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HomeMy WebLinkAbout2511 S Cherry St - Building /5f3~ FEE "ECEIPT NUMBER CITY OF PORT ANGELES. DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ~73 PERMIT NUMBER . - l.~s TOTAL Fee :Lb rt:E-- CO NT. Lie. NO. TIMETOCOMPLETE NO. STCAI ES LEGAL OC.CUPANCY Site Address ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ).,5/1 S. Ctk-telL';l; CORRECT ADDRESS IS RESPONSIBI fTY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED InslallationBy O(Cfm//IC L'ffC7>1JC Owner _ Owner,J Address ~ I ~ Day Phone Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: [. ACrt/( sUV/Ce. A-1 'DI n;:,~ Installers Address " t.VlIL~ Wiri~g Method .~ I AMP 240V AMP 240V I NUMBER 120V NUMBER 120V 'USE OF CIACUIT PER 100R FEE . USE OF CIRCUIT PER 100R FEE I CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN I LIGHT - .- !1,~ VOLTS ~ R LESS CONVENIENCE r7 I. ) 5'iA! ute [ . ~w /I1AJ" ' 77) {!{f 'IJ j?Oll~ /o~ CONVENIENCE ~;..---<. MOTOR . APPLIANCE. fT'TT 7l// fff Uf7f; 77iiV M~ -rJfLA.J L./., {J.(i "a;~ DISHWASHER FIRE ALARMS . -. DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER .LAUNpRY DRYER .. REINSTALLATION LIGHT FIXTURE # - , FURNACE - .. SUB TOTAL FEE . GAS -lOlL FURNACE . ENERGY FEE ELECTRIC .ELECTRIC HEAT BASIC FEE " - , TOTAL FEE ,:;zjp ~ ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMp' PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS -. SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH . I certify that the work to be performed under this permit wilt be done by the installer and in conformance with the N.E.C. Electrical Code, DaJr'Plicationmade ,19 By kJJi~ . - . - - - . .~ I CONTRACTOR OR O~NER (OR AUTHORIZED AGENT) , Permiss.ion is .hereby given to do the ~l:!ove described work, acc9rding to the con~itions hereon and according to the approved plans and specifications pertaining tAhe~r0eto, S0Ubje~ct 10 compliance with the Ordinances.o ,:_.;pfJ~~~e LIGHT _ . Date Permit Issued f f y _ ~L~N APP_ROVED '. . Notify Department of City Light by Street Address and Permit Number when ready for Inspection. Work must not be covered or current tl-!rned on before inspection and O.K. for covering or service has. been given by Inspector in Writing-on Permit Placard. A, - Permits Phone: 457-0411 Ext. 158. \ WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEe OVER - \'PIC PRINTERS, INC. WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . - ; ^ I'V\ ;h ~ ~ O.K. FOR COVERING 1 . .,D.i(. T8 _........L.... ~.......I;.&. 1lfF FINAL O.K. \ . z Cl a: <C ::!: !!! J: I- Z W ~. l- e z e c IWMRT SALES TAX on your excise tax form t0 the City of Pat Angeles (Location Coate 0502) INSPECTIONTYPE DATE: ELECTRICAL PERMIT DITCH CITY OF PORT ANGELES SERVICE 360-417-4735 Application Number . . . . . 16-00001714 Date 11/16/16 Application pin number . . . 157256 Property Address 2511 S CHERRY ST ASSESSOR PARCEL NUMBER: 06 -30 -09 -5 -8 -0020 -0000 -- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . =-------------------------------------------------------------------- . . . 0 - ----- Application desc Security system Owner Contractor ------------------------ HAINSTQCK ALICE B PROTECT YOUR HOME 25115 CHERRY 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 98362 #200 INDINAPOLIS IN 46240 (317) 810-4720 -------------.-,----------- - Permit . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Fee . . . . 64.00 Plan Check Fee .00 .Permit Issue Date . . . . 11/16/16 Valuation 0 Expiration Date . . 5/15/17 Qty Unit Charge Per -" Extension 1.00 64.0000 BCH EL -SINGLE CIR LIMITED RES -64.00 ----------------------------------------------- Fee summary Charged Paid Credited Due - -- --------------------------- Permit Fee Total ----------- 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 GrandTotal64.00 64.00 .00 .00 IWMRT SALES TAX on your excise tax form t0 the City of Pat Angeles (Location Coate 0502) INSPECTIONTYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN ' FINAL CON MENTS: PERMTr WILL MME SIX (OMOMMS FROM LAST INSPEMON Signature of owner or Electrical Contractor X CBEXCRANCOBUILDING Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division[Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 1 t - 16 - ;l�.p ))61 & 2 Single Family Dwelling Plan Review May Be Re uir d, Please Co plete Electrical Plan Review Information Sheet Job Address: a�t'r C ti Building Square Footage: 1 , l n `J.4 Description of above 11 Q 1 k D rY 0� AI �I t� V U 1 �G3 P lcl (lfl Owner forma ' q Contrar Informatio Name: t +r'�0C_k V' Om- %V15 15W Name: 11 t4� Ik01 Yl� Mailin Addre 1 c5 ry 5Mailin Address: ?� �� -P9.k 06-1 W& D R.. Ciii(k �Q 1 tate. Zip: °1�0 City: State: 1►�I ZI Phone: ax: h A Phone: 5 Fax: 1 y4'1 License / Exp. Y\.l. License # / Exp. h I`S Item Unit Charge Qt ( Total (Qtv Multiplied by Unit Charqe) Service/Feeder 200 Amp. $120.00 _ $ Service/Feeder 201400 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 Feeder $ 5.00 $ Branch Circuit W/O 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 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 �— $ 1 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 $11000 $ $ Co4Total 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 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05. 050 regarding Electrical Permit Applications. Signature of owner, ele cal contractor or electrical administrator: o cash O check "Credit card # � INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILT, EXPIRE SIR (6) MONTHS FR©M LAST INSPEMON Signature of owner or Electrical Contractor X Date: ` WEXCHAN#'irMUIWING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00001714 Date 11/16/16 Application pin number . . . 157256 Property Address . . . . . . 2511 S CHERRY ST REPORT BALM TAX ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0020-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City Of Port Angeles Property Use Property Zoning . . • RS7 RESDNTL SINGLE FAMILY 0-0cadOn Code 0502) _ Application valuation . . . . 0 -Application desc Security system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HAINSTOCK ALICE B PROTECT YOUR HOME 2511S CHERRY 3750 PRIORITY WAY SOUTH,DRIVE PORT ANGELES WA 98362 #200 INDINAPOLIS IN 46240 (317) 810-4720 ------- ----- -.-.----- --- --- --' Permit . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee • . . . 64.00 Plan Check Fee .00 Issue Date . . . . 11/16/16 Valuation 0 Expiration Date 5/15/17 Qty Unit Charge Per -- Extension 1.00 64.0000 ECH EL -SINGLE CXR LIMITED RES -64.00- -- -------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- Permit Fee Total ---------- 64.00 64.00 .00 .00 Plan Check Total •00 .00 .00 •00 Grand Total 64.00 64.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILT, EXPIRE SIR (6) MONTHS FR©M LAST INSPEMON Signature of owner or Electrical Contractor X Date: ` WEXCHAN#'irMUIWING