HomeMy WebLinkAbout612 S Ennis St - Building
Site i'\ddress:
I
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. /3 g?
/0///%7
, /
DATE
o READY FOR ~WILL CALL FOR
INSPECTION INSPECTION
license Number:
Phone:
Owner/Business:
Phone;
Ownjer/Business Address:
Sq. Ft.
~Residential
Heat KW
~ Baseboard 0 Furnace/Boiler
q Heatpump 0 Other
q Commercialllndustrial load
: Total Connected load
. (attach breakdown)
. Total Motor load
. (attach breakdown)
"
81 New Construction
o Remodel
o Service update/alter/repair
o Overhead
ll!:l UndergroundL
Voltage /61-0, ~yo
~ 10 03.0"
Service size .;200 Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Det1j.i i slDescri ption:
--t
--t
tJ I~ tw
Sf)!,,' {Ui.s f.t
$. f, .
.
--I
W.S, No. Service
Cap!lcity: 0 O.K. 0 Not O.K.
1(1' Oitch inspection O.K.
VV',p.- lB"'F1ough-in/cover O.K.
M -r ~Q.K. to connect service
W- ~nal O.K. sr'.t.,<llJL ~"u~;
Size
Comments
Date
Hold for: 0 Easement 0 Letter
b.., h..oMt c...........;,./(,..
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site' Address:
Permit/Receipt No.
BOb'
2/<//Ilt"S
/33?
Installer:
New Meters
o
.
/D /
Notlly the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mu~t not be covered or electrically energized before inspection and O.K. for covering or service has been given
by t~e Inspector in Writing on the Wiring Report or the Buiiding Permit. PHONE 457-0411, EXT.158 or EXT. 224.
. ___ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT ;: 3
~/~ 0
I Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector. Bottom: City Hall
OLY'"''i1C PR!NTERS. INC.
.
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/'3 If
~/9Ir7
ELECTRICAL PERMIT
DATE
Site Address: 6/1-. t/l/N/5: ~,EADY FOR o WI LL CALL FOR
I INSPECTION INSPECTION
InstflJled By: ~b) tu_c ~fC I License Number: Phone:
I
Ow---;rer/Business: "6f.ua 'DE c 1< fl!- Phone:
Owner/Business Address: Sq. Ft.
I
'tResidential
. Heat KW
d Baseboard 0 Furnace/Boiler
d Heatpump 0 Other
q Commercial/lndustriai load
Total Connected load
(attach breakdown)
: Total Motor load
: (attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
o Overhead
~underground/
Voltage 1'Zo Zy~
)(10 030
~vice size -f7-
~ Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
DetailslDescription:
I
1~:t wf.
s tl
--j
---+
W.S., No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o qitch inspection O.K.
o Flough-in/cover O.K.
,vrJ!!-d.K. to connect service 1'<P'.f
o Final O.K.
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
Site Address:
61L
Installer: "3 t) j;
f If/;t/t S
f be.-- /rt-t L
Notilfy the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work
mu~t not be covered or electrically energized before inspection and O.K. for covering or service has been given
by ttlle Insp~riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
, NO OCCUPANCY OR USE ESTABLISHED UNDEA THIS PERMIT / b ~
, Inspector ' Amount paid
WHilE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom. City Hall
~,~..~.~ ~~,.._--- ...-
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
1.6..00000635 Date
6/09/1.6
Application pin number.
563365
Property Address
62.2 S ENNIS ST
ASSESSOR PARCEL NUMBER:
06 30-1.1-5 4..0230-0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning .
RS7 RESDNTL SINGLE FAMILY
Application valuation .
. . . 0
Appl...i..cat. iori de ep
Greenhouse ext. lights
rcpt
Owner
Contractor
STENDEEACH AND ICING
LINCOLN WIRING
61.2 S E:NNI.S ST
2.6.1..9 WEST 7TH STREET
PORT ANGELES WA
983626646 PORT ANGELES
WA 98363
(360) 808-1757
Permit ELECTRICAL
ALTER RESIDENTIAL
Additional desc 1._4
CIRCUITS
Permit Fee
75.00 Plan Check Fee
Issue Date . . „
6/09/16 Valuation
0
Expiration Date . .
1.2/06/16
Qty Unit Charge
Per
Exten�..;Ion.
BASE FEE
75.00
Fee summary Charged
Pard, Credited
Due
Permit Fee Total
75.00 7.5.00
Plan Check Total
00 .00 .00
.07
G:ra:nd. Tectal
75.00 75.00 .00
00
d
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH 6q 11t6 Cw
SERVICE
ROUGH -IN _ f
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner
UILDINElectrical Contractor X_ Date:
v
0
CITY OF PORT ANGELES PERMIT APPLICATION j
Building Division/Electrical Inspections i
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 6/9/16
x 1 & 2 Single Family Dwelling
* Plan Review IVIVe Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 612 S. nnis
Building Square Footage 211:1x0 s ft
Description of above.,. d ?�1 r?r? fo circuits outside to gre houseandext rior..11gi2tstr+ cep���le .
Owner Information
Contractor Information
Name: Dan Kin
Name: Lincoln Breithaupt
Malfln Ad r ss
�jate�a e _ -...2w
... ...
Mawfln Address:City:
y . or nge�des Slate pmt 6�
Cwt , ort Angeles State WA 2u 98363
y
�0A 20 3
V66)747
Phone: 360 504.2 46 Fax:
— `
Phone: & .6t 6.1 � Fax -
License
License # / Exp.
License # I Exp...___ LINC0W"901 m -,m, W6118
Item
Unit Char;
gty Total Qtj Multi tied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
w� $
Service/Feeder 201-400 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 WI Service Feeder
$ 5.00
_.... �.._$..................................
Branch Circuit W/O Service Feeder
$ 63.00
�. $
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
1ITm mm .._ $ 75m00
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
_. $._......
$.76.00 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 Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
q13 Credit Card # _ On -file
X oated:....._6/09/16,
0110112012