Loading...
HomeMy WebLinkAbout126 E 12th St - Building . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 0/(, <; ? /1//9J- , . DATE Installed By: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Site Address: 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 RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1~ D3~ SERVICE SIZE o TEMPORARY SERVICE FEEDER SIZE $l0 .I'~/~~ 47..~. I . -.~ /h,-r eM (!,eu}) o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL l! ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR AMPS AMPS DetailslDescription: . 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. o O.K. to connect service .~ys Final O.K. Site Address: - Installer: New Meters . - .s Notify Port Angeles ity 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 Building Permit. PHONE 457-0411, EXT. 224. .v ~~ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT $ F ~--S- Eleclncallnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. ELECTRICAL PERMIT CITY OF PORT ANGELES 36"17-4?35 Application Number . . . . . 16-00001566 Date 10/17/16 Application pin number . . . 489844 Property Address . . . . 126 E 12TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -8010 -0000 - Application type description ELECTRICAL ONLY .Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ------------------------------------------------------- Application desc Security system ---------------------------------------------------------------------------- Owner Contractor LAURANCE HICKEY III/ J WRAY PROTECT YOUR HOME--- --- 126 E 12TH ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 983627812 #200 INDINAPOLIS IN 46240 (317) 810-4720 ------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit -fee . . . . 64.00 Plan Check Fee .00 Issue Date . . . . 10/17/16 Valuation . . . . 0 Expiration Date . . 4/15/17 Qty Unit Charge Per" Extension 1.00 64.0000 BCH EL -SINGLE CIR LIMITED RES ' 64.00 ---------------------:--------------------------- Fee summary Charged Paid Credited Due -1 -------- -"" Permit Fee Total 64.00 64.00 .00 "- .00 Plan check -Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUE -IN FWAL C©Nevram PERMrr WILL. EXPIRE SIX (6) MONTHS FROM LAST INSPECI`ION Signature ofowner or Eli #Tical Contractor X C\F-XCLiAN098Vff_P NG REPORT SALES TAX on your exdse fax fonn to the CNY Of Part Angeles (Location Code 0302) RESULTS: INSPECTOR. 1 t Ir7 Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 I Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 4174711 Date: \L� I n -;IDN _V & 2 Single Family Dwelling ' Plan Review ay Be RequirePliea�se Co4lplete Electrical Plan Review Information Sheet Job Address: �9� Building Square Footage: 1 1L Des riptionofabove \l1li1\ ��ni.v'1 l r'a— l(��11ti �-�fJ<<`,�' Y1t-1VY1-P -'-NE' C't k�,[ Owner Information Cont or Information Name: (1{t t 01 (IV Name: Maili ddre ^ MailingAddress: �r - Dc City: tate:TZip: 5lD City: V�!lr t tate: Zip: Phone: 0 ax: n A Phone. Fax: License # I Exp. r\ 4 License # I Exp:_ r h+\OP V7,\ Item Unit Charqe QtV Total (Qtv Multiplied by Unit Charqel Service/Feeder 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 W1 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 $ 96.00 $ Signal Circuit/ 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 $ $ ig4t"-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 296-4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Ch tt / ` ` ELECTRICAL PERMIT CITY OF PORT ANGELES 354-417-4735 Application Number 16-00001566 Date 10/17/16 Application pin number . . . 489844 Property Address . . . . 126 E 12TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -8010 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Security system ---------------------------------------------------------------------------- Owner ------------------------ Contractor LAURANCE NICREY III/ ,T WRAY ------------------------ PROTECT YOUR HOME 126 E 12TH ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 983627812 #200 INDINAPOLIS IN 46240 (317) 810-4720 Permit . . . . . . _ - - -- - ELECTRICAL ALTER RESIDENTIAL -------------- Additional desc . . Permit Fee . . . . 64.00 Plan Check Fee .00 Issue Date . . . . 10/17/16 Valuation . . . . 0 Expiration Date . . 4/15/17 Qty Unit Charge Per'- Extension 1.00 64.0000 ---------------------------------------------------------------------------- ECH EL -SINGLE CIR LIMITED RES 64.00 Fee summary Charged ----------------- Paid Credited Due ---------- Permit Fee Total ----- 64.00 ----- ---------- ---------- 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL I CON04ENTS: 4 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION REPORT SALES TAX on your excise tax form to the City of ,Port Angeles (Location Code 0502) RESULTS: INSPECTOR Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING