HomeMy WebLinkAbout1111 E 3rd St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15009
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Port Angeles, WashingtoIL.__.,,;}__._____.__'-:__.!___m__m_m_________mm_m, 19:______.
In accordance with the City Ordinance to regulate the instailation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
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Wiring Contractor _._(~_~""__=__!.i__~-,~L~-L"--;::.--::-m---------.----m By_______________________________.__m._____________________._____.____
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Light Outlets....__________.___...._...______.........
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Service, volts m_:m..~mJ.......:.........:.....
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No. wires .._nn.n_nn_.n_.n_n___nn_...n
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Size Wires.__"t/!.2...:._~n.mmmmm
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Main fuse hnh~~0_:':.mJ_nmmh'
Receptacle Outlets..m_n.n....mn__n.......
Dryer, K\V1___....._n_nn.....______n_nn__.__
Range, KW n...___n_____n___
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Enclosure ......_mmnm_..m.mn_mnm
Type of wiring:
Entrance Cable .....___n....m__mm..n
Water Heater:
KW.--.--.................T}..--.... ............
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Ileat: RW.n.__nnn__n.n....nn.......__..____n__.....
Rigid Conduit .....m....._............___..
Metallic Tubing mnnhm___mnmnn
Current transformers;
No. & Size__n_.__.n__nnn..nnn.nn.......
Motors: size. volts and phase:
Ser. NO...nn_'h._.__...._n_n_.._._.._.nnn____
Ser. NO..._______.._.._n....._................_......
Ser. No........______..________.___._._____..._._.____
Total Load........m____.m_mn__..
Ser. N O..n_n..._..n._.n_...__n_n..._.___nn__._
Type of Wiring;
Armored Cable nmm_mh..nnn..mn.
Non.MetaIlic n__mm.__m.nmn_mm._
Knob & Tube.
Rigid Conduit ______.______...............___
Metallic Tubing mnm__n.._...nnmn
Raceway _.mmmm.._.....n...m..m_..._.
Circuits, LighL______m_.____......_....__.._____...
Utility ...___...___...................____....__....
Heat
Range n.............nn.....nnn...............
Water Heater ....n........___mmm.....
Motor n___n.....__.........___.________.........
Dryer........__...._______________..................._
Furna.ce _.n_nnn._n_.........'_m...
Total ................__n._._.__.._h.......
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Remarks: _.~._:_~___..':.~.u:__n.::u_::.-~___~-::.:________u_____nn__-!_______..;.__d.:!:."-:_~__.___:..'I.+-~~A_.:::'_u::___::~~_..__.n.n__~______________.___U~uu__nn.
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Permit Fee
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Treas. Receipt
NOh__________________________
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By __..__:_..:___._~~.!..___.______~~____~~_._~_~:-.::_._:_!:._.L;;.d_______.
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due noUce must be given the Inspector so that work may he inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
N?
15009
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Date called for i.nis~eciio~;---~~......m.;.:----~.-;..m.nhmm...-..........nn.--...--..............m...........n.m..nm.m........:h_mm.n__~_mn:..m__m::.___..mn..m_....
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PrelimInary Inspect on, dates......._............_.,_........_...~....................~...................__.._......_....___.,___................__.....__.___________........._................__
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Inspectioncompleted____.._.........j"...__.........._.._.....__..._.___.___..__..........._............................__....___._..__._................_...._....................._......._......._.
Total Load nnh..n......nn__nn_.....____n___...nn__nnn_n..n...hnn.n._...._......_ ....
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ELEC' 'fdbAL PERMIT 1
CITY OF P6kT ANGELES _L
360-417-4735
Application Number . . . . . 18-00000144 Date 2/02/18
Application pin number . . 747872
Property Address 1111E 3RD sT REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0435-0000-
Application type description ELECTRICAL ONLY On your excise tax fwn
subdivision Name to the City Of Port Angeles
Property Use . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
-- -- - -------------------------------------------------------------
Application desc
Ductless heat pump
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Owner Contractor
HILL KENNETH/CYND'I L BLACK DIAMOND ELECTRICAL CONTR _
1111 E 3RD ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983624401 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date 2/02/18 valuation . . . . 0
Expiration Date 8/01/18
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 1
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Fee summary Charged Paid Credited Due
---------------- ---------- ---------- ---------- ----------
Permit Pee Total 63.00 63.00 .00 .00 f
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE:, RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CC :
PERMrr WILL EXPUtE SIX(6)MONTHS FROM LAST INSPEMON
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
3Z8 East Fifth Street—P.O.Box 8850/Port Angeles Washington,98362
Ph:(360)4174735 Fms: (3A60)487-4788
*,
Date: I &2 Single Family Dwelling
°Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Building Square Footage:
Description of above -Do C_i�:Wj
Owner Information Contractor Information
Mailing Address: Mailing Address:
City: State:—Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charne 9!Y Total(Qty Multiplied by Unit Charae)
Service/Feeder 2OOAmp. $120.00 $______--_
Service/Feeder 2O14OOAmp. $14&00 ----__ $_____--_
Service/Feeder 401-600Amp $205.00 $ _____
Service/Feeder 0O1'100Amp. $262.00 s_—__-----
8emkmlFeedor over 100Amp, $373-00 $ ____--__
Branch Circuit w0 Service Feeder $ 5.00
Branch Circuit W/O Service Feeder * 63,00
Each Additional Branch Circuit $ 5.00
Branch Circuits 14 $ 75.00 $_�_______
Temp,Service/Feeder 200Amp, $ 93.00 $_—___---'
Temp.Service/Feeder 2O14O Amp. $110.00 $
Temp.Service/Feeder 401-600Amp. $149.00
Temp.Service/Feeder 8O1'100Amp. $168.00
Portal to Portal Hoody $ 96.00
Signal O Limited E 1&2 Family Dwelling $ 64.00 $_______
Manufactured Home Connection $120,00
Renewable Electrical Energy 5KVA System orLess $1O28O %__-------
Thonmostat $ 56.00 $
Note:*5.O0 for each odditinna|T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. *12¢,00 $_—____--'
Each Additional 500 Square Ft.mPortion of $ 40M $ _____
Each Outbuilding m Detached Garage $ 74.00
Each Swimming Pool or Hot Tub %11OM
Twtal
Owner as defined by RCW.19.28.261:(1)Ownerwill occupythe structure fortwo years afterthis 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,|hereby certify that|om the owner nf the above named property oro licensed electrical contractor.Iommaking
the electrical installation m alteration in compliance with the electrical laws,N.E.C,RCW.Chapter 1028.WAC.Chapter 28648B.The City ofPort
Angeles Municipal Code,and Utility Specifications and PAMC14.O5.O50 regarding Electrical Permit Applications.
Signature o"er,electr7ical cpontor electrical administrator:
x Dated:
Application Number . . . . . 23-00000229 Date 3/13/23
Application pin number . . . 743793
Property Address . . . . . . 1111 E 3RD ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-4-0435-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Replace Knob & Tube
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Owner Contractor
------------------------ ------------------------
PEGGY A SIMMONS DISCOVERY BAY ELECTRIC, INC.
1111 E 3RD ST PO BOX 3531
PORT ANGELES WA 983624401 SEQUIM WA 98382
(360) 460-4206
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 3/13/23 Valuation . . . . 0
Expiration Date . . 9/09/23
Qty Unit Charge Per Extension
BASE FEE 75.00
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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
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (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 CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
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PREPARED 3/08/23, 7:33:27 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000229 1111 E 3RD ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
Please present reciept to the cashier with full payment
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
3/20/2023 23-229 TAP
OWNER
CONTRACTOR
Discovery Bay Electric
PROJECT ADDRESS
1111 E 3rd 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
6/28/2023 23-229 TAP
OWNER
CONTRACTOR
Discovery Bay Electric
PROJECT ADDRESS
1111 E 3rd St