HomeMy WebLinkAbout528 E 6th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ~O l?'"
DATE c" -/:)- '7' ~
ELECTRICAL PERMIT
~
Site Address:
Installed By:
o READY FOR
INSPECTION
License Number:
&WIll CAll FOR
/lNSPECTION
Phone:
Owner/Business:
~
Phone:
Owner/Business Address:
~ RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
o HEAT PUMP KW_
o SIGN
Details/Description:
Sq. Ft.
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
~ REMODEL
'D' ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BEL~W
~ ~--'
-
(11'/ At/Ar
rJ{ OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
Rr SINGLE PHASE
-0 THREE PHA~
SERVICE SIZE t'TCJ AMPS
.
~ ~{.v-<<.f
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
~ O.K. to connect service
o Final O.K.
Site Address~
Installer:
New Meters
.
Notify Port Angeles City ight by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O. . for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Per '. PHONE 457-0411, EXT. 224.
3' d.
WHITE - File by address
NO OCCUPANCY OR USE ESTABLJSHED UNDER THIS PERMIT
$
-YtJ, C) CJ
Permit Fee
YELLOW - file by number
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC
PINK - Top: Eng, Bottom, Customer
Application Number . . . . . 25-00001294 Date 10/14/25
Application pin number . . . 401294
Property Address . . . . . . 528 E 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0410-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
New circuits for DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PEDERSEN TERRANCE L EXTRA MILE TECH & ELECT., LLC
528 E 6TH ST 418 N. RACE ST.
PORT ANGELES WA 983626208 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 125.10 Plan Check Fee . . .00
Issue Date . . . . 10/14/25 Valuation . . . . 0
Expiration Date . . 4/12/26
Qty Unit Charge Per Extension
1.00 125.1000 ECH EL-R- BRANCH CIR 1-4 125.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 125.10 125.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 125.10 125.10 .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 $
$216.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$5.30 $
$125.10 $
$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
10/20/25 25-1294 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
528 E 6th St