HomeMy WebLinkAbout940 W 5th St - Building
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMITJL ~ ~ ~;;;
DATEc, ~ ~
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-----
ELECTRICAL PERMIT
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Site Address:
Installed By:
.f'/
READY FOR
INSPECTION
License Number:
i/V('~NI:-17IC T
o WI LL CALL FOR
INSPECTION
Phone'
~O,9rJ
,
I;y-..
Owner/Business Address:
o Residentit u 1
Heat KW . (nS- "W
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercialllndustrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
p(Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage :;:Z<;/ <J
jl(10 030
Service size .;;;L 00
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
DetailslDescription:
,,-----',
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o D~h inspection O.K.
J.--' !d'1'lough-in/cover O.K.
~. . to connect service
Final O.K.
~.
Size
Comments
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
Installer:
yo
r---.
~
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.
7"Y / df" NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~(). tJ c:J
t Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN _ Top: Inspector, Bottom: City Hall
OlYMP1C P~INTI;~S. lNC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15669
Port Angeles, washlngton.........c:.!..____it.?....___....___.__________.._.._____. IJ:':-6
In accordance with the City Ordinance to regulate the installation. 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 elec1l work as listed below.
Address ..h__'l.:l9___=-.~-.h--,r'J.d~-----...n.h--.hhhn.hm-- Occupancy....:~..--.--n._------...---.
~:~=~~.~~~:::~~tt:::!:~::~::.m~~:~~~;::::::::::::::.:.....~::::::::::=::::=::::::::::=:::::::::::::::::::::
Light Outlet.......................................... Service, volts ../.:1...9,/..:./...'1.:..0........ Type 01 Wiring:
Receptacle Outlets............................... No. wire. ...~7.z.............'''... Armored Cable ..............................
Dryer, KW mm..Un...__m...................... Size wlresmjL/....C2..(J!;'!::.._" Non-Metallic .........m_....................
/ ~ /t Knob & Tube.........n_...................._
Range, KW _....__...nu.............._u... Main fuse.~ ":7.-'...""..
5
Enclosure ..nn..nn_...n............n.......
Water Heater:
Rigid Conduit ...............................
Metallic TubIng ...........................
Heat~:~:::::.P.::jJ7J:::::::::.::
Type of wiring:
Entrance Cable nnonm.on.....on.......
Motors: size, volts and phase:
Rigid Coudult ...............................
Metallfc TUbing mm
Raceway ...............................__..._
Circuits, Light.................m...................
Utility.............................................
Heat ._....................................._..__
Ser. No...............................................
Range ..............................___............
Water Heater .................n...n.......
Motor ._...h......................................
Current transformers:
No. & Size.........mhm....mn__.
Ser. No. nn_nn....n.....n..............n....._.
Dryer .............__...........nn.................._
Furnace n...........__...........~...................
Ser. NO.n.nn.n.....n..._nn....n......nn....
Remark:~ta:__=:~~~=~~:==~~~.hn---hhh,S::"=~.......o/......~.Z~~__==__~~:.~:__~....:__~::~__:.::.~:::.:::~::~:.
By ----)f~Jdcdl~~~,~~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
Permit Fee
Treas. Receipt
$.....__...............................
No....._____......___.___.....
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
~:J //
rr /l.Lf-V..-.:...-,.._J2
ELECTRICAL PERMIT
1.0 Cu- sfl
:-:~~~!~~~~~~~:~~~~==-==
q/
.I Ij C<..-r--
N?
15669
""NOTICE-Current must not. be turned on until Certiticate of Inspection has been issued. It work is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
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".
nl...,..,..,..,I... Prlnter~~ Inc.
Application Number . . . . . 23-00000545 Date 6/13/23
Application pin number . . . 714075
Property Address . . . . . . 940 W 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0740-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
COSMIN M AND JENEVIEVE M IUGA BLACK DIAMOND ELECTRICAL CONTR
940 WEST 5TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 6/13/23 Valuation . . . . 0
Expiration Date . . 12/10/23
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 5/24/23, 7:50:42 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000545 940 W 5TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
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 23-545
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
940 W 5th St