Loading...
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 Jr— k 1% g." LIMA-