HomeMy WebLinkAbout519 W 6th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 12- 00000784 Date 6/20/12
Application pin number 306816
Property Address 519 W 6TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-,0-9555-0000- on your excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp meter replacement
Owner Contractor
PAGE MILDRED P SIMPSON ELECTRIC
519 W 6TH ST 243036 A W HWY 101
PORT ANGELES WA 983625805 PORT ORT ANGELES WA 98363
(360) 457 -9270 C-\).
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 120.00 Plan Check Fee .00
Issue Date 6/20/12 Valuation 0
Expiration Date 12/17/12
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE (iO)J 514V
ROUGH -IN
FIN AL /1)//2-
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
NEC,ENLii; i'
s 18 2 t v J N
CITY OF PORT ANGELES PF..RMIT APPLICATION N ELECTRICAL g
a
Building Divisio Inspections INSPECTIONS ''r
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ,s 'CA
Ph: (360) 417 -4735 Fax: (360) 417 -4711 "fir _t
Date: 4-a-/.2.
1 2 Single Family Dwelling
Plan Review May Be Rey uired, Please Complete Electrical P an Review�.l n�S -t5 j
Job Address: era_ 1
Building Square Footage: ,J l
Description of above ;I -4f 4
Owner Information i Contractor Information /-1-- Name: �'L..�% •e
Name: 11 I E e. 4,1
Mailing Add =s j d Mailing A.. -s :120_ i LQ
City: 1 tate:
Zip: b City: F I State Pr Zip:
Phone: Xi1PA 1. Fax: Phone: 70 Fax:
License Exp. License Exp•_ _Xhi f ,-C -1_ ci 9 3
Item Unit Charge qty Total (Qtv Mutt�plied by Unit Charge)
Service /Feeder 200 Amp. $12 ADD. !a
Service /Feeder201 -400 Amp. 146.00
Service/Feeder 401600 Amp 205.00
Service /Feeder 601 -1000 Amp. 262.00
Service/Feeder over 1000 Amp. 373.00
Branch Circuits 1-4 75.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service/Feeder 201-400 Amp. 110.00
Temp. Service/Feeder 401 -600 Amp. 149.00 r
Temp. Service/Feeder 601-1000 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
NEW CONSTFtuCTION ONLY:
First 1300 Square Ft. 120.00
Each Additional 500 Square Fl. or Portion of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Hot Tub 110.00
slat) Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. 12) 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 inspector
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical cc :ntractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC- Chapter 296 !i6B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signs of owner, electrical contra administrator: I=1 Cash Check
93
i
Credit Cant E✓
I I" A Dated: -z,e 4.2, 0110112012
e.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. /,VS?,
DATE '6/ I~/?'r
Site,S';~ (Vt ~t:5
Installed By: / /
eu ne,....1t
s.f
o.
D READY FOR [ltWILL CALL FOR
I NSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
DetailslDescription:
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load ~Add/aiter circuits
Total Connected load 0 Auxiliary power
(attach breakdown) (I ist below)
Total Motor load 0 Special equipment
(attach breakdown) (list below)
-:;::;:; ~~1t:::::-- cp::; <k17f"H JP _
%l.L-e_ /~..e?~ilA'.I., (/~
0-New Construction
o Remodel
o Service update/alter/repair
t( Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
Amps
.
7:th"f1 &M-tf~/I/J., /MI
(/ '- ===r
(4......, 1/7f'1J.-L ~ '
~
./4 '2'0
&~/./
;)ODc->nYJ
1/0 - .<) t:? On<.-f L)
W.S. No. Service
Capacity: 0 OK 0 Not O.K.
_9 Ditch inspection OK
r~RoUgh'in/cover O.K.
~ R O.K. to connect service
~ ~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Permit/Receipt No.
Installer:
New Meters
o
.
Notify the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
./to-/? NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ &:,. tJ ()
-1"~I-'t;;""'IVI '~ Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall