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Home My WebLink About222 Dolan Ave - Building CI'IY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 18010 r- Port Angeles, wasbJngton.n____n___h:nb_____~____________________________.._, 19_3_~ 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 do electrical work as listed below. Address ____n_~n'2_2__uu___J)_\1...L9_D._.n_______nn___u_h_U_Um_______. Occupancy____..L5:._2_.._..___hh._.._____n________ :7:~~-:~~:~~~~:~~~1:~:Q::::::::~:~~:::~~;::-:~~:~~~~::::::::::::::-_-_-_-_-~~~::::::::=::::::::::::::::::::::::::::::::::::::: '] Light Outlets......_.mm...__. __......00__._..._. :.0 RQceptacle Outlets_________.-..................... Service, volts .......m...m:.~..\-)..........__.... No. wires ..__.....__...~.........n______.__n.. Dryer, KW.__u.nn__nn-..h..n..h..n....n Runge, KW nmn...._m.C.m.. Size wIres...___..!;'..........___..h.....:..__? Main fuse ....____...............n..._____...... '~tater Heater: --I KW...._...n.....h.................... HI at: KW.......................!l...3....... Motors: sIze, volts and phase: Enclosure __...............__..__.....__... Type of wiring: Entrance Cable ....._ ..m.....m......._. Rigid Conduit ...........?!:. Metallic Tubing ............... Current transformers: No. & Size....................______... SerA NO.....n..__..................___.__......__... Ser. No............................................... SerA NO....__................__...........__n__...__. Total Load.....................m..... Ser. No. .......__.................................... Remarks: u_____.uum___um_nn_______n_____nn____.u....u.nnnu.___n_____.uu___uu.u.nn____________n_____.n______nn____n__....___________u Total....................................... Type of Wiring: Armored Cable .............m......n.._._. X Non.MetalUc .............._____.............. Knob & Tubem...................n.......... Rigid C()ndult _...00..__...._.............00_ Metalllc Tubing .....mm................ Raceway ..............................._......_ Circuits, Light....h......h.:;...............___.... Utility ........-............:1-........m....m.. Heat ........................!.:............_...... \ . Range ............................................. Water Heater ....0......1.................... Motor ........................~................. D,yec ....mmmm......mm.Lm.............h F urnace .........................,~................... .............................................--.........................................................................._........u......____................................. m._________n__________.uuhuh_mu._mm__.m_n___n___n_________n___n___h_.u____.mm_m__n_____n_______.___nhm__;;;;!"n_____________.____n___n___ Permit Fee ~ Treas. Receipt ~ ~'_ v. ; $_.~l{L-------nhuuhu.. NO.._6..~.I.7_.nn--- By m__lJ.___~._ ---.-."---.--- - --=.:t::.:.---...n NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ~~';'J ../ Ai.dress ......2...).....;L......b:_::_~........__......................_.._.............__..................... Date..._~.."'-..~..:-:_....9..4::..h...__._.m...._ ;J.f.l.~' ,~.' ~::::: ~o.:;.~~.c;~:::::::At::i~:~{?::=:!~~~:~::;:~:::~:::::~~::::::.:.:::::.:::::::::...:..~~:~:t':~::::':..::::;:i:Z~:==~=::::::.:::::::::::::::: ELECTRICAL PERMIT N~ 18010 NOTIC~urrent must not be turned on until Certlflcate of Inspection has been issued. If work ilJ to be con. ce$l.led due notice must be given the Inspector so that work may be inspected before concealment. 1M 01vmni.... 'Pr;nt..r.. r,.,,.. Application Number . . . . . 23-00001300 Date 12/19/23 Application pin number . . . 575600 Property Address . . . . . . 222 DOLAN AVE ASSESSOR PARCEL NUMBER: 06-30-09-5-2-1820-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JUDITH R BICKFORD BLACK DIAMOND ELECTRICAL CONTR 222 DOLAN AVE 502 BLACK DIAMOND RD PORT ANGELES WA 983622510 PORT ANGELES WA 98363 (360) 457-3608 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 12/19/23 Valuation . . . . 0 Expiration Date . . 6/16/24 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .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:222 Dolan Ave------------------------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