HomeMy WebLinkAbout1039 W 13th St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17034
Port Angeles, washlngton_________L:._=-_.€.f.________________..__..________, 19_Pl"
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
:~:::: 1:_/~:~;Z::_?;;_;~::tl:__::_~:~_~~__~_~_IO:~cupancY____~__________________________
Owner >.P.;;e;:;~~~-----------c;y)"---_c:v' {;enanL....____h__________m______________________________________________
Wiring ~-~~~~~~~X::a~_,&.,,;?____~_~~_!__ By__h__________________________________________________________________
/1 V
LIght OutletB..._...._......._...______.___________.
Service, volts /mm.m.........................
Receptacle Outlets..................._._..m.._.
No. wires ........n_............................
Dryer, KW 00000000........00...__.............___...
Size wlres....__....__mm..m....m..h._..
Range, KW..._.n..___h....___.________......_
Main fuse .......................................
Water Heater:
Enclosure ._......................__.............
KW.mm______...m._..__..__m____
Type of wiring:
Entrance Cable ......__.....................
Heat: KW.h..................................._...h..
Motors: size, volts and phase:
Rigid Conduit
Metalllc Tubing m.m.__......
Current transformers:
No. & Size............._.._..........._..........
Ser. No...............................................
Ser. No. ..........._..._......_..__......._...__.....
Ser. NO...._........._._....._.__..._........._n....
Type of Wiring:
Armored Cable ..........................._..
Non-MetallIc ............_............_.....__
Knob & Tube______......___________________._
RIgid ConduIt ............._........__..____
Metallic Tubing .........._......___.._.._.
Raceway ._.............__......_..._.___._
Circuits, Light.___.....___.___.......................
Utility ....___.__._....____...___......._._._______
lleat .._.........._..........._............._.._..
Range ..._n......_.........._.....................
Water Heater m..._m_.._.................
Motor ..__........._....................._........
Dryer ..........._...._...._._......................__
Furnace ....................._...._.....__...........
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
N?
17034
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Address.___________......................._..._..__.................................___..._.___....._.._......._....................._........Date..._....___..____.._..........__....._....________....
Owner _..................._....___......._.........._......_......_.._........_..__....__....__...._...................___....... Tenant.............._........................................_u...._.._._
\
WirlngContractor.....................___....___...__................_._..__._.................___.___.._.........._......................By____.__................_..................._..................
i
NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment. ..
1M: Olvmoic Printers, Inc.
Application Number . . . . . 23-00000209 Date 3/03/23
Application pin number . . . 832869
Property Address . . . . . . 1039 W 13TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-7055-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
CCTV / Security
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Owner Contractor
------------------------ ------------------------
HARIS MOHAMMAD AND MAEHREEN SA ADT LLC
11905 NE 153RD PLACE 11824 N CREEK PARKWAY, N
KIRKLAND WA 98034 STE 105
BOTHELL WA 98011
(206) 719-0347
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 64.00 Plan Check Fee . . .00
Issue Date . . . . 3/03/23 Valuation . . . . 0
Expiration Date . . 8/30/23
Qty Unit Charge Per Extension
1.00 64.0000 ECH EL-SINGLE CIR LIMITED RES 64.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x 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 W/ Service Feeder $5.00 $
Branch Circuit W/O 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. 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 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / 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.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 3/01/23,14:29:51 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000209 1039 W 13TH ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 64.00
TOTAL DUE 64.00
Please present reciept to the cashier with full payment