HomeMy WebLinkAbout1323 McDonald St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp service change
Owner
WALKHOFF BOB
PO BOX 121
CARLSBORG
(360) 683 1224
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98324
Permit
Additional desc
Permit pin number 174391
Permit Fee 119 90
Issue Date 9/30/10
Expiration Date 3/29/11
Qty Unit Charge Per
1 00
ELECTRICAL ALTER RESIDENTIAL
119 9000 ECH EL 0 200 SRV FEEDER
_Signature of owner.or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00001098
612144
1323 MCDONALD ST SPACE 14
06 30 00 1 0 6400 0000
ELECTRICAL ONLY
UNKNOWN
0
Contractor
BOTERO SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES WA 98362
Special Notes and Comments
September 29 2010 4 39 52 PM Brian 417 4808
Meter pole showing moderate degradation Consider replacing
within 3 5 years
Charged Paid Credited
119 90 119 90 00
00 00 00
119 90 119 90 00
DATE.
Plan Check Fee
Valuation
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Due
RESULTS
913t/16 LitP
IV AP
Date 9/30/10
yr�
‘4.7(0(.7
00
00
00
00
0
Extension
119 90
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical S
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 983 '62
Ph (360) 417-4735 Fax. (360) 417-4711
C x ELECTRICAL
Daly: I NSPECTIONS
1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Additiot,/ Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Z 7 Y
Building Square Footage:
Description of above U }1 rD p 1,1
Owner Information
Name: rt,l re
Mailing Mailing Address:
City State: Zip:
Phone: Fax:
License Exp.
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf- Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charge
119.90
145.50
204.60
262.20
372.50
2:60
73.50
2.60
92.70
110.30
148.70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
110.30
35.20
73.50
110.30
Signature of owner electrical contractor or electrical administrator
Dated: l 7
Total
Contractor Information,
Name: ,n
Mailin,ggAddress: St yr➢ 7 a 'ti- A 3. 4(
City4 State:,.,./,r Zip: qR
Phone: i i Yi? 2 Fax: y <'2 7`7
License Exp. 1 e 3 Q
Cash Check
redit Card V i m 1'
Lc
4;010
Total (Qtv Multiplied by Unit Charge)
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.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
06-00001176 Date 10/30/06
346952
1323 MCDONALD ST,SPACE 5
06-30-00-1-0-6400-0000-'
ELECTRICAL ONLY
UNKNOWN
o
Owner
Contractor
WALKHOFF BOB
PO BOX 121
CARLSBORG
(360) 683-1224
WA 98324
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES.
. (360) 452-92'64
WA 98362
Permit
Addltional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
ANGELES/ MTR REPAIR
89664
ANGELES ELECTRIC
36.30 plan Check Fee
10/30/06 Valuation
4/28/07
.00
o
~
\j
~U
~ ~
~ ~
~ <:
~
Qty Unit Charge Per
1.00 36.3000 ECH EL-R OR RM REPAIR METER/MAST
Extension
36.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.30 36 30 .00 00
Plan Check Total .00 .00 .00 .00
Grand Total 36.30 36.30 .00 .00
~ . \ . "~~Jl:
.. -................ >, '~4...
, ~ ,- lCt01
V\
~\
, .
.pLw .Cbec'k:"~e.."
V,\ll1nt1.C,n
COMMENTS! ACTION NEEDED
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....."...-.....
ELEcrRlCAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COJlER,
INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
UrfCH
ROITnH.IN I CUV.hK
;SJj.K vlCb
/ J meruc~ f!rc.pt/fCl:,D
/tJ/:;t.<j/o/- ..h A JI
/ /
1
I
I
GENERAL COMMENTS:
PW-IJ02 IS 14'961
OCT-23-2006 09:02A FROM:PROPERTIES BY LANOMA 1(360)457-3212
L.{tI -1..{7/f
TO:4174711
P.1
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WI
........
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical COli tractor 0 Owner
JRI,lallDtion description
CI Commercial J( Residential
~1-...u..I,_lIt9 "v"....~~
pu~er's mDiling address'
,SOl E.
License nllmber
ODle Expire9
o New
o Altered/AddUlon
City
\s-!- S~~
Stale ZIP
QBOio
h
Premlu:s ~wncr'lI name \ \ r
t:'s.6..n- ~ Px,b l..Uo.\v..~c*~
Address or Inspection r-
I ~'3 t\c..,t)onoJ. cl #-7
CUy n ~
\"Oil. i I"\(\( J Jl J S
Phone number to schedblc In.peetlon:
Owne/' as d~flncd by RCW.19.18.26/:(I) OWllcr will occl4py the str14CIUre for two
years aflcr this electrical permit i.f finulized. (1) Owner is required 10 IJirc an electrical
cotUraclor if above said property is for sale. renl or lease.
After readine Ine above statement, I hereby certify thai I 3m the owner or Ihe above
nnmcd properly or a licensed electrical contrnctor. J am making Ihe electrical instal-
I:llion or alteration in com pI in nee with the electrical lilW!, N.e.C., RCW. Chapter
19.28. WAC. Chapter 296-468. The Cit}' or Pori Angeles Municipal Code. and
Utility Specifications.
Sla:natllrc of owneMlcctrlcal conlnelor or clcelrlc.1 admlnlstralnr
i ~ Date: \O-';>3-Ob
C 0
o NO LOAD CHANG ES
o Baseboard _ KW
CJ Furnace KW
IJ Heel Pump _ Ton _ LAR
Cl Fan-Wall _ KW
o Cash 0 Check #
o Credit Card ~ Mastercard
Card # !:
Discover
Expiration Date
of cord
Inspection fee
$ /.,.W
Service Information
b . t
o Overhead ServIce
IJ Temp Servles
o Underground Service
Voltage
PhaseOl03
Service SiZe:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/ ROUGH-IN TIfERMOSTAT SERVICE
,- Dala App.n>~ell Uy O~It. Ap(lfOnd I)y DIID ^ppro~cd Ay
CAIrr., lNA~ DITCH FEEDER
"- Olla Apprnvc4 8y
01' A/ll'IfOV1:l! u} ./ 0110 APflTOvcd 8y
Inspection Arent Building or Equipment Inspected Action Taken e1eetricnl
D::atc: Inspector
~ ,D/l ,
/f?1>-/ /()/~'//O&
10-25-206 8,00A~
FRO~ ANGELES ELECTRIC INC 360 452 9265
P.l
S"
~.
>~"
l\t> ";10$
-...
ELECTRICAL WORK PERMIT APPLICATION
City
ArjC[~[S mCTRlC. INC.
524 EAST FIRST
PORT AtJ~kPI1I~A J83~2"'
l11l~
,
~/~e
! .
~,
\
.,
Jub wired by
Electrical Contractor 0 Owner
Inst::.llation description
o Commercial
Electrical contructuf name
License number
Date Expires
o New
Purchaser's mailing <.lddress
Td~phol1c number
FAX number
tI
#-..5
City
PhllDC numher to schedule inJpcrtiulI:
Ownf'T a:i defined by RCW/9.28.261:(J) Own(!"J' wi1l occupy the structurefi)" two
,veal'S after this electrical ptr/ttir is finalizecl. (2) Owm'" is "equired 10 hire un dt'c.,trieal
CClntrtlcror if onnv('. said prope11.y i~' for sale. rem.l or lease.
After reading the above !itatcmcnl. I hereb,y certify that I am the owner 0 r the above
named property or a licensed electrical contl3ctor. J am making the electrical inst'<ll-
Ia-tion or alteration in compliance with the electrical laws, N.H,<:., RCW. Chapter
19.28. WAC Chaptcr 296-46B. The City of P(lrt Angeles' Municipal COGC, 3.Tld
Utility Spccitications.
Signatu.re o~Y'er~ electrical o.urac:tor or electrical adminis!rator
X. ~ - Date:/~' )q{
Ele . .~I Load Additions d or . >>btractions
NO LOAD CHANGES
Q Baseboa,d KW
D Fumace KW
o Heat Pump Ton
Q Fan-Wall KW
o Cash 0 Check #
~ard VIsa
Card# ____-_.LZ!!_-Ate_-____
Mastercard
Discover
Expiration Date
of card
"30
LAR
~d Service
o Temp Service
o underground Service
Service Informl!-tUm
Vallag. /2PAtl'i'
Phase ~;#'
5.,.,;c. Siz.: ~
Feedsr Size: :z.
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/' ROUGH-IN THERMOSTAT SERVJCE
DOll" Ap,,'O"'c(ll{y \. 0"..10; ^pplllvell By VAle Approved B,
:; ~,:;;A~ DITCH Fl'lIDER .
\.. Dn~ ,a.pp....vcd Hy 0., ^f.'PrD\loll&y..,/
rl\~pcction Area. Building or Equipment inspected Action Tnkcn I:::leclricaJ
Dste Inspector
.
A /"l /;:n /O~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:12\ EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivislon Name
Property Use
Property Zoning
Application valuation
06-00001165 Date 10/24/06
564160
1323 MCDONALD ST SPACE 5
06-30-00-1-0-6400-0000-
ELECTRICAL ONLY
UNKNOWN
o
Owner
Contractor
WALKHOFF BOB
PO BOX 121
CARLSBORG
(360) 683-1224
OWNER
WA 98324
,oj~'l
~
\:J
\A
l~
~
~ ~
~\)
Permit ELECTRICAL ALTER RESIDENTIAL
Addltlonal desc LANDMARK REALTY/ TRIP FEE
Permlt pin number 89508
Permit Fee 36 40 Plan Check Fee 00
Issue Date 10/24/06 Valuation 0
Expiration Date 4/22/07
Qty Unit Charge Per Extension
1 00 36.4000 PER EL-PARTIAL INSPECT 36.40
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.40 36.40 .00 00
Plan Check Total 00 .00 .00 00
Grand Total 36.40 36 40 .00 .00
~
___...: -=--;: v
':'f ,",'"
- "': -,41~" r -
COMMENTS/ACTION NEEDED
~_ l "~
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INsPECTION TYPE
I
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-lI02." (4'96]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:121 EAST 5TH STREET. PORT ANGELES. WA 98:162
ELECTRICAL PERMIT
Issued: 6/08/99
Permit No:
6657
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
BARNEY SHETLER I 1323 MC DONALD
11175 DRYKE RD I Lot:
SEQUIM, WA 98382 I Block: Long Legal:
360/683-7493 Sub: SL 64 TRAILER COURT
T: SPACE #14 S: I Parc No: 3000108400
,
CONTRACTOR-----------------------------DESIGNER---------------------------------
ELECTRIC SERVICE I
924 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
,
000/000-0000
,
PROJECT INFO---------------~----------------------------------------------------
prj Type: MOBILE HOME prj Value: $0.00
Occ Type: Cnstr Type: FEEDER
Occ Grp: Occ Load: Land Use: RS9
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service size:
Feeder size:
-1
o
-3
o AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
HOOK UP "MOBILE IN SPACE 14, SERVICE EXISTING
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc MOBILE FEEDER $42.50
TOTAL FEE:
Amount Paid:
$42.50
$42.50
-------------~-------------------
---------------------------------
i"" ", "
------------------------~-
TOTAL FEE:
$42.50
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DAn: I ACCKPTIID COMMENTS
I YES I NO
nrTrU
~-IN I LUV!:!.K , ~
SERVICE I bt11'i"l
J<TN 6. r I I I .
GENERAL COMMENTS:
PW-ll0'2.J$I4'96J
. -
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ELECTRICAL PERMIT
Issued: 10/15/96
Permit No:
5688
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
1323 MCDONALD SP#5
Lot:
Block:
Sub:
Parc No:
Port Angeles,
360/000-0000
T:
WA 98360
Long Legal:
S:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ELECTRIC SERVICE
924 DRAPER RD.
PORT ANGELES, WA 98362
360/452-6424
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ ~lPe: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use:
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-1 -3
100 AMPS
60 AMPS
PROJECT NOTES-------------------------------------------------------------------
60 AMP FEEDER IN SHED--- WIRE HOT WATER, DRYER, WASHING MACHINE
PROJECT FEES ASSESSMENT---------------------------------------------------------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $30.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$30.00
$30.00
-----~---------------------------
---------------------------------
TOTAL FEE:
$30.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINlMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
DnCH
1U)UUH-IN I COY bK
SERVICE
/ /
FINAL I /v//.fl'.z. I~...., I
GENERAL COMMENTS:
PW-tt01.15 14196]
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.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
)'h- ~ ')
ELECTRICAL PERMIT
PERMIT NO.
00/0
?12-3k6
DATE
Site Address: ~ ;4~tJ,JJ;A/IfI/ of: o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed By: VitA/[)/t) -ShE/Ic,(, I License Number: Phone:
Owner/Business: Phone:
OwnerfBusiness Address: Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
~ RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
)t SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
DetailslDescription:
'i1 r~/ ~
/ Obt{L L
=zfi~
. 'f: .{Ice.
.
1;lr RISER
o OVERHEAD SERVICE
o UNDERGROUNj> SERVICE
VOLTAGE: /2d~,/O
~~1CE s~zE31c9o AMPS
FEEDER SIZE ...2.<9Q AMPS
--. I
~eLUICE /In cI
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
At" 'lR O.K. to connect service
o Final O.K.
Site Address:
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before 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.
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112A1.1
Electrical Inspector
Installer:
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - file by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
New Meters
Permit/Receipt No.
.570/0
t90
10-
Permit Fee
----
GREEN - Top: Mete, Dept., Bott~i\
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. / t ~
_1~o$f
, ,
DATE
.
Site Address:
1ttf
READY FOR
INSPECTION
License Number:
o WI LL CALL FOR
INSPECTION
Phone:
Owner/Business:
I
Owner/Business Address:
!
I
o Residential
I
I 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)
Phone:
Sq. Ft.
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
010 03.0
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
DetailslDescription:
-rI04Ju
.
1-r;c1~
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
4-DlffiJ:L.iospec.tioA-O.K~
I} R(\ll~h ',F1Ic-o~e~
o O.I'C. to ('Ollll~vl ;:'~lvtGe
tM~. j"f[O'VLO;:""
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
Site Address:
.;l ~ 1)1 C-
Installer:IJ1c,~
~
Permit/Receipt No.
/&/5
New Meters
D
.
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 /t ~
. Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: Cify Hall
OLYMPIC PRINTERS, INC.
r
.
.
.
o r{57
FEE RECEIPT NUMBER
,CITY OF PORT ANGELES,
DEPARTMENT'OF LIGHT
. APPLICATION AND ELECTRICAL PERMIT
PERMIT NUMBER
000247
A
TOTAL FEE
I
21:;)
\. \:)~~
~t~\t:>c~~~
\
~800
I ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~
Site Address J \ b~" ~~~~,,"-~ ~- l o;:..~~ ~\~ ~\.-'r. \~'("" ~~,'IL.... \~J
~ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED -
Owner \"{\\If...~ .. ~~,,'C Installation By e\..:\'('C\.~\1:.. ~'-~~~.I:. "
Owner's Address '~~(\:~'\i. Installers Address ~\ ~. \....,_~\...~
Day Phone Installers Phone I.{g - ,s.~~~
Application is h?reby made f9r P~r'!'lt to Install Electrical Equipment as tallows: ~E.. ~f'\\'C' \)'\'>..'('l\.~b\i ~
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
CONT. Lie. NO.
StN\l;:..\:.
Wiring Method
'E "'" '\
,"-,
NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT . PER 100R" - FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT , 50 VOLTS
OR lESS
- .. MOTOR .'.
CONVENIENCE
CONVENIENCE MOTOR -
APPLIANCE .. MOTOR ..
DISHWASHER FIRE ALARMS_
t '" BURGL!'-R ALARM
DISPOSAL , ..
. .
, Misc. .
RANGE \ ~ -. ~
..
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC ..
BASIC FEE
ELECTRIC HEAT u",? /).<, 0
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .
.. -
A.C. UNIT AMP PHASE
FEEDER , SIZE OF SERVICE ENTRANCE CONDUCTORS
. " . r/ 1tJ. .,P
SERVICE i/" C~ A.W.G.
. . SUB.TOTAL 10. ,,~
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
. . .
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
-- L\-- \\o~ bS
Date Application made
, 19'\;,~
~~~~~
BY~
CONTRACTOR OR OWNER (OR AUTHORIZED AGE-NT)
Permission is hereby given to do the above de$cribed work, according to.the conditions hereon and according to tl'!e approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t~e.City of Port Angeles. . .
1.1 _ /.7.. rJ By d&-ef?:r--'OF ~ITYLIGHT ~-
Date Permit issued "7 PLAN~EO ~
".\
Notify Department of City Ught by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before Inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WARNING
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD .Inspector's Report
OLYMPIC PRINTERS, INC.
~. t., ;~,}~~',):'~fn
REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15866
y-y /C
Port Angeles, Washlngton.mm2.m__m__..__....mm...m..m__......__..m. 19m..m
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.
/3? 5'" -j;fe- jJ~~f2P L
~:: ~~~~~;?l=i:~;;~~;:;~~~;;~~~:=?~=~~=:=:=
Light Outlet........................................... Service. voll. ./..-?..~.:?....r..9......... T)"pe of Wiring:
Receptacle Outletsm______.._................... No. wires .....:.}..............~,_......... Armored Cable .....-........................
SI I f{!tf (!)Y Non.Metallic ...............................--
Dryer, KW __nnn._...__.__................_.__.... ze w res..:?'/..___..__......u_......__.
""'.d\ ~ ,( Knob & Tubem............................._
Main fu.e .....,.~.(1:...........
Enclosure ....:~......~...m._......_.......
Range, KW...____h___._...h_.___..__..
Rigid Conduit ...............................
Water Heater:
Metallic Tubing _m.m....__.............
KW......................,--.....................
Heat' Kw.....L,.9.J..~........................
Type of wiring:
Entrance Cable _mmm....___.____....___
Ser. No......................-....-.........-........
Raceway .__............................_....._
Circuits, Light......._......_.___.___.._..m_.......
Utility .......u_.......___.........___..._.........
Jleat ._...._........................................
Range _._..__..__._..__............................
Water Heater ....._...._....................
Motor ..................__....__...__..._..........
Moters: size, volts and phase:
RIgid Conduit .....................
MetallIc Tubing m__m.......
Current transformers;
No. & Size.......................................
Ser. No. ..........................-..................
Dryer ...__..................................._.........
Furnace ....._......__............_..._......... ...__.
Ser. No. .............................................
Remark:~ta:__~~~;.:~..~:::~.=....._<U?4~~~~:.:_;iiLj1~~..u~.m...mmm__~.~~::__~::~:.:~.::.::..::::~.:~..~:.~:.
_;~.:.~~.:~~~..._..:.__._:..:.:.._..m__m.::~.~.~:::~~.~.~~~.~..:_-..._...--.--m_--m::.,;rl1~~;l~_~=:::::::
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 before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15866
Address..._....____..____._..............................._..................._.._........_______......___.___.....___.____...._...............Date.___......____.._.._.........._......_._....__........
Owner ......................___.........._......_.._.....__......_............._...................._..__.__.........__.......... Tenant_.........__..........._..._............._.............._...........
Wiring Contractor .........._u..u.....u........................__.._.....__........._.n........_....._.........................._____.. By...._..........__....._........___._............nn..........
NOTICE-Current must not be turned on untn Cert1f1cate of Inspection has been Issued. If work is to be con.
ceal~due notice must be given the Inspector so that work ~ay be inspected before concealment.
.- , ~ Olvrnrlic Printers. Inc.
RECE14
CITY OF PORT ANGELES PERN11T APPLICATION AVo 19 0
Building DivisionCElectrical Inspections
Ph: 360 Fifth Street —
X735 FasP. 60 417- 471IPort Angeles Washington, 98362 ����t��I
( ) ( } sl
Date; 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Comple a Electri al Plan Review j f mation eet
Job Address:'
g- } -
Building Square Footage:
Description of above
'
Ownerinfoyymation L-�~
Name; �'!ti:
i
Contr terl Ination
Name: aJ
Mailing Actress:
Mailing A dress:
City: State: Zip:
City: tate:6 _Zip: C :3:1
Phone: Fax:
Phone: Fax:
License # 1 Exp,
License # 1 Exp,—)Ia'.P- Z. _
Item
Unit Charge
Total (Qty Multiplied by Unlit Charge)
Service /Feeder 200 Amp.
$120.00
$
Service /Feeder 201 -4C0 Amp,
$146.00
$
Service/Feeder 401.600 Amp
$ 205.00
$
ServicelFeedsr 601.1000 Amp
$ 262.00
$
Service /Feeder over 1000 Amp,
$ 37100
$
Branch Circuit W/ Service Feeder
$ 5,00
$
Branch Circuit W10 Service Feeder
$ 6300
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$
Temp, Service/ Feeder 200 Amp.
$ 93.00
$
Temp, ServicelFeeder201 -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 Circuil) 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
_ $�_
$ Total
Owner as defined by RCW.1128.261: (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 reamed property or a licensed electrical contractor, i am making
the electrical installation or alteration in compliance with the electrical laws, REC., RCW. Chapter 19,28, WAC, Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature owner, electrical contractor or electrical administrator: ❑ Cash Cl Check
Credit Card 4
Dated: ' �'if 1� DUO O12
0 { 'r -N itr v LznL'1
m..
s
of
0 1 pORTA4, Q. ELECTRICAL INSPECTION
WIRING REPORT
RK5 417-4735
A . PPROVED NAT PPRO:VED:)
.............. ..... DITCH ... 13
................ ROUGH IN/COVER ............... 0
0-. ................. SERVICE ... ........... 0
0 ..................... FINAL ................. . - - 11
CORRECTIONS NEEDED: 4,5
-z l4wS
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
PERMIT 4
INSPECTQZ
CONTRACTOR
6-0 4-
ADDRESS
) 7512 �5 m 00 Por L-
A . PPROVED NAT PPRO:VED:)
.............. ..... DITCH ... 13
................ ROUGH IN/COVER ............... 0
0-. ................. SERVICE ... ........... 0
0 ..................... FINAL ................. . - - 11
CORRECTIONS NEEDED: 4,5
-z l4wS
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 14- 04000988 Date 8/19/14
Application pin number 369124
Property Address . . . . . . 1323 MCDONALD ST SPACE 1
ASSESSOR PARCEL NUMBBR; 06- 30 -00 -1 0- 6400 -0000-
Application type description ELECTRICAL ONLY
8uhdivision Name . . , . . .
Property Use
Property Zoning . . . . . . UNKNOWN
Application vaauaticn . . . 0
---- --------- ---- --- - - -- --- ------------------------------------------------
Application deoc
Temp pole
Owner
FIRWEST AND OCEAN VIEW LLC
C/O SHIRLEY BAUBLITS
PO BOX 1073
PORT ANGELES WA 98362
Contractor
BOTERO & SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES WA 96362
{360) 452 -4766
-------------------------------------------------------------`--------------
Permit . . . ELECTRICAL TEMPORARY SERVICE
Additional desc . .
Permit Fee . . . 93.60 Plan Check Fee 00
Issue Date 8/19/14 Valuation , . . . 0
Expiration Date 2/15/1'5
Qty Unit Charge Per Extension
1.00 93,0000 ECH EL -TEMP SRV 0 -200 SRV FOR 93.00
Special Notes and Comments
August 19, 2014 8:15;44 AM banders.
Provide 12 foot minimum Clearance above ground with overhead
service conductor.
Fee summary Charged Paid Credited Due
Permit Fee Total 93,00 93.00 .00 .00
Plan Check Total, .00 .00 .00 .00
Grand Total 93.00 93.00
n
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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:IEXCHANGEIBUILDING
pokr4,4�FrF
r
CITY OF PORT AINGELES PERMIT APPLICATION REC E" I
Building Division/Electrical inspections M
321 East Fifth Street — P.O. Box 1150 / ]Port Angeles Washington, 98362 � �
Ph: (360) 417 -4735 Fax: (360) 417- 4711���d
Date: 7 ->47' - 1 � ;,� "/ _ 1 & 2 Single Family Dwelling
Plan Review May Be Required, Please Com Electri ai Plan Review mation,eet
Job Address:
Building Square Footage:
Description of above
Q,
Owner Information @,.-.r
Name: rr`,Z�a&/ �
Contr I tion
Name:
Mailing A ress: • a
Mailing A dress:
City: Stale: Zip:
City: .. State: r Zip; 3
Phone: Fax:
Phone: Fax:
License # I Exp.
License # / Exp )j4;Z 4 4 .'o 64, ? _
Item Unit Charge
Qt2 Total Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00
^� $ 6 zO
Service /Feeder 201.400 Amp, $ 146,00
$
Service /Feeder 401 -600 Amp $ 205.00
$
Service /Feeder 601 -1000 Arn p, $ 262.00
$
Service /Feeder over 1000 Amp. $ 373.00
$
Branch Circuit WI Service Feeder $ 5.00
$
Branch Circuit NO Service Feeder $ 63.00
$
Each Additional Branch Circuit $ 5.00
$
Branch Circuits 1.4 $ 75.00
$
Temp. Service/ Feeder 200 Amp. $ 93.00
$
Temp. ServicelFeeder 201.400 Amp. $110.00
$
Temp. Servlce /Feeder401.600 Amp, $149.00
$
Temp. Service /Feeder 6fl 1 -1000 Arnp . $ 168,00
$
Portal to Portal Hourly $ 96.00
$
Signal Circuit/ Limited Energy - 1 & 2 Family Dwelling $ 64.00
$
Manufactured Home Conneclion $120.00
$
Renewable Electrical Energy - 5KVA System or Less $ 102.00
$
Thermostat $ 56,00
$
Note: $5.00 for each additional T -Stal
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 Not Tub $110.00
$
$�- -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 -46B, The City of Port
Angeles Municipal Code, and Utiiity Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Signature owner, electrical contractor or electrical administrator: tEl Cash ❑ check
- Credit Card 9
°' Gated:i) 01f01012
PoRrq* 'p, ELECTRICAL INSPECTION
, mrZ
417-4736
WIRING REPORT
[)A PE . RM . i . T A —FN-S—PECTOR
ill 6l
OWNER
�, H I 1;kptusw*T
CONTRACTOR
ADDRESS
1737-3
APPROVED NOT APPROVED
[I ................ DITCH ....... ............ 0
0. . . ............ . ROUGH IN/COVER ............... CI
0 .................... SERVICE ...................�„
[I .......... .......... FINAL ............ I I 1..... 11
CORRECTIONS NEEDED:
9>
1-11f yj 4c- ,h
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . , . , 14- 00000989 Date 8/19/14
Application pin number . . , 439447
Property Address , . . . . , 1323 MCDONALD ST SPACE 1
ASSESSOR PARCEL NUMBER: 46- 30- 00 -1 -0- 6400 -0000
Application type,description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use
Property Zoning . , . . . . . UNKNOWN
Application vdluation . . , 0
Application desc
200 amp service change
Owner
FIRWEST AND OCEAN VIEW LLC
C/O SHIRLEY BAUBLITS
PO BOX 1073
PORT ANGELES WA 98362
Contractor
BOTERO & SON ELECTRICAL
940 'TAMARACK WAY
PORT ANGELES WA 98362
(360) 452 -4766
Y
Permit . , . . - ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee 124.00 Plan Check Fee ,00
Issue Date 8/19/14 Valuation , . , . 0
Expiration Date 2/15/15
Qty Unit Charge Per Extension
1.00 120.0000 ECH E1i -0 -200 9RV FEEDER 120,00
---------------------_---------_______----------------------------------------
Special Notes and Comments
August 19, 2014 8:17:06 AM banders,
Provide minimum 16 feet clearance over driveway and 12 foot
minimum over walking area with overhead service conductor,
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120,00 ,00 .00
Plan Check Total 90 00 .00 .00
Grand Total 120.00 120.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
I
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEIBUILDING
RECEIVED
��ov Pair yf!
CITY OF PORT ANGELES PERtbIIT APPLICATION JAN 2015 Building Division/Electrical InspectionsECTRICAL
321 East Fifth Street — P.9., Box 1150 / Port Angeles Washington, 98362 m$pEONS
Ph: (360) 417 -4735 Fax- 360) 417 -4711
Date:/-- moo/ 4 1 & 2 Single Family Dwelling
k Pian Review Ma 8 R uired, Please mpl to Electrical Ian Revipl, nforrrr f on Shee
Job Address: 2 t.JL
Building Square Footage:
Description of above
Owner Info oration Contrac Information
Name: Name: t, : ,
Mailing Address: WMi ddress,`
City; Slate: Zip: City State: Zip:
Phone: Fax: Phone:Z —Fa
License # 1 Exp, License xp.
Item Unit Charge Total (Qtv Multiplied by Unit Charge)
ServicelFeeder 200 Amp. $120.00 b $�
Service /Feeder 201 -400 Amp. $14$.00 $
Service /Feeder 401 -600 Amp $ 205.00 $
Service /Feeder 60 1 -1000 Amp. $ 262.00 $
Service /Feeder over 1000 Amp. $ 373.00 $
Branch Circuit W1 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, ServicelFeeder 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 $ %00 $
Note: $5,00 for each additional T -Scat
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 $
$ Total
Owner as defined by RCW,19,28.261: (1) Owner wlli 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, VVAC, Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications,
Signature o o ner, electrical ntractor or electrical administrator: El Cash 11 Check
li-- edit Card # ra
X Dated: Z , 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , . , ., . 15- 00000006 Date
1/07/15
Application pin number , , , 785694
RESULTS:
Property Address . , , , 13223 MCDONALD ST SPACE 3
DITCH
ASSESSOR PARCEL NUMBER: 06-30-00-1-0- 6400 - 0000 --
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use , , . . . , . .
Property Zoning , . . , . , . UNKNOWN
ROUGH -IN
Application valuation . . , , 0
---------------------------------------- --- --- --- ---- -- --- ---- -- - ---
Application desc
- - - - ---
200 amp service change
Owner Contractor
- --- ------------- - - - - - -- ------------------------
FIRWEST AND OCEAN VIEW LLC BOTERO & SON ELRCTRICAL
COMMENTS:
C/O SHIRLEY BAUDLITS 940 TAMARACK WAY
PO BOX 1073 PORT ANGELES WA
98362
PORT ANGELES WA 98362 (360) 452 -4766
Permit , , , , . , ELECTRICAL ALTER RESIDENTIAL
Additional desc , .
Permit Fee 120.00 Plan Check Fee
00
Issue Date 1/07/15 Valuation . . . .
0
Expiration Bate 7/06/15
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL -0 -200 SRV FEEDER
120,00
Special Notes and Comments
January 6, 2015 3:20;32 PM banders,
New meter pole height and location must provide all
necessary minimum clearances from structures and.over grade
(i,e, 121 wal]eable surface, 16, driveway, ls' road, 51 from
buildings) as shown in NESC, NEC, and WAC. Contact with City
Electrical Inspector for consultation,
Fee summary Charged Paid Credited Due
Permit Fee Total 120,00 120100 00
,00
plan Check Total 00 .00 00
.00
Grand Total 120,00 120,00 00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cede 0502)
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:IEXCHANGEIBUILDING
Ak