HomeMy WebLinkAbout109 Lopez Ave - Building
W.S No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
,
o ~itch inspection O.K.
Dough-in/cover O.K.
1J1i.'R l.K. to connect service
o F[nal O.K.
v
.
.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
:3 6>& ~
,
.J-?-'?/
ELECTRICAL PERMIT
OATE
o READY FOR
INSPECTION
License Number:
;twILL CALL FOR
INSPECTION
Phone:
OWrer/BUSiness:
Ower/Business Address:
Phone:
Sq. Ft.
Residential.,20
Heat KW
Baseboard -f;t. Furnace/Boiler
Heatpump (0 Other
Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
I (attach breakdown)
Detai I s/Descri pt ion:
I
o New Construction
o Remodel
poCservice update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
~verhead
6' Undergfl!,'~'9;Z dO
Voltage Y'
!){71 0 0 ~
Service size /t7..D Amps
o Temporary
,f""
{'
.J
I
-l
-I
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
,D Fire Department notified of inspection
o Plan Review approved/pending
Date:
~-2. /
Notily the Department of City light by Street Address and Permit Number when ready for inspection. Work
I
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by f 'e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT d rJ tJ..tI
Inspector Am&n~ pai~
WHI iE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMPL PRINTI>RS, INC.
-
Application Number . . . . . 24-00001301 Date 12/04/24
Application pin number . . . 412844
Property Address . . . . . . 109 LOPEZ AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-2040-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Furnace
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BOHMAN, RICHARD/CHRISTINE CASCADE ELECTRIC & VAC INC
109 LOPEZ PO BOX 369
PORT ANGELES WA 98362 PORT HADLOCK WA 98339
(360) 379-5347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 12/04/24 Valuation . . . . 0
Expiration Date . . 6/02/25
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
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
12/9/2024 24-1301 TMC
OWNER
Contractor
Cascade Electric
ADDRESS
109 E Lopez Ave
