Loading...
HomeMy WebLinkAbout1230 W 17th St - Building CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections �W"V 0 �v �- 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington,98362 Ph: (360) 417-4735 Fax: (360)417-4711t�fRl�p�t INS��'f;I1Qf�,� Date: /l"S-j-? _1 &2 Single Family Dwelling *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: t2-3v W 17'M Building Square Footage: Description of above Owner Information Contractor Information Name: Otte� Name: Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: License#lExp, License#/Exp,, $c..4C.r��G8r�E0r� Item Unit Charge QtV Total _ty Multiplied by Unit Charge) ServicelFeeder 200 Amp. $120,00 $ ServicelFeeder 201-400 Amp. $146.00 $ ServicelFeeder 401-600 Amp $205.00 $ ServicelFeeder 601-1000 Amp. $262.00 $ ServicelFeeder over 1000 Amp. $373.00 $ Branch Circuit Wl Service Feeder $ 5,00 $ Branch Circuit MO Service Feeder $ 63.00 / $ Each Additional Branch Circuit $ 5.00 _� $ Branch Circuits 1-4 $ 75.00 $ Temp.Servicel Feeder 200 Amp. $ 93.00 $ Temp.ServicelFeeder 201-400 Amp. $110.00 $ Temp.ServicelFeeder401-600 Amp. $149.00 $ Temp.ServicelFeeder 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-6KVA 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 Poo€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 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 Eiectricaf Permit Applications. Signature of o er, ctrical contractor or electrical administrator: © Cash Check / ❑ Credit Card# X Dated: r 13 0110112012 ELECTRICAL PERMIT Ul CITY OF PORT ANGELES n 360-417-4735 Application Number . . , , . 13-00001287 Date 11/06/13 Application pin number , , . 479945 7 . Property Address .. . . . . 1230 W 17TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5238-0000^ Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . , . . , t0 the City Of Port Angeles Property Use Property zoning " , . , , , . RS7 RESIDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application dese, Ductless heat pump -----------------------------------.._-----_-_----- ------_-----_________--- Owner Contractor ------------------------ ------------------------ DEARINGER RICHARD BLACK DIAMOND ETECTRICAn CONTR 1230 W 17TH ST 502 .BLACK DIAMOND .RD PORT ANGELES WA 983637010 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . , . , ELECTRICAL ALTER RESIDENTIAL V Additional desc hhh Permit Fee 68.00 Plan Check Fee .00 Issue Date 11/06/13 valuation 0 Expiration Date 5/05/14 Qty Unit Charge Per Extension 1,00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 5.00 1100 63.0000 ECH EL-R-- BRANCH CIR WO/ SER FEED 63.00 ------------------------------------------------.---------------------------- Fee summary Charged paid Credited Due - --^^---------- ---------- ---------- ---------- ---------- Permit i'ee Total 68,00 68.00 ,00 .00 Plan Check Total .00 100 .00 oo Grand Total 68.00 68.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN ` +� FINAL °1 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTI-IS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIB UILD ING CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15935 9'-~r Port Angeles, Washlngton_mm_L_m_________mmnm______mmm___nnm_, " ,,- 19_L:::: 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 do electrical work as listed below. f' / .-/ Address n/2n3..n___nI,:_:nmn(.-'_r.~K.dd_nm_..d_n___nmnnmnd.n Occupancy._.n,.".A_~,-mm--.n.m---m.d. '.. - 'J Owner nnm_n;~Li2'~~",_~"'::,,~k_m__n__n____m_nm__m TenanLnnm.__.___m_____n_n_____mmnnmm___mnmnm.__m Wiring Contractor dd'_'_:;_1.;,,,L:;::,:,"""'''''~_Lt'~~~ By.nnnmmn__mm__.____.d_m__n._d__.m._m______n.n___ Light OUtletL..../...[................_..... Service. volts ...../..<?<!/....?J!..'0..... Type of Wiring: -'0 3 Receptacle Out1ets...__,~.___............_,_.... No. wires ....._______.___............_......___ Armored Cable ............h...........__._. (R Sl . ~-a,.. Non-Metallic ........___.dd.........___hh_ Dryer, KW m........:....n......n................ ze wlres......;- .:......:.:..!:::...._.. Range, KW....n/:?o::............ Main fuse ......jJ2.pd... Water Heater: Enclosure ....__~5.__..______..........______ / ~~ KW...........__.s..............__u.. lIeat: KW...h./..t!...!:5..f3.:..................... Knob & Tube........______..................~ Rigid Conduit ...._h........h.............. Metallic Tubing n..........___..__........ Type of wiring: Entrance Cable ..__n_____ No. & Size............__..____.__..__ Raceway .........u__.................._......_ Circuits, LighL.___~.......__........h_......._ c,. Utllity ..............~_..h........................ Heat ......./.,(I.......h....h.._......._h.... Range ....=1............................__...._ ...,..rater Heater ..2...___............__... Motors: size. volts and phaBe: h../.r&&C~........................m... ..j.t1l.r..:a.f..............................h Rigid Conduit Metallic Tubing ___.._____ Current transformers: Ser. No......__..................__.....__......__... Motor ..._...._................................... Dryer ..___m~~.........__--d..........--.--.-- Furnace .........................._................... Ser. No.......__.________..__........................ --<:r-- Total Load....____h................... Ser. NO.__....____...__...h__....................... Total ..1;;;:;.~..4........._.._............... Remarks: ~.__.______.__.~~.....e.r4.~.~~._______.._(;..(,:~...:':~~.'!.........._.__.._................_......._._......................_............ Ser. No............................................... ;:~~_;~~-_~~~__~______~~-u_mmu-::~_~_~:u~~_~_~~_~_~..-_~_~~~--m-m----mu::--:;l(Zi~~~~d2~~_~~:: 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15935 .<\.ddress.................._................................._..................................._...............................................Date..._......_.._.._.._.........._......_......_......... Owner ..................................._......_.._......_......____........................................................... TenanL.............................___........_.......................... Wiring Contractor....................................... ...................._..............................._.............................By........................................._.................... NOTICE-Current must n()t be turned on until Certificate at 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. .r / 1M Olympic Printers. Inc. '. ,