HomeMy WebLinkAbout1133 W Hwy 101 - Building
~-
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
3~
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APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . .. . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC.PRINTERS~NC, (360) 452-1381
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000841 Date
152423
1133 W HWY 101
06-30-08-5-8-2010-0000-
ELECTRICAL ONLY
7/15/08
COMMUNITY SHOPPING DISTR
o
Application desc
1-5 circuits lights and fans
Owner
Contractor
DULAI PAL SINGH
1137 HWY 101 W
PORT ANGELES
WA 98363
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
~
130104
58.00
7/15/08
1/11/09
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
58.0000 ECH EL-COMM ALT <5 CIRCUITS
Extension
58.00
;t:.
S
...c
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 58.00 58.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 58.00 58.00 .00 .00
-
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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
07/14/2008 20:21
4579270
R E eEl V E DMPSON ELECTRIC
PAGE - 01
"
08- 05~ I
JUL 1 5 2008
&GHTDEPT.
'lii:;ooo
ELECTRICAL WORK PERMIT APPLICATION
Job wirf!d by
o Owner
In~t.,'lation dCJct'ipti(lll
" Commercial Q ResideAtbl
)-5 e/IZ.-Cl Ll,./ .I-~
I(~I'~ 6'k# kr
L,'J(.e ~ 1A.f?~'
~x {f ~-f2 +- ~~ ;;J..
L)~ ) ~iYLj ~
~ LJ..t.d ~F
+",0 n l"ta 0 h-\ S
()
~
6
OJ
'L
70
-
.
Vn
o Cash 0 Chcck#
}1JCredit Card @ ~asterca~d Discover
~d#___~~__~___~
Expiration Date
of card
o Overhead Service
CI Temp Service
o Underground Service
Voltage
Phase [J 1 [J 3
Service 8120: _
Feeder Size:
J
SAME DAY INSPECTION, CALL BEFORE 7:()O AM 360-417-4735
r ROUGR-IN " ( llJERMOSTAT '" / SERVICE '"
.-2) a [Of!> ~
'" D.' ,\""""",d By .,I '- o..c "",,",vod By ~ "- o..e A""",..d By /
( nNAL J ( DTraI ) f FaDER ""
12J/}lts ~
"'- "'" Appmvect fly ':,. "'- D... Appmv,", ey "::/ '" DlI. API'_ By -./
InSpclltit'n Area, Building or Equipment Jnspcxted Action Talccn ElllCtTical
Dote InspcctoT
.
--
- I .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
. . .
REQUEST
Date /2 ~:3 -04
Time 2 3-0 p",,- Received by tkYl-... I S C {phone. person
-
Location of Work to be inspected 1(33 1-/; w,,-y (0 I
Name of person requesting inspection De....,-'<(, t
Address of person requesting inspection C-,rD <(<0. r J.
Type of Inspection {circle appropriate onel I
Sewer Foundation Framing Chimney Plumbing Final
tJ ~ sk
Phone No t.f 1'7 - L/ 8<1'1
Permit No
Sewer Excav Ot~cL +-e ~
INSPECTION NOTES
Inspected Date I Z. - '7 -o'-{ Time ~
Remarks f(e/J-:...l'(' 3/'-l s.....v.c.e. {,'vu.....
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fjuJp-v 101 LJa,,:>f
RESTORATION REQUIRED
YES
NO X
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # il/Zi8 -D7"7
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)