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Home My WebLink About621 Lopez Ave - Building CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15269 Port Angeles, washlngton.m.m./{m..2..~.mmmmm.m.m.m.m., 19.('.>:: In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- /peal equipment in, on, or about any building or other structure in the City of Port Angeles, per- Qussion is hereby granted to do electrical work as listed below. ~::::s..pz:::jiff~::::~:=::m...::::::::::::::....;~=~=~:::...~::~:~.~:~:::::~:~::~:::::::::::::::::::::::::::::::::: Wiring ~~ntractor "h..~l!..!,::,?:f-.g~,,,,...t:.f!E..r::............. By................m............................................h..... ;"1- Light Outlets..............~...................._..... 30 R~ceptacle Outletsm_n._............._......... D.;.e" KWjm.......c,..u.u............uu...uu /.2 Rapge, KW ._____~_.n____.__..___ nn____..._n__n Water Heater: KW...um.)1Xh....muumummu Helt: RW../It..2C!f..d............... M(ttors: size, volts and phase: Total Loadm.m____m______m_.... Service, volts ..!..?~;?../.:;__r..t;:_........_ 3 No. wires ................._n.______......h_... Size wires...)~~/.:?_r!'.__c.....__... A Main fuse .....!?'U?9./t............... Enclosure __m__-5.______.___......._m._.___ Type of Wiring: Entrance Cable __..__..._m._m______..... Rigid Conduit .....__..__.....___...._....m Metallic Tubing ...._mm__.______..__... Current transformers: No. & Slze________._..___..._....._.._....______. Ser. No........_.....__....__........__..._...._..__. Ser. No.._.___________.___________.____......___...... Ser. NO..........................._...__n______.__... Ser. NO....___......__..___________._______.......h. Type of WirIng: Armored Cable __m Non.Metallic _._m_.m_m_________..._...__ Knob & Tube......_____._____._________...___. Rigid Conduit ............................... Metal11c Tubing ......m_........__....... Race\vay _..._...u_.........__......._._....._.... Circuits, LighLut:..._............___....._...m Utility ......f.................................... Heat Y................_...................... .~ Range __..::"!...__..._..___.....___..._..__..___.__.. '"Vater Heater .__~.__m___..__.....hn.._ Motor _...___..___....__...__.____......_..._______ ~ Dryer.._..._____..________.__._________.....___.._..... Furnace -..___._....___.__.......__n..nm.mmn ",if Total _._-Z.~_r...__..__......_...._......... Relnarks: nu___~.'!....!2.~~n~__1:-..uh.h.~_.~-::'.':.n..;...~~......._...m(...'.~':!:_:~_:.~.:....n:~h._~(.~____t-!:.~.f.~fj:__.h.ffr:~~.Y..~....;:;~./jJ /}J_ . I .n...l.t.:~./...c::'L.n.n....._..n.nn__nu.h..n.u.h.h_h.h_....n.hnn.___...un.nn..___hh...un.u..n_ndnn_..nun.n.u.h_.nn.n.'nnn_nnn. .;~~~;~=....mmm..........m;~~~~...;~~~;~~..h.hm..m.................h.;t:~l...:.;l;Z~.:~.:z.~..:~.............. $.....I....<L...........mm....... NO.........m..m.mm..m By .......m............h....................m........mm......... r"'OTICE-Current must nen be turned on until Certificate ot Inspection haa been issued. If work is to be COD- caaleU 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 I I, -) i(...) 13 f":, .- I. . _ C";-.-'. .:_t....... /1"\"~ I -" ELECTRICAL PERMIT N? 15269 o ~ ~ Date called f;': ~~ti2il::<~1~,f:~=t:uun..uu..u...u.._...u................u..............u......:..:~.Z~u.~./u~............. Prell~nary lusp~~nr. .r.~~(~~Z.~.;~j~~!.~:~);{;f.:;~.u..............n....uu..........................................._......._........ Inspec1loncompleted...__c_.............._.._........:................--...-...--..-...-.---..----...........--.-..--............_.........__.._........_.....____._.......h...._._.___..__......_ Total ~.ond ............u..............u..........u...................... 1M 3-72 Olympic Printers, Inc. Application Number . . . . . 24-00001005 Date 10/23/24 Application pin number . . . 657685 Property Address . . . . . . 621 LOPEZ AVE ASSESSOR PARCEL NUMBER: 06-30-10-5-2-0700-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ EUGENE BURWELL BLACK DIAMOND ELECTRICAL CONTR 2505 W YAKIMA AVE 502 BLACK DIAMOND RD YAKIMA WA 98902 PORT ANGELES WA 98363 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 95.10 Plan Check Fee . . .00 Issue Date . . . . 10/23/24 Valuation . . . . 0 Expiration Date . . 4/21/25 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 12/19/2024 24-1005 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 621 Lopez Ave