HomeMy WebLinkAbout915 E 5th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457.0411
ELECTRICAL PERMIT
PERMIT NO.
DATE Mo\!.
532-1-
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,
Site Address:
~Jti
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Fi -rH 5..
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o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
7-0"B4-
Phone:
Installed By:
W t(.,U PM
Owner/Business:
'5 ft-M.b
Owner/Business Addre5~G
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
..J8-..NEW CONSTRUCTION
o REMODEL
'ji( ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: I zo 124-'0
;11'(1111 D3121
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
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IN 6A-e1'r6~ ~-DI tJ.b
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W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
1i9"'^'tfJ. Rough-in/cover O.K.
o O.K. to connect service
~~ Final O.K.
Site Address:
"/5 G. Iprrl 5.1":
Permit/Receipt No.
&3 z.4
Installer:
WfU-/4-H Ceo i<..
New Meters
-
Date:
/-(f-"} 5"'
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 30~ ~~
ElectricallnspeClor
WHITE ~ File by address
PINK - Top: Eng, Bottom, Customer
Permit Fee
I ....
GREEN - TW Mete' Dept.. Bottom, City HI .......
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OLYMPIC PRINTERS INC.
/2- "3?
. CITY OF PORT ANGELES
DEPARTMENT oF' LIGHT
APPLICATION AND ELECTRICAL PERMIT.
A
gzB
PERMIT NUMBER
.
,
FEE RECEIPT NUMBER
"
.
)ic:!l- - - f:'CCSS.
TOTAL FEE ~
CONT. Lie. NO. TIMETOCQMPLETE NO. STORIES LEGAL OCCUPANCY
- .. .
, -
Site Address
ELECTRICAL PERMIT ONLY
t .>7h
ESS 15 RESPONSIBILITY OF APPLICANT
r:~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~
PERMITS ~lT~ WRONG 1iSSES~ CANCELLED
Installation By <r(/ lL-
- "In-stallers Address
''i:LcJICL
Owner
Owner's Address
~/
--
-. Installers Phone
Wiring Method
.
.NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT" PER 100R FEE USE OFCIACUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN I
LIGHT 50VOl TS
OR LESS
CONVENIENCE r - MOTOR ..
, - -
CONVENIENCE 1M I '(J~ MOTOR
APPLIANCE Il-?,. "'/'~ MOTOR.
DISHWASHER ~ , FIRE ALARMS
-:.- :::,- .. - I. .. .
DISPOSAL /. I, /b"1 BURGLAR ALARM
RANGE /" rv 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 BREAKER :
A.C. UNIT PHASE
AMP ,
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
..
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
. .. - .
der this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
,19
By kT.
.
Date Permit Issued
. ?ONTRACTOR OR OWNER (OR A~THORIZED AGENT)
Permi~sion is hereby given to do the abpve des~ri.bed. work, accprding to the conditions hereon and according to the appr,oved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .... I .
. . - . . IREC OR F ,.rv LIGHT. ,., . ,
IVr/f6 .
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 and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext:158. ..
WARNING I
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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Application Number . . . . . 22-00000791 Date 6/30/22
Application pin number . . . 805137
Property Address . . . . . . 915 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7665-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
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Owner Contractor
------------------------ ------------------------
IAN AND MIRA NELSON BLACK DIAMOND ELECTRICAL CONTR
915 E 5TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983624112 PORT ANGELES WA 98363
(425) 213-4181 (360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 6/30/22 Valuation . . . . 0
Expiration Date . . 12/27/22
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:--------------------------------------â–¡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
PREPARED 6/27/22, 8:36:09 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:22-00000791 915 E 5TH ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
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
11/20/2023 22-791
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
915 E 5th St