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Home My WebLink About1209 E 5th St - Building d'O"'~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9Rl62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000759 Date 214086 1209 E 5TH ST 06-30-00-0-1-7945-0000- ELECTRICAL ONLY 8/17/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor SIEGUNDE ELLIS 1209 E 5TH ST PORT ANGELES WA 983624428 HALVORSEN ELECTRIC 1426 W 11TH ST PORT ANGELES (360) 457-7803 WA 98363 - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - -- -- - - - - - - - - - - - - - - - - - - - - - -- - - - -- permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL HALVORSEN/ HOT TUB 58180 HALVORSEN ELECTRIC 48.10 Plan Check Fee 8/17/05 Valuation 2/13/06 .00 o ~ \) ~ Qty unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 ~ ~ VI 't COMMLNTS/ 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 ACCEPTED COMMENTS I YES NO I liT' 'H - ~&& III 1I If ;J-I-IN / COVER SERYICb .I..n~ 1/-7-oS Ar~...J1 GENERAL COMMENTS: PW-1102.U [4I96J CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N9 14925 / ~ / Y /f/ Port Angeles. Wasblngtonu..,..u..........................u.......................... 19........ In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure In the City of Port Angeles. per- :~:::s: i~.:.;;~.~t~:E~~:;t.L=~:.=.~.~:..:~.~~~.~:..::IO:~cupancy....42..d............................... Owner ._4J..../~s;,,~.. ...~V.(..7:::::=:~,.................... Tenant....................................................u.................... - , ' r n(} ,,, .~ i t.:: Y 1:' ;s0 .,. (- Wiring Contractor ..~.:..........1::.nn.:::..X,,~.L.....Q...(.....nnnn... By.............u.....n.................................n..n......... /'2 Light Outlet...._...............m....m.........._ Receptacle Outlets._..,~q..n.._.......... C Drye" KWI....................mm........m..... ,/2- Range, KW n...:. ..mm.~mm.__mnmmn. Water Heater: ./ '1/ ? KW.........m'm....:mmm..m....mm.. He." RWm/,J..J(W11..P...... Motors: size, volts and phase: Service, volts !..q~.::/2..fn.q...... '2' No. wires .....~0.~.;;.Z;/m...... Size wiresn.....~....................n__. Main lu.e mS)J2.!2..4mmm.... C Enclosure ...::.;;r............................. Type of wiring: Entrance Cable ................_............ Rigid Conduit "nnnmn...m.....nn... Metallic Tubing ."".........mn........ Curren t transformers: No. & Size..................n................... Ser. NO..._nnn.......n...nn.n..___..nn...... Ser. NO.....n_.n....._n.___nn.nn_.............. Ser. NO......._....n............................._n Type of Wiring: Armored Cable Non.Metallic .............n...._............. Knob & Tube......................__.......... RIgid Con'dult .....m....................m Metall1c Tubing ........nnn............. C 1 rc~::.e~:;h ~~~~~.~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Utility ..n..2......................._........__ Heat .._..h.....nnn.....nn.....h___...... .., Range _....~n.nnnn.......................n .2 Water Heater ...nm.n.................... Motor ._.=n...._n.............................. Dryer.....&:...........__...........__............_ Furnace nnnnnn..n.........'_....mm....m. 17 Total Loadnn...nn..nn.____...... Ser. NO..nn.nn....n._.......n................. Total ..__.. nn.......nnnn..nnn.__ Remarks: .....'?4d.!?.."__,L:::......CA!':?:~/.A...,.!:1:(.~,.."'...........n.......mmmmm.m..m.;..mnn....... , ...h..___h_____U____.u...._uuu___.___.___n.____.______._________n._.__..._.__..__...._____..._____....__________...___._____....______..___..__.____.__.___......__.._ .;~:;~.;;;..nm.m.mmmmm;~~;;;;...;~~~;~~nmn..m...m..m.mm..m~~;f;yilm'z:':emmmnmu $..m~/..1...m..........m..... NO..mmmn................ By m...f.....r.._.L....k.~mm.."'.mm.'.L~:..~ NOTICE-Current must not be turned on until Certificate of Inspectlon has been Issued. If work Is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION . 1;J!(if' ;3 [] ./"'11....c:...t-...... C..,..,.-,t.:;:t;:,. ,,' ELECTRICAL PERMIT N? 14925 ::;:.:~/~~=====:==:=:-=::==:= 1M 3-72 Olympic Printers, Inc. Total Load ......n...__............................................................................. ..n ELECTRiCAL INSPECTION WIRING REPORT 417-4735 PERMIT # O$'- /MLJ/o~.r~ ADDRESS ~ APPROVED NOT APPROVED o ......... 0 0 0 0 0 0 0 0 0 0 0 DITCH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ROUGH IN/COVER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00.00.000000000000000 SERVICE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 .. .. 0 0 0 0 0 0 0 0 .. 0 0 0 FINAL 0 0 0 0 0 0 0 .. 0 0 0 0 0 0 0 0 0 0 oft q'Jo CORRECTIONS NEEOE~ T/.tHn!4 -r C!/~-9A/ - "'-P A~ C'.A?..L1 /[1 J-<. 7'//1 L j ~ ~~ -"'-"", ~ ;n.., ~ /0 ~~ :::~ tfl /fa:... .L/N'L k//~S /9'T ~ ~~~"'~;6'L~ L-o~^"", ~ ;'J~~~ /t -.-. ;t.En: ~/7-c/,..n""'" NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PRINTERS, INC. (360) 452-1381 o Electrical Contractor 0 Owner o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. ELECTRICAL WORK PERMIT APPLICATION o Request Inspection Job wired by pt'Electrical Contractor 0 Owner Installation description Electrical contractor name I 1l1li. v,,!? ~~N 6" gli~C7RJC Purchaser's mailing address 2/.J47- PIAc.~ RO City State ZIP License number UOI TUB . /jA/i/OJ<rD41<!L J:7tJRT AlI//.P,,~<; . Telephone number g~:7{, "5 FAX number /.p"] Premises owner's name C;/FG'-'-jVn~ ELLl5" Address of inspection 5'7IJ /209 G City Pi? '" I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Cash 0 Check # o Credit Card @:> Mastercard Discover Card# ~-CNJ-Lt..E__-____-____ Signature of owner, electrical contractor or electrical administrator x Expiration Date of card ;' WALLS Insulation Only Dale Approved By Cover Dale Approved By / CEIUNG Insulation Only Date Approved By Cover Date Approved By / THERMOSTAT Dale Approved By / DITCH Date Approved By SERVICE Dale Approved By FEEDER Dlltc Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW liCIT T"'13 o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information ~ Overhead Service o Temp Service o Underground Service Voltage /?J;>'/MV Phase JlI1 0 3 Service Size: Feeder Size: " Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector ~ I I-JAf..- ~/;L/ 4L s.u.. ,Glj'~ 04 AcD /leD ELECTRICAL PERAUT crry OF PORT ANGELES 3644174735 Application Number . . . . 1 16-00000983 Date 6/30/16 Application pin number 986073 . .. .... ...... . INSPECTOR: Property Address . I . 1.209 E 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7945-0000 SERVICE, Application type description ELECTRICAL ONLY Subdivision Name ROUGH -IN Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc .......... ------------ Repairs, Boxes, lights and panel -------------------------- Owner Contractor ELLIS, SIECLrNDE I ............... NORTH PENINSULA ELECTRIC 1..209 E STH ST 761 FRESHWATER PARK RE) PORT ANCEL&S WA 983624428 PORT ANGELES WA 98363 (3G0) 477-1764 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee Issue Date 6130/16 Valuation Expiration Date 12/27/16 Qty it Charge Per, Extensioi ,BASE FEE 75.00 Fee summary Charged . ....... Paid Credited .......... DU(.'! Permit Fee Total 75,00 75.00 .00 Plan Check Total .00 .00 -00 Grand Total 75.00 75,00 .00 -00 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:_ GAFXCHANGE\BUILDING "IT ,M ELECTRICAL INSPECTION R4 S #�t 41 7-4735 Nor APPROVED DITU I. ROU 01,,,i IN/COVER .... Y I%.�SERVICE— 110 91�,,.,..,,m „,4.,.,.,.,FNAL .... 13 . _.. .. mm ...,. ..w .-... ..... .--..-. ..... .. w�. _ ...._. N„ ��................................................. A.� NOTIFY 1INSPECT011WHEN CORRECTIONS RII:ii; OM L„Ilf 'll.:..D WITI HN 15 DAYS 1407” REMOVE CHN OF Pol?.'r F'ERJV[n' APPLICAUON 321 East Fifth Street — P.O., Box 1150 / Port Angeles WashJngtam_mP_AWffja ~-1& 2 Single Family Dwelling *Plan Review May Be Required, qe,�.pp Cornplote Elect 'Cal Plan Review Information Sheet Description of above k' _�:c ^ (�� \ Owner Information Contractor Info mation Name: Name: 1-04 Mailing Address� Mailing A(�Iress�. Item Uniit g Liarge %�Ity Service/Feeder2OOAmp %120.00 � Service/Feeder 2Q1-4OOAmp, $ 140.V0 Service/Feeder 401-60UAmp $205.00 _____------- SomimdFaader001'1000Amp. *282.00 SowiuelPomdarover 1DOOAmp. $373.00 Branch Circuit N0Service Feeder $ 5.00 �__---- Branch Circuit W�DemiceFeeder $63.D0 �.�----- Each Addidune|BmnohCinuit $ 5.00 �� Branch Circuits 14 $ 75.00 Temp. Service/ Feeder 2OOAmp. *33.OV Temp. Service/Feeder 2014O0Amp. $110.00 _____�_------ Temp. Service/Feeder 4U1-60DAmp. $149.00 Temp. Service/Feeder 6D1-1mJDAmp, $168.00 Portal toFarhat Hourly $ 88.00 ...... _.................... _ Signal Circuit/ Limited Energy -1 &2Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy '5KVASymWrnorLess $102.0O Thanmostot $ 56.00 Note: *5.ODfor each additional T-&iL First 1uUVSquare Ft. $120.00 Each Additional 5VOSquare Ft. orPmflmmof $ 40.00 $�� — -- EachOutbui/dingnrDetarhedGsrage * 74.00 Each Swimming Pool orHot Tub $1%OO _____ Tote| Owner as defined by RCW. 19,28,261 � (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required hhire anelectrical contractor ifabove said property is for sale, rent nrlease. Permit expires after six months nflast inopeuUon. After reading the above statement, | hereby Certify that I am the owner of the above named property or a licensed electrical contractor, iammaking the electrical installation ura\loratiomincompliance with the electrical laws, W.E.C.,RCVV.Chapter 1&.2@,WAC. Chapter 28G-46B.The C4mfPort Angeles Municipal Code, and N0KtySpecifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrato' O �� O �� ~.. (\ � �_iz