HomeMy WebLinkAbout1605 W 6th St - Building
i?""'IlIIIII
"
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
~3c;'f!L
'T / 2-~L
ELECTRICAL PERMIT
DATE
Installed By:
~os-
-8
c.,I
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 10 030
Service size
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
DetailslDescriP~o~
~ A.
/~-~~ .fZu~
~,t: r;... b
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
:B Final O.K.
-1f'J'--
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
Site Address:
Installer:
s....
~
f-t....
C;
PermitfReceipt No.
~ ,?
fi-
d ..e.-...--
Inspector
WHITE - file by address YELLOW - file by number
~ 2& ~
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.
d tJ tr'
Amount paid
GREEN - Top: Inspector, Bottom: City Hall
New Meters
Date:
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
PINK - Top: Eng, Bottom: Customer
OLY,",PIC PRINTERS. INC.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? L6489
, 0"
,. '-. 1'.
Port Angeles, Washlngtonnm.Lmmmnn..mmm.mmm.......n.mmm.
"
. ,.-'-?:
19.....n.
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 electrical work as listed below.
Address ./~n(?m?..~:::=.:c;.nCtmm..mmn.....nnmnnn.m.n Occupancy.7.-<!..Le.~~nmnn...n..nmmnn
Owner ~____;._':?~~~..:f:~:.-?nu__u~__nu..____n..n______un.__u.._ Tenant..uu__u__.n....n_.u.u__.____~.~n...._n_n._nnn___._n.u____
Wiring Contractir .mnn..':'.:::':;.:'.:?mE~:..::n~~:.~q~.n...m. By...nnnmnmmmm.mmmn...nn....n..m.m...mnn
v .
/1' ~ I ~"5 ~ ,/;:~'(,"/
Light Outlets_m....._..m................_.._____. Service, volts n...E.:___...:~:..m:___~m::.....
.TI ~ ~.
~v ~j
Receptacle Outlets........n_nn....._n........ No. wires .......................................
C 'l../ ".
Dryer, KW _...n.............n_n.....nn........ Size wiresn;.:..;........~:.'..;.~..n........-..
/ ~ &0<'> f!
Range, KW.__.......__....__n.___.............. Main fuse .......................................
S
Enclosure m__m........_________.mn........
Type o! Wiring:
Armored Cable .............m............_
Non-Metall1c ............m..__......._....._
Knob & Tube__................................
Water Heater:
/.
KW.nnh___.~___:?h_____________________
Heat: KW....,/!.h:?!!....hh...h.hU
RIgid Conduit ..............__hhmhh....
Metallic TubIng .mmhmh.hhh......
Type of wIring:
Entrance Cable nU...m
Ser. NO..............................n..............
Raceway ...........,_..........................._
'.
Circuits, LighL..::"....mn....:............m....
~
Utility .u.....h..........................m.____
~
lIeat _nn._...........n............._...._......
:l
Range n.._.....................n............_..__
:1
Water Heater .n~:~___.n.................
Motor ..._...........nnnn.n............_....
Dryern....~:....................................._
Motors: size, volts and phase:
/ &.c...._
Rigid Conduit ..................
Metallic Tubing ..mmn
Current transformers:
No. & Sizennm...............n.....m
Ser. No. n_n.__n__............nnnnn__.........
Total wad............................. Ser. NO...__n..........._.............n........... Total ...ri!.!.:~n........................
Remarks: ___...__..nn~~.~~..L~:t::::.:......nn~e?~~_~~:~:'_..~m_mn..mmm...n...nnnnmun..nn.m.....m__m....mnmm.
Ser. NO..__..__n..__.nn..nn____n.nn__n......
Furnace .........................'_................n.
.m.mu..nndn..........nm....m.mnmunummn.u...u.m.muu.......mm...nn........m...m7'..1,7.numnum.....u.n.....u....u.u
;~.=~:2.~....m....m. ::~.~.~:u~~.~.~~.~.~.m.m By .~l~;!~~.~;.~:.~/;;.:.:.~A;~.~.:~..
NOTICE-Current must not be turned on until Certificate of Insp:c~on "has b~en issued. It worki:-~
cealed due notice must be gIven the Inspector so that work may be inspected before concealment. "u UQ WU~
-,
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
I
"
ELECTRICAL PERMIT
N?
16489
Address..................._................................................................................................_..................Date..._......_.._.__.._.........._......_......_.........
Owner .......__n....._n.n_nn........_....n_.__..nn_.n..._.._........n....................n...................nn.... Tenantn..nn......................................................n....
Wiring Contractor..................................._......................_...........nn.......n..n...............................n BY._...........nnn.n..n.......n.......................__..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be
cealed due notice must be given the Inspector so that work may be inspected before concealment. '.
'\
~ ()Iv,",'"",;,,, p,.1..1"'.... _T...,..
con.
'"
~.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
.
REQUEST:
Date 8 - ( ~o '1
Time
g:3o~
Received by
/Je<'\..",- ;." E
(~hone, person)
c,"l...
Location of Work to be inspected (~DS- W. -
Name of person requesting inspection De"" II'- ~ S E:..
Address of person requesting inspection L-o.,.;:1 Y"-rJl.
I
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
S1-.
1'"'1. <tr- '5 Phone No. 1.(1 7 ~L/S'/ 4
Permit ~ ~
Sewer Excav. Othk wde.r)"
Inspected: Date
Remarks:
INSPECTION NOTES:
?;?- 7- cr)
Time
By
RESTORATION REQUIRED. . . . .. YES NO
!tJ ~ll
+ z" c.. r "Oe -E- '1 Z: =r .~
\1\ 3'Z- l.p VJ
~
~ ~
(;Tk H
, LV.
/ oJ
"
,
-J\ ~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # ~D~4c, -z.to
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREELSUP.ERINIENDENT.
tn4T.EI
Application Number . . . . . 23-00000981 Date 9/14/23
Application pin number . . . 138879
Property Address . . . . . . 1605 W 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2890-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BLOMBERG SR LARRY R CASCADE ELECTRIC & VAC INC
PO BOX 2461 PO BOX 369
PORT ANGELES WA 983620315 PORT HADLOCK WA 98339
(360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 9/14/23 Valuation . . . . 0
Expiration Date . . 3/12/24
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .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
Item Unit Charge Quantity Total (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 Circuit/Limited Energy - 1&2 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square 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-
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)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@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
9/15/2023 23-981 TAP
OWNER
CONTRACTOR
Cascade Electric
PROJECT ADDRESS
1605 W 6th St