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HomeMy WebLinkAbout624 E 8th St - Building V� RECEIVED CITY OF P©RT ANGELES PERMIT APPLICATION DEC 11 2013 �C Building Division/Electrical Inspections 321 East Fifth Street—P.(.1.Box 11501 Port Angeles Washington,98362 ELECTRICAL Ph.(360)417-4735 Fax-(360)417-4711 INSPECTIONS [late: � L3— /Multi-Family or Commercial* Plan review May Be Required,Piease.Complalo Eleeldcal Plan Review Ir;f rmatian Sheet Jab Address: Building Square Footage: CDescriptlon of above. it J c ;7f) g E o r�k Owner Information Oontrac r Information Narae;- <*-� � Name: •r�.l1 M...a� Wi ft Address: gam: � - S` Mailia Address: I�> 7' City State 1�a 7ap: � d_ Ci€y: ac cis state.__�,Zip:% G 7_ Phr}na:_ S -_W Fa�s:� . . Phone: ax: !.5-7- �%�" Lice nse#1Exp. License#/Exp. R_ Rena Unit chars _Q}rl Total Multiplied b U Service/Feader 200 Amp. $132.00 $ Sr nrirzl eeder 201-400,Arnp. $160.00 ServiceTeeder 401.600 Amp $225.00 $ ServiceiFeedor 601-1000 Amp. $288.00 $ SefvireiFeeder over 9000 Amp. $410.00 Branch Circuit W1 Service Feeder $ 540 $ - Branch Circuit W/4 Service Feeder $ X00 $ Each Additional Branch Circuit $ 5.00 Branch Circuits 14 $ 85,00 _ $ ,, Temp.Service/Feeder 200 Amp. $102.00 Temp.Service/Feeder 201400 Amp. $121.00 $ Temp.ServicelFeeder 401.600 Asap. $164.401 Temp_ServicelFeader 601-1000 Arnp. $185,40 $ Portal to Portal Hourly $ 90.40 $ j Sign7Qutifne Lighting $ ,8.8.40 $ SignalCircuitlUmiledEnergy-Multi-Fafnily $ 64.00 $ Signal Circuit/Limited Energy I First 1500 sf-Comrnercfat $ 95.00 � $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-SKVA System or Less $113,00 $ Thermostat $ 56.00 Note:$5.00 for each additional T-Stat $ (a Total Owner as defined by RCVd_19.28,261:(1)Owner will occupy the structure for two years after this electfical 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 cer ify that f am the owner of the above named property or a licensed electrical contractor.I am makinq the electrical installation or alteration in compliance vultlt the electrical laws,N.E.C.,RCW.Chapter 1928,WAG.Chapter 2964613,The City of Port Angeles Municipal Code,and Utility Speciflcalions and PAIt4C 14.05.050 regarding Electrical Permit Applications. i Signature of owner,electrical contractor or electrical administrator- 0 cash 0 cheat LD Crad3ecatF_ i •�•'-� �t3ated:_ J �-�f "- 1 � _ a�nitrzatz r ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00001436 Date 12/12/13 Application pin number , . . 363452 Property Address . . , , . 624 E STx ST REPORT SALES TAX PARCEL NUMBER: 06-30-00-0-2-7315-0000 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning . . . . . , COMMERCIAL NEIGHBORHOOD (Location Code 0502) Application valuation . . . , 0 Application desc xray equipment Owner Contractor STIG OSTERBERG/HEIAI BRANDT EXTRA MILE TECH & ELECT_ LLC 1119 LAWRENCE ST 418 N. RACE ST. PORT TOWNSEND WA 983686525 PORT ANGELES WA 98362 (360) 457-2222 Permit . . . ELECTRICAL A:,TER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date 12/12/13 Valuation . . . , 0 Expiration Date 6110114 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due. 0 ----------------- ---------- Permit Pee Total 86.00 86.00 ,00 OD Plan Check Total ,00 .00 .00 .00 Grand Total 86,00 86,00 M INSPECTION TYPE DATE. RESULTS: INSPECTOR; DITCH SERVICE ROUGH-IN FINAL l COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:ILXCHANGEWILDIINTG r pOAT "'40; -l..o~~ 6"'" '- -==-- ~ "t.O;:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o 0- \ Applicatlon Number Applicatlon pln number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Appllcation type descrlPtion Subdivlslon Name Property Use Property Zonlng . . . Applicatlon valuatlon 06-00001300 Date 12/06/06 121300 624 E 8TH ST 06-30-00-0-2-7315-0000- OSTERBERG DEMOLITION --- v-> 3 COMMERCIAL NEIGHBORHOOD 1000 Owner Contractor STIG OSTERBERG/HEIDI BRANDT 1119 LAWRENCE ST PORT TOWNSEND WA 983686525 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES WA 98362 (360) 452-8281 Permit DEMOLITION Additional desc DEMO EXIST'G CMU WALL Permit pin number 91884 Permit Fee 50.00 Plan Check Fee Issue Date 12/06/06 Valuatlon Expiratlon Date 6/04/07 .00 o Qty unit Charge Per BASE FEE Extension 50.00 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 6' N ~ (\\ , ~ /' ? O~ ~~ ..; ---- ~ ()() t ~. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This permit becomes null and void If work or construction authorized IS not commenced withm 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordmances governmg thiS type of work will be compiled with whether specified herem or not. The grantmg of a permit does not presume to give authority to violate or cancel the provIsions of any state or local law regulating construction or the performance of construction. v ~ fR o Signature of Owner (If owner IS builder) Date T \Pohcles\] 102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005] " ~ B~DING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROViDE A MINIMUM 24 HOUR NOTICE IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS ) PLUMIlING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS / GIR.DERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (fNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING I>EPT SEPARATE PERMIT#'s SEPA I' ARKING/LlGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT . 1 BUILDING 417-4815 BUILDING 05123 It Il;rLL T \Pohcles\1102_15 bUlldmg perrmt mspectlon record05 wpd [1/4/2005] ~ , ~ i~ ~\\I ~. ~~ ,~ PREPARED 5/23/07, 8 17:28 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 7 5/23/07 ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL APPL NUMBER 624 E 8TH ST OSTERBERG MILL CREEK CONSTRUCTION STIG OSTERBERG/HEIDI BRANDT 06-30-00-0-2-7315-0000- 06-00001300 DEMOLITION SUBDIV PHONE PHONE (360) 452-8281 PERMIT: DEMO 00 DEMOLITION REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS BL99 01 5/23/07 JLL if z" ~ Jty9- BLDG FINAL OS/23/2007 08 08 AM LPANGRLE JIM 452-8281 BLDG FINAL - VERIFY DEMO OF CMU WALL AT WEST SIDE OF BLDG. -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~~ -- BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent: "f~,~Jf1IttwV/ /VIlu~~~..b1 Phone: J..t~. i?2J"I.o ttl,i). (eZl(P-t- Owner: ~fl& t2>7h-O~ Phone '1).).-71)'2- Address: ~Alj .€- ~ CIty: ~1 /tN~5. 1~1t! Zip: q~?f'2.. Architect/Engineer: Phone: Contractor HII...I--~. ~3.7' State LIcense #:~l\.L('A 0fD~~ Exp: '7 J E> 7 Phone:4lD ?lP1 Address: r~' q D~ l"l,f.Lt..- ~ City:f~ . Zip: PROJECT ADDRESS: ~ Lf e ,fJl,t\. ~-r ZONING: LEGAL DESCRIPTION: Lot: Block: SubdIvision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Resldentml 0 New Constr o Multi-family 0 AddltlOn J< Commercml 0 Remodel o Reparr 0 Slgn ORe-roof 0 Stove o Move 0 Garage fi!J- DemolItion 0 Deck o Other No of Stories' Lot Slze' Total lot coverage Existmg Sq. Ft & Proposed Sq Pi. = TOTAL Sq. Ft % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FlRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA ChecklIst required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant. Tills figure will be reviewed and may be revised by the Building Dlvision to comply with current fee schedules. Contact the Permit Coordmator at 41 7-4815 for assIstance PLAN CHECK FEE: IF a plan check fee is due It must be sublllitted at the tnne the buildmg permit application and construcbon plans are submitted. All other penmt fees are due at the time of penmt lssuance. EXPIRATION OF PLAN REVIEW: Ifno penmt is lssued within 180 days of the date of applIcation, the application will expire. The Buildmg OffiCIal can extend the trrne for actlOn by the applIcant up to 180 days upon wntten request by the applIcant (see SectlOn R105.3.2 of the IntematlOnal BuildingIResidentml Code, 2003). No applicatlOn can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authonzed to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T IFORMS\B1dgP~rtfunn.wpd Applioant L--- [L>~ ~ Date: l Z; ~I Of( / / rl CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15431 . /" ~ 7- /' . J'-: Port Angeles, Washlngton__m___________m___________m________________m_m__m' 19______'"' 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. &:"7l'f:rtt ~4 ::~ ~;;~::;~~~~~~~;;~~::~~'~'~'~=_:==::==: Light Outlets...........__........_________....._.___. Service, vOltS/-2.~?,Y.!a---. Type of Wiring: R t I 0 tl t N i ...; Armored Cable --............---------.----- eeep ac e II e B.n...........______.____._____ O. W r.es ....:...<://;;1:-:--7/..... /"./" (,." \,,".;..0;:.,. ;/ Non-Metallic ______mm__mm............. Dryer, K~rl_hd__..____.______._________________._... Size wlreBh..h........__;~.n_________.__....... . " ,;1-0(.' 11 Mam fuse ....__..._....h..____________......... S Enclosure ........hnn.___mnmnnmn.... Range, KW.n_....____._....._.. Water Heater: KW........ ......... ... ,# ;2"~-I r I1eat: RW ___....__.. _ ........C/:... .... Type of Wiring: Entrance Cable _._________m____._.._____.. Motors: size, yolts and phase: Rigid Conduit ............................... Metallic Tubing ___........................ Current transformers: No. & Sizem..m....m........n.............. Ser. NO............n...........................n... Ser. NO........n......n............................. Ser. NO.........nn......_...nnn................. Knob & Tube.n....._......u...........m.. Rigid ConduIt ...mnn..................... Metallic Tubing _. ............m.m..... Race\vay ........nn..u.......................... CIrcuits, Light.........................u.......nm Utillty................_........___.......__........ Heat Range ._......................n......nn.n..nn \Vater Heater ...unnnmn..u........... hlotor ......................................0000... Dryer... unn..n'" ....00.00......................... Furnace "..0000....00...00."""_. Total r..oadnnn... .00.0000...0000.... Ser. NO.n...nn..nnnnnn.nnnn............. Total 00.000000000000.....0000.. -, I.' Remarks: _____.;___,-'_"_L_.c._,__t:_______.,_~(,,E,:,:L____5l_____g,,~,_,~~_________________________________________________h___m_____________ i~_:_~~_~~~~-:_~~-_~--_-_-_~~~~~~~~~----------i~~_~:--_~~_~_~~,~_~_~-_-~~~.--m--m--------:~-.:L:~t..~l~:~;:""i~~::~;.:2;:;~_:: 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. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION d ;).!f;-.r- tc.A.- ! ELECTRICAL PERMIT N? 15431 /'..::2 V c' :ref :::::~~~~~~:::::-=::::=:=--=::=:=: Total Load n..nnn.nn...n.nnnn.........n...........nnnnn...nnn..n...u..n....._ ''''00 ! 1M 3.72 Olympic Prinlers, Inc. CITY OF PORT ANGELES LIGHT DEPJrn.TMENT ELECTRICAL PERMIT Nt? 17409 //-/.$ FV Port Angeles, WashlngtOILm.______...____._.__.._....___________m_________mm, 19__._____ 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 _ooot!__~~Cooo_~ooo__.___ooo._______ooo__.____m_______ OCCUpanCy.__.~~__._n__._____.____ooo___ Owner ;!2d.- O--?'~'~#::f-t.--nn----.-c Tenant____________ooo_______mmooo____ooo_ooon___ooo_____.ooo____ooo_.__. Wiring ~~:~a~~~~.::"Jt:rf!e,-:t--'e~.c:;;r-~.---. By__.ooo..______..____..__m___ooom___ooo__._ooo_.ooo______._ooo____ Light Ouuets.___....._...................___.._..... Service. volts ..../a.:~L.~.!::..'!.-- Type of Wirtog: '3 No. wires .............................._.-::.... Size wlres.....-1f!j-Jt.l~...-. Main fuse ....................n........__....... 5 Enclosure .........__.........___n....____...... {~~4y/jJ;f~~.-., ""'.... ~ Total\,l.oad............................. Ser. No. ......._........._....................n.... Total ..._.__.__..._______........h._._..... .Q' , Remarks: -ooo."-"_--e~.1~2J:~.-:!:."".~-&:!-J::!:.':~il:'!c'X:.-~~--ooo-oooooomoooooo--ooo-ooo___.....____000_..._000 /"' ::::::::::::::::::::::::::::J?i,;~2~:~~~:::::::::::::::::::::::::::::::=::::::::::::::::::::::::::::::::::::::::::::::::::::: ::~.~_~:__:~_~:~~_~_ooo_ooo : -. By --cz..fL~~-~".~---=-. Receptacle Outlets.....___..................._... Dryer, KW __......_n_._._....hn_..n_nn__._..__ Range, KW ____n_____u___________..__________ Water Heater: KW.......mmnm.mmnm..n Heat: KW............................................ Motors: size, volts and phase: }/i~:::::/j1!!~::;;;;;~;.: ,;) #rmm2:f.iLt!:..J!.:,.,.&.r.1.~.-:!. Per'mit Fee $__________000__:___000000_000_000000_.. Type of wiring: Entrance Cable .......____________.. Rigid Coudult ....mm..................... Metallic Tubing ...........m............. Current transformers: No. & Size._____..__..__.............._.......... Ser. NO.n____._.......__.._.________.......___....... Ser. NO.._........._n_..........._.................. Ser. NO..._n_____......__......____..._...n....... Armored Cable .........................._.. Non-Metallic __...............__......_...m_ Knob & Tube........._.............n.._..... Rigid Conduit ................m..._........ Metallic Tubing ........................... Raceway _.....__..............._.....__.__._ Circuits, Llght....................................... Utlilty ..............................m......___._ Heat ____....._..__._.._......_............._____ Range __...__.._____........__..................... Water Heater .n.__...n.................... Motor ........................__._._____..___...... Dryer __.______._....................................... Furnace .........................'_................... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. , NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION F l' , ELECTRICAL PERMIT , N? 17409 Address....._...........____._...__._...................___....___.._...._..___.....__................._........._...__.___....................Date..._......_.........._.................._......_.__....._ Owner......_.___..._._.__..............._.........._...._.____..._.._..................................._.........__...._.._.._.Tenant..._.........._.___._______.__..___.___..._..._..............__..... Wiring Contractor ......_.___........_-r....._......._......_.........._..................._.......__.__._.........................______. By ........__..._.____._.............................__.__....... if / ,/ \ t ANQTICE--Current must not be turned on until Certificate of Inspection has been issued. If work ~ to be con- cealed due notice must. be given the Inspector so that work may be :l11spected before concealment. . \. "'. ",. -, _. 1M Olympic Printers, Inc. Application Number . . . . . 24-00000507 Date 5/28/24 Application pin number . . . 754121 Property Address . . . . . . 624 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7315-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STIG OSTERBERG/HEIDI BRANDT AIR FLO HEATING CO INC 1119 LAWRENCE ST 221 W. CEDAR PORT TOWNSEND WA 983686525 SEQUIM WA 98382 (360) 683-3901 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 95.10 Plan Check Fee . . .00 Issue Date . . . . 5/28/24 Valuation . . . . 0 Expiration Date . . 11/24/24 Qty Unit Charge Per Extension 1.00 95.1000 ECH EL-LVT-THERMOSTAT 95.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.10 95.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.10 95.10 .00 .00 1 - 2 S IN G L E -F A M ILY E L E C T R IC A L P E R M IT A P P L IC AT IO N Public Works and Utilities Department 32 l E. 5th Street. Port Angeles, WA 9X362 360.417.4735 I www.cityofra.us I clcctricalpermits@.'.cityof'pa.us "U (0 3 ;:;: ;I=!: Project Address: 624 East 8th St Port Angeles WA 98362 Project Description: Install Trane XV18 Ducted Heat Pump System tl Single-Family Residential O Duplex/ ARU Building Square footage: _1_4_3_2 _ OWNER INFORMATION Name: Lloyd Tucker Mailing Address: 624 East 8th St Port Angeles W A 98362 Email: lloydtuckerdmd@gmail.com Phone: (360) 452-7 482 ELECTRICAL CONTRACTOR INFORMATION Name: Air Flo Heating Mailing Address: 221 W Cedar St Sequim W A 98382 Email: permits@airfloheating.com License: AirFli*206DG Expiration Date: 04/25/2026 Phone: 360-683-3901 PROJECT DETAILS 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 for each additional) First 1300 Square Feet Each Additional 500 square feet" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub Unit Charge Quantity $120.00 $146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 $120.00 $40.00 $74.00 $110.00 1 TOTAL Total (Quantity x Unit Charge) $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ _ $ 56.00 $ _ $ _ $ _ $ - =----~ $ _ 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. 05/24/24 Rebecca Blouin Date Print Name Signature ( D Owner ~ Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@ cityofpa.us or faxed to 360.417.4 711] Electrical Information Form Public Works & Utilities Department (360) 417-4700 City Electrical Inspector (360) 417-4735 Please complete and return to Public Works & Utilities Department P.t.U.)£1.lJKUJJ..Z:.U.L m ro ~ ~ -0 (1) 3 ;::;: :I!= City I State I Zip: 1 \ v . , 1 , • It' ...... ., .. v, , r ~ I Cell Phone: I\)~ Cell Phone: N Existing D Single-family residence ~ Commercial D Overhead service D Underground service □New D Multi-family residence;# of units D Subdivision D General service □Other: Detailed description of work: (Oil to Gas Conversion, Gas to Electric, New Heat Pump, etc.) \f\~M -~ $/:x\tS XV\£, R4\\)Pt- tti'S ~--km Main Disconnect Size Amps: ·-zoo Select Voltage: ~20/240 1ph D120/240 3ph D120/208 3ph D48o 3W 3ph D277 /480 3ph Check all that apply: Standard residential loads (Lighting, refrigerator, dishwasher, washer) D A/C (_ton) D Range/Oven D Hot Tub D Clothes Dryer ~Heating D Pumps ( __ Hp) D Water Heater D Elevator ( __ Hp) D Other _ Load Increase (kW) Load Decrease (kW) l 0 Please provide a copy of the following: ----------- *De ta i I e d plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amgs.of all Applicant's Signature: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 ws _ WF ----- N.ewrhaf~lffi:iilittOliln~m per Trent Revised 1-09-11 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/18/2024 24-507 TMC OWNER Contractor Air Flo Heating ADDRESS 624 E 8th St Application Number . . . . . 24-00000619 Date 6/17/24 Application pin number . . . 459675 Property Address . . . . . . 624 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7315-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL NEIGHBORHOOD Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Furnace / Heat Pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LLOYD M TUCKER DMD MSD PS CASCADE ELECTRIC & VAC INC 624 E EIGHTH ST PO BOX 369 PORT ANGELES WA 98362 PORT HADLOCK WA 98339 (360) 452-7482 (360) 379-5347 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 95.10 Plan Check Fee . . .00 Issue Date . . . . 6/17/24 Valuation . . . . 0 Expiration Date . . 12/14/24 Qty Unit Charge Per Extension 1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.10 95.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.10 95.10 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us ELCOM MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Multi-Family Residential □ Commercial / Industrial / Public 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) $237.75 $ $237.75 $ $332.85 $ $427.95 $ $523.05 $ $5.60 $ $95.10 $ $47.55 $ $95.10 $ $190.20 $ $237.75 $ $285.30 $ $332.85 $ $95.10 $ $142.65 $ $190.20 $ $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 Sign / Outline Lighting Signal Circuit/Limited Energy - Multi-Family Signal Circuit/Limited Energy/First 1500 sf - Commercial (Note: $5.60 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5.60 for each additional)$95.10 $ $ 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 # : [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 CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/20/2024 24-619 TMC OWNER Contractor Cascade Electric ADDRESS 624 E 8th St