HomeMy WebLinkAbout514 E 3rd St - Building
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FEE RECEIPT NUMBEA
CITY OF' PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE 5ZC " ,
CONT. Lie. NO. TIMETQCOMPlETE NO. STORIES LEGAL OCCUPANCY
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Site Address
~ . ,PERMITS WITH ~RONG .ADDRESS~ ARE CANCELLED r-/ __,
Owner \ I ""- Installation By m ( / '" "-'/v A /V '.> /.:. / ec /' /(' ((
Owner's Address Installers Address 2.:3 S- (...../ ? T.<)
Day Phone In~tallers Phone 7"-S-? ~0 F?C}
Application IS hereby m~defor Permit to Install El~ctrlcal_Equipment as!ollows: ~ r,.e ~ r~..... ,..; .s't: C'c ;4->./1/1..... ~
!Jf,vJ S'U.U/( r. Uo ~ / {)J/I/..f F'fls-h~, (-hLvl..-fvll.c...
/ Wiring Method ;? X
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
.
NUMBER . AMP -120V 240V NUMBER AMP 120V 24QV
USE OF CIRCUIT' PER 10QR FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS -
OR LESS
CONVENIENCE . MOTOR
CONVENIENCE _., MOTOR
APPLIANCE , MOTOR - -
DI:?.HW~SHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
-
OVEN
WATER HEATER
, -
LAUNDRY
DRYER ' . REINSTALLATION LIGHT FIXTURE # - .
FURNACE SlJ.S TOTAL FEE -
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT .,;'2. 2..0 ..s ;,f'IA- ~
TOTAL FEE'
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
..
A.C. UNIT ,"::?{3rJ AMP. / PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE .-y~ "7~ //" A.W.G.
I SUB-TOTAL SIZE OF GROUND '.:r;z.-Lt'"SIZE OF ENTRANCE SWITCH
.
I cert.ifY that .the.~ork to ~erformed ~nder this permit will be done by t~e installer and ~ance with the N.~.C. Electrical Code.
Date Application made 0 v/Y /0 ,19 9'<::' By '-Z:7~~~
. -. . I . - CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is.tlereby given to do the above described work, according to the conditions hereon ~nd ,ac<;ording to the,approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances 0 t City of Port Angeles:- '. " , ' .
1 / ,~ . - , 'JCT, OF .;,r ,..
Date Permit Issued 7/ / (/ 'f? : _, ' ~CANS _ PRO 0' ' , .'
Notify Department of City Light by Street Address and Permit Number when ready for Inspection Work must not
be covered or current turned on before inspection andO.K. for covering or service has been.given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. OrIginal CANARY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
REPORT OF INSPECTOR
DATEOFV1sn MADE BY REMARKS
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1 i IIJ rn J\1vY O.K. 'FOR COVER\NG
-1 ' ;1 all I ~I Y O.K. TO CONNECT SERVICE , '
-, FINAL O.K. AJo (I)-II ,*,'~ r~ 7/2-1/31 JJl;r
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INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL,
COMMENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
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REPORT STATE SALES TAX
on your excise tax form -
to the City of Port Angeles
(Location Code 0502)
ELECTRICAL PERMIT
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CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
18-00000610 Date 4/24/18
Application pin number . . .
535280
Property Address . . . . . .
514 E 3RD ST
ASSESSOR PARCEL NUMBER:
06 -30 -00 -5 -2 -6520 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
- 0
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Application desc
Ductless heat pump
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Owner
Contractor
------------------------
RANDALL B AND DEANA M VOLKER
------------------------
BLACK DIAMOND ELECTRICAL CONTR
PO Box 133
502 BLACK DIAMOND RD
PORT ANGELES WA 98362
PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00
Plan Check Fee .00
Issue Date . . . . 4/24/18
Valuation . . . . 0
Expiration Date . . 10/21/18
Qty Unit Charge Per
Extension
1.00 63.0000 ECH EL -R-
BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged
----------------- ----------
Paid Credited Due
-------------------- ----------
Permit Fee Total 63.00
63.00 .00 .00
Plan Check Total .00
.00 .00 .00
Grand Total 63.00
63.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL,
COMMENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
.�•
u
r
REPORT STATE SALES TAX
on your excise tax form -
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:-
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Date:
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INSPECTOR:-
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Date:
1 - 2 SINGLE-FAMILY -
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362`'
360.417.4735 www.cityofpa.us , electrical perm its�;cityofpa.us`
Project Address:
Project Description: ,I ' C. -(-Lr.- 1J
'Single -Family Residential El Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: <<-.S o Email:
Mailing Address: 5-H E
Name: VD tz
Mailing Address: 5-02-
Email:
O2Email:
Ljusct- n q,Mprv-^
Phone: .3A V - 9iZ - 27Y$
License:
Expiration Date:
Phone:
Item
Unit Charae Quantily
Total (Quantity x Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp.
$205.00
$
Service/Feeder 601-1000 Amp.
$262.00
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$5.00
$
Branch Circuit W/O Service Feeder
$63.00
$
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00
$
Temp. Service/Feeder 200 Amp.
$93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp.
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal Circuit/Limited Energy - 1&2 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
$
First 1300 Square Feet
$120.00
$
Each Additional 500 square feet'
$40.00
$
Each Outbuilding / Detached Garage
$74.00
$
Each Swimming Pool / Hot Tub
$110.00
$--it—�--
TOTAL
$ 4 ( "
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 h electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The of Port Angeles Municipal Code, and Utility S ns and PAMC 14.05.050 regarding Electrical Permit Applications.
�Ciity
y -Z 1417
Date Print Name
`J/Signature (V Owner F-1
Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]