HomeMy WebLinkAbout1039 W 16th St - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES 1
360- 417 -4735
0
Application Number 11- 00001200 Date 10/25/11
Application pin number 339200 REPORT SALES TAX
Property Address 1039 W 16TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-99-0-4- 3020 -0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning UNKNOWN
Application valuation 0
Application desc
Hot tub
Owner Contractor
LARSON HAROLD W ANGELES ELECTRIC
1039 W 16TH ST 524 E. 1ST ST.
PORT ANGELES WA 983637431 PORT ANGELES WA 98362
(360) 452 -9264
Permit ELECTRICAL ALTER RESIDENTIAL „v
Additional desc
Permit pin number 195198
Permit Fee 110.30 Plan Check Fee .00
Issue Date 10/25/11 Valuation 0
Expiration Date 4/22/12
Qty Unit Charge Per Extension
1.00 110.3000 ECH EL- SWIMMING POOL /HOT TUB 110.30
Fee summary Charged Paid Credited Due
Permit Fee Total 110.30 110.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 110.30 110.30 .00 .00
A V
l (11)Q--
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
5' Z rJ
FINAL J 71 1Z_ °q
COMMENTS: UU
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCFIANGE \BUILDING
10/24/2011 10:28 FAX 360 452 9265 Angeles Electric 120001 /0001
i
RECEIVED
O CJI 2 4 2 011
Cityof:PortAn PsrmtApplleation dE 4 v;,(.,
BulleitI Nlitialtlahttal,inapictlons ELECTRICAL 21 00Het' i4A Box 1150 INSPECTIONS
P .ortAiipeIeIZWellllp'pbfl,l5382 L'
Ph 10 41T•17, 41
bet /D y. 7 d
2 Single FemDyDrreAlna
MuItFFennlyor,Cenunertial•
Comm etdal Adt on /Arteratton I Remodel Repair'
•Plan :Review MayBe Required, Please Complete Electrical Plan Rev eve Infotmatian Sheet a
Job•Address: /03
t3"ulldl,. j Square.footape:
Descdptlon of,abori 0, 4, Z ie 1
:"bwrSer'irl It 901 -4 /r Nartte: C IA►+ y Name: &Adroit A SCAid. t
.Mailing• /a3' a Mali Address:. SZY T_,T7 I
City' State; ap: %k 3 City: flir4i?itczs Stater A./A— Zip: 1S2G
Phone• /:i/l.�'r arc Phone; L y Fez A.
Uc r+se E a r p IJcerlse B/ E X P 4 .f L fir wGo.ei'
:Unit C heme 2( Total (Dtv MultloAad by Unit Chanel
`:`•S:1:1990 Seevtea&Faader.200 Amp.
.5:145.50' SarvloelFaedar201.400 Amp.
$204.80 SanAcSlFeeder401 0Amp.
26220 Sont eerier 601 -1000 Mip,
:::3372.60 Sery &Feederorer1000
2.60 1 &VA Cb tW!So*eFeederr
J$ 73.50 S Brandi•Cirad Wi0 Service Feed
:2.60. Each Additional RPM Ck+R
4.12.70 Tamp.auM Feint 200Amp.
4110.30 Terry. lientaFOedar201400:Mp.
5146.70 Temp. Smtosl1aedr401•00 Mp.
:1467, Tamp. ServhslFada 1000 Amp.
,8 .95:90 Pored b Porietllaety
S 8840 s10010uEineU➢hhi+9
3 .85.90 Slpnal Ciro!! Weed Blow ConmerdaL Addr'boad 1600 86.00
4'43.90 1 Send areal United Entity 1 2 Fa ty Nailing
S .63.90 Signal MO/ L SldOedEnarsy- MuilFFar yPwe16rg
.•=119.90 8 Maradact ind :Homo Carinslon t
.1 107..30 Relirawabblis sloes Energy. SINA Syahsm or Leas
=:11030'; Fiat 1300 *we Ft: 35.20 Each Addm n fi00 Sousa Ft. arPonnonof
'S 73:50 Oath* D Cached Crape
v ,i E N 9rrdrrril qJtbtTtm
i Total l
4 7 E /a,
O w n i r r i s d d b r e d b y R C M 'MAUI: 1 Orraer WS OCCUPY S s s t n t e t rs lr (soma a l t e r l h b a h e t r k a l p n M l s O e r nquerdto hln an ehetrket eentraeeart
iDekaaYgiii.6 fr111# *atlknot clean. Orr* cslmsathrsbrnrontheofPsllnspIcf L
.Mar fgdtnp the above ahtbnant. I hasty cattily that I am th. ownarot Us above nomad moony era Ilanaad alaafrlat contractor. I am Us ewes' am n or Hai
art ietiiinlntbmpfiliia 1A1, I rs l a electike tra N•E.CC, RCW. Chaptar 1923, WAC. ChaenN1490, The City of Port RAISIN MhmlclpaI Cods, WG4►8paelflaa5om.
1• o
alise Sear; alactdal contractor oratactaleal adminlshator
s,�s;�L. ....-40 GO if Halt Cud 1 i
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
:J 70 r
7,/-2~h L.
.
DATE
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
'0 UNDERGROUNf SI;RVICE
VOLJAGE: /,;u;~~
0'1;INGLE PHAS
o THREE PHAS~n.-,
SERVICE SIZE ~ AMPS
DetailslDescription:
/!7()tJ; ~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
o Final O.K.
Site Address:
per37~ f
New Meters
Installer:
.
L.
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 eitherthe Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
.---:--- NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT "70 t9-O
J/)1,.vt., . $ =-'
.
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 PAINTERS INC.