HomeMy WebLinkAbout1405 W 16th St - Building
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO. Z-57o
DATE 3.- / -?()
o READY FOR
INSPECTION
e Number:
:S'
Phone:
Owner/Business Address:
Sq. Ft.
)& Residentiay
Heat KW ~
)fJ Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
j("Overhead
o Underground
Voltage
010 03.0
Service size ..:LO 0
o Temporary
Amps
DetailslDescriptlon:
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~ Rough.in/cover O.K.
.~ O.K. to connect service
~ Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instailation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
Permit/Receipt No.
Installer:
New Meters
1-510
l
Date:
J - I-/'o
.
I
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224.
~O. I'M
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Inspector
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer
/../)tt ./
Amount paid ()
GREEN - Top: Inspector, Bottom: City Hall
O\-YMPIC PRINTERS, INC.
--
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
PERMIT NO.
-
OATE ..:>
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
I\9ltage
)ZI11iJ 0 3~....,
Service size ~ Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription: cLq
#
<
.[l-t~,
17~~'
11. ~- ALa_I-
s-: -F 'ctA)
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
~D .Rough-in/cover O.K.
, O.K. to connect service
Final O.K.
f~
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
New Meters
o
Site A~dress:
(;jr /:f-Z
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0~ EXT. 158 or EXT. 224.
{~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 1/1 -3 0 ~
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
-, -....,... ."""T"'AS. INC.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 95362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; _-Lot 7 "/
.1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address; gvr- vJ 16
Building Square Footage:
Description of above _�� c T%JE,j-(
Owner Information
Name: _C_ 4 EAJ_�t V sk rJb CA -L , +.t
Mailing Address: NoS- W 1(.-TA.
City; Slate; Zip:
Phone; 17 - /tor Fax:
License # I Exp.
Item
Unit Charge
Service /Feeder 200 Amp,
$120.00
ServicelFeeder 201 -400 Amp,
$146.00
ServicelFeeder 401 -600 Amp
$ 205,00
Service /Feeder 601 -1000 Amp.
$ 262.00
Service /Feeder over 1000 Amp.
$ 373,00
Branch Circuit WI 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 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
Contracto formation
Name: — f.D C_ W
Mailing Address;
City: State: Zip;
Phone: ax:
License # 1 Exp.
Cwt Total (Qty Multiplied by Unit Charge)
$
$
$
$
$
$
$
$
$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 -466, The City of Port
Angeles Municipal Cc nd . ity Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signatur o ner a ctr' I contractor or electrical administrator: ❑ cash X check
u ❑ Credit Card #
X Dated; / 01101012
M
1
p�
1v
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
IRKS &I
DATE:
PERMIT e
INSP ECTQ Pi
OWNER I
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
0 .................... DITCH ............. - - -. 13
11 ................ ROUGH IN/COVER ..............
0.. . ................. SERVICE. . .... ......
11 ..................... RNAL .............. ...
GORRE',OTIONS NEEDED: 114/
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . , . , .
14- 00001208 Date
70/07/14
Application pin number
856456
DITCH
Property Address . . ,
1405 W 76TH ST
ASSESSOR PARCEL NUMBER;
06-30-00-0-4 -3466 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . , . , , .
?
Property Use . . . . , , . .
FINAL
Property Zoning . . , , , . ,
RS7 RESDNTL SINGLE FAMILY
Application valuation . , , ,
0
Application desc
Ductless heat pump
Owner
Contractor
VANDERZIEL, CHERYL L
RLACK DIAMOND ELECTRICAL
CONTR
PO BOX 716
502 BLACK DIAMOND RD
PORT ANGELES WA 98362
PORT ANGELES
WA 95363
(360) 565 -103.5
Permit . . , , , , ELECTRICAL
ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00
Plan Check Fee
.0,0
Issue Date 10/07/14
Valuation . . . ,
0
Expiration Date 4/05/15
Qty Unit Charge Per
Extension
1,00 63.0000 ECH EL -R-
BRANCH CIR W0/ 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 SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS;
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
?
FINAL
i
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
S-
Signature of owner or Electrical Contractor X Date:
GAEXCFIANGEIBUILDING
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