HomeMy WebLinkAbout4416 Old Mill RdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
-l
I
a\
\)$\Application Number .
Application pin nunber
Property Address
ASSESSOR PARCEL NUI,IBER:
Application type description
Subdivision Name
Property use
Pr:operty zoning
Application valuat j.on
17 - 00000836 Date 6 / 20 /17
852792
44].5 OI,D MII,I, RD
o6 -30 -22-2-2-OOs0 -200L-
EI,ECTRICA], ONI,Y
ELECTRICAI. A],TER RESIDENTIAT,
REPORT STATE SATES TAX
on your excise tax form
to the City of PorI Angeles
(Location Code 0502)
0
Applj.caEion desc
Shop feeder and circuits
CONOR E M HAGGER?Y
4416 Ol,D MILL RD
PORT A}IGEI,BS
OWNER
wA 98352
Permit
Additional desc
Permlt !ee
Issue Date
Expir,ation Date
L30.00
6/20/tj
72 /71/ 1"1
Plan Check Fee
Valuatsion
00
0
Qtsy Unit charge Per
2.00 5.0000 EcH1.00 120.0000 ECH
Extension
10.00
120.00
EI,-BRANC!{ CIRCUIT IIlFEEDER
EIJ-O-2OO SRV FEEDER
Eee summary Charged crediEed Due
Permlt t'ee IoEa-!
Plan Check To!aI
Grand Total
13 0
13 0
00
00
00
130.00
.00
130.00
00
00
00
00
00
00
PERMIT WILLEXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR;
DITCH a/ro/tt F
SERVlCE t'/n'lrt =rDP/vl
ROUGH-IN IL (6 A?
FINAL t2-t9-t9 )+
COMMENTS;
Signature of omer or Electrical Contractor X Date:
t*/
o.#5*+."/ttsrY
a ll.-- tJr 6"uffic
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
APPROVED NOTAPPROVED
DITCH
,A\--. ROUGH IN/COVER
tr
n
Po*"."r,o*.C,<nt*-t- Ok.-/NEEDED:{--r rl-frt
Z D"
tr
o
tr
tr
lr't- C D \/EJz A NYl't-l t /".//E
tf tf o vT-)N4V .ar-(
NONFY INSPECTOR WHEN CORRECTIOI,IS
ARE COUPLETED wlTHIN 15 DAYS
-DO NOT REMOVE-
DATE:
7 I -B
6
CONTBACTOB
ADDHESS
. . . SEFUICE
.,..FINAL
n
firRr I
Crry Or POnr A"rCrr,rs Prnrvrrr ATPLICATION
Building Division /Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
\)
t
00
\ l
0'.
_ 1 & 2 Single Family Dwelling
. Plan Review
Job Address:
[t/avqlJ Be Required, Please Complete Electrical Plan Review lnformation Sheet
i: ,." r", tl Lllb
E-.'L
Building Square Footage
Description of above
Contractor lnformation
Name -**F-*
l\4ailing Address otd ,ln.lt l2A [4ailing Address
Crtv: PA s
pt nn"iTIJi--} t r, r
Lcensei/E-{p
tate: utA ap:Cityl State;
-
Zp: _
Unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$ 102.00
$ s6.00
sry
E Cash E Chock
E Creditcad f
Total (Qt/ Multiplied bv Unit Charqe){
$
$
$
s
o
$_
s
$
s
S
$
$
$
$
$
$
s
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$
$
$
$
5 (:Total
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 rquired
to hire an electrical conkactor if above said property is for sale, rent or lease. Permit expires after six mon$s of last inspection.
After reading the above statement, I hereby cedfy 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 wih the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Angeles lvlunicipal Code, and Utility Specifications and PAN,4C '14.05.050 regarding Electrical Permit Applications.
Signature of owner, el I contractor or electrical administrator:
4XDated it/7
0210612012
-
Date: ---UI\
Owner lnformation
Name: C c..'a? \\lYtr'i^ €-P f(
Phone: _Fax:--
Item
Service/Feeder 200 Amp.
ServicdFeeder 201400 Amp.
Service/Feeder 401 -600 Amp
ServicelFeeder 6011 000 Amp.
ServicelFeeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 0nly
Temp. Service/ Feeder 200 Amp.
Temp. ServicdFeeder 201400 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. ServicdFe€der 601J 000 Amp .
Portal to Portal Hourly
Signal Circuiu Limited Energy - 1 & 2 Family owelling
Manufaclured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note: $5.00 ior each additionat T-Stat
NEW CONSTRUCTIOiI ONLY:
First 1 300 Square Fl,
Each Additional 500 Square Fl. or Portion of
Each outbuilding or Detached Garage
Each Swimming Pool or HotTub
License #l Exp._
q