HomeMy WebLinkAbout424 E 11th St - Building ELECTRICAL PERMIT r
CITY OF PORT ANGELES CJJ
360- 417 -4735
r
Application Number 11- 00001316 Date 11/22/11
Application pin number 013012 REPORT SALES TAX
Property Address 424 E 11TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 4015 -0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp meter replacement
Owner Contractor
GLEESON PAUL F SIMPSON ELECTRIC
424 E 11TH ST 243036 W HWY 101
PORT ANGELES WA 983627934 PORT ANGELES WA 98363
(360) 457 -9270
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 3
Permit Fee 119.90 Plan Check Fee .00
Issue Date 11/22/11 Val ation 0
Expiration Date 5/20/12
Qty Unit Charge Per Extension
1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90
Special Notes and Comments
November 21, 2011 9:20:09 AM tamiot.
Raise strike on house to give 12ft minimum clearance above
grade for service conductors per NESC.
Trim tree to give clearance for service conductors.
November 22, 2011 8:01:57 AM tamiot.
November 21, 2011 9:16:25 AM tamiot.
The strike on the house need to be raised 18" to increase
clearance for service conductors.
Trim the tree that the service conductors run through.
Fee summary Charged Paid Credited Due
Permit Fee Total 119.90 119.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 119.90 119.90 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: Q112-kA) 8/7i 7
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
-3 CE -d-
C 1 c r
CITY OF PORT ANGELES PERMIT APPLICATION 2 w
Building Division/Electrical Inspections a- 4t,77441:;0.1. --4..... ELECTRICAL
321 East Fifth Street P.O_ Box 1150 Port Angeles Washington, 98362 INSPECTIONS "iii ffiliiiiiii --ti4/b
Ph: (360) 417- 4735'1F'ax: (360) 417 -4711 11
Date:// 1
7 Nc 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration F smodel Repair'
Plan Review May Be Requipd, Please Complete Electrical Plan Review Information Sheet
Job Address:
Buitdrng Square Footage:
Description of above .r c at. rc' ?p- eye
Owner Inragmatian Contractor Information
Name: f 'k-. Name �3 �P C' rev C e___ Mailing mess: Man d s• v S
City: 1L.. tate: l! Zp: City: s State: ,I i
Phone: Fax: Phone:
License It _j
/Exp, License #IExp_ .9 ,e'6)
Item Unit Charge Total L Mut find by Unit Charge)
Service/Feeder 200 Amp. 119.90 5 3.0 Service/Feeder 2.01.400 Amp. 5145.50
Service/Feeder 401-600 Amp 204.60
Service/Feeder 601 -1000 Amp. 262.20
Service/Feeder over 1000 Amp. 372.50
Branch Circuit W/ Service Feeder .2.60
Branch Circuit W/0 Service Feeder 73.50
Each Additional Branch Circuit 5 2.60
Temp, Service/ Feeder 200 Amp. 92.70
Temp. Service/Feeder 201 -400 Amp. .5110,30
Temp. Service/1=eedar 401 -600 Amp. 5148.70
Temp. Service/Feeder 801 -1000 Amp 167.90
Portal to Portal Hourly 5 95.90
Sign /Outline Lighting 5 88.20
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5,00 fur each additional 1500 sf
Signal Circuit/ Limited Energy -18.2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90
Manufactured Home Conhbction 119.90
Renewable Electdcal Energy 5KVA System or Less 102.30
Thermostat 56.00 5
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, $110.30
Each Additional 500 Square Ft. or Portion at 5 35.20
Each Outbuilding or Detached Garage 5 73.50
Each Swimming Pool or Hot Tub 110.30
j/ 9- y Gl iota!
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) wrier '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 contra :tor. I am making
the electrical installatlorroralteration 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 Rp 1ications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sign re of owner, electrical ctor or electrical administrator: Cosh 0 Cheek e 'll;L
CmedttCab4
s As..... /e/, ...t 7/ olminolo
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 6/27/2001 PERMIT NO 7314
OWNER/APPLICANT PROPERTY LOCATION
Gleason 424 11 E
424 e. 11th Lot:
Port Angeles, WA 98360 Block: [] Long Legal
360/000-0000 Subdivision:
T: S: Parcel No:
CONTRACTOR ARCHITECT
COLEMAN ELECTRIC N/A
PO BOX 1326
PORT ANGELES, WA 98362 , 98360-0000
360/452-7594 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: FEEDER ._~
Occupancy Group: Zoning Use: ~
Electrical Heat: ~
[] Baseboard 0 KW [] Riser [] Underground Service
Furnace 0 KW [] Overhead Service Voltage: 120,240
~ Heat Pump 10 KW [] TempService Phase: [] I [] 3 ~
[] Fan Wall 0 KW Service Size: 0 ~
Feeder Size: 0 ~
PROJECT NOTES
Sub for new heat pump and smokes ~
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $61.50
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $61.50
AMOUNT PAID: $61.50
BALANCE DUE $0.00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS VNrA IFFUL TO CO
INSULATE 01~ CONCEAL ANY WORK BEFORE IT ,$ INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
/
DITCH
ROUGH-IN / COVER
SERVICE
FINAL I ~/-~'/~', I ~ I
GENERAL COMMENTS:
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
Owner/Business Address:
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
P('SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
.
(~
4JU
.
j
r~~
\
,/<1& "3
PERMIT NO.
//;Z/ff
f '
DATE
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
%OVERHEAD SER ICE
o UNDER U 1?J...SEJ;l\tJCE
VOLTAGE: ,t"9 ;""'<YV
f1f'SINGL PHA E
o THREE PHAS-=+
SERVICE SIZE WI AMPS
/$1 ~U/ )
, /
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
;(;lfl'1f3 Final O.K.
Site Address:
Lf",;J.t/ ~
Installer: p
//14
~
Permit/Rece~pt ~.
4'-1 <v '/
New Meters
.---
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
.--
I ch4-v
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PEAMIT
$
Electrical Inspector
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
.;<s t}2
Permit Fee
GREEN - Top: Meier Dept., Bottom: City Hall
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.:
Pennit #: ., ~ I 'f
Dale: Approved:
D... wued: 6>/ .;z, / A (
The Electrical Permit Application must he fiOed oul completely.
Please type Dr print in Ink. UYDU have any quesUons, please call (360) 417-4735
Fax number: (360) 417-4711
G,kmlhl Ek:kic... Phone:
Gle..<t...f", .J
Fax # 0-;2 - 7.:s?t/
Applicant and/or Agent:
Property Owner:
Address:
Phone:
Contractor
City:
License #: . Exp:
City:
Zip:
Phone:
Zip:
Address:
Credit CardHolder Name: 130bbit, o. eoklWl/-u
Billing Address: S Z. z- w, /b ~l- ,
VISA X MC_
PROJECT ADDRESS: sL:l s/ E / /' .~
LEGAL DESCRlPTION: Lot: Block: Subdivision:
ZONING
CLALLAM COUNTY PARCEL NUMBER:
TYeE' OF WORK:
.vResidential 0 Multi-faIDily 0 Commercial 0 Mobile Home
Electrical Permit fees are based on WAC 296-46-910
BIUEF DESCRIPTION OF THE PROJECT:
C /-rt- ,
0<<- t
~,L.
~,I ~""I" /~ ku.l /
Electrical Heat Load Additions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
KW
KW
KW
KW
o Riser
o Overhead Service
o Temp Service
o Underground Service
V ollage:
Phase: 0 1 0 3
Service Size'_
F ceder Size:
Comments:
I hereby certi/Y thatl have read and examined this application and know the same to be true and correct, and I am authorized to apply
for this permit. I understand it is not the City's legal responsibility to determine lI<Ilat permits are required; it remains the applicant's
responsibility 10 determine what permils are required and to obtain suJ.}'~ &f-c1 C:If~
PW-II02_23 [J<V3/.00) Credit Card Holder's Signature: I"L.--UdA 14<. <!'Q. ~Date: :5jIr../OO