HomeMy WebLinkAbout1727 W 12th St - BuildingApplication Number 08 00001030 Date 8/21/08
Application pin number 401410
Property Address 1727 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 6055 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Meter base support repair
Owner Contractor
LUSK TIMOTHY E
1727 W 12TH ST
PORT ANGELES
WA 983635309
BOTERO SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 132613
Permit Fee 34 00 Plan Check Fee 00
Issue Date 8/21/08 Valuation 0
Expiration Date 2/17/09
Qty Unit Charge Per Extension
1 00 34 0000 ECH EL -R OR RM REPAIR METER /MAST 34 00
Fee summary Charged Paid Credited Due
Permit Fee Total 34 00 34 00 00 00
Plan Check Total 00 00 00 00
Grand Total 34 00 34 00 00 00
IN
SPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
ELECTRICAL
RESULTS INSPECTOR
ol7)lot3 4,5?
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411 PERMIT NO.
Site Address:
ELECTRICAL PERMIT
.;<Y-Z
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
/7;27
.shffw?
Installed By:
Owner/Business:
Lu.s
Owner/Business Address:
I[j~SIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
I8"'-FURNACE KW ~
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
~ PERMANENT SERVICE
~ NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Details/Description:
DATE
3c?i05/
//-.5 ~ fc-
Phone:
Sq. Ft.
i)'g OVERHEAD SERVICE
b UNDERGROU D SERVICE
VOLTAGE: 620 <;2 V
:RI SINGLE PH SE
o THREE PHASE
SERVICE SIZE ~7 AMPS
Iku~f
/!If'C1J
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
o Ditch Inspection O.K.
1~Rough.in/cover O.K.
1,1$J O.K. to connect service
1/11i" ~ Final O.K.
Site Address:
!
Permit/Receipt No.
:JSt,tj
Notify Port Angeles ity Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the eiectrical inspector in writing on either the Wiring Report
or on the Buiiding Permit. PHONE 457-0411, EXT. 224.
1--- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
..---; i9rvG $
I
Electrical Inspector
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
YELLOW - file by number
OLYMPIC PRINTERS INC.
#710~
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
RECEIVED
0'3-1030
o'..oA......&
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",=
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.......
AUG 2 1 200'8LECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor
o OwnYrGHT DE
Electrical contr<lctor name
Ibrll-~ro \- 'i-..,.",
Purchaser's mailing address
q4'O ""eV'^n.(~(k.
City
for.\-
Date Expires
License number
f If ( \-flu. \
l-~
Slale ZIP
&ll E I2.SE 't., ZOQ.
,,\/0"\
A"'..,I:-l e.s
"'-.J A .H3.~(_ Z
FAX number
Telephone number
'Z.
')remises owner's name
T I "'^ Lv sl...
Address or inspection
l"]21 W 17_ t....
Cit~
r'o(\ 14",,\( (1"-.>
I'hone number 10 schedule inspectiun:
Owner (/.1' defined by RCW 19.28.261:(1) Owner will (}aupy the structure for two
years oJ/er this electrical permit is finalized (2) O,vner IX required to hire an electrical
('onfractor if abrn'c said property is fi)r sale. rent or lease.
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 instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 290-46B, The City uf Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
x
0&
Date: 8
Electrical.Load)\dditions.arullKsubtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan-Wall KW
Installation description
. 0 Commercial ~esidential
o New rtv::Gtered/Addition 0
csQ
\2..... \>"^',( U "'cA.t."l'C>u~c;,\ .-w:.\c..r \
D
b
o Cash 0 Check #
o Credit Card @
Card #
on. ,..e.
Mastercard
Discover
Expiration Date
of card
Inspection fZ5
$ 3'10
Ser.viceJnNrmalion
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage 1. ., ()
Phase~1D3
Service Size: '1.0D A""'- e
Feeder Size:
SAME DAY INSI~EITl.O.~,_CALL BEFORE 7;O.O_~M 360-417-4735.
/' ROUGH-IN THERMOSTAT ~ kt JRYI;P
Date Appro,ed By Datc Appru"cd By '- ,,1 App'"w' By
/' FINAL /' FEEDER
DITCH
JI12!/~ ~BY/ Dale AppmwdRy/ D~!c Appro\'cd By
"-... ate
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
.'
.,
DATE
eZI ~
OWNER/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
C8-{O'7>O
6o)-!
ADDRESS
17Zr. W L L
APPROVED NOT APPROVED
o . . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0
D.. . . . .. . . . .. . . . . ROUGH IN/COVER. . . . . . . .... . . ..0
~. . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D.....................R~....................~
CORRECTIONS NEEDED:
_ '3 I ;;L. -.d
CoNC.R~E ~D
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381