HomeMy WebLinkAbout809 Seamount Dr - Building
,.
ELECTRICAL WORK PERMIT APPLICATION"
I
_f
Job wired by
(~Iectrical Contractor 0 Owner
Installation description
o Commercial ~esidential
Electrical contractoh name
~Oill<lcr;. \i(lf>='
Purchaser's mailing address
p,C), Cjq I
C;ty;)
117
License number
Tll-o~,"lL-.f<!:qstL4
Date Expires
()~
o New
~ltered/Addition
Telephone number
SIo 'S"'-/'L/ "L
State ZIP
WI}- cq g-3Co'L
FAX numbe,' I J I
"t-J2-7S-r?
77Ia&t<-c<; Lrf
W;?/U /!8-4P--
...
~,
Premises owner's name
( Yc4C-t.y 80 l<1Wtf7.L
Address of insp~oD
?d"! S6.&-W/dlh T alA-
City P fr
Phone number to schedule inspection:
"1/7-397/
Owner as defined by RCW19.28.261:(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.
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 instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications._,
Signature of el
o Cash
o Check #
o Credit Card
Card #
Visa
Mastercard
Discover
5(-9-tJ0
Expiration Date
of card
Inspection fe$-'O
$ ~J'- -
X Date:
Electrical lld Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
D Fan,Wall KW
Service Information
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD1D3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
Date Approved By
, FINAL
"- Dale Approved By/
, THERMOSTAT
"- Date Approved By
, DITCH
"- Date Approved By
SERVICE
Date Approved By
, FEEDER
Date Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
.(1
"-l.......iI"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:\21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number _
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
property Use
Property Zoning
Application valuation
06-00000448 Date
020544
809 SEJlJVIOUNT DR
06~30-00-9-5-0070-0000-
ELECTRICAL ONLY
5/12/06
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
BOUTWELL TRACY/SUSAN A
809 SEAMOUNT DR
PORT ANGELES WA 983635017
THQRNES REFRIGERATION
PO BOX 991
PORT ANGELES WA 98362
(360) 461-0158
Permit
Additional desc
Permit pin number
Sub Contractor
Pernd t Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
THRONES/T-STAT WTR. HT
76851
THORNES REFRIGERATION
48.10 plan Check Fee
5/11/06 Valuation
11/07/06
.00
o
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
Fee summary Charged Paid Credited Due
- - - - - ~ - - - - - - - - - - ---------- ---~~~---- ---------- - ~ - - - - - - - ~
Permit Fee Total 48 .10 48. 10 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 48. 10 48. 10 .00 .00
COMMENTS/ACTION NEEDED
..
\
\
l
, I
, 'I
.../..' ,.t..
..
,-,
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO, 0< /,;( .3
i //;/J:r
ELECTRICAL PERMIT
DATE
Sitel,Address:
D READY FOR D WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Installed By:
I
Ow';er/Business:
Phone:
Sq, Ft.
Residential
Heat KW I ()
[( Baseboard'5l' Furnace/Boiler
[( Heatpump (0 Other
( Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underg~Und ..6.
Voltage ~'YL'
tit 10 03.0'
Service size .A:Pr:'? Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai IslDescription:
I
1
1
/0 KtJ fU.AM4~/
-.
J:
I.
l
l'
w,sf No, Service
\ CapllClty: 0 O,K, 0 Not OK
I
o ~itch inspection O,K, _ /
""'\ )ti ~ough-in/cover O,K. 5'::';:r-"I.'
o C),K, to connect service
,
i-tlfhlinaloK
Sit~ Address:
1
Date
Hold for: 0 Easement 0 Letter
Size
Comments
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Ins :~lIer:
"
o
Permit/Receipt No.
2/,;(3
New Meters
Notlfy the D art ent 01 City Light by Street Address and Permit Number when ready lor inspection. Work
mUllt not be covered or electricaily 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 Building Permit. PHONE 457,0411, EXT.158 or EXT. 224.
~rFJ, NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT "7 !1 ~
(!..v''---'''\. ... :1// ~
Inspector Amount paid
rH'iE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
ILV.....',-,PA''''T..A''_'NC':
Detai IslDescription:
II
II
I
I
I
I
I
I
I
I
W.S.I No. Service Size
Cap~city: 0 O.K. 0 Not O.K. Comments
I,
o Ditch inspection O.K. 0 Signed up for service/meter
Ii
o Rough-in/cover O.K. 0 Meter Department notified for installation
-1/4'-~{~ g.K. to connect service 0 Fire Department notified of inspection
4J:..ltal O.K. 0 Plan Review approved/pending
sitel,Address~.~ Cl Permit/Receipt No.
{;/U I ~f}IYIDUA)'r D,z . w~4
Inst'llller: New Meters Date:
OIJ <7,g (l[M Ac,J STf~1/Jf-/iAtJ COfJS-r-: I H 7 - 8'7
Notlly the Department of City Light by Street Address and Permit Number when ready for inspection. Work
mud! not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /& ~
~ Inspector . Amount paid
WHI1:E - file by address YELLOW - tile by number PINK - Top: Eng, Boltom: Customer GREEN - Top: Inspector, Boltom: Cify Hall
I! .
..re
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. 'WIL-r
DATE / -17- 8~
ELECTRICAL PERMIT
sitei Address800 :3:eA M DO t..Jf DI2- '
Insi~lIed By~ <"'. , A A . I
I JON :::r(E':.llJ/v\,J~.r-.J
Own;erfBusiness..:. /
II ~lB'i-JMA/J c....o/J.51\?-UL.-TION
OW .er/BUSine~. dress: A" ( )
I leA'? IV \L-I!2.A-TA WT' OWt-IEg
D READY FOR D WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Sq. Ft.
I
Residential
I Heat KW
Baseboard 0 Furnace/Boiler
qj Heatpump 0 Other
OJ Commercial/Industrial load
! Total Connected load
(attach breakdown)
, Total Motor load
(attach breakdown)
rJe.MP,
]& New Construction
o Remodel
o Service update/alter/repair
o Overhead
,M.underground
Voltage" /'20
)?[10 03.0'
Service size
. p.eL.TempOrary
Amps
o Add/alter circuits
o Auxiilary power
(list below)
o Special equipment
(list beiow)
Date
Hold for: 0 Easement 0 Letter