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622 L St - Building
trN�1 lWt111t^1,}kr v CH'i Y OF PORT ANGELS S PERtt�II'I`APPLICATION RECEIV Building Division/Electrical Inspections � 321 East Fifth Street--P.O.Box 115131 Port Angeles Washington,9$362 ®CT Per:(3613)417-4735 Fax:(360)417-4711 JV Kato: f __?30.-I . -Y�l&2 Single family Dwelling Plan review May Be Required, Please Gampf to Electrical Plan Review Information Sheet Job Address: JL 4 Huildfng Square Footage: description of above V Owner Information, . CCrt!8Ct4P Inforrati Name.,a_;ee.t r ra x-lC, 6 f t 14tail€n Address:__ c p d C'. ��� � � 9 a• _ -- NPaliino A dress: W S cny: :�..�..._.....state: I &_ziP e y: _zip: 3 Phone; 7 ter° `Jib Fax;-— -- Phone:VS7-522 Fax:_ � ... ._. Ucense 41 Exp. Licease 41 Ex p._ a Item Unit ChaEga Total Multi ties€b i)ntt Cho e Sanrice/Feeder 200 Amp. $120.00 $ Service/Feeder 201.400 Amp. $14$.00 $ Service/Feeder 461-600 Amp $205.00 ServicelFeeder 601.1060 Amp. $262.00 $ — $ ServicelFeeder over 1000 Amp, $a73.00 Branch Circuit W1 Service Feeder $ 5.00 nch Circuit W10 Service Feeder $ 63,00 $ � chAdditional Branch Circuit $ 5.00 Branch Circuits 14 $ 75.00 Temp.Service!Feeder 200 Amp, $ 93.00 $ — Temp.ServicelFeeder 20,1400 Amp $110.00 _ $ Temp,ServlcelFeeder401-BOO Amp. $149.00 $ -- Temp.Servh;Feedor 601-1046 Amp. $168.00 _� $ Portal to Portal Hourly $ 95.00 $ Signal Circuit/Limited Energy-1&2 Famlfy DwMing $ 04.00 Manufactured Homo Connection $120.00 $ Renewable Electrical Energy-6KVA System or Less $102.00 $ Thermostat $ 56,00 $_ Note:$5.00 for each additional T-Stat N.W CONSTRUCTION ONLY: First 1300 Square Fl. $120.00 Each Additional 500 Square Fl.or Portlon of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ _Total Owner ea 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.Permit expires after six months of last inspection. After reading the above statement,i hereby certify that t am the owner of the above named property or a licensed electrical contractor.I am making the Electrical installation or alteration in compliance milth the electrical taws,N.E.C„RCW.Chapter%2$,WAC.Chapter 296-461,The City of Part Angeles Municipal Code,and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administiRtot°: ❑ Gash © Check J © CeedtECard# _ ELECTRICAL PERMIT J CITY OF PORT ANGELES t 360-417-4735 ,�� Application Number 13-00001271 Date 10/31/13 Application pin number . . . 496324 Property Address . . . . . 622 L ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-OD--0-1--4880-0000- r� Application type description ELECTRICAL ONLY on your excise fax form subdivision Name to the City of Port Angeles Property Use Property zoning . . . . . . . UNKNOWN (Location Code 0502) Application valuation . . . . 0 Application desc Micro hood circuits Owner Contractor - Williams Craig EXTRA MILE TECH & ELECT., LLC 622 L street 418 N. RACE ST. w PORT ANGELES WA 9$3635222 PORT ANGELES WA 98362 �°•8 (360) '457-2222 4 . --------------------- - Permit . , . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 63.00 Plan Check Fee 00 Issue Date 10/31/13 Valuation . . . . 0 Expiration Date 4/29/14 .Qty Unit Charge Per Extensi6n 1.00- 63-0000 ECH EL-R- BRANCH CIR WO/.SER FEED 63^00 n , --u-Fee summary--u- Charged__ --Paid--- Y -- Credited YDue Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 DO 00 .00 Grand Total 63,00 63.00 00 00 I INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH i SERVICE I ROUGH-IN FINAL, ti " 4i AvED COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: &EXCI-YANGFABUILDING Application Number . . . . . 25-00001427 Date 11/12/25 Application pin number . . . 709067 Property Address . . . . . . 622 L ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4880-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Williams Craig BLACK DIAMOND ELECTRICAL CONTR 622 L street 502 BLACK DIAMOND RD PORT ANGELES WA 983635222 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 125.10 Plan Check Fee . . .00 Issue Date . . . . 11/12/25 Valuation . . . . 0 Expiration Date . . 5/11/26 Qty Unit Charge Per Extension 1.00 125.1000 ECH EL-R- BRANCH CIR 1-4 125.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125.10 125.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 125.10 125.10 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Unit Charge Quantity Total (Quantity x Unit Charge) $190.20 $ $190.20 $ $285.30 $ $380.40 $ $475.50 $ $5.30 $ $95.10 $ $47.55 $ $95.10 $ $95.10 $ $190.20 $ $285.30 $ $380.40 $ $95.10 $ $95.10 $ $190.20 $ $190.20 $ Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/Limited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5.30 for each additional)$95.10 $ First 1300 Square Feet $190.20 $ Each Additional 500 square feet``$47.55 $ Each Outbuilding / Detached Garage $95.10 $ Each Swimming Pool / Hot Tub $190.20 $ TOTAL $ 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. 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, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□Owner □Electrical Contractor / Administrator) Pe r m i t # : New Construction Only [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/19/25 25-1427 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 622 L St