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Home My WebLink About1112 Hazel St - Building -. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: DATE ~/CJS- b-//~qtt; PERMIT NO. I nstalled By: o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: Owner/Business: Owner/Business Address: M RESIDENTIAL B' COMMERCIAL o BASEBOARD KW ~ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE ~ NEW CONSTRUCTION IT REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) r../ ~~ EhL./.I--<-, Details/Description: Phone: Sq. Ft. ~ OVERHEAD SERVICE 6 UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE t:f)co AMPS W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. AJl/J\iJ6 Rough-in/cover O.K. ~' O.K. to connect service o Finai O.K. Site Address: ~ New Meters - Notify Port Ales Ity Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspe ion and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report ir on the Building P mi PHONE 457-0411, EXT. 224. \~ Installer: NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ YELLOW - file by number PINK - Top: Eng, Bottom, Customer _tC PRINTERS fNC ,;IT ~CJ,. ocJ Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . . , . 15-00001548 Date 12 /14/15 Application pin number 044352 DITCH Property Address . . . , , 1112 HAZEL ST ASSESSOR PARCEL NUMBER! 06-30-08-5-8- 1103 -0000- Application type description ELECTRICAL ONLY suhdivision Name . , , Property Use FINAL Property Zoning . . . . . . RS7 RESDNTI, SINGLE FAMILY Application valuation . . , , 0 Application desc Ductless heat pump Owner Contractor Delta & Jerx'at Shore EXTRA MILE' TECH & ELECT., LLC 1626 Maloney Ct 418 N. RACE ST, PORT ANGELES WA 98362 PORT ANGELES WA 9836.2 (360) 670 -8484 (360) 457 -5222 Permit . . . , . , ELECTRICAL ALTER RESTDENTIAL Additional desc . . Permit Fee 68.00 Plan Check Fee 00 Issue Date 12/14/15 Valuation 0 Expiration Date , , 6/11./16 Qty Unit Charge Per Extension 1.00 5.0000 ECH -FT—ECH ADDNT BRANCH CIRCUIT 5,00 1.06 63.0000 ECH EL, -R- BRANCH CIR WO/ SER FEED 63. DO Fee summary Charged Paid 'Credited Due Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total 1 00 DD 00 00 Grand Total 68.00 68,00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IFXCH NGEIBUILDING 1A Crr OF For-' ANGEMS PaRMN APPLICATION { a 2 single FmIly Dwelling Alan Reviser May Se Repired, Please COrnplets EIS& ical P1 a Resew lrrformagarr Sheet Job Address: Suifding Square Foa ge ftesarip�an eFa6 yt ? �a Omar 100, 0an � 1 �o i2.s Conftcbriffionm - don {urea Sri Mama 2 maiiingAdd��. 1. . c•... -i � � ' Clfy teft Pharre� Maa'i Address: Cify Staff: „� dips Pirun ' iicense�l i iusef Grp „Y !� SenrirseiFee r20il Ar rp S 12000 Serslce/F'eeder201400Arnp. $14UG Sane WFeeder401- 600AMP $20500 Ssr+r1wFaeder6D1 -1600 Ftrrrp. $ 26200 �. Servlc &Fesderovar 10W Anp: $ 373.00 Branch CircLft W1 Sr ce Fier Branch MCA W10 89MRS Feeder 6.00 6100 '21 Ench Add#fianai Bra zh Circuit 6.Q0 , a. 6ran6 Cfrrwuiis t-4 $ 75.00 Temp SeruTWFaWer= AmP. S 9311113 Tense Se adFseder 201400 Amp- $ 118.00 ----- Temp. S Icelf:eeder l-= Amp. $ 14910 Temp. Serjflc*jFaWar 6D14000 Amp . $ 163.00 Portal to ParW f iour#y 3 56.00 Signaf Circa Y limited En"y -'1 &2 Padly Draft $ 64.00 - manufacwmd Rome CrMSOon $ 121.00 — Renewable Sn9col EnSW-5;NA System crr LSSS $102M Thermoga't $ W — mote. Ss.00yoreacha0gansiT- W iEUU 4ONS7 li it8lgf3Pd '_ First 93 00 Square Ft. Each Additional WD Squarrs Ft• ®rft tsn Of $ 40M Each CdluEdingorDetached emo $ 74:00 � Each Stir mMing P001 OrMTO $ 110.00 t, 7 'how Omer as defined by RCW.1928.261: (1) Cwner vM a=P11be Skive rre for fm yem aterftrfs eledriGai pwnk is f fr . (2) Owner is required to hire an efecVW @nitadflrgf above said properly is for s9e, rent or lease. Permii aVires after six manft of last insp ldon. After raadrrrg the i hereby fR fhat i mn the ermerof the above named properly or a died alecbia con arlor_ i am aria dnq the elecMcal installEffion oralteraon In compliance me the Is , N.F -C., RCW. Chapbr I9,28, ;AC. Chapter 29 65, Tice Cify of Pcg Arigeiss Munidpai Code, and t3ft Speciffa ddons and PMC 14.05.05D regarCing Edacfflcd PeWaAppriuOons. 31griatm 010m% 010MW WOWWOF UOINWcal �► El megh Cud g OW FX. ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . . 16- 00000210 Date 2/11/16 Application pin number . . . 753990 Property Address . . . . 1112 HAZEL ST ASSESSOR PARCEL NUMBER; 06-30-08-5-8 -1103 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property zoning . . . . . RS/ RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc Addition Owner Contractor Delta & Jerrat Shore 4LECTRIC SERVICE 1626 Maloney Ct 503 RHODES RD PORT ANGELES 4+'A 98362 PORT ANGELES WA 98362 (360) 6'10 -8484 (360) 452 -6424 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 2/11/16 Valuation . . . . ❑ Expiration Date. 8/09/16 Qty Unit Charge. Per EXtension EASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75,00 00 00. Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN r FINAL COMMENTS: - PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECT €ON Signature of owner or Electrical Contractor X Date.- GAEXCHANGEIBUILDING 4 CITY OF PORT ANGELES PERMIT APPLICATION RECEIVE Building Division/Electrical Inspections 321 East Fifth Street -- P.O. Box 1150 / Port Angeles Washington, 95362 6 ,t I Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELEGMICAL Date: 1 & 2 Single Family Dwelling MSPECTIONS * Plan Review May Be Rep Pleas omplete lectricai Plan Review Information Sheet Job Address: - R Building Square Footage: Description of above 4-A Owner lnforma n �� Contract form tio_n Name: Name; Mailing A digs p. C ity : Ste: Zip: q4EL2 Mailin A dress; d city.t State: 2 Phone: t1a License # I Exp. Phone: Fax: License #! Exp. II L- I_ T_- J: _'S 7 J 321 Item Unit Charge _Qty Total (Qty Multiplied by 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 W1 Service Feeder $ 5.00 $ Branch Circuit W!0 Service Feeder $ 63.00 $ Each Additional Branch Circuit Branch Circuits 1-4 $ 5,00 $ 75.00 $ $ .. a 1�1� 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 . $166.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 _ $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5,00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft, $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 _ $ Each Swimming Pool or Hot Tub $110.00 $_� $ ,4otal 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 cedify 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., ROW. Chapter 19.28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMO 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check A ❑ Credit Card # ]() /% }�L ✓ } y X V"q Dated: 01101/2012 t 5 s, PORT 4,p, ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE: PERMIT 4 INSPECT .C42-__ CONTRACTOR ]n 0- _ j- ADDRESS )-/A7 APPROVED NOT APPROVED 0 ... ................ DITCH.. ............ 0 0 ................ ROUGH IN/COVER ....... —., — 0 Igo ................... SERVICE ................. 0 ............. ........FINAL ....... — ......... CORRECTIONS NEEDED' P144- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS