HomeMy WebLinkAbout422 W 4th St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N9
15148
(": - . .
Port Angeles, Washington......,~............_.......:.....mmmmmmmmm. 19m....!
In aocordance 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-
mission is hereby granted to do electrical work as listed below.
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Address ____~:~__n'!!:~n..._L__.........m.~.n.~n--ki-.--.k~:t.j....n-----mn.----nnn Occu pancy __n__nmn_~__:.:>.____.nn__n_.m..___n
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Owner _....._.nn__u~;~__~____~_..~~~..------.--~'--L;-.!-~~-~_,:--~~,_.;t- Tenan1.mm.__...........__....mn___hdm..._____n__..._.____mn___n
. . t ~ ',' r'#" ~
WIrIng Contractor ......m."..':m..._..---'....~...,L------.---.--......m.. By...__....___........___...._________.___....._____..__...m..__......
f
Light Outlets____._______._...._.____.______________...
Receptacle Outlets_...mmnm..m_______nn
Service, volts ""''''00''''''''''''''''00___''';:''' "I
""
No. wires ....._______:...___nm_____..........
Dryer, KWlm.nnu
Range, KW
Water Heater:
Size wires__....n.n....nnnn...n~.._:n...___.
Main fuse .h_._m~'n(L:~.L..___m_..
Enclosure _______._____u_._.._...__.._____n____
KW.....n mnmm'...n'n...n
Heat: Rw___....I[l...,...S~.n.......n
Type of wiring:
Entrance Cable mmnnn...nnmnnm
Motors: size, volts and phase:
Rigid Conduit hnmnmnmmnunm_.
Metallic Tubing m___...__................
Current transformers:
No. & Size...mmm....__.__m.mmnn.h.
Ser. NO..n._n_n..n....._n_......n__......._n..
Ser. NO...h___........_.._nnnnnn_nn_nnu...
Ser. NO._nnn__nnn____._..n.............n_n_n
Total Loadm..mmmmmnnm..
Ser. NO._n__nn__n.._n.....__.__..nnn__nn___
Type of Wiring:
Armored Cable ..nh_..m_..mm_____n_
Non.Metallic mmm....m_umn_mn.._
Knob & Tube_...nmnnm..
Rigid Conduit m_mmnm_......_.....m
Metallic Tubing
Race'\\'ay _nnnnn.nn_........._..........__...
Circuits, LighL..mm....nmmumm_.mn..,
Utility n_nn.____hnnnn___n_.....h..........
Heat
Range ___...__.....___._.
Water Heater mnn__nnm____....-...-h
Motor
Dryer_..
Furnace nnu._.__._n_n__'''_''__m _
Total h_d___.n__nnn__nnn____nn_.__
Remarks: ...............___.....m....m.___..m......_________..mm...........______.....__..m..___................__..___.......___..m.m......___...m
Permit Fee Treas. Receipt
$.__.___.m..m.m.mmnnmm. NO.........m......__________ By .m..;~~::.b..~,~>...~.....m.m..............___...mm.
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. I! 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
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ELECTRICAL PERMIT
N?
15148
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(.{'Vl....tj t.-t~ ';" "'<1....'.........--......
Inspectioncompleted_____.____...h.__..._____.__.t........._......._.........._...n....~......___.._____.._........_._00___...._............_.____........____._______.........._.........._...__._~_
Total Load ....nnunn___n___n_n.nnn..n__n__n_:.......n.___n___n_n.uu....n.....00.
1M'" 3-72 Olympic Printers, Inc.
CfTy OF POIRT ANGELES jPF -TAUT APPLICATION
Bnildialg DiwisiouMlectt ical 1 "SPCCtions
321 East Filth Street— P.0. Box 1150/Port Angeles Washington, 98362
fPh. (360) 43,7 -4735 Fax: (360) 4114711,
Date:
,X 1 & 2 Single Family Dwelling
o� ptrrtr,t�C �J -�
F }
* Plan Review May Be Require pleasq Complete Electr7cal Plan Review Information Sheet
Job Address; --
Building Square Footage: _ ,u � C . �--
Descrlptlon of above.w�
Owner information
Name, - ?—I I i e.( _
Maillr�g d� s'
City: stale; l4 2ip: _ _
Phone .z --Fa'r
Llconse It I Exp,
Item
Sorvice odder 200 Amp.
ServicelFeeder 201400 Amp,
SaMoefieeder 401.600 Amp
5ervicelFe4der 601 -1000 AmP.
ServtcelFeeder over 1000 Amp.
Branch Circuit W! Service Feeder
Branch Circuit W10 Sendce Feeder
Each Additional Branch Cimull
Branch Circuits 1.4
Temp, Servlcel Feed or 200 Amp,
Temp. ServlaelFeeder 20140D Amp.
Temp. SeryicelFsederg01-600 Amp.
Temp, Service/Feeder 601-1000 Amp .
Portal to Portal lioudy
Signal Cincullf limited Energy -1 & 2 Family DWelling
Manufactured Rome Connection
Renewable Electrical Energy -5KVA System or less
Contractor Information
.j� E' `C,
Nerve; on;r !�
Mailing . d(�s� 1 ,
Phone: -
Vex:
License l s— 1 -
Witch 0 -Ch
$120.00 --,- --
$146.00
$ 205.00
$ 262.0 ---
5 ..- ---« --
$
$ 63.00
5 5,01)
a 75.00
$ 93.00,
$110.00
$145,00
$160.00
r064000b $ $
It 56.00
TotaliqW Mul tiled Un t Cha e
5
5
Thermostat
Note: $5.00 for each additional T -Slat
N C Nf RLQN ONLY:
$120.
First 1300 Square Ft. 0 ( "
Each Additicnai 500 Square Ft. or Portion of $ 40.00
Each Outbuilding or Detached Garage _74. 0
Each Swimming Pool or Hot Tub
LD Total
Owner as defined by RCW.19.26 -261: (1) Owner Will occupy t e structure agar this electrical permit is finalize+ 1. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease, P it expires after six months crf last inspect on.
After reading the above statement, I hereby certl, 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 lam, h1.E.C., RCW. Chapter 19.28, WAG. Chapter 41646B, The City of Port
Angeles Municipal Cade, and Utility Specifications and PAMt:1405.050 regarding Electrical Permit Applications.
SI re of owner, electrical contractor or electrical administrator: ❑ cash d Check
VCredll Cord A -
" olrat►2a1x
0� 7011T,4,v Q,
ELECTRICAL INSPECTION
WIRING REPORT
17-
4 4735
KS 5L
DATE.
PEF VT #
INSPECTOR
OWNER 7,-----
-6
CONTRACTOR
46a
ADDRESS
Z,-Z, L..) l S77�
NOT APPROVED
D.................... DITCH. . ............ - ...11
D ............ ROUGH IN/COVER ............... &V
.................... SERVICE. . .......
..................... FI NAL . ...........
CORRECTIONS NEEDED:
tCr jt5 4Ll A,'Z
1--)
) ... 1, V
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
11 Mel E 176- .- �
a�QORtAI& ELECTRICAL IN E TI
WIRING REPORT
KS �n 417-4735
DATE:
PERMIT #
INSPECTOR
1,
OWNER
CONTRACTQR
6j vsp e,
ADDRESS
Z—& l�
APPROVED NOT APPROVED
® .............. ......DITCH ....................
0. . .............. ROUGH IN/COVER ............... 0
0. .......... . SERVICE ................... C7
0 ................. ....FINAL.....................
CORRECTIONS NEEDED:
Kno u
z� 4aay fz Q a Par-�i_rs.1
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 CAPS
DO NOT REMOVE
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360= 417 -4735
Application Number . , , . ,
14- 00001533 Date 12/30/14
Application pin. number . , ,
123217
Property Address , . , , , .
422 W 4TH ST
ASSESSOR PARCEL NUMBER:
06- 30- 00 -0 -0- 8510- ,0000-
REPORT aSSALES %'�[
Application type description
ELECTRICAL ONLY
Subdivision Name
ALTER RESIDENTIAL
on your excise fax form
Property Use
Property
to the City of Port Angeles
Zoning , , , . , . .
Application valuation
PUBLIC BUILDINGS & PARKS
0
(Location Code 0502)
. . . .
Valuation , , , .
0
----------_--------------
Application desc
------------ --- - - - - -_
Service repairs
Extension
Owner
Contractor
FEDERAL NATIONAL MORTGAGE ASSO
SIMPSON ELECTRIC
PO BOX 650043
243036 W HWX 101
DALLAS TX 75265
PORT ANGELES
WA 98363
(360) 457 -9270
_-------°--------------------------------
Permit . , . . , . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . ,
Permit Fee 120.00
Plan Check Fee
.00
Issue Date 12/30/14
Valuation , , , .
0
Expiration Date 6/23/15
Qty Unit Charge Per
Extension
1.00 120,0000 ECF EL -0 -200 SRV FEEDER
120.00
--------------------------------------------
Special Notes and Comments
December 29, 2014 10:01 :50 AM
banders.
Install mast S' above the roof
to gain necessary clearance
vertical clearance of service conductor, Meter base needs
to
be 41-G" to 6' above ground to
Center of meter.
Fee summary Charged - ---
-- Paid - - -- Credited - - - - -"
Due - -- u
Permit Fee Total 120.00
120,00 __ - -00
- -T -00
Plan Check Total .00
.00 pp
,00
Grand Total 120.00
120,00 .00
.00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 1Z13� !�f
ROUGH -IN ,7 1
FINAL f ` 51
COMMENTS:
PEWIT WILL EXPIRE SIX (6) MONTHS MOM LAST INSPECTION
Signature of owner or Electrical Contractor X Data:
G:IEXCIIANGEIBUILD]NG