HomeMy WebLinkAbout1721 E St - Building 03/10/2014 07:09 FAX 360 452 9265 Angeles Electric 100001/0001
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections AR 10 2014
321 East Fifth Street--P.O.Box 1150/Port Angeles Washington,98362
Ph:(360)4174735 Fax. (360)4174711 ELECTRICAL
Date: / &1 INSPECTIONS
!�'I �2 Single Family Dwelling
"Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address;
Building Square Footage:
Description of above
D i
Owner Information Contractor Information
Name: s � �_ Name:
Mailing A dress: 1 Mailing Address: i ZQ-TC.
,
Ctiy: Late: Zip; City: te: Ld Zip: i
Phone, Fax; Phone. ax:
LiCensa#1 Exp. Dense#1 Exp.
Item
5-0-5 --79 6/Y0 hams)
Unit Charge T I MUM D19 e �
Service/Feeder 200 Amp. $120.00 $
Serviwffeeder201400 Amp. $1.46.00 ;
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
ServicWFeeder over 1000 Amp. $373.D0 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit 1NIO Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $ I,
Branch Circuits 14 $ 75.D0 $
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp,Servic0eader 201400 Amp. $110.00 $
Temp.ServicefeWer401-600 Amp. $149,D0 $
Temp.Servioe/Feeder 601-1000 Amp, $166.00
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 $ I
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 $
$ •a 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 properly 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 296.468,The City of Part
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical adminlstrator: 0 cash 0 Check
l redit Cord# OA/ Gi•z- .
L 01!012012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 14-00000277 Date 3/10/14
Application pin number . . , 335678'
Property Address . . , . , . 1721 E ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-99-0-4-5120-0000-
Application type description EL form
ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property zoning , , . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
Application desc
200 amp service repair
Owner Contractor
SHAWN T CALLAN ANGELES ELECTRIC
1721 S E ST 524 E, 1ST ST.
PORT ANGELES WA 96363 PORT ANGELES WA 98362
(360) 452-9.264
-___---------------------------------------T_--_-- ----------------- ------
Permit . , . . . , ELECTRICAL ALTER RESIDENTIAL
Additional desc , .
Permit Fee 120.00 Plan Check Fee .00
Issue Date 3/10/14 valuation 0
Expiration Date 9/06/14 ..�
Qty Unit Charge Per Extension
1.00 120,0000 ECH EL-0-200 SRV FEEDER 12D,00
`
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00
Grand Total 120.00 120,00 .00 .00 �ll�
V
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL �c
COMMENTS:
PERMIT WILL EXPIRE SIX{6}MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 1..2 g tj
K /d 7 /7:5
. ,
DATE
Sit Address:
/
F'
~
00kf\ k,
10
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
Ins ailed By:
OVfer/Business:
o~ ner/Business Address:
!
Phone:
Sq. Ft.
~ ESIDENTIAL
tf OMMERCIAL
o . ASEBOARD KW _
o URNACE KW _
~ AN/WALL KW ~
o EAT PUMP KW_
o ~IGN
I
DetfilslDescriPtion:
j
o TEMPORARY SERVICE
.~ PERMANENT SERVICE
NEW CONSTRUCTION
REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
I'S- OVERHEAD SERVICE
o UNDERGRO~f9~~~E
VOLTAGE: /. 9 D
~. SINGLE PHASE
o THREE PHAS-b,. _
SERVICE SIZE " s;Jil AMPS
~tJ
/);(t S L
.
,
I
--1
II
w.~. No. SERVICE SIZE
CA~ACITY:
,j 0 O.K. NOT OK
Av1lON REQUIRED: 0 CHANGE TRANSFORMER
, 0 INSTALL SERVICE POLE
,
o LCh Inspection O.K.
~ ~OUgh-in/cover O.K.
/1&"~ <DK to connect service
. . I
1$1'\ I)'l Final O.K.
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
S;t~ Address:
: /7;;2/ .5.t1.
Iny"er a /u-n
E.
d.ecA/L-
permjfz~~
New Meters
.
Not fy 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 dn the Building PJlfmil. PHONE 457-0411, EXT. 224.
i ~ NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT # <:;-0 lj(!:)
, $ ~
i Electrical Inspector Permit Fee
WHitE - File by address YELLOW - file by number PINK - Top: Eng, Botlom, Customer GREEN - Top: Meter Dept" BoUom: City Hall
OLYM~IC PRINTERS INC.
,
,
I
.
.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
i
PERMIT NO.
<//ZL
S-~.., eJffs
. ,
DATE
o READY FOR
INSPECTION
license Number:
o WILL CALL FOR
INSPECTION
Phone:
In ailed By:
I
o ner/Business:
O\1ner/Business Address:
o flESIDENTIAL
o j:;OMMERCIAL
o '13ASEBOARD KW _
o IFURNACE KW _
o FAN/WALL KW _
o ,MEAT PUMP KW_
o IflGN
,
I
DetlJ,ilslDescription:
,
,
I
1
~ TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
Phone:
Sq. Ft.
\.( OVERHEAD SERVICE
I[j UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
----
-)~
I
I
I
I
i
w.~. No. SERVICE SIZE
CAtACITY:
, 0 O.K. NOT O.K.
ACtiON REQUIRED: 0 CHANGE TRANSFORMER
, 0 INSTALL SERVICE POLE
,
~I." ,"""",," OK
~ ~OUgh-m/cover O.K.
~?K. to connect service
o linal O.K.
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
Sit' Address:
So.
Injaller:
New ~eters I
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 dn the Building Permit. PHONE 457-0411, EXT. 224. fXJ
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT """""0 ~
$ N
E eClricallnspector
I
WHliE - File by address
OlYM~'C PAINTERS INC
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall~
\ ~