HomeMy WebLinkAbout3501 Bldg F W 18th St - Firing Range - BuildingNew Address
(per Roger Vess) 11 -24 -09
FIRING RANGE
NEW ADDRESS:
3501 BLDG F W 18 ST
LOCATION ID:
155636
OLD ADDRESS.
3507 W 18 ST
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
Sit(~ Address:
PERMIT NO. :SCJ y 9
7/3//7'S'-
DATE
Ins ailed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
ELEfCTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
" 'AN/WALL KW tR. &-
o RESIDENTIAL
o COMMERCIAL
-;z NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
Det ilslDescription:
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
j!f- UNDERGROUN SERVICE
VOLTAGE: 2-
.xr1~ 03
SERVICE SIZE 7tOD AMPS
FEEDER SIZE /tflO AMPS
.
w.~,. No. SERVICE SIZE
I
CArACITY:
o O.K. 0 NOT O.K.
ACirION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
A".0,~1
rrr J'fs pitch Inspection O.K.
;hRough-in/cover O.K.
~ p.K. to connect service
o Final O.K.
Si e Addres .
I
In~taller:
I
I
Notify Port Angeles City Light by Street Address a d Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BUildi~. PHONE 457-0411, EXT. 224.
I / ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $
I Electrlal Inspector
WHfE - File by address
OLY!'C PAINTERS INC.
.
PINK - Top: Eng, Bottom, Customer
Permit/Receipt No.
New Meters
/l}rC-.
Permit Fee
GREEN - Top: Meier Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Sit Address:
ELECTRICAL PERMIT
//'tVl/h// GUv1
C/' &1' I! /!
Ins Hed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
iU(/(J d(,u'/cl~f' 4./' t7UA1 ~C
~ f0 j'C- ~/// ~/ C</~
r~/
It Ifv~, /1f'l7/C;
o I sr/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o fURNACE KW
o !-lEAT PUMP KW
o FAN/WAll KW _
o RESIDENTIAL
o COMMERCIAL
;g NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
.
Details/Description:
I
=1
I
~.NO.
I
CAfACITY:
o O.K. 0 NOT O.K.
A ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
/~w-e-t
.
SERVICE SIZE
PERMIT NO. {/ 7~ /
cf /ZS fty
DATE
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1j1S D3j1S
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
I
o Ditch Inspection O.K.
1M. rough-in/cover O.K.
o O.K. to connect service
I
o rnal O.K.
sije Addre.:? permitlReCeiP4 7 t/ (
I"j'""er: C. tJ dJ (c L. New Meters Date: 2-5
NoJify Port Ange s ity Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
befbre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Bu~mit. PHONE 457-0411, EXT. 224.
, NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
.
Else ricallnspector
WHir E - File by address
OLYl.IfC PAINTERS INC.
PINK - Top: Eng, Bottom, Customer
AJC-
, Permit Fee
GREEN - Top: Meter Dept.. Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 5/~ 7'1
51'/;:A-3
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Ower/Business:
Phone:
Ower/Business Address:
Sq. Ft.
o I, ESIDENTIAL
o <I:OMMERCIAL
o IBASEBOARD KW _
o ItURNACE KW _
o lEAN/WALL KW _
o II ,EAT PUMP KW_
o SIGN
DetLslDescriPtion:
=1 kr' i?CA<fk
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
KSPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
.
/tilt ~H!o~
LJ~
I
Ci
C6J-vt4 jj/fJ
"-'1,
W.E. No.
SERVICE SIZE
DATE
ENGR.
CA ACITY:
o O.K. NOT O.K.
AC ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
o CHANGE SERVICE WIRE
o OTHER
'J!: I itch Inspection O.K.
o ~ough-in/cover O.K.
o iD.K. to connect service
I
o rnal O.K.
Si e Address:
L
Installer: S~/
Permit/Receipt No.
t/2 '1 f
.
{""' I \ New Meters Date: / '7
c.-.(e IC- ___ ( 7 ...-
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
befbre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or.on the Building Permit. PHONE 457-0411, EXT. 224. ~
,.....-:-: NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 11 70
Eleclricallnspeclor
Permit Fee
WHVE - File by address
oLnJplc PRINTERS INC
1
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
SHe Address:
I
In 'tailed By:
PERMIT NO.
;J7r?D
7'/z./y L
.
DATE
o READY FOR
INSPECTION
License Number:
o ner/Business:
I
Owner/Business Address:
o RESIDENTIAL
,eg- COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
~ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
De ailslDescription:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
/IU M
w.:s. No.
I
CAPACITY:
I 0 O.K. NOT O.K.
AC'lm' REO",Rm C CH^,GE ffiA,"FORMER
. 0 INSTALL SERVICE POLE
o Ditch Inspection O.K.
I
1rfIJ1;li4 rough-in/cover O.K.
o O.K. to connect service
I
1f9V1l't Final O.K.
~jteAddw. ft~
Installer: New Meters
, -
~ ~
No, ify Port Ang les ity Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
belore inspection and O.K, for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
..::20cJ;!?
.
SERVICE SIZE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
Electrical Inspector
WH TE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OlYl PIC PRINTERS INC.
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
Inst lied By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. e26't/r
DATE /?Y/PO
o READY FOR I~ILL CALL FOR
INSPECTION INSPECTION
Phone:
.
Site ddress:
Ownt..r/Business:
Phone:
Own r/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alterlrepair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Det- ilslDescriptlon:
.
W.S. No. Service
Cap6city: 0 O.K. 0 Not O.K.
I
o Ditch inspection O.K.
I
~ROUgh-in/cover O.K.
cp.K. to connect service
o llnal O.K.
Sit1 Add:;;;"
Ins aller:
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 Plan Review approved/pending
New Meters
tJ
r
.
NOllly the Dep ment 01 City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. lor covering or service has been given
b'r '0";:"' '0 W""o, '0 '"' W"", "poll", '"' B,II"o, P"mll. PHON' "'.'''. EXT. "'" EXT.'"
n-- ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;::;2..0 ~
Inspector Amount paid
WHrE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GRE~N - Top: Inspector, Bottom: City Hall ~
OLY""fIC PRINTERS, INC. j
--
.
.
~
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. .:2. ~
DATE 8 /1< ~
, I
ELECTRICAL PERMIT
Site'
o READY FOR ,- ILL CALL FOR
INSPECTION INSPECTION'
License Number: Phone:
Owner/Business:
Phone:
Own r/Business Address:
Sq. Ft.
C Residential
Heat KW
Baseboard 0 Furnace/Boiler
Heatpump 0 Other
Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Detai IslDescription:
I
_I
~'P~
~
~-
d~~-
~3:1 tV!?
7' KuJ
.;;2 s lI.f.
.:1 I s- II. I.
I - 7 ~_ /I./.
'-I - d"> 1/.1.
.
Date
W.S. No. Service Size
Ca ,acity: 0 O.K. 0 Not O.K. Comments
o [ritch inspection O.K. 0 Signed up for service/meter
o flaugh-in/cover O.K. 0 Meter Department notified for installation
o IO.K. to connect service 0 Fire Department notified of inspection
~rnal O.K. 0 Plan Review approved/pending
~ill A r:A perm~e7i;f~
In~taller: New Meters Date:
""Z)
No ify the D artment of City Light by Street Address and Permit Number when ready for inspection. Work
mubt not be covered or electrically energized before inspection and O.K. for covering or service has been given
by!he Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457~1. EXT.158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT }f' :J I/o !!!-
Inspector Amount paid ~
WH TE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall j
Hold for: 0 Easement 0 Letter
OLY PIC PRINTERS. INC.
.'
Inst lied By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
c9 76...5
J'/7.ffO
.
ELECTRICAL PERMIT
DATE
Site Address:
;'
o READY FOR
INSPECTION
License Number:
)lirWI LL CALL FOR
INSPECTION
Phone:
L
Own r/Business:
Phone:
Ow er/Business Address:
Sq. Ft.
[ Residential
Heat KW
[ Baseboard 0 Furnace/Boiler
[ Heatpump 0 Other
[ Commercial/lndustriai load
Totai Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
'lx"Overhead
'/oUnderground
Voltage
o 10 030
~ice size
/" emporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Det: ils/Descrlption:
.
W.S. No. Service
Ca acity: 0 O.K. 0 Not O.K.
o [> itch inspection O.K.
o II ough.in/cover O.K.
o CO.K. to connect service
~ Irnal O.K.
Sit,l Address:
I
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 Plan Review approved/pending
.,,"
Installer:
D
.
No ify the Depa ment of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by he '~r in Writing on the Wiring Report or the Building Permit. PHONE 457'04~1, EXT.158 or EXT. 224.
? ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . c9fJ ~
Inspector Amount paid
WH TE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OlV" PIC PRINTERS. INC.
r/
I
.
Site Address:
Installed By:
-.dc, f-
Owner/Business:
Own r/Business Address:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
C Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Det, ilslDescription:
"
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
cl,;(Of'
ELECTRICAL PERMIT
DATE
C/
A- 'of
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground /
Voltage ! l 02- ~ 0
0/10 03.0/
Service size 01 D 0 Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
W.S No. Service Size
Cap~city: 0 O.K. 0 Not O.K. Comments
I
o 9~tch inspection O.K.
~ 8'11ough-in/cover O.K.
~-tcEl""'d>.K. to connect service
I
~l0'ral O.K.
Sito Address:
I
Installer:
I -$<",r e tP
NolifY the Department of City Light by Street Address and Permit Number when ready for inspection. Work
muSt not be covered or electrically energized before inspection and O.K. for covering or service has been given
by he Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 3 0 rJ'y
dlA,
.
(j
/:!.~
e/
.
,).,; S~.ee-l66-
.c.", rs.
a
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instaliation
o Fire Department notified of inspection
o Plan Review approved/pending
Permit/Receipt No.
dd.O!
'1
Inspector
WH TE - file by address YELLOW - file by number
OLY~~IC PfllNTERS, INC.
Amount paid
PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
w.sl No. Service
Cap6city: 0 O.K. 0 Not O.K.
-D..Dit~h in~r~("tit"\n O~
I
fA aBoUgR iFl:w"" O.K.
/VI.f- ~q.K. to connect service
.bJ T,gl O.K.
Site AddreSISj } 1-
VV€) I
Installer:
I
,
/
.
.
-~
CITY OF PORT ANGELES
LIGHT DEPARTMENT
. q
PERMIT NO. / fO ,
/(-3 a -P'7
ELECTRICAL PERMIT
DATE
Site" ddress: UJ ( fl
Installed By: /i)
Gl
Owner/Business:
Ct
~EADY FOR 0 ILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
~
Phone:
Own r/Business Address:
Sq. Ft.
C Residential
Heat KW
C Baseboard 0 Furnace/Boiler
C Heatpump 0 Other
Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
~rhead
o Underground
l(ClJ-tage /,..-- /1. q 0
Cf\10 'D3~
Service size /6-0 Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
/JEw SUv/u
{ of( l...-<-
Size
Comments
Date
Hoid for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Q I T1f
ffJ 0
L(( If 7
fA
Permit/Receipt No.
I
Date:
/(-Jo-/'
I
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mwkt not be covered or eiectrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Buiiding Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
Ij.tJ _ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .-e------,
r Inspector Amount paid
WHlrE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYM.rIC P~'NTERS. INC.
.
It' ?1 CITY OF PORT ANGELES ~7t,
DEPARTMENT OF LIGHT A
FEERE EIPT NUMBER PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
I 2--11.- ~ ------ " ). J#Jv J+~:d
, TOTAL FEE
I CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGALOCCUPANCY
I
Site Address
ELECTRICAL PERMIT ONLY
NO DC PANCY OR USE ESTABLISHED UNDER THIS PERMIT
rk ST.
1) .;,LL ~' fJ.F
CORRECT ADDRESS IS RESPONSIBIU PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner 2- - 7 9 0 1?&' ~ - Installation By OrJ/ ,vf./J
owner'sf.ddr~ ,PO 11;0)" 'i')-1~' , Installers Address
Dayphorle D'i:lI tv to 'l,;v" 007 Installers Phone
APPlicatibn is hereby made for Permit to install Electrical Equipment as follows:
t..
.-
., f}
-- ""
!<-o eft. (J/IU; ch ~ ,n~d ~\
,
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT ~RCUITS PER 10 ':gRL ,.,JEE
CIR 30 CIR
LIGHT . SIGN / ,r:t
<,
LIGHT! .. \ 50 VOLTS / V /
OR LESS ,
CONVENIENCE \ \ MOTOR/ - /~/ /J
I
CONVUNIENCE \1f1 .p \ (\ Mo]6R , I f\V f/
I I
APPLIANCE I ,11 \ . 1m' / ,MOTOR. V- T
I
DISHII!ASHER 1\ \ {~/ /. FIRE ALARMS II /
--- ,
, VI / f/ BURGLAR ALARM IV ttll-. /
DISPOSAL \
,
, , !/ MISC, I ff\ )'tJ '1. '0 /
RANG r,' "-
OVEN {('l \ \\: / IlVv r 1/' 7
,
WATE~ HEATER I' J'/ , / ,) v /
LAUNI?RY \. '// / " /
DRYEI~ " REINSTALLATION LIGHT FIXTURE # ./
FURN,,-CE SUB TOTAL FEE ./
GAS-OIL ./
FURN~CE ENERGY FEE
ELECltRIC BASIC FEE ./
ELECiRtC ':tEAT 120' , A-r~ or\
TOTAL Fgo/
ELEC1RIC HEAT .J. ,Ii /~< tfJV "- SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
, I 'I < ' 1/J>>/ ~~
A.C. UNIT
I AMP PHASE
FEEDI~R SIZE OF SERVICE ENTRANCE CONDUCTORS
,
,
SERVICE A.W.G.
I
l I SUB-TOTAL ' SIZE OF GROUND /'ZE OF ENTRANCE SWLTCH
I certlf 1hat the work to be performed under this permit will be done by the installer and ~,;)!'A1~'cfvcode,
Date A~Plicatlon made 1:/1(, / ,,{. , 19 By /, (A I " , 'j
.. I', . Ii .bNTRACTOR~toOWNER (OR A~"i;ED AGENT]
_~( rm!.s.sion is h~r~by given to do t~e above des~ribed ~ork, accor~ing to the condit,ions hereon and ae ording to the proved plans'and
Date F
.;
speclf cations pertaining thereto, subject to compliance With the Ordinances of the City of Port Angeles.
, #,J?C?;/[LIGHT,
1,llt/!.t ~~ANSAPrOV' Y
~ti~y Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or cur~ent 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.
rmit Issued
~+RNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. TrlpUcate WHITE CARD. Inspector's Report
OLYM~ C PRINTERS,ING.
REPORT OF INSPECTOR
DATE OF VISIT ~AD~ BY REMARKS
4/2.")/1 ~. lAd--- !JoT f. ~ A- d....t --
'I I , l
..
,
.
-\
,
...
.
. ,
, ,
\
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
,
FINAL O.K. , .. ,
.
~
Cl
a::
00:(
::IE
~
:I:
I-
Z
W
l-
.
I-
o
Z
o
c
.
FEE RETPT NUMBER
, . CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
.APPLICATlON AND ELECTRICAL PERMIT
A
~(?O
PERMIT NUMBER
.
TOTlL FEE - I G tI;O OjC~t'a;
I CONT. Lie. NO. T1METOCOMPLETE NO. STORIES LEGAL OCCUPANCY
I ELECTRICAL PERMIT ONLY
Site Address / J3 -fL AT ,;JIJ
I . CORRECT ADDRESS I~ RESPON~IBILlTY OF APPLICANT
Owner !1t;t?U;l/-H/1 &:"
Owner's ~ddress
I
Day Phone Installers Phone
APPlicaticln Is hereby made for Permit to install Electrical EquIpment as follows:
I
I
I
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By
Installers Address
A I )~ C L. r;:5<;,
pi.Er ~
(.?6~1V1.
'nZIJ/0r.r1'~, -Ih-.Ji!Je u,O
,
Wiring Method
.
, I NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE cDF CIRCUIT CIRCUITS PER - '0 100R FEE USE OF CIRCUIT CIRCUITS PER '0 100R FEE
I CIR 30 CIR ~ 30
LIGHT I SIGN
LIGHT J - 50 VOLTS
OR LESS
CONVE~IENCE MOTOR
CONVE~IENCE _. MOTOR
, MOTOR
APPllA~CE
DISHWtSHER .' FIRE ALARMS
-
DISPo~IAL BURGLAR ALARM
RANGEl MISC.
OVEN I
,
WATEAjHEATER
LAUNo'RY
DRYER . . REINSTALLATION LIGHT FIXTURE #
FURN.afE SUB TOTAL FEE
GAS.('IL
FURN.aICE ENERGY FEE
ELECTRIC BASIC FEE
ELECT' IC HEAT
TOTAL FEE
ELECT IC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.U1IT AMP PHASE
FEEDE~ SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVIt' E ..
A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
that the work to be .
I certif1 erformed under this ermit will be done b the installer and in conformance with the N,E.C. Electrical Code.
p
p
y
Date A plication made I}vC-?Lr7T / '" ,19 ;;S- By r
CONTRACTOR OR OWNER (OR AUTHORIZED ENT)
PermisSion Is hereby given to do the above described work, accor9ing to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
1 . . DIRECTOR OF CITY LIGHT . .
. .. By !J14r,J~~ .
. Date P rmlt Issued PLANS' AP'PROVED
~ <t Jlt ~- 5) Notify Department of City Light by Street Address and Permit Number whEm ready for inspection. Work must not
r be covered or current turned on before inspection and O.K. for coverIng or service has,been given by Inspector in
r::: I Wri~jng on Permit Placard. A, . Permits Phone: 457-0411 Ext. 158.
~RNING . . PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK':' SEE OVER ~
I
OLYMPIC PRINTERS,INC.
WHITE - Original
CANARY - Duplicate
PINK - Triplicate
WHITE CARD - Inspector's Report
CITY br PORT ANGELES
LIGfiT DEPARTMENT
ELECTRICAL PERMIT
N9 L5909
I
I
I
~In accordance with the City Ordinance to regulate the instaJJation, extension, or repair of elec-
tric I equiPmen. t in, on, or about any building or other structure in the City of p.. ort Angeles, per-
mis ion is hereby granted to do eletiCal work as li~ted below.
Ad1ress "';;~;J;~r2~.~~..t:<.~./.~6t~m.oo..oo ocCUPanCYoouOO'O.j'/::5:~Uh'OO"UUU"""
~::~~.~:~:~~~1t::::::.:::::::::::::::::::::::::::::::::::::::::::uoo~~:~~~;:::::::::::::::'.:'.~::::::::::~:::::::::::::::::::::::::::::::::::::::
y- /0 ~C
Port Angeles, Washlngton..mm........m........h.mm.mmmmmmm.m' 19:~..m.
LIght Outleto..............................._.._....
Redeptacle Outletsn.n___.......................
Dryer, KW nn......n__.........__.....__._.n__.._
Ranj;e, K\V_....___..n....._n_.______..____
Wa,ter Heater:
KW....hoot,(oooooo....'......hmoo..m......
He,., KW.......1..-#~..,~.....
Moto4ze, volts and hase:
I !...4..,...~.~==-'":.1-_~__..Q.~....... ...._h_
(Oft ,;LYe! Y
I .nn__.nn_................h_..hn__h..._n._...._...
Total Load......n___...n____.___n...
Service, volts _....._._...._.........................
No. wires .h_._...nh...hn.....n__...nn...
Size wlres..._...................._.nh....._..
Muln fuse .......................................
Enclosure 00.____.0000__...00__00_______.___..___
Type of wiring:
Entrance Cable 00....___......._.____.
Rigid Conduit _____.__....00..___
Metallic Tubing .....___00
Current transtormers:
No. & Size..................nn__nnh
Ser. NO..._...n__.nn....___._.__..................
;;er. NO.n.n_.nn__.......................nn_....
Ser. No. ..n...n...:..._____.n_h.....__.....___...
Ser. No. nnnhn..._.n_._...n.n_..._.........h.
Type or Wiring:
Armored Cable n____..._m__.n_.....n....
Non.Metamc .................................
Knob & Tube__...n..................h....._
Rigid Conduit ...............00..............
Metallic Tubing ___..___..00.00............
Raceway _..............................___._
Circuits, Light................_.__.....n......__....
UtilIty ..................00.........................
If eat ............._.............._.........._......
Range .__..__..___....__....._......_..............
Water Heater .........h.......__......._...
Motor ..__...................._..............___..
Dryer____________..__.._..____.____..._____..__._...._
Furnace .........................._nmn..n__..h..
R<)marks: .mhm.....uuumuuumh.uoo..hoooo.u.oou.nnm...uhm.m.mh.mm....n...mnn...mmm.ummm.m...........mh......
Total ...____.______..._____..____._.____._._
n_._____U_h_~__.__U__.____________n____u.__U.h__..n_.__.nn__.__nnnu.__nn__h___h__.nnn__u__nnn.____uu____U~hnnnnu______nn__un__.n__._....
.......mmm..oon.m.n...mm....m.nn........mu..mh.noommnmn.....um.n.u.__....m.m..m.h..;;;nnm..muhuh.m..m...mumm.
:~.=.~~u~~~..u..........__.n.. ::~.~.~:..~.~.~.~~~.~........ By ..I!Y!..;'k;.,;&~..~~~.!.~....
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected be!ore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15909
Address...................____..._____............._..................................................._...__._.........................._....Date..._....___.._____._.......__._......_......_.........
Owner........____....._.___.__........_.___...._.._......_......_.._..........____...._.__...._............._._.....__._______.Tenant...._____..____.__............_.....____.._..___.._..____._..__.._..
WirIng Contractor ......h..___..._..................._._.........._......_.._.....................h......n___..n_......__...._.....h.. By_______................n...................................._
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected berore concealment.
t'"\l..........,i... Drinl<n:'ll.. Inc_
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