HomeMy WebLinkAbout1415 E 4th St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO. / & &3
DATE -, hz //?f?
""'-7 /
ELECTRICAL PERMIT
Site Address:
o READY FOR ;KWILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Installed By:
Owner/Business:
/J,
Phone:
Sq. Ft.
Owner/Business Address:
IX Residential c ('
Heat KW 'J.
rt Baseboard 0 Furnace/Boiler
b Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
~ New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground!. /"
Voltage /.:1IJ/.;l'flL.
Er)1~ 03.0
Service size .;Qef) Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai IslDescription:
t~.('1(}
~~ ~TM-
t;. 5'"'
W.S. No. Service
Capacity: 0 O.K. 0 Not OK
o Ditch inspection OK
rA Rough-in/cover O.K.
~ O.K. to connect service
~ Final OK
Date
Hold for: 0 Easement 0 Letter
Size
Comments
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address: E 14
~ ~, . 9'
Installer:
Permit/Receipt No.
/G!3
New Meters
o
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically 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 # JO d!:!7
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRINTERS. INC.
Installed By:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/'8';<'
oS //2 /~
/ /
.
ELECTRICAL PERMIT
DATE
Site Address:
~
D READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodei
o Service update/alter/repair
o Overhead
o Underground
Voltage
01003.0
Service size
~Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
DetailslDescription:
-c~
.
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
tROUgh-in/cover O.K.
'. O.K. to connect service
Final O.K.
~
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
8.
CU.
It,
PermitfReceipt No.
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically 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.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~'/ &<2.
j~ h~
Inspector mount pald
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
CITY OF PORT ANGELES PERMIT APPLICATION RECEIVEp,
Building jXvision /Electrical Inspections OCT
321 East Fifth Street -- P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax; (360) 417 -4711
Date: v* " I , )A _ 1 &2 Single Family Dwelling
* Plan Review May Be Required, Please Co late Electrical Plan Review Information Sheet
Jab Address: 6L;2�- 14 Qet*,M_ WA-
Building Square Fookage:
Description of above fM
Owner Information Contractor Information
Name: _... Ca-rOl i�Cw�rAte�1 Name: 'All _ V_VdX*, V VQ _
Mailin Address: ll ytv t MallingAddress: r?a [fear 93gC
City: Vo CL StMe: Zip: ��36� oil- 01 State: �_Zip: �a 'S 2_
Phone: ax: rnov&� Phone: 3. kR Fax: 3&b. 63. a 6R
License #! Exp., v.es�+t „_ license #1 Exp, C- -- Q
Item Unit Charge gty( Total Multiplied by Unit Charge
ServicelFeeder 200 Amp. $120.00 $
Service /Feeder 201.400 Amp. $146.00 $
ServicelFeader 401.600 Amp $ 205.00 $— --
Service /Feeder 601 -1 COD Amp. $ 262.00 $
ServloelFeederover 1000 Amp. $ 373.00
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 63.00
Each AdditionaE Branch Clrcuit $ 5.00 $
Branch Circuits 1.4 $ 75,00 $
Temp. service/ Feeder 200 Amp. $ 93.00 $
Temp. SoNcelFeeder201400 Amp- $ 110.00
Temp. Servlce/Feeder d01 -600 Amp, $149.00
Temp, Servlce/Feeder 601 -1000 Amp . $168,00 $
Portal to Portal Hourly $ 96,00 $.--�
Signal Circuit/ Limited Energy -1 & 2 Family Owel�ng $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy -5KVA System or Less $102,00 $
Thermostat $ 56.0D
Note: $5.00 for each additional 7-Stat ,
NEW CONSTRUCTION ONLY: S
First 130o square Ft. $120.00
Each Additiona# 500 Square Ft, or portion of $ 40.00
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00. $�
$ 1-3 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 oompliance with the electrical laws, N.E,C., RCW, Chapter 19.2B, WAC, Chapter 296468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications.
Signature of owner, electrtcal contractor or electrical administrator: ❑ ca3h ❑ Cheek
1 �crcah coed #
x oWd,
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , , , , . 14- 00001219 Date
10/08/14
Application pin number . . . 747533
RESUL'T'S;
INSPECTOR:
Property Address , . , , 1415
E 4TH ST
f
ASSESSOR PARCET, NVJMBER: 06-30-00-5-6-
0043 -000Q-
SERVICE
Application type description ELECTRICAL
ONLY
Subdivision Name . . . . . .
ROUGH -IN
Property Use . . . , , . . .
Property Zoning , , , . . , . RS7
RESDNTL SINGLE FAMILY
f 1
Application valuation . , , .
0
COMMENTS:
Application desc
RV Outlet
Owner
Contractor
CHARLES ,7 AND CAROL E HAMBY
KIRSCH ELECTRIC INC,
1415 E 4TH ST
P. O. BOX 3396
PORT ANGELES WA 983624707
SEQUIM
WA 98382
(360) 683 -6819 09 (0S
---------------
---------------------------------------------------------
permit . . . . ELECTRICAL ALTER
RESIDENTIAL
Additional desc . ,
Permit Fee 63.00
Plan Check Fee
00
Issue Date 10/08/14
Valuation
0
Expiration Date 4/06/15
Qty Unit Charge Per
Extension
1.00 63,0000 ECH EL-R-
BRANCH CIR WO/ SE'R 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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESUL'T'S;
INSPECTOR:
DITCH
f
SERVICE
ROUGH -IN
gyp,'
FINAL
f 1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGETUILDING
1
Application Number . . . . . 23-00001298 Date 12/19/23
Application pin number . . . 433176
Property Address . . . . . . 1415 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-6-0043-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
KRISTIN L YOUNG BLACK DIAMOND ELECTRICAL CONTR
1415 E 4TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(541) 350-1233 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 12/19/23 Valuation . . . . 0
Expiration Date . . 6/16/24
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
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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