HomeMy WebLinkAbout1014 1/2 W 4th St - Building
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TOTAL FEE
Site Address
Owner {l L I f-F
Owner's Address
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
779
PERMIT NUMBER
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CO NT. Lie. NO.
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T!ME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PERMITS WITH WRONG ADDRESSES ~E CANCE~~E~
Installation By __EJJ[KGrt'iffV
Installers Address
(( h7'1l IL-
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
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Wiring Method
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
120V
10
240V
100A
30
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE .
DISHWASHER
DISPOSAL
. RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS - OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
I certify that the work to be performed under A permif will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made 9';/0 f; ,19 By I'!IU
I / CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the-conditions he'reon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of t e City of Port Angeles.
01 ~OF I . LIGHT
.
Date Permit Issued
WARNING
OLYMPIC PRINTERS. INC.
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FEE
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
FEE
24QV
100R
30
120V
10
SIGN
50 VOLTS
OR lESS
MOTOR
MOTOR
MOTOR
REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONOUCTORS
PHASE
AW.G.
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
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 inspecHon and O.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 -
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD -Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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/598
~EE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTME'NT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
&14
PERMIT NUMBER
.
TOTAL FEE S'Zo/- !fFs
CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
vJ <t-T1--
ESPONSIBllITY OF ~PPllCANT
PERMITS WITH WRO~ESSES ARE CANCELLED
Installation By 'il-c, tU,J fele 7'rr-1 L
Installers Address
Owner
Owner's Address
Installers Phone
hereby made for Permit to install Electrical Equipment as follows:
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"Stfi' 1// C[ f/~ ~ '?.. 70 A I"-/J Wiring Method
/
NUMBER AMP 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 120V 100R FEE USE OF CIRCUIT PEA , 00R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR lESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BAEAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
I SUB-TOTAL 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.
By xtlf r !cf.-
,
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 f t e City of Port Angeles.
EC R O~
Date Application made
,19
1(?/f?
.
Date Permit Issued
WARNING
Notify Department of City Light by Street Address and Permit f'!umber when ready for inspection. Work must not
be covered or current turned on before inspection and O.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 _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
01 YMPIC PRINTERS.INC
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REPORT OF INSP.-ECTOR
, .
DATE OF VISIT MADE BY REMARKS
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S'iJl..U LL"-
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\ ' (. " \U :' ~ O.K. TO CONNECT SERVICE
6 .19, '11 ~ rJ;r- FINAL. O.K. IU/nt &LIL'iL 770/VJ
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BUILDING DIVISION
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CITY OF PORT ANGELES
* *
Correction Notice
Job Located at / If) If1'1..-- 1).1 1'J1...
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call
~r inspection.C ..} (d ,J S1f'ntt/j /II un fM- J 'i..
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Date · ,.
Inspector for Building Division
DO NOT REMOVE THIS TAG
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Application Number . . . . . 23-00000766 Date 7/24/23
Application pin number . . . 539596
Property Address . . . . . . 1014 1/2 W 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0907-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Remodel
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Owner Contractor
------------------------ ------------------------
BRIAN AND TRINA JACKSON A1 ROCKHOLD ELECTRIC INC
121 KOEPPE DR 123 WADSWORTH DR
SEQUIM WA 98382 SEQUIM WA 98382
(360) 797-8067 (360) 775-2126
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 105.00 Plan Check Fee . . .00
Issue Date . . . . 7/24/23 Valuation . . . . 0
Expiration Date . . 1/20/24
Qty Unit Charge Per Extension
BASE FEE 75.00
6.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 30.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105.00 105.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 105.00 105.00 .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]
'"'CJ CD
1014 1/2 w 4th St
PREPARED 7/20/23, 7:35:59 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000766 1014 1/2 W 4TH ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 105.00
TOTAL DUE 105.00
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
8/2/2023 23-766 TAP
OWNER
CONTRACTOR
A1 Rockhold Electric
PROJECT ADDRESS
1014 ½ W 4th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Floor heat system cover.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
9/6/2023 23-766 TAP
OWNER
CONTRACTOR
A1 Rockhold Electric
PROJECT ADDRESS
1014 ½ W 4th 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
11/1/2023 23-766
TAP
OWNER
CONTRACTOR
A1 Rockhold
PROJECT ADDRESS
1014 ½ W 4th St