HomeMy WebLinkAbout1121 S Pine St - Building
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
r-Q/t
PERMIT NO. --.;> Olp...:>
//- C; rf"L
DATE
ELECTRICAL PERMIT
Installed By:
6,' /.---?<~.
JIe ZW,
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
e--SPECIAL EQUIPMENT
(LIST BELOW)
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
o SINGLE PHASE
o THREE PHASE
SERVICE SIZE AMPS
DetailslDescription:
//vI- /J
,
c'Ai(/
.
Wf$. No. SERVICE SIZE
CAPACITY:
i 0 O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection OK
o Rough-in/cover O.K.
A .!~ O.K. to connect service
III l:\l'Final O.K.
Installer: JI ~ f
PJb'.S
?~~.
New Meters
.---
J
Site Address:
/.;;1
, I
/
It:) $:0 , fr
.
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 on the Building Permit. PHONE 457-0411, EXT. 224. .#
~M NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ r ~ D t3!!
Eleclricallnspector
Permit F=ee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PAINTERS INC.
ELECTRICAL PERMIT
CITY OF PORT ANGELES
- 3604174735
Application Number . . . . . 16-00000456 Date 4/01/16
Application pin number . . . 438512
Property Address . ... . . . 1121 S PINE ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -4750 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
-----------------------------------------------------------------------------
Application desc
Replace Knob & Tubel in basement / crawl
---------- -----------------------------------------------------------------
Owner Contractor
------------------------
CHERYL
- -- -------------
CHERYL VEBLEN ANGELES ELECTRIC
1121 S PINE ST 524 E. 1ST ST,
PORT ANGELES WA 983627520 PORT ANGELES WA 98362
(360) 452-9264
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL -- -- ----------
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee 00
Issue Date . . . . 4/01/16 Valuation 0
Expiration Date 9/28/16
Qty Unit Charge Per, Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION' TYPE
DATE: RESULTS.
DTICH
SERVICE
1
ROUGH -IN
'
FMAL
t
"PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION
'Al
Signature of owner or Electrical Contractor X
GAEXCHANGEMUILDING
REPORT SALES TAX
on your excise tax f0nn
to the City of Port Angeles
(Location Gude Q;5tJ2)
INSPECTOR
Date:
o,* pORTA01- ELECTRICAL INSPECTION
WIRING REPORT
*,RKS 417-4735
:1 -IF /' I Pi#��� +INSPECTOR
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
5&'�?4y - ..... ROUGH IN/COVER ............... ❑
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
CORRECTIONS NEEDED:S
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
03/31/2016 08:07 FAX 360 452 9265 Angeles Electric
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street - P.Q. Boa 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: ,P lli 2 Single Family Dwelling
[10001/0001
JPlan Review May Be Required, Please Complete Elechical.Plan Review Information Shoe
Building Square Footage:.
Description of above
0'
V
Ownep1n[gnpatIon
Contractor Into anon
Narrw +
Na me
r_
Mailing AM&
Nidhg Addrw -
City: Shk Zlp
CKy:r"
f t11K Zip:
Phone: I=
Phone
.�
license d/ F-xp.
Unse 9 t Exp
Item
Unit Charas
9ft
Tont tr'2ty Multinlled. jlv_�It Charnel
ServicelFeeder 200 Amp..
$120.00
$
Servic efteder 201-400 Amp.
$146.00
$
ServicelFeedre 401.600 Amp
$ 205.00
$
Sen4CeJFeeder 6014000 Amp.
$ 26200
$
ServicelFeeder 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. ServiceJFeodw 201.400 Amp.
$110.00
$
Temp. ServloelFeeder 4014W Amp.
$149.00
$
Temp. SmvWeeder6014000 Amp.
$166.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Elected Eneigy -16 2 Family DwdN
$ 64.00
$
Manufactured Home Connection
$120.00
$
Rerewabte Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW C0PgTRUVPN ONLY:
First 1300 Square Ft
$120.00
$
Each Additional 500 Square Ft or Portion of
$ 40.00
$
Each Oulbur'Idrig or Detached Ovage
$ 74.00
$
Each Swimming Pool or Hot Tub
$11o.00
$
$ —;Kj.aaTota!
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical pwn* Is thnafted. (2) Owner is required
to hire an electrical contractor if above said properly, is for sele, rent or lease. Permit expires atter sic months of last inspection.
After reading the above statement, I hereby ca> * that I am the owner of the above named properly or a licensed electrical contractor. I an mWdng
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 1928, WAC. Chapter 296.468, The qty of Port
Angeles Municipal Code, and Utft Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical adminlstrator. ❑ can —C3 Chwk
r.alt Cad # oAl 4*
w: .��311l� ouo+ao,s
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . .
16-00000456
Date 4/01/16
Application pin number . . .
438512
Property Address . .. . . . .
1121 S PINE ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -0 -3 -4750 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
-----------------------------------------------------
0
Application desc
---------------------
--
Replace Knob & Tubel in basement
----- ---------------------------------------------------------------------
/ crawl
Owner
Contractor
-- --------------
CHERYL VEBLEN
------------------------
ANGELES ELECTRIC
1121 S PINE ST
524 E. 1ST ST.
PORT ANGELES WA 983627520
PORT ANGELES
WA 98362
-----------------------
(360) 452-9264
----------------------
Permit . I . . I I ELECTRICAL
-------------------------------
ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00
Plan Check Fee
'00
Issue Date 4/01/16
Valuation . .
. . 0
Expiration Date 9/28/16
14
Qty Unit Charge Per,
Extension
BASE FEE
--------------------------
75.00
--------------------------------------------------
Fee summary Charged
Paid Credited
Due
--------------- - ----------
Permit Fee Total 75-00
---------- ----------
75.00 .00
----------
.00
Plan Check Total .00
.00 .00
.00
Grand Total 75.00
75.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTIONTYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGMBUILDING