HomeMy WebLinkAbout135 W 1st St - Building
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
'.
ELECTRICAL PERMIT
PERMIT NO. ,;27&5
6Izt./~
DATE
Site Address:
EADY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
D Residential
Heat KW
D Baseboard D Furnace/Boiler
D Heatpump D Other
D Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
D New Construction
D Remodel
D Service update/alter/repair
D Overhead
D Underground
Voltage
D 10' D 3.0'
Service size
o Temporary
'5(Add/alter circuits
b Auxiliary power
(list below)
D Special equipment
(list below)
Amps
Detai Is/Description:
.3
~~
.
W.S. No. Service Size
Capacity: D O.K. D Not OK Comments
D Ditch inspection O.K.
D Rough.in/cover O.K.
D O.K. to connect service
~ Final O.K.
Date
Hold for: D Easement D Letter
D Signed up for service/meter
D Meter Department notified for installation
D Fire Department notified of inspection
D Plan Review approved/pending
Installer:
/d
Permit/Receipt No.
.;2705
Site Address:
-----
o
New Meters
,
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electricaily 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.
T~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT tCQ.. '!!!--
Inspector tA~ount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
-
... \
OLYMPIC PRINTERS. INC.
Application Number . . . . . 25-00000817 Date 7/09/25
Application pin number . . . 417542
Property Address . . . . . . 135 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1527-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service change
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Jason Medgin JOHNSON ELECTRIC COMPANY
173 Token Lane 3129 S REGENT ST
SEQUIM WA 98382 PORT ANGELES WA 98362
(289) 986-0364 (360) 477-4594
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 265.75 Plan Check Fee . . .00
Issue Date . . . . 7/09/25 Valuation . . . . 0
Expiration Date . . 1/05/26
Qty Unit Charge Per Extension
1.00 265.7500 ECH EL-COM 201-400 SRV FEEDER 265.75
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 265.75 265.75 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 265.75 265.75 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public 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)
$237.75 $
$237.75 $
$332.85 $
$427.95 $
$523.05 $
$5.60 $
$95.10 $
$47.55 $
$95.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$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
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ 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
#
:
[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
8/12/25 25-817 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
135 W 1st St
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
9/5/25 25-817
TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
135 W 1st St