HomeMy WebLinkAbout1521 W 13th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp meter mast repair
Owner
WILSON DOUGLAS W
1521 W 11TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983635511
ELECTRICAL ALTER RESIDENTIAL
191320
119 90
8/18/11
2/14/12
119 90
00
119 90
11 00000895
360670
1521 W 11TH ST
06 30 00 0 3 1365 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
Qty Unit Charge Per
1 00 119 9000 ECH EL 0 200 SRV FEEDER
Paid Credited
119 90 00
00 00
119 90 00
DATE.
,i)
eie)11 citir
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G \EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
16.0-417-4735
OLYMPIC ELECTRIC CO INC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
Plan Check Fee
Valuation
Date 8/18/11
Due
RESULTS
WA 98363
Extension
119 90
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
00
0
INSPECTOR.
Date.
08/18/2011 06 42 FAX 360 452 3498
Owner infonnedon
Name: P b.
Melllng,Addne f)'. 7
City °rf"44• Slate: /,/.7 Zip: 51, r
Phone:,, v 7 ‘__Fea:
License I Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401.600 Amp
Service/Feeder 601 -1000 Amp.
Service/Feeler over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp,
Temp. SenicalFeeder 201-400 Amp.
Temp. Service►Feeder 401.600 Amp.
Temp. Sevice/Feeder 601 1000 Amp
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ limited Energy Fast 1500 at— Commercial
Note: $5.00 for each adibonal 1500 st
Signal Cirait/ Limited Energy 1 2 Family Dwelling 13190
Signal Circuit/ Limited Energy Multi-Family Dwelling 63.90
Manufactured Home Carrectial $119.90
Renewable Electrical Energy 5KVA Syslern Cr Less $102.30
Thermostat 56.00
NEW CONSTRUCflON ONLY:
First 1300 Square FL $110.30
Each Additional 500 Square FL or Patin of 3520
Each Outbuilding or Detadred Garage 8 73.50
Each Swimming Pool or Hot Tub $110.30
Olympic Electric Co i PA CITY INSPECT Z001/001
RECEI
18 2011
ED
04imdh Cud N
Dated: o1AU2o10
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building Division/Electrical Inspections INSPECTIONS
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph. (360) 417 -4735 Fes: (360) 417 -4711
Data: 1/1
L/1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address /.S 2 Lc/ Er
Building Square Footage:
Description of above -fir v Al Sr L
Contractor Information
Name: fr�i
Mailing Ad Td 1ki vr44'
City: 41-i4• h State: 44-7 Zip: `v s'/
Phone: yr- tom r Far 'sr miss
license Exp_ Z,4yr1Of 2j ZZ
Unit Ching Get Total ((fir Multinlled by Unit Charnel
119.90 $._11
$145.50
204.60
26220
$32.50
2.60
$73.50
2.60
$92.70
$110.30
14830
$167.90
95.90
88.20
$95.90
Total
Owner as defined by RCW.19.28261 (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, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation or ablator) in aomplance 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.
Signalers of owner, electrlcai contractor or electrical administrator Cash Chuak
a,
Date: a 1 1
Electric Meter EA 210
Meter Number.
Address:
Owner Name:
Installation Technician:
Problem Description:
(by Installer)
A. Electric Repairs Authorized Permit ("5
Repairs Required check
Replacement
Conductor Socket to Masthead v'
Other Socket Repair
Other Riser and Weatherhead Replacement
Other
Description.
B. Water Repairs Authorized
Repairs Required
Replace Meter Box
Replace Lid
Other Setter Repair
Other Connection Repair
Other Pressure Reducing Valve Repair
Owner Authorization
Based on the extent of repairs required, is owner consent required?
Consent to proceed with City required repairs
and Owner's Cost (if any identified above) I( 4 5 Oh
to the Owner Print Owner Name
Distribution:
Other Time Materials Form Attached:
Repair Total Cost
Owner's Cost (if Repair Total Cost exceeds $750)
Repairs Completed Satisfactorily
Other (Time Materials)
Description
Other Time Materials Form Attached:
Repair Total Cost
Owner's Cost (if Repair Total Cost exceeds $750)
Repairs Completed Satisfactorily
MSC Owner
(Mueller Service CO.)
ASSESSMENT MAINTENANCE INSTALLATION
WORK ORDER
1,S1-1 0
15 2.1 t.t..i 1 I
1)0L l A S Ll., 0KJ
136e, 1,311—U 4 1i
"P 21.1 F D r t-J
Location Number
Water Meter
No If no corrective coon required
Inspector Signature
Yes
No
check
Inspector Signature
If no corrective action required
Project Manager
Mueller Service Company
2032 0 Street
Port Angeles, WA 98362
360 565 -7250
City Representative:
Unit price Ext Price
$265.20 Z
$318.00 3Cg'
uf-
City Representative:
Yes
No 1
Owner Signature
Electrical Inspector
I
43? �v
270.
Unit price Ext Price
$55.00
$5.00
Date:
Date:
Owner consent required
Vendor may proceed with repairs
`6r
eizaki
Water S6perinterndent
DATE:
6 11 i ll)
OWNER
__33'n U u4�
CONTRACTOR
ADDRESS
15 Z1
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
I PERMIT
>tzE
L I. L.-AO 14
DITCH
ROUGH IN /COVER
SERVICE
FINAL
INSPECT
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
NOT APPROVED
z r o P D U
jZco
CORRECTIONS NEEDED: 4*L0-ALV GLTI(2. 145_,T) I ?Q
Ll, i1= Vol) N LV UES i6y4