HomeMy WebLinkAbout516 1/2 E 3rd St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
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Appllcation Number
Applicatlon pin number
Property Address
ASSESSOR PARCEL NUMBER
Appllcatlon type description
Subdivislon Name
Property Use
Property Zoning
Appllcation valuation
2/22/06
06-00000172 Date
878408
516 1/2 E 3RD ST
06-30-00-5-2-6516-0000-
ELECTRICAL ONLY
UNKNOWN
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Owner
Contractor
KALAPACA JOHN A
6804 S MOUNT ANGELES RD
PORT ANGELES WA 983628917
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit
Additlonal desc
Permit pln number
Sub Contractor
Permit Fee
Issue Date
Explratlon Date
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ELECTRICAL ALTER RESIDENTIAL
SIMPSONI 200 A SVC
71423
SIMPSON ELECTRIC
66.90
2/22/06
8/21/06
Plan Check Fee
Valuation
00
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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 Credited 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
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COMMENTS/ ACTION NEEDED
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ELECfRlCAL PERMIT INSPECfIO_N ~CORD
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<\LL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
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INSPECTION TYPE DATE ACCEPTED COMMENTs
YES NO ....
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.t'lNAl 2,- 2."-()(; '.A7 ~ ..J
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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GENERAL COMMENTS:
PW.II02.I~ (4'96)
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ELECTRICAL WORK PERMIT APPLICATION I
Electrical COIHraCCor name
'1l:f~Il~liUII cJl:lSl:ripliun
a Commercial ? R.esidenthl.
aNew ~ Altered! AdditiOn
Job wired by
Electrical Contractor [J Owner
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~h:"3;~nbadd7~Af) /0/ CJ
C't~R. i- ,q-119~ /J s St/) j:;P f' f' .3/:..3
Telephone numb~r FA.X number ~
Lf-S 7- '7~)CJ S~--W--
p"m;-:;. Ot',.l'''k~jJ4.J!.~ '1-5:2-3:1Q I
Addn:sS: bsp~one _ 3 r.~
Uf d"d;v :5ertJ /cr-e
-/0 C). 0 D Fttvf
City fJp,er ftllq.e /e~, Wit.
PbC)flC 1H11II~er co scbedule in5pectioa:
(Jwner as defined by RCW.J9.28.261:(1) Owm:r win occupy lll~ ~.t"lJctu,.e for two
yc:,,,'~' uflf!.r thi~' electricaL penllil i,\' finalized. (2) Owner i~' nfCfl4jn:ti 1(,1 hire an c:w.ctr{CtJl
contractor if above .Iuid pruperty u- fur sale:, n:nl (.If ll:uJe,
After reading the above stAtement, I t\C:reby ccnify thaL I 11m (he t)WIIU of che above
nalll~d property or II. licensed dcclricul t.:Ontr.J(;lOr, I 31ll mo1king th~ clectl'ical instal-
lation or altcrdlion in complianct: with the electric,,) laws, N.E.C., RCW. Chuplcr
19.28, WAC. Chllptc:r 296-46B, The City uf Pori Al)gel~s Municipal Codc:, and
UtilifY Spccitic:utiuns.
Si~nutur; l' ~lfl1er. electrical tl'actol' or ell.ldricul administrutur
X LA Date:.).
Electrical Load Additions and 0 ubtractlons
a NO LOAD CHANGES
o ea..boa(d KW
D Furnace _ KW
o Heat Pump Ton LAR
o Fan.Wall _ t<MI
[J Cash [J Check #
[J Credit Card ~ Ma~te1"ca1"d Discover
Card# __~~___'____
Expiration Date
of card
Service Information
b O~erhead Service
b Tamp Service
Cl Underground Service
Voltage
Phsssa 1 a3
Service Size: ~ ~
Feedsr Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT SERVICE
Pille AfIpr.)\Iudlly Ulll.. Approved D)I Ollie AplUOve<1 By
FINAL DITCH ~~ FEEDER
;).h:3 /"t:. rkO
0.. Al)(ll\"l~..d tiy "- O~le AlI,_vell tl.y Dille AlIVC"'vo;,J tly
Inspection A1-ea., Building or Equipment 10~l'eclt:d Action Taken Eloc\riC31
Pat.: !pspect,9r
m1 /Pt_ Af:>12,,\{Ef) Y: /" /..-J
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