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Home My WebLink About3317 Upland Ln - BuildingPREPARED 5/23/08 8 50 48 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/23/08 ADDRESS 3317 UPLAND LN TENANT NBR BRIAN WINTER CONTRACTOR DAVE S HTG COOLING SRVC INC OWNER BRIAN WINTER ALETA ERICKSON PARCEL 06 30 15 1 3 9080 0000 APPL NUMBER 08 00000499 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 5/2/08 JLL MECHANICAL FINAL TIME 01 00 May 21 2008 4 51 14 PM 1pangrle JEANNIE 452 0939 BLDG FINAL FURNACE AFTERNOON 4) INSPECTION TICKET PAGE 20 SUBDIV COMMENTS AND NOTES PHONE (360) 452 0939 PHONE (360) 452 5180 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New Furnace to replace baseboard Owner WINTER BRIAN D 3317 UPLAND LN PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORTANGELES 360 417 -4735 Permit Fee Total Plan Check Total Grand Total WA 983623760 Charged 46 00 00 46 00 08 00000507 791273 3317 UPLAND LN 06 30 15 1 3 9080 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 125641 46 00 Plan Check Fee 00 5/05/08 Valuation 0 11/01/08 Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Paid Credited 46 00 00 46 00 00 00 00 Date 5 /05 /08 Extension 46 00 Due 00 00 00 INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS: gkoP 50/OR OP. Owner WINTER BRIAN D 3317 UPLAND LN PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Permit Fee Total Plan Check Total Grand Total WA 983623760 08 00000502 341954 3317 UPLAND LN 06 30 15 1 3 9080 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL DAVE S/ T STAT 125500 35 00 4/30/08 10/27/08 Qty Unit Charge Per 1 00 35 0000 ECH EL LVT FIRST THERMOSTAT Charged Paid Credited DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 35 00 35 00 00 00 00 00 35 00 35 00 00 Date 4/30/08 Plan Check Fee 00 Valuation 0 Extension 35 00 Due 00 00 00 IN SPECTION TYPE DATE. RESULTS DITCH SERVICE ROUGH IN FINAL COMMENTS 6 1271 1-2:-7I� i ELECTRICAL INSPECTOR Q p0 ..vo ff VA //:99Arg Date Application Number 08 00000499 Application pin number 514285 Property Address 3317 UPLAND LN ASSESSOR PARCEL NUMBER 06 30 15 1 3 9080 0000 Tenant nbr name BRIAN WINTER Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation Owner BRIAN WINTER ALETA 3317 UPLAND LN PORT ANGELES (360) 452 5180 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application desc INSTALL AN ELECTRIC FURNACE DUCTING 14 8000 ECH ERICKSON WA 98362 MECHANICAL PERMIT ELECTRIC FURNACE DUCTING 125468 64 80 Plan Check Fee 00 4/29/08 Valuation 4530 10/26/08 Per Charged 64 80 00 64 80 T Forms /Building Division/Building Permit (10 /01 /07).wpd RS9 RESDNTL SINGLE FAMILY 4530 BASE FEE ME INSTALL Paid Contractor DAVE S HTG COOLING PO BOX 413 PORT ANGELES (360) 452 0939 64 80 00 64 80 100- FAU Credited Due 00 00 00 Date 4/29/08 SRVC INC WA 98362 Extension 50 00 14 80 00 00 00 15 S �3 og 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 provisionspf -61ny state or local law regulating construction or the performance of construction Print Name Signature of Contractor or Authorized'nt Signature of Owner (if owner is builder) CONSTRUCTION R.W PW/ ENG INEERING FIRE I PLANNING DEPT BUILDING INSPECTION TYPE DATE FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION I SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 T Forms /Building Division /Building Permit (10/0 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. 417 -4807 417 -4653 I 417 -4750 I 417 -4815 ACCEPTED YES I NO FINAL 23'Og DATE P.� FINAL DATE SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES I NO O oQ 0 Apr 29 08 0816a Parcel Number Dave s Heating Cooling Applicant or Agent 4 Vr✓ `5 1--(.e� -E-1 rl ct Phone Property Owner .3 r i cx. v. W A -Y Phone Property Owner's Address 3 3 1 7 U p l ,s,v, c L a vL- Contractor /Engineer p S KQc.. Ytc, Phone Contractor /Engineer's Address p o S6 ,r i Po r st.ia,s. License _PAV E_ s i-tC99 1 K 23AVE_s 4c.9 9 I a c.`Expires PROJECT ADDRESS 3 3 t c L a vv -e, Project Type Brief Description. Check all that apply la New Construction o Addition Remodel o Repair Re -roof Demolition Sign ra"Heat System o -Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Total footprint of structures sq. ft. Lot size e esidential o Commercial a Multi family o wall- mounted o projecting o freestanding a awning Total sign area s4. ft. Maximum allowed sign area s4. ft. D Heat pump o wood burning stove o gas fireplace o pellet stove a -other ins i a ll42_43o e1-e_c.+vic..-Cur ac_ a_. an cl Au c.+i Existing (s4. ft.) Proposed (sg. ft) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type 360 452 -0939 Lot For City Use Only Date Received Li -7 0/0 Permit# ri 4qq Date Approved �`5a oq3' `f5 5l 80 4'.m. -01'2 WA- c3X sic) ci Zoning per sq. ft. of bedrooms *of full baths of half baths p1 o Industrial o other TOTAL VALUATION •T S3 sq ft. Lot coverage 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 -°/.48 Print Name„ 6 Signature T:Forms uilding Division/Bldg Permit AppI.-2006 Code.doc REVIEWER: 4 DATE: 4 DEPT REVIEW: DATE: COMMENT DRAWING SHT NO. I PROJECT REVIEW COMMENTS CONCEPT REVIEW 0 PRELIM. REVIEW 11 ANAL REVIEW 0 REVISION 0 COMMENTS and/or SPEC. PARA. e4L4±' !4,q AU /N/) -54/avG0 /3C SIS AVl/ I /T y .f-, 76' 4 .C.41.L©,/ 7 1 �2o/)7 G 9' 4,/Te r® 756 72-/ 1 a-W747 c9A.) (1.) 1 Cv l /Z6- 'ii/DGc) de.t//ei6 77 z 1 1‘'Gc/ L/7/`7" L-/ /o 57 /4) 6.{ 'i A s Po s (el/A?. t�G r ,6T eevyf. 7 rT� U /Z6-S /y ✓5S/:t,w, Pool,/. j s $P,e 7- 4 c /f 7-- ‘.op G )I M�acv /25' 9 /,eon ,ix✓ oee,0 6,e U I P A '711 rr r,(4 y/67 t U 5z- L s o (J d/cv 0 )1 P2o Pe.-6( s/ /o� zSravey bbivN�iT?o.J a---770z/....g 6 T331 upt.av SHEET 1 OF ACTION TAKEN ON COMMENT: COMMENT STATUS A =Comment accepted C=Correction made Ila DWG or perapsp6 number whom correction made LOCATION: 3 3/ 7 'PERMIT I BACK CHECK BY/DATE. REVIEWER: /®G( DATE: Z7- 9 DEPT REVIEW DATE COMMENT DRAWING Siff NO. REVIEW COMMENTS CONCEPT REVIEW 0 PREUM. REVIEW ANAL REVIEW 0 REVISION 0 I PROJECT 5/A.Q COMMENTS and/or SPEC. PARA. .577 Xlee.c.) 4 6'Z._Es �a /D N(/4L. C /,c// f�/f�JS 64 Pi t''L e 27. i4J /,Q _S ove,gz 4 ,e/ S 7' Af-( /ocr Tio,c/ SHEET Z of 2 ACTION TAKEN ON COMMENT* COMMENT STATUS A =Comment accepted C=Correction made Lirt DWO c rparagraph mrmberr where correction made LOCATION: 33' PERMIT BACK CHECK BY/DATE: APR-29-2B8a 1B:2B PM E.JANSSEN -6t70r . JiJh"wtl~ lllnrctrlr.al CODlt'Ictor OOw"o, ~lllc!d.l contr~[ nalne tJC"WIO ft;.:'If\.bst O. !k,r..:~ ~ JI-tIt.A ~__I&.:~ ~ C:::lli(.TIC.t t.M.,... P"""_. ..<ill.._ 'III I'i.. ~~_._..J:":....__ ClIll.. .w. ztv I"OM 4...,~ w'4- ''If H'2. iel.pbIlR'CI r\val"" PAX flW'l'.br- 1"'o-~(,7-.s,;z:;l) "(,(1 ~.1'7 -ISIor p"mll~ownC"1 .I.e rt.:LA.N vJ I r.J ,,(1(.. 6.O.,r<<.. or InlpICllol , J _3! 1'1 ~pl'^'4~ft.tJE __._ Clt,o::. II rO;E..~ ~,-c..lu 'h.". n.mll.. 'Ill \1'.....<<hl." I..per-Uua: ,,1,_ / -11.111 t'&?SIil6 '7'lr (l...,..,. IU t&JI,1ftJ bJl ACOf'.J9.18.16.':;lJ 0...".,. ~~:lt !JC'::llJ1)' tile stJllalVl' fi2r lw.e J'IICI" qtIItt tllH 1llU'~'''''1l1 ttftr.!Jlfttd. r,v ~ iz O"f1!ul,fJd. uo hI", lJ" ,"(!,~aJ ("IlIll1"lJefDl" Va"'W 1IJI.4J17"1P'~" ..4'" 4016. r..., vr Ilron. AAer f~1 the l'bcq ""Ill, i hereby ftrltty !.hIll,," _ QWMf' o{ t!H aboVll r..lnn ,",crt) er. 11",_ IIIle"tflelll OOft1ratlD:, l I'" 'l!\11dfte the ele<ltrt.:al In,tnl. '''1011 or ""eradoo {" ~,Iianao With rhe eleohigal IflWJ. N.~.C., RCW. C'!1~tl!t 1!1.28. W^~ Chapter 29t!i.A6l3. Tho City 01 Porr .\91.lJc1.n MUlllot.po.I CC'dl!, aM \Ill' S ilI..U_, 9Ip..u~ OWOel\ tlletr. Dllte: 368 452 2982 P. 81(11 . "', ~ ~ ..'. ELECTlUCAL WORKPERMlT APPUCAnON r.,lStau,(jl)" clo:i~I'iJm.'=''' :J (;emllltrd,' )f'ACSlLtentIAJ I ~ I Q ----I \Ii I .5 uN.... iJ AIl...dlAddllloll N~oJ c..;(l.C-"";+ _.f"~~~~~.,._ -hi ~ IE C eJlJfJED_____ JJ.PR 8 0 ZOOS LIGHT DEPT. o C..b I - . I ------------------- /"To- - I (, $'M'''''~' :'.... '''1 _ _'L._uo_.-J .$.J!:Yle.'nformatlan a Ol~ck ;/ I:JCnd;tC,,>l Mast'!rca..11 Visa 'eU.COYe,' c..~1! lllqllration Date "fCllrt! l!!IIN!trIa.1 L ~d AddMIe... ~ or .ubtraetllnl tJ NO L04D CHANGES Q eo_oI _I(W CI """"'00 LI(W L'I(' 1'.orz:. '--I Kr;:: a 0"",,0<1 a.lV;o, 0...... Pum:> _ Ton _ lM CJ T""", Sorvloo o F.n-~II _ KW a UttaorgrouM SIlrvice S~DAY INSPECIlON. CALL BEFORE 7:60 AM J60-4]7-4735 VrlU1JiI ?ne.li(l :l 4 1:15- Be:"Ii~ Siz.o;_ FflIf!nM "rl: r - ,.,--~._~_..._._-.... 1IOlJCH.'lN ) l TlJT.RMOSTAT '\ r SEmlCF '~ r;}?,6! DB ~j - APJII'O"c'Dr ) b---' I \..- Dda. D~~.. _u.~~~~. " ( '" , ". JI1NAL ....... lIIfCB C PElN'.R I b/~l~ , "<Jd J .....,--i - "'" . a:'fJ I).. ~III\.""...;, lft",.etiGl" Aro., llWlili"8 0; Eq.ent h1opoeted Aatlall r..1tc1l. ElliOb .ul Oat. InljJt>)'or ----------.-- ~- - ----- --- - - .~__M .. n_". .~.._.," ___u___'-' 1--- .. - - I - _. _.... =+ - ...------- T- - ,. ".----- I l~-P~-z, --------- ,..... -t- .+-----. .- - ..--.. ~..,..___.__._.L_._.___ / !~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # O? G"? "\ "5 O. OWNER/CONTRACTOR iZ. 'f-.' ADDRESS ~ 7 l.rv>L.~..J D L \-\ E- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . :;:gf ...... D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: ;2,(0'7'. fo'K -stLI C. .E... i I i f ,. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - i , , F I I i i I. I: 1\1,. OLYMPIC PRINTERS, INC. (360) 452-1381 360-452-0939 p.1 RIECfEP/lED C) ELECTRICAL ~8~T APPLICATIONClO Apr 29 08 11 :35a Dave's Heating & Cooling Job wired by ~lectricaI Contractor CJ Owner Installation descriPlio~GHT DEPT. D Commercial Resideatial ~ll~rical contractor narnc_ ~-1 V~5~; ~1~ t;;l c Dat~7~; o New o Altered/Addition ' lV.c: ':5 H-e,d-,V\q .::raser.s mEliJing address . -1-1 Iou>'" Va (17~ o. Box 't 13 U2- "WI <'>s ~ U'] .re- Ci'P. ~ State ZlP WA q '((<3-' d- t7a~ '.s Telephone number FAX number :..rS~D'13 '1 - pretses own~r's name .\ ,^,n Wi l'\ +-e,\r Address of inspection 33ir Ufl<<.V\cl L,^-h~ Cityf, 0,.--+ A"'1e..-(-e.S Phone number to sche ule InspectIOn: L-fSd:J-SI Fe . O",'IrC~r as uitfilled by RCW./9.'111.261:{f) OWfWr' will occupy the srructure for two years after tI,is rdeClricat permit is finalized. (1) OW/Jer i~' required to hire an electrical corllraClo" if "bove said propeny is for sale, rent UT lease CJ Cash o Check # After reading the above statement, I hereby certify that] am tbe owner of the above id Credit Card ~) named property or a licensed electrical contractor. I .am making the electrical inslal- Mastercard Discover lation or alteration in compliance wi~h Ihe electrical I.aW5. N.E.C., RCW. ChapleT 19.28, WAC. Chapter 296.468. The City of Port Ar.gcJcs ~1unicipal Code, and Card # - - - Utility Specifications. ---------------- ;gn.~'Qo~7J;',~'C"k.1 :on,,,,,o, 0' "~t~:;: a~i;t;i~ ~ Expiration Date ( Inspection fee of card $ 3S-~ ./ Elec cal Load Additinns anli or slIhtractions , Service Information o NC LOAD CHANGES U) o ~ o Baseboard l!l'" Furnace o Heat Pump o Fan.Wall KW ~KW Ton KW LAR CJ Overhead Service CJ Temp Service o Underground Service Voltage Phase [J 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 " ROUGH-IN THERMOSTAT " SERVICE ~h,/CR ~6Y "- ' Dale Dale AJlpfu~ell ll) "- Datc ^PJ'ro~e4 B~ FINAL '\ " DITCH "- ( FEEDER : 51:2-7/00 'w.'f I I' D31~ Ar;>rovcd By "- O~lc Appro..,"lly,./ 1):\IC ^p:Xl;lvcd By Jflspeclion Area, Building or Equipment Inspected AC1ion Taken Eleclrical Date Inspector I og -ot:::jO'7 d'~'~1 ~~ "D!t '-'........ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98,62 ELECTRIC4L PERMIT Issued: 4/23/99 Permit No: 6617 OWNER/ API1'LI CANT- - - - - - - -- - - - - - - - - - --- - -- PROPERTY LOCATION - - - - - ----- - - ---- - - - - ---- BRIAN WINTER 3317 UPLAND DR 3317 UE'LAND LN Lot: 2 Port AI~geles, WA 98362 Block: Long Legal: 360/452-5180 Sub: SP 84-4-3 T: ' S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER VARIOUr.: Port AQgeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT !NFO---------------------------------------------------------------_____ prj T~pe: RES.GARAGE prj Value: $500.00 Occ T~pe: Cnstr Type: Occ d;rp: Occ Load: Land Use: RS9 , Electr:l_cal Heat Bas;eboard KW: FUlI:nace KW: He*t Pump KW: Fa~l/Wall KW: Service Type o Riser o Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT nlOTES-------------------------------------------------__________________ wire dd!tached garage I PROJECT fEES ASSESSMENT--------------------------------------------_____________ service: $0.00 Adcli tional Feeders: $0.00 I Circuit Wiring: $42.50 Temp Service: $0.00 ~~=:L=======================:~~~~ I I I I TOTAL FEE: Amount Paid: $42.50 $42.50 TOTAL FEE: $42.50 Balance Due: $0.00 ! COMMltNTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCItPTED COMMENTS I YES I NO UnUi IHlIlryH_IN I \;UV~K ~VICh 1S-/1.S-lqQ I ~ GENERAL COMMENTS: P\V-JI02.UI06l FEERE ktfg CITY OF PORT ANGELES, DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A I~Y PERMIT NUMBER . TO AlFEE " LEGAL OCCUPANCY CONT. Lie. NO. TIME TO COMPLETE NO.STO:RIES O~ner ELECTRICA~lERMIJONlY /0 OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 'm'Jds /~ J ' 55 IS,RESPONSIBILlTY OF APP ICANT 'it/.5. PERMITS WITH WRONG ADDRESSES ARE CANCELLED " Owner's ddress ,~~}S P Day Phon ,', "if U Installers hone Applicatl n is hereby made for Permit to install Electrical Equipment as follows: , "'" cI, , Installation By Installers Address (!){L/111 bC ~iring Method ~ . , NUMBER AMP 120V 240V FEE ' NUMBER AMP 120V 4 24QV USE F CIRCUIT .- CIRCUITS PER 10 100A USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT SIGN LIGHT I 50 VOL T5 OR lESS CONvE IENCE MOTOR CQNVE IENCE MOTOR APPUA CE , ' MOTOR .. " OISHW SHER , FIRE ALARMS . OISPO AL BURGLAR ALARM , RANGE MISC, OVEN I WATEFfHEATER ! , LAUNOI'Y DRYER) . . " REINSTALLATION LIGHT FIXTURE # FURN' ,cE - SUB TOTAL FEE GAS. IL , FURN) ;CE /; I_c v (A" I ENERGY FEE ELECT IC .lbtJ (,IL- :. . / I4't(l. BASIC FEE ELECT IC HEAT I..... /' TOTAL FEE . ELECT IC HEAT 7 ~I ri) v '''''- - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. U IT AMP PHASE FEEOE SIZE OF SERVICE ENTRANCE CONDUCTORS , .. SERVI E A.W.G. 1 SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certifl I, , that the work to be performed under this permit witl be done by the installer and in conformance with the N.E.C. Electrical Code, DateA plication made ,19 B'Ij 'C....t ~~ ' \. .... CONTAACTOA OA OWNEA (OA 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 speclfl ations pertaining ther/~)bJect to compliance with the ordlna~::;;; ~I~~~~SCITY ~i~HT ' " .' 8 .) (7 BY," a,. '~ - ..' . Date P rmlt Issued PLANS AP~Rov;te . Notify Department of City Light by Street Address and ermit 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 ~NING l Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. WA PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Original CANARY. Duplicate PINK-Triplicate WHITE CARD. Inspector's Report OLYMPI PRINTERS, INC. . REPORT OF INSPECTOR " DATE OF VISIT MADE BY REMARKS , '. '. , " . . , . . "C" , "\. , ' -', , , .' - ~-. . L , . R 17 7j7 ''''{Iw..--, O.K. FOR COVERING . . O.K. TO CONNECT SERVICE , . . FINAL O.K. I . z ~ II: < ~ ~ :I: I- Z W I- ~. I- o Z o o .