HomeMy WebLinkAbout1143 Campbell Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
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A000039
PERMIT NUMBER
FEE RECEIPT NUMBER
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TOTAL FEE
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LEGALOCCUPANqV \_
Site Address
CONT. Lie. NO.
TIME TO CO!JIPLETE
NO; ST~RIES
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Owner
ERMlrs WITH WRONG A~DRESSES ARE CANCELL:://<
Installation By (!k IMM
Installers Address
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PPli~n is hereby made for Permit to insta Electrical Equipment as fOII?~... I -
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Wiring Method /
AMP 240V AMP 240V /
USE OF CIRCUIT NUMBER PER 12QV 100R FEE USE OF CIRCUIT NUMBER PER 120V 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT I y' '--I- SIGN
50 VOLTS -
LIGHT OR LESS
CONVENIENCE I - Zf -
MOTOR
CONVENIENCE MOTOR
APPLI.A..NCE . MOTOR -
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
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RANGE MISC.
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OVEN
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE sue TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE I
ELECTRIC BASIC FEE
ELECTRIC HEAT :L ~ ' .....- (/l
TOTAL FEE
ELECTRIC HEAT T
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER ..
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
1 SUB-TOTAL 77~ SIZE OF GROUND SIZE OF ENTRANCE SWITCH
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it will be done by the installer and in con for ance with the N.E.C. Electrical Code.
Date Application made , 194 By
Permission is hereby given to do the abov escribed work, according to the conditions reon and ac
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR OF C TV. LIGHT
Date Permit Issued
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WARNING
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned 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
OLYMPIC PRINTERS, INC.
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS -
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Application Number . . . . . 24-00000431 Date 5/08/24
Application pin number . . . 248899
Property Address . . . . . . 1143 CAMPBELL AVE
ASSESSOR PARCEL NUMBER: 06-30-14-5-4-0470-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Add circuit
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Owner Contractor
------------------------ ------------------------
CALEB J AND HEIDI A COPKO FELTON ELECTRIC
600 SE 177TH AVE 196 GANDALF RD
VANCOUVER WA 98682 PORT ANGELES WA 98363
(503) 915-6844 (360) 775-5001
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 5/08/24 Valuation . . . . 0
Expiration Date . . 11/04/24
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
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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
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#
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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
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/29/24 24-431 TAP
OWNER
Contractor
Felton Electric
ADDRESS
1143 Campbell Ave