HomeMy WebLinkAbout1314 W 15th St - Building
,/
\
\
l
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'? 16399
I:.-....'"'~ ,!).~
Port Angeles, Washlngtonnmn_.m.,f.m._.._...mmm......ooom....m.m., 19.C..~
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' elect~work as listed below.
~:::s..:::j~;f::zf;::;:~{::::==~::::::::::::....;::~:~:::.n~::~~~.~~~::::~~:':::::=~~:::::::::::::::::::::::::::
-/ ";) . J0~ r:( .,.;r
Wiring Contractor -m~~::{~/;'1r.:t.~_:;?___f.~:~:.!~~-~~..t...~.~~-~::._...---m By___n_.nm____ohmd___.u.dUu...___hnm..___hhh_.._.nn
j"'.. " /" "
,.J /-?A/,'Y"a.
Light OutletB....h.:-'n..m..............._..___n. Service, volts ...;.:::.nu'l.'._..._'!:_~:...___.__.....
. 116 '../
Receptacle Outlets....~........__..____......... No. wires ____......r......................~...._
V... A' '/
Dryer, KW ...m._n~......._________________.____ Size wiresh...:..~:l...:.Z..C_~___.....__.
~ ,~,'4
Range, KW ____h_I__~~_____..__.___.._ MaIn fuse ---.~.._:::':.~.....................-.
,.
->
Enclosure 00_....._...................00.__.._...
Water Heater:
~
.;(/.
Heat~:~:::::l'.f.:?:if.7.f...::...n
Type of wiring:
Entrance Cable ....__n_m..m...._...nn
Motors: sIze, volts and phase:
Rigid Conduit m._mm___m_.............
Metallic Tubing ........mmm
Current transformers:
No. & Size_.....___...m....mn.._............
Ser. NO.....n......................_................
Ser. No. 00"0000_"00"""00"""""00''''''''''''
Ser. NO....._.___._n_........_.._n__......__...._..
Total Loadnn.....m..__.............
Ser. NO._...n._........._..........................
Remarks: nnn__.nm.m'.'~:!jgc:!.".!':::::n..nhf'7~:!:;'!~'~.n:..mm.nnn___mnn___m.nnmnh.....nmnnnm.mnooom___mn
.! <.-'
Total ..._::..___.-!.-=__.._....__._..___...
Type 01 Wiring:
Armored Cable ...nm_.._..................
Non.Metallle .................................
Knob & Tube......._...._...n_..__nn_...._
RIgid Conduit ..m..........................
Metallic Tubing h_........._....m_.__._.
Raceway .........._.._.._._..__........___._
"
,
Circuits, Light..__~_-:'._____...mmn......_........
Utility ....(m.m........_.....m.....m....
Heat hnnf...................._........_......
,;l..
Range _00__....:...00....................__00._.___
::J
Water Heater _...0.___.............._....___
Motor ........____..._________.._............._.__.
-,
Dryer nh_,1~................._n.___n_..n..n_.__
Furnace ..__....__...___....._...'____....__._.__.._..
Permit Fee
. S; 6 (;
$m.___...m.mm___.m__ooo.._...
Treas. Receipt
No.............................
/')/ r /? ,/1. ,I' /)
,Hl ..~- . '- ~ I V
By ~ZL_r:___1.::___f:!.~~:.(.::i:_~~~u~:._~d::.~:_1_r._::t:J__:..:_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
16399
Address....__.___........._....................................................................................................______..___....Datc..._....._............_.................._......_.........
Owner ..................................._.........._.................._......................._...._.....00.__..0000...00__....00. Tenant.........n...nnnnn_...n__....nnnnnn.n..._...n....__..
Wiring Contractor...____..__.___.___................_.....___.....__..._.._...............................___......_...___.....__.________ By ._.......__..........__.................................._..__
NOTICE-Current must not be turned on untn Cert1flcate at Inspection, has been issued. If work fs to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment. ..-
.
i
IU nl"rn",;,.. PrinlQfS. Inc.
ELECTRICAL PERMIT
CITY OF PORT .ANGELES
360-417-4735
Application Number . . . . . 17-00001765 Date 12/01/17
Application pin number . . . 381655
Property Address . . . . . . 1314 W 15TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -4 -3315 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . -. .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JENICE C EYON BLACK DIAMOND ELECTRICAL CONTR
1314 W 15TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 565-1035
-------- -------------------------------------------------------------------
Permit . . . . . . .ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 12/01/17 Valuation . . . . 0
Expiration Date . . 5/30/18
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
------------------------------------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
REPORT STATE _SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
d
` INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE f
ROUGH -IN
FINAL r
COMMENTS:
PERMIT WILL EXPIRE SIX j6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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 296466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature o n le ° al contractor or electrical administrator: 11,/
Cash � Check
11 ❑ Credit Card #
X Dated: ,( 7 0210612012
�/ �23
;
CI'T'Y OF PORT ANGELES PERTVII'T APPLICATION
-
Building Division/Electrical Inspections
g3
321 East Fifth Street — Port AingeIes Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: —
a iii 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete
Electrical Plan Review Information Sheet
Job Address: 13111 b.,
is -
Building Square Footage:
Description of above
�cj
Owner Information
Contractor Infognjation
Name: 5- i0 /V
Name: --:XDL—
Mailing Address:
Mailing Address:
City: State: Zip:
City:
State: Zip:
Phone: - 1417 -7730 -Fax:
Phone:
Fax:
License # / Exp.
License # ( Exp. CWL
Item
Unit Charge
Qty
Total (Qty 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 Feed
$ 5.00
$
Branch Circuit W/0 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
Branch Circuits 14 Only
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201400 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
$
$ 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 296466, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature o n le ° al contractor or electrical administrator: 11,/
Cash � Check
11 ❑ Credit Card #
X Dated: ,( 7 0210612012
�/ �23