HomeMy WebLinkAbout237 Hawthorne Pl - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15730
Port Angeles, washlngton......._...r::-:..fc_....______.__..._________............ 192.C
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 IistedJelow.
Address .;?.3j...::.Jr:....~:.~.-<.~~t(2t!:,.~e....~~.~..--.'! ~ccupancy----~-u:.>":J..-....--....u--------..---..
~:7:~~.~:S~:;~~:=:~:h:~::~;~~~:Yl2.n~;:::::::::::::..~~...~~:::::::::=::::=:::::::::::::::::::::::::::::::::
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Light Outlets.................:...__.::;;:.:.:._.._.....
Receptacle Outlets....~..)................
Dryer, KW ....nn...d~...._..............n....
Range, KIV m.__./:bhh.mn.n.m.
\Vater Heater: ....--
KIVm.mm~u.Lunuun.nnu
Heat: KIVnu___';"'.3"h:L..f3/J...
Motors: size volts and phase:
_____/kI2__u___u.___.___uun___un
.m/.dh....""-u___on___u___nn_____n___.___
Service, voits /2j/:;;'nC6..___nn
No. wires ..........-...................A.....
Size wireBnnc/n'P..1t!n'L.
Main fuse __n.C:LZ;~.mhm'hn.n
Enclosure .D/-i.f..!::L..............
Type of wiring;
Entrance Cable ......_......................
Rigid Conduit .................___
MetalliC? Tubing .................
Current transformers:
No. & Size...........................
Ser. No.........._....................................
Ser. No. ......................_..........n..........
Ser. No..............................................
Type of Wiring:
Armored Cable ..............................
Non.Metal!!c .n___..h____nn_____u_____u.
Knob & Tube________._n__uuuu___u______.
Rigid Conduit u___.uuun_uu_____uu___
Metalllc TUbing _________.u_.__hu____n
circ:::.e::;h.~:::C~~~~~~~~~~~::=~::::=
Utllity __C.___n_______n___.mnhnun___
Heat /n.::?__n.n,u___h___n______....u.u
Range .:6n.u______nnm___.mn_________u
Water Heater ..;L.......................
Motor ..._....::...................................
Dryer .......:1:::........._.......................__
Furnace .........................-_......_...........
Total :Load............................. Ser. No........................_......._..........._. Total ...l..~....n...................
Remarks: ___........___..c.1.~~,J.::::..-:;/.:n4...,.R-4...i'_,.uu__......____.___......u____________.......___..___...__.............____________..
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NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con.
cealod due notice must be given the Inspector so that ~'ork may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/',.1/
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ELECTRICAL PERMIT
N? 15730
Address .,;;.i.3;~......il.::~..;d...~"':!':.""~.....rf:.e...~.~..___............. D.te..._....__.._.._.._......___._...____......___.___....
----~/ - ('iJ -
OwnQr ........... """"'''~!~T(1-:-......""",....4:p'~gF7'''(''j7j . .......... Ten.nt.................n......................._.......__...__...........
~Jring Contr.ctor.....7.f{..~."".-d.,.::/:."'.e.kk..._I':.kJ;2~;J:.::~.......... n"."n_ ...... By.n...n..___...nnnn__........n..........n............__
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.
Application Number . . . . . 25-00001502 Date 11/25/25
Application pin number . . . 540354
Property Address . . . . . . 237 HAWTHORNE PL
ASSESSOR PARCEL NUMBER: 06-30-15-6-0-0093-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
------------------------ ------------------------
GERALD J KOOPMAN EXTRA MILE TECH & ELECT., LLC
237 HAWTHORNE PL 418 N. RACE ST.
PORT ANGELES WA 983623716 PORT ANGELES WA 98362
(360) 457-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 11/25/25 Valuation . . . . 0
Expiration Date . . 5/24/26
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR WO/ SER FEED 95.10
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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 $
$216.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$5.30 $
$125.10 $
$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
12/3/25 24-1502 TAP
OWNER
CONTRACTOR
Extra Mile Electric
PROJECT ADDRESS
237 Hawthorne Pl