HomeMy WebLinkAbout125 W 13th 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. ~ 'TO 'Z..
DATE / "Z..//f /17"
t .
ELECTRICAL PERMIT
Site Address:
Sq. Ft.
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
~
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
~ REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
01)'5 03)'5
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
~Uvt~
?uli.-?_
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Installer:
Site Address:
Notify Port Angeles City 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 electrical inspector in writing on e1' erthe Wiring Report
or on the Building ~il. PHONE 457-0411, EXT. 224.
r" ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ::3t>
Electrical (nspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bonom, Customer
GREEN - Top: Meter Dept.. Bottom: City Hall
OLYMPIC PRINTERS INC
Job wired by
JtElectrical Contractor 0 Owner
Installation description
D Commercial ;B::ResidentiaI
ELECTRICAL WORK PERMIT APPLICATI
mlWfJS
Purchaser's mailin
;:: d.
Cill!:4
License number
77lal!Nrl-'ib9S7LI-I-
Date Expires
C717
o New
~Alteredl Addition
Telephone number
Slp::)-/z/Z-
State ZfP
'A- 9.?3,b Z--
FAX number
&z-7S"Vr
4TliLElr,v Atd'tSdY/
/lAmKWJV
w~/I~
pre~es_ owner's6~e
Address of i4spection
~ I zS'
City 1'.4
'1
tV
/3 77-1
Phone number to sched~le inspection: ~S-7- 9tJ.s-7
Owner as defined by ROY./9.28.26/:(/) Owner will occupy the structure for two
years after this electrical peimit is finalized. (2) OWI/er is required to hire all elec/rical
con/rae/or if above sajd property is for sale, renl 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 conipliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-460. The City of Port Angeles Municipal Code. ano
Utility Specifications.
Signatur
o Cash
o Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
7contractor or electrical administrator
Date: .5- F-r1/p
Expiration Date
of card
Inspection fee. /~
$ ~-
Service Information
Electrical oad Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan-Wall KW
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1 03
Service Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN / THERMOSTAT SERVICE
Dale Approved By ./ "- Dale Approved 13) Dale Approved By
FlNAL /' Dn-CH FEEDER
Dale Appmve<:lBy/ "- DOle Approv<:d By "- Date Approved By
Inspection Area. Building or Equipment Inspected Action Taken Electrical
Datc - Inspector
tX!PHDJCn
.Unl6ii.J
/Ic(') t. ~
~,-/O-cn_
a~
W
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 98,62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000471 Date
921026
125 W 13TH ST
06-30-00-0-3-7965-0000-
ELECTRICAL ONLY
5/12/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
NIELSON, KATHLEEN
924 31ST AVE I
SEATTLE
(360) 457-9057
WA 98122
THORNES REFRIGERATION
PO BOX, 991
PORT ANGELES WA 98362
(360) 461-0158
Permit
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
THORNESI T-STAT WTR HT
77107
THORNES REFRIGERATION
48.10 Plan Check Fee
5/11/06 valuation
11/07/06
.00
o
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
plan Check Total .00 .00 .00 .00
Grand Totai 48.10 48.10 .00 .00
COMMENTS/ACTION NEEDED
fi
CITY of PORT ANGELES PERMIT APPLICATION ELEaRIM
'Building Mvislon/ri'lectlic"Id Inspections JASPECTIM
321 East Fifth Street — P.O. Box 11.50 / Port Augetes Washingtou, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
:VZPj_�ZP/—S 4 & 2 Single Family Dwelling
Date .
1plaflReviewmay RegUired, Please Complete Elect' al Plan Review Information Sheet
JobrAddre,at!!W0 C0 —ta Z, . . . . .. .. .. .. ...............
Building 'Square
Dascriptbn of above ES
j
... .........
Owner InOrmation
Contraotor In for 11
Nam" 1A
Sir
Name
mallirQ rOW
0, 4: late"-, _ZiP"_AT3Z_
Mailing AWresc
Uty, Zip:_____
phonG7 Fax:
pho�;A m
Llcenw NJ Up.—
Liewea 0 1 Exp_
Item
jt �Qha e
Total (gy Multiplied by Unkgh�are
SaiVw/Feeder 200 Amp,
$120,00
Service ffiseder 2Q1.400 Amp,
$ 4400
ServicefFeeder 401.600 Amp
$206,00
serviWlFoader 601,10D Amp,
$262,00
Serke&odar over 1000 Amp,
$373,00
Branch circ�it W1 Service Feeder
$ 5-00
l3tranch Oircuit W10 Service Foodur
$ 63.00
Each Additional Bmch Circuit
$ 5.00
Branch Gircuitf� 14
$ 76,00
Tamp, Sera W Feeder 20 Amp.
$ 911110
Tamp. ServioGIFeeder 201-400 Amp.
$110.00
Temp, Service,JFeedof 4GI.600 Amp.
$149,00
Tamp, 601-1 MO Arap,
$150.00
Portal to Portal Hourly
$ 96.01;
Sigrol OrcuW Ljot(od Friergy -1 & 2 Family Dwallirg
$ 64,00
Manufactured Home Comection
$120.00
RenmvaW Electrical Energy - 6KVA Srtem or Less
$102,00
Thermostat
$ 66.00
Note-, $6,00 for oach: additional T.Stet
XMLC N5 N: QN�LY-
FIrst 140 Sq(tare Ft
$120,00
Each Additional 500 Square Ft, or Portion of
$ 40,00
Each Outbuilding or Detached Garage
$ 74D10
Fooh SwOning Pool ar Ho(Tub
$110,00
Total
Owner as defined by RCW, 19,2U81.. (1) Owner will occupy the structure for two years alter this electrical permit is finalized (2) Omer is required
to hire an eleotrical contractor if above mid property
is for sale, wt of lease. Permit expires after 8N months of last inspeclion.
After reaftq the at +o statement, i hereby cerfify that I am the owner of tho above named property or a livens electrical contractor. I am making
the eioctkal iristdarwn or alterabon 'in compliance with the electrical laws, RE.C.,
RCWA Chapter la.28, VVAC. Chapter 2W-4613, The City of Port
AngeW Municipal Code, and Utility Spedf i0ritions and PAM014,05,050 regarding
Eleollical Pertroft Appliastions,
Signature of owner, eleolincal contractor or electrioa I administrator.
0 cash El rhKk
X_�
Oated, 011MIQ12
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , . , 13- 00000447 Date 4/30/13
Application pin number . . . 896457
Property Address . . . . , 125 W 13TH ST
ASSESSOR PARCEL NUMEER; 06-30-00-0-3- 7965 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . .
Property Zoning , . . , . , , RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application deec
New detached garage
Owner Contractor
NIELSEN, GUNNAR & KATHLEEN OWNER
125 W 13TH ST
PORT ANGELES WA 98362
" -Y ----------------------------------------------------------------
Permit . I I . I ,
ELECTRICAL
NEW RESIDENTIAL
RESULTS:
Additional desc . .
DITCH
Permit Fee
74,00
Plan Check. Fee
00
Issue Date"
4/30/13
valuation . . ,
, 0
Expiration Date
10/27/13
Qty Unit Charge
Per
Extension
1.00 74.0000
ECH EL- R- OUTBD /DTCH GAR IN /SEP
74,00
Fee summary Charged
f74
Paid Credited
Due
Permit Fee Total
00
74.00 ,00
.00
Plan Check Total
.00
00 .00
.00
Grand Total
74.00
74,00 .00
.00
e 0, to _jf..0 -1 /9'_ ) irtd
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS: �q
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
E
C3
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . 15- OODD0635 Date 6/04/15
Application pin number 642670
Property Addreas . . . . , . 125 W 13TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7965-0000-
Application type desc)aiption ELECTRICAL ONLY
Subdivision Name . , , . .
Property L7ae
Property Zoning , , , , , , RS7 RESDNTL SINGLE FAMILY
Application valuation 0
°- ------------ ---- ------------ - - - - -- - - - - --
Application desc
320 amp service & garage
Owner Contractor
NIELSEN, GUNNAR & KATHLEEN OWNER
125 W 13TH ST
PORT ANGELES WA 98362
Permit .. , . , , ,
ELECTRICAL
ALTER RESIDENTIAL
---------------
Additional desc ,
Permit Fee
220.00
Plan Check Fee
p0
Issue pate , . . ,
6/04/15
Valuation , , ,
. D
Expiration Date , ,
12/01/15
Qty Unit Charge
Per
Extension
1.00 146,0000
BCH 12L -201
-400 SRV FEEDER
146,00
1100 74,0000
BCH RL-
R- OUTBD /DTCH GAR 1N /SEP
74,00
Fee summary Charged
_- ------------------------
Paid -Credited,
Due
Permit Fee Total
220,00
220,00 00
.00
Plan Check Total
00
00' .00
00
Grand Total,
220,00
220,00 00
,00
REPORT SALES X
on your excise tax form
t TA
o the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G:T - XCHANGE\]3UILDING
Date:
RECEIVED
CITY OF PORT ANGELES PERMIT APPLICATION 4 201
Building Division /Electrical Inspections ArcNICAL
321 East Fifth Street — P,O, Box 1 150 / Port Angeles Washington, 98362 1fils'
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date, e zo S &2 Single Family Dwelling
* Plan Review May Be Required, Please o�pple e Electrical Plan Review Information Sheet
Job Address; —
Building Square Foo {age; _
Description of above
Owner Information Contractor I ormation
Name; Name: -.
Mailing Ajcjres F Mailing Address;
City: State; Zip: City; State; ZIP:
Phone. , fax Phone: Fax:
License # ! Exp. License # ! Exp,
Item Unit Charge Clt Total {Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. $120.00 $
Service /Feeder 201 -400 Amp, $146.00
Service /Feeder 401 -600 Amp $ 205.00 $
Service /Fooder 601 -1000 Amp. $ 262.00 $
Service /Feeder over 1000 Amp. $ 373.00 $
Branch Circuit W/ Service Feeder $ 5.00 $
Branch Circuit W!0 Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1 -4 $ 75.00_ $
Temp. Service/ Feeder 200 Amp. $ 93.00 $
Temp. Service /f=eeder 201 -400 Amp $110,00 � $
Temp. Service /Feeder 401 -600 Amp. $14900 _� $
Temp. Service/Feeder 501 -1000 Amp $168.00 _ $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64,00 $
Manufactured Home Connection $12000 $_
Renewable Electrical Energy - 5KVA System or Less $102.00 $
Thermostat $ 56,00 _ $
Note: $5.00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120,00 $
Each Additional 500 Square Ft. or Portion of $ 40.00 �- $
Each Outbuilding or Oetaohed Garage $' 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ 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 oloctrical cDntractor. I am making
the electrical installation or alteration 'm oomplianco with the electrical laws, N.E,C,, RCW, Chapter 19.28, WAC. Chapter 296 -4613, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 1405,050 regarding Electrical Permit Applications.
Signaturenof owner, electrical contractor or electrical administrator: ❑ Cash E!r �Ch.k
�°Q
X Dated: 6/ 2-0° -5, 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
364-417-4735
Application Number . . . . . 16-00001252 Date 8/22/16
Application pin number . . . 817924
Property Address . . . . 125 W 13TH ST
ASSESSOR PARCEL NUMBER: 06 -3x -00 -0 -3 -7965 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . R87 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
-------------------------------------------_---------------------------------
Application desc
Activate expired permit 15-635
Owner Contractor
----------------------- ------------------------
NIELSEN,
------------------- --
NIELSEN, GUNNAR & KATHLEEN OWNER
125 W 13TH ST
PORT ANGELES WA 98362
----------- -----------^ ----
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee .00
Issue Date . . . . 8/22/16 Valuation . . • . 0
Expiration Date . . 2/18/17
Qty Unit Charge Per. Extension
1.00 96.0000 BCH EL -TRIP FEE -INSPECT EX. INSTAL 96.00
-------^-------- — ------------------------- ---^
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- -
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total 00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
DrrCH
70) 1&
SERVICE
ROUGH -IN
FINAL
COMMENTS:(
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION .
Signature of owner or Electrical Contractor X
G:IEXCHMGMUILDING
Date:
CITY OF PORT ANGELES PERMIT APPLICATION " f _x-
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: "2.0 2 Single Family Dwelling
?ORT
N
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: A---�'-
`"
z:;-,-
Building Square Footage: t
✓ %
Description of above
Owner nformation
Contractor Inf rmation
Nam
Name:
Mailin d ress: L i' C,, / '? ice+-
Mailing Address:
City: State{A 4 Zip: G1�3
(g,, -
City:
State: Zip:
Phone: Fax:
Phone:
Fax:
License # / Exp.
License # I Exp.
Item
Unit Charge
Qt (
Total (Qtv Multiplied by Unit Charge)
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
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit WI Service Feed
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 Only
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
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
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
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 Tub
$110.00
$
$ 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, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, 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 administrator: ❑ Cash d--ellck'
❑ Credit Card #
x ._.r' �� Dated: O� �.Ci f ,� 02106/2012
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