HomeMy WebLinkAbout1616 W 5th St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application p~n number
Property Address
ASSESSOR PARCEL NUMBER'
Application type description
Subd~vision Name
Property Use
Property Zoning
Application valuation
06-00000610 Date
906610
1616 W 5TH ST
06-30-00-0-1-2815-0000-
ELECTRICAL ONLY
6/16/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HALBERG MICHAEL/TRACY
1616 W 5TH ST
PORT ANGELES WA 983631717
EXTRA MILE TECH & ELECT , LLC
418 N RACE ST.
PORT ANGELES WA 98362
(360) 457-0198
Perm~t
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
ELECTRICAL ALTER RESIDENTIAL
EXTRA MILE/ SVC REPAIR
79897
EXTRA MILE
36 30
6/12/06
12/09/06
TECH & ELECT , LLC
Plan Check Fee . .
Valuation
00
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Qty Unit Charge Per
1 00 36 3000 ECH EL-R OR RM REPAIR METER/MAST
Extension
36.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.30 36.30 00 00
Plan Check Total .00 00 .00 .00
Grand Total 36 30 36.30 .00 .00
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COMMENTSI ACTION NEEDED
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ELECfRICAL PERMIT INSPECfION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEl'1'ED COMMENTS
YES NO
1111. :H
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RaUGH-IN I COVER I
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lrrI\TAT I h -I .2 - 0 r;,1 h ~ J I
GENERAL COMMENTS:
PW-II02.J5141961
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. ycf'.;2 7
/O/e2//?Y
DATE
Site Address: /4/& tV. ~~ o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed By: 7CU ofe d~ I license Number: Phone:
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
Details/Description:
o RISER
~ OVERHEAD SERVICE
o UNDERGR~D SERVICE
VOLTAGrlc90 ;;29'"&
ff1 rp 0 3 rp
SERVICE SIZE aPo
FEEDER SIZE
AMPS
AMPS
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Acul
/l1#sr -/
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W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
;tOt" !f;;. o. K. to connect service
o Final O.K.
Site Address:
~ tu,
Installer: r- / ~
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buildillil-Permit. PHONE 457-0411, EXT. 224. ":.,.j
~~ A NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ff:. ~o
.~ $
Electrical Inspector Permit Fee
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
New Meters
GREEN - Top: Meier Dept., Bottom: City Hall
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FEE RECEIPT NUMBER
--,
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CITY OF PORT ANGELES
'DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
.-
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A
000148
PERMIT NUMBER
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(I(P (f) C'/JI/-e fZ' \ ....,-- ,i, f ( ,II oMf'.. , ~
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TOTAL FEE ..) -'
- . /, CaNT. LIe. NO. .TIME TO CqMPLETE NO. STORIES LEGAL OCCUPANCY
-
/6/G ,_,~ES~AL PE"lTLY /0 OCCUPA~C~ :/"~E ;TABLWAR THIS PE"98-30 ,0
~ 1'_ CORR~CT AD RESS ~s RE:PONSIBILlTYPF APPLlCA PERMITS WITH WRONG ADDRESSES ARE CA~ELL~O
Owner b Installation By 00/1 t'r
Owner'sAddress 33 {"s?allers Address
K Z-cZ---2...
/1 () tll~3e
Wiring Method Ro Yn c:X
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AMP 240V ,- AMP 240V
USE OF CIRCUIT NUMBER PER 120V - 100R FEE USE OF CIRCUIT NUMBER PER 120V 100R FEe
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT { V SIGN
LIGHT----:- I 'P r/ "50 VOLTS
OR LESS
CONVENIENCE - I -.-. t-- MOTOR
CONVENIENCE .-_. I ......-- - MOTOR-
A~PLlANCE . .J... - <--- MOTOR
DISHWASHER - . -- FIRE ALARMS .
DISPOSAL BURGLAR ALARM ,
RANGE I V MISC,
OVEN
WATER HEATER ( V--
LAUNDRY .. I
DRYER . - I t/ v--- REINSTALLATION LIGHT FIXTURE #
FURNACE .. ..- ..- .. - - SUB TOTAL FEE .
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC ..
t+-- BASIC FEE .
ELECTRIC HEAT r.'J,t; iJ . ~
TOTAL FEE 30, (!1<J
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.. -
A.C. UNIT :J.oO AMP_ ( PHASE
FEEDER . SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
-I SUB-TOTAL 3D,0"" SIZE OF GROUND SIZE OF ENTRANCE SWITCH ':00
1 certify that the work to be performed under this permit will be done by the installer and in conformance with the N. .C. Electrical Code.
rLuz&
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:19 g-r By
Date Application made
<?ONTRACTOR OR OWNER (OR AUTHO ED AGENT)
Permission is hereby,given to do the above descr.ibed work, acpording to the conditions hereon and according to the a proved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
. . . DIRECTOR OF CiTY LIGHT
~cA:;lz:i! t: JJf?~f-
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Date Permit Issued
WARNING
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
becovered or current turned 01"1 before inspection and O.K. for covering or service nas been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original
CANAAY - o"n"" ~NK - T",n""
WHITE CARD. Inspector's Report
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.e. .:
1j;....
DATE OF VISIT
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REPORT OF INSPECTOR
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REMARKS
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,..' LIGHT .@
TURN ON WATERD
M,ffe Hl}lt3e~r;.
NAME
Date
6-)'-6- rc'
It It tv .r,A...
ADDRESS
ACCT. NUMBER
~ LIGHT 0
SHUT OFF WATER 0
DEPOSIT
Mailing Address AMOUNT
The undersigned hereby makes application to the City of Port Angeles for Utility Service subject to the terms and conditions
of applicable City Ordinances which are hereby agreed to and are made a part of this application.
NEW APPLICANTS:
PHON E NO.
OWN
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PREVIOUS RESIDENCE
SIGNATURE ;(
OLYMPIC PR1NTERS. INC.
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EMPLOYER ADDRESS
/lLTe~<,P SCI1..VIC<:, 1(('~':>'v'A/e{"T
b' ;1<( 1: r ff3' 7. o~ ?ft';R
RENT
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PROPERTY OWNERS NAME
ADDRESS CITY STATE
APPLICANT ACKNOWLEDGES RECEIPT OF A COPY OF "CITY OF PORT ANGELES _ G~NERAL
I,N FORMATION RESIDENTIAL UTILITY SERVICE". t 'f 7
/,-1-7" 0" ;)" \
/.' i /.., ..../ J..... ~ I - ,
~/../,'{; .....l.U/l Date
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
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FINAl..! O.K.
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JUN-e8-2ee6 05:26 PM
E.JANSSEN
360 452 2982
P.01
.
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ELECTRICAL WORK PERMIT APPLICATION
lji{ Reauest Inspection
2233045
~
Q MAIlII Permit QAI.rn, QCarnl\'l1 QCommertlal [3.N.etldenUII
r:;b W/,.d by IJjJ Eleelrlcll Cllnlractor Q Owner
. E\lJCtriclIl contractor name l.icon,; number
I !~t::1nB;ddr..,M ,L...<. ~ I ~ L:t~
I-"/_l.f;_. bJ.. R~ 5-,
~~.L A... dc.So _ slale~JJ1- '1 r-7bZ
I"~~m~ r:'AXnUll'l\'cr
UResid,"Uial M"lnl, U Slll~ Tkermo.tal a Telell>>~
In"s;~d;::~t;~nl:..i;; )< ~ ?~ ~
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Prrmltl!lI owner'!! namt
-_:..~.:!.- .
A.drelll of hllpKliun
lit, I (P .-1!L.
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1.1 0. \. l, -Y- c.
IJ
S--~
o C"h Check #
-, ....--.-
Dep8l'tlTl""1 of Lobor &. Ind""tri.. use OIIly
Becomes permit when properly "aUdateeL
Expires one (1) yur from date oflaal aetMty.
1---.,... _______'. .
I 1ereby cerlify fhal I am Ihc f)WnCI" of rhe above named propcny or J:j
li~e"$ed electrical contract'or (or the firm's authorized i1gc:nl) and am
",Aking the ekoctncBI in!;tallation or alteration in compliance wilh the
elocn'i""llnw, Chap!er 19.28 RCW.
Chlrt:e m.y ~ontr.C't9r'tI_ aCCObnt.
: SIKn.,ure of WIK.... ell!ctriCII to ndo... or Ic.ftllldminisrrllor
Electrical inspecdon, are for safe wiring methods.
fllV At--
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To ilIsisl us in providing berter sCMlice 10 yt'U,
J'1~a9l! fill out (he application paying
pB.rti~uIRr ,uremian to (he following item8~
Please Draw Map Below from tbe Nearest Main Street or Hlgbway
..,
I, Compl"!. all appropl'iOle blanks.
2. Prpvide derailed description (lfinstallation.
J. Prl)vide detailed map to jobsire.
4. If ~o home phone numhcr i:.: ~vailablc. please
provide message number,
5. MtlkC' cheek payahJe to tht.. Dept. of LullOf &
Industri~!l.
6, If.Vou u.rc mailing thill in. plell."'t:. remove hard
copy to post on the: Jobsite Irnd !lend the top 3
coo;es tt.' the apprnprirue ,\IerviL-e location.
7, Signer it> owner only if not wired by IIn
e\l~ctrical contraclor.
8. If"wir~d by an e1ecrricH.1 contrRctor. must he
signed hy lldministrator or ilul,hnr;7cd (les;gm..'C.
If Yl);J have qucstit'm;. plcu~e fe~l rrcc ttl ~...k lIS~ '-
Deplrtment of l.ablJr &; lndmnries
Eledrlcal Section
F500.()OI.nOII declrical work ~.,crmj, oT'r1icatif.'R n.~v 5-03
11\;" l' .',,'
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor Date:
G:\EXCHANGE\BUILDING
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
1.6-00000668 Date 6/15/16
Application pin number
865256
Propiarty Address . ..
1616 W 5TH ST
REPORT SALES TAX
ASSESSOR PARCEL NUMBER:
06-30--00-0-1-2815-0000
on your excise tax form
Application type description
ELECTRICAL ONLY
Subdivision Name
to the City of Port Angeles
Property Use . . . .
Code
Property Z(.)ning . . . .
RS7 RESDNTL SINGLE FAMILY
(Location 0502)
Application valuation
Application desc
Ductless heat pump
Owner
Contractor
OSAMU WATANABE
CASCADE ELECTRIC & VAC INC
PO BOX 3073
PO BOX 369
PORT ANGELES WA
98362 PORT HADLOCK WA 98339
(360) 379- 5347
Permit ELECTRICAL
ALTER RESIDENTIAL
Additional desc 1-4
CIRCUITS
Permit Fee
`75.00 Plan Check Fee 00
Ismae Date
611.5116 Valuation 0
Expiration Date
12/12/16
Qty Unit Charge
Per , Ex�.,rz,nsicm
BASE FEE 7` 00
Fee summary Cllarged
Paid 'Credited Flm�o
Permit Fee Total
75 . 00 75.00 00 .00
Plan Check Total
.00 .00 00 00
Grand Total
/5. 00 75,00 00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor Date:
G:\EXCHANGE\BUILDING
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Jun 15 16 06:08a Cascade Electric
360 379 5347
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electricall Inspections
321 EaSt Fifth Stmt — P.O. Box 1150 1 Port Angeles Washington, 98362
Ph: (360) 417-4735 Fix: (360) 417-4711
Date. I & 2 Single Family Dwelling
* Plan Review N
Job Address:A
Building Square rw
Description of above
Electrical Plan Review Information Sheet
Owner I o�rmation
1. r
Name: 5 Poo?? f,
ailing � dres$��
M V 94-vl—'
V ,
citf Sww ey a Zip: Z
Phone&!��c ax:
License VExp_
Item
Unit Cha me–
Service/Feeder 200 Amp.
$120.00
Service/Feeder 201-400 Amp,
$146.00
ServiceJFeeder401-600 Amp
$205-00
ServiceiFeeder 6014000 Amp.
$252.00
Service/Feeder over 1000 Amp.
$ 373.00
Branch Circuit "'7 Service Feeder
$ 5.00
Branch Circuit = Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
Ternp. Servicel Feeder 200 Amp.
$ 93.00
Temp. ServicelFeeder 201-400 Amp.
$110,00
Temp. Service/Feeder 401-600 Amp.
$149.00
Temp. Service/Feeder601-1000 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 FJecldcal Energy - 6KVA System or Less
$102-00
-Thermostat
$ 56-00
Note: $5.00 for each additional T-Stat
N[EkCONPIMIUMN 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
$116.00
Contractor Informati
Name: - V -0e C -
Marling Ad
!L!j'—L zip: ,
Rhone Esx ."Fat 6,�( 4
License Exp.Xz 't 3 �111
SW
$ �-74'
Tow
Owner as defined byRCW,19.28.261. (1) Owner will occupy the structure for two years alter 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 mdify that l, am the owner of the above narned property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RM Chapter 19.28, WAC, Chapter 296-465, The City of Port
Angeles Municipal Code, and U11#4 Specifications and PANIC 14.05.050 regarding Electrical Permil Applications.
Signature of owner, electrical j; ntractor or electrical administrator: E3 Cash 0 Check
KCredit Card #_
Doled.