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HomeMy WebLinkAbout4508 Old Mill Road - Building ELECTRICAL PERMIT -0" -' 1. CITY OF PORT ANGELES -,,r... 360-417-4735 Application Number 17-00001419 Date 10/04/17 Application pin number . . 850541 Property Address 4508 OLD MILL.RD REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-22-2-2-0075-2001- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property use (Location Code 0502) Property Zoning UNKNOWN Application valuation . . . 0, Application desc Update wiring per sale of house Owner Contractor EHLKE ADRIAN B SIMPSON ELECTRIC 4508 OLD, MILL RD 243036 W HWY 101 PORT ANGELES WA 983621910 PORT ANGELES WA 98363 (360) 457-9270 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . 1-4 CIRCUITS Permit Fee . . . ' 125.00 Plan Check Fee . . .00 Issue Date . . . 10/04/17 Valuation . . . 0 Expiration Date . 4/02/18 j Qty Unit Charge Per Extension BASE FEE 75.00 10.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 50.00 Fee summary Charged Paid Credited Due v Permit Fee Total 125.00 125.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 125.00 125.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN tof )-7 l FINAL f /; ' COMMENTS: - l PERMIT WILL.EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ..-_rr V yOF tT41 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections IV _ _. _`�O 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ® ~�' Ph: (360)417-4735 Fax: (360)417-4711 Date: IO—Z 17 -4_1 &2 SingleFamily Dwelling *Plan Review May Be Required,Please ete Electrical Plan eyiew Information Sheet Job Address: `f o8 rs or H.'( , i ( FCC,' (biligigir/p55,,,ear•eiA,Cs y,�Building Square Footage: S t^i J Description of above 1G Lei i r i rt " ' ."------ =„ ,_,_, ,,......„__....,,. 6�ar s ex4 erci7 8ua,. ) LOwner Ir oprrationQ b v'SI K e) Contract r Information Name: Pat i 0 ' ( A � /,l l €i Name: , f' Oil ,-I P-e= `i e L1.e, Mailing Address: 0 . • 0.' u • I : 0 Mail. • • .rens: r C a City State: fl Trp: '7 _ __ City: . iL.•' - State: Zip: 1?f ` Phone:Ob0)'fbD-lo'/ ax: Phone/_ .. t - . .6 ax: e S -- 71 License'j / License#/Exp. .I ' EL” 3/C 0 I .Sr rne5s-aY' Item Unit Charge Total Total(Qty Multiplied by Unit Charge/ Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $ 5.00 $ 1 Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $__s� Branch Circuits 1-4 $ 75.00 $ '75- Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 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 $ $/;..,5":©D 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.,RCW.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. Signatu'. of owner,electrical con .• or electrical administrator: 0 cash ) Check I. %credit Card t :I► / ll// Dated: 0110112012 CTY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16772 Port Angeles. washlngton...m.._L_=_2!mmm...mm.....m..m. 19..2~'7 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- ::::s: i:.~.t1q:~::.~~~fii&~~~~cupancy.....,LL~~~.~........_............. o~~er ----if0.~~.:::f}::~J2;;Sjl&ant.m--..n.hm--...-..m.m.---mm--mm--.m..m.....m.." Wmng Contractor __h.;....m;-___.m..m...oo.'-.hoommm......mmm Bym__m.m.oo..__m..oo.....h....noom.m._m__.hn..m..oo (/ /':>O/J~C LIght Outlets..............................._.._..... Service, volts ....................................... Receptacle Oullets........h......hh.h.mhh No. wires hh':??f.mh'yh Dryer, KW.......................................... Size wires....~p..~.........._.. MaIn fuse ....~~t5!........... ,S Enclosure ....................................... Range, KW h................... Water Heater: KW.nhhhhhhmh~'" ..n........ ...... . f20 ' Heat: KW.................,_..................... ..._. __ Motors: size, volts and phase: Type of wIring; Entrance Cable ............................. Rigid Conduit ............................... Metallic Tubing ........................__. Current transformers: No. & Size....................................... Ser. No................................__............ Ser. No. ............................................. Ser. No.............................................. Total Load............................. Ser. No.................._........... Total....................................... Remarks: __oo__moooom"LJ.:~.~__.l::..__m Type 01 Wiring: Armored Cable .............................. Non.Metallic ................................. Knob & Tube................................_ Rigid Conduit m..h..mm............_h Metallic Tubing ........................... Raceway ......................._......___._ Circuits, Light....................................... Utility ..........h.m....m_h.mmhmmh. l-leat ......................................._...... Range ............................................. Water Heater ............................... Motor ..._........................................ Dryer .........__........__.........................__ Furnace .........................'_......_........... n..nu__....___._.__.nunnnnnunn.n____nd__......n....nnnnnhnnnnunnnnuu__u__..unn._Un....nn.n.n.unnnnnnu.n..hnn.__...u.... .;;~~;~h;~~__.mmnnnn__mmm.;~:~~.oo;:~:;~~nhoonnm..m__m----nn..--~(T~.i--~o"7l{d--7Jm--m.4~--:. $..--~~;;~;::~~~~:=;--:~~t not ~~.;~~::~..~~..:~;;.~:rtl!lcate 01 :g!/f-;,~/!:~~~:-ff:::~:~~f(:;:~ cea.led 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? 16772 J Address........................................................................................................................................Date..._...._._.._.._.._.........._......_......_......... " Owner ..................................._.........._......_......_.._........................................................... Tenant.................................................................... r' Wiring Contractor.......................................................................................................................... By.............................................................. ""- NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work ~ to be con. \cealed due noUce must be given the Inspector so that work may be inspected before concealment. ".----. 1M Olympic Printers, Inc.