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Home My WebLink About1121 S Pine St - Building ~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 r-Q/t PERMIT NO. --.;> Olp...:> //- C; rf"L DATE ELECTRICAL PERMIT Installed By: 6,' /.---?<~. JIe ZW, o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR e--SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS DetailslDescription: //vI- /J , c'Ai(/ . Wf$. No. SERVICE SIZE CAPACITY: i 0 O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection OK o Rough-in/cover O.K. A .!~ O.K. to connect service III l:\l'Final O.K. Installer: JI ~ f PJb'.S ?~~. New Meters .--- J Site Address: /.;;1 , I / It:) $:0 , fr . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. .# ~M NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ r ~ D t3!! Eleclricallnspector Permit F=ee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS INC. ELECTRICAL PERMIT CITY OF PORT ANGELES - 3604174735 Application Number . . . . . 16-00000456 Date 4/01/16 Application pin number . . . 438512 Property Address . ... . . . 1121 S PINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -4750 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ----------------------------------------------------------------------------- Application desc Replace Knob & Tubel in basement / crawl ---------- ----------------------------------------------------------------- Owner Contractor ------------------------ CHERYL - -- ------------- CHERYL VEBLEN ANGELES ELECTRIC 1121 S PINE ST 524 E. 1ST ST, PORT ANGELES WA 983627520 PORT ANGELES WA 98362 (360) 452-9264 Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL -- -- ---------- Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date . . . . 4/01/16 Valuation 0 Expiration Date 9/28/16 Qty Unit Charge Per, Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION' TYPE DATE: RESULTS. DTICH SERVICE 1 ROUGH -IN ' FMAL t "PERMIT WILL EXPIRE SIX (b) MONTHS FROM LAST INSPECTION 'Al Signature of owner or Electrical Contractor X GAEXCHANGEMUILDING REPORT SALES TAX on your excise tax f0nn to the City of Port Angeles (Location Gude Q;5tJ2) INSPECTOR Date: o,* pORTA01- ELECTRICAL INSPECTION WIRING REPORT *,RKS 417-4735 :1 -IF /' I Pi#�� +INSPECTOR CONTRACTOR ADDRESS APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ 5&'�?4y - ..... ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED:S NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - 03/31/2016 08:07 FAX 360 452 9265 Angeles Electric CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street - P.Q. Boa 1150 / Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date: ,P lli 2 Single Family Dwelling [10001/0001 JPlan Review May Be Required, Please Complete Elechical.Plan Review Information Shoe Building Square Footage:. Description of above 0' V Ownep1n[gnpatIon Contractor Into anon Narrw + Na me r_ Mailing AM& Nidhg Addrw - City: Shk Zlp CKy:r" f t11K Zip: Phone: I= Phone .� license d/ F-xp. Unse 9 t Exp Item Unit Charas 9ft Tont tr'2ty Multinlled. jlv_�It Charnel ServicelFeeder 200 Amp.. $120.00 $ Servic efteder 201-400 Amp. $146.00 $ ServicelFeedre 401.600 Amp $ 205.00 $ Sen4CeJFeeder 6014000 Amp. $ 26200 $ ServicelFeeder 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. ServiceJFeodw 201.400 Amp. $110.00 $ Temp. ServloelFeeder 4014W Amp. $149.00 $ Temp. SmvWeeder6014000 Amp. $166.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Elected Eneigy -16 2 Family DwdN $ 64.00 $ Manufactured Home Connection $120.00 $ Rerewabte Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW C0PgTRUVPN ONLY: First 1300 Square Ft $120.00 $ Each Additional 500 Square Ft or Portion of $ 40.00 $ Each Oulbur'Idrig or Detached Ovage $ 74.00 $ Each Swimming Pool or Hot Tub $11o.00 $ $ —;Kj.aaTota! Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical pwn* Is thnafted. (2) Owner is required to hire an electrical contractor if above said properly, is for sele, rent or lease. Permit expires atter sic months of last inspection. After reading the above statement, I hereby ca> * that I am the owner of the above named properly or a licensed electrical contractor. I an mWdng the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 1928, WAC. Chapter 296.468, The qty of Port Angeles Municipal Code, and Utft Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical adminlstrator. ❑ can —C3 Chwk r.alt Cad # oAl 4* w: .��311l� ouo+ao,s ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . 16-00000456 Date 4/01/16 Application pin number . . . 438512 Property Address . .. . . . . 1121 S PINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -4750 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . ----------------------------------------------------- 0 Application desc --------------------- -- Replace Knob & Tubel in basement ----- --------------------------------------------------------------------- / crawl Owner Contractor -- -------------- CHERYL VEBLEN ------------------------ ANGELES ELECTRIC 1121 S PINE ST 524 E. 1ST ST. PORT ANGELES WA 983627520 PORT ANGELES WA 98362 ----------------------- (360) 452-9264 ---------------------- Permit . I . . I I ELECTRICAL ------------------------------- ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee 75.00 Plan Check Fee '00 Issue Date 4/01/16 Valuation . . . . 0 Expiration Date 9/28/16 14 Qty Unit Charge Per, Extension BASE FEE -------------------------- 75.00 -------------------------------------------------- Fee summary Charged Paid Credited Due --------------- - ---------- Permit Fee Total 75-00 ---------- ---------- 75.00 .00 ---------- .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGMBUILDING Application Number . . . . . 23-00000908 Date 9/11/23 Application pin number . . . 575792 Property Address . . . . . . 1121 S PINE ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4750-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Furnace / Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHELLI AND LARISSA ROBERTS BLACK DIAMOND ELECTRICAL CONTR 1121 S PINE ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (623) 694-7686 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 9/11/23 Valuation . . . . 0 Expiration Date . . 3/09/24 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:--------------------------------------□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