HomeMy WebLinkAbout2020 W 15th St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:l2\ EAST 5TH STREET. PORT ANGELES. WA 98:\62
~ppLLcatLon Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000654 Date
840754
2020 W 15TH ST
06-30-00-9-2-0010-0000-
ELECTRICAL ONLY
7/21/05
RESIDENTIAL TRAILER PARK
o
Owner
Contractor
ISENBERGER HELEN E
2104 W 15TH ST
PORT ANGELES WA 983635104
OWNER
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc ANGELES ELEC./ 2 SOLA LITES
Permit pin number 55244
Permit Fee 48.10 Plan Check Fee
Issue Date 7/21/05 Valuation
Expiration Date 1/17/06
.00
o
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
. Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
EXPIRED
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COMMENTS! ACTION NEEDED
ELECfRICAL PERMIT INSPEQJON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COJlER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEcnON TYPE DATE ACCEPTED COMMENTS
YES NO
IlIT(:H
WI 1I1'yH:}N I COVER
~bK V lCb
FINAl
GENERAL COMMENTS:
PW-lI02.1~ (41961
/"5,1-3
CITY OF PQRT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
1 ~RtT NUMBER
FEE RECEIPT NUMBER
.
TOTAL FEE
Ib"e
[;\--ECTS,T 34 Dl
\. CONT. Lie. NO. TIME TO COMPLETE
NO. STORIES
',Q....
LEGAL OCCUPANCY
Owner
Owner's Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
'} !l;1'l..O . U1i. .'vV. i 5 t" .
D CORRECT AD RESS IS RESP?NSIBILlTY OF APPLICANT PERMITS WITH_WRONG ADDRESSES ARE CA~CEllED, .'
_('IV id Lpw" Installation By E.le.ctnr S<,nJ\C('. ~C.
':2(1'.) 0 IN .)61-" Installers Address \ IlL, ~. hH. Pi~c..~(ln.j-
J.,.j5:)" - 'fc'-l2 Lf
S'fA!AlIC;)
Vf
Ct,c/Fhi
Wiring Method
Site Address
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
~[)b'I'Ie, ho ~e.. h O~ k
.
NUMBER AMP 12QV. 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIA '0 30 CIRCUITS CIR '0 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR -
CONVENIENCE - MOTOR
APPLIANCE ... . MOTOR .
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE # :
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT -c-
TOTAL FEE .
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .
A.C. UNIT -:Lnn AMP .PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE y/n AW.G.
I SUB-TOTAL SIZE OF GROUND , SIZE OF ENTRANCE SWITCH
e.
I certify that the work to be perforJd under this pe;~1t wll~,be done ~y the '~sta.ller and In co~anc.e ~~th the N.E.C. Electrical Code.
Date Application made II II l. ~ ,19 ~ k By (j (' r:e-v1:1 f4 rE. Llv;l
, .. CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above desc~i~ed work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the ordin.a~nces of .t7,:~~?~nrG;I~S' IT~ LIGHT
Date Permit Issued 0~ $ ~ ~ By -- /C:; (_./0
I'j _ P:AN~ APP VED .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be cover~d or c~rrentturned 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 _
WARNING
WHITE. Original CANARY. Duplicate PINK TrIplicate WHITE CARD - Inspector's Report
OLYMPIC PRINTERS,INC,
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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ELECTRICAL WORK PERMIT APPLICATION
}?;1 clrical contractor n. c
Lil,;cnSC "limber
Date ~xpires
.itS
Installation description ./
o Commercial ~esidential
~~AdditiOD
IJ New
Job wired by
'Icctrical COil tractor 0 Owner
W/h.. 7_ SoL."",! Ll6H7 h6vs
"7N M1~
Prembu owner's na:m~ ~ I
,<,u.9bU. .,:,ehl'J1l71
Add1"eu of inllpec'lo~ ~
'7 J? Z1J lv, /, j
/2A.
City
Phone nllmber' to. $d~~~UIC tn~edi ~
Owner a~' (lcfin(!d hy R.CW.J9,2t~.26J:(1) Ow".er will O(;(-1Jpy tl1ft ~'lrnctU1'efn,. twO
yeClr.. lifter this €!ccJrlcn1 permit i:> f~t.lJi:.e.d. (2) Qw1l.el' Lf reqflirc.:d to !lire an ('/(cmcal
tOnlractor if above said 'prvpc'ty is for $(d,', N!11t or h'Q$c.
After r~ding the a,bovc Islllterncnt, I hereby certify that I am the owner or the above
113mcd propcny or a licensed cICCtriC.11 COl'l1factor. 1 ani making lhc electrical jnst;:~l~
lation or "'Iteration in C,ompLiance with the elcctl"ic3\ laws, N,E,C., RCW. Chapter
19.:28, WAC. Chapter 296-469. The City or Pnrt Angeles Municipal Code, und
Utility Specifications. ,
Signature of owner.i
D(,~ DChcck#
IZI"Credit Card ViSa
Mastercard
Discover
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Card# ____-_,_QJV-__FiC-____
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- Date:
Expiration Dale
of card
(n$pectiC) ~;.. I%L
$ ($,
Service Information
Voltage L:z,1,/z~
Phase B'i 0 3
Service Size: ~
FeeCfer Size: ~_
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ElectricQlload Additions and or sub ractio.M.
IJ NO LOAD CHANGeS
IJ Baseboard KIN
o Furnace KW
o H~ump Ton LAR
~n.Wall _ KW "'''A/;''' <<--
o OVGrhead Servic~
Q Temp Service
a Underground Service
SAME DAY INSPECTION. CALL BEFORE 7'00 AM 360-417-4735
ROUGH-IN THERMOSTAT "'\ / SERVICE "
Da.h,: ^~PlV\I~d Hy "- Dale A.pl"ov<<iD) " DJ.tc ApprUved."y ./
FINAL DITCH ", FUllER
l)nto Approvel.l ~y .-/ Date Appro\l<<l ~y O.:lle AptlnlV~l.l1:l)' ./
ln~pectioli Area. Ruilding or Equipment Inspected Action Taken Elcetri~-al
Dale Inspector
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