HomeMy WebLinkAbout431 W 12th St - Building
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. / 7 7 :2...
DATE 7// ~
Site Address:
Installed By:
d- -r-"-.
e Lee.
D READY FOR
INSPECTION
D WILL CALL FOR
INSPECTION
Owner/Business:
Phone:
11
Sq. Ft.
OwnerfBusiness Address:
~sidential9 " 1
Heat KW ~ vv
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
\l6" Overhead
10' Underground
Voltage ') --';0
.0'10 03.0
Service size ~ Amps
o Temporary
Detai IslDescription:
o Addlalter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
'-;1'//,,) ~
.
\
\
\
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ Rough-in/cover O.K.
)'J1~ ~:_K~ to connect service
~iO.K.
Size
Comments
Date
Hoid for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of i'nspection
o Plan Review approved/pending
Site Ad/lE-/
Installer:
New Meters
I
/
Notify the Department of City Light by Street Address and Permit Number when ready for 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.
Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
I'~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
..30,00
OLYMPIC PRINTERS, INC.
CITY OF PORT ANGuLEs PERmrr AppurcAnm
Building Division/Eiectriad Inspections
321 East Fifth Street -- ]P.O. Box 1150 I Fort Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417-4711
Data.- 21 & 2 Single family Dwelling
*Plan Review May qe Required,
Job Address; .,. _. ,; en..1� .VI
Building Square l cfta.
Descgpffon of above L ,-k 4.
Owner infonnation
taamw-
Malldngjkdd=. -__,%3 Le . ¢. � �, t-k
city.
License# f BxQ.
item XP-1+
<'Og -^ ';:�7 q 4 unit Charge
ServlcelFeeder200 Amp.
$120.00
ServlcelFeeder201 400 Amp.
$146.60
ServicelFaader401 -600 Amp
$ 205.00
Servic e/Feeder(101-'1000Amp.
$ 262.00
ServicelFeeder over 1000 Amp
$ 373.00
Branch Circuit W/ Service Feeder
$ 5.06
Branch Circuit W/O Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.0U
Branch Circuits 7.4
$ 75,OD
Temp. ServicsfFeeder200Amp.
$ 03.40
Temp. Servlc e0eeder 201400 Amp.
$110.00
Temp 8erv1celFeeder401-61)D Amp.
$149.00
Temp. Seri icelFeeder601 -1000 Amp.
$166.00
Portal to Portal Hourly
$ 98.00
Signal Circuftl Limited Energy- I & 2 Family th+reliing
$ 64,00
Manufactured Home Connection
$120.00
Renemble Eechieai Energy -5KVA System or 1.,
$102.00
Thermostat
$ 66.00
Mote: $5.00 for each additional T -Stat
NBW CONSTRUCTION QY Y:
Firstl= Square Ft
$120.00
Each Additional $00 Square Ft or Portion of
$ 40.09
I ob Outbuilding or Detached Garage
$ 74.00
Each SWmrning Pons or Hot Tub
$110.00
7-11'�
APR 21 2015
ELEGIRICAL
wSPECTIONS
Review Information Sheet
Contractor information
Dame _5x�rt�
Meifsng Address,
(. ', -
Clty
State.^
tGS �
yFat
Total 10kIlduldolled by Cnit C ar,
S
$~ Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the Structure fortm yearn eitarihis electrical permit is finalized. (2) Owner is require
to hire an elec ical contractor if abofre said property is fbr sale, mart or lease. Permit expires after six months of last inspection.
After reading the above statement I hereby certify that t am the owner of the above named properly or a licensed electrical contractor. t am makir
the electdcal installation or alteration in cornpbrice with the electrical law, N.1 =.C., RCW. Chapter 19.28, WAC. Chapter 2911 -4613, -rho Clly of Pot
Angeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding EiecWcal PerrnikApplicaf ons.
Signature of owner, electrical contractor or efecirila administrator. ❑ casts ❑ cke&
a
❑ Craafit Card #
x -»�t5 . l •--� -- oaten. 2 t / S n1r1r2
E
ELECTRICAL PERMIT '
CITY OF PORT ANGELES --F-
360-417-4735
Application Number . , . , . 15- 00000412 Date 4/22/15
Application pin number , , , 925424
Property Address . . , 431 W 12TH ST
ASSESSOR PARCEL NUMBER; 06- 30- ao- o-- 47so -oao0- REPORT SALES TAX
Application type description ELECTRICAL ONLY
subdivision Name ,
on your excise tax form
.Property Use to the City of Port Angeles
.P .. _........
roperty zoning (Location Code 0502)
Application valuation 0
Application desc
Ductless Heat Pump
Owner
Contractor
RESULTS:
------ ----------- -- -
LARSON JESS E
- --
------------------------
EXTRA MILE TECH &
ELECT,, LLC
431 W 12TH ST
418 N, RACE ST,
PORT ANGELES
WA 983627610
PORT ANGELES
WA 98362
(360) 457 -5222
Permit , . . . , .
ELECTRICAL ALTER
RESIDENTIAL
Additional desc . ,
COMMENTS:
Permit Fee
68,00
Plan Check Fee
,00
Issue Date
4/22/15
Valuation
0
Expiration Date
10/19/15
Qty Unit Charge
Per
Extension
1,00 5.0000
ECH EL -ECH
ADDNT BRANCH CIRCUIT
6.1 00
1100 63,0000
ECH EL -R-
BRANCH CIR WO/ 9EP FEED 63,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total
68,00
68.00 00
.00
Plan Check Total
00
.00 .00
.00
Grand Total
68.00
68.00 ,00
.00
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 X Date:
G:IEXCHANGGABUILDING
a �Qfldjng.DMs:fO + i e��acaa�s
i q t1t ea
Box •w �. ox 1150Ir@ tAnge)I VI
Ph* (1150) 41"4735 Fax: (360) 417 -471 n;tare, 98362
2 Single 1--aMlly Dwelling
Plan Review May
dpi} Address: r— I
3didIlIg squa FO age:
Qe..crirkun of abovB-
owner information
E16Ctl1cd AM Relfiew information Sheet
Hams
#Ing Address -�� �
Ci2i
ucwae
---
Jte
S5rWWFe8dar200Amp_
ilriEt 11 i
Sef"IMJFeeder201- 4Q(3Amp.
$ 120.00
8ervkc&JFeed5r4G1- 60lA€np
$146,00
ServiCalFsedet' 601 -1000 Amp,
$203.00
ServiCelFeWIsr over 10QC1 Amp.
$ MOO
Branch C(rcuiiW(ServiceFeeder
S; .00
Branch Urcukt W/o servf0e,1"e-ier
S 5.W
EaCh Additional Branch Circuit
s 63.00
Branch Circuhs 14
S 5.00
Tema. Service! Fesder200 Ark
i
S 75.00
93.00
smo. 39rv1ce/FeWer2014GO Amin
Ternp.
.5
$110.00
8erft Faeder401.600 Amp.
i
$749,00
crop. SesvicelFeeder ra(344C1GO A;np
.
Portal to Portal Hourly
S169.00
Signal E;ir�;t iti i liTiit6Ei 111@
Wflutactured Home Conneeccuorr & 1 Enmity i? allinta
S SISM
s 64.0U
enewatale Eeutrlcal Energy - 5KVA ajstem
S 120.011
Thermostet OrL=
S 102M
Note. "MOO for�,.ach additional T,51at
� 56.1711
N W CC3R . rant AnR V.
First 13n0 Squats F1
V1
i
w� A
AP �c
ELECTRICAL
INSPECTIONS
Contract r Info tion _..
M 'lin '��
Mailing -`�
ta4;61150 J ap.
Lt xltt lied b Platt Cktar e
Each Addiftal500 Squane FL orPorl:an of $ 120.00
ac:h Clrrkauilding ori7atached Carnes S 4E,00 �
Each S�� IMang Pool or Hot Tub S 74.00 " ' �ti
110.00 �..�
O3lrlerasdefiinedbyRCK19. 28; 2a1 :(1)Ck�merWd occupy fhestructtar trtwo yeam � Total
to to Mire an eleftal asntractor ifaboue said praperky is for sale, rent or leases Permit air tI1f6 elactracal parmit is i-rnzftM. (2) rraeris required
expires a€fer sip months of irssparr.
After reading the above statement, l herein
the el trial installation or alteration in l€ v*h the ei ical Jam N E � �1��i�1 Ch pier 19.28 iW C. hapter29� The arty making
Angeles Municipal Cade, and i.ltilitySpeCitt ens and PAMC 14,050050 regarding Etrcirical Pe rriiRp�sltcafians. rafPcrl
Slgnatura Of t3Wnet, electrical contractor or el }cal administrator;
CI cash C7 Check p
edits Ci #? a j I'l —
!i ldiill2{t1�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . . 15- 000003$2 bate 4/08/15
Application pin number . • . 610464
Property Address • . . . • . 431 W 12TH ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-3 -4760 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . . . . .
Application valuation . . . • 0
----------------------------------------------------------------------------
Application desc
Detached garage
------- -- ----------- ---- -- ---- -- ----------- ---- ..__._--- .._- _---- __ - - -__-
3
n n
REPORT SALES TAX
on your excise tax form
to the City of Part Angeles
(Location Code 0502)
Owner
Contractor
RESULTS:
----- -------------
LARSON JESS E
- - - - --
------------------------
NORTH PENINSULA E1LECTRIC
431 W 12TH ST
761 FRESHWATER PARK
RD
PORT ANGELES
WA 983627610
PORT ANGELES
WA 9$363
ROUGH -IN
(360) 477 -1764
Permit • • • . .
• ELECTRICAL ALTER RESIDENTIAL
Additional desc .
•
COMMENTS:
Permit Fee
74,00
Plan Check Fee
00
Issue Date
4/08/15
Valuation , . . .
0
Expiration Date
10/05/.15
Qty Unit Charge Per
Extension
1.00 74.0000
ECH .EL_R_OUTBD /DTCH GAR TN /SEP
74.00
----------------------------_----°_---------------------
Fee summary
Charged
__--- -_
Paid Credited
°___ - --- .__
Due
Permit Fee Total
74,00
74.00 00
00
Plan Check Total
.00
.00 •00
.00
grand Total
74.00
74.00 •00
OD
INSPECTION TYPE
.DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILT. EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGETUILDING
1'