HomeMy WebLinkAbout1012 W 17th St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15836
"Y. - "
Port Angeles, wash1ngtonoo___oo,Loo~.L:?.........__...______mm.___...., 19:.:::'*'
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-
mission is hereby granted to d6 electrical work as listed below.
Address ooL!(!2l"k:l~:..L.'z.dm__oo.__oo_____......._____._____.....oo ocCUPanCY___~dFg.moo..oo..__..--..m.
Owner oo~<"""~;'.'m.__C.k::-"L""~:&"'.'oooo~.m__. Tenant.u_____.__m___.m...._______.__u.___.m..__u.u.u__mu___u...u
Wiring Con;a~or ...;::".:f.&~d....~d~.~..oo..__oooo.m By.____.oooo___.m__...._.___.___oom..___..__oo._..oomm__...__oo
10 /~;Jo/.P<;r'c,
?(YLight Outlets...................._....___..._.._..... Service, volts .......................................
-' ,. t)U 3
<L' yReceptacle Outlets.........__...______..__....... No. wires ......................._..............
. . S- 9'/0 A'2
/.x Dryer, KW n..nnn............__....____....___._. Size wlres__.;.:-..;-...........:..............__.
. V' Range, KW .hy~m....hn...h...n_n... Main fuse .....__."!::(!..q..:::":J..............
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'Y':! wa:~:e.aty:___............................. TypeE:;I:sl:~:~;......m.....m.....m.........
'/;< Heat: Kw......:-'2..___.......___..............._...mm Entrance Cable ---....-....----......-.
Motors: size, volts and phase:
Rigid Conduit ___..______.____
Metalllc Tubing ".mm..
CUrrent transformers:
No. &, Size......._......................_.._..._.
Ser. No....._..__.........._..___________....._____...
Ser. No.-.....___.._.___...._.__..______...____...._.
Ser. No......_........................................
Total Load_______m.________.._____...
Ser. No.__.._______.._____...____..._____....____....
Type 01 Wlrtng:
Armored Cable .....m........._........_...
Non.Metallic ................___..___._.......
Knob &, Tube____..........................._..
RIgid Conduit ..............................
Metallic Tubing ................m.......
Raceway ..............._.._...._......___._
Circuits. L1ght......!.3....................~..
~:~:ty.:::::~~E.::::~::::::::::::~::::::
Range .....E~.....____.................._..
Water Heater _/t..~(~.........._......._.
Motor .....................__.____.__..............
Dryer_____~................----.-..-.--.-....-
Furnace .................._......__.........__.....__.
Total .....c;:f!:....................
Remarks: __.Uh.n.h....~..~.n_~:;.:+~n(?__(;.~";n"::::~-nn.~~.~_n._nnnnn_.-.nnn.n_n._nnn_nn.n....n_.....n.....nnn_n_
Permit Fee
$___.moo_4.Ci..9..mm.m___oo
NO..moomm__.m.____m
By .;-6-x?j~~.14~L~~~
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
Treas. Receipt
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15836
Address........................................._......__.............__.........._..........__.............____...___.._____....___._..._.....Date..._....___..____.._._....._._......_......_........_
Owner ..___....._......__................_.........._......__.....____........_._......_.._..............................____.... Tenant_________....____......_._._........_....__._.......................
Wiring Contractor__......h....____..hn...___...................................__..__...___.....__..._._..........................__.... By____..____...___........__....................................
NOTICE-Current must not be turned on until Certlflcate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
\
1M
Olympic Printers, Inc.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
13ulLl.,li~ ~'z-I~llfll I ISSUED: 6/21/2002 PERMIT NO:
OWNER/APPLICANT PROPERTY LOCATION
1012 17TH STW
JACK HINSON
Lot: 3 & 4
Port Angeles, WA 98362 Block: 450 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000450020000
CONTRACTOR ARCHITECT
RAINMASTER ROOFING N/A
1205 SOUTH O STREET
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-3213 3601000-0000
PROJECT INFO
Project Value: $5,860.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAR OFF, FELT, COMP
RECEIPT#9235
FEES ASSESSMENT
Building Permit: $125.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $129.75
Plumbing: $0.00 AMOUNT PAID: $129.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ETA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby cer[ity that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Sign~.)~re~)(C~tract~r or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:~PLANNING\FORMS\] ]02.]$ [4/2002]