HomeMy WebLinkAbout1815 Nancy Ln - Building
CITY OF PORT ANGELES
LIGHT DEJ?ARTMENT
ELECTRICAL PERMIT
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17180
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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 ele.ct. rical work ~s#sted below.
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Light OUtletBoooo___.___/...?n.oo...____noo. Service. volts .ji:y.~L-':?:~?~t!. Type ot Wiring:
Receptacle OUtletsC__.l.9........___n__ No. WI..es --...n--i2;~jr;;ij;?-- Armored Cahle ________..._______.......00__.
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Heat~:;::::::..6;.:<::::..:::::.n:.nn . Typ~::r:~::~~ble .___0000__00 00___00.________
Motors: size, volts and phase:
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Raceway .....___...................._.._._..._
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Range .........___._._........._______..........._.
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Water Heater ._..__.......____..........____
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Current transformers:
No. & Size...___................._.._.__
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Ser. NO..._h_....________._____...___..__...._..._._
Ser. No.._____.................____..............._...
Ser. NO..___n_h..._........_.________._n...........
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NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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
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"
ELECTRICAL PERMIT
N?
17180
Address....._..._............_._____________.._.___.....___..............._..___._.____..._.___..........__............_.._._...___.._.____....Date____...____.._.._.._...._..__.____..._......____.___..
Owner.._.....____.......................____.________d_._......_..____............_________.__...:_____.____.___......____....Tenant._t__.____...____~__________.____......_.........._.._.__________.__.
WirlngContractor....____._______.._........_........___..__................_....h......................_........._......____.._.___..___By.__..__......_..................____.....___..................
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.
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1M Olympic Printers, Inc.
Application Number . . . . . 22-00000610 Date 5/18/22
Application pin number . . . 899330
Property Address . . . . . . 1815 NANCY LN
ASSESSOR PARCEL NUMBER: 06-30-11-5-6-0800-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
------------------------ ------------------------
GILMORE, RICHARD & STEPHANIE BLACK DIAMOND ELECTRICAL CONTR
1410 W 5TH ST 502 BLACK DIAMOND RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 417-3409 (360) 565-1035
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 5/18/22 Valuation . . . . 0
Expiration Date . . 11/14/22
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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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 .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:--------------------------------------â–¡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
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
DHP
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/31/2022 22-610 TAP
OWNER
CONTRACTOR
Black Diamond Electric
PROJECT ADDRESS
1815 E Nancy Ln