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HomeMy WebLinkAbout730 E 4th St - Building ~, ~ CITY OF PORT ANGEL. LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: .c Owner/Business: ' Owner/Business Address: )If Residential r- )if New Construction Heat KW 3..:> 0 Remodel 51CBaseboard 0 Furnace/Boile*- 0 Service update/alter/repair b 'Heatpump !j( Other J(A'b t..ll o Commercialllndustrial load 0 Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (list below) Total Motor load 0 Special equipment (attach breakdown) (list below) DetailslDescription: PERMIT NO, ~ 7 t:J 7 / DATE ~~ /~O )g"READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq, Ft ~ Overhead o Underground Voltage 01,0 03.0' Service size d ,00 Amps o Temporary " NEW fletLSt. - Date W,S. No. Service Capacity; 0 O.K. 0 Not O.K. o Ditch inspection O.K. A ..FI&Rough-in/cover O.K. /~ O.K. to connect service ~, Final O.K. Size Comments Hold for: 0 Easement 0 Lette o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: E <y 7?J L r Ie I-- .g Notify the Depart ent of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspect r in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. d NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /f /J~ Oi::) _ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN _ Top: Inspector, Bottom: City Hall 730 Installer: -c r--, OLYMPIC PRINTERS. INC. ELECTRICAL PERMIT CITY OF PORT ANGELES 3%417-4735 Application Number . . . . . 17-00001742 Yate 12-/27/17 Application pin number . . . 562072 Property Address . . . . . . 730 E 4TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7405 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 -- ------------------------------------------------------------------------- Application desc Meter repair ------------------------------------------------------ s Contractor ------------------------ ------------------------ LEFLER MARJORIE M KIRSCH ELECTRIC INC. 730 E 4TH ST P. 0. BOX 3396 PORT ANGELES WA 983623814 SEQUIM WA 98382 (360) 683-6819 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date . . . . 12/27/17 Valuation . . . . 0 Expiration Date 6/25/18 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total 00 00 .00 .00 Grand Total 120.00 120.00 .00 .00 REJ ORT TA' 'rAX cin your exdse tax four► to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE .fit 1, , ROUGH -IN FINAL % AL COMMENTS: PERMM WILL EXPIRE Six (6) MONTHS FROM LAST INSPECTION Signature of -owner or Electrical Contractor X Date: L CI'T'Y OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date; �11�" 1 & 2 Single Family Dwelling * Plan Review May Be Re wired Please Complete Electrical Plan Review Informatior Sheet ,lob Address: 7.3Q � . 44 - Building Square Footage: Description of above a' re -pa tr or1Mv- Ower Information Name: mod -j t ri e— LC -P MailingAddress: -7 3n 144-h City: R�C'L ':c -s State: We, zip- Qfr3b'2- Phone2rix-i FaT. License # 1 Exp. item ServWFeeder 200 Amp. ServicelFeeder 201-400 Amp. Sgr AcGIFaeder 401-600 Amp Service/Feeder 601-1000 Amp- ServicelFeeder over 1000 Amp - Branch Circuit W1 Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service! Feeder 200 Amp. Temp. ServicdFeeder 201400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp . Portal to Portal Hourly Signal Circuit/ Limited Energy - -Manufactured Home Connecctieo 1 Contrac r informatia Name: t r5��1 &.G -I ri C- � C- Ma�lingAd cess: P- 0. PnX, 33-f City: State:! L,iu. Zip:�k3s --IPhone' License # 1 Exp. K i' r 5 c A- 10 T Unit Charoe G�ijC Total Multiplied by Unit Charoel S 120.00 $ nG S 146.00 - , $ $ 205-00 $ $ 262.00 $ $ 373.00 $ $ 5.00 $ $ 63.00 li $ $ 5.00 II $ $ 75.00 $ $ 93.00 $ $110.00 I $ $149.00 �I $ $168.00 I $ $ 96.00 II $ 1 & 2 Family Dwelling $ 64.00 I! $ Connection $120.00 II $ Renewable Electrical Energy - 5KVA System or Less $102.00 I $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLL Flrst 1300 Square Ft $120.00 $ Each Additlonal 500 Square Ft: or Portion of S 40.00 Il $ EachOutbuilding or Detached Garage $ 74.00 II $ Each Swimming Pool or Hot Tub $110-00 $ $1W^ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years afterIr 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 six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named pr iperty or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Ch ter 19.28, WAC. Chapter 296-46B, The City of port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 rogarding Electrical ermit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ ❑ Check y/� \1 Elcxe IR Card # x 0 J, / / Dalod:471 � _ WORM �S N ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001742 Date 12/27/17 Application pin number 562072 Property Address . . . . . . 730 E 4TH ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -0 -1 -7405 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . , . . Property Use . . . . Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Meter repair --------------------------------------------------- `------ __------- REPORT $TATE :SALES TAX on your excise tax forni to the City of Port Angeles (Location Code 0542) Owner Contractor LEFLER MARJORIE M T KIRSCH ELECTRIC INS. 7310 E 4TH ST P.O. BOX 3396 PORT ANGELES WA 9$3623814 SEQUIM WA 98382 (360) 683-6$19 Permit . . Y . ELECTRICAL ALTER RESIDENTIAL - Additional desc . Permit Fee 120.00 Plan Cheek Fee 0o Issue Date . . . . 12/27/17 Valuation. 0 Expiration Date 6/25/18 Qty Unit Charge Per Extension f 1.00 120.0000 ECH EL -0-200 SRV FEEDER 120..00 I Fee summary ----------------- Charged - Paid Credited Due .µ { Permit Fee Total - - - - - - - - - - - 120.00 - - -" - - - - - _ _ _ .. - - _ - - - ---------- ---------Permit 120.00 .00 .00 Plan Check Total .00 ,00 .00 .00 Grand Total 120.00 120.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR- DITCH NSPECTORDITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: