HomeMy WebLinkAbout1313 W 12th St - Building
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. ..:;:> oS..3 <;
.;z. /9/70
.
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
I LL CALL FOR
INSPECTION
Phone:
Phone:
Owner/Business Address:
Sq. Ft.
'Iii Residential
7" Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
?- Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Underground
Voltage
o 10 03.0'
Service size
o Temporary
Amps
Detai Is/Description:
R-€f~--'
'7
0:>&0
~~
I
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o 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
Installer:
New Meters
Site Address:
.
Notify the Department of City Light by Street Address and Permit Number when ready for insp clion. 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.
~ NO OCCUPANCY OR USE ES1ABlISHED UNDER THIS PERMI1 ;;;zt2 t)O
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
ELECTRICAL PERMIT
CITY OF PORT ANGELES
- 350-417-4735
Application Number . . . . . 16-00001842 Date 12/14/16
Application pin number . . .766026
Property Address . . . . . . 1313 W 12TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5685 -,0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
AHP
---------------------------------------------------------------------------
owner Contractor
----------------------- ---------- -
BROOKS LON EXTRA MILE TECH.& ELECT., LLC
1313 W 12TH ST 418 N. RACE ST.
PORT ANGELES WA 983635513 PORT ANGELES WA 98362
(360),457-5222
---------------.---------
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date . . . 12/14/16 Valuation . . . . 0
Expiration Date . . 6(12/17
Qty Unit Charge Per Extension
1.00 5,0000 BCH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
------------------^----_----------------------
Fee summa -- Charged Paid Credited Due
'PermitFee Total --- 68
-- ---------- ------
-------- -- --- ' .0fl 6$.100 .Ofl .00
Plan Check .Total .00. .00 .00 .00
Grand Total 68.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONIM FROM LAST INSPECTION -
Signature of owner or Electrical. Coaft ctor X
GAEXCHANOENBUILDING
ti
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Gude 0502)
INSPECTOR.
Date:
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$10m
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$121LOO
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Fri i 1' Squim
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Each ' t aF` o , Mi s. r1 : t_ ' r: tttit >t
$400 1
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{i t ' t fra � y.f of � ti tit : ti v;i- •' ri=�"fr%S .a ,1ttw7 '�l �t� Y# r. !; F -fit.:: K}!
After reaft the abm "W t;=. i I hsp*off**dI
am t r ownerofto dxwe nwMW pvpmW oraficensed deftd cm*=W. =U' :.,-4.' f
the ebCbWwWsfimordwjmTn cw*mwIhftekOW i.c% NEC, RCK OmpW19.2,WAC. Y` A1;;:: 3: w ' i Tim Ckyof Port
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-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
- 360417-4735
Application Number . . . . . 16-00001842 Date 12/14/16
Application pin number . . . 766026
Property Address . . . . . . 1313 W 12TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5685 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BROOKS
----------------------
BROOKS LOIS EXTRA MILE TECH & ELECT., LLC
1313 W 12TH ST 418 N. RACE ST.
PORT ANGELES WA 983635513 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date . . . . 12/14/16 Valuation . . . . 0
Expiration Date . . 6/12/17
Qty Unit Charge Per Extension
1.00 5.0000 ECH —EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER 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
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE:
PERMIT WU L EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEWILDING
i RESULTS:
II
I
t
REPORT SALES TAX
on your excise tax form
to the city of Port Angeles
(Location Code 0502)
INSPECTOR:
Date: