HomeMy WebLinkAbout114 N Peabody St - Building 01/23/2014 10: 53AM FAX I�JUUUI/uuul
City f Pori Angeles Permit Application u0�.QC)Rf'1N,'
Y 9 ��
Building l)Iv16fo1wfElpetrfcal Inspections RECEIVED � � �yat w s
321 East plfth Street-P.O.Box 1130_
Port Angeles Washington,911362 JAN 2 3 20H
Ph:i360}417.4 35 Fax: 60}417,4711
Data: MSP TIONS
1 &2 Single Family Dwelling
_Multi-Famlly or Commercial'
Commercial Addition 1 Ateradoo I Remodel f Repair*
Plan Review May Be Require , lea a Co plat lectric I Pier}Review I formation$in t
Job Address: a o _
Building Square Footage: _
•
Description of ebov 05 p1-U_ In ItIg 4 mss. I k--d, 4v—y
Owner Information W c tractor Informal)
Name: b tir, S a " Name, A a U-2-)5 _ f1 R
Maili Addr ss: OJO o Mailin Addre d a
City, State:[t Zip: City; State; _Zip:
Phone: O Fax: y� Phone: Fan; 4�5
License#1 B ,__ 9_V.�S G C.
Unit Charge Total 01 Multiplied h r
$i 19.90 $ ServicelFaeder 200 Amp.
S 14540 $ ServicelFaeder 201-400� p.
$.204.60 $.•_ ServicelFeeder401•s0o 4 P,
$262.20 $_SarvicelFeader 601 100mp,
$372.50 $ ServlcelFaedar over 100 mp.
S 2.60 S Branch Glrcult W1 Servic eeder
$ 73.50 $,. _ Branch Cirouil WIO Servle Feeder
$ IN _ $� y Each Additional Branch qi cuit
$ 92.70 $ Temp.Sarvicel Feeder'611.600 Amp,
$110.30 $ Temp.ServlcelKeeder 400 Amp,
$148.70 $ Temp.ServlcafFeader Amp.
$167.90 $ Temp,ServlcelFesder 601 1000 Amp.
$ 95.90 „^ $.. „_. Portal to Portal Hourly
$ 68,20 ,^ $ _Slgo/Outline Lighting
$ 95.90 $ 5lgnal CircuiV Limited E e gy—Commercial.Additional 1500$5.00
$ 63.90 $ Signal Clrcult/Limited E re W-1 5 2 Family Dwelling
$ 83190 S_. .• ,_51gnal Circuit/Limited E e gy-Multl-Famlly bwelting
$1 1 8190 $_,_.. _Manufactured home Corn-clion
$102.30 $ Rsnewabie Electrical En y-5KVA System or Less
$110.30 _ $ First 1300 Square Ft.
$ 55.20 $ Each Additional 500 Squ a FL or Portion of
$ 73.50 $ Each Outbuilding or De c ied Garage
$110,30 _ $ Each Swimming Pool or 1i it Tub
5 56.00 _ $ O Thermostat
�^ $_ Total
Owner as do(Inad by ROW 19.28.261;(1)Owner will occupy the 8truclure for two years altar th is loetrlcar permit to ffnafked,(2)Ownarls required to hire an electrlcal contractor Il
above Sall property Is for sale,renr or loose.Permit explros aftor six morns of fast Inspection
After roading the above statement,I hereby certify that I am the owner of the above named pro rty or a licensed electrical contractor.I am making the electrical Installation or
alteration I n compllance with the alactrical laws,N,E,C'.,RCW.Chapter 10.2a,WAC,Chapter 29 1. 68,Tho City of port Angeles Municipal Coda,and U fllty 5peclffcatlons,
Signature of owner,electrical contractor orelactrieal administrator ❑ caelt
❑ Chock r��
X t}eta: o`er fy Credit Card 11 _ _Y�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , , , . . 14-00000093 Date 1/24/14
Application pin number . . . 015827
Property Address , . , . , . 114 N PEABODY ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 0G-30-00-5-9-I500-0000
Application type description ELECTRICAL ONLY on your excise tax form
Subdivi siren Name , . . . . , to the City of Port Angeles
Property Usa n nn
Property Zoning , . , , . . , RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation . . . . 0
Application desc
T-stat
Owner Contractor
-------------------- - ----f---__-_-------------
ROBINS, DON DAVE'S HTG & COOLING SRVC INC
114 N PEABODY ST PO BOX 413
PORT ANGELES WA 983623110 PORT ANGELES WA 98362 yw
(360) 452-0939
------------ ----------------------------------------------------------------
Permit . . , , . . ELECTRICAL, ALTER RESIDENTIAL
Additional desc , .
Permit Fee 56,00 Plan Chec]c Fee 0-0
Issue .Date 1/24/14 Valuation , . . , 0
Expiration Date 7/23/14
Qty Unit Charge Per Extension
1100 -- 56-0000 ECH EL_LVT-THERMOSTAT -- 56,00 ,!
--------------------- l�1
Fee summary Charged Paid Credited Due «�y
Permit`Fee Total J 56100 56.00 .00 .00 •1��°
Plan Check Total .00 00 .00 .00 vV
Grand Total 56,00 56.00 ,00 .00 0
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 2-111 N
FINAL
COMMEN'T'S:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBLIILDING
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
Site Address:
II AJO.
Gl
Installed By:
Owner/Business:
OwnerfBusiness Address:
~ESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
g FURNACE KW -LCL
tJ FAN/WALL KW _
00 HEAT PUMP KW--,/--
o SIGN
DetailslDescription:
ELECTRICAL PERMIT
PERMIT NO. 9'.2tt
DATE /1 hS IY3"
, ,
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o TEMPORARY SERVICE
. 0 PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
~ ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
g OVERHEAD SERVICE
o UNDERGR.O.UNJ, S&RVICE
VOLTAGE: r 4:J 2 0
)C' SINGLE PHASE
o THREE PHASE
SERVICE SIZE a?U AMPS
tv ;'/C L
~J4cL
"
/ r kr: /d,"~
.
W.S. No. SERVICE SIZE
CAPACITY:
o 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.
o Rough-in/cover O.K.
o O.K. to connect service
-4~ Final O.K.
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.
'~1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $
EleClricallnspector
Site Address:
//.
Installer:
C)
WHITE - File by address
New Meters
IX'
30-
Permit Fee
YELLOW - file by number
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
PINK - Top: Eng, Bottom, Customer
/32-1-
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
7313
FEE RECEIPT NUMBER
PERMIT NUMBER
.
TOTAL FEE 3o~ .6s. .
CONT. LIe. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY
Owner
L?e n \ ~
ELECTRICAL PERMIT ONLY NO OCCUPANp.OR USE ESTA~LI5HEO UNDER THIS PERMIT
Pi... b e,-a
CORRECT ADDRESS IS RE
N.....,\....
ONSIBILlTY OF APPLICANT
. . . - . ~
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Insta;lation By, S E ,eU II' C f (~ C Tfll L
Installers Address \ \t,y I"\.~ \> ~< "",4 {l&
Installers pi,one '-{~ 1. - c.~ ).'1
Site Addres~
Owner's Address
Day Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
20o,.,..~ S<NJ.~ G.o.-y- AdJ htA.--4- 4
1/<A.1
Ci~'.
Wiring Method
t/C
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE 0
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS .
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE .
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT "LOO AMP S'I'.AL<. PHASE
.
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE "-u A.W.G.
1 SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
under this permit will be done by the installer and in con
Date Application made
, 19
By
.
Date Permit Issued
QONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances he City 0 Port Ang
. .. RE
1:L::.", '''''. "." .. ,,,.!~:.::. ::'~'m" '"mOO' .0.:... ""m.~';," Woo, moo' "0<
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. 0 Permits Phone: 457.0411 Ex!. 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.
,-
REPORT OF INSPECTOR
--C \
DATE OF VISIT MADE BY REMARKS
.
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