HomeMy WebLinkAbout1746 E 5th St - Building
CITY OF PORT ANGELES
LIGHt DEPARTMENT
ELECTRICAL PERMIT
N~
17562
(, -/C T/
Port Angeles. Washlngton......m_m..m......_.........mm._mm.m....mm. 19m..'..
In accordance 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.
I>YC E 3-tt A'"
~::::s..::::::::::~J..=:::::::d;..~::Q~J~~~:::...~:::~~.:~:::::::~..:::::=::::::::::::::::::::::::::
Wiring C01[tfactor mm~f!YJ!ijt:m8fP.......I~/.By.............mm....mm-mm.........--..........."".m".'
Light Outlets........______...___........____.._..... Service, volts /..~".r__..:5...f:!.e.... Type of Wiring:
;,:::~~:~...~~::.e~.~:::::::::.:::::..:::::.::::::. :l:'e w~:::s:::~d::Z~::::::: ~::::al~:l.~..:::::::::::::::::::::::::::::
Main fuse ...1-!t?.o...Il___........... Knob & Tuben..............n............n..
S
Enclosure .......................................
Range, KW ..............................> ........ ...
Water Heater: . ~
KW___..)!"~"mm..n..'Ji;
Heat' KW...,.'z(1f;~._g.,.d!.~___c
MO/..C;;:;;:!;;tP..~
.~
Rigid Conduit ..........___
Meta1l1c TUbing .......
Current transformers:
No. & Size.......................................
Ser. No..............................................
Ser. No...............................................
Ser. No...............................................
RIgid Conduit ...................._________..
Metalllc Tubing ...______.....___.______...
Raceway ..................................__..._
CIrcuits, LIght.......................................
Utility....nnn......______..........___.....___..
I-Ieat ......................................._......
Range .............................................
Water Heater ...............................
Motor .............................................
Dry~r ................................................_
Furnace ........_..............__......_...........
Remark:~ta:..~~~~............~..:.:::.::::.::..m....>~.~t::R~...~..::::......m._m.mm..~.~~~:..::::..::.::....::.:~..:.:~.::::
'"
_.__.___._.___.__.__._._.._.;.____________.____._.___n____.____.__..__..____...__._._._.._____.._._.._.___.____.__.__________._._.____..___._.__.__..__.__.__.__________....___
,.....m.....m.....mmm.m...m......m..........m...mm.............m.............mm.mm.:.m............~....;m.;.m.......m.....mmZ..---. ..
,Permit Fee Treas. Receipt JI y?I (.t::. ~
$:.........000...000..000....___..000.. NO.m.mmmm....m..... By ....L~.I:.:L../..1;cl:::!..(2._?q...~:;'?.2~'--
/ '
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be gi-ven the Inspector so that work may be inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
//
ELECTRICAL PERMIT
N~
17562
Address........................................................................__......................__......................................Date..._......_.._.._.._.........._......_......_.........
Owner ...........................,........___...._.._......_......_.._......................................................_.... TenanL........................................................__.........
Wiring Contractor...................................... ....................._.............................................................By................................................_............
NOTICE-Current must not be turned on until Certificate ot 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.
1M Olympic Printers, Inc.
�OF pORr.{;4CF -..�
CITY OF PORT ANGELES PERMIT APPLICATION CE
Building Division/Electrical Inspections VED
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362/Ut
Ph: (360) 417 -4735 Fax: (360) 417 -4711 2014
Date: % 1 & 2 Single Family Dwellingftpfer,
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: '� C , f
Building Square Footage:
Description of above
Owner Information
Name : 1, 0
Mailing Address 1"7!
City, 'PA— Stale: t—' —Zip:
Phone: Fax:
License # 1 Exo,
Item
Unit Charge
Service/Feeder 200 Amp,
$120.00
Service /Feeder 201 -40C Amp.
$146.00
Service /Feeder 401 -600 Amp
$ 205.00
Service /Feeder 601.1000 Amp.
$ 262.00
Service /Feeder over 1000 Amp.
$ 373.00
Branch Circuit WI Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
$ 63,00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
Temp, Service/ Feeder 200 Amp,
$ 93.00
Temp. Service /Feeder 201 -400 Amp.
$ 110.00
Temp. Service /Feeder 401.600 Amp.
$ 149.00
Tamp. Service /Feeder 60 1 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96,00
Signal Circuit! Limited Energy -1 & 2 Family Dwelling
$ 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
NEW CONSTRUCTION ONLY:
First 1300 Square FL
$ 120.00
Each Additional 500 Square Ft, or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$ 110.00
Contractor-information
Name: 7S co
Mailing Address: !S�Q Z
City: State: Zip:
Phone: F
License #IExp.
Total (Qty Multiplied by Unit Charge)
r $
$
$
$
$
$
$
$
$
$� 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 required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six 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 Vwn� elecl al contractor or electrical administrator: ❑ Cash , 4hack
1) Credit Card #
�� " /Y 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 14- 00000891 Date 7/29/14
Application pin number . . , 967265
Property Address . , . . , 1746 E 5TH ST
ASSESSOR PARCEL NUMBER; 06- 30-00 -0 -1- 8505 -0000
Application type,description ELECTRTCAI, ONLY
Subdivision Name . . . , . .
Property Use , . . , . .
Property honing . . , . . . , RS7 RESDNTS, SINGLE FAMILY
Application v`aluaticn 0
--------------- - - - - -- ------------------------------------------------------
Application desc
Main breaker repair
-------------------- ------- --. -__ - ---- --__.._- _- ..__.----- -_-- _ - -___- ..__.__
Owner Contractor
-- ---- ------- ----- - - - - -- ------------------------
JOHN B /MARY SWEDSTEDT TRUST BLACK DIAMOND ELECTRICAL CONTR
1746 E 5TH ST 502 BLACK DIAMOND RD
PORT ANGELS,S WA 983624918 PORT ANGELES WA 98363
(360) 565 -1035
---------------------------------------------------------------- _- ...___ -____
Permit , , . . , , ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Permit Fee 1.20.00 Plan Check Fee .e0
Issue Date 7/29/14 Valuation 0
Expiration Date 1/25/15
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
0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
17710�1 hq
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS .FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILDING
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