HomeMy WebLinkAbout1206 S Lincoln St - BuildingCITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT N° 16394
1 d �2 it
Port Angeles, Washington --- ----- --- - - ................. 19✓./-
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 ��� O ?._.
J�
Owner ----------- ........
e""7.:
Wiring Contractor _.. _ _:.A.' "t_
t ,
✓ 9
Light OutletB......_f...:4: ?.......
.. ...............................
rf
Receptacle Outle ts..... ......................
- - - - -- ---- ---_.._..
t
Dr)vr. KW ........... ° .
..................................
-----
Range, KW --------- -- ----------------
- -----
Water Heater:
50' .
5_f)
Heat: KW...........
Motors: size, volts and phase:
Total Load .............................
Remarks:
Occupancy-- ....... i--- '-- ---- ------ --------- ----
r�
Service, volts
No. wires : ._.._._ .......................
Size wires ...... .........._..
/0�1,
Main fuse . r.:: c ...:........ % ..................
f
Enclosure ------ "-----------------------------
Type of wiring:
Entrance Cable
Rigid Conduit .......
Metallic Tubing ...
Current transformers:
No. & Size ...............
Ser. No ..............................................
Ser. No.
Ser. No.
Sec No.
Permit Fee Tress. Receipt
$ -- - -_.. 1; Vo... No------------- --------
0
Type of Wiring:
Armored Cable
Non - Metallic ...
Knob & Tube . ............._................ .
Rigid Conduit - --
Metallic Tubing
Raceway
..................... - ........ __..._
��
Circuits. Light ----- .. ..............................
Utility-------
.. ...............................
Heat.......r..._�-----
- - - - -- ---- ---_.._..
Range.......
..................................
Water Heater . .nom_.. ........................
Motor....
� ----------- . ---------------- ......"
Furnace ... ..................
c; Y
Total ................
NOTICE — Current must not 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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
Owner
Wiring
N° 16394
By............................... ...............................
NOTIC)rCurrent must not 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.
RECEIVED
CITY OF PORT ANGELES PE, RtNUT APPLICATION DEC 16 2913
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 EILE RI
Ph: (360) 417 -4735 Fax: (360) 4174711 ��aI��CYIOh
Date: A & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address 12e!_ . :5.
L�� �G pt. �✓ __... _
Building Square Footage:
Description of above
Owner Information Contractq�lnformation
Name;_ — "t`!" k -MLA cs-1 Ah a cs Name: bb C
Mailing Address: jz=06 S. 4,4.06? e o Mailing Address:
City, State: Zip: City: 5tata: Zip:
Phone �r_ -.le o Fax: Phone: Fax:
License # 1 Exp, License # 1 Exp.t.4-tc � 56D L
Item Unit Charge Qty Total aty Multiplied by Unit ChaMeej
Service /Feeder 200 Amp. $120,00 $
Service/Feeder 201 -400 Amp. $146.00 $
Service/Feeder 401 -600 Amp $ 205,00 $
Service/Feeder 60 1 -1000 Amp, $ 262.00 $
Service/Feeder over 1000 Amp. $ 373.00 $
Branch Circuit WI Service Feeder $ 5,00 $
Branch Circuit W10 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)Foeder 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 -Scat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $ 120.00 $
Each Additional 500 Square Fl. or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub
$ Total
Owner as defined by RCW,19.2B.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, NEC,, RCW. Chapter 19.28, WAC, Chapter 296 -46B, The City of Port
Angeles Municipal Code and Utility Specifications and PANIC 14,05.050 regarding Electrical Per 't AA pfcations,
Signature of ner, el ctric contractor or electrical administrator: ❑ Cash J Ldp Check
El Credit Card#
011101120112
v4v 5zl�l
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . , , . . 13- 00001454 Date 12/17/13
Application pin number , . , 635316
Property Address . , . , , . 1206 S LINCOLN ST
ASSESSOR PARCEL NQMBER; 06- 30-00 -0 -3- 8000 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name , . , . , ,
Property Use . , , I . , . .
Property Zoning . , , , . . , RS7 R7SDNTL SINGLE FAMILY
Application valuation . . . . 0
-----------------_---___-__-__----------------------- ---------------- _._____
Application desc
BDE/ DL HV
Owner Contractor
VINCENT, TTE DARREL BLACK DIAMOND ELECTRICAT, CONTR
711 E FRONT ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983623610 PORT ANGELES WA 98363
(360) 565 -1035
Permit . , , . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc , . 3DE/ DL HP
Permit Fee , . . . 63.00 Plan Check Fee 00
Issue. Date , , . . 12/17/13 Valuation 0
Expiration Date 6/15/14
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FRED 63.00
Fee summary Charged Paid Credited Due
permit Fee Total 63.00 63.00 .00 .04
Plan Check Total 00 .e0 .00 .00
Grand Total 63.00 63.00 .00 .00
REPORT SALES 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 EJKPIitE SIX (6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGE01JILDING
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