The URL can be used to link to this page

Home My WebLink About931 W 12th St - Building CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15515 port Angeles, washlngtllnm....._...Z..___i:'_.,!___..___..._.._._______.._, 19,2__). 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 d6 electrical work as listed below. Address ....9-."f>..l~_;{f~:n=..n---/.i:.,..L/--......--mn...mn..-- Occupancy__..::.,L..1!___~___m..m..__._____m.. Owner dn.__~~~.!:(.:_m__S.!.-~-~.~-.1..--:!u::~m~mn~.m-...m.m... Te~antm-u....._..n.......-nn--m_-m-----..--h--mU..----_..----... Wiring Contractor _________::_..n.~.___~;~u....u~u~:~~.l.m--~:..h.:...:Uu-":-- By___u___nm____hm.__nu____uumnn_h.__.mnmmm..u Llgbt Outlets............__.__..__.__......._.._.... Receptacle Outlets..__.___..................._m Dryer, KW...n...nn...d............_._...n_____ Range, KW hu..huu.....h..u..u.uu_uu__._. Water Heater: KW.....____mmm__mm__....______......__ .::2. J' . Heat: KW....:...-':....~n~.:.~.!..~..;..... , Motors: size, volts 'and phase: Total Load.....___................___.. Service, volts .!....n........!..;..!...!......... No. wires .....}.......................:....... .1// ,/' /'/ '. Size wires......7....___m.:.~............_.. '.- "';.-' 4 Main fuse ______n.!........:..'...:.............. 5 Enclosure ._......___..................00.00..... Type of wiring: Entrance Cable 00........................... Rigid Conduit .__.__m__.____.__m__....... MetalUc Tubing ....___.............___.... Current transformers: No. & Size..___...___........___................. Ser. No............................................... Ser. No. dd................................._....... Ser. No. ............................................. Ser. No. ...........................................n ~Type of Wiring: Armored Cable ............................_ Non.Metalllc _.............................._ Knob .& Tube.......m__..................... Rigid C()ndult .__..__.__...................:. Metallic Tubing ........................... Raceway ......................._......_....._ Circuits. Light....................................... Utility .__..............._______________.__..._____ Heat ......................................._...._ Range ...................._........................ Water Heater ......_....................... Motor _~.......................................... Dryer ........._._................._.................... Furnace .. .......................,~......_h_. ...... Remarks : ._n_._.._.nnn..--:!.__f._::::!__~_:::!-:.!n:".t;.~._....n__u..n..du.nn.n_n.n..n__...._.nn.h....._n..n.__n...n_____n___________n._._.n.__ Total ..................._.................. Permit Fee $:m....._.mmm___m___.___m.. Treas. Receipt NO..________._______________m 4 /,. /' ., (.; " I . By ..n...:n~..~:"~_~mmm~__!___~~_:__:_____Ln~t..~/..n:!..___...-:' NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work 1a 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 ELECTRICAL PERMIT N? 15515 Address........._........._................................................._............................................................_....Date..._......._.._......_.........._......_......_......... Owner ..................................._......_.._.............._.._.................................................._..._.... Tenant........................................h.............._....n.... WlrlngContractor..................................._...............................,........................................_............By.............................................................. NOTICE-Current must not: be turned on until Certificate ot 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. 1M Olympic Printers. Inc. Application Number . . . . . 23-00000268 Date 3/20/23 Application pin number . . . 340012 Property Address . . . . . . 931 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5258-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Out building ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JEANETTE M AND SCOTT R GOSSARD EXTRA MILE TECH & ELECT., LLC 931 w 12TH sT 418 N. RACE ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-3042 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 74.00 Plan Check Fee . . .00 Issue Date . . . . 3/20/23 Valuation . . . . 0 Expiration Date . . 9/16/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-R-OUTBD/DTCH GAR IN/SEP 74.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .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:--------------------------------------□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 3/17/23,11:48:07 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000268 931 W 12TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 74.00 TOTAL DUE 74.00 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 3/20/2023 23-268 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 931 W 12th St 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 4/12/2023 23-268 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 931 W 12th St