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Home My WebLink About1605 McDonald St - Building FOR OFFICIAL USE ONLY: Date Rec.: Pennit#: 76'0/ Date Approved: ,. ~ h Date Issued: li //,'L:/. 'l'(.~l' , ELECTRICAL PERMIT APPLICATION The Electrical Permit Applical/on must be filled out completely. Please type or print in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Applicant and/or Agent: f} f> sc::kciet'c41 Property Owner: Phone: "1r2.~C:7S3 Fax # Phone: Address: Contractor City: License #: Exp: Zip: Phone: Zip: Address: City: Credit Card Holder Name: S~ ER...'f / 1<. Billing Address: $<1 b &-IU..:;"{) rv 12./ Credit Card ~mbe:;;:r7 7 g 7 ()IJ OO! 0 z.80i.- Permit Fee: '7''1 - c94c-tf City /l;d #r!jl'k<;; Zip: XfJ6"5 Exp.Date: 0'//01 VISA_MCX- , PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: Id,os- /11c-1241#/J ZONING Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential 0 Multi-family 0 Commercial 0 Mobile Home Electrical Permit fees are based on WAC 296-46-910 BRIEF DESCRIPTION OF THE PROJECT: IJ/I~{ I ~ klfJ'c9r ;'( ~CJclc L Elcctrical Heat Load Additions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW KW KW KW o Riser o Overhead Service o Temp Service o Undergrouod Service Voltage: Phase: 0 I 0 3 Service Size:_ Feeder Size: Comments: I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the Citys legal responsibility to determine what permits are required; it remains the applicants responsibiliry to determine what permits are required alld to obtain su~.~:/Cp J . J PW-lI02.23 [rev3I.OO] Credit Card Holder's Signature: ~ R ~.E Date: S -:23 -(JaJO '. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16827 .y--/P ;<7 Port Angeles, Washlngton.......__...:....._...._.................................. 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- :~:::s: i:./;~~:r@1:.~.~:;~::~~1!7jjto:~cupancy../~..~:.~_.,...................... '1. tJftt~ . - Owner .......,~~..........!t..~.~..........~....JJf. Tenant....................._....................n............................. Wiring 6;:tractor ...fi!k.:.d.4y-[;.3?.~...~....n...nn..... By......n.............................n......__.._................... Light OUtlet......'~;1..<?........__..._.._..... r.; Service, volts .../::!..q.L,j.~.~. Type or Wiring: I/O ' -;r/ Receptacle OutletS.n.Z:....................... No. wires hn..._............._nn....C!-... Dryer, KW.....___.....?..:.n.......__...___.___. Size wlres__--$4.__'!!.~___ Range, KW ___._____/2:..__.__ Main rUBe ----~CJ!!.(;!--.4----...-- S Enclosure n..................................... .. Water Heater: ".,,- . ~5 KW....---------.2?~.---------------- :;::~:W~;~~~~;J~~~::~~ ~/;!i!f!; Type of wiring: Entrance Cable .dunm................... Rigid Conduit _......__...............m.... Metallic Tubing _,___.mm..."" Current transformers: No. & Size.............___.......mn. Ser. No....__..___.....___.___..__.____.______.._____ Ser. No. ...00.__..00_._...__..___.._....___.0000__... Ser. NO...nnn_......_...__..__......._____..n__.. Armored Cable ..n._m_._..n............_ Non-Metallic .._.......___._............_...._ Knob & Tube...._..__..._.._n._b_n_._...._ Rigid Conduit ............................... Metallic TubIng .............n._m____... Raceway ___...~-....-...._......--_.- CIrcuits, Llght..r...........____.n..___.n..._.... Utlllty ____.~..__...._.........:...._.... Iieat .._..._......................._......._....__ 5:? Range ......................._..__..__.._...__..___ Water Heater .~:..................._.._. Motor ....~....__.......__.___.__...___............ ~~,:~~~~3.?::::.~::::::::~::::::~:..~::~~ ::=:~~~~~-~=:~~;:~~~:-~~~--~:=::='~':~:~~~~~ " ---__u__._____..__n~nn____.__n____.__~__n~_____.n__..nu____.___n___n.nu,...;,h-----n-n--..--------..~.._~_""~...n...-1-n_--.n--n.--.-.nnn___..n..n.....__.. :~.:'~2?m'......n....m. ::~.~.~:..~~.~.~~~.~........ -- By ..9{;L!!tc.i2<C~.L~.!o....~ i'~~ v ' NOTICE-Current must not be turned on untl1 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 'r , .... \ ELECTRICAL PERMIT N? 16827 Address............___...._._.................:n._..._...._............"'"'''''''''''''''00_'_00'''''''''''''''''''''''''''_''0000_'00_''''' Date.. ._._...__.._.._.._...__.....__....._.....__00_...._ 'l..' Owner.._.____..................._......._.........._...._.____..___.____......___......__...__.........._..___.___..________.._.Tenant..________..___.__...........__.....b_..__.._________________.___.. '. Wiring Contractor..n____..___..._.........b....................................................00.00..0000.......................____00\ ,.,By......_...nnn....__........................._............. /' NOTICE-Current must not be turned on untn Certificate ot 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. . 1M Olympic Printers, Inc. ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , . . 16- 000001II Date 1/25/16 Application pint number 060931 Property Addrass , , , . , . 1605 MCDONALD ST ASSESSOR PARCEL NUMBEl; 06-30-00-9-9- 0050 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . , . . Property Use , . . . . , , Property Zoning . . . . , , . RS9 RESDNTL SINGLE FAMILY Application valuation . , . . 0 Application desc Ductless heat pump Owner Contractor - -- -------------- -- - - - -- ------------------------ SwH RGEL DAVID W SLACK DIAMOND ELECTRICAL CONTR 1157 LAUREL LN 502 SLACK DIAMOND RD SAN LUIS OSISPO CA 93401 PORT ANGELES WA 98363 (360) 565 --1035 permit . . , , , . ELECTRICAL ALTER RESIDENTIAL Additional desC , Permit Fee 63.00 Plan Check Fee 00 Issue Date 1/25/16 valuation , , . 0 Expiration Date 7/23/16 Qty Unit Charge Per Extension 1,00 63.0000 ECH EL -R- 3RANCH CIR W01 SER FEED 63,00 Fee summary Charged Paid Credited Due Permit Fee Total 53100 63.00 .00 00 Plan Check Total ,00 .00 ,00 .00 Grand Total 63100 63.00 .00 00 y REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 4502) 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. O:IEXCHANGETUILDING - CITY OF PORT ANGELES PERMIT APPLICATION RECEIVED pif Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 /Port Angeles Washington, 98362 SANS 1 al loamy Wj Ph: (360 1. ) 417 -4735 Fax: (360) 417 -471 0 Date: ! — 7-5--14 1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address:,, Building Square Footage: Description of above Owner Inform tion Name: -SG"— Mailing Address: City: State: Zip: Phone: V rT-Z-"4 Fax: License # I Exp. Item ServicelFeeder 200 Amp, ServicelFeeder 201 -400 Amp, ServicelFeeder 401.600 Amp ServicelFeeder 601 -1000 Amp. ServicelFeeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. ServicelFeeder 201 -400 Amp Temp, ServicelFeeder 401 -600 Amp. Temp. ServicelFeeder 601 -1000 Amp , Portal to Portal Hourly Signal Circuit] Limited Energy _ 1 & 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note; $5,00 for each additional T -Scat 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 $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 $120.00 $ 40.00 $ 74.00 $110.00 Contractor Iormation Name: �PL Mailing Address: City: State: Zip: Phone: Fax: License # 1 Exp,_9� ,G ,tVVV 2. Qty Total Q Multiplied by Unit Char e $ $ $ $ $ $ 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 lect ' al contractor or electrical administrator: El Cash Check El CreditCard# X Dated: 0116112012 -A r- 3 /,, 6/%Z3