HomeMy WebLinkAbout1032 W 13th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
'.1
ELECTRICAL PERMIT
PERMIT NO. ~ 790
0<../02~/r?/
I
DATE
Site Address:
o READY FOR
INSPECTION
License Number:
~ILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. FL
pi Residentiay
Heat KW
'1\11' Baseboard 0 Furnace/Boiler
10 Heatpump 0 Other
o Commercial/lndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~New Construction
10 Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
1!. Overhead
o underyou~ 10
Voltage . ~-1
~10 0 0
Service size ...::JtO~ Amps
o Temporary
Details/Description:
New
I/atLfC-
.-
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
11 Rough-in/cover O.K.
;f;rA f O.K. to connect service
. 'I.r" ~ 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/pendi ng
Site Address:
/032-
Installer: J
New Meters
.
Notify the Depa ment 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.
--r;: NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~
J~ O~
Inspector A aunt paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City HaJJ
J
OLYMPIC PRINTERS. INC.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. Q ~
DATE / /~ '/
,
Site Address:
YREADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
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
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
~TempOrary
o Add/alter circuits
o Auxiliary power
(I;st below)
o Speciai equipment
(list below)
Amps
Detai I s/Descr; ption:
.
7;~'
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
).116 Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instaiiation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Site Address:
.
nt of City Light by Street Address and Permit Number when ready lor inspection. Work
must not be covere or eiectricaiiy 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.
~ f9tvV\. NO ~CCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT QO ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top; Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417-4735
Application Number . . , 15- 00001402 Date 11/05/15
Application pin number , , , 083452
Property Address . . . . , . 1032 W 13TH ST
ASSESSOR PARCEL NUMBRk: 06- 30- 00 -0 -3 -9635 0000 -
Application.type description ELECTRICAL ONLY
Subdivieion Name
Property Use , . , , . . , .
Property Zoning . . . . . . , RS7 RESDNTL SINGLE FAMILY
Application valuation . , , . 0
Application desc
Ductless heat pump
Owner Contractor
------------------ - - - - -- ------------------- -- - - --
FRENCH VONDA L BLACK DIAMOND ELECTRICAL CONTR
1032 W 13TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983637221 PORT ANGELES WA 98363
{360} 565 -1035
Permit . , . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desr- . ,
Permit Fee . , , . 63.00 Plan Check Use ,00
Issue Date . . . , 11/05/15 Valuation . . . 0
Expiration Date .. . 5/03/16
Qty Unit Charge Per Extension
1100 63.0000 ECH -EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 63,'00 63.00 00 .00
Plan Checic Total .00 .00 .00 00
Grand Total 63.00 63.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTIONTYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPME SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X
G:IEXCHANGEWILDING
I
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East fifth Street -- P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 1 & 2 Single Family Dwelling
k-
* Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address:
3
Building Square Footage:
Description of above
G
Owner Infor etion
Contractor In
at'on
Name; I&AJ1 Ir G hf
Name:
Mailing Address;
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: Y-77-963 Fax:
Phone:
Fax:
License # I Exp.
License # 1 Exp,
Item
Unit Charge
Total (Qty Multiplied by Unit Charge!
ServicelFeeder 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 W1 Service Feeder
$ 5.00
$
Branch Circuit W10 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/Feeder 201 -400 Amp,
$110.00
$
Temp. ServicelFeeder401 -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
$ of 7�
Owner as defined by RCK19,28,261: (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 PANIC 14.05.050 regarding Electrical Permipplications.
Signatu o wn ctrical contractor or electrical administrator: ❑ Cash Check
❑ Credit Card #
X 7 Dated: //—z ~ ' s�— 0110112012
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