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HomeMy WebLinkAbout1626 W 5th St - BuildingCITY OF PORT ANGMM N 0- 17780 LIGHT hr$ARTMRNT ELECTRICAL PERMIT Port Angeles, Washington ----- -r- - 191 .°� - 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. Address A o - .- ? --'- --- --------- --- ------ Occupancy ---__I_Z-n_---- ..... -............. Owner----- ..... ................... Tenant -----...._.---------- ---------- - ---------------- - --------- - --------- Wiring Contractor - -'fi' °ry` --0^ ------------------------------------ By - - Light Outlets ................................ ... ..... Service, volts ................... _.................. Type of Wiring: Receptacle Outlets .............. ................. No. wires ........ ............................... Armored Cable. Dryer, KW .......................................... Size wires ................................... ... Non - Metallic ..... Range, KW .......... ...... ... ........_............. Main fuse ....................................... Knob & Tube..... Rigid Conduit ... Water Heater: Enclosure ........ ............................... Metallic Tubing KW..----------- ------ .......'---- .......... - -. Type of wiring: Raceway ............. Heat: KW .................... ............................... Entrance Cable ............................. Circuits, Light........... Motors: size, volts and phase: Rigid Conduit ................. - ............ Utility ................. ........................................................... Metallic Tubing ...._---_ ................ Heat ................... Current transformers: Range ................. ............................ ............................... No. & Size ........ ............................... Water Heater ... Ser. No ................ ................... ............ Motor ... ............. Ser. No ............. .... ........................... Dryer...................... Furnace ........... ..... ........ Total Load ..................j..... Ser. No ............................... ............. Total /.. ... Remarks: --- /j " F 14/ .t..../j... ,} Permit Fee Treas. Receipt / $ No ............................. B � . /i"a_L;,C%L... --'t -v y:: NOTICE— Current must not be turned on until Certificate 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address N_ 17780 Owner................................... ....... _.._ ...... ....... _.._........................................................... Tenant.............................--...... ............................... WiringContractor................... ................ _ ..... ................ _ ............... .............................................. By............................... ............................... NOTICE- - Current must not be turned on until Certificate of Inspection has been issued. If work 1s to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. \� �. 1M Olympic Printers, Inc. ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 15- 00000657 Date 6/09/15 Application pin number , , , 326867 Property Address 1626 W STH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1 -2830 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . . . . , Property Use , . , . , . , . Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation , , . , 0 Application ciesc Meter replace Owner Contractor DAVID NEWELL OWNER 1626 WEST 5TH $T PORT ANGELES WA 98363 Permit . . . , . . ELECTRICAL ALi'ER RESIDENTIAL RESULTS: INSPECTOR: .Additional desc , . Permit Fee . . . 120.00 Plan Check Fee 00 lesue Date 6/05/15 Valuation 0 Expiration Pate 12/06/15 Qty Unit Charge Per Extension 1100 120.0000 SCH '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 ,Op REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 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 G:IEXCHANGM- UILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Part Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 4711 Date: 1 & 2 Single Family Dwelling RECEIVED J,: :�� UC RICAL WHOWIS * Plan Review May Be Required, Please Compll-te Elect icai Plan Review Information Sheet Job Address: 14 v0� 5� %C `. it Building Square Footage:. Description of above Owner Information t Contractor Information Name 1 &,J i,A ttZ �\ Name: Mailing Address: � 2 f- L4 Mailing Address: City: State:&�,A Zip: W:U 3 City: State; Zip; Phona.1 i4 i — /o- �2j�, Fax Phone; Fax: u� License # I Exp, n164 S ,64021 �Zo0 (k L ' 3 " 1 License # I Exp. Item Unit Charge Qty Total {1J MultiRliep by Unit Char e ServicelFeeder 200 Amp. $120.00.1— $ ServicelFeeder 201 -400 Amp. $146.00 _ $ Service /Feeder 401 -600 Amp $ 205.00 $ Serviw/Fecder 601 -1000 Amp. $ 262.00 $ Service /Feeder over 1000 Amp. $ 373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/0 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1 -4 $ 75.00 $ Temp Servicel Feeder 20D Amp. $ 93.00 Tomp ServicelFeeder 201 -400 Amp. $110.00 $ Temp ServiceJFoeder 401 -600 Amp. $149.00 $^ Temp ServicelFooder 601 -1000 Amp , $168.00 Portal to Portal Hourly $ 96.00 Signal Circuill Limited Energy -1 & 2 Family Dwelling $ 64,00 $_ _ Manufactured Home Connection $ 120.00 $ _ Renewable Electrical Energy - 5KVA 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 Pool 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 Electrical Permit Applications, Signature of owner, electrical contrac1pr-or jOUttrical administrator: El Cash ❑ Check r ��° ` //�� p ❑ Credit Card # _ r ✓ Dated: P 1 0110112012 C� vl