HomeMy WebLinkAbout816 W 15th St - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 9H~62
ELECTRICAL PERMIT
Issued: 6/17/98
Permit No:
6345
OWNER/APPLICANT------------------------PROPERTY LOCATION----------~-------------
DAVE BENOFF 816 15TH ST W
816 W. 15TH STREET Lot: 4
Port Angeles, WA 98362 Block: 428 Long Legal:
360/452~6604 Sub: TPA
T: S: Parc No: SP92-05-15
CONTRACTOR----~~-----------------------DESIGNER--------------------~------------
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES.GARAGE prj Value: $0.00
Occ Type: Cnstr Type: ADD CIRCUITS
Occ Grp: Occ Load: Land Use: RS7
Electrical Heat
Baseboard KW:
Furnace KW:
Heat Pump KW:
Fan/Wall KW:
o
o
o
o
Service Type
Riser
X Overhead Service
Underground Service
Temp Service
voltage:
Diameter:
Service Size:
Feeder Size:
120,240
X-1 -3
200 AMPS
100 AMPS
PROJECT NOTES-------------------------------------------------------------------
WIRE DETATCHED GARAGE
PROJECT FEES ASSESSMENT------------------------------------------------~--------
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc DETACHED GAR. $41.00
TOTAL FEE:
Amount Paid:
$41. 00
$41.00
---------------------------------
---------------------------------
TOTAL FEE:
$41. 00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPKCIlON TYPE DATE ACCEPTED coMMENTS
YES INO
UnTlr.u_IN I CUVhK
o:.n1\. V ~F.
~ I ,
I(~t 'l.eI I cOt f ,
GENERAL COMMENTS:
PW-II0'2.IJ(4'96]
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
Installed By:
81b
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
~ FAN/WALL KW ~
~ RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
Details/Description:
w;;./ ~ 1:7-
~
~
.
PERMIT NO. $:1/ ~
/~/I?J~
DATE
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o RISER
;g:. OVERHEAD SERVICE
o UNDERGROU~ERVICE
VOLTAGE: /2t:P, Z yO
~ 1 rp 0 3 rp'
SERVICE SIZE AMPS
FEEDER SIZE 4~ AMPS
-
t
fA / ...u...J
C-<>'1, ~ ~ ~,~
I .
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
(:4 Q '" ~ ('~ ~ ~f'.A'r~
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Addre
Notify Port Angeles City Light by Street Address and Permit Number when 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 eitherthe Wiring Report
or on the Buildi~ Permit. PHONE 457-0411, EXT. 224.
--r- tfJ.>v... NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ # 10
Electrical Inspector Permit Fee
Installer:
!SIb tv,
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PAINTERS INC
~
Permit/Receipt No.
S;;JI Z-.
New Meters
. ------
GREEN - Top: Meter Dept., Bottom: City HaY ,
~
Application Number . . . . . 22-00001357 Date 10/31/22
Application pin number . . . 450410
Property Address . . . . . . 816 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-99-0-4-2810-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Panel, Remodel Bathroom
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BENOFF DAVID SIMPSON ELECTRIC
816 W 15TH ST 243036 W HWY 101
PORT ANGELES WA 983637228 PORT ANGELES WA 98363
(360) 457-9270
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 145.00 Plan Check Fee . . .00
Issue Date . . . . 10/31/22 Valuation . . . . 0
Expiration Date . . 4/29/23
Qty Unit Charge Per Extension
5.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 25.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 145.00 145.00 .00 .00
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Service / remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/31/2022 22-1357 TAP
OWNER
CONTRACTOR
Simpson Electric
PROJECT ADDRESS
816 W 15th St
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 10/27/22, 8:22:52 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001357 816 W 15TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 145.00
TOTAL DUE 145.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/29/2022 22-1357 TAP
OWNER
CONTRACTOR
Simpson Electric
PROJECT ADDRESS
816 W 15th 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
6/5/2023 22-1357 TAP
OWNER
CONTRACTOR
Simpson Electric
PROJECT ADDRESS
815 W 15th St
Application Number . . . . . 22-00001357 Date 10/31/22
Application pin number . . . 450410
Property Address . . . . . . 816 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-99-0-4-2810-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Panel, Remodel Bathroom
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BENOFF DAVID SIMPSON ELECTRIC
816 W 15TH ST 243036 W HWY 101
PORT ANGELES WA 983637228 PORT ANGELES WA 98363
(360) 457-9270
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 145.00 Plan Check Fee . . .00
Issue Date . . . . 10/31/22 Valuation . . . . 0
Expiration Date . . 4/29/23
Qty Unit Charge Per Extension
5.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 25.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 145.00 145.00 .00 .00
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Service / remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/31/2022 22-1357 TAP
OWNER
CONTRACTOR
Simpson Electric
PROJECT ADDRESS
816 W 15th St
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 10/27/22, 8:22:52 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001357 816 W 15TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 145.00
TOTAL DUE 145.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/29/2022 22-1357 TAP
OWNER
CONTRACTOR
Simpson Electric
PROJECT ADDRESS
816 W 15th 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
6/5/2023 22-1357 TAP
OWNER
CONTRACTOR
Simpson Electric
PROJECT ADDRESS
815 W 15th St