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Home My WebLink About721 W 4th St - Building . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. ~t:, 0 :3 7 //.~ A-~ DATE Site Address: /52/ W.- G/~ w;/~ D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT D. BASEBOARD KW ----rr;- ~FURNACE KW ~ ~ HEAT PUMP KW ~ D FAN/WALL KW _ j2l:' RESIDENTIAL D COMMERCIAL D NEW CONSTRUCTION D REMODEL '@ ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D TEMPORARY SERVICE D RISER ~ OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: (W/~y'O ~1 rjJ D 3 rjJ SERVICE SIZE a!3C' FEEDER SIZE AMPS AMPS DetailslDescription: ii'!AA-IM . ati o--C~ d~~;tw.. ~~ . WS. No. SERVICE SIZE CAPACITY: D O.K. D NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. D O.K. to connect service D Final OK Installer: 7~1 U (j)r /I( 21lt:___ Permit/Receipt No. -S00 "3 Site Address: New Meters . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. I ~ NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT ? . $ ,..;> 0 EI clncallnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS INC FEE RECEIPT .. CITY OF PORT ANGELES DEPARTMENT OF LIGHT . APPLICATION AND ELECTRICAL PERMIT 000009 CJ?O A PERMIT NUMBER . .TOTAL FEE .G2.~ , ~ h /I/~ TIMETOCOMPLETE :2 NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 7.< / l-Vsi t./1J, CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED . Owner. W... \~V\ ~~f\ Installation By 4I1Ade.~ B/eQ..Tr-tc-- Owner's Address ;;;, /. T J.jfil Installers Address .J ,-5~.f--/ r;;::~r /:S; Day Phone '-1/5 7 - I../:;J... 7 fr Installers Phone4K::J. -7',';2(;' if Appli~a.tion is hereby rT!ad~for Permit to ir:'stall Electr!cal Equipment as follows: 7' ''''It'Lr.p,~~~ S'e/"v 'r"~_ C;-.,~, / be);:IT :h. -:::2M Site Address r-1 .-...<? f Wiring Method .' NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT . PER 100R FEE USE OF CIRCUIT .. PER 100R FEE' CIRCUITS CIR 10 30 ylRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE '0 .. MOTOR - CONVENIENCE MOTOR APPLIANCE .. MOTOR DISHWASHER .. . FIRE ALARMS -. DISPOSAL BURGLAR ALARM .. .. RANGE MISC. - OVEN .- h WATER HEATER 1,1 A - - 'i .AJ' ~v LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # ,/i,l/v/ A FURNACE . - SUB TOTAL FEE . r-. . f1 .:; ^ V / .Am . GAS: OIL frJ V / FURNACE ENERGY FEE ---- ELECTRIC' - ILf / BASIC FEE "-- -ou ELECTRIC HEAT ... - 0 . TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT ;:}61D AMP /q> PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE 7"/6 -41 A.W.G. d I SUB-TOTAL . -- y SIZE OF GROUND SIZE OF ENTRANCE SWITCH ~ , ~ I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. :lh/H ,19 By '~~, .1 . t , CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. o . DIRECTOR OF CITY LIGHT ~ZA~~~~~~~ Date Application made e-< Date Permit Issued Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current tUfned on before inspf;!ction and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.0411 Ex!. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD _ Inspector's Report nl V""PI!: Pl=lINTJ:l=I~ IN!: "_' " . I ' ! ,: L~ '.; REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS 7/9V ,} /:- /~/ YM ~-, ,--/ """ ~ yJ G/ ~'" 1/>h1A -r---o----J I. .{ ;/'. (J/J. ,,; ,~,,~: _/c:Jt1 Izf--~ /. ..dktA . . 0 jI p" .- , .. ; - , . - , -- . - - - - - - - - - - . , .. - .. - . . . . - - .. . , . '. '. , . . - _. ... . -. - , , .. . - . O.K. FOR COVERING . "'. '7;/1,/flC(. /; / /':...-1~ 1/ (I'p- O.K. TO CONNECT SERVICE YJ!(?'-~/lE 11 f"-e3 .f.. \.~ , - , ' , FINAL O.K: C .. 0 .' . " . -- .. z Cl II: cl: ::!! !!! :t I- Z W l- . I- o Z o C .;-. Application Number . . . . . 25-00001080 Date 8/28/25 Application pin number . . . 900960 Property Address . . . . . . 721 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-9845-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BROWN GEORGIA BLACK DIAMOND ELECTRICAL CONTR 721 W 4TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983632245 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 190.20 Plan Check Fee . . .00 Issue Date . . . . 8/28/25 Valuation . . . . 0 Expiration Date . . 2/24/26 Qty Unit Charge Per Extension 1.00 190.2000 ECH EL-0-200 SRV FEEDER 190.20 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 190.20 190.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 190.20 190.20 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Single-Family Residential □ Duplex / ARU 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) $190.20 $ $190.20 $ $285.30 $ $380.40 $ $475.50 $ $5.30 $ $95.10 $ $47.55 $ $95.10 $ $95.10 $ $190.20 $ $285.30 $ $380.40 $ $95.10 $ $95.10 $ $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 Signal Circuit/Limited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5.30 for each additional)$95.10 $ First 1300 Square Feet $190.20 $ Each Additional 500 square feet``$47.55 $ Each Outbuilding / Detached Garage $95.10 $ Each Swimming Pool / Hot Tub $190.20 $ 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 # : New Construction Only [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 8/28/25 25-1080 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 721 W 4th St