HomeMy WebLinkAbout4416 Old Mill Rd - Building 0.
ELECTRICAL PERMIT N
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Y
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CITY OF PORT ANGELES C
360-417-4735 ...,1
Application Number 12- 00000799 Date 6/21/12 4
Application pin number 371293 "11
Property Address 4416 OLD MILL RD REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 22 -2 -2 -0050 -2001- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning UNKNOWN
Application valuation 0
Application desc
Furnace 3 circuits and T -stat
Owner Contractor
DEANE MABEL I NORTH PENINSULA ELECTRIC
4416 OLD MILL RD 761 FRESHWATER PARK RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 477 -1764 eixp viol v
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 129.00 Plan Check Fee .00 .ft.--..
Issue Date 6/21/12 Valuation 0
Expiration Date 12/18/12
Qty Unit Charge Per Extension
2.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 10.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 rA
Fee summary Charged Paid Credited Due
Permit Fee Total 129.00 129.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 129.00 129.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN `j7
I
FINAL h. 7 /2
6666JJJJ G( 1 I
'r
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
2012 -06 -18 14:10 NORTH PENINSULA ELEC 3609289409 360 417 4711 P 1/1
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1
1
CITY OF PORT ANGFI.FS PERMIT APPLICATION
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Building Division/ElectricalInspections I ,J
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 I s1 :A
Ph: (360) 417 -4735 Fax: (360) 417 -4711 '`,`i IQ.
Date: P)- "1- 2 Single Family Dwelling
Plan Reviewn'• uired, PI Co Review Information Sheet
Jab Adam: 1L 01 1
Building Square F
Description of above II •1 V C 11
Owner Information Co Inf y y l l L.•
Name: N 77 1 I it T
Melling Actress: Maul Address: 8 y' f....
cipr. slate: 71p: City: Stator Zip: TtWl
Phone: Fax: Phone: F:•'
License 4 Exp. License 4 Exp. W 57SIF�t■
Ynitcalian 9tc Total rate Muitiolled by I 0 charge)
Service /Feeder 200 Amp, $120.00
Service/Feeder 201.400 Anp. 146.00
Service/Feeder 401 -600 Anp 205.00
Servica+Feeder 601 -1000 Arm. 282.00
Service/Feeder over 1000 Amp. 373.00
Brandt Circuit W/ Service Feeder 5.00
Brandi Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00 1
Branch Circuks 1-4 75,00
Temp. Service! Feeder 200 Anp. 93.00
Temp. Service/Feeder 201.400 Amp. 110.00
Temp. Service/Feeder 401.600 Amp. 149.00
Temp. Service/Feeder 601 -1000 An $166.00
Pod to Potal Hourly 96.00
Signal Omit/ Limited Energy -18, 2 Family Dwelling 64.00
Manufactured Fine Connection 120.00
Renewede Electrical Energy 5KVA System a Less 102.00
TThermostat _l_ xstaat 56 -r s.i
Note: $5.00 for each additional T-Stat
NEW CON8TRUCTION ONLY:
First 1300 Square Ft. $120.00
Each Additional 500 Square FL or Porten of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Fit Tub 110.00
Total
Owner as defined by RCW.19.28261: (1) Owner will occupy the structure for two years after this electrical perm t is finalized, (2) Owner Is required
to hire an electrical contractor If above said property is for sale, rent or lease. Perrrit expires after six months of It 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 compHance with the electrical laws, N,E.C., RCW, Chapter 19.28, WAC. Chapter 296-468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Slgnatured minor, electrical contractor or elacxrtcal administrator: tai cited-
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x 1 DOW: Le i 6 01/0112012
FAX NO. : 4526424
Oct. 04 2002 07:59AM Pi
ELECTRICAL PERMIT APPLICATION
FOI.OFFj(,IAL:"':,; til\:LY
D"-6"It.<<':
~=~:~o~~=:~. ~~-'-'.~
O'\eI,uUc;d; __ __u___
'The Eiecfric:al Permil Apj:ll1c:atJQn must be ftllod out comDletelv.
11 7 f;5L/
REQUEST INSPECTION 0
OwnarorElec,Contracto:Ag""t: G'W",;("./ S"'iV1C:' j1....CPhone: I-J"iJ-u-n'f Fex: "j">-:J.-t-,4"JCL
i \~ I i Y\ ' '
Proporty 0...." I I /. 1'" J---jJn t':, n'1:.' Phone: Ly,. 7- '8 Cr.,(:J'?:
AdQr"".:~ 1(0 q ~ mill prj City: Pc.... f An c,,).....- Zip: Cf<S"1C<>'2-
d::: ~' ~. (]l"'L-f'c. -r ) I
Electrlcol Cantrac!rlr: c-lb " :;: . \:-' R;' Ucen.." 'S;'1""" E",,: 'I',I.J.-f!u3 Phone:7">1-(,,4::t
Addre..: g,?- 0 ~ <'-p.'- !: lli "-; ~ Citl':A'i AII'I~_~6 Zip: "] ~<3" 2..
INSTALLATION WIRED BY: 0 OWNER ptuoCTRlCAL CONTRACTOR
CnKlltCartlHoJderNanJe: 0(\ 'PI ~ .
Pl..... ty"" or reprint In Ink. If ~.u hev. .n~ qU..~one, pl......II (360) 417-4735
Fe. numo,,: (3IiCl)417-4711
Billing Address: City:
CffJdlt Card Number: , Exp. DI":
:;,
PROJECT ADDRESS: Lj ~ I Co 0 t & FI1 ; II R~
Zip:
V1SA:-0
TYPE OF WORK:
Check.llll that apply: 0 New
o A1taration/Addition
~Resldental 0 Multi-family
o Commercial 0 Mobile Homa Sq, F1
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump ..0 LOW VOltage 0 Telecom, 0 !
Number of Circuits added or alterecl:
DESCRIPTION OF THE ELECTRICAL PROJECT:
J-f PLI,,,",) C ,r(.\J' \1-<
chr~"'3'
5orv~~~,-+o. ~CO ~"'i"
Electrical Heat Load Additions
PERMIT FErl1i~,r(} r.tfPffIr.l!;.,n22;.~
Cl Bueboard
o Fumac:e
o Heat Pump
o Fan-Wall
~
~
-TON
=l<W
LRA
)j( Overhead Sell/Ice
'OTemp Sell/Ice
o Underground Sarvlce
Voltage: J H 0
Phase: ~1 ::I 3
Service Size: 2.0 D a"'1J
Faeder Size:
PAMC 14.05.060(8): For Induatrial, commercial. & re~;dentlal'projects larger than 'a duplex, a OM -line drawing of the Eleclrlcal Service,
Feeders, building sile (sq. ft.), loed calculations, and the ~e & of conduetors and/or raceway Is required and shall accompany tha Electr
Permit application.
I hereby certify that I have read and examined this apph'ation and know that SfII7ItJ to be true and correct, and I ;
authorized to apply for this pennit. I understand it is not the City's 'legal rasponsib/flty to detBnnine what permits
required; It remains the applicants responsibility to determine wllat pennits I/rs required and to obtai
er's Signature:
Owner or Elec. Cont. Slgn.ture:
C~; CALPERMITAPPllCAT10N
~ C ~ I--t?/",,/pb-
6-J-~
Date:
1'0/.2./ n
Date:
Il/
~
FRX NO. : 4525424
Oct. 04 2002 07:59RM Pi
._,..._..~"
ELECTRICAL PERMIT APPLICATION
FOR. OFFiCIAl. ~.,i liNL it
~;~~~O~~:.~~..~. ~~',"' ::
O'\(.'ISliI..lcll: __ _-...._..
The Eiectrical Parmi! App/lc-atJon must be 'Hlad out eomDletatv.
PI.a.. type or r.prlntln Ink. If Y'U h.v. .ny qu..~."", pl......II (3110) 417-4735
Pax numoor: (3lllI)417oo1711
REQUEST INSPECTION 0
Owner or Elee Conl""';"~ AQ8J1t oP W ...; (' ~ _~ IV I c', I 1"'e P",,"a: J...j'S J -U-n'f Fax: '1 ~ "J_ _ (,., 4 --::z '+
PrnpertyO""",r. \\\ (,h,Lt){) t':tllt,. phon.: ~S7-'ii?(nC)~
Add,es., 1 ~ 1(, n/ ~ mill Pd City: ro.d J4nc..J<-< Zip: c16$.(.:,'2.-
tl'~ ~. J~l-E'''---r) /
ElectrlC~1 CantractlJr: L.,- U' <' :; . 0' :' , !fl' Ucen.. #: ;:; ~:J: ElIp: 'J', 1-'-1/ 0,3 Phone: '15:" - (,,4:1!
Mdre.., g.?- 0, ""p..,c lli\..{ R<e CIty;---Ehd A",~__ 6' Z1P:1l;-3';;2.
INSTALLATION WIRED BY: 0 OWNER ptuoCTRICAL CONTRACTOR
Cr&dlt Card Holder Heme: 0 (\ oPt. I..t,; 0
B1/Iing Address:
City:
- Exp,D/t"':
C^ "f Card Humber:
.j__' __ 0
~
Zip:
V1SA:--0
PROJECT ADDRESS:
LJ'iIl, 01& (\1:/1 R4
Check lilIJ that apply: 0 New
TYPE OF WORK:
o Alteration/Addition
~Resldental tJ Multl-tamily
o Commercial 0 Mobile Home Sq. Ft
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low VOltage 0 Telecom. 0 :
Number of Circuit. added or altered:
PESCRIPTION OF THE ELECTRICAL PROJECT; ,.. ch ~'~3' - 5 Ii ( v. (' , _
J-f Pi'J.u. 1 C \'('-\J\'~
--\ 0 ::1.00 c,,""r
Electrical Heat Load Addition,
PERMIT FEE:
SalVI!:. InformAtion
o Baseboard
o Furnace
1:1 Heat Pump
o Fan-Wall
K!N
K!N
-TON
=VMl
LRA
'Rr'Ovarhead Service
rCiTemp Service
o Underground Service
Voltage: J l-f V
Phase: ~1 0 3
Service Slle: 2.0 0 Gl-""(j
Feeder Size:
PAMC 14.05.060(8): Fo, Industrial. commercial. & ,.,'dentlal projects larger than-a duplex, a one -line drawing of the Electrical Service.
Feeders. building sile (sq. ft.), load calculations. and the ~pa & of conductors and/or raceway is required and shall accompany tha Electr
Permil application.
I hereby certify that I have read and exs'm/neilthis spp;;cstion and know that same to be true and correct, and I ;
authorized to apply for this permit. I understand it is not the City's legal r ibility to determine what permits .1../
required; it remains the applicants responsibility to determine what p&rmits are required and to obtain such. /.~ 0 ( rle
ftL- 01:- 4z7 I~ - '):"'F- /rl-P I/;; )~tJeo -:--rk-~IM-V-- M~ -ve-~
'tV ~ U1Y"Ir~ - Lo-'t'9 ~,i.:\. U"o-:J:> .,-(1, - ~"h.. J. I
- ICr'edit Card Hold!lr's Signature: IN.t' or.tJ~ ' "'-f' Date: --.rq .2, ~-:2
OWner or Elee. Cont, Signature: Datu:
C?lf~TRICAl.PERMIT APPLICATION
~ C ~"-. ?o/<t'~z-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 15 -0 0000436 Date 4/24/15
Application pin number 785272
Property Address . . , 4416 OLD MILL RD
ASSESSOR PARCEL NUMBER: 06-30-2.2-2-2- 0050 -2001-
Application type description ELECTRICAL ONLY
Subdivision Name , . . . . .
Property Use
Property Zoning . . . , . . . UNKNOWN
Application valuation o
Application desc
Future garage
---------------------------------------------------------------------- - - - - --
Owner Contractor
----------------- - - - - - -- ------------------------
CONOR E M HAGGERTY OWNER
4416 OLD MILL RD
PORT ANGELES WA 96362
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit Fee 74.00 Plan Check Fee DO
Issue Date 4/24/15 Valuation . . , , 0
Expiration Date 10/21/15
Qty Unit Charge Per Extension
1.00 74.0000 ECH .EL- R -OUTED /ETCH GAR TN /SEP 74,00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- --- --- - - - - -- ---- - - - - -- - -- - -- - - -- -'- -- - -- - --- --- - --
Permit Fee Total 74.00 74.00 DO .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 Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electricat Contractor X Date:
G:IEXCHANGEI#3UILDING
IN
RECEIVED
jORr . r
APR 24' 2015` ,�
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections ELECTRICAL
321 East Fifth Street -- P.O. Box 11501 Port Angeles Washington, 98362WTEC -00143
Ph: (360) 417 -4735 Fax: (360) 417 -4711
hate: jv\ 2 Z & 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above
Owner Information
Contractor Information r
Name; CoL�Ju12 E-i�1,Cg N
am. 011
.�
MaN Address VV6 old — "ti 12ci
A GUS} q?5 3 6
Mailing Nress:
City. State: zip:
2
City:
State: Zip:
Phone: 360 &016 SzfGFax:
Phone:
Fax:
License # ! Exp, F ,4CA4 Ec F e G 41X 41
z — � - /
License # ! Exp.
Item
Unit Charge
Qtv
Total (Qtv Multiplied by Unit Charge)
Sorvico /Foodor 200 Amp,
$120.00
$
Service /Feeder 201.400 Amp.
$146.00
$
Service /Fooder 401 -600 Amp
$ 205.60
$
Service /Feeder 601 -1000 Amp.
$ 262,60
$
Service /Feeder over 1000 Amp,
$ 373.00
$_
Branch Circuit W! Service Feeder
$ 5.00
$�
Branch Circuit W!0 Service Feeder
$ 63.00
$_ _
Each Additional Branch Circuit
$ 5,00
$
Branch Circuits 1 -4
$ 75.60
$�
Tomp Service/ Feeder 200 Amp.
$ 93.00
$ _
Temp Service /Feeder 201 -400 Amp.
$110.00
$
Temp ServicolFeeder 401 -600 Amp.
$149.00
$
Temp Service /Feeder 801 -1000 Amp .
$168.00
$
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 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 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,, RCK Chapter 19.28, WAC Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signaturctor or electrical administrator: ❑ Cash 0--Ch eck ❑ Credit Card d
X Dated: kfl 2 Pot f_ _.�_ 0110112012