HomeMy WebLinkAbout412 E 10th St - Building
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
PERMIT NO. ~t1 P
I?/;Y,h.>
DATE
o READY FOR
INSPECTION
License Number:
~~~
ill ~ ~ /ct1.-.; L~
Installed By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW
o FAN/WALL KW _
'g: RESIDENTIAL
b COMMERCIAL
o NEW CONSTRUCTION
'!){ REMODEL
-f8:::"ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
DetailslDescription:
.
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1!11 D3!11
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
~
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
^~ Ditch Inspection O.K.
)J}i{J. Rough-in/cover O.K.
~ O.K. to conn~rvice .
1 Final O.K. IJ, \t w--
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.
.~
Eleclncallnspector
Installer:
New Meters
Site Address:
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
Permit/Receipt No.
$.:20
-
:.-
f ~"?O
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
16819
Port Angeles, washlngton___________j('=_~'___"___________"""'h___" 19.2/9'
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-
:::::. 1~.::~~r~.~:SL~~I~~.~~..~~.:::~.~~..::IO:~cupancY...._~~....................
Owner .__._~._____-/;~~~~:!.___________ TenanL_______________.______..___..._.___._____.____..______.______.._______
Wiring Contractor :;J~!Z."T-~0'.~"'-',t....'.L?.--------- By__._____________________________________.__h...._.h________________
Service, VOlt:. !;2:fj;./:?::.r..6 Type 01 Wiring:
Light Outlets....................__....__...__.._..... '/... ..:> ' .
Receptacle Outlets__n..._....................... No. wires ........................._............. Arttlored Cable 00_.._..000000__..__..........
SI 1 50/': ./ ~ Non-Metallic .__mm_._____..........._hm
Dryer, KW nn..................__....__._.__.____.. ze w res....;?;;,;;;;:.V.-a--.-...--.
'/~~O/1 Knob & Tube.....__.......__....__....__.....
Range, KW_n._____....__.._.._ Main fuse ___~.........._.::n.......
Enclosure m..S.......:................__
Water Heater:
:::~:~s~:::tl:::.~~;..:
Type of wiring:
Entrance Cable _.mm.m.._n.nn......_
Rigid Conduit ..m.n..mm___.m______..
Metallic Tubing .._.h__....m...n...___:
Current transformers:
No. & Size.......................................
Ser. No..............._..............................
Ser. No. ....____..........n_.........n_n__n.n._.
Ser. No. _.nnn...._......_...._...._n.n__n...__.
Total Load...nn__...m_.n_.........
Ser. No. ..00__......00...__._.0000...___....___.....
_.
RIgid Conduit ......................__...____
Metallic Tubing ...____.............__.__..
Raceway ___...._...___..._.............__..._
Circuits. Light........................___............
Utlllty ____..................._................____
Heat .___....._.............__....__......._..__
Range ._.____..___..._........................_...
Water Heater ..._...._00..__................
Motor ..._...................__._.......____....._
Dryer _...._.....__.____....._.._____._____.____..____
Furnace .........................'~n..n_.._._......
Total ....................h__...............
.' ./.""~
Remarks: _____________________.m____.__....j__=:~______h______.____.___._____h.__h..__.____.________._________________.____________.m_______.___.._____
(. ,.,/
.n..u.n_____n_n.nn_nnnnnnn__n_n___un_n_n_nu_nnn_nnnn_unuh__n_..._n__.nn~_n_n.__n__nu__._nh..nn_.n.n____n___.n.nn._.__..n.'
..hm...m..___....mm__m.._____m______....__.m____.___.mm...........h....h____..._____..m___..---~-----........./..(7J--.;-......h---.--........m..m
{if) ~r' ~ /
:~.=.~~--~~~---.------.......... ::~.~.~:__~~.~:~.~.~.m.m BY:' ___.'::' ..L~.:1Z;.:e...__e~'e4d2~"M~
. ,
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon-
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
/
,
ELECTRICAL PERMIT
\
Address
N?
16819
.,1
Owner._____..............__....__...___._.____.____......_......_.._..........___....__...._...__......_..___._._.____..._____.Tenant.....____._.____._...___.............._...._........._______.___._..
Date..__....._____.._.._.........._......_......_........_
~.(
,
Wiring Contractor.....__.....nn___.__................_............................................__.....___..00...____....._.._......... By ___n...._..._............................._......._._._____..
NOTICE-Current must not be turned on until Certlffcate of Inspeetion has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected belore concealment.
1M
Olvmplc prin~s, Inc.
"
Application Number . . . . . 22-00000686 Date 6/07/22
Application pin number . . . 142296
Property Address . . . . . . 412 E 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-3130-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Panel and outlets
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BENNETT M CLARENE JOHNSON ELECTRIC COMPANY
412 E 10TH ST 3129 S REGENT
PORT ANGELES WA 983627926 PORT ANGELES WA 98362
(360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 140.00 Plan Check Fee . . .00
Issue Date . . . . 6/07/22 Valuation . . . . 0
Expiration Date . . 12/04/22
Qty Unit Charge Per Extension
4.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 20.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 140.00 140.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 140.00 140.00 .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
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Service and outlets
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
6/9/2022 22-686 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
412 E 10th St