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Home My WebLink About3423 McDougal St - Building ._". e- CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 1&6 cl s-s-8~ ELECTRICAL PERMIT DATE Installed By: (V1Cg)Ov- /r-( -s \ILO ft:,(~c. fdllC- tJf). fU..- \D.rJ Hu fv\ ~ S o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Site ~ddress: Owner/Business: I Phone: Owner/Business Address: Sq/b. ii JlResidentials j( 1 Heat KW W o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) '1it'New Construction 6"Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead ~ Underg?2und/ Voltage W 'Z...V 0 ~ I 10 03.0 ervice size ']..0 0 Amps o Temporary DetailslDescription: B tuJ ~~~~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. ~. Ditch inspection O.K. f'lj;1fi Rough-in/cover O.K. .'&~ O.K. to connect service 'Ejj..FinaIO.K. /'(ri' Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending ;J1.J. 3 Installer: ---MO c~. '17f1.. : l)l A~CtDJ,C, fA (N~w ~'.l"~ New Meters ( Date: ~-S-""8 8 Site Address: . Notify the Department 01 City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the ,nspellsctor in Writing on the Wiring Report or the Building Permil. PHONE 457.0411, EXT. 158 or EXT. 224. ~r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT "3 0 .~ I spector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ....."...P,C pRINTERS. INC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT DATE . Site Address: o READY FOR INSPECTION, License Number: o WILL CALL FOR INSPECTION Phone: ~ Owner/Business: Phone: Owner/Business Address: Sq, Ft. o Residential Heat KW 0' Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) . Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 030 Service size 'g(Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Det~ils/Description: . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough,in/cover O.K. o O.K. to connect service .~ Final O.K. /J~.jJ\ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified'of inspection o Plan Review approved/pending Installer: Site Address: . Notify the D artm nt of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized'before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. m S' d II NO OCCUPANCY OR USE ESTABLlSHEO UNDER THIS PERMIT Ji,. tJ J Ins~or Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall \ \ ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . 16- 00000486 Date 4/07/16 Application pin number 195634 Property Address . . ,. 3423 MCDOUGAL ST ASSESSOR PARCEL NUMBER: 06-30-14-2-3- 9020 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use Property Zoning . . . . . . , RS9 RESDNTL SINGLE FAMILY Application valuation . . . 0 Application desc Ductless heat pump Owner Contractor CHET M COBURN BLACK DIAMOND ELECTRICAL CONTR 3423 MCDOUGAL ST 502 BLACK DIAMOND RD PORT ANGELES WA 983626741 PORT ANGELES WA 98363 (360) 775 -5497 (360) 565 -1035 Permit . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit 'Fee 63.00 Plan Check Fee Issue Date 4/07/16 Valuation d Expiration Date 10/04/16 Qty Ufit 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 A0 00 Lz i REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) DATE: RESULTS: i INSPECTOR: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor G:\EXCHANGE\BUILDING Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 7-16 K1 & 2 Single Family Dwelling * Plan Review May Be Required, lease Co et Electrical Plan Review Information Sheet Job Address: � ° " Building Square Foota e: _..., Description of above .,. Owner Information Name: — !z� ation Mailing Address. 1, 2. 3 A4 City; State: Zip: . Phones ax: .... License # I Exp. Fax; — �i ��u�� " „ "� Item Unit Chaff Service /Feeder 200 Amp. $120.00 Service /Feeder 201 -400 Amp. $146.00 Service /Feeder 401 -600 Amp $ 205.00 Service /Feeder 60 1 -1000 Amp. $ 262.00 Service /Feeder over 1000 Amp. $ 373.00 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 14 $ 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 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 Contractor Inf ation Name: Mailing Address: City: State: Zip: Phone: License #IBxp, — Fax; — �i ��u�� " „ "� Qty Total (Qty Multiplied by Unit Chanel _. $ $ $ $ �e $ $ -- .._ ............... ._. $ 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 Munici7e3)r, ode, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature o> /Ct rical contractor or electrical administrator: ❑ Cash Kcheck // ❑ Credit Card f! .....F m0110112012 t