HomeMy WebLinkAbout1515 Butler St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO, r-? ~9 /
DATE /CJ/I/P;/J>1
Site Aljdress:
o READY FOR
INSPECTION
~ License Number:
)XWILL CALL FOR
INSPECTION
Phone;
ownef'Business:
Own~r/Business Address:
Phone:
Sq, Ft.
o Residential
Heat KW
01 Baseboard 0 Furnace/Boiler
01 Heatpump 0 Other
o Commercial/Industrial load
I Total Connected load
I (attach breakdown)
I Total Motor load
, (attach breakdown)
o New Construction
~ Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
Det'li Is/Description:
1
)z[ Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
~;~7t:I;:C-~2~
<7--/.-//~ ~
Amps
ec.
'?'/l.b}///d!; 0?~
W.S. No. Service
Ca~acity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~- rr'Rough-in/cover O.K.
o O.K. to connect service
~"f Final OX
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
Slle Address:
,
I~staller:
Permit/Receipt No.
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. 158 or EXT. 224.
, rs / ck
.Iflspector
NO OCCUPANCY OR USE ESTABLISH EO UNDER THIS PERMIT
/br CJO
WHITE - file by address YELLOW - file by number
,
PINK - Top: Eng, Bottom:~ListO!'Tler
Amount paid
GREEN - Top: Inspector, Bottom: City Hall
lL!tMPIC PRINTtRS. INC.
~- .'
CITY OF PORT ANGELES
UGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
17210
tII'/ ,,-.~
y. -, , '-J
Port Angeles, Washlngtonm....L...::...c!.~._m......m___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 do electrical work as listed below.
Address ..__I.:~.~!.:..~t16:_~L---...n.--.-----mm..m----. OcCUpanCy...__,.ddL':!..m.__n._____m.......
~:=gr~.~~gi~~~:;.::~~..~~=~~;~:::::::::::...::...~::::::::::=::::::::::::::::==::~::::=:::::::::
. v
~ () /dO/!:>P:;"
Light Outlets....................______....__......._ Service, volts .......-7----.....------.---.....
Receptacle Outlets___....5:.Q...._........ No. wires ..~........................_-:;....
Dryer, KW ...._____m.~....__.m.__n__n.__m Size wlres...-.l"L4.~I!..._..
RanSe, KWnmn.l..~mmn n....mm___. Main fuse ......~__i!..!.J...__.......
Water Heater: Enclosure ____5...00.........._..............
~S
)(W --mm2n mn..n "'__00"00 .
Hea', KW __..... ..__.3...__Ll..k_________
I ---
Motors: size, volts and phase:
I. ~~..--
, ..._..._.._..................................00......00.._
.
~:~~~::ti~::=:::::;,,;~~
v
Type of wiring:
Entrance Cable ___0000.....___._..___.......
Rigid Conduit ___....____....00
Metallic Tubing ..00....._.................
Current transformers:
No. & Size_..________.n___.__.__________...__...
Ser. NO..n........_n_......_.n...........n_......
Ser. NO............_.............._.............n...
Ser. NO..._n...n.........n........................
Type of Wiring:
Armored Cable ..............................
Non-Metallic .........______................__
Knob & Tube_____..........................._
RIgid Conduit ...____.....__....__.....____
Metallic Tubing ...............__________.
Raceway ......7.-..-.-....-.....---.-
Circuits, LighL.G:?..........._....._..._....._..
~
Utility .....______________.______..............__.
It)
Heat .....L.........._....__.............___
.;.]
Range ....~.........________..............u...
Water Heater ____::2...................__
:r::::.__~..~~~..._..~~.~~~~~~~~~~~~~~~~~~~~~~~-.~=
Furnace .........................._................._.
Total I..oadnn_..__n__._.............. Ser. No. .__.._.............00_......._.....___...... Total ...<it:._2..,....................___
Remarks: m-------m;m::ldj~..-:;-.,.=:....__.__-r~.~.1At..4--.'-...--.--..--...----.--.____m___n__...mm__.______...._____.___..
::~i.~~~..~~.~~~~..~.~~~~...~.mm---::~.~.~:..~~.~.~~~.~..~.:..~.-------m..m..:~.~9Z:i?.l::l~::2~~:~~
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work Is to be eon.
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
ELECTRICAL PERMIT
N?
17210
A~dress.---....-------....-.................................._.___....___........_____..._.....................................______..._.....Date..._.....__.._.___._.........._._...._......_......_..
Owner .........h_........n__nn.__________.____._.............._..___......._........_.___..._................................ Tenant.___..............n........_n..._.._n..___nn...nn_n.________
W.ringContractor_______..______._....................._.............._...._u.......___....._....._...._..............____.....___.___._..By........._____....___.__......._.._......._........._......_..
\ NOTICE-Current must not be turned on until Cert1flcate of Inspection has been issued. It work is to be COD-
;ealed due notice must 'be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
FROM R.P.S. ELECTRICRL CONTRRCTOR
FRX NO. : 360 452 6753
Feb. 182004 02:18PM P1
.
~tS
~...
ELlCTRICAL PERMIT APPLICATION
roll UI'I'ICIAL us!!. ONI.Y
[)ue.IR.ft;: .___..
Pmn;t/l;
DI''''''W'l>voi:_._
~1uued:__
The Electrical Permit Application must be filled out comDletelv.
Please lype or reprint in ink.. If you haw any questions. plelase call (360) 417-t735
Fax number: (360) 417...s.7"
03-100(."
REQUEST INSPECTION 0
Owoe'o,E;,c.Conl,"ctorAgont: A Y\d ~ C);t<.ck. phono:/ftl);;J.-b7S3 Fax: ")QrY\e..
P'opeMyOwnor: ,l\an ?() ~,,>k~ Phon.: i./5:)-7"1;;J:;?
Add",.. i515 ~d/q- CIty: p.A" Zip: q2365
, (C I t AP~ l..c'-:L.'lZI '::rN
E/ectrocalConuactor. PI,P S 61ec./f'ltIl JI1\"t'or IT('1:~clJcen.e#: E><p: 1.{-I'1-oL( Phone:'1S;;J-/:,7s:5
Add",.. 5'i 6 f>~Jl1 "JC)n [C,:> a..J) CI~' ,?" ..-r 1'1.1l..5 t").e ~ Zip: 9]) .%.3
INSi AlLATlON WIRED BY: ~J OWNf:R )(ELECTRICAL CONTRACTOR
Credit Card Holder Name: A. f' - ~ - 6/ e c.+i'i ca./ to Y\ t- ;--0. t.--f 0 .(
BillingAddress:C;lib &rJ'.4)fI Retz& City:JO ,+ 4..iJf1t(~5
(Credit Card ~"
\..___ QIT"-f'rl~ .
1'3\6 Bu'f!e-r ~.A.
Zip: q g 3/3
VISA:_MC:;t
PROJECT ADDRESs,
TYPE OF WORK:
){ReSidental 0 Multi-family
o Commercial
~AlleratiOnlAdditjon
o Mobile Home Sq_ Ft ~ oc:o!
Check all that apply: n New
Remote Meter 0 Detached garage lJ Hal Tub [J Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom.. 0 Sif
Number of Circuits added or altered
~ I~ .- " i ".
. "" ...,--r > C"",-'
- -, \' . , v l
>
-::-0 r (';:p Y1
.?--' ~ '" .)
. "\...\ } J \-
(" 'T-
c;(;>, :1
D~;;CRI~TION OF lHf- ELf=.TRICAL PROJECT:
HI) ri Add . ~ C\ ;") ~ ?;" r
.,. + , . . .
Electrical Heat Load Additions
PERMITFEE: b 4 . q 0
;ienrice Information
~ Baseboard
~-~urnaee
; .! Heal::Pump
:.-'i Fan-Wall
K,W
KW
TON LRA
-KW-
Jl!l. Ovell1ead Service
o Temp SefVice
o Underground Service
VOltage:,;? ~I 0
Phase: 18"1 0 3
Service Slze~
Feeder Srze:~
PAMC 14.0S".060{B): For industrial. co~rr.erc:al. & residential projects larger than a duplex. a one . line drawing of the ElectrIcal Service &
Feeders. building size (sQ. ft.), load calclllalions. and the type & of conductors and/or r trica
Permit application.
I hereby certify that I have read and examined this application and know that same to be true and correct. and I an
authorized to apply for this permi!. I understand it is not the City's legal responsibility to' determine what permits 81
required; it remains the appiicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Date: J.. - 17; -,;laJ~
Date:?- 'I't' -;2DO~
Owner Or Elec. Conl Signature;
CiELECTRICALPERMIT APPLICATION
!to
2-/19 /(J~
c/l'ORT~
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.....;<;d'
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number .0368
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
03-00001006
Date
2/23/04
1515 S BUTLER ST
06-30-99-0-0-8110-0000-
RES ADDITION
RS9 RESDNTL SINGLE FAMILY
13500
Owner
Contractor
MICHELE M & DONALD
1515 S BUTLER ST
PORT ANGELES
R ZOZOSKY
WA 983631337
APS ELECTRIC
546 BENSON RD.
PORT ANGELES
PORT ANGELES
(360) 452-6753
800 SF ATTACHED GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98363
Structure Information
Construction Type
Occupancy Type
Other struct info
15.10
V~N
1. 00
3162.00
26250.00
800.00
3962.00
1. 00
Permit.
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expir~tion Date
ELECTRICAL ALTER RESIDENTIAL
200A PNL/ A.T.S. FOR GENERATOR
APS ELECTRIC
64.90 Plan Check Fee
2/23/04 Valuation
8/21/04
.00
o
:-::;Q~y
j\=.;'~ .;. ~,~
Unit Charge Per
64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.90
O~her Fees
STATE SURCHARGE
4.50
Fee. .8~ary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.90 64.90 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 69.40 69.40 .00 .00
Separate Permits are required for electrical work. SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be compiled with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date
Date
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
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