HomeMy WebLinkAbout1704 Owen Ave - Building
16559
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Port Angeles, Washlngton______.____~...._____~_____.___..___...____.____.___.____, 19c.":___
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
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 d6 electrical work as listed below.
Address .--f;;'~')'2------.~.~~~~-----...---..-----.---... Occupancy....___/_~._____..____...________
~:=~ ;;::::~~~~:8:bi~::.-..~~~~~~;::::::::::::::...:...~~:::::::::=::::::::::::::::=:::::::::::::::::::::
Light outlets......_L.2............_.._.__. Service, volts ..J!f'.~/'!f!....:. Type 01 Wiring:
ReCEptacle Outlets......t..~................ No. wires .......(Z............()....... Armored Cable ..............................
. t' SI 1 )f:tJ ~ Non-Metallic ...............................-.
::::, ::'.'.".'.':'.'.!.~'.'.'."..".'.'.-.'."'.'.""--'. M:~n ;u::s:::~~a:>r::~:: Knob & TUb.__............,.................
('" Rigid Conduit ..__...........................
Wat.er Heater: /' Enclosure ......~.............m..._.......
K~___..__..tI!.2.?I.___.._____....
Heal: KW.....--!.1--.__.......'J1................
Type of wiring:
Entrance Cable _'___'nm____mnmmn.
Motors: size, volts and phase:
Rigid ConduIt
MetalUe Tubing U___mmnmm____"__
Current transrormers:
No. & Size.......................................
Ser. NO......n___...._....___._..n_.n.n......nno
Ser. No. ..h.......................................d
Ser. NO...................................n..nn..n
Metallic Tubing "n'''.''nm........_..
Raceway ........,...................__..._
.r.",
Clrc~:~.lt~I:~.~::~::~::::::~::::::::::::::::~::
/Q
Heat .........'1:.................................-.
::2
Range ...........:':::__............._..............
Water Heater ...:i!.......................
Motor ..._........................................
"7
Dryer nn...n.~r.::............................__
Furnace .........................'_.........._.......
2cJ~
Total wad............................. Sec. NO.n......__......._.......................... Total .:~...n......n....................
Remarks: --...----_......._>_~:1-<'-e_~JJe-::'..__c..b'~~'l.~.__<....___....___._________________________________________.__________________...
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By"::~rK;(jfffi~~~L~u'
Permit Fee Treas. Receipt
.:5;60 \.
$___.___........__.______.....________. No.__________________...______
NOTICE-Current must Dot-be turned on until CertifIcate of Inspection has been issued. If 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
,
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.-------..ELECTRICAL PERMIT
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16559
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Addres~::..............................................................................................._.................__....................Date..._.........._......_.........._......_..............._
Qwner..............n..................._.........._.............._.................._...........................................Tenant....................................................................
'\ViringContractor..........................................................................................................................By...............................................:..............
( NOTICE-Current must not be turned on until Cert1flcate of Inspection has been Issued. If work is to
} cealed due noUce must be gIven the Inspector so that work may be Inspected before concealment.
1 M Olympic Printers, Inc.
be con-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . .
15- 00001073 Date x/25/15
Application pin number
B9232S
Property Address . . . . . .
1704 OWEN AVE
ASSESSOR PARCEL NUMBER!
06-30-99-0-1- 0430 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . , . . . .
RESIDENTIAL MEDIUM DENS`d'Y
Application valuation . . . .
0
Application desc
Ductless heat pump
owner
Contractor
ERICKSON DOUGLAS K /COYAK
'
BLACK DIAMOND ELECTRICAL CONTR
1704 OWEN AVE
502 BLACK DIAMOND RD
PORT ANGELES WA 963635116
PORT ANGELES
WA 98363
(360y 565 --1035
Permit . . . . , . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00
Plan Check Fee
.00
Issue Date 8/5/15
valuation
D
Expiration Date 2/21/16
Qty Unit Charge Per
Extension
1100 5 -0000 ECH 'EL-
BRANCH CIRCUIT W /FEEDER
5,00
1100 63.0000 ECH. EL -R- BRANCH CIR WQ1 SER FEED
63.00
Fee summary Charged
Paid Credited
Due
Permit Fee Tonal 66.00
68.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 68 00
68,00 ,00
p0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X Date:
G:IEXCHANGF✓ BUILDING
E"A"V y CITY OF PORT ANGELES PERMIT APPLICATION 0 +
Building Division /Electrical Inspections
321 East Fifth Street —P.O. Box 11501 Port Angeles Washington, 9836AUG 2 5 2015
Ph: (360) 417 -4735 Fax: (360) 417 -4711
,,� �.LI_C�'t�iCAL
Date: 11-1 � — 9 & 2 Single Family Dwelling IlySp[i PIONS
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
U�'iL� J 9G
Owner Inform a Ion Contractor Information
Name: _ .ea,rS_' Name: 80E—
Mailing Address 1!7& V —1 Mailing Address:
City: State: Zlp: City: State: Zip:
Phone: t t--3 O Fax: Phone: Fax:
License # / Exp. License # 1 Exp. VV L.
Item Unit Charge `ty Total (Qty Multiplied by Unit Charge)
Service /Feeder 2C0 Amp. $120.00 $
Service /Feeder 201400 Amp, $145.00 $
Service /Feeder 401 -600 Amp $ 205.00 $
Service /Feeder 601 -1000 Amp. $ 262,00 $
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. Service/Feeder 401-600 Amp. $149.00 $
Temp. ServfcelFeeder 601 -1000 Amp , $168,00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 54,00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy - 5KVA System or Less $102,00 $
Thermostat $ 56,00 $
Note: $5.00 for each additional T -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 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 cease. 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, WAG Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications,
Signature of older /qedical contractor or electrical administrator: ❑ Cash 4Check
f rI Credit Card #
x Dated: ��Y d�� ��
ELECTRICAL INSPECTION
WIRING REPORT
c,U I
417-4735
-DATEX..
I PERMIT#
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CONTRACTOR
ADDRESS
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APPROVED NOT APPROVE
C3 ................ DITCH ........
D ................ 8OUCH IN/COVER ............
V
.................. SERVICE ................ D
......... ....... FINAL ..................
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE -