HomeMy WebLinkAbout1111 E 6th St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
~L//Z.
/~$f'
.
ELECTRICAL PERMIT
DATE
Site Address:
D READY FOR
INSPECTION
License Number:
i'JcWILL CALL FOR
INSPECTION
Phone:
OwnerfBusiness:
Phone:
Owner/Business Address:
Sq. Ft.
~ Residential 7
Heat KW
~ Baseboard 0 'Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
}6 New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
)(" Overhead
o Underg~lW~,h1
iltage . ~ 9fH/
10 03.0
Service size ~Amps
o Temporary
Details/Description:
/111M r-
.
~~
~
.
7,.ew
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
/l..ii Rough.in/cover O.K.
1.H"I'f(i O. K. to connect service
Al""r'f' Final O.K.
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instaliation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
Permit/Receipt No.
Site Address:
.
Notify the Dep rtment 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 Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ /'O/?
) ~ '/J V'-""
Inspector A ount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC P~INTE~S. INC.
INSPECTION TYPE DATE: RESULTS
1 DITCH
SERVICE
ROUGH -IN
1 FINAL
ICOPvjl, E S. r r
PERMIT WILL EXPIRE SIX f 6i UONTKS FROM LAST INSPECTION
Signature of owner or Elew. ical Contractor X
INSPECTOR:
Date:
ELECTRICAL PERMIT
`
CITY OF PORT ANGELES
3607417-4735
, J
Application Number . . . . . 18-00001167 Date- 7/30/18
Application pin number . . . 564440
Property Address . . . . . . 1111 E 6TH ST
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9170-0000-
onour excise tax form
y
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
to the City Of Port Angeles
Property Use . . . . . . .
(Location Code��21
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----_------------------------------------------------------------------------
Application desc
Remodel
--------------------------------------- — -----------------------------------
Owner Contractor
------------------------ ------------------------
JENNIFER B AND TIMOTHY J ADAMS LINCOLN WIRING
po box 2414 81 WESTRIDGE RD
PORT ANGELES WA 983626620 PORT ANGELES WA 98363
(360) 808-1757
------------------------------------------- --------------------------------
Permit . . . ... ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Pian Check Fee .00
Issue Date 7/30/18 Valuation . . . 0
Expiration Date 1/26/19
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
-------------------- ---------- ----------
-----------------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.90 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS
1 DITCH
SERVICE
ROUGH -IN
1 FINAL
ICOPvjl, E S. r r
PERMIT WILL EXPIRE SIX f 6i UONTKS FROM LAST INSPECTION
Signature of owner or Elew. ical Contractor X
INSPECTOR:
Date:
I - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION,
Public Works and Utilities Department
F321 E. 5th Street, Port Angeles, W.A.98362
3b0.417.4735 i www.cityofpa.us electricalpermits,;a,.cityofpa.us
Project Address: Illi f -
Project Description:
Single -Family Residential ❑ Duplex / ARL
Building Square footage:
Name: -LY& v% Email:
Mailing Address-
ELECTRICAL
G T S'{- �• Q l� % �'Q' �G eZ
CONTRACTOR INFORIV
Name: e' •�
M
Phone: 4Z�a)
License: 1_3_/Voaw &a,DW
Expiratio Date: G—
Phone: t7
1111lm
Unit charas
Quant y Int (Quantft x unit charge)
ServioeFeeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp.
$205.00
$
Service/Feeder 601-1000 Amp.
$262.00
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$5.00
$
Branch Circuit W/O Service Feeder
$63.00
$
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00
_ $
Temp. Service/Feeder 200 Amp.
$93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp
$168.00
$
Portal to Portal Hourly
$98.00
$
Signal Circuit/Limited Energy -1&2 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
Fiat 1300 Square Feet
$120.00
$
Each Additional 500 square feet '
$40.00
$
Each Oudmilding / Detached Garage
$74.00
$
Each Svvirrtmfng Pool / Not Tub
$110.00
$
TOTAL $�
Owner as defined by RCW. 19.28.26 1: (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-
466, The City of Port Angeles Municipal ode, and %lit)i Specifications and PAW 14.05,050 regarding Electrical Permit Applications.
7—c->57—/
Date Print Name
r Signature ([Owner O Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermitsQcityofpa.us or faxed to 360.417.4711]
ELECTRICAL PERMIT
CrIY OF PORT ANGELES
15
INSPECTION TM, DATE: RESULTS: INSPECTOR:
SERVICE
DITCH
ROUGH -IN
FINAL
COMN4ENTS.-
PERMIT WRL EXPM SIX (6) MONTHS FROM LAST INSPECnON
Signature of owner or Electrical Contractor X Date:
Appl Number . . . Patp 7110j,
Appl=p ixi 'ixu &r �64446
Property Address 1111 B 6TH'ST-R
TATE SAL,64�,'IAX EMON, T S
ASSESSOR PARCEL WM5RR-, 06 -30 -00 -0 -1 -91704900 -
on YQtW exotse tax form
Application type description ELECTRICAL ONLY
Subdivision Name -
"'toft-eftv'Of Pott
Property Use . . . . . . . .
(Location Code)
Property Zoning . . . . . . . R97 RBSDNTL SINGLE FAMILY
Application valuation . . . . 0
------------------------------------------ ---------------------------
Application desc
kemodel
------------------------------------------ �71 -------------------------------
Owner Contractor
---------
--------------- ---------------
JMWIFER B AND TIMOTHY.J ADAMS LINCOIX WIRING
po box 2,414 61 nSTRID1QV RD
PORT ANGELES V�A 9a3,$249620 PORT A908L, E'S
WA, 98'3,63
).' 898-1757
I
----------
-------------------------- -------------- ------ I ----------
permit ELECTRICAL A1,TER RESIDENTIAL
A dditional dela 1-4 CJUITS
Permit Fee . . . '15,00 Plan Check Fee
.00
Issue Vite 7/30/1,8 'Valuation
Qty Unit Charge Per
Extension
WE FSE
75.00
- - - - - - - --- - - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - -
Fee summary Charged, Paid Crt0ited
- - - - - - - - - - - - -
Due.
Permit Fee Total 7$.00 751-60 .'00
dOQI
Plan Check'Total Go Q0
'0
Grand Total 75 00 .00
100
15
INSPECTION TM, DATE: RESULTS: INSPECTOR:
SERVICE
DITCH
ROUGH -IN
FINAL
COMN4ENTS.-
PERMIT WRL EXPM SIX (6) MONTHS FROM LAST INSPECnON
Signature of owner or Electrical Contractor X Date: