HomeMy WebLinkAbout124 Motor Ave - Building
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/~~e~TNUMBER
CITY OF PORT ANGELES
DEPARTMENTOF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PERMIT NUMBER
.
- TOTAL FEE
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CO NT. Lie. NO.
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
TIME TO COMPLETE
NO. STORI ES
LEGAL OCCUPANCY
/2. 4- />77 0 TO ~ A V e7V (../ e:
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT
Owner /,!,dSEPH C. ,/77c;;~OAJ
Owner's Address / c:- tJ ~ /"1) ? z::tZ
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Site Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By //4-'I.aiA'O hiCC7-efc..
Installers Address
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- NUMBER
USE OF CIRCUIT" CIRCUITS
Wiring Metho~.
AMP
PER
CIR
FEE
NUMBER AMP 120V- 240V
USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30
LIGHT I
LIGHT ,. -
CONVENIENce' 2- _.
CONVENIENCE
APPLIANCE .
DISHWASHER 'I',
DISPOSAL /' ,
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. RANGE /< , ^
OVEN '>/, "'-
WATER HEATER v~ , ,
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LAUNDRY V,',"'-._ ......
DRYER , , ))
FURNACE - \.'--1/ /,A
GAS. OIL
FURNACE 1V"1t-
ELECTRIC
ELECTRIC HEAT V/
ELECTRIC HEAT
A.C. UNIT
FEEDER
SERVICE
1 SUB-TOTAL
240V
100R
30
120V
10
SIGN
50 VOLTS
OR LESS
MOTOR ,
MOTOA
MOTOR -
FIRE ALARMS
BURGLAR ALARM
MISC.
GA<'1!4~ Ooo(!:. I
AEINSTALLATIONllGHT FIXTURE #
...SUB TOTAL FEE
.
ENERGY FEE
"'--."'\ BASIC FEE
~LFEE
'"7 OF SERVICE SWITCH OR CIRCUIT BREAKER
V Jyf) _ AMP
-V / ~ZE OF SEAV;CE ~NTRANCE CONDUCTOAS
v- .
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PHASE
AW.G.
SIZE OF GROUND
I certify that the work to be performed under this permit will be done by the j'nstaller and In
Date Application made
/2-//2-
SIZE OF ENTRANCE SWITCH
,19 ?6-By
I Code.
R OR OWNER (OR A THQRIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances, of the City of Port Angeles. .. ~ .
, ",DIRECTOR OF,CITY LIGHT' '
By /17aA.2~~ $
PLANS APPROVED -
. ;~J~/;;ed
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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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WARNING
WHITE. OrIginal CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
P.L YM..f!..C P~INTERS, INC.
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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~EIPTNUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PERMIT NUMBER
.
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TOTAL FEE
30 "0 CONT. Lie. NO. rIME TO COMPLETE NO. STORIES LEGALQCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Addres b "t:)
CORRECT ADD E$B IS RESPON tBIL Y F APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner .<,/lA. c.o/\/, Installation By ----$.YI3/RD ;;;~~.::,7"A/L::'"
Owner's Address '<:"2!O C"LuJA doA.b P.A. Installers Address P.t), ~C>( 6t; :J"7J"I?e...WM)/.
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Day Phone '152 - /2. :5 "7 Installers Phone 9.:? B - S ') (p .,
Application is hereby made for Permit to install Electrical Equipment as follows: Nt uJ ,Ii ~ 5 .
Wiring Method
..
AMP 240V NUMBER AMP 120V 24QV
USE )F CIRCUIT NUMBER PER 120V 100R FEE USE OF CIRCUIT PER l00R FEE
CIRCUITS CIR @) 30 CIRCUITS CIR 10 30
LIGHT (rdP J.::' ./ SIGN
LIGHT ~ 50 VOLTS
OR LESS
CONV11'I"'11E -2 :It) V MOTOR
CONVE ...,IENCE MOTOR
APPlIP...,CE MOTOR
DISHW.\SHER I ;;Ii) V FIRE ALARMS
DISPO: .AL BURGLAR ALARM
RANGE I 'tIJ .i/' MISC.
OVEN f~/J CC:> f./t I 1'1 ,/
WATER HEATER / 3(1 ~ V
LAUNC RY I 20 ~
DRYER I 10 ~ V REINSTALLATION LIGHT FIXTURE #
FuANi.CE SUB TOTAL FEE
GAS- .)IL
FURN/.CE ENERGY FEE
ELECT ~IC .~ BASIC FEE
ELECTRIC HEAT I ~D
-. TOTAL FEE
ELECTRIC HEAT f yo SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT 70& AMP ~ PHASE
FEEDER SIZE OF SERVICE ENTRAN.C CONDUCTORS
SERVICE <lid 7'/0 :yo A.W.G.
I SUB-TOTAL SIZE OF GROUN~ d'~ a.~IZE OF ENTRANCE SWITCH ;<>dO 4.i4 J
p
Date Application made
II
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,19 f5(p
lectrical Code.
I certif\/ that the work to be performed under this permit will be done by the installer and In c
By
.
Date P.nmit Issued (
I,/'cr/ry'
I WARNING I
TRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions reon and according to the approved plans and
specifl:::ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECT~F CITY LIGHT
By ~,-.w:z~ ~./7
, "J' ....: . \ ','.'\ :> '>{ '. .' ~ . ,', '.' if. fLANS APPROVED , ,:'.... P' '\'" \.._
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work mu\t 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.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD, Inspector's Report
OLYMP ::;PA1NTERS, INC.
. "".-/
.; ...
REPORT OFI,NSPECTOR
DATE OF VISIT MADE BY REMARKS J "'
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES , ,
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
836
PERMIT NUMBER
.
TOTAL FEE
(Ce~
141/ aA_
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CONT. Ltc. NO.
TIME TO COMPLETE
NO. STORIES
LEGALOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UND~A THIS PERMIT
Site Address COR~E~T '!.oORESS ~R~?:tN~ILI~ ~A~,~l' '{,e!lTS WITH WRONG ADDRESSES ARE CANCELLED.
Owner L . Po. A. (!;n"l..r~tlen,,"" Installation By , .1i4Y/I,llIb ~/u.TIUc..
OiNner's Add~ess .:z::U 0 ~.vll- II.dlj Ii 'Installers Address fJ. (), ~.. X ~ (" 'J(I '&6'. uJA9I.
Day Phone ~ ~I'J ..../A 3 7. Installers Phone C/:i'K - 31)(.. f . /
Application is hereby mad.B for Permit to install Elec~~lcal Equipment as follows:.
Wiring Method
.
NUMBER AMP - 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS 'PER '0 100R FEE USE OF CIRCUIT CIRCUITS PER '0 100A FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS / ....,
OR LESS
- / , -
CONVENIENCE MOTOR
CONVENIENCE MOTOR. .J
APPLIANCE MOTOF r
., ~ ,
qtSHWASHER -~ ..... ~ AIFIR~ ARM~
DISPOSAL 1/ . l l~ / sJlfiG AR A~ARM
RANGE ~ "- fI -""'. / ~IS9
OVEN ....... 1-"- ,
WATER HEATER I f
LAUNDRY I
DRYER ,J REINSTALLATION LIGHT FIXTURE #
FURNACE - SUB TOTAL FEE - - .
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC -
BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
--
SERVICE A.W.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
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By
Date Application made
C TRACTOR OR OWNER (OR AUTHORIZED AGENT)'
PerrTJissionls hereby given to do the. above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances.of.the City of Port Angeles.
_ " - - , -, - ,- DIRECTOR OF CITY LIGHT,
IlJJA
By
PL VEO-..'
Notify Department of City light by S~reet A re ,and Permit Number w~en ready for inspection. Work must not
be covered or current turned on before inspection and.O;K.'for covering or service has been given cy"lns'pector In
Writing on Permit Placard. A. - Permlts'"'Phone: 457-0411 Ext. 158.. " .
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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
OLYMPIC PRINT.E!l~._INS:~
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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Application Number . . . . . 22-00001484 Date 11/29/22
Application pin number . . . 775500
Property Address . . . . . . 124 MOTOR AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-1628-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SCOTT SIMMS BLACK DIAMOND ELECTRICAL CONTR
1102 GASMAN RD 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 775-8144 (360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 11/29/22 Valuation . . . . 0
Expiration Date . . 5/28/23
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:--------------------------------------
Project Description:--------------------------------------â–¡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
PREPARED 11/28/22, 8:38:54 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001484 124 MOTOR AVE
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment
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
11/14/2023 22-1484
TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
124 Motor Ave