HomeMy WebLinkAbout1626 W 5th St - BuildingCITY OF PORT ANGMM N 0- 17780
LIGHT hr$ARTMRNT ELECTRICAL PERMIT
Port Angeles, Washington ----- -r- - 191 .°� -
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.
Address A o - .- ? --'- ---
--------- --- ------ Occupancy ---__I_Z-n_---- ..... -.............
Owner----- ..... ................... Tenant -----...._.---------- ---------- - ---------------- - --------- - ---------
Wiring Contractor - -'fi' °ry` --0^ ------------------------------------ By - -
Light Outlets ................................ ... .....
Service, volts ................... _..................
Type of Wiring:
Receptacle Outlets .............. .................
No. wires ........ ...............................
Armored Cable.
Dryer, KW ..........................................
Size wires ................................... ...
Non - Metallic .....
Range, KW .......... ...... ... ........_.............
Main fuse .......................................
Knob & Tube.....
Rigid Conduit ...
Water Heater:
Enclosure ........ ...............................
Metallic Tubing
KW..----------- ------ .......'---- .......... - -.
Type of wiring:
Raceway .............
Heat: KW .................... ...............................
Entrance Cable .............................
Circuits, Light...........
Motors: size, volts and phase:
Rigid Conduit ................. - ............
Utility .................
...........................................................
Metallic Tubing ...._---_ ................
Heat ...................
Current transformers:
Range .................
............................ ...............................
No. & Size ........ ...............................
Water Heater ...
Ser. No ................ ................... ............
Motor ... .............
Ser. No ............. .... ...........................
Dryer......................
Furnace ........... .....
........
Total Load ..................j.....
Ser. No ............................... .............
Total
/.. ...
Remarks: ---
/j
" F 14/
.t..../j...
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Permit Fee Treas. Receipt /
$ No ............................. B � . /i"a_L;,C%L... --'t -v
y::
NOTICE— Current must not be turned on until Certificate of Inspection has been Issued. If 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
ELECTRICAL PERMIT
Address
N_ 17780
Owner................................... ....... _.._ ...... ....... _.._........................................................... Tenant.............................--...... ...............................
WiringContractor................... ................ _ ..... ................ _ ............... .............................................. By............................... ...............................
NOTICE- - Current must not be turned on until Certificate of Inspection has been issued. If work 1s to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
\�
�. 1M Olympic Printers, Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . . 15- 00000657 Date 6/09/15
Application pin number , , , 326867
Property Address 1626 W STH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1 -2830 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , . . . . ,
Property Use , . , . , . , .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation , , . , 0
Application ciesc
Meter replace
Owner Contractor
DAVID NEWELL OWNER
1626 WEST 5TH $T
PORT ANGELES WA 98363
Permit . . . , . .
ELECTRICAL
ALi'ER RESIDENTIAL
RESULTS:
INSPECTOR:
.Additional desc , .
Permit Fee . . .
120.00
Plan Check
Fee
00
lesue Date
6/05/15
Valuation
0
Expiration Pate
12/06/15
Qty Unit Charge
Per
Extension
1100 120.0000
SCH '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
,Op
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G:IEXCHANGM- UILDING
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Part Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 4711
Date:
1 & 2 Single Family Dwelling
RECEIVED
J,: :��
UC RICAL
WHOWIS
* Plan Review May Be Required, Please Compll-te Elect icai Plan Review Information Sheet
Job Address: 14 v0� 5�
%C `. it
Building Square Footage:.
Description of above
Owner Information t
Contractor Information
Name 1 &,J i,A ttZ �\
Name:
Mailing Address: � 2 f- L4
Mailing Address:
City: State:&�,A Zip: W:U 3 City: State;
Zip;
Phona.1 i4 i — /o- �2j�, Fax
Phone; Fax:
u�
License # I Exp, n164 S ,64021 �Zo0 (k L ' 3
" 1 License # I Exp.
Item
Unit Charge Qty Total {1J MultiRliep by Unit Char e
ServicelFeeder 200 Amp.
$120.00.1—
$
ServicelFeeder 201 -400 Amp.
$146.00 _
$
Service /Feeder 401 -600 Amp
$ 205.00
$
Serviw/Fecder 601 -1000 Amp.
$ 262.00
$
Service /Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W/0 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1 -4
$ 75.00
$
Temp Servicel Feeder 20D Amp.
$ 93.00
Tomp ServicelFeeder 201 -400 Amp.
$110.00
$
Temp ServiceJFoeder 401 -600 Amp.
$149.00
$^
Temp ServicelFooder 601 -1000 Amp ,
$168.00
Portal to Portal Hourly
$ 96.00
Signal Circuill 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 Ft.
$ 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
$
$ 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 of owner, electrical contrac1pr-or jOUttrical administrator: El Cash ❑ Check
r ��° `
//�� p ❑ Credit Card # _
r ✓
Dated: P 1
0110112012
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