HomeMy WebLinkAbout2103 W 12th St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16409
Port Angeles. washlngton.__________l::::/.Zn___nn______n________________, 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 d6 electrical work as listed below.
Address n_Q?l_e__.3__nn~!/),d__________n________nnnn___n___ Occupancynn__d..2~n_________________nn_n
~::~~~~~~~:f;:~!~;;.r(f;:----~~~~~~;::::::::::::::--------~::::::::::=:::::::::::::::::::::::::::::::::::::::
Light outlets..._m___/.y......___.._.._.._.. Service, volts __mm.......__n......m_.__n..m T;ype of Wiring:
Receptacle Outlets..SL.__.._.....m No. wires _mn..____m_m..h.m.._..__m.. Armored Cable 0000._............___...._....
'c:;,
Dryer, KW ~~...n_n._..._....h____n.___h_.h____
;',
Range, KW ___nn_____~'mm___ m___mmn.
Size wires......................_.n.........___
Main fuse n..h__h____..___nm.n..nnm...
Water Heater: /"
KWnnhny.-)_m'_nmnnnm.n...
Heat: KW..._._./.~..._~_:':J..11!.~_ne.~
I
Motors: size, volts and phase:
Enclosure ...........00...........__.............
Type of wiring:
Entrance Cable .____.nm....m...._....n
Rigid Conduit h__mm__;.m
Metallic Tubing .....00....................
Current transformers:
No. & SiZe.mnh....muo..n__....hm....n
Ser. NO..._h_........................................
Ser. No. ...00...............00.............00......_.
Ser. No. n___nn_h..n_.....nnnn.._...nn_.._.
Total Load....m.m__.....___...__...
Ser. No. ......n_n_._..._...__..nn...............
Non.Metallic ....0000....................__._.
Knob & Tube_n_..............._........._..~
RIgid Conduit _m_____________...._._____h
Metallic Tubing h.___.___.______n.__n___
Raceway _..............................__..._
~
Circuits, LighLJ;!.___n...m_m..m_m..___..
Utlllty _____L_____________hh______h_______n
K-
lleut .h..f..................._._h.....h.._......
Range ___.,2,___________________________n___n
Q
Water Heater .....nn~m.n.h.......___n
Motor ..._...........___._______.______.__._......
Dryer n.n::!1:.................n_....._..nnn..__
Furnace _.__.._.....__.__........,~_.....__..___......
~()
Total ...........nnn_n_._.h..._..h.....
Remarks: ._n.nnnn;.n'1.~~...:,.~nn.n.u~4:'!!..:~~....n!'......nnnuu.nnu.nnuunn.unnnnnu..nn~uu..u..uuun..nuunnnn
----nn-----------:-..-r---L:--1;----n-'9--------------~-c-------7tJw:.vu---nn.---.--n--------:;.-----nn;-7----VCl.-----.-..--
---------------(A;f)!---uu-----fJW~n_________________n.u_________W/.l:___unn_21y-.,?g,-2n---------i!-/hdn;,uu~""
:.~_=J!.~z.~u.n_____________ ::~_~_~:__~~,~:~~.~........ By --,lL~~~L~_~_____n_____
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
ELECTRICAL PERMIT
N'!
16409
Address..................._............................____............___...............................___~_________...__............._.....Date..._.....__.._.__.._.........._......_......_.........
Owner ........____.n.....h....n......._.........._......_......_.._...._.................._...._.000000.0000............._.... Tenant....._..hn.....n...._n_.nn..nnnn__n:n....n._nnnn...
Wiring Contractor ..........................._h....._n............._n_n...n.n_.h..........._0000..00_____...._............00.....00. By........._nnn..n_......:.................h_hn___......_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work fs to be con~
cealed due notice must be given the Inspector so that work may be inspected before concealment. -.-
\M
Olympic Printers, Inc.
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Heat pump system
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
7/28/2022 22-412 TAP
OWNER
CONTRACTOR
All Weather Heating
PROJECT ADDRESS
2103 W 12th St
Application Number . . . . . 22-00000960 Date 8/04/22
Application pin number . . . 381760
Property Address . . . . . . 2103 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-01-5-0-0280-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Panel replacement
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JANET ISETT BLACK DIAMOND ELECTRICAL CONTR
PO BOX 2663 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 8/04/22 Valuation . . . . 0
Expiration Date . . 1/31/23
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .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
PREPARED 8/01/22,13:16:47 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00000960 2103 W 12TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 120.00
TOTAL DUE 120.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Service
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
8/4/2022 22-960 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
2103 W 12th St