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Home My WebLink About410 S Chambers St - Building 1111_ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17509 Port Angeles, Wa5h1ngtolL.m.lm..LA;.......m.......m..m....m..m. 19.f2'. In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trlcal equipment in. on, or about any building or other structure in the City of Port Angeles, per- :::::: i~..~;L;.~a __::~;;~~:~--~.~:O:~cupancy.-A&~..-~.-.-----.-.....--_..._. o,:"~er..(%i. '.. rt~~~'f.._~enant..m................_m...m.....m.m............--..--......m... Wmng Contractor ..'ZV-.t'!&:....mi7....mm..--..m,r.,--.~..-. By..........m....m...mm....m.__mm.m_......mmm_.... c!P-,$"' Light Outlets__..._____________.____.______.________ !>O Receptacle Outlets....____.....___......__....... Dryer, KW _.n..~Ln....n______n__....___... Ronge, KW ____.I.~_...._______________ Water Heater: d)' Kw__....It__..____________________._____ Hent KW..../.1....../.!I3.....______......_. ...._u..___......_.__....__._.___......____._............. .-.--........------....------.......--.........-----.....- Service. volts ......._______...__.n......_.._....... No. wires ......._n_....._____....._............ Size wlres.._.......____......._............._.. Main fuse .....___.......____.....___.._....__... Enclosure ...._..n.......____...... Type of wirIng: Entrance Cable ...._n.....mm....m.... Rigid Conduit ..............--.............-- Metall1c Tubing m................ Current transformers: No. & Size___......___......__.__....._. Ser. NO.n..................._..........___....._..... Ser. No.....___.................___.........__....... Type of Wiring: Armored Cable ..........--.....-............ Non-Metallic ........._...._.......__......... Knob & Tube__...__......_____...._____...___ RIgid Conduit ....-------.----....--------... Metalllc Tubing ....__m...__m"'__"'__ Raceway _......_......._..............._....._ Circuits, Llght......~....____.....__m__......__ UtllltY------r------------.--------...---. Heat ....----.....--......-.......--........-...... gJ., Range ....._.................................___... Water Heater __.t;L_.._..........._..... Motor __._....__..__...______._n..__....__.._.... Dryer...........-~........--...................- Furnace ----......--......--.-...--......-.--....... ";5- Total Load............___........_..... Ser. No.._........._...................___........_.. Total ........-.........-.................... Remarks: ___...__..m../J!L~.__...~r....m-........mm...m..m.mm-....m..m..............m...m....m , Ser. NO._....._n......___._................._....... ..~.._nnn.__n_..unn_n.__nn._nn...___.__n.nnn...nnn..u.n...nn..._nn.n.n.nn.nnn.__.unn.__nnn.nnn......nn..nn.n.nn.n..._n.un.n _;~:;~.;~~m..___...___..m....mm;~~~~:_~~~~;~~.____m__m..____..m.._m.._~....m-;-~":07V~-' $,.....~LQ..mm...mm.. No............................. By /~rz:;.....&J,_.m7.__....m___.m......~.:I!. ..... NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con. cealed due noUce 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~ 17509) / Address..................................._........._........._......._.__........___.....___._.........__......___.__..........__..........__.Date._._....._____.._.._..........--.....----...--.-....- Owner ____.....................___......._......_.._..__.._......_.._........__....._.......___....____......_____...__u___.... TenanL.____..._..._______....__.n__......______......__..___..._....__n Wiring Contractor ....____....._..___.................................___...._._........_..........__....._....__..........____.........--. By._....__.._......._.__.....__.._....................---....-.. ,NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It' work is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ELECTRICAL PERMIT CITY OF PORT ANGELES 3644174735 Application Number . . I . 1 16-00000712 Date 5/17/16 Application pin number 054512 Property Address 410 S CHAMBERS ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7710-0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . RS7 RESDNTL SINGLE FAMILY Application valuation 0 ............. Application desc Ductless heat pump ......................... Owner Contractor TYLER WHITE ................. BLACK DIAMOND ELECTRICAL CONTR 1514 W TWELFTH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983620249 PORT ANGELES WA 98363 (3601 565-1035 Permit . . . . . . ELECTRICAL ALTER ............ RESIDENTIAL Additional desc Permit Fee 63,00 Plan Check Fee Issue Date 5/17/16 valuation Expiration Date 11/13/16 QLy Li it Charge Per 1.00 63.0000 ECH 'EL -R- BRANCH CIR WO/ SER FEED .......... Fee summary Charged --- ---------- ...... Paid Credited Do(, Permit Fee Total 63.00 63.00 �00 Plan Check Total .00 ,00 pfY Grand Total 63.00 63.00 .00 AN, Q7 - I REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINIAL L COMMENTS: 4i PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEWILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: Y— % (0—f r —K 1 & 2 Single Family Dwelling d7� Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Vii C1- �MI?E'R,S m� Building Square Footage: Description of above Owner Information Name: ? Mailing Address: City; State: Zip: Phone: 4:k �of ... ax: License # / ExD. Item 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 WI 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 Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 Contractor Information Name: Mailing Address: City: State: Zip: Phorte. _Fax° License # I Exp _ F:q— Total (%y Multiplied by Unit Char e _ $ $---......... .... _ $......... ._..a �.................m $ 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, REC., RCW. Chapter 19.28, WAC. Chapter 296-466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of ¢tw I at contractor or electrical administrator: C3Cash Check 13Credit Card # X Dated: _. _ Q �` G 0110112012