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Home My WebLink About1214 W 19th St - Building Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT .. ELECTRICAL PERMIT PERMIT NO. :3 3 If? //-01/-'1/ DATE Site Address: o READY FOR INSPECTION License Number: lYWILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~rhead o undergrounU yo Vol!9ge /;:1~:.:z iY10 030 Service size Ci{tJ?O Amps o Temporary }It Residential 7 Heat KW 'l)j(Baseboard 0 Furnace/Boiler tJ Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) ~New Construction o Remodel o Service update/alter/repair DetailslDescription: #C<<F //;USL . W.S. No. Service Capacity: 0 O.K. 0 Not OK o Ditch inspection O.K. ~ \K! Rough-in/cover O.K. ~ O.K. to connect service ,1' Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter '. o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: Permit/Receipt No. 3"3~? New Meters Date: [/ //-.;2/-<// Site Address: . Notify the Department of City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized belore inspection and O.K. lor covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. T~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT LI c2.... ~ Inspector Am~unt paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYJolPIC PFlINTEFlS. INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. ::r J J Y /(J) -/8'--"1 DATE Installed By: w. o READV FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01.0 03.0 ~e size /~mporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Details/Description: . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. ~ O.K. to connect service ilr~ 'f Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for Installation o Fire Department notified of inspection o Plan Review approved/pending Installer: tv. Permit/Receipt No. Site Address; New Meters - . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 1~r EXT. 224. A:- . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~{) ..-- (~ Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLY~PIC PRINTERS. INC. ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 16- 00000495 Date 4/08/16 Application pin number . . . 191825 DITCH Property Address . . . , 1214 W 19TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4- 5820 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . , Property Use . . . , . FINAL Property Zoning , . , . , . . RS7 RESDNTL SINGLE FAMILY Application valuation .. 0 Application desc Wheel chair lift Owner Contractor STEPHEN GUY BOTERO & SON ELECTRICAL 1214 W 19TH ST 940 TAMARACK WAY PORT ANGELES WA 9.83637018 PORT ANGELES WF, 98362 (360) 582 -7829 (360) 452 -4766 Permit . , , , . . ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee 63.00 Plan Check Fee .00 Issue Date 4/08/16 Valuation , , , . 0 Expiration Date 10/05/16 Qty Ofit 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 Total 63.00 63,00 00. 00 Plan Check Total pp .00 ,00 .00 Grand Total 63,60 63.00 .00 Op REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 4502) 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; G:IEXCHANGEWILDING — 1 712C elr�i 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: ' _ - I c.� 1 & 2 Single Family Dwelling RE C' OR 7' ELECIRWAI f1iWECTIONS * Phan Review May Be Rewired, Pease Complete electrical P,an i Pvj�v � Me, atiaQShee ll Job Address: / e•e✓ Building Square Footage: Description of above Owner Information Name: '� ;7 "rte , . Mailing Address: - - S1 City: State: Zip: Phone: Fax: License # 1 Exp.___._.._._...... Item 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 Am p. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W10 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. ServicolFeeder 601 -1000 Amp . $168.00 Portal to Portal Hourly $ 96.00 Signal Circuid Limited Energy - t & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy - 5KVA System or Less $102.00 Thermostat $ 58.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Addition @1500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74,00 Each Swimming Pool or Hot Tub $ 110,00 Contractor lnfgcn.4ation Name: ?x••, StS A Mafling Address: - Cit .. State; .4a_ Phone:_ Fax:.. !k7:5:2 License Qty Total (Qty Multiplied by Unit Charge) $ $� $ $ $ $ $ $Total Owner as defined by RCIlV.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 cease, 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 UtTty Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner, electric contractor or electrical administrator: ❑ Casa E check z ^- Credit Card # _ - 6 %vi /� dated; �/ / ' (�� .�., 01 112042