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Home My WebLink About1123 E Park Ave - Building 01/12/2005 16:24 FAX 3604523498 OLYlIPIC ELECTRIC -~Ol .lII'ftectrical Coalraelor S" J' t.~" o Owner \"S~....:'r ELECTRICAL WORK PERMIT APPLICATION o Request Inspection o ADaDaI Permit CJ Alarm CJ Carnival 0 Commercial ",{esidrnlial ~ideDtial Maiol. 0 Signs 0 Thermostat 0 Telel:om. Electrical contractor name ~~J/.. rt-,dn/ PurC r' ailing address '1~.7t? 7d/77N~;?/ ~ .' rr.~~{f Telepbone: number License number t2Y-;# Pe#s/?/ (n$lallation description ;4:!:(;:Jc7mL7 , .{//V/ c;e;, - Job wired by Itrflectrical Contractor 0 Owner State ZIP W '7///,7 FAX number ~ .'--' f\ v ,- ~_'::l j.'--',. ;, I I.'..}. \ I ~< i ! -' I r \ '\ I L..-.!.:.=.'.,":',,:,,::.--=-,_'''':='j''l ) 1 i~; ('"1(/ 'I. / J ; '-..J'_..~. .'" -~~ ~ / o ()) \ I hereby certify that I am the owner of the above named property or a licensed electrical contI3Ctor (or the (lCIIl'S authorized agent) and am making the electrical inslaIlation or alteration in compliance with the electrical law, Chapler 19.18 RCW. o Cash 0 Check # ~edit Card VISa Card # . Maslercard Discover C) C}J Siloatare of DWaer. electrical contractor or electrical administrator -=> Expiration Date of card -.... x 'iff' '-- WALLS Insu.lation Only Do. 4ppn>ved By Cover D~. ^ppn;>v~8y CEIUNG Insulation Only Dlle "PPTOv!:d By Covet nile Approved By , TIlERMOSTAT Dill' Approvcll8y DITCH Dale 4ppnJved 8y SERVICE Olle 4p!'R""CId By FEEDER Do. 4pprllvcd By ~ICAI Load Additions and or subtractions NO LOAD CHANGES [J Baseboard KW a Furnace KW [J Heal Pump Ton LAR [J Fan-Wall KW ~erhead Serl/ice o Temp Service o Und9rground Service Service Information Voltage Y-lft? Pha.. (I!(i [J 3 Service Size: ~~ Feeder Size: Jnspeclion Area, Building Of Equipment Ins~cted Action Taken Electrical Date [nspectof fkZ../tJ? ~. if uJ~ <'I~ fS cJpt:j r/to~ -~.P -h, e -w I 1~6"" f$-,.,d~c; ;... ~ ~IE ~<-\)C'... 'iF",,/?. '*'/ ~ (8A7 ) - IJ"( r , - '~ "" r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :Q1 EAST 5TH STREET. PORT ANGELES. WA 98.162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000031 Date .529662 1123 E PARK AVE 06-30-11-5-1-0690-0000- ELECTRICAL ONLY 1/13/05 RESIDENTIAL HIGH DENSITY o Owner Contractor Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ALTERED SERVICE ONLY 66.90 Plan Check Fee 1/13/05 Valuation 7/12/05 .00 o OJ If\ ~ ~ ""' l"' ~ ~ ~ --- -..... '"'- N \ tN ...... w rA. I <:) (;1"1 ~ ~ TIKKA SAMUEL J 1119 E PARK AVE PORT ANGELES WA 983622740 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 ---------------------------------------------------------------------------- Qty 1. 00 Unit Charge Per 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 Fee summary Charged Paid Credi t'"ed Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECT.lON RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO 1l1T( :H IHlIl(~H-lN I CU 'ER ShK V lCh FINAL I ,......--- GENERAL COMMENTS: PW-II02.lS (4196) (1117 *T, f*Kl' 11111UELM 360-417-4735 Application Number . . . . . 16-00000534 Date 4/15/16 Application pin number . . , 952096 Property Address . ... . . . 1123 E PARK AVE ASSESSOR PARCEL NUMBER: 06-30-11-5-1- 0690 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . Property Zoning . . . . . . RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc Fan circuit Owner Contractor TIKKA SAMUEL J APS ELECTRIC 1119 E PARK AVE 546 BENSON RD. PORT ANGELES WA 983622740 PORT ANGELES WA 98363 (360) 452-6753 Permit . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee 100 Issue Date 4/15/16 Valuation . . . 0 Expiration Date 10/12/16 Qty it Charge Per Extension 1,00 63.0000 ECH 'EL-R- BRANCH CIR WO/ SER FEED 63,00 Fee summary Charged Paid , Credited Due Permit Fee Total 63.00 63.00 00 AO Plan Check Total .00 .00 00 00 Grand Total 63.00 63.00 .00 .00 3 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor G:\EXCHANGE\BUILDING Date: vl 04/1412016 04:05PM 3604526753 A.P.S. ELECTRICAL PAGE 01101 CITY OF PORT ANGELES PERMIT APPLICATION Bnildia �ivis3oi�/t�etbnica� Ips�ecti4os 321 East Fitch Street —. P.O. Boa 1154 / Port AWles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date; '_I_q-1[a Ck- 9 & 2 Single Family Dwelling x e C mplate FIscirical Plah cedar Information Sheet Job Address N� 13e 06d lot l�ui�tNrtg � . WpJorrofwe.McL r ra C.� qAAs Marti Address; �r 1�..,� � k-A Na*�� ~ lOfo do � Mailing AddEi�: �_��a' .� �° ....... � Mailing �- ucetrse #IFx � Tate._Zip:, � 2l p- Lrx ik t Exp. kem I,1 C Qty Total k f*f 6wr 1. h' Chamet SeMpWFeW9r 200 Amp. $120.00 � $. SeMce/Feeder 201 -400 Amp- $146 -00 $ S&Vj 401-M Amp $ 205.00 8mvkWFfieder 601-1000 Amp. $ 262 -00 ServicefFeWer over 1000 Amp, $ 373.00 $ Branch Cirm(A W/ Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 Temp- Service.! Feeder 200 Aft. $ 93.00 $ Tpmp- a ed r 201 -400 Amp. $110.00 $ Temp. SetvicaftWer 401- $149.00 $� Temp- /F r601 -1000 Amp. $168.00 $ Portal to Portal Hourly $ 9640 $ Stignai Circuit/ Limited Energy - i & 7 Family 1)Wding $ 64 -00 Manufactured Home Connection $120.00 $ Rena wWee Electrical Energy - 5KVA System or Less $102 -00 Thermostat $ 56.00 Notp.- $5.00 for each additional ISt First 1300 ftrare FL $ 120 -00 Each Adoisonai 50o square or Po *ft of $ 40.00 - -- Eac h utbuik irrg or ed Gerap $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ 7lf Owner as defined by ACIN. f 0.28.261, (1) Owner *11 occupy the structure for two yearn after this electilcal permit is fin hared. �) Owner is required to hire an oWrical drmtactor if Obm id property is for sale, rant or leme. Permit expires aiftor six months of lit inspection, After reading the above statement, l hereby that I am ft om er of the above named property or a lkm. sed eieclricl contractor. I am making the el ttt al instati or Iteration in compliance w the el , laws, N.E.C., RCW- Chapter 19.28, WAC- Chapter 29646B, The City of Port Angeles Municipal Code, and U611ty Specifications and PANIC 14.05.060 regarding Electrical Pprrnit Applications. Slahatuno of owner, elemAeal contactor aroloehieal adminiebmtor: D Ndr. 0 Creak, i Q Al !� 01l01r24t2