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HomeMy WebLinkAbout616 Lopez Ave - Building Crry or PORT AN('FLrs PERMIT APPLICATION Building�Ivlglarlll�Icclrlcral.lnsprrtduns �� 1��' 321 lust Fifth Street—Y.O. Dux I1541/1 ortAnueles Washington,911362 Ph: (36111)417-4735 Fux. (3611)417.4711 or,T i Date. 1 &2 Slagle Family Dwelling ���r�' 5•.�ill ilu� "Plan Review May So required, Please Complete Eledrical Plan Review Information Sheet Jab Addmos to ll."-p AW UlWng 9quero roologc l3oscrlplbn pl obcua � Owner Information Contractor Informatlon Name -&A Name JR , L MOOPddrm a Mo4ing Addt"m UY Stale W A, ,Zip Chy.. �r' State: xi PhOna "f raa Phone: Fax, Liconso 01 Exp. _.,,..—„ .„ _— Licanaa#I Exp„ km Unl C a a ght Total 1Qbj Mu f lad-by.UnItChaMej SarviaelFeedor 200 Amp $120,00 $ 9ervle0eeder 201.400 Amp, $146.00 $ _ Se AWFeeder 401-600 Amp $205.00 _ $ Servic0oeder 601.1000 Amp.. S 282,00 $__ Nervioe/FoWer over 1000 Amp_ S 373 00 _ $ Branch Circuit VYf service Foedar $ $40 $ Branch 01mult WO Service Feeder $ 63,00 _ w^ $ Each Additional Brunch Circuit $ 5.D0 $ Branch Circults 14 $ 75,00 Temp_9ervlcd Feeder 200 Amp. $ 88.00 $ Tomp.GervicelFeoder 201.400 Amp. $11000 $ Temp Bervice/Feeder401-800 Amp, $149.00 Temp ServioelFoader 601.1000 Amp. $168.00 Portal 10 porW1 Hourly $ 96.017 � $ - Gignel ClmulU Limped lwnorgy-1&2 Family Dwelling $ 6400 Manutsulured Home ConneoWn $120.00 $ Renownbia E=lectrical Energy-SKVA Oystem or Lose $102.00 $ � Thermostat $ 5800 Nate:$5 00 for each additional T-6tal ftgO_n 51 RVOILON First 1300 squam Fl. $12000 $ _ Each Additional 500 Square FL or PartlOn of $ 40,00 „� $ Each Oulbuilding or Detached Garage $ 700 Each Swimming Pool or Hot Tub $110.00 $ $ Total Owner as defined by R.CW 19,20,261-.(1)Owner will occupy the elruoturo for two years after this electrical permit is finalized.(2)Owner is inquired to hire an eioctrical contractor if above cold property Is for sale,rant or lama.Permit expires after six months of last inspedcn. After reading the above statement,I hereby certify that I urn tho owner of the above named property or a liconsod alouftal contractor,I am making the electrical installation or alteration In compliance with the electrical Ion,N Er C.,RCW Chapter 19.26,WAC.Chapter 29646B,The City of Port Angeles Municipal Coda,and Utility 8pecifioationa and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical adminleffi tor: © cW a Check crrtlx cue a_ � �3rT 'd tiTLb 2Z17 092:01 :woad 62:61 ELECTRICAL PERMIT CITY OF PORT ANGELES "4 360-417-4735 Application Number , , , . . 13 -000011.56 Date 10/08/13 1 Application pin number 199032 Property Address . . . . . , 616 LOPEZ AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-2-2200-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your eXC15e tax form Subdivision Name , , , Property use to the City of Port Angeles Property Zoning . . , . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . , . 0 °_-----------------------°-----•-- Application desc 1-4 CIRCUITS Owner Contractor - CAROW DENNIS B JPE ( JERRY PETERSON ) 616 LOPEZ ST 73 EAST LCMA VISTA RD PORT ANGELES WA 993626713 SEQUIM WA 98362 (360) 731-8994 ------------------- Permit , , , . ELECTRICAL HEATPUMP Additional desc 1-4 CIRCUITS Permit Fee 75,00 Plana Check Fee .00 Issue Date 10/08/13 Valuation 0 Expiration Date 4/06/14 Qty Unit Charge Per Extension SASE PER 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 i INSPECTION TYPE 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: GAIEXCIIANGEIBUILDING DATE ADDRESS LtV1E AU OLYMPIC PRINTERS, INC. (360) 4E2-1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERM T INSPE OR 2.1c, e -O52 OWNER/C6NTAACTOR I1 RYNI4 1 1.i91�`I�N Q APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED FLS i T w_gfr -X `TIE T A R c fia.5 c r 1J k K V 0 tz B 2 NOTIF' INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE ADDRESS DATE PERMIT 29k 24Q OWNER/CONfRACTOR R Y los pQ ca 61 (L -0 z ELECTRICAL INSPECTION WIRING REPORT 417 -4735 INSPECTOR APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: k.t l a k« ---h� (OV 11■17C1S'V— Tv tv 2OA c- 6 7-2 -P)'r►-1 (LOCHv' 21 2�� gty 11 -2 3 Y T7 Q ciao ►.0) t oil LC_ r t t Xl� e_, t to S Li�Z'g`17 fNL7) 1012( rJ OLYMPIC PRINTERS, INC. (360) 452 -1381 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc new 200 amp service Owner Murphy Ryan 616 LOPEZ ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4735 WA 983626713 125906 75 00 5/06/08 11/02/08 Charged 75 00 00 75 00 08 00000526 847730 616 IOPEZ AVE 06 3C 10 5 2 2200 0000 ELECTRICAL ONLY RS7 FESDNTL SINGLE FAMILY 0 Contractor OWNER ELECTRICAL NEW RESIDENTIAL Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 -200 1ST SRV FEEDER Paid Credited Due 75 00 00 00 00 75 00 00 Date 5/06/08 Plan Check Fee 00 Valuation 0 Extension 75 00 00 00 00 INSPECTION ELECTRICAL TYPE DATE RESULTS IN SPECTOR DITCH SERVICE ROUGH -IN FINAL COMMENTS: 15/ AV locc? /b 1%/ of u 2 _7 (O AY Job wired by Electrical Contractor Z Owner Electrical contractor name Purchaser's mailing address City Telephone number 08 Inspection Date ROUGH -IN D at FINAL Date A Appr State ZIP FAX number License nu Tiber Date Expires 'Premises owner's name I� Van tilt/ f'0 4 y Address of inspection Ko roue Z Av City Phone number to schedule inspection ©Fs C l y /y 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. After reading the above statement, 1 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 lam s, N.E.0 RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Specifications. /Signature of owner electrical contractor or electrical administrator �X 74, Date Electsi(al Load Additions alhdosubtractions ErO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW ed By ELECTRICAL WORK PERMIT APPLICATION Approved By Date (Installation description Commercial Residential /74" c,t) 20(5 Air b fc2r0 c P r 1 Overhead Service Temp Service Underground Service SAMF, DAY INSPECTION. CALL BEFORE 7:00 AM 360- 417 -4735 THERMOSTAT Date Appr ed By DITCH Area, Build ng or Equipment Inspected Par-fall 4ocair Ohl me7rk .44SF 8 RFT ac ArAwbor or 7�E .Gbuse v c oe3T ‘.1/14 samu,J ,,err 41i.✓FApF, 4 1a rr,e /f /0[A7J/t /vex/ .v/1a 7x d'PSf A✓ SSE /.ocAnoi.). 141✓5T .4.mV') 1 Any" .Siflapoa,1 feo", w w,u,,icstfa'J Z44 E N ew Altered /Addition Cash E Check Credit Card Card Expiration Date of card SERVICE ro 3I/t RECEIVED Visa MAY 0 5 2008 U "Mastercaarrd' Discover Voltage Phase 1 3 Service Size: Feeder Size: Date Apprb ed By FEEDER Ala Action Taken Inspection fee 7 s7o J Service Information Appr ed By Date Appr ed B} Electrical Inspector