HomeMy WebLinkAbout212 W 2ND ST A - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000648 Date 5/01/18
Application pin number . . . 279.888
Property Address . . . . . . 212 W 2ND ST A
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -5205 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner Contractor
------------------------ ------------------------
STEPHEN AND MARY HAKE EXTRA MILE TECH & ELECT., LLC
10662 LORA ST 418 N. RACE ST.
TEMPLE CITY CA 9.1780 PORT ANGELES WA 98362
(626) 443-0578 (360) 451-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional-desc .
Permit Fee . . . . 6$.00 Plan Check Fee .00
Issue Date . . . . 5/01/18 Valuation . . . . 0
Expiration Date . 10128/18
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECfi ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL -R- BRX2siCH CIR WO/ SER FEED 63.00
------------------------------------- - ZR -------------
Fee summary Charged Paid- Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 66.00 68.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
'5* boo jw�
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST- INSPECTION
Signature of owner or Electrical Cont° X
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 8502)
I
,;
INSPECTOR:
Date:
J
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATIOI*'¢
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 48362'"`
360.417.4735 I www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: a (�- s'J -e-c �- � __J I A a,•, '� / '
Description:
7tingle-Farnily
w; 1-1 c 2,'c n , , w� � 1F
Residential 0 Duplex/ARU Buiding Square footage:
6 rr �Pi
Name: _CW# * ANt_9 -r-Pc_t+ 4.
E1,tA_rnAc_j0
License: L�5CttA-Peir'77SR4
Malling Address: 7 0. 3 cW 3 t 24'
?4- 4 P S 6 z-
Expiration Date: 12 - 2 6 -sat q
Email: _`,c -'+ ,/r ri�Oac.NET
to -t -t23�
Phare: 3�{6
PROJECT DETAILS
lkm
Shit Champ, Qyapditir
IgW (Quantity x Unit Emerge)
Servroa<Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-6W Amp
$205.00
$
Swvice/Feader 601-1000 Amp.
$162.00
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$5.00
$
Branch Circuit W/O Service Feeder
$63.00 �_
$ (0 `le
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00
$
Temp. SeMca/Feeder 200 ArM.
$93.00
$
Term. mer 201-400 Amp.
$110.00
$
Term. Service/Feeder401-WOAmp.
$149.OD
$
Temp. Semice/Feeder601-1000Amp.
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal Circuit/Limited Energy -182 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
Fast 1300 Square Feet
$120.00
$
Each Addlional 500 square tW
$40.00
$
Each ung / Detached Garage
$74.00
$
Each Swarming Pool 1 Hot Tub
$110.00
$
TOTAL
$
Owner as defined by RCW.1928261: (1) Owner will occupy the structure for taro years afGerthis 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 sur 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 melting the electrical instelliation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of PortAngetes Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date / Print Name Signature (❑ Owner [y Electrical Contractor /Administrator)
(Electrical Permit Applications may be submitted to City Hal or elecb icalperm(ts@atyofpa_us or faxed to 360.417.4711]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
364417-4735
Application Number . . . . .
16-00001657 Date 11/04/16
Application pin number . . .
956851
Property Address . . .
212 W 2ND ST A
ASSESSOR PARCEL NUMBER:
06 -30700 -0 -0 -5205 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . , . . . .
RESIDENTIAL HIGH DENSITY
Application valuation . . . .
0
----------------------------------------------------------------------------
Application desc
Service and remodel
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Owner
Contractor
------------------------
STEPHEN AND MARY HAKE
------------------------
SHAMP ELECTRICAL CONTRACTING
10662 LORA ST
PO BOX 383
TEMPLE CITY CA 91780
PORT ANGELES
WA 98362
(626) 443-0578
(360) 452-1689
- -----------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 180.00
Plan Check Fee
.00
Issue Date . . . . 11/04/16
valuation . . .
. 0
Expiration Date 5/03/17
Qty Unit Charge Per
Extension
12.00 5.0000 ECH '-EL-BRANCH CIRCUIT W/FEEDER
60.00
1.00 120.0000 ECH EL -0-200
------------------------------------------------
SRV FEEDER
120.00
Fee summary Charged
-----------------
---------------
Paid Credited
---------
Due
----------
Permit Fee Total 180.00
------------------------------
.180.00 .00
.00
Plan Check Total .00
.00 .00
.00
Grand Total 180.00
180.00 .00
.00
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 4502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH {
SERVICE
ROUGH -IN f
FINAL
COMMENTS:
PERMIT WILL MIRE SIX (6) MONTHS FROM FAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G \EXCRANGMUIL DING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001657 Date 11/04/16
Application pin number . . . 956851
Property Address . . . 212 W 2ND ST A
ASSESSOR PARCEL NUMBER: 06 -30 -00 -070 -5205 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
-- -- ------------------------------------------------------
Application desc
Service and remodel
----------------------------------------------------------------------------
Owner
Contractor
STEPHEN AND MARY HARE
SHAMP ELECTRICAL CONTRACTING
10662 LORA ST
PO BOX 383
TEMPLE CITY
CA 91780
PORT ANGELES
WA 98362
(626) 443-0578
(360) 452-1689
Permit . . . . . .
- - ---------------------------------
ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . .
180.00
Plan Check Fee
.00 .
Issue Date . . . .
11/04/16
Valuation . . .
. 0
Expiration Date .
5/03/17
Oty Unit Charge
Per
Extension
12.00 5.0000
ECH '-EL-BRANCH CIRCUIT W/FEEDER
60.00
1.00 120.0000
ECH EL -0-200 SRV FEEDER
120.00
Fee summary Charged
--- ----- ---------------------------
Paid Credited
Due
Permit Fee Total
-----
180.00
----- --------- ----------
180.00 .00
.00
Plan Check Total
.00
1 .00 .00
.00
Grand Total
180.00
180.00 .00
.00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
CKl1u#i� :all
DATE. RESULTS:
PERMrr WILL EXPIRE SIX (6) MONiH3 FROM LAST INSPEMON
Signature of owner or Electrical Contractor X
G: tEXCHANGE\SUILDING
4s. a
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
1 ,
Date:
41ol
�e
CITY OF PORT ANGELES PERMIT APPLICATION -�
Building Division/Electrical Inspections IL
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711 , IIW-"/
Date: f il & 2 Single Family Dwelling
Ownero ion
�N�eryne:
IYIOfl���re�. �•
City: tate: zip: Liy z* ..L
Phone:
X&P..
l.iren." # 1
Kiri V�'�
Service/Feeder 200 Ani.
Unit Chime
$120.00
Service/Feeder 201400 Amp.
$146.00
Service/Feeder 401.600 Amp
$ 205.00
Service/Feeder 601-1000 Arra.
$ 262.00
Service/Feeder over 1000 Amp.
$ 373.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
S 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1.4
$ 75.00
Temp. Service/ Feeder 200 Amp.
$ 93.06
Temp. Service/Feeder 201.400 Amp.
$110.00
Temp. Service/Feeder 401-800 Amp.
$149.00
Temp. Service/Feeder 601-1000 Amp .
$168.00
Portal to Portal Hourly
$ 96.00
Signal CirariU Limited Energy -1 & 2 Family Dwelling
$ 64.00
MwJactured dome Conned
$120.00
Renewable Electrical Energy - 5KVA system or Less $102.00
QIY ,��TQ�! f M ld li r Unft Chanel
s
$
$
$
$
$
$
$
$
$
$
$
$
Thermostat $ 56.00 $
Now $5.00 for each additional T-Stat
8 Ifl_q*8TRlJCTl0N ONLY:
First 1300 Square Ft, $120,0 $
Each Additional 500 Square R. or Portion of $ 40.00 $
Each Cnuttxrilding a DelGage $ 74.00 $
Eadsch Swimd or ft ming PoNot T Tub S 110.00 $
$W
Owner as defiled by RCW.19.28,261: (1) Owner will occupy the structure for two years after this electrical wr • s finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six moms of last inspection.
After reading the above statement, I hereby certify that I am the owner of the agave named property or a licensed elecftai contractor. I am malting
the electrical installation or afteration 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.
Signature of owner, electrical contractor or electrical administrator: ❑ can ❑ Cusco
(� �
X 7�t"' 00d: 1 i f C t JC7 00101
Electrical Information Form
Please complete and return to Public Works 8 Utilities Department
Public works & Utilities Department (360) 417-4700
City Electrical inspector (360) 417.4735
i` [� t
Project Address; �� . \��y1 1 �i 1 i ri"
Owner:
Street Address
City l State l zip: 11
Phone Number: r C. ( "7 all Phone:
Company Name:
Contact Name:� ('
Plane Number: "" L4 R4 Cell Phone. -
for
0 Existing ONew
0 Single-family residence ❑ Mufti -family residence; # of units
0 Commercial ❑ Subdivision
0 Overhead service 0 General service
0 Underground service 0 Other:
I-roject Information
Detailed description of N Z> Mw,� <aW,kL
work: (Oirsi to Gas
Conversion, Gas to
Electric, New Neat Pump,
Oft.)
Main Disconnect Size Select Voltage: 0120/240 1 ph
[j120/208 3ph 0277/480 3ph
Amps.0120/240 3ph
0480 3W 3ph
Check all that apply: U Standard residential loads (Lighting, refrigerator, dishwasher, washer)
❑ A/C (_ ton) 0 Range/Oven
U Hot Tub
❑ Clothes Dryer ❑ Heating
0 Pumps (_____Hp)
❑ Water Heater ❑ Elevator (Hp)
0 Other
Load Increase (kW)
Load Decrease (kW)
Please provide a copy of the following:
*Detailed plot plan (.dwg or .dxf format mandatory for subdivisions).
*Electrical one4ine drawing showing the service entrance panel and location.
*Connected load data.
*Size and locked rotor amps of all motors over 50hp.
Applicant's Signature: Date:
MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362
FAX TO: 360-417-4711
WS
WF
New, Information Form per Trent i, J�;4 .:j