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HomeMy WebLinkAbout531 E Ahlvers Rd - Building CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 0.3 Y S- /<:27/?-3 , DATE 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 )8C REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~ERHEAD SERVICE o UNDERGROUND.s~~\LICE VOLTAGE: a02LI./ !B-'SINGLE PHASE o THREE PHASE SERVICE SIZE .,.::"f)O AMPS Details/Description: PUt/teE.- ~c.u.se- 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. W>"~ Rough-in/cover O.K. o O.K. to connect service Alr~Final O.K. Installer: Notify Port Angeles City Light by Street Address and Permit Numberwhen 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. I ~ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT $ (I,$'O B::!2. 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. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16562 . j- - 30 )cr Port Angeles, Washlngton.............__....._.._................m...m....m.m. 19.000.... 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 p electrical work as listed below. Address .--n-~J.--lmli.-.--- .._ @.;__.~.~__t2IZ___.mm_...__ OccupancY___,A..L.~~.__...m..._____m____._____ Owner .__...___~m'f-dl ~~. TenanL_.m___......__...........m.___mm.__m_____m...__.....mm Wiring Contractor .~~....--...--......~--&L.m By.________..____..m.___....m.m__...__nnn____._m...__m.____ Light Outlet..............___........_...__.........._ Service, valls ...~.:2!J/-~P........" Type at Wiring: Recept.cle Outlets "0 wire. .~ Armored Cable .............................. .........---.---..-------...... ~;IZ~ wlres.::--:.J?!!..~::~:: Non.Metalllc ....--..----..................--. Dry.,. KW mm__.___.n________..______.._________ Main fUBe ..~q...4,............. Knob & Tube..............................._ Range, KW..................................__ ..s: _ RIgid Conduit ............................--. TypeEno:lowBIUrrlneg--:..~..... ......,..... . ..~...... M tall! T bl lee u ng ........................... Raceway ......................._....._....._ Entrance Cable ..m........................ Water Heater: HeaIK:\~::Z~~?.;.~:.::. Circuits, Llght................................_.... LfJ Motors: size, volts and phase: p~~~--~~ .,g." ~...!,-l..--------.----.............--.............--. Rigid Conduit .....m..m.................. Metallic Tubing .'.......................... Current transformers: No. & Size....................................... Utility __...........................__........_____. Heat ......................................._.._ Ser. No.............................................. Range ............................................. Water Heater ............................... Motor ..._.................................._.... Ser. No............:'................................. ! Ser. N o. .....................~....:.................. Dryer ..................................h............_ Furnace .........................._......_........... Total wad............................. Sec. No. ................._..........n.............. Total....................................... Remarks: __m:________mm...m__.n._.n_.n__n____..m__mm.m........mm.__.____.m..mm.000.000.000_____.____...__......__.....000....000.....__ ___.m__mmm__m__....______.___m._m.__mm__m._____n.nmm..mm__m__.m...___mn_____--~.-....m:l..--. .._m.m.__m__.__....................__ ,Permit Fee Treas. Receipt 11(< f"rU ;::) $__..__...m......mmm.......__.. NO..__...mm.__m._.._... By -$7' <__.::12 "000000 m~..";?e~.1.."'-..__~L'-'-. I" - NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con- cealed due notice 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? 16562 Address................_.._..................................................._.......................................................~.:.:..~.Date..._......_.._..:...._.................._......_......... .' , Owner ..................................._......_.._......_......_.._.................._........................................ Tenant.........................................__............._...._..... WirIng Contractor...................................... ....................._.............................................................By............................................................._ , ....\ NOTICE--Current must not be turned on, until Certificate ot Inspection has been issued. It work 1:3 to be eon- \' cealed due notice must be given the Inspector so that work iBay be inspected before concealment. " ~. . , 1M Olympic Printers, Inc. CITY OF PORT ANGELES PERMIT APPLICATION Building DivisionlElectrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 0V I Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: " 1K1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: X31 zr A'o'- 1- VE' -4-f Building Square Footage: - Description of above Owner Information Name: / &5V 4vd- J I r.,rlo'- Mailing Address: r City: State: Zip: Phone: Fax: License # 1 Exo, Item _Unit Charge Service/Feeder 200 Amp. $ 120.00 Service/ Feeder 201 -400 Amp. $146.00 Ser -Vice /Feeder 401 -600 Amp $ 205.00 Service /Feeder 601 -1000 Amp, $ 262.00 Service /Feeder over 1000 Amp. $ 373.00 Branch Circuit W1 Service Feeder $ 5.00 Branch Circuit W10 Service f=eeder $ 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. ServicelFeeder401 -600 Arnp, $ 149.00 Temp, Service /Feeder 601 -1000 Amp . $ 168.00 Portal to Portal Hourly $ 96.00 Signal Cfrcuitl 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 Contractor lnfQr ation Name; E Mailing Address: City'. State: Zip: Phone: Fax: License # 1 Exp, yc'c c: d'l il'o x-. fity 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 finefized. (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 'It erat' n in compliance with the electrical laws, N.E,C„ RCW, Chapter 19,28, WAC. Chapter 296 -468, The City of Port Angeles Municipal Codif, nd U ' ity Specifications and PAMC 14.05,050 regarding Electrical Permit Oplications. Signature orner ctrl contractor or electrical administrator: ❑ Cash Check 1100 © Credit Card # 0110V2ot2 '�� ch� -? 0 i ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , . , 14- 00001403 Date 11/18/14 Application pin number , , . 486760 Property Address , . , , . . 531 E AHLVERS RD ASSHSSOR PARCEL NUMBER; 06-30-15-1-3- 5000 -0000- Application type description ELECTRICAL ONLY subdivision Name Property Use . . . . . . Property Zoning . . . . , . Application valuation , . . 0 ---------------------------------------------------------------------------- Application desc Furnace Heat Pump Owner Contractor KEITH CURTIS AND SUSAN QWyER BLACK DIAMOND ELECTRICAL CONTR 531 E AHLVERS RD 502 BLACK DIAMOND RD PORT ANGELES WA 983623709 PORT ANGELES WA 98363 (360) 457 -0502 (360) 565 -1035 ------------------------------------- -------------- ------------------- - - - - -- Permit . , . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 11/18/14 Valuation , , , . 0 Expiration Date 5/17/15 Qty Emit Charge Per Extensign BASE PEE 75.00 Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 00 .00 Grand Total 75.00 75.00 .00 00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL - COMMENTS: PRRMff WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAr_XCHANGEIBUILDING C3'