HomeMy WebLinkAbout1206 W 17th St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
N9 16448
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. (.7 -- / 5 7'/
Port Angeles, Wash!ngton____...___.._....____._______m__.__mmmmm_m_._... 19__000000
ELECTRICAL PERMIT
In accordance with the City Ordinance to regulate the installation. extension. or repair of eiec-
trical equipment in. on, or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to d6 electrical work as listed below.
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Wiring contracto,,:,,:,__:~:~ZP.._.::.~~~_~:/:~/..!.:_f:dn:.'f~.~,;r.----------~. By :__.____..h_h.__h.__u____mum~..m____.._____UU._h_.____U
Light outlets..._.L.r..............._.._..... ...1 Service, volts _..../~~..q-!...~!::!!.En._ Type of Wiring:
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Receptacle Outlets..........:.:___________....... No. wires .....:.~..................:::........_ Armored Cable ..___unm................._
C ~~~~
:::::. ::-_-_-_-_-_--_/_q_-_:-_-~-_-~-~-~__-_--_--_---_-- ::~n :::s:~~::'{f?~:)A::---:~:: :::~M:t~::e:::::::::::::::::::::::::::::::::
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Enclosure .....__...._._...m__.....______
Water Heater: ./
KW________?1_:~__________________________
Heat: KW...../P...:.$;$....__................:
Type of wiring:
Entrance Cable ......m....n..............
RIgid Conduit _h_______mm_m___________
M,etalllc Tnblng _____________h___m______
Ser. NO.n............................................
Raceway ......................................._
r:..,.'-
Circuits, LlghL....:............m........m.......
~:~: ty_#..::::::::::::::::::::::::::::::~::~~
, -
Range ...<;;::............=.........................
;;:L
Water Heater ...............................
Motor ..._............00.........................
";J.
Dryer .....00....:......................................
Furnace .........................._...................
Motors: size, volts and phase:
/ dc.~~
....:........1..:........................................
j d'--CA--//
m___m___h____hTh__________________________m____
Rigid Conduit _________________
MetalUc Tubing .............
Current transformers:
No. & Size.......................................
Ser. No..............................................
Ser. NO.....................................n.......
dY
Total.......................................
Total Load______________m__m______.
Ser. No. .............................................
Remarks: .u.n__-:::?::";;~~~~.:.:=-.ut:_~~.:.~_~;:~."'!._.~iu;?.:.u..u....unn.un.uunuuuun__unnnuuu_nu.u___.n.___nn_n__nunu_~~_~~n
_;::;~--;::-.-.----m---mm----ooo--;~~~:.--~~~~;~~-m--mmmm-----------ooo--oooooo-?---;-;.r-~-~-._moooooo-;~r--mm-oooooo-
$:_____.1.~..?.~__mm__mm___ NO.__ooo___mm___m_____.__ By r;t-::;...~,-;~-.:.:-L?::'!::'?~~1!"'-!:~ooo---m
NOTICE}-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
1\:"0
J."ll.
16448
Address........................................................................................................................................Date..._......_.._.._.._.........._....:._......_.........
Owner ..................................._......_.._.............._.._........................................................... Tenant..................n........................nh.....n.............
WiringContractor..................................._......_.............._................__...........................................By..............................................................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment..
....._~-,- t),oi"t"T"'_ Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . .
1.5- 00001440 Date
11/12/15
Application pin number . . .
029440
DITCH
Property Address . . . .
1206 W 17TH ST
ASSESSOR PARCEL NUMBER:
06-30-00-0-4- 5207 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . , . , .
Property Use
FINAL
COMMENTS:
Property Zoning . . . , , . .
R57 RESQNTL SINGLE FAMILY
Application valuation . . . .
0
Application desc
Meter replacment
Owner
Contractor
WOJCIECHOWSKI EDWARD S
APS ELECTRIC
1206 W 17TH ST
546 BENSON RID,
PORT ANGELES WA 98363
PORT ANGELES
WA 98363
(360) 452 -6753
Permit I . . . , . ELECTRICAL
ALTER RESIDENTIP.L
Additional desc .
Permit Fee 120100
Plan Check Fee
00
Issue Date 11/12/15
valuation
0
Expiration Date 5/10/16
Qty Unit Charge Per
Extension
1.00 120,0000 ECH EL -0
-200 SRV FEEDER
120.00
Fee SLmmary Charged
Paid Credited
Due
Permit Fee Total 120.00
120,00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 120.00
120,00 .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:
G:1EXC HANGEIB UI LI)1NG
11/09/2015 04 :11PM 3604526753 A.P.S. ELECTRICAL PAGE 01101
I
1C,1<TY 103E PORT ,ANGELES PEm`.tT AT'ri,TCA'1TQN 7
Bnildii Dvisioo/Eiecrricof ]Cnspectivus
321 East F;rfth Street —P.O. Boa. 11501 Port Angeles Washington, 9$362
Ph: (360) 417 -4735 Faa:.(360) 4174711
Date: 11--1 Q -L5 ° 1 & 2 Single Family Dwelling
t Plan Review May Be Required, , Please Cprngl4t� Inlectrical Plan Review Information Shut
Job Address: 1 a i
800TV Square Foo,age:
DesaiWibn of Woo %fa P f CL, 12 Q .� . — _ —
Owner Ir orm on
n
+ -a
Contractor Infomratlan , �I
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P j! ti 1 cw
fEarrrr" t-- e I
iVanw -4 ,
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WIN L2 S L, tv t 2 AK�
Mailing Addre55:
City SlagP
City --
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Phor Fax:
fi
ax
_
License # f Exp•
UM139 # Exp.
k2m
go ha a
( [
T Mufti fled by Unit ChaEgej
SenricelFeWw 240 Amp.
S 120.00
ServicelFeeder 241440 Amp.
$146.00
$
SerVmFeWer401 -600 Amp
$ 205,00
$
SeMcelFeeder 60140W Amp.
$ 262,00
$
SerwoelFeeder over 1000 Amp.
'$ 373.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 63.00
Each AdOldonal Branch Circuit
$ 3,00
S -
Branch Clrcuis 1-4
$ 75,00
$
Temp. SeruW Feeder 260 Amp.
S 93.00
_—
$
Temp. Sere m Feeder 2011100 Amp.
$110.00
Temp. Ser imVeedr:r 401 -600 Aral.
$149,00
$ —
Temp. SerrlcelFeeder 601- 1000Amp .
$166.00
Porter to Portal Houny
$ 98A4
S
Signaf Circuitt Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Conneddon
$120.00
__
$
Renewable Electrical Energy - 5KVA System or less
$102.00
$
Therrrrostat
$ 56.00
Note: $5.00 for each addXoPW t -Stat
HEW CONSTRUGnON ONLY.
First 1300Square Ft.
$120.00
S
Each AddlGonal WO Squ&m Ft or Portion of
$ 40.00
3
Each Outbuildlrrg or Detached Garage
$ 74.00
Each Swimming Po41 or HotTub
$114,00
$
Owner es defined by RCW.19_28.261: (1) Owner well occupy the sk4dvf 3 for tm yais aF>z~r this elecr''rCal permit is finalized, (2) Owrner is required
to hire an elechkal con#ra*r If above said property is for We, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I haraby cett fy that 1 am the owner of the above named property or a licensed electrical a6r tractor. I am making
the electrical installation or 91teraiion in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAG, Chapter 296-ii6B, The City of Port
Angeles Municipal Code, and Uiillly Spedflcallor>s and PAMC 14.05.050 regarding Electrical PeTmk ApplMons.
Signature owner, electrical con >raatororeleotticaladminiatmw- El cash ❑ e,wk
f� � creaac$a �