. STORI ES
LEGAL OCCUPANCY
PERMITS WITH WRON~:SSW?[CAN~}O ~
InslallationBy ~ ~ ~D:..-tP!:::::/L
Installers Address ___ "
----- I(N'
~ \ .^ ~
I'V'\
i I\JI1'''''
Installers Phone
ade for Permit to install Electrical Equipment as follows:
(NT 4f /...I)vAl d
Wiring Method
I
USE bF CIRCUIT
I
LIGHT;
AMP
PER
CIR
240V
100A
30
r-
r-
NUMBER
CIRCUITS
120V
10
FEE
.
LIGHT I
CONVE,NIENCE
CONV'iNIENCE
APPLIANCE
DISHWp..SHER
DISPO$AL
RANG~
/ 11 LL~ l:Afc
S<;fJ.J.( S'/ <i....-
S .e..UICf.. ('~,.,cL -h1L\
{/ S u.1 jJ./v..!I: L.s iLI.o~'"
~ ')CT{,~lrl.fL Wi,7 IV", i?;J
I I
f
.I /1/
/ AHI I. 'j (j)
II,O/~rl v 7
I /
OVEN
WATE~ HEATER
LAUNDRY
I
( ~ I,
I .t '" ^' Ar\..- '1 ~ V . V
~ M A.f"I - 1,-
~, l I'^ 17
DRYER:
FURNAlCE
GAS - OIL
FURN,t.,CE
ELECT~IC
ElECT~IC HEAT
ELECTRIC HEAT
A.C. UrllIT
,
FEEDE~
SERVI<::E
I SUB-TOTAL
.USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
FEE
240V
100A
30
120V
10
.
.
50 VOLTS 6
OR L .
.
.
'''~TM .
.
?
.2./)e> I;;./YJ;:)
? '
Eo~
j, ~{11... (rA {<; 1
FIRE ALARMd '- -'
'1{, e91-
BURGLAR ALARM
MISC.
~b-
(l 1./1::' -
REINSTALLATION LIGHT FIXTURE #
sua,TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
A.W.G.
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. Electrical Code.
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pe~mission is hereby given to do the above described work, according to the conditions hereon and ac.cording to the approved pla~s and
specifiqations pertaining thereto, subject to compliance with the Ordinances.of the ,City of Port Angeles. . I
DIRECTOR OF IT
J
Date Application made
.
Date Pqrmit Issued
it) /I~f t
WA~NING
,19
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
OL YMP~PRINTERS, INC.
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD -Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
..
,
II ' It. Iq~ ./ ~y O.K. FOR COVERING
n '~ r'L ]rIP O.K. TO CONNECT SERVICE
V FINAL O.K.
.
z
Cl
a:
<I:
::!E
!!!
:I:
I-
Z
w
i.
l-
e
z
e
c
.
FEE(;;p1JBER
?fAJIJftJ6 p(/J.N bUlfeJ
_CITY ElF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
85-0
PERMIT NUMBER
.
TOTAL FEE
!12~
. --- ---
Z--
./1
CONT. Lie. NO. TIMETO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PEAMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SitB AddrBSS 5 Z w. U
CORRECT ADDRESS IS RESP~SIBJLlTY OF APPLICANT
ownBrDUjA.lLdl1J j)fV. C.tJM.f.
Owner's Address . ____
, ----
Day Phone ~
Application is hereby mad
for Permit to install Electrical Equipment as follows: _
- "A /J '-'I> 0-[:.
ON SCAI-'T)
_ PERMITS WITH WRONG AODRESSE~. ~RE J1'NCELL
Installation By tA/,A,/J
Installers Address ---- I!
Installers Phone ~ I. l\ I
1'1 1.1, v~) -
. '/ LJI ."
D
tL
(Wo
Wiring Method
.
NUMBER AMP 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PEA 120V 100R FEE USE OF CIRCUIT PEA - 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT L, )frtJ Cd c- .. .,
. .
LIGHT <;. 'P. I JI ( S n. <:: . J. ~ :/I1P 1.~1-~ -
OR LESS .
CONvENIeNCE .:::; '~U/( L c ",due. ~e.s . ?
. ,
CONVENIENCE 1;1 5u (JA Nfl S- f 'v v, : @~ = Vlc):J
APPLIANCE .' MOTOR
DISHWASHER j FIAE...L~S
" /1,' 'V . V . EltlA~R ALAAM
DISPOSAL I
RANGE I J / 'JJl'-'. .1 ~c
OVEN r /\ 1/ /v , ~;,
WAlEH HEATER t" 0 . \~..>
LAUN(:RY I:- '.Jr o~~. .
DRYEr:; f'-" '1. . 0'" REINSTALLATION LIGHT FIXTURE #
FURNACE v: SUB TOT ~L FEE ,
GAS - OIL
FURN,t.CE (,.-W ENERGY FEE
ELECTRIC BAStC FEE /I~,..o
ELECTAIC HEAT II V'--
TOTAL FEE
ElECTRIC HEAT SIZE OF SERVICE SWITCH OR CIA CUlT 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 performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
.19
By
CONTRACTOA o~ OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and ac.cording to the.approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of, t ity of Port Angeles': ,I '
. . 01 TO OFf \. '1i\ ., ;,": 'I \
Ioj/s/rt
Notify Department of City Light by Street Address and Permit Number when ready or 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 Ex!. 158.
By
PLANS A
-.
.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER-
WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD -Inspector's Report
___ _____ClbY~P..!f.LPRINT!_A_S, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
.
. . . -
,
.
.
, .,
Iz ''1 /~ 't fiJ xr.- O.K. FOR COVERING
I.{ lj tt N\ K" O.K. TO CONNECT SERVICE
. FINAL O.K.
.
z
Cl
a:
<
:!;
!a
::I:
I-
Z
W
~.
I-
o
Z
o
C
.
FEE (EZ;T flEA
'PftJfJ1fJ r.. fc.A-JJ f4t.1lr;uJ
" CITY oOF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
8 ~A!IT NUMBER
CONT. L1C. NO.
TIME TO COMPLETE
NO. STORI ES
LEGAL OCCUPANCY
.
TOTAL FEE
I / Z c:::--
----
_____ J-
ELECTRICAL PERMIT ONLY NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT
Owner
52-8
.
"~:. / 'J; ......'1 'flIfl~ ''{1 ~ fr- " ~ I/AJ/TI .
r'A~.\rl ,-
Wiri.ng Method
\. . /
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT // LU7 (1..((e --- . ? ,
.
LIGHT S~ e. Ut C. SIZ- t... ~, 50 VOLTS . <IfJ/" , A J)2~
.
CONVENIENCE Sl e.UIC (~^ IDuc.1t \..- S'12.. ~ "~TM . ? ,
.
CONVENIENCE # Sob ' #J", -/( -"'~- '''M~R -' {jI b - - rOtJOO
~'
APPLIANCE ....A MOTOR
DISHWASHER 1"- ~ 'y I FIRE ALARMS
DISPOSAL _\ ~v h\'" /' , ~ \<\ . J\/o- "" 8.\ BURGLAR ALARM
RANGE If '" ~ [I.': ( 1.-4..~\(\? , " i~vll' P MISC, ,
''I
OVEN v... " It)\- v ",PIli' . P!-~I \.}
WATER HEATER V h "1 ,,('y~{ ~ t'j, ?\"
LAUND:RY I' ~ /~ V_I.-.V ~ J I lit'!:
DRYER V I;v REINSTALLATION LIGHT FIXTURE #
FURNA~E V SUB .TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTf:tIC 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
PERMITS WITH WRONG ADDRESSES ARE CANCEf(; ~
Installation By PAuh./5 rC if
Installers Address .-:. \.\ VI!
~ I.J,f')
P' It'l I
----- .
Day Phone ~ '
.--
Application is hereby mad~ Permit to Install Electrical Equipment as follows'
Installers Phone
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. Electrical Code.
Date Application made
,19
By
.
Date PermIt Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT}
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance With the Ordmances of the It of Port Angeles! I ,\1 . \ , \
!O/Is/f~ .' ~OR F_.C1 'd,; ,_
- -
Notify Department of City Light by Street Address and Permit Number when ready for inspection, Work must not
be covered o~ current turned on before inspection afld O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
-. .
,
.
, .
,
h J1.-') ~
\: O.K. FOR COVERING
Y" .... :tf
Ii./,,,'I{t O.K. TO CONNECT SERVICE
\ FINAL O.K.
.
z
c:J
a:
<C
::!!
!!1
J:
I-
Z
w
ie
l-
e
z
e
c
.
FEE R ~?;; tM1ER
P?Nj)/IJ6 P'L,4-A) !Cfd/f}v
. CITY'OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
8 1-13
PERMIT NUMBER
.
TCTAL FEE
/!~~
~
y
/It"1
CONT. lIC. NO.
TIME TO COMPLETE
NO. STORJES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Add ess
Owner _ ~U
Owner's A.ddress
Day Pho ':e
A
5z€3
------
------
PERMITS WITH WRONG ~~ARE FANCE~ d
Installation By WJ F. / C
Installers Address - ." f/
..---; ',VJ'\
\ \,11'
..,
Installers Phone
.
PPlica~.~; hereby made for Permit to install Electric(; Equipment as follows: In .
"o,/clrtt-4?} /ZIJ!L 'ii" filtsr O~ 1U'''''\ UAJI+S
-----' ;,::;
A.u?,.-,-- /\JJ I'.U R. I g;" Wiring Method
'-- I
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT JOlt- ./ tA, c. c. ~ ('
.
LIGHT 5c~ :VIer. ~/~ ~ 50 VOLTS ~ 40n 4-.M/' 52~
.
CONV[NIENCES~ UIC'L COtv 'duc-lt ft ~ 17~ . 7
.
CONV[NIENCE it- :; l/.b /JA I/clf 1_-"" n~ .__M ~ '\lr;, =- tLJ~
. ;;
APPLlj,NCE V MOTOR
DJSH~ASHER FI RE ALARMS
DISP03AL / ~ BURGLAR ALARM
RANGL r: 1--\ / IA MISC.
OVEN :0. """ ~ IV~ [e
WATEFl HEATER l ,,, /) I- h jt..
LAUN('RY '" 0 f-
DRYEF f.-J 0 P REINSTALLATION LIGHT FIXTURE #
/
"'FUR'N;,CE f' Iv SUB TOTAL FEE
GAS- )IL
FURNJ,CE ENERGY FEE
~a'c BASIC FEE
ELEC1-=tIC HEAT 77'?' ~
- TOTAL FEE
ELECl =lIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
-
A.C. L ~IT AMP PHASE
_.
FEE DE -=t SIZE OF SERVICE ENTRANCE CONDUCTORS
-.
SEAVI :;E A.W.G.
-. I SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certif' that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
, 19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Pe-mission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifinations pertaining thereto, subject to compliance with the Ordinances of the ity of Port Angeles.
DIRE T~F C
lo?J/f-t
WARNING
By
PLANS AP OVED
Notify Department of City Light by Street Address and Permit 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
Wilting on Permit Placard. A.. Permits Phone: 457.0411 Ex!. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
.
Date PI rmit Issued
WHITE - Original CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
OLYMPia PRINTERS, INC.
DATE OF VISIT
/ .illlflrl.
.
tI.l l ~\ &\,
1:l..\\Q. l\,
\
MADE BY
-u8
~
'.....i, V
ns~
REPORT OF INSPECTOR
REMARKS
.
(") .c;~ cP1 rIe..J (O~:r "'I. ..V) MJ) ItO
.~'9-:A' ......a.' ~' .I"" -r:. () G Ao
A. .. ~..., L .';., StllJf. '.s....+iJ. AD
u " ~ 0 ~ J?;~. t1.eC!.~ dLt.4;JJ.. .flJJ,../)
\ ~
;V ~ - .ll.AO~ d. ~~ ~ ~l :'fl' . a l':':.
GI&A.- 'di~c..-,~(c.h
z
Cl
a:
<t
:a;
!!!
J:
~
Z
w
~.
~
o
z
o
c
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K. _
.
/1-
FEE R~CEJP~JBEA
~f"IJf)IU 6 PCIt-Ai f!.WI ~v./
., CITXoOF PORT.ANGELES !
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
"'-.,
A
8+7
PERMIT NUMBER
.
TC1TAL FEE
'/Ol~
~
ONT. lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT
Site Addiess 5 28 IJJ. D L tJ "b; >- .
COR~ECT ADD~S RESPONSI~..ITY OF APP.L1C.ANT PERMITS WITH .WRON~ ~~E~ :RE CfN9E~~ / _ -I. _ _
Owner. VIJ JAI2.d lt0 Dc;u. U ",,-p. Installation By ~ r {:;Cd:..L ale...
Owner's ~ddress .. ____ - - Installers Address . .......( i1
Day Pho~e ~ Installers Phone ----- () \ \ \ VI \
0""
APPlica1jon is hereby made f.or Permit to jfls~~I.1 Electrical.Equipment as foll.ows:
1?ill/rlUj rt( If :' {!J II. 5 .vA/lfs (j;r1Lft. of v-lEsrJ
.Wiring.Method.
USE:!OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
120V
10
24QV
100R
30
FEE
'USE OF CIRCUIT
NUMBER
CIRCUITS
-AMP
. PER'
CIA
120V 240V
10 100R FEE
30
,
5.1~
!ft;~ ,
LIGHT' L ALl /J"I//1
LIGHT' '51719 ff1t>59LIICr~'
CONV NIENCE;1J), ~"C-r. iC..-S'1 ~~ If? II C'~;e'.JICJ"
CONV NIENCE jj" I, AA . r,:,J,. 11........1'./.. 10':::-
APPLI NCE I / _ . .
5 VOLTS
OR LESS
I ,,<')T""
..
..
.,.
co
..
..
: ?
l-i6o ~#J j
?
(g) <
=-
-
"
: MOTOR
,.
DISHWASHER
DlSP()~AL
AANG~
.
LAUN RY
'(1
<J-V: 1(.
," 1/
. I' ;.. (I' If .
. ~ /.0
IV",_.___V
r ' ..... v
.
y J..- .....
I"J
A{l>
n.l...p r,
. ,,< ~I bJ-
(.P
FIRE AL~~}~S
BURGLAR ALARM
.
OVEN'
,-7/11/1-11
I v.1 '
MISC.
WATE HEATER
DAYE~
FURN CE
GAS- IL
FURN CE
ELECTRIC
ELEdAIC HEAT
ELEdAIC HEAT
A.C. U~IT
FEED A
IL-
Ie.-
REINSTAL:LATlON LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
I.
. TOTAL FEE
//1AtrO
/01/
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER.
, AMP:
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
SERVI E
AW.G.
I SUB. TOTAL
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
,I ...... _ . __ .. __
I certjf~ that the work to be performed under this permit will be done by the installer and in conformance with the N,E.C. Electrical Code.
.
Date A~plication made ,19 By
I CONTRACT<;'R OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described .wqrk, acc.orping to the conditions hereon and according to the approved'plan~ and
speclfl$atlons pertaining thereto, subject to compliance with the Ordinances,of the, Ity of Port Ang~l~s.I' I,
, 0 ;; D~CTO:!lq.FJ.:T LIGHT ,,j 'i
: /6 jS- 1r- BY' <4' .':0/
Date p~rmlt Issued _ _ ~ _ ~L_ANS APPROVED ' _
! Notify Department of City Light by Street Addr~g;~?lld--':~ermjfNumber when ready for inspection. Work must not
be covered or current turned on before insp-e-ction anr;i O.K. for covering or service has been given by Inspector in'
Writing on Permit Placard. A, - Permits Phone: 457.0411 Ext. 158.
, I
W+NING
,
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
i
WHITE. Original CANARY. Duplicate PINK,. \Triplicate WHITE CARD -Inspector's Report
,
OL YMPI~ PRINTERS, INC.
I,
,
._r- "
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
"
, \ ,
..
.
.
t- '~ O.K. FOR COVERING
11_ i (. lJ V O.K. TO CONNECT SERVICE
, FINAL. O.K.
.
z
Cl
a:
<C
::E
!a
J:
I-
Z
w
i.
I-
o
Z
o
a
.
/283
FEE REtEIPT NUMBER
- CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
AP.PLICATlON AND ELECTRICAL PERMIT
A
7Sj
PERMIT NUMBEA
.
, TOtAL FEE 5'5' e:!?. - 6 tk-/V\
CONT. Lie. NO. T1METO COMPLETE NO. STORIES LEGAL OCCUPANCY
- ..
Owner
?'tfJ
ELECTRICAL PERMIT 01Y NO ~CUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
tv tAU/fie:! S f,J
C~RAECT ADDRESS E PONSIBILITY OF APPLICANT PERMITS WITH WRONG A~flSSES ARE C7!L~E~ '
d {N- Installation By J,4v.-..J L t; r:; 'v
Installers Address f' {) . 1J<:i)C C:>'f
437- iz.f,t,
Day Phone :3 J 1- C;(J I 8 -Installers Phone
Application is hereby made for Permit to inst8;11 ElecVical Equipme~t as follows:
tlf.L/>1.fj t:EE /tr-t.ov ~ T
~ If}} .
p
~
ftlA--t- 'i
f)UMI
I
~lLt (. T
~irjng Method
.
NUMBER AMP 12QV 240V ~ NUMBER AMP 120V 240V
'USE pF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT I SIGN
LIGHT I 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVE:NIENCE MOTOR
APPlIAjNCE . MOTOR
DISHW!"SHER .. FIAE ALAAMS.
DISPO$AL BURGLAR ALARM
AANGEl MISC.
OVEN
WATE~ HEATEA
U\UNQRY
DAYE~ REINSTALLATION LIGHT FIXTURE #
FUR~/~CE . . SUB TOTAL FEE
GAS. IL
FURN","CE ENERGY FEE
ELECj-",C BASIC FEE
ELECTRIC HEAT
- TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE.sWITCH OR CIRCUIT BREAKER
..
A.C. U~IT AMP PHASE
FEEDElA SIZE OF SERVICE ENTRANCE CONDUCTORS
SEAVICE AW.G.
I SUB-TOTAL --
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certUr that the work to be performed under this permit will be done by the installer and In conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permiss~on is hereby given to do the above described work, according to the conditi.ons hereon and according to the approved plans and
speciflpations pertaining thereto, subject to compliance with the Ordinances 9f he City of Port g 5.
DI CT. OF CITY LIGHT
W4RN1NG
~/~ro/f~ ..
Notify Department of City Light by Street Address and Permit Nu'mber when ready for inspection. Work must not'
be covered or current turned on before inspection and O.K. for covering orservice 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 P~rmit Issued
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OL YMPip PRINTERS, INC.
DATE OF VISIT
I '
9/)/1/(
II {
MADE BY
I /
II~/I /
. f HI
REPORT OF,INSPECTOR
REMARKS
.
- ':
.. <
z
Cl
a:
. <C
::!!
!!!
" J:
l-
. . z
w
, .
I-
0
Z
. 0
c
,
,
,
O.K. FORCOVE~ /1';/
O.K. mp:j~ECT SERVICE J"/m (.1/
~OK, / r
.
.
~ "if
FEE AI CEIPTNUMBER
Pf,4/tJlA/6 p{-1-Ai f..!f I.I/(w
CITY OF PORT ~NGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
'15'0
PERMIT NUMBER
.
TClTAL FEE_
f>"O
1'~~
7.--
~P1.
LECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Addless 5" Z.S W - LAvA... ((is f,J
, CORAfCT ADDRESS l)t 1jE1PONSIBILlTY OF APPLICANT
Owner I "Du J A-a. cf (A/ - HI (f''l ,lIE' . Installation By
Owner's IIddress - /. o. -&:pc 530 r . t 1.I'iL'irl - Installers Address
Day Pho~e ~ 3 f. - 5D /8' Instaliers Phone
Application is hereby made for Pe~mit to.installl;.lectrical Equipment as follows:
I
CONT. Lie. NO.
TIMETOCQMPlETE
NO. STORIES
LEGAL OCCUPANCY
Wiring Method
USE 10F CIRCUIT
NUMBEA
CIRCUITS
AMP
PER'- .
CIR
120V -
'0
240V
1 0 OR - FEE
30
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
'0
240V
10QA
30
FEE'
LIGHT,
LIGHT I
SIGN
50 VOLTS
OR LESS
MOTOR
CONVqNIENCE
CONVljN I ENCE
APPLlI\NCE ..
OISHW~SHEA
DISPO~Al
RANGlj
1----
OVEN I
MOTOR
MOTOR
FIRE ALARMS V'" ~
BURGLAR ALARM
/1 ~
.
MISC-{tJ1rL. Cl>/II\
flAil 5{.(J'flA
----
/'
II~
T0 -
WATE' HEATER
lAUNDRY
DRVERI
FURNA~E
GAS-lll
FURN,e.,~E
ELECT IC
ELECT~IC HEAT
ELECT IC HEAT
.
REINSTAllATION"lIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.
A.C. UIIT
1----
FEE DE
SERV" E
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
AW.G.
I SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
,19 By
~.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is here~y given to do th~ above desc.ribed work, accprding to the conditions hereon and apcording to the approved plans and
specific~tions pertaining thereto, subject to compliance with the ord.i nances of the C_itY. of p. "'^"..~ "'
: - -. . ""'i/:oLlrJj~CITY~
Date Permit Issued ( /z...- (" (f b . ~CANS'APPRO D .. .
: Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service hasbeen given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158.
WA~NING
I
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original
CANARY. Duplicate
PINK. Triplicate
WHITE CARD. Inspector's Report
OLYMPIC pRINTERS, INC.
REPORT OF INSPECTOR
"
.
DATE OF VISIT MADE BY REMARKS
'.
.
"
\
.
. . .'
-
.
.
..
-
,
-
,
,
,
,
,
,
-
, \
, . , I.
tol~\~~ ~VY O.K. FOR COVERING
,
. ~.lv""U"'NI:.\"I.,c;n.,...--
IlK-
1/ ILl v'7 FINAL O.K.
f
.
z
Cl
II:
<
::E
!!!
J:
I-
Z
w
[e
I-
o
Z
o
C
81
/J- g tJ
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
7+9
PERMIT NUMBER
.
TCTAL FEE
/6 o;!!-
----
_1-
bA1 P1
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
Site Add .ess
5'1'8
Owner _
Installation By
4JJC.
Owner's Address :0 U U f rr Installers Address
DayPhole 33+ - 50{ B Installers Phone
Applicat:on is hereby made for Permit to install Electrical Equipment as follows:
1fpfl 1:/:;2... . [,(, G. NExT 'TD ptl!.Sr
, ..
~r:o(L/IIl f,.1...
sf/' ~I/-f) l'1ov".f
,
Wiring Method
-
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOL T8
OR LESS
CONY :NIENCE MOTOR
CONV:NIENCE MOTOR
APPLI/\NCE MOTOR
OISHV'ASHER " FIRE ALARMS
DISPC 3AL !J BURGLAs...o:rll:RM
RANG :; / d .MISc
OVEN / '-II" l /'
WAlE I HEATER l ,[, 7'
LA UN lAY - I 1/
DRVEf. / 11f/ / REINSTALLATION LIGHT FIXTURE #
I-ruRN:'CE V JV// SUB TOTAL FEE
GAS - )IL
FURN ,CE r // ENERGY FEE
~RIC
(/ BASIC FEE
ElEC' AIC HEAT
I--- TOTAL FEE
ELEC' RIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AC.L -lIT AMP PHASE
FEEDER SJZE OF SERVJCE ENTRANCE CONDUCTORS
SERVI::E, AW.G.
I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certif. that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date A )plication made f3 /2-(,/ f't, ,19 By )(
/ I I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifi ~ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
J'7:7F. ITY LIGHT
.
Date P:rmit Issued
0t/tt
~.RNING
Notify Department of City Light by Street Address and Permit 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 _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
.
/'
(
, /
/I ------ .
,
/ / /\/ \\
/ -I V
/ J
\ V
.
~ 1 O.K.~..lI'\,a
'lll t..lg H L .AV O.K. TO CONNECT SERVICE
V n\ ~!ii;!. :.
.
z
Cl
a:
<
::E
!!!
J:
I-
Z
W
~.
l-
e
z
e
c
.
/"1-130 ';,
FEE RECEIPT NUMBER
I
I"
{?ffJ DI# {, fl( +V t: r,UI { <AJ
. ' CITY OF PORT ANGELES
"DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
718,"
PERMIT NUMBER
OA- '~.r
;;1.- a-eGo-
?-
&,mt+1 - 7J,vdlt
TaltAL FEE
$+ q 7 !:2..
LEGAL OCCUPANCY
CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
t:'" . ElE~T~ICAL PERMIT or:sLY. NO OCCUPANCY OR U~E~~STA.BLlS'HED .l!NO,EA THIS PERMIT
...... l '.' . . ,) "_' . '-, l . \ ~;. 'c, \ . , \, ' .,
Site Address .s~ ' W < '- Au R. I 6:S~N: /)DI'2.';-', A;-,c .:; (c;:s Lv A;:;/+
, CORRECT ADDRESS IS RESPONSIBILITY OF AF:PL ANT PERMITS WITH WAD ADDRESSES RE CANCELLED
Owner _PU;:(AR':;:;I~ . Alles"-,,, ' ',~ Installation By DAWN ''EI~c~'.c.,,~~
Owner's Address p, c, .:>,,-;-,<. .5 3D B E VE.RIE:n- Installers Address Po >30 ^ 5 q
,
Day Phon~ .33 --r . 501 Z> .' Installers Phone 43...,. 2- 2- '" t..>
A'PPlicati6n,'s her~'by'made toi:P;rmlt to l~stall'Electrlcal'l:qUipni;~t as lol)ows: '5,;'},"0 c:u /l ~ /~~ ~ d ,):/-)7]. h,
, '"',' ~ \ \. ~ . - . \ ", \ _ - - , I
tYr> <' ,::../--, 'r/;"':-'~\- \....;'77"4 '.r/..~,'~' -.,...,f(ol.. ~~';i4 sr 35'" CIA/Irs ~
I , \,' - \" I' '\ - L d
tJo'r IIV 'aU1\W~ "t)('ffjtlb'<""l.lG.,I~\IA71~~ j),/IJ> S,nzn:/"'wlnngMethod t.X -fA^'
r. 1)/" - A A A ,__ \ I -r-.^'n- .~ I, _^-, A'-,^"
--F I ....... AMP \ 240V 1 I ~
USE OF CIRCUIT 6i~~~~~ PER. 120V 10 OR FEE USE OF CIRCUIT ~~~~~~
CIA 10 30 ,,;,>:-': .
I IcJC jcp
I 14
I IQ
Boo Ac OV' <<.1/ - / N. <,2&.
-1(YJ fff/(I,. -glf! I 01(, o.<J
"35 U/J/T'>- IFEu/f.<.' - ~ ~
- - C;; -'~ IIA
AEINSTALLATlpN lIGHlIFlXTUAE. ',,,,-'1 - - W V ,
SUBTOI~" 1.lrn-- ~--
ENEAGY~ VI" :'_~ _ ,,- ~ ~ --r-:;T-
BASIC FEE/"U -,? ':> ~
TOTAlFEE~ 4-<f7 .00 ~9 '1 00
SIZE OF iJ~YICE S~ CI:1ll. IT BREAKER
I ~~ ........ PHASE
SIZ'~ ~f;.~ CE C<P~ UCJOAS
(/( W ~ n'>', AWG
I SUB-TOTAL SIZEOFGA~ ~TR1~EswITCH ~
I'certlf~ that the work to be pertormed:nder this permit will be done by the Installer and ~nce w:::6'C' t:I"ri~ COde~'
Date Application made 8 .::l/ ,19 E7tp By 6// (/
€~NTAACTOA 00 OWtTER (OR""JmTFIORIZED AGENT)
Pefmission Is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
speclf14ations pertaining thereto, subject to compliance with the Ordinances of the City of Port An el~s.' :" ;.:~ r v'''r -!~
01 C OF CITY LIGHT " , ' ,"J _
P/lC!f 0 ' ;',";:
'/ ; aVED
Notify Department of City Light by Street Address and Permit 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.
LIGHT I
LIGHT
&0
'7
CONVE NIENCE
CONVE",IENCE
20
77..
APpwNcE
DISHW~SHER
DISPO:jAL
.
RANGE;
3(.,
OVEN
WATER HEATER
37
2-
;l..
LAUNoIRY
DRYEE
FURNA!CE
GAS - 61L
FUAN!\.CE
ELECTHIC
ELECTRIC HEAT
I
3'1
ELECT~IC HEAT
A.C(UfIUT
FEEDE~
3(.,
SERVICE
Date Permit Issued
.'
I WARNING
alYMP~PRINTERS,INC.
fj"-
SIGN' .- '(
,,' ' -
IJ .. 50 VOLTS , (
OR LESS
MOTOR
MOTOR
AMP 120V 240V,
PEA 100R t"E,E, t
CIR' '0 30:\
' ,
Id> ,
;20
:JO
MOTOR
FIAE ALAAMS
BUAGLAA ALAAM
<fa
MISC,
;:"
2-0
30
/gO
20
61
~
(
IJi
lerv
I~
,'....' ,: '\
-j ~'I -)1'
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
.. -
OATEOFVISlT
1i7;~/o&
/
.
Jlb/I!!I,
" 'Lib q In
,i r:.:,.. ~In
Q.j ',2.. r 7
I
MADE BY
~
-7IJL
,
\ ~\ (\\
-~
i14r
1
REPORT OF INSP,ECTG'R
REMARKS
(. NJ.11 qV/tiLd <; l,<J ~1)/1.'i.. (..Qc-p.~1-I)'
. Illf(- S 'I L f.rc..~r,
-" 191' ..;.., {Ad' rl~: ,,'}/1;;: ,,/'%'.1 ('Ij(~.
RaJ &. -. ,A /) O'PJ),./ i;;i (l (/
; G.-d A':!O ,,/ 11 'l .;.. ~ I. ~ ,/ 'i
~ . I. I d
(IliA ..J r.M )
~. (I{ /l< I J:;; e;.4,. .7/ Ld) dJ../h?/.1
/' )'/1
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
.
.
z
Cl
a:
<I:
::!E
!!!
::r:
....
z
w
I-:
.
....
o
z
o
c
.
{;'8(,
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
tZ3
FEE F ::CEIPT NUMBER
PERMIT NUMBER
TOTAL FEE It O.b .. bP1A1 '
-
CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
,
Owner
Owner's Address
I/oJCcI'7 t:
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By /7A4V it/ El (c -I-x {C-
Installers Address ?LJ. ;,?i!J)C 5"'i J/4d lock
Installers Phone )( 43 7 ~ 2-2'c' 1.8 ~J7
.
Day Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
TrAP - AJf.vJ 0111 /df~ si-f--L
f)u.JtJ'fJL'.llu)AlldIrJ-~lLHjtZ-t:J ~..,'-.
(fJO
S'7A/1-hr~ ~A-d )
Wiring Method
use OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER --
CIR
120V
10
240V
100A
30
FEE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
240V
100R
30
FEE
LIGHT
CONVENIENCE
/.0
(/ V-^"
(<'>~
> / /'/ / -""
/' //,/r 4.,>
SIGN
50 VOLTS
OR LESS
MOTOR
L1GHl
. .
CONvENIENCE
MOTOR
APPlI \NCE
MOTOR
FIRE ALARMS
DISH\JASHER
,.--.---
DISPC SAL
'----
RANG::
"./~"',," //\. BUAGLARALAAM
"'. . .\ \
l",
, /,-,:,~ ,~'SC
'o" J)
(/ .
d V \..,'-"':V /') \
I,) 'V)Y'.........
REfNsfAaATION LIGHT FIXTURE #
.... "'...." ~
'j.U}";-9'f'~~E
EN~~G~Fri.J ^
BASIC:F,EE / ~
TOTAL F"-E/
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
OVEN
.1-
,.'lY
,
I' t ,1" "AA C
/,-)~ ,f, /, It,
's A- t" I ritJ)
1/ Ir{ ";01/ ,( \).A
I,'V,.J': r\'-v"v/
v I I \\1\/ V
'l"/(//
(,'I'!
J~ 1....L1 .;
I"
WATEOl HEATER
LAUNORY
DRYE~
FUAN.\CE
GAS. OIL
FUAN \CE
ELEC"R1C
ELEC"RIC HEAT
ELEC"RIC HEAT
A.C. LNrT
FEEDER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
SERVICE
AW.G.
I 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.
5' Iz.z- Iff,
I /
Electrical Code,
Date Application made
,19
:rAN \ ~
By{
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the aboye described work, according to the conditions hereon and according to the approved plans and
specifications' pertaining thereto, subject to compliance with the Ordinances of the City of P.'ort Angeles. --
D ECT OF flrY'LIGHT
Date Permit Issued
5jzz/fft
. ,
.....\ \
.!"\',
'i'\
i\t(
. ,
Notify Department of City light by Street, Address and Permit Number when rea y for inspection, Work must,not
be covered or currenJ,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-
I WARNING
WHITE. Original CANARY. Dupllcata PINK. Trlpllcata WHITE CARD. Inspector's Report
2.,..
,.....\
,..:!
A
REPO~JJiO:F,,;J,NsaEC.IO R
~,~ ,.w..... '\...,. i.:-.lI'il" ~ n.--t.."1_'....
1""'lt"lfo<::i:l'l t6~rf"-'T"l~ 1':':; '-llA"(\ M("ltT~~j i'~.~:'\
REMARKS
A',';,,',
\ -...'
C:. .~, (_
J'" I '. j fi' }-; ~ :
'iL," iMir:i'l"
DATE OF VISIT
MADE BY
.
'-';:---,
i;+,''-;;,'' \-..
c::~~ (.~.~
\\ I
"J \ t
..1
C)
V:iI'.'\'"lU~):,J jAil:; 1
,::il'1)T? ;\-0
- .-. t: :n~Jq~/h)t b
_I..
" '~
.c
'--"~--
u'A OU '~o10:;l .!
'-1f';:<'; _ 'HI" I iU;.itJ ,13Hi!115f1d3 :'leV "J'I :... "];:.:)0 011
(-;'..\10 iIMR3' ~f.OIR' ;)::.. ~
., \
..... .... "-~.
",~
;", r:--.....'~:i \). ...\\,J', ""_~ ....."J .....; '.;' '-
- --'~-'-""""--'-'-'- ,---- ~-_..-..---.. - ~ - ,.-. -. --- ~
l~y~.;;}1--":";'!"'1(; -ITU1HleW)'-H,;l{f B.i B82:FGli.. D.:j.AHO~1
L_.:~':~\~ :) ~;j.~ _.~'~~~~~~,~.'L=i!'J~ .h~'!_~:j i~!L ;~'\
'.. \ ' '! '. ~~
__ .;,~':-'mt)....'\tll e
'-'~uiJ".i'ii:~w~:;'.~,",,, .J ~;;8';Ji j'~A'[.i-10f,V'-'-:-!~~Tlw~r.-i:;3':1
':'-~~~\
'. )..;,,~ ~ _ ..i'- '..i"'.~,,~ ,,::-..____ { 1C'it.t5I1Btf~I'
-*, ...... :-..
l~n',' C
\
.... ",]
~. i.':'2
:~~"'"
c,
"'":'-:-:"-:::._---
-, _ .._~,_ ?281tlD'~ <:'-':H,;l<;;r1l \;_. ~_,--,~'...z~I.'::'
h, "':......' ,... _,
-:., ~''\ ~'::"~"-'-":,!::'~....L \__ _),::._,:::",,:!
_ ~;-:"I'U~If"'. '" 1:)"'"
c,
.... " ~::
--. ...~, .. 0
'2"10fl'~~~6 Iner'f'~wJD3 '$0: ::;:1"1::1 ~\u!p.ni ~)t tim~!:,q Inj 8twrr Vri~ler! ~l f1(;I1S:,llQ' ?,
( \
\ 'c,.!\ "J
..~\.,
^
"-
..9\)' \,
~
.:3\. "~.~" __ :~.\~' h\ l'..J L'J _ ~_'.J:3~A -:: .~i~j\~>{Y__
_-. ~ ...\.\:t' _~:~\.r~..1j~".U/d.~... \~\}'~_)\j\J':~(L _'"
'....j (~<~JC\
-.. .--'-'--
\ ",~;~',> ',' \. ,', , , .\<:.:.
IJ')";'I)M Gnl~~'i',!
l--_m_--l-~ifj-)~l--~
,
!
r-~ ~
-:--~.i;;---r:::...::- T--- .-..,- -.
f1-:::"-, , .-.. -- "U:Yil./ 1(1 :,:::;()
~H:) :;:;Ti!JJr:lI' )(
'-Tr--'---r~}0.:s'.~r-~-::~' 0M;';::=:~.--'
i
1...._
~ c2J.J ~'{~J l. ., ----J- ..._ )).._.._ J - ___, .....~... --.-
i ._._ .l_.._c_._u._._ '~=~~~~~"l L-.---- -. -L - ./~~i~~~: .- -~- m -.. ~--- -.. '-'1-' .._....'~ :~':~~.~.. ::~;
i .L, __ ___ ._n_~_ _"'''~ I ,.' ---kl..(/->~/~~.. --1-1--- __'.~,'_____ '
f-~- ..-.. 1,- ,r." i .. '- .... .. n t ~._._- -~:::-:;::-~~1-
J,: ,_.___.._ ~~... _..___ _+ --. ~..,-"--.....<~~.\,(,,---;....;,;~,-- u__. ~I-"- ._-, -I,r..--.-......-t ----.- _u__ -.-
I ::',,'1'1;;' ,l. '!p!:; l . ~ ...... q'iM'O""<.'r;,~:r:
~'~'i-" ~ ,..~ "--",.-"...!'--/' """:-),. -. i'-- ... r'" - , - ~ --: -- ---- -,--*
I ,,1RAA". ,4.' kl'I'J',j I I r i I i JA.-:OS21':
f--- - .-' -- --~~'~i~:: i i :/ i ! '" I I I
.... .rl....-- . ..... .. iT.... t ...... C"l i. ..- -I --- f'J'(j ,,: ,I I !.pH"
1 .---. r. "- ' \ \ I" I rd !,L .,i.....J ! ____
L_.___ L ._. * ____ ~O'__ ~ L.._ 1-...-,---- (~:.~::l,F~~- .~:ii.:l) \~ _. ~_!l_-~l'..h __ --.-1-. .. .g~_~h~~tJ,,~.:l~~\~~
t .___....L.... .__,_ __. ...___3...._ ..;_^__.._O'O' 1._ ____._ /'>",:-:1"~,,.~~'~ ---'~"\~l" ___ .~<,} 1\:~-~_. ..---~,-r-)t~-..-. L_ .~... .n _h1~.~:.:~,.1
:. --- -- -....- ._-~ ---- - ._m_ ~.::~~ ~::. .'-1~~~..2~~~.~;+~~ ~- '._;j~ '=.:;~\;:b J ~-~.J~ \:,\O'\'-~~" .~_m__..__._~.~. '~~R:~~;
:---.---.- --- --. _n - - .. -, - .--.. ",,\ti?/y~~~;.~; ''''1 .. ---. - -'t~ - ',>,,-~ .:~J-:-: .d-:\....-::-~l-.:~~"-J- !--. .---- '1'5~~lt~~.
r -~~ _ ~,_ ... _.._.__',___ ~ ~~.. .;.~;:.'.?A!; ..-1 I .. ------O't(;.:.,~:""~.:~..t\~>:~.-t.,..:,-..-~-[.~-~-.t\_;_;, \ "~'A.~l'I;'~;~';-~'~'~~
I -......:.V, *J~ v \..... -.-t -o:---<'....-J J. .+j' <M:j- n._ -~-.. ,-
l._. '--_"-::::::V7":: :'..:"':::'-..::.-~;~-'~.-~-:"'.::;-::-:;~ ::;;::;;:.s-'~::-~'_":~--'ll I <~"~J,' "~~!L.' \ .1, ! \l T,\']!~ ~jhr:):s-,.1
I'" - I e., ,." r-q.....-F"'I\
i :"'<~., ,1' -'..., )!\ ' ".
/"..'/ t
L.. .~.
1 ... ... J... _ -1.... ,. _.._._:,"'\'~:"
-:..!'~ I W)c: t I
I (". I
I I
L _.1
..L '. ....t.....
....L.---." --....+.....-
.-- ..--...--l--.. .--.
I
".--.- ---- ..:.-.' ..-
1
! I
.~.. ~
1 ;"f.J',;r 'I
, .
1
" ,
HI~)
.in'U.:)S10i
-.'-'----1'
'\." '1'..' ...' C;:'~'.J I:
I
---'..
J
.. ~i:JI;~ ! I
l~ -!.Dl J
- -...- ...j
L
I
L..
J,-,.._I;
z
CJ
a:
<C
::E
!a
J:
I-
Z
W
l-
e? \
~~)
I-
o
Z
o
C
4
I
.1-.-
I
-.---t-..
,
-'1
,
i
I
-r
- i-'
i
"
-"1
,
_:.!f~11j\~1
TlVitJ :::i,A,
r.a~ 1\
!-':JT V<J2, .:!t)!/1.>\-fIT!ll'3 .iO 3.si;~
I L j . i_..
I, I I
_,___ _ ~__,_~ _" __ .J L. ._. _ _" I .~._.__..__L .~_.
_~,_ .~, (]~.~t2~~~":",:~,~__.-': .1,___... _l_,_ ____~'..~~~~:J
-"'~;.-..
.-L
q3G33~
;';~1Cl 'jUOil\()~) "1:)>i.\A H':J ::]IVFl: <~ '1Q '-;;''S.IZ
...,....... ^
'~bj.<) i3;)"t:i91:i ], Utt orll ::q.,..; ~}.:ir.Un)'-'fr!l).'] (II b!1~ iSliJ'Jtctpj 9:i~ '{'1 c)ti'.'() 'J(J l:i." !In'19G .:!irlf 'I::ri'jU b'JfT1'.ltl'Olq ,<J(j ot )I-:ow ~r1i 115:1J (iiilf)"J I
........ .-
;j ! ~ \f',7_'~~
~~,.y.,~
__ .8t
,
'22~\ -X,s. \~i:'
, ,
0b~!T' nr;;jF,::l'".\q/. .-):'i\ I
if..;j_,/\'.:i::-"H0t.j ,1;\,,(/' H:::\'!';y,... 'ii..' '., ,.). ..1::" i
>-.,,,,,,~r.,,': ,.,(1 t "
...,~il-,f'I"',~'" n..T,.;:
.,-,(\~ "" ;'~njrir"lf'> I "dt
"'I( '-Hllhlr,,'l'l, Ill< ht!{li~')~8h TIOn<;. 3dl 0,) '.. lfWlo'\lfiia.-j ;.'! nO,,:~jml~\S
i;H\itllO 8:"1~ Hi\',' 'Df\sHqifiO:l Or i::FJ!r1ue ,.'JJs,,.,dJ Vliirliflh3Q ~r Olls:J'i!::)oq
I
? I~(} gr,
+1-
. ..<3 )1(\I~n_^\ 110 I ~". ""~R COVERJN-O
,. ~.~ ..' t1 'I -1' " -: t<: -. "'.-; ~ !t... ,:..
\". \'" \\ \\
c_ / Yf\ll-\ \'... :.\\..:. q~K.; TOCONN..~CTSERVICE
.:.::.. -:-!"~(':"::. - __ __), '''._. \. .... \___ '(Fi
'\\ '~h....L BJL Q:'J\.'('H~q"" e,.l(,.."
~
.. -::;,\ --
~,'.l \:-'
...\-'-"
->- \ ..
:JSlJ2.~1 t, :"i'Bo i;,'{~ ]
')It.;;I.'lI..:..~'/(,lI'l\')i ;J(JI1U'IIA!1.:)~'18'i'N 'f',tj 1\lj\tllim1"Y1CiT't.b~rj)'~'/1lf,,~,_jU.:o tdt~i.J \:H~) ~n tnGlili1r)qf~O 'l:i~'~/~
".J:J:t,;;,~,!t"1,,1~.,~,, ,~,' 1"'." J.VClQ:':':,,~.,.-, ',ni '., Vf'.... :(;! A :::>:/lIr, ~f'~,~I'1l .~'" fv! no I)V'~U1 JI"1."LJD if' ;;~';lI"J',' 'K\
, I :~:~r ..::l r ",:).\('].1'0 ".livl')'l JII;;'f,'-i '\ ,'fl~:1iI' !inTi9'1,")lnld':IiV
~iJ
/"',
( )
.
._ F;:'l'iO 13c ,.. >\fHJ\N '~~'rr 't\f' O-'i~2(" '\\1:='~ 3.H ,~UM f\~.t\"'jf~,A \,-~Si':!n,
['
;;)~iill;-';,~V';'
,
I
.i
;,;. , ,', >: .-;HJ,"I ~:"1':) _. f':~,'
~;I;' ',,: .~':":!
','; "".." ',"',\'11~J
jtrt;')II",' ;P':i~\
. I~ \:f ..-
,
ELECTRiCAL iNSPECTiON
WIRING REPORT
457-0411 Ex!. 158
. "OATE~J.. i7 ~! P":,IT' . I 'NSP7i'J~
'3__ 4:. ~ -2 /t'/){j-=--
" OWN," Ic711:;:; ,J E C U. -k-I C
ADDRESS / I 1
T(}J[_L-tJjL~_IJJJJ'1S_!r7 (I C(-Dt{/_LA~fl. Ur.-d;
~OVED '") NOT APPROVED
LJ ',.,""""".,." DITCH .,"""""""", 0
o '''''''''''''' ROUGH IN/COVER, "':",, ".", 0
o .,"'"."""",. SERVICE .,"'"""""", 0
~.,.,',.,"',.,. FINAL".""""""."" 0
CORRECTIONS NEEDED:
UNIt A ~) A2.iA1A~S MuST NoT
JNrl4-!/ ['il.. /A/ C {onh-, I1ff1-
{jJ Ul[ R [}.I\. 0 \.1 'i.. () ~ ~, f h +z.. ..-J.
UUIT; c:,; c./ DrE;F/ (f1-..-. {L7 (2",- rP !c.)
-ff-;d;
'\
tc-
jl/J1
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
, - DO NOT REMOVE _
OLYMPIC PRINTERS, INC. (206) 452-1381
ELECTRICAL PERMIT
CITY OF PORT ANGEL
360-417-4735 1
Application Number . . . . .
16-00000601
Date 4/27/16
Application pin number
195136
DITCH
Property Address . . .
528 W LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER:
06 -30 -09 -5 -3 -9010 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . .
Property Use
FINAL
Property Zoning
PUBLIC BUILDINGS & PARKS
Application valuation . . . .
0
Application desc
Security Camera's
Owner
Contractor
PINE ROAD VILLAGE, LP
HI TECH SECURITY
INC
PO BOX 1709
723 E FRONT ST
EVERETT WA 982061-709
PORT ANGELES
WA 98362
(360) 452-2727
Permit ELECTRICAL
ALTER COMMERCIAL
Additional desc
Permit Fee 96.00
Plan Check Fee
o00
Issue Date 4/27/16
Valuation
01
Expiration Date 10/24/16
Qty Ufit Charge Per
Extension
1.00 96,0000 ECH --EL-LIMITED
IST 1500 SQ FIT
96,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 96.00
96.00 00
QO
Plan Check Total. .00
.00 .00
Grand Total- 96,00
96.00 00
'00
0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS.
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date;
GAEXCHANGE\BUILDING
Page 1 of 1
1TV OF PORT ANGELES F1ti�11T APPLWATION
Building Division/Electrical Inspections
321 East Fifth Street -P.O. Box 11501 Port Angeles Washington, 98131$1
(3 60) 417 735 Fax: ) 417 711
ff� �Qi'It
Date 4-27-16 .............. � Duff-Farniily oir Coirmm�eircialls 0 ,
Item
Unit p p;
Total Qt r_M�l�i
So r0caTceder 200 Amp.
$ 132..10
$ ., .. .. .....
Ser°"li eeder 201400 Amp.
$ 160.00
Senrir,,aff'eedef 401640 Amp
$ 225.00
.._. 5... ...... .. .............
Se 0n6elFeedrr 60 1- 1000 Anrp.
$ 288.00
Senr&VFeedar over 1000 Arnp.
$ 410.00
Branch Circuit Wf Servioe Feeder
S 5.00
S
Btanct QrouA VUO Same.-
S 74.00
_
Each Addibaanal Branrh Cira.nt
$ 5.00
Branch Circu Is 1.4
S 86.00
....., ...a
Ternp. Servicer' Fear 200 Amp.
S 102.00
mm, _ S ...
Temp. Sefvkx-,1Fe ler 20`1-4.00 Amp,.
S121.00
S m ... .
Terhp. SesvicelFeeder 401-600 Amp,
S 164.00
Temp. Sa:tv+refFeer601-1000Amp .
5185.00
S' ...............
Portal In Portal Itur.
S 96.00
S mr+O bthne L.ighLog
88.00
Sinal C ircuitJ Limited Enefgy - Multi-Fanrity
S 64.00
S , •,•,a• _
........
Skjml Cirrub I...rrmial Energy l First 1 FA)Q st - c arnmeinal
5 96.00
),.,., _. $.._ ... 9fi ryp
I kale' $5.00 for each add nen al 1 500 st
Renewat Eied. iral Energy - SKkJA System of Less
$ 113.00
Theoricstat.
$ 56.00
S
Note: $5.00 for each add ibonal T -Suri.
S 9161)(), Total
Owner as defined by RCVrl.19.28, 1; (1) Owner will
occupy the structure for two years after this electrical permit is finalized, (2) Owner is required
to hire an electrical contractor if abcrve said property
is for sale, rent or Lease.
Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the
above named property or a licensed electrical contractor, I am making
the electrical installation or alteration in compliance with the electrical f s, N.E.O., RCW, Chapter 19.26, WAC. Chapter 613, The City of Port
Angeles unicipal Code, and Utility Specifications and
PAMC 14,05.056 regarding Electrical Permit Applications,
Signature o owner, electrical contractor or electrical administrator C Cash C crwck
CmddCard# on Me
x Mike Shirtey oasata^ 4.27-46 0116V2012
https://www.pdfescape.com/openlRadPdf.axd?rt=c&dk=05E 1 DOAFtsGSfN5egRQt2rz_eIR4yO... 4/27/2016