HomeMy WebLinkAbout1414 S Pine St - Building
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Site Address:
J
Installed By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
~ HEAT PUMP KW-5--
o FAN/WALL KW
DetailslDescription:
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. S~9'
/ L/ Zf h::r
. .
DATE
ELECTRICAL PERMIT
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
~ RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
;gr ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1f1\ D3f1\
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
o TEMPORARY SERVICE
:- T!1s!Pr11 W IL;,
.
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.
o O.K. to connect service
~ Final O.K.
Site Addre? ILl ~
Installer: G/~
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Permit/Receipt No.
s36Y
New Meters
---
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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 electricai inspector in writing on either the Wiring Report
or on the Buildi~mil. PHONE 457-0411, EXT. 224.
~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .# / r
Eltclricallnspedor $ Permit Fee
WHITE - File by address
OLYMPIC PRINTERS INC
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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A
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PERMIT NUMBER
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TOTAL FEE JOC!3-
CONT. Lie. NO. TIME TO COMPLETE No.srqRIEs LEGALQCCUPANCY
Site Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
5"'.
CORRECT ADDRESS IS RESPON
PERMITS W~T~ WRONG~REZ;S ARE CA~9E~
Installation By ,.., iT !:'(J _ I L.
Installers Address
Owner
Owner's Address
Day Phone Installers Phone
Application is hereby mtde for Permit t9 install E1l?ctrical Equipment as follows:
)Jfw //I/o/M S/drNJ - 5 (17 it h- f W/rt.G..-
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Wiring Method
e:
NUMBER AMP 120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 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: REINSTALLATlON LIGHT FIXTURE #
FURN.t.CE ..- SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
EtECTR1C -
BASIC FEE
ELECTRIC HEAT .
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.
A.C. U~~IT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVI~E A.W.G.
I SUB. TOTAL 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.
Date Application made
,19
By
.
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT).
Permission is hereby given to. d9 the abov.e described work, according to the conditions hereon and according to the approved plans and
specifioations pertainin~e7:U~C7t to compliance with the O:yinance;; f t City ~I P ~T~n~6es.
Date Parmit Issued / ! .,; / ~ PLANS
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current t_lIrned on before inspection and O.K, for coyering or servi~e 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.
, \ S \
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
. .
O.K. FOR COVERING
.. ^ O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
LIGHT DEPABTMENT
ELECTRICAL PERMIT
N~
17551
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Port Angeles, Washlngton__..__...m......................__.m....m.........___m. 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-
mission is hereby granted to do electrical work as listed below.
f//Y C 4' .
Address .L.".nmmmm___....l.dr.__(/~'.nnn__.___..nn...mn...___ Occupancy,..~.nm___....n..n..........
~::~ ~.~~~~~~~~.~::~~;~:::::::::::::.:...~::::::::::=:::::::::::::::::::::::::::::::::::::::
Light OUtletB.......:'~................._.._..n. Service, volt, ..!.~.~.;;>:..~.:. Type of Wiring:
Receptacle outlets../~___................. No. wIres ....._.~ ..~....; ;;.......77"-- Armored Cable ........m_....__n....m._
Si i ~ U ~. Non-Metallic m.m.....m.....m_._.......
Df)'er, KW UUhuU....n....h..._............____ ze w res...../~A-O-..7f..... .~..___
~v Knob & Tube____._..._.......................
Range, KW........_.h.___.....__........._ MaIn fuse .....~~____...... .... __.......
S Rigid Conduit ...............................
Water Heater: Enclosure ......:..............._____............
MetalUc Tubing ..mm_......____........
Hea'~:~..::;]!;.f:..::7.2:!:!...:::.
Type of wIring:
Entrance Cable ......_.......__.............
Motors: size, volts and phase:
Rigid Conduit ....mm_.........___........
Metallic TubIng .....__
Raceway .._.._.____...................._._..._
Circuits. Llght..............__..___._.____._.........
Utility........................................n...
Heat ._..___............................._.._...._
.------....-.--.--..-..........-......-......------.......
Current transtormers:
No. & Size_...........__m
Ser. No..._.........._........._......_....____.......
Range ...................._____.__..............___
Water Heater h__.........................__
Motor ..._........._..___.__.____.................
Ser. No.._____..._.._._.......________.......__.......
Dryer....______.____.._.................._________.__
Furnace _......................_.._...._____.._...._.
Ser. No.._____.__..._........____..__.................
Total wad__.......__.....n_.___...... Ser. No. ....._...___._..._.........__............... Total ............._________......_..........
Remarks: .n---.....<:l'.e+"---'.n__....n.a..e.~.l-n.n.___y___~::#~~~.mnm......_____n.m..m___n_____......
---..u-nnh__.nnn~hnnn__uh_nn_nnh._~nnn__hn__u__.un__hn_nn~h--n-nu-hnnnu_~_.._________nn_nn____nnn__n___..n__n_uu.n___..__.__
m...m...m..mm..m.mm.m....m....m.m....n..___....n..___...m....n.nm..m.........m.;..O........m.m......mm.--...---.mm...
:'~.=.~~__~::m.mmm___m ::~.~.~:..:~.~.~~.~.~........ By ;?~~....~~LL~
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N~ 1 755 1
ELECTRICAL PERMIT
Address..._______........._._.._..............._..................._...._................_..._........____._.............-.........._.___.....Date..._____.._.._.__.................__..._.................
Ovrner __......__u.__.............._______......_.._...._.__....._.._......................_..........__........................ Tenant___.......______u....._.........._......_______........__.__......
.'
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Vl"tlring Contractor.........._._._.._.............___.._....................._....._..._................___.........____.........______.... By._........__....._...........___.__.........................._ .-
, ~
NOTICE-Current must n()t be turned on until Certlticate ot Inspection has been issued. It work Is to be con-
c6:\led due noUce must\be given the Inspector sO that work may be\!nspected before concealment.E1 \ . (
1M Olympic Printers, Inc.
~
CITY OF PORT ANGELES PERMIT APPLICATION
Building DivisionfElectrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 6 -,5—
1 & 2 Single Family Dwelling
JUN -- 3 0%
MURAL
NPFDTIONS
* Plan Review May Be Requir,,��d, Please Complete Electrical Plan Review Information Sheet
Job Address;
Building Square Foctage:
Description of above 14y �L
`1KpF yoRf �;t.�F�i,
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Owner Information
Contractor Information
Name: 40:t . y __
Name: /
174-
Mailing Address:
Marling Address:
City: State: Zip:
City
Slate: Zip:
Phone: j60-e 2 _91 Fax:
Phone:
Fax:
License # I Exp.
License # l Exp.
of £�31b
Item
Unit Charge
tyt
Total (0ty. Multiplied by Unit Charge)
ServicelFeeder 200 Amp.
$120.00
$
ServicelFeeder 201 400 Amp,
$146.00
$
ServicelFeeder 401 -6CO Amp
$ 205.00
$
ServicelFeeder 601.1 CCO Amp,
$ 262.00
$
Service /Feeder over 1000 Amp,
$ 373.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit WIO Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75,00
$
Temp. Service/ Feeder 200 Amp.
$ 93,00
$
Temp, ServicalFeeder 201.400 Amp,
$ 110.00
$
Temp. Service /Feeder 401.600 Amp,
$149.00
$
Temp. ServicelFeeder 601 -1040 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal CircuiU Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewabla 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
$ 400
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$11000
$
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 tore 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 1 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 de, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications.
Signature ow r, elr al contractor or electrical administrator, 11 Cash Check f�
❑ Cradlt Card #
Imo✓ f .r 1.3 OV01120U
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . , , . 14- 00000650 Date 6/04/14
Application pin number . . . 506400
Property Address . , , . 1414 S PINE ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4 -1885 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Uae . , . . . , ,
Property Zoning . , . . , . , RS7 RESDNTL SINGLE FAMILY
Application valuation . , . , 0
Application desc
Furnace and heat pump
Owner Contractor
ASHLEY ET,IZABETH ANNE BLACK DIAMOND ELECTRICAL CONTR
1414 S PINE ST 502 SLACK DIAMOND RD
PORT ANORLES WA 963627526 PORT ANGELES WA 98363
(360) 565 -1035
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee ,00
zssue Date 6/04/14 Valuation . . , , 0
Expiration Date 12/02/14
Qty Unit Charge Per Extension
EASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75,00 75.00 .00 00
Plan Check Total 00 ,00 00 00
Grand Total 75,00 75,00 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-INt
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X lute:
G:ICXCHANGEIBUILDING
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