HomeMy WebLinkAbout1921 W 18th St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17547
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Port Angeles. Washlngtonmm__m__mm___:____.m.mm__....._m___m____. 19__...___
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-
mission Is hereby granted to d6 electrical work as listed below.
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Address .___.mm____.___..__......._m______..mm.....m_m.______......___.__...._______ Occupancy.._________......___..__..__.....___......m.__
o~er --..'''j:~71!J!!!:.:.:;,.~~!.~_ :e.n;nt...m---...m.-------.....m-m-------.m--...m---m-......----
Wmng Contractor ____...m_'____..__.........m.._____.~,,.......e..~m By...mm_.m.m....mm..mmm..........__m...............
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Light Outlets............n.................-..-..... Service, volts ......_0000...................00.......
Receptacle OUtletsm.3...~...n........... No. wires ...::f......~...:..........!:7:........
C Y/c/6!r{/
::::~, ::...::........>:.-??......::.:..............;.:.:, ::~n :~::s::::j::9q:7t.:::.:~::
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Enclosure 0000.................00................
Water Heater: ./
KW.___n_...___~.';>m_____.__..
.' /<>13/1
Heat. KW.....,..........::..................................
Motors: size, volts and phase:
_____._./.&f..~~?___.____n.h_\.
,. / "l
.______.I.d?_t:~~.___._________......
Type of wirIng:
Entrance Cable _....m.m..m..m.......
Rigid Conduit ....n____________.___......___
Metallic Tubing ...........................
Current transformers:
No. & Size.......................................
,
Ser. No........--.....................................
-.....................................'\..................
Ser. No. ..................................-..........
Ser. No..............................................
Type 01 Wiring:
Armored Cable ..............................
Non-Metallic .................................
Knob & Tube.................._............._
RIgid Conduit ___.n_n___nn_.___n..___.
Metallic TubIng ...00......................
Raceway ............_................._...-.._
Circuits, LlghL...~.......m..................
. ('-?
UtIlity .........:........._..........................
?5
Heat .......................................-....-
d2.
Range ............................-................
5<.
Water Heater ......:::'.......m.............
:r::::.....~~~.~~~.t??...~~~~~..-.~~..~..~~~~~~~~~~~..~~=
Furnace .........................._......_...........
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Total Load............................. Ser. No. ................._.......................... Total.......................................
Remarks: __.m.':::?_!m(""'..-:.~~m_mm..____C_--r:r:?!.,'.!.~_/..--__--......mmmm.......-----m..__.........mmm__._..m_mm
.._...~.._.__.._--_.__._.__...._----_._----_._.__._.........---..-.---.--...-..--.-.-.-.-..---.....-..--...--.--.--.------.......---..--..---.--.--...-..---..--..--.-.........
.:~.~~~~~:~.__::::_.~...-_~~.~.....m--::~_~::__~_~.~~~~::_-:__...m..--m--mm::-~;Z::ZlJ:~]i~=::::~::: _
NOTICE-Current must not be turned on until CertIficate of Inspection has been Issued. If work Is to be con.
cealed due noUce must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I
ELECTRICAL PERMIT
\ Address
N~
,
1 7547\
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............................................................................_....................................._.....................Date..._......__._.._.._.........._......_.................
Owner ..................................._.........._......_......_.._................................__......................... Tenant............................___..u.................................
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Wiring 9ontractor ..................................._....._......_......................................................_............... By.........::...................................................
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NOTICE-Current must not. be turned on untll 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.
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1M Olympic Printers, Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 16-00000943 Date 6/27/16
Application pin number 340676
Property Address . . , 1.921 W 18TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -99 -:1 -1 -0620 -0000 -
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning . . . RESIDENTIAL MEDIUM DENSTY (Location Code 0502)
Application valuation 0
Application desc
Hot Tub
Owner
Contractor
ROWLAND MICHAEL A
SIMPSON ELECTRIC
1921 W 18TH ST
243036 W HWY 101
PORT ANGELES
WA 963635109
PORT ANGELES
W1%, 98,363
(360) 457-9270
Permit
ELECTRICAL ALTER. RESIDENTIAL
Additional desc
1-4 CIRCUITS
Permit Fee
75.00
Plan Check Fee
Issue Date
6/27/16
Valijation . . .
. 0
Expiration Date
12/24/16
Qty Unit Charge
1�er
Extension
BASE FEE
75.00
Fee summary Charged
Paid 'Credited
1) Ll
Permit Fee Total
75.00
75.00 00
Plan Check Total.
.00
.00 .00
Grand Total
75.00
75.00 00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6)
MONTHS FROM
LAST INSPECTION
Signature of owner or Electrical Contractor X Date;
GAEXCHANGE\131JILDING
"V
L
CnT m PoRi, ANGmEs Pmm ArpucATON
Building ffividenffl fecluica1$ , ovens RAIIII )101
321 East rkftb Street - P.0- RmIlso I Port Ajmgdis Washi
Pb.,. (360) 41,7-WI3!5E2X! (360) 4107471.1 IIL402m, 9M 11. 1 1 JE (11 1 i� (11 A t
Date: 7X 1 & 2 SingW Family NmUlng
Plana ReAa Ma Be Requij
,r
'I!gr�ohlplete Elerkical Plan Revje�lnfbrmatlon Sheet
Job Address 1,
DuRdingSqtmip Foulage,
DescripfionUrAm
con"etor
NOMW
Mai
C,)r 7jPI
Phone- FOA;
SolLi mft # I N
Item
SeYvimffeeder 200 Amp. $ 120A01
-4"0,ftr201.400 A", $146.00
r*A40Wee*r40I-WAmp SMIM
,%WMfflRVfW601-IWDAM� $M.00
Sftvk;WV9eder over 1OW-Amp. $373,00
Blanch Ch't* WI Smim Feeder 5.0n
RMnch Cinaft W/OService Feeder 63.00
Each AddjUonal Branch Circuit $ 5.W
Branch Circuits 1-4 $ ism
Torop. Serous!,! Feeder 200 Amp. $ 9&00
Temp. $etvice/Fea*20140D$110.00
Temp, SmimlFefAw 401-M AiM, $149.90
T141M. Serykv/Feeder601-1000 Amp. $168.00
Portal to Portal Hourty $ 98-00
SigNI 00:0 Limled anergy -1$ 2 Family Dwelrmg $ 64.00
MWAftred Hom connedun $120.00
Rerunvable Efechiral Energy _!jKvA sysim or Less $102.00
Themmstat $ 56.00
Note, $S.00 fat each agonal T-ftt
NEW CONMUCTION oNLy:
First 13500_q'uetv Ft -$120.00
Each AddWonal 500 Square ft or Portion of $ 40.00
Each WbuRdIng or Delached Garage $ 74.00
Each Uma ng Pool or Hot Tub $110.00
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Owner as defined by RCK19Z.261'. V) Owner will occupy the structure fort= M after this elattj cal Permit Is finalized. (2) Owner is required
to him an electrical OwftctOr if ab*m said PmPertY is for sale, rent or Itme- NrmR expires after six month of 1,38t inspection.
After reading the above statement I hereby certify that I am the owner of the above named property or a licensed eOctical corn iraft. I am making
the electrical installation or alteration in compliance vin1h the ejec*A laws, N -11C., RCW. Chapter 19.28, WAC, Chapter 2964 B. The City of Port
Angeles Municipal Code, and Utility Specifications and PANIC 14,05.050 regarding Sectrical Pem* Applications.
SigWahwo Owner, eftftical COf6ctw Or GleuMcal administrator: 0 Cash 0 check