HomeMy WebLinkAbout2104 Driftwood Pl - Building ELECTRICAL PERMIT
2104 DRIFTWOOD PL
12- 1552
N
ELECTRICAL PERMIT t
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 12-00001552 Date 11/28/12
Application pin number . . . 447664
Property Address . . . . . . 2104 DRIFTWOOD PL REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-6-0-1800-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
WOODSIDE DALE L SHEPHARD ELECTRIC
6134 140TH CT NE 71 E ROBERT PL .
REDMOND WA 980524665 SEQUIM WA 98382
(360) 477-1801
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . 11/28/12 Valuation . . . . 0
Expiration Date 5/27/13
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 . .00 .00
Nr
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE Z
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION ��r'�►-
Building Division/Electrical Inspections 1 t _
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 1
Ph: (360)417-4735 Fax: (360)417-4711ti �L
�/
Date: _/18,2 Single Family Dwelling
"Plan Review May Be Required, Please Complete El rical Plan Review Information Sheet
Job Address: a l D Lf 0 if Li-/-raaod
Building Square Footage:
Description of above 41
Owner Information /, Contractor I r nation
Name: a !/V D CT S��� Name: a
Mailing Addre s: a u Mailing Address:
City: State: Zip: 2�2A City: State:L44—Zip:P
Phone: Fax: Phone: Fax:
License#/Exp. License#/ xp.
Item Unit Charge Total(Qtv Multiplied by 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 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O 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.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$7VZ 9,n otal
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. 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 296-4613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,el ntractor or electrical administrator: ❑ Cash ❑ Check
P XCredit Card#
X Dated: r/� [� " 0110112012
exp, 0 910
to*pORT 4N0=FCITY OF PORT ANGELESII��LIGHT DEPARTMENT PERMIT NO. 9-CTei ELECTRICAL PERMIT DATE
® Site ddress: 0 ❑ READYFOR ❑ WILLCALLFOR
6 INSPECTION INSPECTION
Inst lied By: License Number: Phone:
Own r/Business: Phone:
Own r/Business Address: Sq. Ft.
Residential New Construction ❑ Overhead
Heat KW 7 Remodel X Underground
❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair V Itage
ElHeatpump ❑ Other 10 ❑ 30
❑ Commercial/Industrial load ❑ Add/alter circuits Service size _e;06 Amps
Total Connected load ❑ Auxiliary power ❑ Temporary
(attach breakdown) (list below)
Total Motor load ❑ Special equipment
(attach breakdown) (list below)
Details/Description:
ns c'11,
W.S. No. Service Size—Date—Hold for: ❑ Easement ❑ Letter
Capacity: ❑ O.K. ❑ Not O.K. Comments
n � ❑ Ditch inspection O.K. ❑ Signed up for service/meter
C—/ ugh-in/cover O.K. ❑ Meter Department notified for installation
,JtK, K. to connect service ❑ Fire Department notified of inspection
Final O.K. ❑ Plan Review approved/pending
Site lAddress: Permit/Receipt No.
d / 't) ?J_ti>'
Inst) Iter: /, New Meters Date: -7
Notify the Depa ent of City Light by Street Address and Permit Number when ready f inspection. Work
must not be cov red or electrically energized before inspection and O.K. for covering or service has been given
by tT,eirispector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
A
or Amount paid
`
WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN —Top:Inspector,Bottom:City Hall
OI.YM11C PPINTE PS. INC.
OEb
"ORT 4
� CITY OF PORT ANGELESwLIGHT DEPARTMENT PERMIT NO. O
7, ELECTRICAL PERMIT DATE CD �r"7
Site Address: r( ❑ READY FOR ❑ WILL CALL FOR
� or 4L.J00Ek A, Cc- INSPECTION INSPECTION
InstIled By: \ _ License Number: Phone:
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
❑ Residential ❑ New Construction ❑ Overhead
Heat KW ❑ Remodel ❑ Underground
C Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair Voltage
Heatpump ❑ Other ❑ 10 ❑ 30
Commercial/Industrial load ❑ Add/alter circuits Service size Amps
Total Connected load ❑ Auxiliary power GJ—Temporary
(attach breakdown) (list below)
Total Motor load ❑ Special equipment
(attach breakdown) (list below)
Details/Description:
W.S. No. Service Size—Date—Hold for: ❑ Easement ❑ Letter
Capacity: ❑ O.K. ❑ Not O.K. Comments
❑ Dlitch inspection O.K. ❑ Signed up for service/meter
❑ Rough-in/cover O.K. ❑ Meter Department notified for installation
Q.K. to connect service ❑ Fire Department notified of inspection
❑ Final O.K. ❑ Plan Review approved/pending
Site lAddress: Permit/Receipt No.
-/- ., : 4 lac 1 Q
Inst 114r:___� New Meters Date:
Jo (9 ;
® 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.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
G
Ins ector "Amount paid
WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall
OLYMPL PRINTERS. INC.