HomeMy WebLinkAbout1632 W 12th St - BuildingCITY OF PORT ANGELES PERNIIT APPLICATION
Building DivisionlElectrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date. 3- 5' ii
A1 & 2 Single Family Dwelling
Plan Review May Be Requir d, Please Complete E rtrical Plan Review Information Sheet
Job Address: _ l�'� V�1 (-L —
Building Square Footage:
Description of above
Owner Information
poar4:4CFfr� -�
RECEIVE
it
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er~
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_
iNSPECiRQ�4�
Plan Review May Be Requir d, Please Complete E rtrical Plan Review Information Sheet
Job Address: _ l�'� V�1 (-L —
Building Square Footage:
Description of above
Owner Information
Contractor intp;
Vpn
Name: t _fV.D.A _. o �'[ {
Name:
_
Mailing Address:
Mailing Address:
City: Stale: Zip:
City:
Stale: Zip:
Phone: Fax
Phone:
Fax:
License # I Exp, I
License # I Exp.
X,�„l„ tOL
Item
Unit Charge
Qty
Total Qy Multiplied by Unit Charge),
Service /Feeder 200 Amp,
$ 120.00
$
Service /Feeder 201.400 Amp,
$148.00
$
Service /Feeder 401.600 Amp
$ 205.00
$
Service /Feeder 601 -1000 Amp.
$ 262.00
$
Service /Feeder over 1000 Amp,
$ 373.00
$
Branch Circuit WI Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1.4
$ 75.04
$
Temp. Service/ Feeder 200 Amp.
$ 93,00
$
Temp. ServicelFeeder201.400 Amp
$110.00
$
Temp, Service/Feeder 401-600 Amp.
$149.00
$
Temp, Service /Feeder 6fl 1 -1000 Amp .
.$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit! Limited Energy -1 & 2 Family OwOing
$ 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 -Stal
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 electrioal permit is finalized. (2) Owner is required
to hire an electrical contractor if above said properly 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 r Iteratio in compliance with the electrical laws, N.E.C,, RCW. Chapter 19,28, WAC, Chapter 296.46B, The City of Port
Angeles Municipal d , a d U - y Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Signature of a erg ctrl I ntractor or electrical administrator: Cl cash heck
C� ❑ Credit Card p
J _� X110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417- 473.5
Application Number . , , , .
14- 00001061 Date 9/05/14
Application pin number . .
320823
INSPECTOR:
Property Address , . , ,
1632 W 12TH ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-3- 6442 -0000-
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name , . . , , ,
ROUGH -IN
Property Use . , , , .
Property Zoning , , , . , . .
RS7 RES.DNTL SINGLE FAMILY
Application valuation
0
COMMENTS:
Application desc
Duchess heat pump
Owner
Contractor
LINDA G SMITH
BLACK DIAMOND ELECTRICAL CONTR
1632 W 12TH ST
502 BLACK DIAMOND RD
PORT ANGELES WA 983635308
PORT ANGELES
WA 98363
(360) 477 -0147
(360). 56.5 -1035.
Permit . . , . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc ,
Permit Fee . . . 63,00
Plan Check Fee
0,0
Issue Date. 9/05/14
Valuation . . . .
0
Expiration Date 3/04/15
Qty Emit Charge Per
Extension
1.00 63.0000 BCH EL -R-
BRANCH CIR WO/ HER FEED
63.00
Fee summary Charged
-
Paid Credited
-- - - - - --
Due
- -- - --
----------- - -- - -- ---- - - - --
Permit Pee Total 63,00
---- - - - - --- - ----
63,00 .00
.00
Plan Check Total .00
00 00
.00
Grand Total 63,00
63,.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 WILT, EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or EIectrical Contractor Date:
G:IEXCHANOMBUILDING
M
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , , . , 14- DOOD1404 Date
12/02/14
Application pin number 619680
RESULTS:
Property Address . , . 1632 W 12TH ST
DITCH
ASSESSOR PARCEL NUMBER: 06-30-CO-0-3- 6442 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . , , , , ,
Property Use
Property Zoning . , , . R57 RE$DNTL SINGLE FAMILY
ROUGH -IN
Application valuation . , . . 0
) i
Application desc
Kitchen remodel
Owner Contractor
LINDA G SMITH BOB'S ELECTRIC INC
COMMENTS:
1632 W 12TH ST 2293 DEER PARI{ RD,
PORT ANGELES WA 963635308 PORT ANGELES WA 38362
(360) 477 -0147 (360) 457 -6867
----------------------------'-- -__--- ------- --- _--- --- _- -__ - -_ �j� 7-
--
Permit , , , , , . ET,ECTRSCAL ALTER R&SSDENTIAL
Additional desc . .
Permit Fee . . . . 203,00 Plan Check Fee
.00
ISSile_Date . . , . 11/18/14 Valuation , . .
0
Expiratien Date . . 5/18/15
Qty Unit Charge Per
Extension
4100 5,0000 ECH -EL-ECH ADDNT BRANCH CIRCUIT
2D,00
1,00 120.0000 ECH EL -0 -20Q SRV FEEDER
120.00
1,00 6310000 ECH EL -R- BRANCH CIR WC/ SER FEED
63.06
Special Notes and Comments
December 1, 2014 2;51;16 PM banders,
Install new 5' service mast at the southwest corner of the
structure. Meter height to be between 4' -6" and 61-0" to
center of meter, Trim tree as necessary to maintain 5' -0"
clearance in all directions from overhead service conductor.
Fee. summary Charged Paid Credited Due
Permit Fee Total. 203.00 203,00 .00
00
Plan Check `total .OD ,00 ,00
.00
Grand Total 203,00 203,00 ,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
) i
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAFXCHANGGIBUILDING
.,A =� ELECTRICAL INSPECTION
a
WIRING REPORT
F?K 417-4735
DATE
PERMIT # INSPECTOR
OWNER
CONTRACTOR
ADDRESS-
NOT APPROVED
.................... DITCH ....... ........... . ❑
�-V- �-J, ROUGH IN/COVER ............... 0
0 .................... SERVICE ................... ❑
Ll ....... ............. FINAL... .............. ❑
CORRECTIONS NEEDED: . ��' a v <� cir \Zy
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DEC -1 -2014 11:23 FR011:13085 ELECTRIC 3604529943 T0:4174711
CITY OF PORE' ANGELES .PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street -- P.O. Box 1150 / Fort Angeles Washi,ngtoo, 98362
Ph; (360) 417 -4735 Fax: (360).417.4711
Date: %-
` Plan Review May
Job Address:
Buildin0 Square Footage:
Description of above._
—1 & 2 Single Family Dwelling
P. 2/2
RE"-
ON
OR
Electrical Plan Review Information Sheet
Owner Information r
Name:
W09 dress:
City: State: Zip:
Phone: Fax:
Unit Charge
ServlcalFseder200 Amp,
$120.00
SONCelF'eeder201400 Amp.
$146.00
SelvlcalFeeder401 -600 Amp
$ 205.00
ServlcalFeeder 601 -1000 Amp,
$ 262,00
ServiWFeeder over i OOO Amp,
$ 37100
Branch Clrcult W1 Service Feeder
$ 5.00
Branch Cf rcult W10 Service Feeder
$ 53,00
Each Additlonal Branch Circuit
$ 5100
Branch Circuits 1-4
$ 75.00
Temp. Service! Feeder 200 Amp,
$ 93.00
Temp. Ser*dFeeder201 -000 Amp.
$110,00
Temp. ServlcelFeeder 401 -600 Amp.
$149.00
Temp. Service/Feeder 601.1000 Amp .
$166,00
Portal to Portal Hourly
$ 96,00
Signal Circuit! Limited Energy - t & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$12D.00
Renewable ElecVlcal Energy - 5KVA System or Lass
$102.00'
Thermostat
3 56,00
Nate: $5.00 For each additional TSta1
NI_Y1r WNSTRUCTIQN OILY;
Mrs11300 Square Ft.
$120.00
Each Addilional 500 Square Ft, or Portlan of
$ 40.06
Each Outbuilding or Gutached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110.00
Contra r infortrrati
Hama: A 16.4 r„
Mdiling A 5: .��
City; St9 �_,_7ip:��
Phan' Ali }�"'"'�
Total Multi Hod UnIt Char e
$ a
$
$
$
$ Total
Chimer as defined by RCW.19.28.261: (1) Owner willoccupy Vie structure for two years after this electrical permit is fnalized, (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„ RCW. Chapter 19.28, WAC. Chapter 296.46B, The Cily of Port
Angeles Municipal Code, and Utility 5pecfHcatiom and PAMC 14.05,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical adminletrator: ❑ Cash ❑ check
;511-credRCard1 d sw q q!!F�
ared, 61101!2012
Crry w PUltr ANGuEs PERMIT ArPLIC'ATION
Building Division/Electrical Xnspectiong
321 East Fifth Street — F.O.:Box 1150 / Port ,Angeles Washington, 98362
Ph: (360) 4117 -4735 Fag: (360) 4174711
Date: 4 / 7— /-�S(
_'I & 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building 5quore Footago:
Descrlpllon of above
Owner Information
Contrac or Information
Name: _.....
Nam):
Mailing Adds:. __LtFZ, 1
city. —AA state- 1426_ zip _, ?t�rf2 .. 4-.
Malfing Ad s;
Cqy:
State' Y.P�1l� tip: °� txr3�i L,
Phone; Fax;
Phone Fax:
Llcense 41 Exp.
License ft1 Exp,
Item
Unit ChaLge
gty
Total (late Muldelied b1LUni.t;he e
ServicaTeeder 200 Amp.
1120.00
$
Sorviw1Fcador 201.400 Amp.
$1146.00
_ —
$��
SorvlcelFeoder 401.600 Amp
$ 205,00
$
ServicelFeeder 601.1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$..r..�. ,....�..n
Branch Circuit Wl Service Feeder
$ 5.00
$�. 1
Branch Circuit W/O Service Feeder
$ 63.00
Each ft(1000 Branch Circuit
$ 5.00
$ --
Branch Circuits 1-1
$ 75.00.
Tomp. ServW Foodor 200 Amp.
$ 93.40
$
Temp.. 8ervice/FaWiyr 201 -400 Amp.
$11000
Temp. ServicolFaader 401 -600 Amp,
$149.00
$
Tamp. Service(Feeder 601-1000 Amp .
$168,00
$
Portal to Portal Hourly
$ 96.00
�
$
Signal Cimult/ Limited Energy -1 & 2 r "amily Dwelling
$ 64.00
$ _.
Manufactured Home Connection
$ 120.00
$�
Renewable £leobtal Energy , 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$ —
Note: $5,00 for each additional T -Stat
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or portion of
$ 40.00
—
$_ - -
Each Outouildirg or Detaches Garage
3 '14.00
�
$
Each Swimming Pool or Hot Tub
S 110,00
$ _
Owner as defined by RCW.19.2B.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 month$ 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.Q.C., ROW. Chapter 19,213, WAG. Chapter 296-4.6B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Appilcations.
Signature of owner, electrical contractor or electrical administrator Cl cosh El chock
C�""2 -< credit card F t Z1 50 01101012