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HomeMy WebLinkAbout910 W 10th St - Building CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 18028 ELECTRICAL PERMIT . :J);t; R4 Port Angeles. Washlngton__.................._.....,...........__..__.................. 19__....__ 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. aJ 0 LA' / /l 1)J.. 11/Jl'l1 c: Address __...ZL...................i.....______.__LL.....__..____...__....................__ Occupancy........L.......__.........__........__....... Owner ...........C./~.1..cE........k.('J.?l'1P.D__.... Tenant.......__.......__..._.........._.................__.....__........__.__ Wiring Contractor .....D.f.l!!..!.~.......J;~?.t.t;.r..f!..~....____ By_.................................................................____ r.Ago Il Service, volts ....m..'..m........................ No_ wires m...:3.1j'..-.....'.......tA...- Size wlres........_JD7.!J.'y(l..P:._-'2 r Main luse -<.:.1.o..Q......a_~.~... Light Outlets___..m................._...___.._..... Receptacle Outlets.........m_m.h............ Dryer, KW........._n._..h........h.............. Range, KW....................n... Water Heat~r: Enclosure ...............................n...... KW........_.........._....m......__ Type of wiring: Entrance Cable .nmm...mmm........ Heat; KW............................................. Motors: size, volts and phase: Rigid Conduit .................._............ Metallic TUbing ........................... Current transformers: No. & Size....................................... Ser. No...................._......................... Ser. No. ...._......................................_. Ser. No............................"................. Total l.A)ad....h....................... Sec. No. ................._........................n Remarks: ........./J.L~y.~........S.g.~~).I.S:!;::..........q.t!.f.L~__~__€:...........____i(:..~.:____~.__..__.........__ Total ......_......._........................ Type of Wiring: Armored Cable ...m..m.................. Non-Metallic ..............mmmm....... Knob & Tube.................................. Rigid Conduit ............__._mm......... Metallic Tubing ..nm.m................ Raceway ........................................_ Circuits, Light....................................... Dtillty......_..._m__..._m..._..............__.. Heat ......................................._...... Range ............................................. Water Heater ............m................ Motor __._........................................ Dryer ..................n_.nn__...................... Furnace .........................'.................... .___.____.______._....______.____...__.__...~_____...w._w..._~_____.._._.._._._.._.___..._.____._.._.__....h..._....u...._.~~..._.........._._.._._...w..w..__w...ww..._......_ Permit Fee - ~ /~ . yt; $...__.."__[11......................... Treas. Receipt No......aa.$..:::L.... ill ~ O~ By ..... .....l!!:!:......,......~....................................... I I NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 8 0 2 8 ELECTRICAL PERMIT Address ___.n____.!liO___m____n0!...____.n_j/).....~~___nn...____........___n........nn..n.m..._.___ Daten._____.;4A..~.!!.....1_..__._____... , ; Owner nn..mmn.n._.c.t..LLr._._..____..n....j,._.~.k.I1t!._tl.____nm_n__n_n_._n.___ Tenantn..___mm_mm___m__m___mm..mm___m_.m_m_m Wiring Contractormm..nD;!..t/.1..s...___n___n_ne~.J;,.t;1..&..~.~.n_6.BJ<J.B.1_;/hm_n_..._________n___.___________.___________.....n.. NOTICE-Current must not be turned on until Certifica.te ot Inspection has been issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. -. 1M Olympic Printers, fnc. Application Number . . . . . 22-00001323 Date 10/19/22 Application pin number . . . 811388 Property Address . . . . . . 910 W 10TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1915-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service and circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHAMP MARK W/SHELLEY SYNERGY ELECTRICAL CONTRNG LLC 910 E 10TH ST 910 W 10TH ST PORT ANGELES WA 983628037 PORT ANGELES WA 98363 (360) 461-3954 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 195.00 Plan Check Fee . . .00 Issue Date . . . . 10/19/22 Valuation . . . . 0 Expiration Date . . 4/17/23 Qty Unit Charge Per Extension BASE FEE 75.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 195.00 195.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 195.00 195.00 .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 10/17/22,14:29:27 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001323 910 W 10TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 195.00 TOTAL DUE 195.00 Please present reciept to the cashier with full payment