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Home My WebLink About1333 Samara Dr - Building .{.a,;;ZMBER . TOTAL FEE ~" .30~ CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ~R~~BER :T!4'f ; I" I./. f:>A f €f. . CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . USE OF CIRCUIT .', NUMBER CIRCUITS 'A ,. . I Site Address 133~ S.IJ..MAAI~ nAJi/(- (:- CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner I.. &, R. "~l''''. .. Installation By -;r/JiYBIAf) ifJ.l!.c:.rAIc;. Owner'sAddre~s .1210 c"J.IVA. I P.A. Installers Address P,O. Box (,c, .:raYC-E-)WMI/. D~Y Phone 1..1':: '2 - I ] 3 2. Installers Phone q"J fJ -?) t. '1 . ARplicatlon is hereby made for Permitto install Electrical Equipment as follows: N#:iV Ii. E. S, LIGHT LIGHT CONVENIENCE CONVENIENCE .APPlIANCE Kif.. DISHWASHER .' DISPOSAL RANGE . Date Permit Issued OVEN WATER HEATER LAUNDRY DRYER FURNACE GAS - OIL FURNACE ELECTRIC - . ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE Wiring Method NM -[3 AMP PER CIR ~pV ~5>R 30 FEE AMP PER CIR 240V 100R 30 ~ NUMBER CIRCUITS ~. FEE USE OF CIRCUIT ..: I~ ./ . SIGN 50 VOLTS OR LESS MOTOR ~o 1& ~() / , I ]0 "0 lO MOTOR V' v'" MOTOR FIBE ALARMS BURGLAR ALARM MISC, / ;:10 ,~ v f/{t&21t.() ~t> if I ,/ if v REINSTALLATION LIGHT FIXTURE # . v ,/ SUB TOTAL FEE ENERGY FEE BASIC FEE TOTAL FEE . . SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER ~tJO 1l!Q AMP SIZE OF SERVICE ENTRANCE CONDUCTORS P.HASE I SUB-TOTAL <II" % "*' tJ~ D AWG SIZE OF GROUNO.M'(n' SIZE OF ENTRANCE SWIT'CH '::J 00 AuP API/Ii. lectrical Code. Date Application made I certif)' that the work to be performed under this permit will be done by the installer and in conformance with the N,E.C. b. .19 ~ Co q By NTRACTOR OR OWNER (OR AUTHORIZED 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 ITV LIGHT OLYMPIC PRINTERS, INC. \ I, \. ..;'.. By PLANS APPROVED Notify Department of City Light by Street Address a[1d,Permit Number when re'ady for inspection. Work must not be covered or current turne.d 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 REPORT OF INSPECTOR , DATE OF VISIT MADE BY REMARKS \ .. :1 ..\ ~ . 1 " '". . '.....1; : ';i: . . . ~,.,: ',~. \ \:'" ~ }"~~ \~ t ''t.' h " J " '\ ..... ~ . " " , . .- ... A . ..;: ~ '\ ..'\." ~ . , ~ , <". . ~ \ .- ~ '. . "-\ ',\1.. " , " !~\\ . . . . - '. , - , . . . < . 'C , Z . c:l II: , <t . , :E I !a - ,- . " J: " . I- 0 Z W I- , , " \ . I- 0 , \ 0 -, ,. .. Z I 0 . C . . . . .. - <, . . . .~ ." i\: \ .J . . - . 1,1 , , . , " 'l'~ ..,.\.. . , -3 ': . ~.~\~'. ., ~~ , t: > . " . . . " . . I , \ , " _A >I...... , . . . ~ . . J " . . ., " . ,', , , , # . . . \~ 1 :" ~d / U Ib tf.. t.)' A~ I , ... - O.K. FOR COVERING O.K. TO CONNECT SERVICE v FINAL O.K. ,r,/SIIoP(j vf (C.~K\~ '-- J " . . , " '<\'~~ JbS'~ . FEE RECEI? NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT \~ r A sY"J PERMIT NUMBER '. TOTAL FEE IJ~ I~. t1(!J J}\ J ~l E.s . \ 1.\1\ l<L, CONT. LtC.' NO. TIMETO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT t33J ..S:A.k\,~LC'?'..:;)~/L'y~ ' CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANTr .PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner ,l,B. R. 'c"",<,r~tJc.r(~j/ Installation By jAYJ!JIRb iiiftbTIlIG. Owner'sAddress ) 21~ 1"r.lA. f P A, ' 'InstailersAddress P.,O, 130'f ~(, .-:JtI Yc&:.. , Day Phone if ~?- - J L 3. '7.--- ." Installers Phone q ~t6 - 3 '16- '1 Application.is.herebymade for Perl)lit.to ln~tall~lectrical Equipment as folloVo!s: I ItM P. Site Address It.f,4sl1 Cf,851 Wiring Meth9d USE OF CIRCUIT NUMBER CIRCUITS AMP 'PER CIA -120V 10 240V f00R 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PEA CIA . 120V 10 240V 100R 30 FEE LIGHT LIGHT CONVENIENCE CONVENIENCE APPLIANCE . DISHWA~HER , DISPOSAL . RANGE OVEN WATER HEATER LAUNDRY , DRYER --:- FURNACE GAS - OIL FURNACE ELECTRIC -- ~LE9TRIC HEAT ELECTRIC HEAT - A.C. UNIT FEEDER SERVICE - ' SIGN A \\ . -- 50 VOLTS ~---' OR LESS ,- MOTOR (() ,-'- , , - , .. MOTOA ~ "-'I'> - ., .. . MOTOI).-. ,\V;'i . ,. I FIA ,-y 7 AM :>v-, )) , <.: JY -= ~ ,~"> [<..~ ,~ 7<1 /> ~ v REINSTALLATION LIGHT FIXTURE # /<,,~ _ SUBTOTAL FEE 'V~ 'V "" ENERGY FEE BASIC FEE . TOTAL FEE , 1''' ~~ SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER (,,0 AMP ~ SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE AW.G. 1 SUB~TciT A'L SIZE OF GROUND~ SIZE OF ENTRANCE SWITCH Date Application made ,19 <'Ie, ical Code. I'c~rtify that the work to -be performed under this permit wi be done by the Installer and in . ONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to qo the.above.qescribed work, according to the conditions hereon an9.!.cbording to the approved plans and: specifications pertaining thereto, subject to compliance with the Ordmances of the City of Port Angeles.t"'o.-\ \\ .\ \ \ \ \ ',,, ., '/ A 0 CTOR CITY LIGHT '< \ "- D~;e Permit Issued ..] 7 ,,:1, ,:--= - ~-:- - ~ () PLANS APPRO D " '__ It I' "I NotIfy Department of CIty ltght by Street.Address and. Pet! . Number when ready for mspectlon.:Work must not be covered or current turned on before inspec'tioniandl0'.K~' o'r covering or service has been giveri1tiy Inspector In Writing on Permit Placard. A. - Permits Phone: 457-0411 E~t. 158. .. -. I WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Trlplicate WHITE CARD . Inspector's Report OLYMPIC PRINTERS, INC. l1li""'" REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . , '. , . , : . ,- . . ,'."'.. .- "'-:', ,\ ,,> /' ~ .; ,- .r(:~- ., ." ,. / . . '':'''\ ~, ." ;- .', ) / .A . . /' - . " \ ", " ".\ , " .~. ). . . , F A I ,7nfrN / I/I:t O.K. FOR COVERING l ( -;:;NecT SERVICE \ . A l '" . f"!"NALO,K, -.. F"l., 1..1 Jlhl.. 11/1 ..fY -< l6JtJ~ j V~ . I I .. ~ Cl a: < :E !!! J: I- Z W l- . l- e z e c . Application Number . . . . . 23-00000393 Date 4/26/23 Application pin number . . . 535500 Property Address . . . . . . 1333 SAMARA DR ASSESSOR PARCEL NUMBER: 06-30-01-5-8-0090-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAUDERBACK LESLIE B EXTRA MILE TECH & ELECT., LLC 1333 SAMARA DR 418 N. RACE ST. PORT ANGELES WA 983631446 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 4/26/23 Valuation . . . . 0 Expiration Date . . 10/23/23 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:--------------------------------------□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 4/20/23,12:35:51 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000393 1333 SAMARA DR 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 4/26/2023 23-393 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 1333 Samara Dr