HomeMy WebLinkAbout315 Forest Ave - Building
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
.:26 'It
.s-/-0't/
..
ELECTRICAL PERMIT
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ Residentialr r
Heat KW ",.-S
o Baseboard 0 Furnace/Boiler
o Heatpump 1'j(Other~
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
)iCRemodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o undergr~6. {)
Voltage tf. y.; ~
o 10 030
Service size .::J~ Amps
o Temporary
Detai I slDescri pt ion:
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s:r;tcU /-~ /41.
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
f O.K. to connect service
~ Finai O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Installer:
permit~cZPf6
New Meters
.
Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Insp~ Writing on the Wiring Repor~ or the Building Permit. PHONE 457' EXT. 158 or EXT. 224.
/ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~t9f!LO
Inspector Amount paid
WHITE - file by address YELLOW - fjle by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLY~4PIC PRINTERS. INC.
{JJo3
FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000115
PERMIT NUMBER
..
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.({ELt=cilSJ ,
TOT At FEE -. JDt 0,0 ~ ( H 0 II S '<.
- CON')'". Lie. NO. TIME TO COM~LETE NO. STORI ES LEGAL OCCUPANCY
ELECTRICAL PERMIT'ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Si'teAddress3iS FO.eEST . .1f~E' \ .
_ /J ~O.RR,..ECT ADDR 55 IS RESPONSIBILl~Y OF APPLICANT PERMITS WITH WRON.G A.wR~SSE~RE CAN?ELL.ED_
Owner !4 r/dJlf/;;LES ~ CLot{ . Installation By,.. t1. V- K- #ECJ;e/G
"JrlO .A~- il- Jt E S ., .''':-:;'' r r7T# IC> ""
Owner'sAddress i C/;r:oxl'w.n . "rlAlv l-b Installers Address v~b7 ,=, ., - , Fr'
Day Phone -4h!J-~IS- ,Io-rl.il -;?#L S Tcvtl Installers Phone 45 j, ~ 2-:-.
Application is hereby made for Permit to ihstall'Electrical Equipment as follows: fA.; I ~ e 5' "Al G L ~
--E4~~Ly #Oq5~
Wiring Method i5 (J NJ-t'y..
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE
CIA 30 CIA 30
LIGHT SIGN
LIGHT - 50 VOLTS
OR LESS
CONVENIENCE - . MOTOR
CONVENIENCE. MOTOR
APPLIANCE . . MOTOR
DISH\VA:?HER - FIRE ALAAMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER .
LAUNDRY .
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
'GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
..."
E~ECTRIC ~EAT .) ;).lft V TOTAL FEE ](J. 00
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AC.UNIT ~ odJ AMP 1 PHASE
FEEDER t/ V SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE V- V/. j61.~ 4-10 -!I / u p/( A.w.G.
1- SUB. TOTAL 10.00 SIZE OF GROUND ~ Ir. SIZE OF ENTRANCE SWITCH ~ 004/11
r
1 certify that the work to be performed under this permit will be done by the installer and i
Date Application made / / ~ ;). 7 - ,19 71'
(
C. Electrical Code.
.'
C TRACTOR OR OWNER (OR AUTHORIZED AGENT}
PBrmissi9n is hereby given to do the above described work, according to the conditi ns reon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
/1-?7-=-.'L BY'/Y1 7Y~
r jj ., PLANllee.f::(, ,.', '
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 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
OLYMPlC PRINTERS, INC.
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DATE OF VISIT MADE BY
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3- :l (- 1"
7-IY- "15'
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1/1' ~
REPORT OF INSPECTOR
RE~~KS
,p,rrsrtJe CCkl(!kO(4/~~"e/J .PROM .
g~r~rRot>/VI GAlc- I Ale';:; ov/ -r-D IAie</
c,rv o/?JJ,,,,, ~;:: J
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
.
r )0303
V FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
QaDi'LL
PERMIT NUMBER
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
:3 IS' Pt11f'85 TAtE
CORRECT ADDRESS IS RESPONSIBllIT~F APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner ' WC.StE. :()~.s (.i-' InslallationBy ----Lt+,f iG"-fcr.eiC
Owner's Address p()J30jr /1OS" 'IZ'/ A4Iw6U!5.Jp InslallersAddress 53" E,' '71:..# RlRT /tv;'6Uf
Day Phon" -15t)-~~fJ5 - -...jOiJAI RJ4<-Sl'",/I/' Installers Phone 4::1'-:;;1-'7992-
Applicatlor:! is hereby m.ad~ for Perl11i~ to install Electrical Equipment as follows: re,A'( ~
.
TOTAL FEE
1 s-;OCl '
.--
(,
eJI(S€-
TIMETOCOMPLETE
NO. STORIES
LEGALQCCUPANCY
USE OF CIRCUIT
NUMBER
CIRCUITS
AMP
PEA
CIA
FEE
240V
100A
30
120V
10
LIGHT
LIGHT
CONVENIENCE , "
,
CONVENIENCE
APPLIANCE I";:" '\~
DISHWASHER ~l\/) \'
DISPOSAL ./ ~\ \\6'
. RANGE ~\? ).: V
OVEN )~ \. \. 'V"
WATER HEATER // ~\.
VA /; ,
LAUNDRY
DRYER "'\:'-' :;';
FURNACE - fi /
GAS. OIL
FURNACE V '/"'
ELECTRIC
ELECTRIC:;; HEAT
ELECTRIC HEAT ~
A.C. UNIT "-
,
FEEDC~R <
~Le.
Wiring I ~thod
't1 ~'
USE OF CIACUIT~ 'i:Ni;J~~~'I A' ~'20V
". .' CIR Ul., ;..:.,' r\.' 10
, , I",
SIGN / ./"'\,~\ 1\\ \>
50VOLTS _ \\ \IL.. '". I>
OR,lESS ...-, \ ~["' ~ \
MO~ \~ . \\ \.}""
!~tg,...... '\. '--
240V
l00R
30
FEE
!N?ALAAMS
BURGLAR ALARM
MISC.
f.e.N1fcAV
t.---
Is.o 0
So
IS. 00
REINSTALLATION LIGHT FIXTURE It
SUB TOTAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE I ,).I:>-t:l
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
SERVlCE .. ~ ~ \"'~J f'.. AW.G.
I SUB-TOTAL Sl~'OF'-" SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the i~lIer and1n::;;;-fbfma.nce withA111 Dr.1t.eY.'Electrical Code.
co TRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission ishereby given to do the above described work, according to the cond ions reon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles,
~ ' DIRE~O~ CIT~ LIGHT
Date Permit Issued I/~, '/, 7 - Q--LL By -~~r ?~~
cI'- 0---, PLANS AP ROVED
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 Placard. A.. Permits Phone: 457-0411 Ext. 158.
Date Application made
1/-
;).7
.
~ARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
('II VMgll~ PRINTERS, INC.
WHITE. OrIginal CANARY. Duplicate PINK. Triplicate WHITE CARD, Inspector's Report
~
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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" O.K. FOR COVERING
//2'1'';(<[ .4fEJ ; O.K. T~ CONNECT SERVICE
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Application Number . . . . . 25-00000489 Date 4/29/25
Application pin number . . . 357734
Property Address . . . . . . 315 FOREST AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2884-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
DHP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LEVI C AND ASHLEY G RIZAN EXTRA MILE TECH & ELECT., LLC
315 FOREST AVE 418 N. RACE ST.
PORT ANGELES WA 983622429 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 4/29/25 Valuation . . . . 0
Expiration Date . . 10/26/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
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
5/12/25 25-489
TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
315 Forest Ave