HomeMy WebLinkAbout2409 W 14th St - Building
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FJR[.}JBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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PERMIT NUMBER
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TOTAL FEE
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$&1'- 15"1119
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CONT. L1C. NO. TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Address ;} 'III? 'tJ 1'1 $;; ~ 'PI /t. .:>/JIYIIIIIA fJ/~./J-> fl,fV' u
CORR~CT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner .( 1 A J f{ - t!!. d AI Installation By i . ~. . - J. 'JJJ~b/lfb 6,0:: c 7)fv
Owner's Ad~ress Installers Address P.O, At< r t {, fly?/"" /dA~,o <;R,.."..3
Day Phone Installers Phone q;z.~~:J'Ju 'I
Application is hereby made for Permit to install Electrical Equipment as follows: ;J '- .Nuft} /I s'5,
Wiring MethoddlN1 '- 13
NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE .
DISHWASHER
DISPOSAL
. RANGE
OVEN
WATER HEATER
LAUNDRY .---
DRYER /):15. flvt'
FURNACE A...-1I ,.
GAS. Oil
FURNACE t / .) v ,
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
I'SUB-TOTAL
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PER
CIR
120V
10
24QV
100R
30
FEE
SIGN
50 VOLTS
OR LESS
MOTOR
MOTOR
MOTOR
FIRE ALARMS
BURGLAR ALARM
MISC.
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REINSTALLATION LIGHT FIXTURE #
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUI~REAKER
<::l t:J1J AMP ~ PHASE
SIZE OF SERVICE ENTRANCE CONDUCTORS
ij h, t;I ~ <0, AW.G.
SIZE OF GI~OUND ..,t.;:. "'J(zE OF ENTRANCE SWITCH "ZtJt:J 4,(-t
1 certify that the work to be performed under this permit witl be done by the installer and in conf
Date Application made
Jff<J,
1') ,19 ~?
rmance with the N.E.C. Electrical Code.
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TRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the ~bove described work, according to the conditio s ereon and according to the approved p'lans and
specifications pertaining thereto, subject to compliance with the Ordinances e City of Port An eles. ,~, .
~IR 0 CITY LIGHT . .
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By
PLAN APPRVED I . ~.ll~",
Notify Department of City Light by Street Address and Permit Number when rea y for inspection. Work must not
be covered or current turned on before Inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. .
.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD .Inspector-s Report
OLYMPIC PRINTERS, INC
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DATE OF VISIT
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REPORT OF INSPECTOR
REMARKS
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. O.K. TO CONNECT !?ERVICE
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
10 lP&
PERMIT NUMBER
.
TOTAL FEE
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CONT. Lie. NO.
TIME TO COMPLETE
NO. STORIES
LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SiieAddress 2'itJ'j /(J 14/ S7:"
. CORRECT AODRESS IS RESPONSIBILITY OF APPLICANT
Owner L. ~ I R.. t':",j. Installation By
Owner's Address -4>-J-i. f. fJlfAlIAt> 'I Installers Addres
Day Phone ~ t;) - 12.. '3 ., Installers Phone
Applicati9n is hereby made for per~it to install Electrical Equ~ p
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Wiring Method
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NUMBER AMP 120V 24QV NUMBER AMP 120V 24QV
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT pEA f00R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
- 50 VOL T5 - -
LIGHT OR LESS
CONVENIENCE -- MOTOR . -
CONVENIENCE - ( I~TOA
APPLIANCE 1- .........-- I ~ OTOA
DISHWASHER ...- FIRE ALARMS -
...- J ---
DISPOSAL /" 4' /1 I BURGLAR ALARM
RANGE // J /J {II 1/ . MISC.
OVEN < I t/ // 1/
WATER HEATER I '/
LAUNDRY I 1/ -
DRYER . REINSTALLATION LIGHT FIXTURE # .
FURNACE SUB TOTAL FEE .
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
- TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
"
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
- - - ance v ~5e?(17 Code
I certify that the work to be performed under this permit will be done by the installer and in conf
Date Application made 1&/1 I .19,1'? By ~-
-- C CTOR OR6NNER (OR'AuTHcfRJZED AGENT)
Permission is .hereby given to do the above described work, a.ccording to the condit" s eon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
1f DIRECTOR OF CITY LIGHT
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.
Date Permit Issued
PLANS APPROVED
WARNING
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Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placaro. A. - Permits Phone: 457.0411 Ext. 158. .
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
OLYMPIC PRINTERS, INC.
DATE OF VISIT
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REPORT OF IN,SPECTOR
MADE BY
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REMARKS
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FOR OFFICIAL USE ONL V:
Date Rec.:
Pennit": 710Z-
Date Approved: /
Daleluucd: ,/loZ/~
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ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must bejilled out completely.
Please type or print in Ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
Applicant and/or Agent: f} P 5 <EkC-hef'c4/
Property Owner:
Address: City:
Phone: 1IS-2.~C:7~3 Fax #
Phone:
Contractor
License #:
City:
Exp:
Zip:
Phone:
Zip:
Address:
Credit Card Holder Name: S~ E-R....y / I<.
Billing Address: .5''1 b &~U~'{J tV ,.(?I
VlSA_ MC X-
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
d I 1//14
c2tf01 vv. 7
ZONING
Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o Residential 0 Multi-family 0 Commercial 0 Mobile Home
Electrical Permit fees are based on WAC 296-46-910
BRIEF DESCRIPlJON OF THE PROJECT:
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Electrical Heat Load Additions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
KW
KW
KW
KW
o Riser
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 I 0 3
Service Size:
Feeder Size: -
Comments:
I hereby cenify that I have read and examined this application and know the same to be true and correct. and [ am authonzed to apply
for this permit. I undemand it is not the City~ legal responsibility to determine what permits are required; it remains the applicant~
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PW-1I02.23 [rev31.00j Credit Card Holder's Signature: . R ~.i' Date: S-::23-OlCXJO
Application Number . . . . . 23-00000180 Date 2/23/23
Application pin number . . . 379400
Property Address . . . . . . 2409 W 14TH ST
ASSESSOR PARCEL NUMBER: 06-30-01-5-9-0020-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Kitchen remodel
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Owner Contractor
------------------------ ------------------------
JONATHAN AND HEATHER L KACIRK OWNER
2409 W 14TH ST
PORT ANGELES WA 98363
(509) 540-1019
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 2/23/23 Valuation . . . . 0
Expiration Date . . 8/22/23
Qty Unit Charge Per Extension
BASE FEE 75.00
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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
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 2/22/23, 8:16:20 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000180 2409 W 14TH ST
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 75.00
TOTAL DUE 75.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Kitchen remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/27/2023 23-180 TAP
OWNER
Heather Kacirk
CONTRACTOR
PROJECT ADDRESS
2409 W 14th 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
7/17/2023 23-180 TAP
OWNER
Kacirk
CONTRACTOR
PROJECT ADDRESS
2409 W 14th St