HomeMy WebLinkAbout904 W 13th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
OOPU~~
.
It.oo o cV tVe R.. / I l/oA1e
TOTAL FEE
CONT. L1C. NO. TIME TO COMPLETE NO. STORIES LEGALOCCUPANCY
N~UPANCY OR USE ESTABLISHED UNDER THIS PERMIT
, R P NSIBILlTY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By
Installers Address
Day Phone Installers Phone
Application is hereby made for Permit to install.Elec!rical Equipment as follows:
c"'f TO<lP _ "J 0 t1 JVf p I' ( ~ t U 1""-
Site Address
Owner
W[ring Method
If 0/\/1<.)1'
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR lESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR' ....
APPLIANCE MOTOR
DISHWASHEB - FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC. I 30 ~ 1/ h 6>0
OVEN
WATEn HEArER "
LAUNDRY
DRYER .. REINSTAllATION LIGHT FIXTURE # ,.
FURNACE SUB TOTAL FEE
GAS ~ OIL
FURNACE ENERGY FEE
ELECTRIC +.--
BASIC FEE
ELECTRIC HEAT If O'J'"
TOTAL FEE
ELECTRIC HEAT ,
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
.. I SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that th'e work to be' performed under this permit will be done by the j'nstaller and i":;/!;:manco v ' -
N.E.C. Electrical Code.
Date Application made 4 - /7 ,19'g"S' By "A ~I/
- CONTR1TOR OR OWNER (OR AUTHORIZED AGENT) ~
Permission is hereby given to do the above described work, according to the conditions hereor(and according to the ~pproved plans ~nd
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angel~s. \. .
tf~ (7~ ("S- By JJ1 rtl'T:::I'T'!,~IGHT .
PLANSA'!Iodo ' . ~
)( f'.
- . ~ f '\.
. {
,
'. Date Permit Issued
WARNING
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. + Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Reporl
OLYMPIC PRINTERS. INC.
...,:
,~-; ; \ ,i' i
,.,-,
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
I4r "'~_ 'rJ 'I X' .,$ O.K. FOR COVERING
'i r J.$:-yr ~ (~ O,K. TO CONNECT SERVICE
11 1- If) "//.2 FINAL O.K.
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~t~;?ER
" CITY OF PORT ANGELES
,. 'DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000077
PERMIT NUMBER
-~.
Ie ~ TOTAL FEE
: / ~ , d!;-,
CONT. Lie. NO.
TIMETQCOMPLETE,
". NO. STORIES
'-
'i' \
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY-r-)jO OC~UP!,NCY OR USE ESTABLISHED UNDER THIS PERMIT,
. -<-t'(
ORES 1$'RE5PON BILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
L II ~ Installation By ~'1 .
Installers Address
'"'-
- - ..lnstallersPhone ~~-'-
hereby made for Permit to install Electrical Equipment as follows: ;) a 0 Lt>>.r.{1
J>
~ ---..
~
"'
. I JIJ , /- P.-. . - iT P ./'") ./,
.......... Wiring Method
.,
NUMBER AMP . 120V . 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 10QA FEE
CIR 30 CIR 30
LIGHT I Y , SIGN
LIGHT - 50 VOLTS -
OR lESS
CONVENIENCE .J/' .. -. MOTOR
I
CONVENIENCE - - MOTOR
APPLIANCE ..J .---- MOTOR
DISHWASHER -- .. FIRE ALARMS .
DISPOSAL BURGLAR ALARM
-
, RANGE MISC.
- u - ..
IOVEN .
WATER HEATER
1> - ,
LAUNDRY
DRYEA - REINSTALLATION LIGHT FIXTURE # .-
FURNACE .- . .- SUB TOTAL FEE /.
GAS - OIL /
FURNACE ENERGY FEE
ELECTRIC BASIC FEE ./'
ELECTRIC HEAT - _. . . ./'- /?<;'~ --
TOTAL FEE
ELECTRIC HEAT . SIZE OF SERVICZTCH OR CIRCUIT BREAKER
-
A.C. UNIT AMP __ _' _ PHASE
FEEDER SIZE O~ERVICE ENTRANCE CONDUCTORS
- / ..
SERVICE A.W.G.
- I SUB- H:lT AL /!, ot SIZE O~OUND
SIZE OF ENTRANCE SWITCH ,
I'certlfy that the work to be performed under this permit will be done by the installer and in con
Dat~APPllcationmade W -, ._19~ By
.)
-,
.
CONTRACTOR OR NER (OR AUTHORIZED AGENT)
Permission Is hereby gi,yen tot;1o the above des.cribed,work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to complIance wIth the OrdInances of the CIty of'~ort 'Angeles: - \':.. \, L. \ . ' \ . )'
. . ~ DIRECTOR OF C~YGHT . -'
'Jate Permit Issued By . ~ -k ~~
. PLA APPROVED' ~ .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered O! current turned on before inspection and ,O.K. for.covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK. TrIplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
REPORT OF INSPECTOR
~
OATEOFYISIT MADE BY REMARKS
. (-(<r, ~S- l1/y SroPf'eiJ /p,; YO ,ij"Nf€ ('ALL 'lC. I
IJNe..-
>er A /'I'T
)-6-<1) fff..JJ w/'/J,; Te-P le/lIV/I""- -rJ..t!y f..<},LL (" ;# t..? .tu/, <: N
t,e,gpy Fo~ F'/Y/JL (KS/'cc 77",/\/
/(;-11 -<r <f U4Lr Ctfrllf8e rte.K. FOR COVERING
If' f;J. - 11 0#T C~-:-\(&. ~6>.K. TO CONNECT SERVICE
14 -7 -1f,y .!Jlt'f FINAL O.K.
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Application Number . . . . . 17-00000195 Date 2/23/17
Application pin number . . . 687750
Property Address . . . . . . 904 W 13TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -9500 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
--------------------------------------------------I-------------------------
Application desc
Kitchen remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GARY AND TERRI COLEMAN ALASKAN ELECTRIC
82855 PACIFICA SUR 237 ROBERSON RD
INDIO CA 92203 PORT ANGELES WA 98362
(949) 370-3007 (360) 582-3874
-----------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 85.00 Plan Check Fee .00
Issue Date 2/23/17 Valuation . . . . 0
Expiration Date 8/22/17
Qty Unit Charge per Extension
BASE FEE 75.00
2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10.00
-
Fee summary Charged Paid Credited Due
--- ------------------------ ---------- ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .00 .00
REPORT STATE SALES TAX
on your excise tax forin
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
j .
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Ele6trical Contrwtor X Date:
Cffy oF Pow ANam PEmff Appuwm
Building DividaufflAmtricA Impecdous
321 Kest FM Sbvd — P.O. 8011150 / port Augelft Wsshifttonl 983 x
Ph: (MO) 417-4735 Fax. (360) 417-4711
DsW: ??--1 `7
')4 2 Single Fan*y DMIIHM
*
- k"c
Ptah Review May Be F_WqukW, PIme Complete Electrical Plan Review lnf0mlafim Stied
JQbAddMW-
8W&V SquM FWtW
MAngAftsm Mi"Aftm -7,9-7 gg 7
ov. P-A�6�' city..
stow
pham, rm
d7 -Q �-Oa
YM
7 0
of*—Chwu 9k
ift"09 by Unit
200 Amp $120-00
$
$
ServkalFeedler2D14MAmp. $146.00
$
S@mWWFeadar40I-600Ann $205-00
$
SW*UWaedff6W-I0WAmp. $262.00
SaMo0ftedur OW 1000 AMP. $373,00
$
Branch CkW WI Service Feeder $ 5.00
$
armM CkWt W10 Service Feeder $ 63D0
Each Additional Branch Ckwit $ 5100
$
$
Bra wh Gi=b 1-4 $ 75.00
Temp. SweW Fee* 200 Amp, S 93.00
$
Temp. Se 201-400 AnV- $ M.00
$
Temp. 5ervbWeeder401-600 Amp. $149.00
$
TsM. SmkolFeeder 601A000 AOW. $16840
$
pa" tD Portal Howty $ 96.00
$
Signal C4uW Uynbd Energy -1 & 2 Fa dy DmIMS $ 84.00
$
Ma wkdumd H" cW"c6W $120W
$
ftmW* BoMW EmW - 5WA Systm or Lm $102,00
$
ThenimeW $ 56.00
$
Note, $5.00 for each aftboW TSW
MW2mFMWWN0NLY.'
R* 1300 Sqom Ft $121100
$
EaM AddIfimW SM Squm FL or Pufm of $ 40-00
$
Each OubAft or DoWdiod C S 74.00
Each Swkmmg PW or Hot Tub $110.00
Owner as ddmed by RCW-1 9.28-251: (1) Owner WA OCCOPY the structure for two years after ft *dJiM
permit is finalized. (2) Owner is mwdmd
to his an VmWA =draclor N above said wWOV is Is sale, rant or lease. POTIN e*m 31W S& Monts Of W WWschm-
After mad" Me &Ova sWWWt t hereby ce* that I am the owlet' of the above named property or a licensed Wec" cWhackir. I am mal ung
the de*cW k*Wkhm or alb Mdm In amV§mm with the electrical kor, NEC, RCW. Chapter 19-28,
WAC. Chapter 296-46B, The Cky of Port
Argalm Mmic4W Code, and Uft Spdkaim and PAMC 14.05-060 regarding EkWA Pmd AA*Am.
Sigadme of owm. doubW m*=W or elscbW adnAnWaW. 0 cub [I
Chad
. . . . . . . . . .
IO/TO 3!DVd SAS '103-13 NVASTIV EEE9ZSP096 69:0T LTOZ/ZZ/Zo
ELECTRICAL PERMIT
CITY OF PORT." ANGELES
- 360-417-4735
Application Number . . . . . 17-00000566 Date 5/24/17
Application pin number . . . 584034
Property Address . . . . 904 W 13TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -9500 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
-------------- --; ------------------------------
Application desc
Remove Knob and Tube
----------------------------------------------------------------------------
Owner Contractor
GARY AND TERRI COLEMAN BOB'S- -
ELECTRIC INC
82855 PACIFICA SUR 2293 DEER PARK RD.
INDIO CA 92203 PORT ANGELES WA 98362
1949) 370-3007 (360) 457-6887
--- --------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 5/24/17 valuation . . . . 0
Expiration Date 11/20/17
Qty Unit Charge Per_ Extension
'BASE FEE 75.00
--
Fee summary Charged Paid Credited Due
- - ------------------ ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COM%iENI'S:
DATE: RESULTS:
PERMIT WILLMWESIX (6) MONTHS FROM LAST INSPECMN
Signature of owner or Electrical Contractor X
QW-WHArrt~ BUILDING
REPORT SAL -s,TAX
on your excise tax form"
to the City of Port Angeles
(Location Code 0502)
El
INSPECTOR
Date:
INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN )�, !r7
MAL
COMMENTS: �% �� lit
b
PERMIT WILL EXPIRE SIX (6) N9 -9W �M LAST Nsr rx, t s A4
d
Signature of owner or Electrical Contractor X
G: IEXCHANGEIBUILDING
INSPECTOR
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
`
360-417-4735
Application Number . .
. . . 17-00000666 Date 5/24/17
Application pin number
. . . 584034
Property Address -. .
. . . 904 W 13TH ST
REPORT SALE TAX
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -9500 -0000 -
on excise tax form
Application type description ELECTRICAL ONLY
your
Subdivision Name . . .
. . .
to the City of Bolt Angeles
Property Use . . . . .
Property Zoning . . . .
. . .
. . . RS7 RESDNTL SINGLE FAMILY
(Location Code 0502)
Application valuation .
. . . 0
-Application desc
Remove Knob and Tube
Owner
Contractor
------------------------
------------------------
GARY AND TERRI COLEMAN
BOB'S ELECTRIC INC
82855 PACIFICA SUR
2293 DEER PARK RD.
INDIO CA
92203 PORT ANGELES WA 98362
(949) 370-3007
(360) 457-6887
-------------.-:----------
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4
CIRCUITS
Permit Fee . . . .
75.00 Plan Check Fee .00
Issue Date . . . .
5/24/17 Valuation 0
Expiration Date
11/20/17
Qty Unit Charge
Per. Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
------------------ ----------
---------------------------
s
Permit Fee Total
75.00 75.00 .00 .00
Plan Check Total
.00 DO .00 .00
Grand Total
75.00 75.00 .00 .00
i
INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN )�, !r7
MAL
COMMENTS: �% �� lit
b
PERMIT WILL EXPIRE SIX (6) N9 -9W �M LAST Nsr rx, t s A4
d
Signature of owner or Electrical Contractor X
G: IEXCHANGEIBUILDING
INSPECTOR
Date:
°gyp°AT,,c� ELECTRICAL INSPECTION
U ��N
H WIRING REPORT
417-4735
DATE PERMIT# INSPECT
18 ! 17— b6�
OWNER
CONTRACTOR
ADDRESS
4DL4 c 3 --
APPROVED NOT APPROVED
❑ ..............DITCH.................... ❑
C—ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED: -i-DQ 1- L:oDfL_ �?,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE --
p"pOflTgN ELECTRICAL INSPECTION
WIRING REPORT
' Ks 417-4735
DATE: PERMIT # I INSPECT
OWNEPY
CONTRACTOR 1
ADDRESS
`meq QA) 2 75 l
APPROVED NOT APPROVED
❑ ................DITCH.................... ❑
.. ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
OQRRF;:-TIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE —
5
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Insl)ections
321 East Fifth Street — P.O. Box 1150 i Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
oate&JAkh--��— rX 1 & 2 Single Family Dwelling
Pian Rev' Be Requir les Co?Te lect
E tat Plan Review Information Sheet
InA,
Owner_Wormatio Contra I orm 110
C
yr
6
:y- LTI
+Exp, LCE -'set EX9 AP AXI
item Unit Charge Total (Cb Multiolled by Unit Charcie)
Q
r,:e- ICO Am)
3"ar"T" 01c,", V.1i Swljxe Feels: Q.
6 3.
tiu- 0
C7cx:s 75
'--elro Sem,-Fe Pec�e, 2�0 Ar:) S 93 Cj
Terip Se%:ce,reeuer 201-4110 Amp 110.0
401 -, f r,^,p.
I'D
1^0
-!ure:; "ump Ccnf' 1Se .liu
ne-�
Deotriccal Enargy - 5KVA System a- Less SS 402 CO
.e
NEW CONSTRUCTION ONLY:
E--�lu%l J:,�i c, Cetahed Garace z-� 74 2-5 -1
—�— j J �
o! Hot T 0 0 on
I U iJ
S rota!
�.me, as Oet4ied by RG147.19,28.2611: (111 Caner v;,;! occupy the structure for luauyears afte, this e'ecirica permit is fin.ai:zed, `2" s re"It';:-80
to hire an e;ectrica! contractor it above said property *fw, sVe, rent or lease. Permit explres after six months of last; ispection.
After reading the above statement, i nereby certify that 1 am the owner of tre above named property or a l4censed e'ecfr:cal corya.,tor : 611 rrMfil"
e electrical installation or alteration in cornp!vice with the electrical laws, kE.C., RCVT Chapter 19.28, VJAC. Chapter 296r -$S, 1*teCity n4P,,,t
tAnce,'es %1un1:1.;oaI Code, and Utility Soecifications and PA!"IC 14.05-C,60 regarding Etectr:-,al Pe!mit,4n.p;;, afrins
Signature of owner, electrical contractor or electrical administrator* Cash ch
Fill 31,2012