HomeMy WebLinkAbout1123 Caroline St - Building
CITY OF PORT ANGELES
UGHT DEPARTMENT
ELECTRICAL PERMIT
Nt?
16663
Port Angeles, W8Bhington_mm___z.._::.~__;?:__c.__m_...._..._m_, 19_?T
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 elect cal work as listed below.
Address ____/1 .e:__~ _m ___m____ - :n_ __ __ ____________ Occupancym____~_____________mm_.___
Owner __m__l;;_.___.__mmmmm___________________~._m ____000__ TenanL._._____________m___m_m__m__mm._m___m.__m__mm__
Wiring Contractor m~_______.m__m_______m_m By._.mm_.___....._____________m__n____mm_____m._...________
Light Outletonnm.n..mm.nnn.mn_n_m.
Service, volts .......................................
Receptacle Outlets....m..___m................
No. wires ........_..............................
Dryer, KW....h.........._...............un......
Size wlres...__................._............_..
Range, KW h..h...............................
Water Heater: . ;)
Main fuse .......................................
Enclosure .......................................
KW__nnmmnjf[.m.:n~
Heat' KW.mc?9.__.n.~F.~.~.~:1
Motors: size. volts and phase:
Type of wiring:
Entrance Cable mm......m...m.....m
Rigid Conduit ...............................
Metallic Tubing ......_....................
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No. .........._..................................
Ser. No..............................................
Total. Loadm......m.m.............
Ser. No.................._..........................
Remarks: ___m___.___._________mm____m__'__._______nnnnn..n____..n___.mm________m__m__mmm_mmm____mmmmm__...__mmmm
Total.......................................
Type or Wiring:
Armored Cable ............................_
Non-MetallIc .................................
Knob & Tube................................_
RIgid Conduit nnnnmmmmmnn__n
Metallic TUbing ..mmm..._............
Raceway ..............................._.__._
Circuits, Ligbt............_._..................__._
Utility .................._..........................
Heat ._...._................_........_...._.._.~
Range ................................_........._..
Water Heater ...............................
Motor ......................................._....
Dryer .............................................._..
Furnace .........................'_......_...........
-;::;~-;::mmm---m-mm--m--;~::~:-~:~:;~~-mm--mmm--m---..-----.7il~p'~--m/1--:--........4..--
$:__000___.._____.__.......000________. NO.____m___..___...._.._._ By __'2l._F..____L__m~~~.
NOTICE-Current must not be turned on untU Certificate of Inspection has been issued. If work is to be con-
cealed due Dotice 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?
16663
Address................_.._.......................................................l~..........hd.........._................................Date..._......_.._.._.............._......_......_......._
Owner ................__................._......_.._......_......_d_.............._........................................... TenanL...................................................................
Wiring Contractor............................................. .............__..................................................._.........By..............................................................
NOTICE-Current must not be turned on until Certificate ot 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.
1M Olympic Printers. Inc.
V) ...
CITY OF PORT ANGELES
LIGHT DEPARTMENT ELECTRICAL PERMIT
I
'[
""-----" .'
N? 16100
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- ~ //
Port Angeles, WashlngtoILn.............................................ooo...ooo....., 19~.ooo...
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.
. Ad~ress nll,7!..:iJ.S~.1i'?);....\'w.nn......nnooon........ Occupancy,n:Ln::..AL....n..__...._...noooooo..
Owner ,,:, ~l.'.. .' Un:l...~:..n"f-,J'~yr' Tenantooo...ooo.........ooo_.........._.ooo_.____.ooo._nooo.ooon..........
Wiring ~.~:~~~~~~.:::::~(Q.::t.~.Lnf~.~.'_!,d:.~__,..__. By.......ooo..__.....ooo.n______.___.___.ooo_____._.___.n.nn__..__.
Light ouuet........................................~ Service. volts ..,!.:.2..J?,,/.i!J!:?.. Type ot Wiring:
No. wIres .......3...........__............... Armored Cable ............................-
We?
SIze wlres........._........._.............._..
;:''1""10 A
MaIn tuse ...:::::.:....-......._;...............
.'.;:;:; ,'-
Enclosure ...\._____......hm_...m.__.....
Receptacle Outlets.......__...;..................
Dryer, KW....nn......n..:.h..n.......__....__.
Range, KW n.n..h.h.........._..........__.
Water Heater:
KW...............................................
Heat' KW.../o......:;.B../J..........
Motors: size. volts and phase:
Type of wiring:
Entrance Cable .........~.......h..........
Rigid Conduit ...............................
Metallic Tubing ...._......................
Current transformers:
No. & Size.......................................
Ser. No..__.__....................._.........__.......
Ser. No. .............................................
Ser. No...............................................
Non-Metallic .................................
Knob & Tube............____..................
RIgid Conduit ...............................
Metallic Tubing ...........................
Raceway ......_........................___._
Circuits, Light...................._..................
Utility.............................................
Heat ................._....._.............._......
Range ................................_......._....
Water Heater ...............................
Motor ..._.................................._....
Dryer ..............................................__
F urnace ........................._~............. :.....
Remark:~ta:__~~~~:;:;:~,~:.:::.:=::~::ooo"77..q.:::_;~.:~::.Z=~..Jf.~.ooo..ooo..ooo______..~~~::__~::~:::~::~:::.::::.:::.:::~::~::
_.._.____._._.___n._..___...__..~..._.__._.___._.________..______.___.___.__..___u....__.._.__.._...__...__..__._____.__.____...___..__.___...__.__._____..__...__.._.......-..
.;~-;;;,;~.;~~ooo...ooo.---~..oooooo.ooo...;;~~~.--~~~~;~~-----oooooo.oooooo--ooooooooo.-----z;ooo.<.Zi.rz.,<:~~:~.:--2--ooo
$:........000..000___..000.000.000.000. No............................. By .:}::r.l~..7'-...f.:-:ooo':?~'!:."-'..ooo.c"!:;~u.../
NOTICE-Current must,not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be Inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16100
Address................................................................................................_.............._.......................Date..._......_.._.._.._.........._._...._....~._......._
Owner...._............................__..~..._.._......_......_.._...._........._...........................................Tenant........................................................_..........
WiringContractor.............._...................._.....................................................................................By._....................................:.......................
NOTICE-Current must Dl>t be turned on until Certificate of Inspection has been Issued. If work Is to be COD-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M
Olympic Printers, Inc.
CITY OF PORt ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15718
J - '-j t) 9/'- r:
Port Angeles. Washlngton..______..u___uu.___...._u___u_.___u_________...___...... 1 ___...u'
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-
: nission Is hereby granted to do electrical work as listed below.
. / ) / /- ./' ~
Address u.___..uuu_____~.:u___:..4.:j:."'JL:.~_I<.un.n.u_______..uu___.m.u Occupancyu.__u.:m;:..~.:,.m............mu.n___u
Owner n.n_n~.'~_~~n.;..~.~n_~.:..nn:.~.~~=~~__.nn..nn_._.__.dU__.U Tenant.nnh.__.hn_._UU__.u......_u._..n.unnunu.__n~_..~..dun
, / (., I
'Viring Contractor .___....".:.,.___..~..j,:.,_..___uuLu:u:::..m/-u:u':.. By..uu___.______.________uu.___.___.___.....uuu....uuu___.uu
, ~
.-,ight OutletB____..______._._..............._.........
:lecevtacle Outlets_......_..................._...
: Jryer, KW nunn.__n__...............__._________
: tange, KW ____.._________________.._
Nater Heater:
KW..m.........................................
: feat: KW...../.:~':-!..m.....:.j~.Bm._m...._
,
.dotors: size, volts and phase:
Total Load....m._u............_.....
/.i" -, ,~ .f'. . >.J".,
Service, volts ......._:_.m_.-/.~...~.._..___.:....
No. wires ..._.::':..._......._........_._._.....___
'..Z..;;" i
:::n :~::B?_:~;d~~~:~_~~~::;~~~~::::~:~
/
-.
Enclosure ........~::......m___.....nn_......
Type of wiring:
Entrance Cable mm___m..mm_
Rigid Conduit _nunmm....
Metallic TUbing _..........................
Current transformers:
No. & Size...........................n........._
Ser. No..................._..._.........._...........
Ser. No. ........_______._____________.._..__....__...
Ser. NO........_............___......__._n_n__...__.
Ser. NO.................._............____n.___._n
Type of Wiring:
Armored Cable ...._m..___.n..............
Non-Metallic .m...________.....n._..__....~
Knob & Tube.................................
Rigid Conduit .._._mh._...................
Metallic Tubing ..n............u_n.__._.
Raceway .........._......._.........._._....._
Circuits. Light.h.............__._m.m....._._..._
Utility _.._.n____............................_.._..
Heat _____.________........................._......
Range ...................._..__,.._.___.___________
Water Heater .........._......_........u...
Motor ........._......_____.._____________nn.....
Dryer..............__..........___._.n___.________....
Furnace .._..............__...._.'_....._.........___.
Total ..........._......_......._.__._._.____
: ~emarks: n.--m.---m-----------h.n.u..~/17Z.;.;."--.-';:k:.------------h.---n.--u.------....nmmn___________________________.____m______
.' >.1 .
'ermit Fee Treas. Receipt 11'.' :./ A/' (
"n_______________________.m.._______ No._____________.______.______. By __IL>L___l/{.c:::L__!.::?~::.:!.:!.:~__:._____.___.::,>.. >
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
(ealed 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
/r,/ I
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"-...c, t ~_..~i.:;..:,
\>'
................-----.--......---...---......-..................................................-------------...-.-................-.-..
..' .ddress
ELECTRICAL PERMIT
N?
15718
Date..._....h...._.._.._h........____._._.._.______n....
"'i"f""'.... -
(twner .........___.......~.;r..;~._.._...1;:;~-.F.!;_..:::.'~nt~-.i.;:...-_.--......:......._..........___nn________..._......n..._ Tenant.n.._............n__nn..____.____u.________un.._.....h......
: . . J
'''iringContractor......._.:..~:...::~....__..__....:......:.....:......}.._:t............f:f_.-_!...__.;;_._.................___.__By._...._......h....n_._......._....__..___.____...___.___....
NOTICE-Current must not be turned on untn Certificate of Inspection has been issued. If work is to be con-
I ealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
,
iPi'0;,t';�' 0"M _�:
DATE: RESULTS:
ELECTRICAL PERMIT
SERVICE
CITY OF PORT ANGELES
j
'
360-417-4735
Application Number . .
18-00000297 Date 3/07/18
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Application pin number . . .
216177
Property Address . . .
1123 CAROLINE ST
ASSESSOR PARCEL NUMBER:
46-39-44-5-3-0565-0000-
'v dation type description
ELECTRICAL ONLY
~"
'vision Name
Property Use'
Property Zoning . . . . . . .
COMMERCIAL OFFICE
valuation . . . .
0
-----Application
Application desc
---
Knob and tube replacement
Owner
Contractor
MICHAEL DEROUSIE
SIMPSON ELECTRIC
1925 W 7TH ST
243036 W HWY 101
PORT ANGELES WA 98362
PORT ANGELES WA 98363
(360) 457-9270
Permit . . . ELECTRICAL ALTER RESIDENTIAL
`,-Additional desc • .` 1-4 CIRCUITS
Oermit Fee 85.00
Plan Check Fee .00
Issue Date 3/07/18
Valuation . . . . 0
Expiration Date-. 9/03/18
Qty Unit Charge Per
Extension
BASE FEE 75.00
2.00 5.0000 ECH EL-ECH
ADDNT BRANCH CIRCUIT 10.00
---------------------------------------------------------
Fee summary Charged
------------------
Paid Credited Due
Permit Fee Total 85.00
85.04 .00 .00
Plan Check Total 4G
.00 .00 .00
Grand Total 85.00
85.00 .00- .00
iPi'0;,t';�' 0"M _�:
DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
CohWENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
REPORT STATE SALES TAX
on your excise tax form,
to the City of Port Ands_
(Location Code 0502)
Date:
°1,°°"r ELECTRICAL INSPECTION
WIRING REPORT
�rs�yF
HKS 6 417-4735
�
PERMIT # I INSP� OR
I �
OWNEt
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑................ ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
ORRECTIONS NEEDED: `Jvx
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE --
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Bog 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fag: (360) 417-4711
Date: a--4 / �
?s 1 & 2 Single Family Dwelling
' Plan Review May Be Regtsred, Tease Complete Plan Review Infort Im Suet
Job Address: n t- S --
Bukft Square Footage: —
Descrom of abm S m n 1% 11 cd ory ,
Owner Information Name: � � Wo L S ;
Addressto 1.4f);m,.1
City S Slee �I�Lp: tf ?H_3
i e -fb -c0 9E11:aX-
License #/ Exp.
Item
SenriceIFeeder 200 Arnp.
ServicelFeeder 201-400 Amp-
ServiWVeeder401-600 Amp
S Feeder 6014000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W1 Service Feeder
Branch Claud W/0 Sam Feeder
Each Additional Branch Circuit
Branch Circuits 1.4
Thorp. S"W Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401.600 Amp.
Tarp. ServicaJFeeder 6014000 Amp .
Porter to Portal Hourly
Signal CicuN Um sled Energy -1 & 2 Family Dwelling
Min h -red home Caxherdion
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each adTffK l T-Stat
NEW CONSTRUCTION ONLY -
unit Charas
$120.00
$ 146-00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$110.00
$ 149.00
$168.00
$ 96.00
$ 64.00
$120.00
$ 102.00
$ 56.00
Fust 13M Square Ft $120.00
Each Additional 500 Square Ft or Portion of $ 40.00
Each Outbuilding or Detached Garage S 74.00
Each Swimming Paul or HotTup $110.00
VORr��� 1
Contractor Information L
cz lvar, c
�����7�"F�e;ao �- at
License #/ F�p.S rsp 4S�L
d ISrn psc=, sr svrna.�P = ��m
gt� Total tQt,► tllu Hied by unit Cttarue)
a
$
a
s
a
s
#Lp<G't�
S
$
$
$
S
a
S
a
$
Owner as defined by RCW.1928.261: (1) Owner will ooc upy the stnidure for two }rears atter this electrical permit is finalized. (2) Owner is required
to hire an electrical Contractor if above said property is for sale, rent or lease. 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 inWAation or iteration in compliance with the electrical kris, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port
Angeles Municipal Code, and UbTdy Specifications and PAMC 14.05.050 regarding Electrical Perrhit AppkCafions.
Sig o , electrical oar electrical arbninMrator. ❑ Can 11 Check
1
[I Cram Card e
v �` / c 01 2012