HomeMy WebLinkAbout3431 Mill Creek Ct - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 0001
'7 h;/'ll
I . I
DATE
Site Address:
;J yj
C/.
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
Details/Description:
/l;/~ Yo
I
)K(" RESIDENTIAL ~. RISER
o COMMERCIAL 0 OVERHEAD SERVICE
o NEW CONSTRUCTION 0 UNDERGROU,NQ~ERVICE
o REMODEL ljO :rAGE: /2cJ}~r/O
o ADD/ALTER CIRCUITS 1 r/J 0 3 r/J
o SERVICE UPGRADE/REPAIR SERVICE SIZIi(6z.D AMPS
o TEMPORARY SERVICE FEEDER SIZE ~ AMPS
, ( /)11
~ ~ {' /~ubt
I (
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
.
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
1e;tu1~ Ditch Inspection O.K.
o Rough-in/cover O.K.
k ~ O.K. to connect service
o Final O.K.
Site Address:
Q.
I.
Installer:
.
----
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 Build~Fmit. PHONE 457-0411, EXT. 224. /.
. / cf2"1-'l1/ . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 4J
ElectriballnspectJr Permit Fee
WHITE - File by address
PINK - Top; Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Halt
OlYMP1C PAINTERS INC_
CITY OF PORT ANGELES PERMIT APPLICATION
''"
14)
Building Division /Electrical Inspections.
t<�
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 JUL 2 7
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: — `-
_ 1 & 2 Single Family Dwelling yf
* Plan Review M e quired Ple se Co
ete Be trriical Pi eview Information Sheet
Job Address; s v
°P
9uilding Square Footage;
Description of above - r� e
Owner In at on J
Contractor Information
Name: -P— 6
Name:
Maili g Ad ress; '1 '
r,, Zip:
Mailing Address:
City: State
Zip
City: State:
Phone: :t7 (0y ( ax:
Phone: Fax:
License # ! Exp.
License # ! Exp.
Item
Unit Charge_ Qty Total (Qtv Multiplied by Unit Charge)
Service /Feeder 200 Amp.
$120.00
$
ServicelFeeder 201.400 Amp,
$14640
$
Service /Feeder 401 -600 Amp
$ 205,00
$
ServicelFeeder 601 -1000 Amp.
$ 262.00
$
ServicelFeeder over 1000 Amp.
$ 373,00
$
Branch Circuit WI 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.
$11000
$
Temp. ServicelFeeder 401 -600 Amp
$149.00
$
Temp, SorvicelFeeder 601- 1000 Amp
$16800
$
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 50C Square Ft. or Portion of
$ 40,00
$ 74,00
$
$
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot 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) Ownor 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: D Cash Check
❑ Credit Card # —
'�
2- ' [ 4 f �
01101!2012
0110112012
X
Uated:
C�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . , . 15- 00000927 Date
?/27/15
Application pin number . . , B27202
RESULTS:
Property Address . . , . 34$1 MILL CREEK CT
DITCH
ASSESSOR PARCEL NUMBER; 06-30-15-2-3- 9160 -D000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . , . . . . , ,
Property Zoning . . , . , , . RS9 RESDNTL SINGLE FAMILY
ROUGH -IN
Application valuation , . . . 0
•�
Application desc
New garage
Owner Contractor
JAIME AND KA'THE'RINE KOZELISKY OWNER
COMMENTS:
2265 TOWNE PONT AVE
PORT TOWNSEND WA 98368
(390) 385 -3215
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc 1
Permit k'ee 74,00 Plan Check Fee
00
Issue Date 7/27/15 valuation
0
Expiration Date 1/23/16
Qty Unit Charge Per
Extension
1.00 74.0000 ECH 'EL- R- 01,7TBD /DTCH GAR IN /SEP
74,00
Fee summary Charged Paid ,Credited
Due
Permit Fee Total '74.00. 74., 00 .00.
00
Plan Check Total .00 ,00 .00
.00
Grand Total. 74.00 74.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Part Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
•�
FINAL
.- —
COMMENTS:
PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GAEXCHANGE113UILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . . 15- 00000150 Date 2/20/16
Application pin number 316600
Property Address , , , . . , 3431 MILL CREEK CT
ASSESSOR PARCEL NUMBER, 06-3D-15-2-3- 9160 -0000-
Application type description ELECTRICAL, ONLY
Subdivision Name . . . , . .
Property Use
Property Zoning . , , . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Manu, Home
Owner Contractor
----- ------------- - - - - -- ---------------- --- - - ----
JAIME AND KATHERINE K02ELISKY OWNER
2265 TOWNE PONT AVE
PORT TOWNSEND WA 96368
(3.90) 385 -3215
Permit . , , , . , ELECTRICAL ALTER RESIDENTIAL
Additional desC . .
Permit Fee 120,00 Plan Check Fee .00
Issue Date 2/20/15 Valuation . . , 0
Expiration Date 8/19/15
Qty Unit Charge Per Extension
1.00 120,0000 ECH . $L -MANF HOME SERVICE & FEEDER 120.00
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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
3 �/
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL % UZE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEIBUILDING
Date:
i
d
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street— P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 2 _1 (— I �—
i" '? , MM
FE'S -18
1 & 2 Single Family Dwelling EI- ECTRICAL
1NSArC oNS
* Plan Review May Be Required, Please Complete Electrical PleW Review Information Sheet
Job Address: M t L_ L-- C
e . A
Building Square Footage:
Description of above
ru S
,J-L t- r4- . r3r�
6 —
Owner Information
Contractor Information
Name: i M&
Name,
Mail Ing Address: b v rte+ r�,r�'
City: l�-
ado
Mailing Address:
State: ti'i Zip: 9
City: State: Zip:
Phone:�haw �m3 f x: _44 -n— 1®, A IV
C tnAl 1L, CO "I
Phene Fax:
License # ! Exp.
License # 1 Exp.
Item
Unit Charge
Qty Total (Qty Multiplied by knit Charge)
Service /Feeder.ZO Amp.
$ 120.00
$
Service /Feeder 201 -404 Amp.
$148.00
$
Service /Feeder 401 -600 Amp
$ 205.00
$
ServicelFeeder 60 1 -1000 Amp,
$ 26100
$
Service /Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W1 Service Feeder
$ 5.00
$
Branch Circuit W10 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. ServtcalFeeder 401.600 Amp,
$ 149.00
$
Temp. Service/Feeder 603 -1000 Amp .
$ 168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy - 1 & 2 Family Dwelling
$ 0
$
Manufactured Home Connection
�520,. 0
$
Renewable Electrical Energy - 5KVA System or Less
0
$
Thermos tat
$ 58.00
$
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 RCUV.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 electrica6 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 iftifty Specifications and PAMC 14.05.050 regarding
Electrical Permit Applications,
Signature of owner, electrical contractor or electrical
administrator:
❑ Cash 8 Check
D Credit Card k
x V '�
Dated: -2-
1
6
01/0112012