HomeMy WebLinkAbout730 E 4th St - Building
~,
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CITY OF PORT ANGEL.
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
Installed By:
.c
Owner/Business: '
Owner/Business Address:
)If Residential r- )if New Construction
Heat KW 3..:> 0 Remodel
51CBaseboard 0 Furnace/Boile*- 0 Service update/alter/repair
b 'Heatpump !j( Other J(A'b t..ll
o Commercialllndustrial load 0 Add/alter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (list below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
DetailslDescription:
PERMIT NO, ~ 7 t:J 7
/
DATE ~~ /~O
)g"READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq, Ft
~ Overhead
o Underground
Voltage
01,0 03.0'
Service size d ,00 Amps
o Temporary
"
NEW fletLSt.
-
Date
W,S. No. Service
Capacity; 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
A ..FI&Rough-in/cover O.K.
/~ O.K. to connect service
~, Final O.K.
Size
Comments
Hold for: 0 Easement 0 Lette
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
E <y 7?J
L
r Ie I--
.g
Notify the Depart ent 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 the Inspect r in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
d NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /f /J~ Oi::) _
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN _ Top: Inspector, Bottom: City Hall
730
Installer:
-c
r--,
OLYMPIC PRINTERS. INC.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3%417-4735
Application Number . . . . . 17-00001742 Yate 12-/27/17
Application pin number . . . 562072
Property Address . . . . . . 730 E 4TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7405 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
-- -------------------------------------------------------------------------
Application desc
Meter repair
------------------------------------------------------ s
Contractor
------------------------ ------------------------
LEFLER MARJORIE M KIRSCH ELECTRIC INC.
730 E 4TH ST P. 0. BOX 3396
PORT ANGELES WA 983623814 SEQUIM WA 98382
(360) 683-6819
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . 12/27/17 Valuation . . . . 0
Expiration Date 6/25/18
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary 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
REJ ORT TA' 'rAX
cin your exdse tax four►
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
.fit 1, ,
ROUGH -IN
FINAL % AL
COMMENTS:
PERMM WILL EXPIRE Six (6) MONTHS FROM LAST INSPECTION
Signature of -owner or Electrical Contractor X Date:
L
CI'T'Y OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date; �11�"
1 & 2 Single Family Dwelling
* Plan Review May Be Re wired Please Complete Electrical Plan Review Informatior Sheet
,lob Address: 7.3Q � . 44 -
Building Square Footage:
Description of above a'
re -pa tr or1Mv-
Ower Information
Name: mod -j t ri e— LC -P
MailingAddress: -7 3n 144-h
City: R�C'L ':c -s State: We, zip- Qfr3b'2-
Phone2rix-i FaT.
License # 1 Exp.
item
ServWFeeder 200 Amp.
ServicelFeeder 201-400 Amp.
Sgr AcGIFaeder 401-600 Amp
Service/Feeder 601-1000 Amp-
ServicelFeeder over 1000 Amp -
Branch Circuit W1 Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service! Feeder 200 Amp.
Temp. ServicdFeeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal Circuit/ Limited Energy -
-Manufactured Home Connecctieo
1
Contrac r informatia
Name: t r5��1 &.G -I ri C- � C-
Ma�lingAd cess: P- 0. PnX, 33-f
City: State:! L,iu. Zip:�k3s --IPhone'
License # 1 Exp. K i' r 5 c A- 10 T
Unit Charoe
G�ijC Total Multiplied by Unit Charoel
S 120.00
$ nG
S 146.00
- , $
$ 205-00
$
$ 262.00
$
$ 373.00
$
$ 5.00
$
$ 63.00
li $
$ 5.00
II $
$ 75.00
$
$ 93.00
$
$110.00
I $
$149.00
�I $
$168.00
I $
$ 96.00
II $
1 & 2 Family Dwelling $ 64.00 I! $
Connection $120.00 II $
Renewable Electrical Energy - 5KVA System or Less
$102.00
I
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLL
Flrst 1300 Square Ft
$120.00
$
Each Additlonal 500 Square Ft: or Portion of
S 40.00
Il
$
EachOutbuilding or Detached Garage
$ 74.00
II
$
Each Swimming Pool or Hot Tub
$110-00
$
$1W^ Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years afterIr
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 six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named pr iperty or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Ch ter 19.28, WAC. Chapter 296-46B, The City of port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 rogarding Electrical ermit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ ❑ Check
y/� \1 Elcxe IR Card #
x 0 J, / / Dalod:471
� _ WORM
�S
N
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00001742 Date 12/27/17
Application pin number 562072
Property Address . . . . . . 730 E 4TH ST
ASSESSOR PARCEL NUMBER; 06 -30 -00 -0 -1 -7405 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . , . .
Property Use . . . .
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Meter repair
--------------------------------------------------- `------ __-------
REPORT $TATE :SALES TAX
on your excise tax forni
to the City of Port Angeles
(Location Code 0542)
Owner
Contractor
LEFLER MARJORIE M
T
KIRSCH ELECTRIC INS.
7310 E 4TH ST
P.O. BOX 3396
PORT ANGELES
WA 9$3623814
SEQUIM
WA 98382
(360) 683-6$19
Permit . .
Y
. ELECTRICAL ALTER RESIDENTIAL
-
Additional desc
.
Permit Fee
120.00
Plan Cheek Fee
0o
Issue Date . . .
. 12/27/17
Valuation.
0
Expiration Date
6/25/18
Qty Unit Charge
Per
Extension f
1.00 120.0000
ECH EL -0-200 SRV FEEDER
120..00 I
Fee summary
-----------------
Charged
-
Paid Credited
Due .µ {
Permit Fee Total
- - - - - - - - - - -
120.00
- - -" - - - - - _ _ _ .. - - _ - - - ----------
---------Permit
120.00 .00
.00
Plan Check Total
.00
,00 .00
.00
Grand Total
120.00
120.00 .00
.00
INSPECTION TYPE DATE: RESULTS: INSPECTOR-
DITCH
NSPECTORDITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date: