HomeMy WebLinkAbout2905 S Laurel St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO ,/300-
~//~ /P3
.
DATE
O~ner/Business Address:
ELECTRICAL PERMIT
-<,2-(.(
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
,
In~talled By:
O~ner/Business:
Phone:
Sq. Ft.
~ 'I:RESIDENTIAL
o ,COMMERCIAL
o iBASEBOARD KW _
o ,FURNACE KW _
DIFAN/WALL KW
o HEAT PUMP KW
o ~ SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
~. REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
I
DetailslDescription:
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.
II
w.s. No. SERVICE SIZE
,
CAPACITY:
, 0 O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
,
o Ditch Inspection O.K.
)iJ/'Ib ~ough-in/cover O.K.
. ~ I
o O.K. to conne~~ sU~ce. _
--1&1i"\~ final O.K. ~ '{A..vv-v
Si\eAddress C}10s -S;;;. kt~
Inraller 7t~~ a lu.:c
permit/~~~toO(,
New Meters
-'
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
befpre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
'7i~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
I!)e)
.;J 0 .-
Electrical Inspector
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: MeIer Dept., Bottom: City Hall
OLYMflC PRINTERS INC
INSPECTION TYPE
DATE: RESULTS: INSPECTOR:
DITCH
ELECTRICAL PERMIT
SERVICE
CITY OF PORT ANGELES
FINAL
360-417-4735
COMMENTS:
PERMIT WILL EXPUZE SIX (6) MONTHS FROM
LAST
Application Number
1.G--00000942 Date 6/27/16
Appl.i.cation p.i.n nunber
267:144
Prope:i,.,ty Address . I . . . .
2905 S LAUREL S'1'
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
OG 30 15 2 2 9030-0000-
on excise tax form
Application type clescx-iption
ELECTRICAL ONLY
your
Subdivisi.on Name
to the City of Port Angeles
Property Use
(Location Code 0502)
k,roperty Zoning
Applicat.ion valuation
0
Apj..)lication desc
200 amp ,ser v.i , .ce Remote meter
Ouner
Cont:racto:r.
HAGGERTY MICHAEL E
BOB'S ELECTRIC INC
2.905 S LAUREL Sri.'
2293 DEER PARK RD.
PORT ANGFILES WA 98362691.0
PORT ANGELES WA 98362
(360) 457- GB87
P e nni t CAL
ALTER RESIDENTIAL
Additional desc
Permit Fee 120.00
Plan Check Fee 0
Issue Date G/27/16
Val. uat ion 0
Expiration Date 1.2/24:/1G
Qty Unit Change Per ,
Sxtens ion
1.00 120 0000 H("H EL
0 200 SRV FEEDER. 1.20 00
Fee summary Chay.qed
Paid. Cred.ited Due
Permit Pee Total 120.00
120.00 .00 00
Plan Check -Total 00
00 00 00
G'ra.nd. Total 120.00
120,00 .00 00
INSPECTION TYPE
DATE: RESULTS: INSPECTOR:
DITCH
LD
ZN7-
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPUZE SIX (6) MONTHS FROM
LAST
INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 l Port Angeles Washington, 98362
Ph: (369)417-4735 Fax- (360) 417-4711
Date: /� i _ 1 & 2 Single Family Dwelling
N
Owner Information. nfor
Contra a Son
r
44
Name: a� y .
Name:. of..._... �+' �-
�td a� a r Ar
City "�e�a 5ta e: � 2jp��� C Rg�. Mete �.2^p°
P ane. Fox. _
Cleanse # l Exp,t,lce ise # f E
Item
Unit
Unit Charge)
ServieeiFeeder 200 Amp.
$120.00
Seiv'ceiFeeder201-400 Amp
S 146.00
ServicelFeeder 401-600 Amp
$205,00
Service rFeever601-1000 Amp.
S262.00
Service, Feeder over 1C00 Amp.
$ 373.00
Branch Circuit VJ1Service Feeder
$ 5.00
w
Branch Circud VJ10 Service Feeder
v 63,00Each
Aftl:cnal Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
Temp Service! Feeder 200 Amp
$ 93.00
Temp, Service/Feeder 201400 Amp.
$110,00
5 -
Temp. Serv;ce)Feeder401-600 Amp.
$149.00
Temp. ServicelFeeder 601 -1003 Amp
Portal to Porta! Ho;,riy
S 96.00
Sign ,I Ciiojuogq Limited Energy -1 & 2 Family Crve:ling
$ 64.00
i,, an Jaatrrled Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102,00
Thermostat
$ 56.00
r_
Nose: $5.00 for each add&onal T-Stat
-
h?', S-0—klf2-C Tl N'
First 1300 Square Ft
$120.00
Each Additional 500 Square Ft or Portion of
S 40.00
Each Outtwi!ding or Detached Garage
S 74.00,,,_
$
Each Swirnming Pool or Hot Tub
$110,00
..�.w_.�..__....-._...Total
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, electrical contractor or electrical administrator: ❑ caste ❑ the k
Credit Card #,.