HomeMy WebLinkAbout1802 W 12th St - Building Electrical Permit
1802 W 12`x' St
12- 1100
ELECTRICAL PERMIT N
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 12-00001100 Date 8/23/12
Application pin number . . . 298800
Property Address . . . . 1802 W 12TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6202-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . 0
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Application desc
2 circuits exterior lights Garage & west side
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Owner Contractor
KLINE, VICTORIA/RON/VALERIE OWNER
1802 E 12TH ST
PORT ANGELES WA 98363
(360) 504-2706
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL !�
Additional des . ( Q
Permit Fee . 68.00 Plan Check Fee .00 �v
Issue Date . . . . 8/23/12 Valuation . . 0
Expiration Date . . 2/19/13
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
------------------ - ------------------ ----------------
Fee summary Charged Paid Credited Due
----------- ---------- --
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
V
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 X Date:
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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: 8/23/2012 _1 &2 Single Family Dwelling
*Plan Review 0 y Be Ri g tTd'St ase Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description of above ) ^ `,� �h ' f t.
Owner Igformatioq Contractor Information
Name:Victoria Kline Name:
Mailing Address: 18 0 2 W 12t1iMailing Address:
C. :Pt . Ari e e Rtate: Zip: 9 8 36 3 City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge gty Total(gty Multiplied by 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 WIO 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 Circuitt 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 contractor or electrical administrator: ❑ cash ❑ check
❑ credit car#
x Dated: _d3 ' _ 0110112012
°G4 PG�� c�N CITY OF PORT ANGELES LIGHT DEPARTMENT
r�� 321 E. Fifth Street
Port Angeles, WA 98362
-0411 PERMIT NO
®t 206I457 . �Z 7
® QTY LIGN �
DATE
ELECTRICAL PERMIT
Site Address: D El READY FOR WILL CALL FOR
le INSPECTION INSPECTION
Installed By: - License Number: Phone:
Owner/Business: Phone:
Owner/Business Address: Sq. Ft.
ELECTRIC HEAT L"ESIDENTIAL ❑ RISER
❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE
❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE
❑ HEAT
rfy` PUMP KW OD
VOLTAGE:FANIWA KW�r ADD/ALTER CIRCUITS
El SERVICE UPGRADE/REPAIR 11 1 El 3
SERVICE SIZE AMPS
❑ TEMPORARY SERVICE FEEDER SIZE AMPS
Details/Description:
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
❑ Ditch Inspection O.K.
At�IkRough-in/cover O.K.
❑ O.K. to connect service
APJ Final O.K.
Site Address: 74� Permit/Receipt No.
A2 -7
Installer: New Meters Date:
7
Notify Port Angeles City 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 Buildin P rmit. PHONE 457-0411, EXT. 224.
C NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
ectrical(Inspector Permit Fee
WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall /
OLYMPIC PRINTERS INC. ,
Op PORT 4'YC
=m�N CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
crT ea (206)457-0411 PERMIT NO.
DATE
ELECTRICAL PERMIT
Site Address: , ❑ READY FOR ❑ WILL CALL FOR
INSPECTION INSPECTION
Installed By: License Number: Phone:
Owner/Business: / Phone:
�S VI Erg �C.
Owner/Business Address: Sq.Ft.
RESIDENTIAL ❑ TEMPORARY SERVICE ❑ OVERHEAD SERVICE
COMMERCIAL ;A PERMANENT SERVICE DK UNDERGROUNSERVICE
BASEBOARD KW_ ❑ NEW CONSTRUCTION VOLTAGE: 2 SSS/
IJ FURNACE KW F-1REMODEL ❑ SINGLE PHA
❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ THREE PHASE
❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE =2490 AMPS
❑ SIGN ❑ SPECIAL EQUIPMENT
(LIST BELOW)
Detai Is/Description:
W.S. No. SERVICE SIZE DATE ENGR.
CAPACITY:
❑ O.K. NOT O.K.
ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE
❑ INSTALL SERVICE POLE ❑ OTHER
❑ Ditch Inspection O.K.
Rough-in/cover O.K.
O.K. to connect service
Final O.K.
Site Address: Permit/Receipt No.
o'o Al, s�ez zS3
Installer: ` 6c9- New Meters Date:
,' / IPy y3
Notify Port Angeles City 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.
�--�� NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 5-49
Electrical Inspector Permit Fee
WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall
OLYMPIC PRINTERS INC.