HomeMy WebLinkAbout1219 W 12th St - BuildingApplication Number 08 00000675
Application pin number 505775
Property Address 1219 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5570 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp service
Owner Contractor
CAMERON KENNETH M
1219 W 12TH ST
PORT ANGELES
WA 983637003
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457 5303
Qty Unit Charge Per
1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER
Fee summary Charged Paid Credited Due
Date 6/05/08
WA 98363
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 127829
Permit Fee 75 00 Plan Check Fee 00
Issue Date 6/05/08 Valuation 0
Expiration Date 12/02/08
Permit Fee Total 75 00 75 00 00 00
Plan Check Total 00 00 00 00
Grand Total 75 00 75 00 00 00
Extension
75 00
[NSPECTIO1N ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH Il'
FD
AL
COMMENTS:
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. S,26S-
DATE 7> /zs ft..r-
Site Address:
ELECTRICAL PERMIT
tV. /2~
o WILL CALL FOR
INSPECTION
Phone:
o READY FOR
INSPECTION
Installed By:
License Number:
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
Ji!. ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
019\ 039\
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
DetailslDescription:
a~
~
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
(;J Final O. K.
Installer:
Site Address:
permitlmr
New Meters
-
Notify Port Angeles City Light by Street Addre s and Permit Numberwhen 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.
~Inspecto'
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
fI~()
Permit Fee
WHITE - File by address
'"
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hp'
/-AllIIIIIII
OLYMPIC PRINTERS INC
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
(
,
..
16569
5-- 3/ ?5
Port Angeles. Washlngtonm...._.m_..m_.._._m.._..m.mmm.__m_m.. 19"000000
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 e~cal work as listed below.
Address u.l?.!Zum!:J-:!u/.:?__.u.:.umuuu_ummoo__u__...._mm OccupancY.oo_.~mu__u.um.oo__u
Owner ~ ,:~'od?:::~)~uaT-"u-u Tenant...umumm..m_....mm_m._u....___._.m..m._.mu.u
Wiring ~'on~~:~~~':~~,.u~~~~~_~:~_oo__u__u. Byu.uu...mmmm.mm..muu.um_..mu._oo..uu.m..u
Light Outlets.____...__.......__............__oo_._... Service, volts .../~.?I..._:t.._f!.?__... Type ot Wiring:
"7~ _ .....,.
V". "...
No. wires _.._..._n............__......~...... Armored Cable ..n..nn_................._
Size wlres..__...J!.t?..~.:_.. Non.Metalllc ............__..__..__...___...00
~ C)" .J. Knob & Tube___............_....._........._
Main tuse ..................../...L.._......._
. .s
Enclosure 0000...._...................__.........
Receptacle Outlets_n__._____m.................
Dryer, KW nn_u.UhU................n...._
Range, KW ___n____n____n__.____....___nn___..__
Water Heater:
KW._______oo____.__..._____oooo______
Heat, KW.......i!,.g1,.... __.... .......__ .
Type of wIring:
Entrance Cable ..m.m..nn.........
Motors: size. volts and phase:
Rigid Conduit m.n__m.mmm...n__...
Metalllc Tubing .______...__..............
Current transformers:
No. & Size......n....._.........................
Ser. NO....n__n.......n.........__n.n....n_..._.
Ser. No. ...........00'_............_.......___........
Ser. NO.nnn.n...........n..........__...nn..n
Total Load.......___n.................
Ser. NO.___..nn..nnn_nnn....__n..n_.......
Remarks: _.u.m.uummuuuu.U__._.oou_oo__oo.m.uuumu_oo__..oom.mmmmumumum...m.mum.m..mm..m'..m..mum.mu
Total...___..____......__....._.___..._____.
Nt!
RIgid Conduit ....00__........__...__....___
Metallic Tubing ._n.mm............_..
Raceway ___..___............_.........__._
Circuits, Light.........___.......mn...............
Utlllty..__....._..__...__.............._________...
Heat .__._....___._........................._......
Range ........n............______..._._.....__...
Water Heater ...m..._n_..................
Motor ..........___....______..__................._
Dryer .............._............______..__.__n._..__
Furnace ___.............._....__.._...................
mmmmu__..u_._.___moomuum.mm.m__U_m.oo._oo_.._mUUmUnuU.mmUm.mmum.mm--.m.uvm__u__.._..mmnmmmn__m.
:::=.~~u~::m__.__mmmu ::~.~.~:u~~.~.~~~.~.m.m By .l};:L&~L:._:(.~!.~
. ,
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?
16569
Owner.....__..____..._.................._......_.._......____...____.........................._.......__....._......_....._..._Tenant_...__......_................__.....____..___._._.....___._.........
Date..._......:..._.._.._.........._._...._......_...._.._
WiringContractor._..___._...___._...._...............__......_............._....__._....____.............................__...........__.By._...._.._._._____.__.........................................
NOTICE-Current must not. be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
OSi03/2008 10:47 FAX 360 452 3498
Olympic Electric Co.
. PA CITY INSPECT ~ 001/001
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ELECTRICAL WORKPERMIT APPLICATION
Job tI'/nd by
nlectrlcD' CDDlnclor CJ OWller
Inllan,rion dotcttpllon. ./
C .CDIDJDUdal IEI'1Ialld'Dllal
Bletltri;ol vanlraDIO' namo Ll=tIse nWllber DIUl Exptrel
01..,"",-, ~I/~t'.n/ t'!JLVfl'lPE-~M')J?/
~.7rDlliUnl add.rDu
'I ~J n Tt:/"*,,w/9 rg/f
Cilb Slale ZIP
/'Or-I- 44r",k-/ U7. 7rJt5L
1clqJhone ftUmbllr PAX numtler
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CN.w
C AII.rodlAddlIIoD
Premhe. owaer1, p,me
..?~ ff U/?7I"/7J:?/7
~ddr... of ID.pectlOD rl
/ J..I '7 t./ (.L-
eUr ;:?.:;r/- 4...kr
PlIolle Q~fOber to Icbedul, IA.pICClolI; lfS-?- Z ~
OWMf IU dl/i,.,d by RCIY.J9.18.26J:(I) Ow#r.I' ""m oceupy II., Ilnu:t""jQr rwo
"..,. oJIu /AIs .1<Ctri= ".,.~/ "/I""Iind. (1) 0...... it '"i.',.,} to AI" dn cI<dri"",
COftI/'tKIDf "...., IIJId propurj II 1M 'd/~, ,en' 0' IHJI..
An;, ft:Idina the ,bovc ltotcraml. I h~by cerciI")' that I am U\c O~ oC the above
Dlllftod prvp"'Y 011 1I~.od OIDCrricll oonllaelO1', I 1m maklfll the elecnrlul mnll-
Illion or altelatJon in c:ompliaace wiLh die electrical lawl. N,e.C.. RCW. Chap~cr
19.28. WAC. ClIap'" 296-468. Th. Cily or PO" ....'.1.. Municipal Cod., and
UIIIIl)' Sp..llica~'Ds.
Slautun or GnU, eleecrlnl $lIar,.c~or Of lllectrlcll admlalllnlor
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JUN 0 4 2008
UOIIT DEPT.
CJ Cjlah 0 ChDOk #
at'rtdil Cord VISll Mastereard Disc:over
Cud # . . .
---------------~
&piratiDn Dal.
of card
o lOAD C~GeS
C Bas.~ _KW /'
C Fumaoo _ KW ID"'O'.,h.... Sarvloo
o He81 Pump _ Ton _ LAR 0 T.mp Sa""..
o Fan-Wall _ KW C Underground SalVI..
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
VDhaga .;'-.f( t?
Ph... 121-1 C 3
Service SIz.: ~
Feed., SIze:
ROUCH-IN
THERMOSTAT
SERVICE
'-t-of3 ~
0... ~D,.
Dill AlPfVvcd 81
FINAL ~ .rJ
{.~-0/3 ~
"--Del. ~ Dw """"''lCld8)'"/
hllp"li.. AmI, Building Dr Ilquipmeotlnspected
Dale
DITCH
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DUe """"",,ISJ
Aetion THeo
E10ctriCll
Jnspe"Otor
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . . 15- 00000156 Date 2/19/15
Application pin number . . „ 466468
Property Address . . . . . 1219 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5570 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . . . .
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Bath remodel and Smoke
Owner Contractor
Thomas H Breecher JEFF NELSON ELECTRIC
1219 W 12TH ST 7062 OLD OLYMPIC HWY.
PORT ANGELES WA 983637003 PORT ANGELES WA 98362
(708)' >502 -3560 (369) 460 -4291
Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee 1-00
Issue,?Date 2/19/15 Valuation, 0
Expiration Date 8/18/15
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 75.00 75.00 .00 ,00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
1 ia fk i( li i l
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 2 Single Family Dwellin5
Plan Review q Footage:
Description Plea e Or�lpiete Electrical R rt Review Or atitrp Sheet
Job Address: %,�
Building Square Foota e: e e
Description of above
Owner lnf+err ,oration
Name: '2, ;a"g�..,
Mailing Add ss°
City: , State: Zip:
Phone: Fax:
License # / Exp.
G�i� cJS i2 /`:W A`b)a /'v$ P— 705-,," 2 " 361 �
Item
Unit Charge
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 W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 63.00
Each Add'tiona1'6 c h Circuit
. ��anctt Cor�.aits 1
$ ,o
75
�: tceJ Feeder 200 Amp.
. 793.00
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
Contractor Infor a "
Name:.' %s��
Mallung
City."g' f State: ° Zop„
Phone.
License
Total Q!y Multiplied by Unit Charge,
$
`F
$
$
$
$
$
$
$
$
$
$
$
$
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 ❑ Check
—8— credit Card k
X Coated` ..... 0 110 112 0 1 2 ,
(° A7C) y COZ) )2- k3 PS='/a N
. YbU
APPROVED NOT APFIROVIED
....... D11-TC11 1 0
Pig 'I), ROUGI I WCOVER.
C09RECTIONS NEEDED::
NOTIF,::',Y INSPECTOR WilIEN CORRECTIONS
ARE C010FILETED WIT14114 15 IDAYS
- .............. DO Nol"r REMOVIIE.' ...............