HomeMy WebLinkAbout1605 W 15th St - Building N
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 g;
Application Number 12- 00000681 Date 6/04/12
Application pin number 944831
Property Address 1605 W 15TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-0790-0000- Qn our excise tax form
Application type description ELECTRICAL ONLY Y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
HOFRICHTER,TTE JOSEPH EXTRA MILE TECH ELECT., LLC
123 AHLVERS RD 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457 -0198 115 85
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc CIR. TAN BED
Permit Fee 63.00 Plan Check Fee .00
Issue Date 6/04/12 Valuation 0
Expiration Date 12/01/12
Qty Unit Charge Per .Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 bl 7116
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN 10 2
FINAL 6'
4 19e
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
MAY -31 -2012 04:11 PM E.JANSSEN 360 452 2982 P.01
N
1
117 1 WI
CITY OF PORT ANGELES PERMIT APPLICATION l .i
Building Division/Electrical Inspections
321 East Fifth Street —P.O. Box 1150 Port Angeles Washington, 911362 r er a
Ph: (360) 417 -4735 Fox: (360) 417-4711
Uate: 6 L`. 1 2 Single Family Dwelling Sheel
Job Address: C2 c
Plan Review M Be Required, F Ieasf t:;o Iete Ete Plan Review Information
Building Square Footage: a_..._
1• Oescdplan of above
f c:.- _.__.._...,f. ....1:
Owner Information Con Information
l r. Name: �(b! 4f, TF,eM 0 E
Name
mailing Addr _rk�_.,i_.. e `n... Maling Address: --l_ _nj4-4:L 1�L',.iE. f
cit stele: vt. 7pr. '1 City l r<<s Sane: _n/t Zip: .�3.k..L
Phone: Fax:..__..__.._..__... Phone:,4! L- __�1 _L Fax:
License a Exp...__.._......_- License 0 exp 1 01 °!'1 r'1...2.__Lst.I'r
Item K nit, Charge Qty r Tr�tul QJj�yltipligd ia_Unit Chsr�pt
Service/Feeder 200Amp. $120.00 5......_._.,.___.....
Service/Feeder 201 -400 Amp. $146.00
Service/Feeder 401-600 Amp 205.00 x___..._•
Service/Feeder 601 -1000 Amp. 262.00
Service/Feeder over 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5 5.00
Branch Circuit WIO Service Feeder S 63.00 I
Each Additional Branch Circuit 5 5.00
Brunch Circuits 1-4 15.00
Temp. Service/ Feeder 200 Amp. P3.00
Temp. Service/Feeder 201 -400 Amp. 110.0(1
Temp. Service/Feeder 401 -600 Amp. $149.00 1
Temp. Servicnfseder 801 -1000 Amp $168.00 1.......
Portal to Portal Hourly 5 96.00
Signal Circuit! Limited Energy -1 2 Family Dwuxirg 64,00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 10.00 t..
Thermostat 5 56,00 S__
Note: $5.00 for each additional 1 Star
tilM..IQQN(5I11US 1QN_QNLY.;
First 1300 Square F1. 120.00
Each Additional 500 Square Ft, or Port on nt 5 40.00
Each Outbuilding or Detached Garage 5 T4.00
Each Swimming Pool or Hot Tub 110 00
$.,.b.,3,A,! Total
Owner as defined by RCW.19.28.2.61_ (1) Owner will occupy the structure tor two years after this electrical permit Is finalized. 12) Owner is require-J
to hire an electrical contractor 0 above said property is tor sale, rent or lease. Permit expires after six manths of fast inspection.
After reading the above statement, I hereby certfy 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 11'6.28. WAC. Chapter 296-408. The City of Port
Angeles Municipal Code. and Utility Soecific itlons and PAMC 14.05.050 regarding Electrical Permit Applicatkms.
Signature of oWnea, etecMcai contractor or electrical administrator: 0 CAA L Chas
X.
_&2,/- J.
__i CrrdltCom
M o 21,.Y rldcnr: 1, i 2,,...
01ro10012
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
Site Address:
ELECTRICAL PERMIT
/6 te..-
A
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Owner/Business Address:
,B( RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW ----!I--
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)
DetailslDescription:
I-Ju~
//)E(:~j
PERMITNO 3807
DATE '1/;;/..4> z..
,
Phone:
Sq. Ft.
~ OVERHEAD SERVICE
o UNDERGROU 0 ERVICE
VOLTAGE: 0
M SINGLE PHA E
o THREE PHASE
SERVICE SIZE ;.L.on AMPS
.
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.
M'!-Rough-in/cover O.K.
./[.uV^ ~ O.K. to connect service
. "Final O.K.
~ 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 either the Wiring Report
or on the Builgjr:J,g Permit. PHONE 457-0411, EXT. .224.
I t9?1A/ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $
Electrical Inspector
Installer:
w.
.
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
Permit/Receipt No.
New Meters
,.---
z..
~q?
.
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall