HomeMy WebLinkAbout1001 S Laurel St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17652
Port Angeles. washlngtonm../.f....:..~..~.mmm.m.mm..m...... 19..tl
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 do electrical work as listed below.
Address ...I(2..?.f.......~......------..---......m..m Occupancy....m..........mm___.........m___.......
~::~~:~~k:::~::.;.:?::::....~~:~~~;:::::::::::::::......~~:::::::::=:::::::::::::::::::::::::::::::::::::::
Light Outl.ts.....................____......__._.....
Service. volts ................................h.....
No. wires .........................n.......n...
Receptacle Outlets...nmnnmmnmn._....
Dryer, KW n..nn......nu........................
Size wires...__m...mm.......mm.....__.
Range, KW....n_..n.......n.
Main fuse .......................................
Water Heater:
Enclosure .............................n........
KW_....._____________________...._....
Type of wiring:
Entrance Cable n'n..'mmmnm'
Heat: KW..............n......nn....n.n.nn....
Motors: size. volts and phase:
Rigid Conduit .................
Metallic Tubing ...........................
Current transformers:
No. & Size.....................n.......n.......
Ser. NO.................................n...........
Ser. No. ...............................nn._....n_.
Ser. NO.'n.....n..................................n
Type of Wiring:
Armored Cable .............n.nn..n___n.
Non-Metallic .........n.___..................
Knob & Tuben.......n._m......m.........
RIgid Conduit ................________.......
Metallic Tubing m..m_on...............
Raceway .................................._...._
Circuits, Llght.____...____.___.__....................
Utlllty..__......................................_..
Heat ......................................._......
Range .n.nn.nnn____nn.......n.............
Water Heater ...._n..nn..................
Motor ........n.._...nnn..n_..n.n.._........
Dryer ...........nn............nn....._nn..n..._
Furnace .........................'_......_..m......
Total lJOad....nnnn................. Ser. NO.................._.........._............n Total.......................................
.- Ii. .
Remarks: .7d"'I'~s;,:e,'~.......a;Le~_...-'.~.4....y.....'f.':f:~..~..................
.:.:.=.;.~.:~::....:::::....:::..::....:........::~.~.~:.::~.~.~~.~.~........::...m..---------..:~q~E~~~2:=.._
NOTICE-Current must n()j; be turned on until Certificate ot Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 6 5 2
Address............................................................................................................_..___......................Date..._.........._.._.._._........_......_......__........
Owner .nn.n....n..nn..............._._...._.__......_...n._.._....................n.........n.n.n..__........n..... Tenant.........n._nn.n.n......_......................nn_nnnn...
Wiring Contractor...................._....._..._....................__......_................n.._...........__............................ By .___..........................................................
C"
\
NOTICE-Current must n()j; be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . . . , 15- 00001264 Date 10/13/15
Application pin dumber 563512
Property Address . . , 1001 S LAUREL ST
ASSESSOR PARCEL NUMHER; 06-30-00-0-3- 2835- 0000 --
Application type description ELECTRICAL ONLY
subdivision Name , , . . . .
Property Use
Property Zoning , . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Condensate pump
Owner Contractor
SMITHSON GLENN /BETTE APS ELECTRIC
1001 S LAUREL, ST 546 BENSON RD.
PORT ANGELES WA 983627731 PORT ANGELES WA 95363
(3 60) 452 -6753
Permit I . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee 00
Issue Date 10/13/15 Valuation . , 0
Expiration Date 4/10/16
Qty Unit Charge Per Extension
.BASE FEE 75.00
Fee summary Charged Paid Credited Dud
Permit Fee Total 75.00 75,00 .00 .00
Plan Check Total Q0 .00 .00 .00
Grand Total 75.00 75,00 00 .00
REPORT SALE'S 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
COMMENTS:
�
PERMIT WILL EXPRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GARXCHANGEIB.U[LDING
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10/11/2015 03:38AM 3604526753 A.P.S. ELECTRICAL PAGE 01/01
CITY OF FORT ANGELES PERMIT APPLICATION
Build inlg UivisionlElectrical Inspections
321 East Fifth Street — P.O. Box 11501 fart Angeles Washington, 98362
Ph.- (360) 417 -4735 Fax, (360) 417 -4711
Date: I D - ';2cr 1 —C)
Plan Review May Be Reg*ed, Please
b�' i 8r 2 Single Family Dwelling
OCT i 3 "I'll" p'
Electrical Plan Review Information Sheet
• 9- .S. •y li:
Job Addree$' 1 0 0 1 ..,., -)o (-4,4m -
Building Square Footage'
Description of above tt . r r, r�, r 5?i`�.. rt 2 ct a m.,
Owner Iggqrmation �. ll ff-
io11 yl__I rV+
Contractor In rm lion I.
Name: Ja l C- I e �•l (`I cod
Name' 4-1 V1 V1 3
,'
Mailing Address
Malting Address:
City: State: Zip:
Phone; -Far
City: State: -zip:
Phone: Fax:
License # 1 Exp.
License 0 I Exp,_
Item
Unit Chame
Total _Uy M_ u_Itanlied by unit Charge)
ServicelFeeder 200 Amp.
$ 120.00
$
ServlcelFeeder 201-W Amp.
$146.00
$,
5ervica)Feedar 401.600 Amn
$ 205.00
$ _
Service)Feeder 601 -1000 Amp,
$ 252.00
servicelFeeder over 1000AMP.
$373,00
branch Circuit Wf Service Feeder
$ 5.00
$
Branch Circuit W10 Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
$ 7 5, 00
Temp. Servicel Feeder 200 Amp.
$ 93.00
Temp. Servica5seder201400 Amp,
$110.00
$
Temp. ServicerFeeder 401.600 Amp.
$149.00
$
Temp. ServlceiFeeder 801 -1000 Amp,
$168.00
-_� __ $..
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Femily DwaMng
$ 64.00
- $
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy • 5KVA System or Less
$102.00
$
Tharmwtat
$ 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
$� .
$ 73 • K3 Total
Owner as defined by RCW,19- 20,261: (1) Owner will occupy the stru❑ture for two years after this electrical permit is finalized. (2) 0 Wnar 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 lioensed electrical contractor. l am making
the electrical installation or alteration in compliance with the electrical laves, N.E.C.,
RCW, Chapter 19.28, WAG. Chapter 286.4$8, The City of Port
Angeles Municipal Code, and Utility Specifications
and PAMC 14.05.050 regarding
Electrtcal Permit Applications.
Signature of owner, electrical contractor or electrical adminialortor.,
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