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HomeMy WebLinkAbout1023 W 6th St - Building Y' () '313 FEE RECEIPT NUMBER . CITY OF. PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT " A_OOO~ ')~ PERMl .N~ R ,. . .. - . "./' I 3(f), ()() ARE\..H 11'500 l" C>\4l\"lCe.- TOTAL FEE - CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES . LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY --NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 10:2,3 \J. fa"'" fY\ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT fY\-f .. GmJU;! -. Owner's Address \ 02 '? W, I."'" I.fS'2.-1:"/l.j~ Site Address PERMITS WITH WRON~ A~pRES~S ARE CANCELLE~ . Installation By t\ "- 1'( 2 Ie c.. f...., c.. . Installers Address "5.3 '" . E 7.... Installers Phone 4 5"1- ,3 % "I Owner Day Phone Application is hereby made f~r ~ermit to install Electrical Equip!TIent a~ follows: :tOO ~....o S~'l'Vil~ Wiri.ng Method ~f'-e.. .." NUMBER AMP 12QV 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIR 10 30 LIGHT SIGN .- ., . . 50 VOLTS' - LIGHT OR LESS CONVENIENCE - MOTOR CONVENIENCE -. -MOTOR APPLIANCE _ MOTOR -. - - DIS.H~~SHER " . -- FIRE ALARMS - DISPOSAL BURGLAR ALARM - RANGE MISC. ...~ .. OVEN ~. '. WATER HEATER LAUNDRY .. DRYER REINSTALLATION LIGHT FIXTURE # FURNACE 0.... SUB TOTAL FEE . GAS - OIL FURNACE : ~~ /S-/(I. ~ ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT . . - "JO,co TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT ~ 00 AMP I PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS j/ V 30,M - ~Jo SERVICE A.W.G. . I SUB-TOTAL j(l,ow SIZE OF GROUND" ' '^ SIZE OF ENTRANCE SWITCH ).00 I certify that the.work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ,IClh. ~. . . ,19 ~5 By ~M~ .. . CONTRACTOR OR OWNER (OA "AUTHORIZED AGENT) . Permission is hereby given to do the above de.scribed work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances ,of ,the City. of Port Angeles. (_ <7';- ~ r By 4/.. J' ~7J~IGHT . (_." " () PLANS~ ""~ . \ Date Permit Issued .~ I' WARNING Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not' be covered or current turned on before inspection and O.K. for covering or service has 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 CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report n, v..e'.... ee",...Tee.:;:, ,~,.... REPORT OF INSPECTOR DATEOFVISIT MADE BY REMARKS - O.K. FOR COVERING 1- <?--15 1?~.f O.K. TO CONNECT SERVICE {-rl-tls" /lI.c Y FINAL O.K. . z Cl a: cl: :E ~ J: I- Z W l- . I- o Z o Q . CITY OF PORT ANGELES PERMIT AppucATION Building Division/Electrical Inspections 321 East Fifth Street 4- P.U. Box 1150 / Port Angeles 1Vashington, 95362 Ph: (360) 417 -4735 Fit: (360) 4.1.7-47711 ,✓ Data: ` d 1 -P-`1 'r r �° 1 & 2 Single Family Dwelling RECHVED City_ 1 state: _�j! Zip: -.- Phone: 5 ir, 5 � Y L- Fax: Ltcan W Exp. NOY 2, 7 2013 �71i'ilNt,yy �.. $ 120.00 Service /Feeder 201-400 Amp. $145.00 ELECTRICAL $ 205.00 ServicelFeeder 609-9000 Amp. WPECTiONS Servicelf'"derover 1000 Amp. G' a Plan Review May Be Required, Plea Compiete Is��trlcai Plan Review Information Sheaf Job Address: L > .. Building Square Footage: Description of above Owner Info ati u Name: a, "T. 1 d.J 6 — G. A., n City_ 1 state: _�j! Zip: -.- Phone: 5 ir, 5 � Y L- Fax: Ltcan W Exp. Item Unlit Charge Service /Feeder 200 Amp, $ 120.00 Service /Feeder 201-400 Amp. $145.00 ServicelFeeder 409 MO Amp $ 205.00 ServicelFeeder 609-9000 Amp. $ 262.00 Servicelf'"derover 1000 Amp. $ 373.00 Branch Circuit W/ Service Feeder nch Circuit W10 Service Feeder $ 5,00 40ch Additional Branch Circuit $ 63.00 $ 6.00 Branch Circuits 1-4 $ 75.00 Temp. Servicel Feeder 200 Amp, $ 03.00 Temp. ServicelFeader 201-400 Amp. $110.00 Temp, ServiceiFeeder 401 -600 Amp. $149.00 Temp. Servr e/Feeder 601 -1000 Amp. $ 268.00 Portal to Aortal Hourly $ 96.00 Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy - 5iNA System or less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T -Slat NOMCONSTRUCTION ONLY: First 1300 Square Ft. $120.00 =ach Additiona1500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $ 110,00 ContracWr formation t3sme: .. ) jo'- B —16"%- #C C Mailing Address: S City: -L-? .I ^- .,,.... Siat.e Zip: 3 2.: Phone. -JT -_Fax: License #1 Exp. d=x 7" tl ot�l ({qty Mulfiplled by tit Charge} $ $ $ $ Total. Owner as defined by RGW.19,28,261: (1) Owner wall 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 fast inspecilon. 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, Nt.E.C., RCW, Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Spec€ficalion8 and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contmctoror electrical administrator: X maMd 11-9.7-13 0 Cash © Check 0 cadifcMd# 011019012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , , . . , 13- 00001376 Date 12/02/13 Application pin number . . . 560768 DITCH Property Address . .. . . . , 1023 w 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0062-0000- Application type description ELECTRICAL ONLY Subdivision Name , , . , . . Property Use FINAL Property Zoning . , , . , . , RS7 RESDNTL SINGLE FAMILY Application valuation , , . , 0 Application desc meter replace Owner Contractor A C; STEPHENS /D HENDRICKSON JT EXTRA MILE TECH & ELECT., LLC 1023 W 6TH ST 418 N. RACE ST, PORT ANGELES WA 983632120 ,PORT ANGELES WA 98362 (360) 457 -2222 Permit , , . , . . ELECTRICAL ALTER RESIDENTIAL Additional desc , . Permit Fee 120,00 Plan Check Fee 00 Issue Date 12/02/7.3 Valuation . . . , 0 Expiration Date 5/31/14 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 Tonal 120.00 120,40 .00 00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Cade 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 GAEXCHANGEIBUILDING —v Date: W W