HomeMy WebLinkAbout1212 E 6th St - Building
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.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ;;J '70":<'
DATE /2 -R-9Z
ELECTRICAL PERMIT
Owner/Business:
o READY FOR
INSPECTION
License Number:
yr. WILL CALL FOR
INSPECTION
Phone:
Site Address:
Installed By:
Phone:
Sq. Ft.
Owner/Business Address:
)g 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
}1q REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ OVERHEAD SERVICE
~oCiND~~J,W~~VICE
~GLE PHASE
o THREE PHASE
SERVICE SIZE(SH9f) AMPS
Details/Description:
w~!ze
~
~JL
/Jf~
.
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
00'''" ,",,oct,," OK t?:V---:
jpt. t0lough.in/cover O.K.C,.a..J:aiW.) cJlw.vJ"~~~
o O.K. to connect servlc .
#1'P Final O.K.
Installer:
Site Address:
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.
~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT c2.D t??!:?
r $
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN _ Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
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06/18/2014 09:03 FAX 360 452 9265 Angeles Electric
CITY, -OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street —P.O. Box 11150 / Port Angeles Washington, 98362
Ph: (360) 41747 5 Fax: (360) 4174711
Date: ✓ _fig 8, 2 Single Family Dwelling
' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Jab Address:
Bullding Square Footage:
DescrlpWn of above
Owner lnforma on
'
Name;
Mailin Address;
i S t
Cfty: State, Zip:
ate. 14/ f/ Zip;
Phone: _ Fax:
a, - r^.2 6
License # / Exp.
Ir _
13%3
Total lftlplled bX l! t
Item
Unk Chacge
Service/Feeder 200 Amp.
$120.00
Service/Feeder 201.400 Amp.
$146.00
Service/Feeder 401 600 Amp
$ 205.00
Service/Feeder 601 -1000 Amp.
$ 262.00
ServiceNeeder over 1000 Amp.
$ 373.00
Branch Circuit Wl Service Feeder
$ 5.00
Branch Circuit W10 Service Feeder
S 63,00
Each Additional Branch Circuit
$ 5100
Branch Circuits 14
$ 75.00
Temp. Service/ Feeder 200 Amp.
$ 93.00
Temp. Servic0seder 201 400 Amp.
$110.00
Temp. ServicelFeeder 401.600 Amp.
$149.00
Tenip. Service/Feeder 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96.00
Signal Circuit/ Umfied Energy -1 & 2 Family Dwelling
$ 600
Manufactured Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102.00
Thermostat
$ 56.00
Note, $5.00 for each additional TStal
NEW CONSTRUCTION OSILY
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 TO
$110.00
ELECTRIM
II1SPFC'noNs
16 000 1/0 001
Contractor Information
-'
Name:
Malting Address
i S t
Cllr:
ate. 14/ f/ Zip;
Phone.
a, - r^.2 6
License # / Exp. .66*6L
Ir _
C,ty
Total lftlplled bX l! t
$
$
S
$
$
$
$
a
$
$
f '� 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, KE.C., RCW, Chapter 19.28, WAC. Chapter 296468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical adminlstrator: ❑ Cash El Check
reap card e Dom" �—
Dad: M10117012
1
1J,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . . . 14- 00000719 Date 6/20/14
Application pin number . . . 302346
Property Address . , , . , . 1212 E 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-.2- 7.120 -0000-
Application type,description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . , , . , RS7 RESDNTL SINGLE FAMILY
Application valuation , , , 0
Applicat'Ion desc
200 amp service change
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Owner Contractor
BICKFORD DENNIS /GEORGIA ANGELES ELECTRIC
1212 E 6TH ST 524 E, 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
{350} 452
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Permit , , . I ELECTRICAL ALTER RESIDENTIAL
Additional dose , .
Permit Fee 120.00 Plan Cec]c Fee 00
Issue Date 6/20/14 Valuation 0
Expiration Date 12/17/14
Qty Unit Charge Per Extension
1. -00 120.0000 ECH EL-0 -200 SRV FEEDER 120.00
Special. Notes and Comments
June 18, 2014 3:06:39 PM banders,
Extend service mast to provide minimum 16 feet clearance
over driveable area.
- - -- -Fee summary - - -- - - g
Char ad Paid Credited Du
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 DO ,00 OD
Grand Total 120,00 120.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
4R
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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