HomeMy WebLinkAbout520 Rose St - Building
City OF PORT ANGELES
LIGHT DEPARTMENT
EL;9'RICAL PERMIT N? 173 63
/
Port Angeles, washJngton-------V'..:::::....L..2.-..--..---------------------, 19nril
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 listed below.
Address --~---~nQn----~fin- ----- ___~_______U::n_n___________.n____ Occupancy___________~_____.__.________
Owner _____.J~_______n _m --- lJ.-m---~--------- Tenant______n_______________._____m___n______________________m____________
Wiring Co~tractor --(JJ""-~----- n-&:lfn_L___________________ Byn________n_n_nn_________________________________________________
LIght outletsn._m___.!...n!:?mm_m_________ Service, volls n.l.'i:,nQn_'!:_n';6_~.__() Type of Wiring:
Receptacle Out1ets....~m-Z>-.....---....... No. wires .m....._~.......m._....._.... Armored Cable ................--............
/ Si . 4J /." A '- Non.MetalUc ...............................--
Drye" KW ______n_________!l?_______nn____mn_ ze wlresnn-l-/-_()m__ ___ m___.n____
Runge, KW m_m_______L_~n_m____ _ Main fuse mn~m\?:n~_m_.<:4._~m_
Water Heater:
Enclosure .......................................
,-
KW____n____n'l._'t__nnn
Heat KWm_m./L__m8nI3n_____
Type of wIring:
Entrance Cable ......__mn____.._..
MotO".S_/_i....'};f~~n:~::..:mnm
_mlm_7J;~n-------m-m--n-
Rigid Conduit m__mm...._mn..........
MetalUc Tubing ..._.......................
Current transformers:
No. & Size.......................................
Ser. NO...nn..n.....nn___.....___.___________.._
Ser. No. ______________________________._..____.......
Ser. No.._____._____...__.........___.................
Knob & Tubem_nmnmnnmnmn__.___
Rigid Conduit _m________n_n_mnnmm
Metallic Tubing .mm_m____............
Raceway ___.._._______..._............._._..._
Circuits. Light..........3........_........_....
Utility nm__mmnf-_n_m__m___________n
Heat .__________...~.............-....-......
Range ____________n__~________________mnnn
L
Water Heater _.__.__m__._.................
Motor ._..___.....___..___.__................._....
Drye'mmnm_m_~___n___n__nmn__
F urn ace ._........................~__...._.__. .....,
Total r..oad......n.____..___n_______.. Ser. No............................................_. Total ----./--1---------...............
Remarks: _______"-?4/_~-t!_.l----e~..At.,l-)---.--------.n-----n.---nn------n-------------------m----n---------____________________
Permit Fee
$__~s:_Qn___nn____n____
Treas_ Receipt
NO______n.___....__n....n___
By--lu~---~~"'-----
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be eon-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
.1
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
N?
17363
Owner......:..________________.____________.._.____......_......_.._.........____._....._._.___..............._........_____...Tenant....._...___________...__............................__.....___..__.
Date..._......__._.._.._.........._...~:~_......_.........
WlrIngContractor.__..___.____._______...............____.....__.._......._._...._.._....__.__...._...._...............____.....___.______By......__.________.___._.__.......__...........................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work 1~ to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers. Inc.
Application Number . . . . . 24-00000066 Date 1/29/24
Application pin number . . . 022828
Property Address . . . . . . 520 ROSE ST
ASSESSOR PARCEL NUMBER: 06-30-15-5-4-0412-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Furnace / Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
KESAVA ANADIM PALINAY BLACK DIAMOND ELECTRICAL CONTR
520 ROSE ST 502 BLACK DIAMOND RD
PORT ANGELES WA 983621923 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 1/29/24 Valuation . . . . 0
Expiration Date . . 7/27/24
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
1/29/2024 24-66 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
520 Rose St
Application Number . . . . . 24-00000010 Date 1/09/24
Application pin number . . . 023490
Property Address . . . . . . 520 ROSE ST
ASSESSOR PARCEL NUMBER: 06-30-15-5-4-0412-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Bath Fan
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
KESAVA ANADIM PALINAY RICHART FAMILY INC
520 ROSE ST 14600 NE 20TH AVE
PORT ANGELES WA 983621923 VANCOUVER WA 98686
(360) 574-5859
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 1/09/24 Valuation . . . . 0
Expiration Date . . 7/07/24
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
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
1/29/2024 24-10 TAP
OWNER
CONTRACTOR
Richart Family
PROJECT ADDRESS
520 Rose St
'ffi{lf- r,.:t D?w
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
DITCH
APPROVED
E]
tr
tr
tr
tr
tr
. . ROUGH IN/COVER .
tr...
E-. .. FINAL
....SERVICE
CORRECTIONS NEEDED:fo rr<-)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE -
| -L5-L+DATE:PERMIT #
L4,-owaoto
INSPECTOF4
OWNER(1156-rtA Apa-)r ^P^l,t*v
R,c[..,-"S (o*,CONTRACTOR
1 Rt*",-1rAODRESS
7o
APPROVED
o .....
tr......
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
... DITCH...
..... ROUGH IN/COVER
SERVICE....
FINAL
tr
tr
tr
tr
tr
F*
CORRECNONS NEEDED:r t + c-rur*
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE -
DATE:
t-LS - L'l Awooo l;o
ALL ,-tt.^\ln'r Pol, u
coNr.Acro' (5t*"1, J ,,."--*)uI"\ t-tt\&
9>o .<- Sdr
ADDRESS
miker@olympicelectric.net
Subject
Location:
Start
End:
Show Time As:
Recurrence:
Meeting Status:
Organizen
lnspection
520 Rose St
Thu 1/25/2024 12:00 AM
Fri 1/26/202412:00 AM
Tentative
(none)
Not yet responded
Trent Peppard
Mike,
1. Bath fan, Richart
2. Ductless heat pump, Black Diamond
NOTICE: This email and any attachments may be subject to disclosure as a public record under the Public Records Act,
RCW Chapter 42.56
1 - 2 SINGLE-FAMILY
ELECTRI CAL PERM IT APPLICATION
!o-3
=sh**F ffied.:Hxt*
\b/-
-zProject Address:520 Rose st
Project Description:Furn/Hp
n Single-Family Residential I Duplex/ARU Building Squarefootage:
Name:All weather Kesava Pal tnav Email
Mailing Address phone. 520.841.3436
Name: Black Diamond Electrical LLC License: BLACKDET95Og
Mailing
Email;
Address: PO BOX 2335 Expiration Date
Phone:360.461.3957
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60 1 - 1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits'l-4
Temp. Service/Feeder 200 Amp.
Temp. ServicelFeeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal lo Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
TOTAL 95.1 0
Owner as defined by RCW.19.28 .261: (1) Ownerwill occupy lhe 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 ihe eleclrical 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.
01 -22-2oz+ Beniamin Sham p
Date Print Name Signature ([ Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa us or faxed lo 360.417.4711]
Unit Charge
$190.20
$190.20
$285.30
$380.40
$475.50
$5.30
$95.1 0
$47.55
$95.1 0
$95.1 0
$190.20
$285.30
$380.40
$95.1 0
$95.1 0
$190.20
$190.20
$95.1 0
$190.20
$47.s5
$95.1 0
$190.20
Quantity Total (Quantity x Unit Charge)
01951
s
$
$
$
$
$
$
$
$
$
$
I
$
$
$
$
$
s
$
$
$
$
$
1 2 SING E.FAMILY
ELECTRICAL PE RM IT APPLI CATION
I'ri;,ji,' ::irii.'i i:r:;.i i .,IIil;t.'. :'..''\,',:1,ijtri. :..
.r:' i r' .',1,i ;'.riir.. . i i:,r -' :.:l'-i.-:,.,\'..'.. rri. jir,)
'i -: I ...,..i . , .ii.i;,;:,j,,i,. ..i..,lli'i,-:i]itr't'i.1r.,.,i.,.,... j ..,r:i :,
llo
=1*
Project Address:NA t,bPr
Project Description
Single-Family Residential I Duplex i ARU Building Square footage
Name
Mailing Address
Email:
ne:hoP
'1'l?'= 1-..r . < -::'-- -l'
Name:
Maili
Ernail:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Arnp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60 1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuil WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Porlal to Portat Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thernrostat (Note: $5.30 for each additional)
First 1300 Square Feel
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
License:
Expira tion Date
Phone:
QuantiW Total {Quantity x Unit Charge)Unit Charoe
s190.20
$190.20
$285.30
$380.40
$475.50
$5.30
$95.1 0
$47.55
$9s.1 0
$95. 1 0
$190.20
$285.30
$380.40
$95.10
$95.10
$190.20
$1e0.20
$e5.10
$190.20
$47.55
$95.10
$190.20
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the slructure for lwo years after this electrical permit is finalized. (2) Olvner is
required to hire an eleclrical contractor if above said property is for sale. rent or lease. Permit expires afler six rnonths of last inspeclion.
Afler reading lhe above stalemenl, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am rnaking the electrical installalion or alteration in conrpliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
The City of Port es Municipal Code Ulility nd .l Electrical Pernrit Applications
4
Date Print Narne Signa (fJ Owner EI cal Contractor / Administrator)
4
ID-
[ElectricalPermitApplications may be submitted to City Hallorepermits@cityofpa.us orfaxed to 360.417.4711)
Application Number
Application pin number
Property Address
ASSESSOR PARCEI, NUIVIBER:
Application Eype deBcription
Subdivision Name
Property Use
Property Zoning
Application valuaEion . .
24-00000010 Date
023490
520 ROSE ST
0 6-3 0- 1s -s - 4- 04L2 - 0000 -
ELECTRICA], OI{LY
T'NKNOWN
0
r/oe/24
Application desc
Bath Fan
Otrner Contractor
KESAVA AIiIADTM PALINAY
s20 RosE sT
PORT ANGELES WA 983621923
RIC}IART FAT4TLY TNC
14600 NE 2OTH AVE
VANCOtryER
(360) s74-s859
wA 98586
Permit
Addit.ional desc
PermiL Fee
fasue Date
Expiration Date
ELECTRICAT ALTER RESIDENTIAII
95.10
r/oe/24
7/07/24
Pl-an Check Fee .
valuation
00
0
Qty Unit charge Per
1.OO 95.1OOO ECH EI,-R- BR,ANCII CIR 1-4
Extena ion
95.10
Fee summary Charged Paid Credited rrue
Permit Fee Total
Plan Check Total
Grand Total
95.10
,00
95.10
00
00
00
00
00
00
95.10
.00
95.10