The URL can be used to link to this page

Home My WebLink About4312 Nicholas Rd - Building . ELECTRICAL WORK PERMIT APPLICATION ~st Inspection , . o Annual Permit o Residential o Residential Maint. o Signs o Thermostat o Telecom. Installation description Job wired by o Electrical Contractor DOwner J',:]s- An. f> J -=_~ .:Z-12 )0 Electrical contractor name ~~O License number ~/~) //P 1'2+,0 F?. I ;.\\I~\2-rOe. 111/:; ;:::t I-~ JL'-/S k'2 Purchaser's mailing address ~ '-PO E'D"l / ':;':7 J ~7) () 16....J Cit~~() State ZIP '7 '8 S C--,~.L ) \...J .0>, T"el~phone number FAX number %",7~7/2p v2. y'6c',..Is",-C7 Premises owner's name ~.~t,,:' C,'>, 'j ........ t::",.,,) . "';.:.~ Arlrlress nf in"'np..ti...... C 'i30~ tllcIIO&.i.==-. ~-J".._ c"q , D\~~ ~''''C~-->, - Z131c-- ^ 'I \0..\.-X\) ~ o Cash o Check # I hereby certify that I am the owner of the above named property or a licensed o Credit Card Visa Mastercard Discover electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Card # . ---------------- Stg(~re of own~r. electri". con~ electrical admintstrator Expiration Date ( Inspection X~e ,;?C, X J/1!11:.. 6. IJ ~rt_ of card $ 721 AD2; WALLS CEILING ( D,~ERMOS::~." By ) ( SER\1~ppm"d By J Insulation Only Insulation Only " "- Date Dale Approved By Dale Approved By ( DITCH App,,,,' By ) ( Cover Cover ~~~ ) Date Approved By Date Approved By "- Date Dale Approved By Electrical Load Additions and or subtractions Service Information CI NO LOAD CHANGES Cl Baseboard - KW Voltage Cl Furnace - KW Cl Overhead Service Phase)Q 1 D 3 CJ Heat Pump - Ton - LAR . 0 Temp Service Service Size: CJ Fan-Wall - KW tld"lrnderground Service Feeder Size: Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector_ C;N!o,q --n2 A...1S Po7 M1=.D ( J {)(b e..A Des 'f!E6JU/t V /j u..J) J.fD &n, -Iv {Y.U <? +o7A.1 UlJ wS qq?~ IMF- ~IA 4.5 ~ I - ~~/"$ rrN'/12.- ..~ A:tO I I /Ice Y'~7/~f' I ~ : ,,;> '[i,~ ll:{f J ol ~-. · fi. ~~~O FOllOFFlC~ USE ONn '. .-, ELECTRICAL PERMIT APPLICATION ~. r; c,,,r., -c'';; it '1iI> [1 """ A....".. ~~ ---"""-:"4' The Electrical Permit Application must be filled out COm'3lete~., Dale Issue-" 1.__ . ..A_ ..,~LI Please type or reprint in Ink. II you have any questions. please call (360. 417-4735 ".. I- ~-. . !"cfJ;:: 7)4)4 .s6<U/,-ed;nUmber:(360)417trllj/ C1rs>/t3Jrr,7 OwnerorElec.ContractorAgen'~ .AIY\I L \"'\\.\WLAOJ Phone: l/52-3320Fax: L..u\._~. l "- Property Owner: J'lVY\E '. Phone: ~~€- Address: 13 ( f:::vu$Q Rd . City'=fOV+ ~fl./le3 Zip: Q';5'36--<.. Electrical Contractor: .n0.. J l"\ Jl/te . Ucense #: ~ Exp: ~ Phone:- Address: ,- . City: ~ . Zip: <--- INSTALLATtON WIRED BY: )fpWNER 0 ELECTRICAL CONTRACTOR .-:- Credit Card Holder Name: I '~I L - Jtt '-I VI/I t"rf/J Billing Address: ,.; 1 l:=vuc.-e rz.J. Clty';l) (') v+- ~t.J2 j...e S ZIp' 't 'B }' ~'2 CreditCardNumber- ( VISA: If" MC:_ 7".3/ 2- N /~./eu1S I!N, PROJECT ADDRESS: C/SCi'R V\'(Q.h:o( 11\-5' TYPE OF WORK: Check all that apply: 0 New Oil, Alterationl~ddltjon o Residental 0 Multi-family 0 Commercial 0 Mobile Home Sq. Ft. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 ~plicP,urnPO Low Voltage 0 Telecom. 0 Sigll Number 01 Circuits added or altered: i ,'. " , ..'..,'. DESCRIPTION OF THE ELECTRICAL PROJECT' 2 no . ~ '. ~ra.Q . ..~ . j 51, '/0 - Electrical Heat Load Additions Service Information o Baseboard _I(MI Voltage: (ZD. Z)IV o Furnace _I(MI ~Overhead Service Phase: 'Rl1 0 3 o Heat Pump _I(MI O.Temp Service Service Size: ?=14tV\D o Fan-Wall _I(MI 0 Underground Service Feeder Size: I PAMC 14.05.060(8): Far industrial, commercial, & residential projects larger than a duplex. a one -line drawing 01 the Electrical Service & Feeders, building size (sq. ft.). load calculations, and the type & 01 conductors andfor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: . \ Date: Owner or Elee. Cont. Signature(/' ~ ~/'-- Date: {CJ -iO-DS PW-9019 . I (( Application Number . . . . . 23-00000967 Date 9/13/23 Application pin number . . . 351853 Property Address . . . . . . 4312 NICHOLAS RD ASSESSOR PARCEL NUMBER: 06-30-09-5-0-0900-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . INDUSTRIAL LIGHT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LAYMAN TERRY / LORI OLYMPIC ELECTRIC CO INC 137 KRUSE RD 4230 TUMWATER PORT ANGELES WA 983628900 PORT ANGELES WA 98363 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 132.00 Plan Check Fee . . .00 Issue Date . . . . 9/13/23 Valuation . . . . 0 Expiration Date . . 3/11/24 Qty Unit Charge Per Extension 1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 132.00 132.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 132.00 132.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us ELCOM MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$132.00 $ Service/Feeder 201-400 Amp.$160.00 $ Service/Feeder 401-600 Amp.$225.00 $ Service/Feeder 601-1000 Amp.$288.00 $ Service/Feeder over 1000 Amp.$410.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 $ Temp. Service/Feeder 200 Amp.$102.00 $ Temp. Service/Feeder 201-400 Amp.$121.00 $ Temp. Service/Feeder 401-600 Amp.$164.00 $ Temp. Service/Feeder 601-1000 Amp.$185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy - Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial (Note: $5.00 for each additional 1500 sf) $96.00 $ Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional)$56.00 $ $ 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- 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)Permit #: [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 9/14/2023 23-967 TAP OWNER CONTRACTOR Olympic Electric PROJECT ADDRESS 4312 Nicholas Rd 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 9/28/2023 23-967 TAP OWNER CONTRACTOR Olympic Electric PROJECT ADDRESS 4312 Nicholas Rd