HomeMy WebLinkAbout224 N Washington St - Building
CITY or PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
17007
Port Angeles, WMb1ngton__...m__;l~___L_~:____..._.........._..m.m. 19.~1'
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-
::::: I~~~~a~.~o d __.~leiL:..~.~_r~__~~_li~t:~__~~_IO:~cupancy----..-.---.___.__......__....____...........__
Owner -.Zt>4J----_z:~ ."UAu--;;::;/?c-' Tenant..mmm.mmm_..m_.____.m.________.___._..___m_.mm__
Wiring Contractor.,. ~__. __ __1..J:..__t:.:!:JZ.~?I.._m.m. By.m----m..m--m--m.mmm...___----um___.---.-um-uu
LI(:ht Outlets____________________._____.___.___________ Service, volts ---/-.:I.-r---?::JlC..t? Type of Wiring:
"0 wires d~ Armored Cable ..............____hh......_
's';lz'e wlres-.._-~...- ~.;J_-_._...;;.._.__--.._..._-.--:.-----....-.-.
"//'~ u Non-Metallic .................................
Main fuse ________(/f2~- .___ __.__.___ Knob & Tub.__.___________.___._________u____
~ RIgid Conduit .___00____________________.____
Euclosure ---------l-- --/&------ M talll T bl
e c u ng ..______.__..__............
Re ~eptacle Outlets...............................
DI) er, KW.....__.u...u.....__......____..........
Rat~ge, KW.......hm.__.....
~l.ter Heater:
KW___u__________u_uu____u_u________________
He", Kw.____d...J:-K.r.__A"
Motors: size, volts and lhase:
Type of Wiring:
Entrance Cable .............................
Ser. No......____...__......__.____.__.......__.......
Raceway ..............................._._..._
CIrcuits, Light.......................................
Utility ________________________________.____________
lIeat ......................................._......
Range ..........................__.................
Water Heater __..........__.................
Motor .............................................
Rigid Conduit ...............................
Metallic Tubing m.m
Current transformers:
No. & Slze.__.__......__.........................
Ser. No. ..__.____....____.__.....__.__.......__......
Dryer ...__.__........................................_
Furnace .. ..........u............~...__._...........
Ser. No.....__..........................__.....__....
Total Load............................. Ser. NO.n....__..................................... Total ..........__......__......____.......__
::=~~~~:m:::::::::::::::::::::::~t::~::::::::~:~::::::::::::::::::::::::::::::::::::::::::
__._.____________.mm__m_____._____nnmmm_mm__n.n______um_____.__u_um_m.n__.___n_u___upum________nn___u________m.mu___um
:.:=.~~..~:~..u__.._.u._.__... ::~.~.~:..~-~-~-~~~-~-------. B$.~--(..--.fld~~-?q,~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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
ELECTRICAL PERMIT
N?
17007
.t\1.dress........................................................................................................................................Date..._......_.._......_.........._......_.................
o wner .n....................nn........_n......n_.............._.._.................n...............n.....n__nn....._.... Tenant..................n....n..nn..nn..n.............._..........
~ Tiring Contractor.........................................__.____..........._............................................................. By..............................................................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work fs to be con-
C<3aled due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
I-r, � r� n
xILO4 Yo--�
CI'T'Y Of FORS' A,NGEUDS PERMIT "- PLIICATTON
Building Aiviis>ion /,Flectrwical Inspections
321 Fast Fifth Street _- P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax- (360) 41.74711
D*: — Y,---L I
* Plan Review May Be Required
Job Address;
Building Square Foafagrr,
Di;sc6pllon of above
owner inforgiation
Name:
MaWrtg dmoo:
City, Stale' ZIp:
Phone: ax
License ! Exp.
Ite
MM
$ervice/Foeder 200 Amp.
Service/Feeder 201.400 Amp.
Service/Feeder 401.600 Amp
SeMcali"eader 6011000 Amp.
6ervlce/Feeder over 1000 Amp,
Branch Circuit W/ Seruiao Feeder
Branch Circuit NO Servlm Feeder
Each AddMonal Branch Circull
Branch Circuits 14
Temp, Service/ Feeder 200 Amp,
Temp. 5ervlce/Feeder201 -400 Amp.
Temp, Service/Feeder 401.800 Amp,
Temp. Service /F'eeder601 -1000 Amp .
Portal to Portal Hourly
Sign /Outline l ighting
Signal Circuit! Limited Energy - Multi- Family
Signal Circultl Limited Energy 1 First 1500 of - Commerclal
Note: X5,00 for each additional 1500 sf
Renewable Electrical Energy- SKVA System or Logs
Thermostat
Note; $5.00 for each additional T -Slat
Multi- Family or Commercial*
YALqlarse
$1132,00
$160.00
$ 225.00
$ 288.00
$410.00
$ 5.00
$ 74.00
$ 5.00
$ 66,00
$102.00
$121.aa
$164.00
$185.00
$ 96,00
88,00
64.00
$ 96 ,00
$ 113.00
$ $6.00
Plan Review Information Sheet
RECEI
Arm 9 2014
ELECTRICAL
INSPECTIONS
Contractor Information 1 /,
Name
City: y�p� 1� Stetrr. Zip:
f'hvne: S - a Fax:. -
License # 1 Fxp._ 5Z7EL&5G
Qty Thal �(,rlllul� Mad by Unit Phar�el
$-ZIOQ� C,RTotnl
Owner as defined by RCW.1g,28.261: (1) Owner wlll occupy the structure for two years after this electrical permit is finalized. 2) Owner is required
to hire an electrical conftctor If above said property is for sale, rent or lease. Permit expires after six months of last inspectiol i.
After reading the above statement, I hereby certify that I am the owner of the agave teamed property or a licensed electrical ci i /tractor. I am making
the electrical Installation or alteration In compliance with the electrical laws, N. E.G., RCW. Chapter 19,28, WAC, Chapter 2961, I6t3, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 444,050 regarding Elech4cal Permit Applications.
Signature of owner, electrical contractor or electrical administrator: 0 anti ❑ MOO
J2t4 CradN Card 9
nntad: �"d''- L�,__._ 01101r�n1z
.t
oF�0t3TgNp� ELECTRICAL INSPECTION
Sir time
9� WIRING REPORT
K5 � 417 °4735
DATE PERMIT v 1N5PECT
Wt
ADDRESS
APPROVED NOT APPRI
0 .................... DITCH ................... .
0 ................ ROUGH IN /COVER ............... 0
0 ............... .....SERVICE................... 0
0 ............... ......FINAL.................... 0
CORRECTIONS NEEDED:
2
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 95 DAYS
.• . - • .
OLYMPIC PRINTERS, INC. {360) 452 -1381
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , . , , .
14- 00000429
Date 4/09/14
Application pin number . . .
194734
Property Address . . , , . .
224 N WASHINGTON ST
ASSESSOR PARCEL NUMBERT
05-30-00-6- 1-0300 -0000-
Appl2.cation type description
ELECTRICAL ONLY
Subdivision Name . . . , . ,
Property Use
Property Zoning , . . , . , ,
COMMERCIAL ARTERIAL
Application valuation , , . ,
0
Application desc
------- -------------
--- ---- - - - - --
Mast repair
Owner
Contractor
DR ROBERT WITHAM
SIMPSON EL7CTRIC-
224 N WASHINGTON ST
243036 W HWY 7,01
PORT ANGELES WA 98362.3908
PORT ANGELES
WA 98363
(360) 457 -9270
Permit , . . . , . ELECTRICAL
ALTER COMMERCIAL
-- -u ~ -f
Additional desc , ,
Permit Fee 160.00
Plan Check Fee
.00
Issue Date 4/09/14
valuation . .
, . 0
Expiration Date 10/06/14
Qty Unit Charge Per
Extension
1,00 160.0000 ECH EL -COM 201 -400 SRV FEEDER
160.04
Fee summary Charged
Paid Credited
Due
Permit Fee Total 160,00
160.00 CO.
QD
Plan Check Total 00
00 ,00
.00
Grand Total, 160,00
160.00 00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 050.2)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEWILDING
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