HomeMy WebLinkAbout1210 W 19th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Replace 200 amp main breaker
Owner
WEST JEFFREY E
PO BOX 1134
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983620214
09 00000627
021800
1210 W 19TH ST
06 30 00 0 4 5810 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
OWNER
ELECTRICAL ALTER RESIDENTIAL
149120
93 75
6/25/09
12/22/09
Qty Unit Charge Per
1 00 93 7500 ECH EL 0 200 SRV FEEDER
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Charged Paid Credited
93 75 93 75 00
00 00 00
93 75 93 75 00
DATE
Plan Check Fee
Valuation
Due
RESULTS
612109 flP
0z6 loQ cAP
Date 6/25/09
00
0
Extension
93 75
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
City of Port Angeles Permit Application
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph. (360) 417.4735 Fax: (360) 417.4711
Date: t 4 4 e 2i. -D
1/9 2 Single Family Dwelling
Multi- Family or Commercial*
Commercial Addition Alteration Remodel Repair*
Signature of owner electrical contractor or electricai administrator
x_ L S 4)-6 S-� D, to
RECEIVED
JUN 2 5 2009
LIGHT DEPT
*Plan 'Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: I.21c, tit! e S r lei f-t-/ s. 7i
Building Square Footage:
Description of above /C eP/4 CI PIU(, 2 afYL. p /7-La-flit cr( k CAA-1 1" e r? f.�- k -e-a_
1
ki b f K drivt e h (.4 !'Ln)4 t e cyL.c e/L
Owner Information Contractor Information
Name: G F(- \T tL4'e? W err Name.
Mailing Address: f?). 6 ox" If 3 c Mailing Address:
City jD'T 0. H Cfer Mtate: IN 4. Zip 83 42 City State Zip:
Phone: 4S L 3 tf b Fax: Phone: Fax:
License Exp. License Exp
Unit Charge Q y Total (Qty Multiplied by Unit Charae)
93.75 1 q1 ?S Service /Feeder 200 Amp.
$113.75 Service /Feeder 201 -400 Amp.
$160.00 Service /Feeder 401 -600 Amp.
$205.00 Service /Feeder 601 1000 Amp.
$291.25 Service /Feeder over 1000 Amp.
2.00 Branch Circuit W/ Service Feeder
57.50 Branch Circuit W/O Service Feeder
2.00 Each Additional Branch Circuit
72.50 Temp. Service! Feeder 200 Amp.
86.25 Temp. Service /Feeder 201 -400 Amp.
$116:25 Temp. Service /Feeder 401 -600 Amp.
$131.25 Temp. Service /Feeder 601 1000 Amp.
75.00 Portal to Portal Hourly
69.00 Sign /Outline Lighting
75.00 Signal Circuit/ Limited Energy Commercial
50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling
50.00 Signal Circuit! Limited Energy Multi Family Dwelling
93.75 Manufactured Home Connection
80.00 Renewable Electrical Energy 5KVA System or Less
86.25 First 1300 Square Ft.
27.50 Each Additional 500 Square Ft. or Portion of
57.50 Each Outbuilding or Detached Garage.
86.25 Each Swimming Pool or Hot Tub
43.75 Thermostat
Total
c 3 7.
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.
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.0 RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Cash
Check
Credit Card it
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16199
" J. ;--
Y.'. - _:' ( >
P rt A 1 W hi gt . - 19.../..'.:_~
o nge es, as n on______._..'..______......___.______............___.._________,
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 do electrlca! work as listed below.
1""./' (, .- i;?,.J!
Address ...___..0.~.....,~.....::..f!...__..........______...:........___.___.......___......___... Occupancy....___?J..:::{,,-:'C.-!..................___...n
;;. ~ , II" . ,/' I
~:::~.~:~~:~~;.':::{~;!i~~~::;.~.:~~:~~=::::::~1J~~;::::::::::::::...:...~::::::::::~:::::::::.::::::::::::::::::::::::::::::
/e' /jO /' ,10tf
Light Outlets............._....;;.:mn....._.._..... Service, volts .......;...........-;-.................
. .,. (5 ~ "
Receptacle Outlets.._n~..__..__.............. No. wires .......................................
. C :..(~,/' t.1 t:/
Dryer. KW.....h...__._._....._._._______.___..____ Size wires....,.............................._..
. / :1 ,:.r d.) .;.f
Range, KW _n..___..u__m___:.___..u_______.._m Main fuse .....__:m~_~_:....n:~m._m_____.n
.,.-
Enclosure n___mn.~n___..m_...m__...m
Wo.ter Heater: .';" ".//
r~.'_ J
KW..______.__u___tr....._.....__....
Heat' KW........../~J....:.1./l.......
Type of wiring:
Entrance Cable ............_...___..........
Motors: size, volts and phase:
Rigid Conduit m.mm..m__
MetalUc Tubing .m__nnnmn___...h__
Current transformers:
No. & Size............__.........................
Ser. No.............._....._._._...__...,....__....._
~.......................................................-
.--......
'-
Ser. No. nn_nn.n.n_...nn_..n__n_._n__...._.
Ser. No............__.............__.................
Total tAlad_.__.........................
Ser. NO.__n_nn....n_....nn.....___n.n.___h__
T)'pe of Wiring:
Armored Cable ............._..00__........_.
Non-Metallic ........m...n.__.._...m.....
Knob & Tube.............n__.._...n_......_
RIgid Conduit ..............................
MetalUc Tubing m_....mnn............
Raceway _....___._____................._....._
1
Circuits. Light................_..n....n..____......
:>
Utlllty.......,.....................................
I-Ieat 0000_1._............................._......
.:-.:t
Range .........................._.....___._____..._
.j
Water Heater ~or::~........_......_m......_
Motor ........_...__._0000.00_.................._..
'-;
Dryer __....Q~nn....n...................._......_
Furnace .................._......._........._.........
~ .-:">..
Total .~!:..,;~....h..........h.....
-~
Remarks: _.n..~"~.._n;.?n!n-;_!'::::::u.-----u~-;::'.?!:!;~."~:!~.~..2~!~..:...:~.dun_....__._u__._un._.u.....__._...hn_un_U..._U.h__.........nunnnn
Permit Fee
$:............................___.___..
Treas. Receipt
No.............................
By ..nn.~~~..~J(..~!::2~~~;i:J~...: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.
"
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
. \
ELECTRICAL PERMIT
N?
16199
(
Address___.....__................................................................._.........__...._................................_._...__....Date..._....._............_..................................._.
Owner ....................__00..00......._......_.._....00........._.._.........__._....00'..........__00.00.00.0000_...00..._____. Tenant......u_.nn__nn_n.n..n..__..n;.__._..._......__.............
Wiring Contractor ......_.00_....._........................___....00__..._.00...............................00_....00.._..0000....00_._.0000 'By._............................................................
NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work Is to be COD-
cealed due notice mUBt be given the Inspector so that work may be inspected berore concealment.
1M Olympic Printers, Inc.