HomeMy WebLinkAbout1718 W 5th St - Engineering
......
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date -~ - .3 j- 0 S-
Time /0 :tN,1;n. Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
17 J?J w I')T~
(/l/~fr#, 0",/
17"3 So IS
Phone No Y/7- '/ff/9
Permit No
Plumbing Final Sewer Excav 8~Ja/e r
Sewer Foundation Framing
Chimney
INSPECTION NOTES
Inspected Date S <3 /-05-
Remarks
r9'~ ~,~ 13/'C'aK
Time ~;vV p~Yl
I ~,/.7ccd~ ~, I L...
By 71 7
55 R-e/h~/ t~,t/
,
RESTORATION REQUIRED . YES \,/ NO
~
~ d
....... J>...
\V' '73 ... AL 'P"
R-. i'" G$. " -
, '"'l
, 19~' T, 0
... ,.,
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved OGravel o Asphalt OPCC rOther Tif So,!
o Repaired by City Work Ord~u # )0 J'I J.. - 6~
[] Repaired by Permittee 0 COMPLETE
D No Damage Found ~ INCOMPLETE
,
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
16-00000566 Date
4/26/16
App.l.icat:i.on pin :number
367816
Property Address . . .
171.9 E 5TH ST
ASSESSOR PARCEL NUMBER:
06..30-00-0-1-6475-0000-
App:l.:i.cat:i.on type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning .
R.S7 RESDNTL ,SINGLE FAMILY
Application valuation .
0
Application desc
Ductless heat pump
Owner
Contractor
SWE^1NSON LA1FIHRN H
EXTRA MILE TECH & E^71: EC7'.
2.71.9 E 57,11 ST
418 N. RACE ST.
PORT ANGELES WA 98362497.7
PORT ANGELES
VIA 98 362
(360) 4.57 5222
Permit EL.EC°'I`RlCAL,
ALTER HSV.^;ad:a:T:t1:^,N'I'T, U,
Add:i.ti.onal. desc .
Perrni.t Fee 68 00
Plan Check Fee
;,{)
Issue Date 4/26/1.6
Valuation
Expiration Date 10/23/1.6
Qty Tait Charge Pet
1.00 5.0000 EH.C:EH EL
ECH ADDNT BRANCH CIRCUIT
5.00
1.00 63,0000 E!'°C°HH EL -R-
BRANCH CIR WO/ SER FEED
63.00
Fee summary C°aarged
Paid Credited
Due
Permit Fee Total 68.00
68.00 .00
.00
Plan Check. Total .00
.00 .00
00
Grand Total. 68.00
66.00 .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 d
FINAL q
U
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X_m_w - Date:
IS
1
f".lam' OF PoRT ANGEmS PERMff APPLWAT O
BuDding DivisionffilectAcal kspections
321 East. e" h Street — P. . fox 1150 / Fort Angeles Washington, 466i'
Ph: (360) 4174735 Fam (360) 417-4711
Date:`� '2s' /6 Y, Single it 0 1l�lU�61` .
*Plan Review May Be Required, Please Complete Electrical Plan aew nformation Sheet
*b..._.� .._._._�_ .�.
Building Square S Footage: 9� m°27"Z
Description of above m__ ...�"_�mIT
Owner fo aklora W
��_.-�..�....
NamCone, ctor lnforrnatio l �
���..�. �_._. ...._:���f4 f
Al �
Mailing dress �l 7
Mallin ' ..... t �+
City.. S e:. �" Zip: _ZA
t%%t°f 113le "
Prone:_.- 5- � � , ...
—
5 on � , t
License # / Exp_
Liranse # / Exp.
Item
Prift gh@MqTg§LQtf
Mylbi lied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
Service/Feeder 201-400 Amp.
$146.00
Service/Feeder 401-6W Amp
$ 205.00
$ ,,_..,.. ------
Service/Feeder 601-1000 Amp.
$ 262.00
$_, _
Service/Feeder over 1000 Amp.
$ 373.00
$ _,
Branch Circuit W/ Service Feeder
$ 5.00
�'°Z `1
Branch Circuit W/O Service Feeder
$ 63.00$
Each Additional Branch Circuit
$ 5.00$_
-
Branch Circuits 1-4
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93,00
Temp. ServicelFeeder201-400 Amp.
$110.00
Temp. ServicelFeeder401-600 Amp.
$149.00
$_
Temp. Service/Feeder 601-1000 Amp .
$168.00
Portal to Portal Hourly
$ 96.00
Signal Circuit/ Limited Energy -1 & 2 Family Dwelrrng
$ 64.00
Manufactured Home Connection
$120.00
Renewable Electrical Energy -5KVA System or Less
$102.00
$
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
NEWONSTRAr ri�r4rhlLY.
First 1300 Square Ft
$120.00
Each Add'dional 500 Square Ft or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110.00
$
.: " Total
Owner as defined by RCW.1928.261: (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 above said property
is for sale, rent or lease. Permit expires after sic 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 laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator. ❑ cash ❑ check
G21*1C'1decard9 0 IV -91 LIF